Succeed in Medicine

Physicians dedicate our lives to the care of others and this often doesn’t end when we leave work, but extends to our family and friends, other projects and demands that lead us to over extend ourselves until we feel like butter spread over too much bread. This has become acutely true during this pandemic, so psychiatrist Dr. Dimitrios Tsatiris discusses how we can work more self-care into our lives without the guilt. We start by defining self-care, what can happen to us if we forgo it for too long. We then go into all of the internal and external obstacles we face to self-care and he gives ideas for overcoming those obstacles. Dimitrios Tsatiris, MD, is a Board-Certified Psychiatrist in Cleveland, Ohio, who specializes in the treatment of anxiety and mood disorders. He completed his residency training at University Hospitals Case Medical Center where he served as Chief Resident. He is also certified in psychodynamic psychotherapy from the Cleveland Psychoanalytic Center. When he is not at work, he devotes his time to his wife and 2 young children. He can be found on Twitter at @DrDimitriosMD This episode is sponsored by PatternLife.com. Shopping for disability insurance can be complicated and time consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, apply risk-free. Be confident you have the right policy so that your income is protected. With discounts for doctors in training and some relaxed requirements during COVID-19, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com/partner/pgd. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!! This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Blake Eastman is a guest like no other we’ve had. He is a professional poker player and founded School of Cards, the first brick and mortar poker school in the country and is the creator of Beyond Tells, a poker tells training site. He has a graduate degree in psychology and taught psychology at the City University of New York for six years. While he was doing that all of that, he also provided consulting services to physicians, practices, and hospitals regarding nonverbal communication and conducts large scale independent research on nonverbal communication. The current pandemic has hamstrung our ability to read nonverbal communication and convey it. We are either behind a mask or a blurry image on a telehealth visit. He teaches us what to prioritize with regards to our own nonverbal cues, how to optimize a telehealth visit, the importance of the cadence and volume of our speech, and cues for recognizing understanding. https://www.schoolofcards.com/ https://www.beyondtells.com/ @blakeeastman This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Matthew Wiggins is the co-founder and Senior Advisor at Pattern, a life and disability insurance company that caters specifically to the physician community. Today he teaches us about disability and despite there being a pandemic that is putting us at higher risk, because of the shelter in place orders, it is actually EASIER to get disability. We discuss this as well as why disability is so important, why he rarely sells short term disability, when it is OK to drop your policy, and the rate of disability for physicians vs. the population at large. Mr. Wiggins has spent the past 10 years educating and advising over 6,000 physicians across the country. He has been invited to speak at many major medical training institutions such as Kaiser Permanente, Mayo Clinic, and Johns Hopkins, and has provided educational webinars to thousands of doctors through the years. Doctors who attend these sessions say that the emphasis on what Matt calls physician "practical wellness" impacts how they view and handle searching for jobs, signing contracts, and staying on top of their personal finances. As a full disclosure, he is a sponsor of this episode and a few others, but I didn’t pull any punches and if you are looking for social proof, just go to his website. He has the support of some of the biggest names in the physician finance space. Find him at Patternlife.com/partner/PGD. This episode is sponsored by PatternLife.com. Shopping for disability insurance can be complicated and time consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, apply risk-free. Be confident you have the right policy so that your income is protected. With discounts for doctors in training and some relaxed requirements during COVID-19, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com/partner/pgd. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!! This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

This is a flashpoint in our nation’s history and our positions as physicians endow us with a certain amount of respect and authority and with that authority comes responsibility.  Responsibility to have difficult conversations. It is not uncommon for us to have difficult conversations, like breaking bad news, discussing an adverse health outcome, but these conversations are about others. We need to have difficult conversations about ourselves. We need to reflect on our own biases and how these can affect the health outcomes of our minority patients and career trajectories of our minority colleagues. In light of current events, I have chosen to rerelease episodes from earlier this year that should be thought provoking and allow us to reflect on the ivory tower, conservative institution that is medicine and how we can help to move the needle to improve health outcomes for our minority patients and the careers of our minority colleagues. One way to improve the former, is to improve the latter.  Max Jordan Nguemeni Tiako is a 5th year med student (out of 5) at the Yale School of Medicine and hosts his own podcast, Flip the Script, about healthcare disparities. He starts out discussing how some of what we learn about race being a risk factor for some diseases are a product of social constructs, not genetic predisposition. We then discuss racial disparities in substance-use disorder treatment. We then pivot from health disparities to physician training disparities.  We learn about the hardships faced by minority medical students from microaggressions from students and faculty to disparities in grading and how this can affect career trajectory. He ends by discussing some pearls he has learned from his own podcast.   Mr. Tiako grew up in Yaounde, Cameroon, and moved to the US to attend Howard University, got a BS in in civil and environmental engineering and then a Masters in Bioengineering from the Georgia Institute of Technology. He is currently doing research connecting his civil/environmental engineering background to identify elements of urban design that can be leveraged to improve health outcomes and move the needle towards health equity. His research fellowship is at the Center for Emergency Care & Policy research at the University of Pennsylvania. He spends his free time writing about racism and medical education in the medical student magazine InTraining.   His Twitter handle: @MaxJordan_N His podcast can be found here: iTunes: https://podcasts.apple.com/us/podcast/flip-the-script/id1402777078 Soundcloud: https://soundcloud.com/yaleuniversity/sets/flip-the-script Spotify: https://open.spotify.com/show/1judlJj8gLg8OnVJtpXv7O?si=snZWGMbaRiafUfJZajHRyw This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

This is a flashpoint in our nation’s history and our positions as physicians endow us with a certain amount of respect and authority and with that authority comes responsibility.  Responsibility to have difficult conversations. It is not uncommon for us to have difficult conversations, like breaking bad news, discussing an adverse health outcome, but these conversations are about others. We need to have difficult conversations about ourselves. We need to reflect on our own biases and how these can affect the health outcomes of our minority patients and career trajectories of our minority colleagues. In light of current events, I have chosen to rerelease episodes from earlier this year that should be thought provoking and allow us to reflect on the ivory tower, conservative institution that is medicine and how we can help to move the needle to improve health outcomes for our minority patients and the careers of our minority colleagues. One way to improve the former, is to improve the latter.  Dr. Uché Blackstock is an emergency medicine physician who is passionate about addressing the detrimental effects of structural racism on health outcomes. We discuss the origins of structural racism and how this continues to influence the health outcomes of minorities. She then gives us some tools for reflecting on our own biases and how we can work to address them. In addition to patient care, we talk about improving the diversity of faculty, and the importance of mentorship and sponsorship. We end by discussing something each of us can start doing tomorrow in order to address our own biases. Dr. Blackstock went to Harvard for both undergrad and medical school, did her emergency medicine residency at SUNY Downstate/ King’s County Hospital Center and then a fellowship in ultrasound at St. Luke’s Roosevelt.  She recently left her position as associate professor at NYU as well as the faculty director of recruitment, retention and inclusion at the office of diversity affairs at the medical school to focus entirely on her company Advancing Health Equity, which aims to partner with healthcare organizations to address some of the critical factors that contribute to health inequity, through educational trainings and racial equity culture analytics.  She can be found at advancinghealthequity.com and on Twitter @dr_uche_bee. The implicit bias test that she discussed can be found here: https://implicit.harvard.edu/implicit/takeatest.html #BLM #BlackLivesMatter This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

In this second half we discuss some of the sequelae, like coagulopathy, but spend most of the time talking about the path forward: herd immunity, cross-immunity from other coronaviruses, durability of immunity, a vaccine, the quirk of spread among children, or rather lack thereof. Jennifer Kasten, MD, MSc, MSc, is a practicing pediatric pathologist with degrees in medicine from the Columbia University College of Physicians and Surgeons, infectious disease epidemiology (CID) from the London School of Hygiene and Tropical Medicine, a year's postgraduate work in the mathematical modeling of infectious disease at Oxford University, and a master's in the history of medicine and science, also from Oxford University. That’s a lot of school. She has only had a Facebook page since March, but she has already become a phenomenon with many of her posts going viral. If you don’t follow her, you should. Her understanding of pathology, lab testing, virology, and mathematical modeling make her uniquely suited to understand so many facets of this pandemic. I crowdsourced some questions from the COVID-19 Physician Facebook group and she was kind enough to sit with me for over an hour and a half answering those questions. This episode is sponsored by PatternLife.com. Shopping for disability insurance can be complicated and time consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, apply risk-free. Be confident you have the right policy so that your income is protected. With discounts for doctors in training and some relaxed requirements during COVID-19, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com/partner/pgd. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!! This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Jennifer Kasten, MD, MSc, MSc, is a practicing pediatric pathologist with degrees in medicine from the Columbia University College of Physicians and Surgeons, infectious disease epidemiology (CID) from the London School of Hygiene and Tropical Medicine, a year's postgraduate work in the mathematical modeling of infectious disease at Oxford University, and a master's in the history of medicine and science, also from Oxford University. That’s a lot of school. She has only had a Facebook page since March, but she has already become a phenomenon with many of her posts going viral. If you don’t follow her, you should. Her understanding of pathology, lab testing, virology, and mathematical modeling make her uniquely suited to understand so many facets of this pandemic. I crowdsourced some questions from the COVID-19 Physician Facebook group and she was kind enough to sit with me for over an hour and a half answering those questions. In this first half we discuss the epidemiology. We try to explain why some locations are hot spots, R naught (or how many people one person typically spreads it to), droplet vs. aerosol, why you don’t need a hazmat suit for the grocery store, the true mortality rate, and current testing. This episode is sponsored by PatternLife.com. Shopping for disability insurance can be complicated and time consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, apply risk-free. Be confident you have the right policy so that your income is protected. With discounts for doctors in training and some relaxed requirements during COVID-19, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com/partner/pgd. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!! This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Jeffrey W. Ross, MD retired in 2017 from a successful first career as a fellowship-trained Interventional Radiologist and a board-certified Diagnostic Radiologist to become the founder and managing director of Vailshire Capital Management, LLC and Vailshire Partners, LP. Passionate about investing wisely and teaching others to do the same, Jeff is a former contributor for The Motley Fool and current contributor for Seeking Alpha. We start out by defining terms like mutual fund, hedge fund, venture capital, angel investing, and private equity. He teaches us the importance of diversifying beyond the market and investing in what we know, which is why many of his investments are in the healthcare and healthtech space. He retired from being an interventional radiologist, but after a year and a half away, he is back to teleradiology. After being away from medicine, even for a little while, gave him some perspective he was able to share with us. The previous Secretary/Treasurer of Colorado Springs Radiologists, P.C., Dr. Ross also sat on the Board of Directors as co-owner of Penrad Imaging in Colorado Springs, CO. In addition, he was an active member of the CSRPC Investment Committee, Executive Committee, Radiology Peer Review, and Penrose- St. Francis Hospitals Cancer Committee. He went to med school at University of Minnesota – Twin Cities and then did residency and fellowship in radiology and interventional radiology at the Medical College of Wisconsin. After being in practice of 10 years, he got his MBA from the University of Colorado – Colorado Springs. Vailshire.com @vailshirecap on Twitter Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!! This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

COVID-19 has turned the world upside down and although prevalence may wax and wane, we are going to have to get used to living, knowing that it is out there. We are going to have to develop new routines and habits in order to minimize our risk of getting it. We can’t eliminate our risk, but we can mitigate it and when developing habits that stick, simplicity is key, so on today’s podcast, we have internist, author, and habit expert, Dr. Monique Tello, who has previously been on our show to discuss her book, Healthy Habits for your Heart. We talk about staying safe in the grocery store, actionable advice we can give our patients to decrease their risk of COVID complications, how to work physical activity into the day and why we should consider getting a pet. Dr. Tello is a primary care physician at Massachusetts General Hospital in Boston, Massachusetts and instructor at Harvard Medical School. She practices part-time internal medicine at Women's Health Associates, a small MGH-based primary care practice with all female providers that serves predominantly female patients. She is originally from the Boston area, and graduated from Brown University and the University of Vermont College of Medicine. She completed a med-peds residency at Yale and after residency, she earned an MPH and GIM research fellowship at Hopkins. She writes a popular blog, generallymedicine.com, about her life as a doctor and a mother and contributes to many other blogs, including Mothers in Medicine and Harvard Health Blog. Her writing focuses on work/life balance and healthy lifestyle. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!! This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Gretchen LaSalle, MD FAAFP is a board-certified family physician with a passion for preventative care, from which vaccine advocacy is a natural extension. She is an active writer and public speaker on the topic and, in October 2019, published a book with Wolters Kluwer Press titled Let’s Talk Vaccines: A Clinician’s Guide to Addressing Vaccine Hesitancy and Saving Lives. In a growing climate of vaccine hesitancy, her primary mission is to keep patients from falling victim to vaccine misinformation and to decrease the frustrations, while increasing the successes, that clinicians have in getting patients vaccinated. We discuss how to have the most fruitful discussion with the vaccine hesitant. She has a system for addressing these patients and parents and no surprise, it starts with listening. The hesitation comes with all sorts of concerns, from stories they have heard, to potential side-effects, to simply indecision and she has a well thought out discussion for all of these. We get into the cognitive biases that may be at play and end on her experiences on social media with the vaccine averse, who are the vocal majority, but really the minority vs. someone who is simply hesitant.   She completed her medical school training at the Tulane University School of Medicine and her residency at the Oregon Health and Science University. She has practiced at MultiCare Rockwood Clinic in Spokane, Washington for the last 13 years and serves as a Clinical Associate Professor for the WSU Elson S. Floyd College of Medicine. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!! This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.