Succeed in Medicine

Dr. Bonnie Koo, is a dermatologist and former systems administrator at Morgan Stanley. She is a graduate of Barnard College and Columbia University’s College of Physicians & Surgeons and completed her dermatology residency at UC Irvine.  She created the website WealthyMomMD.com to fill the void of knowledge and resources specific to women physicians on how to take control of their finances. She directs the Women Physicians Personal Finance group on Facebook--the largest online community of women physicians mastering their finances. We discuss some of the financial issues that are more common to female physicians, from prenuptial agreements, taking care of financial ill-prepared parents or other family members, the importance of having your financial house in order, outsourcing to buy more time, and why it is importance to secure disability insurance before you get pregnant.    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.

The next three episodes comprise an intro to the Physician's Guide to Personal Finance. We start with the Physician Philosopher, an anesthesiologist blogger who wants his audience to understand their "why" to understand their "how" of personal finance.  Next week we interview Bonnie Koo, MD, the voice of female physician finance, and the following week we interview Ryan Inman, a fee-only financial advisor who understands the specifics of physicians' financial needs as he exclusively works with us and he's married to one of us. To understand The Physician Philosopher's book, you first need to understand the Pareto Principle, or the 80/20 rule, which states that 80% of the effects come from 20% of the causes.  James Turner, MD, aka Physician Philosopher, believes this about personal finance.  To get 80% of the benefit, you only need to understand 20% of the concepts.  To quote the phys ed coach from Teen Wolf, “the rest is cream cheese.”  We discussed the 20% he wants physicians to understand to take control of their personal finances.  He completed his undergraduate studies at Erskine College, went to medical school at Wake Forest, was an anesthesia resident at North Carolina Baptist Hospital before returning to Wake Forest as a regional anesthesia and acute pain management fellow and there he has stayed as an attending.  He is currently creating a personal finance curriculum for the PA, CRNA and medical students of Wake Forest.  His blog is thephysicianphilosopher.com, now part of the White Coat Investor Network, and his new book, The Physician Philosopher’s Guide to Personal Finance, is available everywhere fine books are sold. We start out discussing some philosophical questions, the Kinder questions, that have helped him to focus on his priorities and why this is critical in personal finance.  We get into the financial independence movement and how to calculate how much money you need to be financially independent; why it is totally fine that he bought a tricked-out new car despite this being anathema to his spending philosophy, an introduction to public student loan forgiveness and who should be looking into this, and why the 80:20 rule may help you avoid the need to hire a financial advisor.  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.

Adam E. Block, PhD is currently an Assistant Professor of Public Health at the School of Health Sciences and Practice at New York Medical College. He is a health economist with deep experience in the hospital, health plan and government sectors. His research is focused on how individuals make decisions in health care markets including patient choice of hospitals, physicians and insurance plans.  We discuss the new push for “Medicare for all.”  First, we discuss what Medicare is, what it covers and doesn’t cover, then get into House Bill 1384, the Medicare for all act of 2019.  We discuss why this could be financially problematic for physicians and lead to a physician shortage for patients.  Ultimately, we discuss that for political reasons, we really don’t need to worry about this on a national level, but it could happen on a state level. Prior to joining New York Medical College in 2017, he worked developing contracting models for value-based purchasing for a major hospital system and has worked extensively performing financial analysis and evaluation of medical management programs for a large Medicaid managed care plan. Before that, Dr. Block spent several years developing the legislation on the Affordable Care Act as an economist at the Congressional Joint Committee on Taxation and subsequently wrote regulations and regulatory impact analyses for key parts of the Affordable Care Act as Division Director of Health Plan Policy in the Center for Consumer Information and Insurance Oversight at CMS.  In July, 2018 Dr. Block founded Charm Economics, LLC a translational economics consulting group.  His consulting work focuses on managed care contracting and pricing optimization of new technology and data analytics.  Dr. Block received his PhD in Health Policy from Harvard and undergraduate degree in neuroscience from Amherst College. 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.

Because borrelia burgdorferi is a spirochete; a spiral! A little mnemonic device for the med students. Dr. Daniel Solomon is an infectious disease doctor on staff at the Brigham and Women’s Hospital and an instructor of medicine at Harvard Medical School.  He went to med school at Yale, and then did both residency and fellowship at the Brigham, although fellowship was combined with Mass General, where he was on the HIV Clinician Educator track.  He is actively involved in improving care at the intersection of injection drug use and infectious diseases, where he integrates addiction treatment and infectious disease care to improve infection and addiction related outcomes.  He also teaches clinical reasoning at Harvard Medical School, and is a course director for the Harvard ID in Primary Care CME course, giving talks on immunizations and Lyme Disease. We start off talking about the measles outbreak, but the main focus of the talk is Lyme disease and it is chock full of useful information.  We discuss the presentations of primary Lyme, early and late disseminated, the treatment and work-up.  We discuss prevention in light of the fact that we both have 3-year olds that run around outside in Lyme endemic areas.  We end by discussing how the presentation of Lyme can be missed, the symptoms hard to appreciate, and the tests sometimes difficult to interpret, but he helps us parse through all that and we end by differentiating chronic Lyme from post-treatment Lyme disease syndrome, one of which is recognized by the CDC and infectious disease community. 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.

Professor Nathan Lents studied biology at St. Louis University and then completed his PhD at St. Louis University’s school of medicine in Pharmacological and Physiological Sciences.  PhDs need residencies, too, so he did his postdoctoral training in cancer genomics at NYU and loved New York so much that he stayed and is now a Professor at John Jay College in Manhattan and director of the honors program.  He maintains the Human Evolution Blog and his podcast is called This World of Humans.   His book, Human Errors: A Panorama of Our Glitches, from Pointless Bones to Broken Genes, discusses the beauty of our flaws.  We are not the well-oiled machines that we think we are.  In today’s episode we start by discussing how this book caused an unexpected run-in with the intelligent design folks, and then get into the cognitive biases and heuristics that help shape our reality and how this, while designed as an advantage, can frequently be a disadvantage in our modern world.  We then get into the design flaws, like the vitamins that we should be able to make ourselves but can’t, vitamins and minerals we absorb poorly or in the wrong place, and finally end on the paleo diet and intermittent fasting.  You’ll have to listen to the end to find out which this evolutionary biologist advocates and why. He can be found at NathanLents.com 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.

Should we assume EVERYONE has reflux until proven otherwise?  Does reflux cause global warming?  If there’s a post-nasal drip, is there a pre-nasal drip?  Where’s all that mucus coming from anyway?  On today’s episode we discuss the epidemics of reflux and post-nasal drip with laryngologist Dr. Matthew Clary, an assistant professor at the University of Colorado Anschutz Medical Campus.  Dr. Clary went to medical school at The Ohio State, started his otolaryngology residency at George Washington, which is where I met him, as I was in DC, too, at Georgetown at the same time.  After two years, he defected and transferred to Thomas Jefferson University, now the Sidney Kimmel Medical College and then did a laryngology fellowship at UCSF. Dr. Clary and I discuss laryngopharyngeal reflux and post-nasal drip and other conditions one should be considering if your patient has one of these, but doesn’t seem to be improving.  We discuss common misconceptions about these conditions and how many patients with complaints like globus, throat clearing, and throat mucus may have a voice disorder.  He gives us recommendations for some simple exercises that might help and we end with some advice for professional voice users like us physicians, who, like it or not, are professional voice uses because we speak to our patients all day long.  He does not have a presence on social media, so if you are looking to find him, you’ll have to make an appointment.  Here’s his professional website.  He takes a dang good picture. https://www.cudoctors.com/Find_A_Doctor/Profile/20862 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.

What is something that is tough to learn and every doctor should know it better than they do?  Aside from Kreb’s Cycle.  Billing and coding!  Dr. Charlotte Akor is a nationally recognized speaker and physician coach on billing and coding.  In this interview, we discuss the necessary history, physical and medical decision making in order to bill and code appropriately and then get into the weeds about proper coding of medical decision making.  She uses examples to help explain medical decision making with diagnoses of varying complexity.   We then get into the time-based codes and how to appropriately document for this.  We end with the common modifiers and some newer codes that are frequently missed in the primary care setting.  Dr. Akor completed her undergraduate education at Yale, attended medical school at West Virginia University, and completed her ophthalmology residency at SUNY Buffalo.  She then completed TWO fellowships, one in ophthalmologic pathology at Emory and one in pediatric ophthalmology at Children’s Health Care of Atlanta Hospital.  She is the former head of the Pediatric Ophthalmology on the faculty of The University of Texas at Houston Health Sciences Center and is now in a hospital-based practice in Abilene, Texas.  She is the Amazon best-selling author of Medical Coding Decoded and can be found at CharlotteAkorMD.com.   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.

Dr. Colin Zhu is a family medicine physician who practices primarily locums.  He also trained as a chef and a health coach at the Natural Gourmet Institute for Health & Culinary Arts and the Institute for Integrative Nutrition after medical school.   We discuss recommendations he has for his patients looking to eat healthier and physicians looking to do this same.  We talk about essential kitchen utensils and small appliances, his go-to ingredients, for simple, fast, healthy, and delicious meals.  We finish by discussing his book, Thrive Medicine. Locum tenens has taken him to Nevada, where he worked with a Native American population at a tribal-run outpatient clinic, a Veterans Affairs system in Louisiana and a county medicine department in Santa Cruz, California that runs its own homeless shelter. A fourth position found him at a community health clinic in Seattle with a diverse refugee population. Currently, he works in Los Angeles.  His traveling work has been featured in publications such as The DO, MedPage Today, and Stat News. To share his unique blend of medical knowledge with a wider audience, Dr. Zhu launched TheChefDoc website, an online wellness and lifestyle education platform which has been featured in Jarry Magazine, OWaves, and Brit + Co. Colin is also the author of "Thrive Medicine: How To Cultivate Your Desires and Elevate Your Life," released in December 2017.   Social Media Links: Website: http://chefdoczhu.com/ Thrive Medicine the Book: https://www.amazon.com/Thrive-Medicine-Cultivate-Desires-Elevate/dp/0999646133/ Instagram: https://www.instagram.com/thechefdoc/?hl=en LinkedIn: https://www.linkedin.com/in/colin-zhu-do-3905ba60/ Youtube: https://www.youtube.com/channel/UCeVW6o9F8V5BmCfkkLHUDTw 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.

Dr. Rachna Patel is an emergency medicine physician who has a medical marijuana telemedicine practice, a book, and her own CBD oil.  Medical marijuana and CBD, specifically, seem to have become a panacea or snake oil with magical properties that can cure everything.  Like what we tell our patients about good nutrition and exercise. She helps to clear up fact from fiction during our wide ranging and comprehensive discussion, from the current state of dispensing, its legal status, biochemistry, risks, FDA approved and internationally approved derivatives, methods of ingestion and for what conditions she recommends it. She has been interviewed on over 200 podcasts (but this has been her favorite), has taken the stage internationally to spread awareness, has been featured in articles for Lifehacker and MindBodyGreen and has appeared on major news networks such as NBC.  She recently published, The CBD Oil Solution: Treat Chronic Pain, Anxiety, Insomnia, and More- without the High, available on Amazon, and her own line of CBD oil.   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.

Dr. Uchenna Umeh is a pediatrician who has lost people to suicide.  She saw this as a growing issue among her patient population, so she left the stability of her medical practice to affect a wider audience by reaching out to larger groups.  She is now a public speaker on childhood, teen and young adult depression and suicide. We discuss her recommendations for recognizing characteristics of depression and suicidality, how to start the discussion about such a sensitive issue if we suspect it, and why we should start that discussion even if we don’t suspect it. She also goes by Dr. Lulu and the Momatrician. She completed medical school in Nigeria and relocated to the US for her pediatric residency program at Howard University Hospital. She currently resides in San Antonio Texas where she practices telemedicine and freelance writing. Her brand-new bestseller, How to Raise Well-Rounded Children, is available on Amazon here and on her website, teenalive.com. She hosts a weekly Facebook live, Ask Doctor Lulu, on Sundays at 2 pm CST. She was recently invited to testify at the Texas state-house on behalf of the House Bill 10, in support of funding for mental illness.  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.