The Podcast by KevinMD

Latest Episodes:

How to stay off my operating table Sep 16, 2022

Show notes

"Health isn't about luck — it's about intentionality. But even if you're doing and saying all the right things, you might not be any closer to your goals.

I know because I was there.

As a heart surgeon, I was very good at following the rules.

But I was still morbidly obese.

I followed the food pyramid to a T.

I exercised for the recommended amount of time each day.

I thought I was doing everything right. And yet, my heart was at its breaking point.

I knew there had to be something more. So in 2015, I started digging into what modern science had to say about maintaining metabolic health.

And it changed my life."

Philip Ovadia is a cardiothoracic surgeon and author of Stay off My Operating Table: A Heart Surgeon's Metabolic Health Guide to Lose Weight, Prevent Disease, and Feel Your Best Every Day.

He shares his story and discusses his KevinMD article, "How to stay off my operating table."

This episode is sponsored by the Stanford Physician Leadership Certificate Program.

For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success. Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace. Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader. They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu.

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Why are women leaving medicine? Gaslighting. Sep 15, 2022

Show notes

"We cannot change societal norms, gender biases, childhood needs, the education system, or stop a pandemic. But, we can stop gaslighting 50% of the population. We can start acknowledging that the simple fact of gender does greatly affect patient and support staff expectations, time, power, compensation, and career trajectory. Women physicians have gained much ground, but this world and life are nowhere near a level playing field yet. When we all work together to allow our women physicians some flexibility in schedules, 10 to 20% more administrative time, transparent salary offerings, remote work options, extra "flex days" for children's medical appointments, on-site childcare, and considerate timing of "mandatory" meetings we can set us all up for success. These are radical proposals that are not "fair and equal," but they address the reality of unequal experiences. Maybe then we can stop the hemorrhaging of women physicians from health care. When we acknowledge and tweak current systems and structures to accommodate the 50% of medical students graduating, we are setting ourselves up for success."

Dawn Sears is a gastroenterologist and can be reached on Twitter @GutGirlMD, YouTube, and at GutGirlMD Consulting.

She shares her story and discusses her KevinMD article, "Why are women leaving medicine? Gaslighting."

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Why physicians require business skills Sep 14, 2022

Show notes

"There are two valuable reasons why all physicians, especially medical students, should obtain or demand from their medical school academic business education.

About 98 percent of physicians and medical students have never had an academic business education. About 30 to 50 percent of graduating medical students prefer private medical practice—which requires business and marketing knowledge to reach their optimal potential in private medical practice."

Curtis G. Graham is a physician.

He shares his story and discusses his KevinMD article, "Financial survival for physicians in private medical practice."

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A nut allergy nightmare at 35,000 feet Sep 13, 2022

Show notes

"People developing anaphylaxis will not always have five extra minutes to spare. I do appreciate that auto-injectors are expensive, but it is not at all expensive to have an ampule or vial of epinephrine on board, which can be drawn up in five seconds. Those also come in a much friendlier concentration of 1 mg/1 mL.

The chances of using epinephrine to treat a cardiac arrest patient are astronomically small compared to the chances of needing it to arrest an anaphylactic reaction, particularly if they continue to serve food containing nut products.

Parents in the nut allergy community have advocated for these changes for years. And while the airlines have taken the important step of no longer serving packets of nuts on board, little else has been done to make air travel safer for the food-allergy community. I call upon the major airlines to revise their medical kits and to offer allergy-safe meals for those in need. It is such a simple measure, and you can quite literally save a life."

Samara Friedman is a pediatric orthopedic surgeon.

She shares her story and discusses her KevinMD article, "A nut allergy nightmare at 35,000 feet."

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Negotiating employment contracts from a place of strength Sep 12, 2022

Show notes

"The most important lesson when negotiating contracts is picking your battles and coming at them with optimism and positivity. Yes, you can and should be excited about this new opportunity, but you need to receive what's fair and reasonable in the market. Don't be afraid to push back on things that matter, and be smart enough to let the smaller things go."

Amanda Hill is a health care attorney.

She shares her story and discusses her KevinMD article, "Know your worth: Negotiating employment contracts from a place of strength."

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What to do if you're involved in a medical malpractice lawsuit Sep 11, 2022

Show notes

"The worry and anticipation of getting sued are heightened more than ever in the wake of the pandemic. It is in all physicians' minds. I recently did a quick poll in some of my physician groups on social media, and roughly 500 physicians responded to this question: Do we need medical malpractice reform? I only had one say no, and one said it would depend. Every other physician said yes. Now, this is a small group, but I believe asking this on a larger scale would get similar results – the majority would want this. We desperately need to change, but change takes time and debate. So, what can we do now in this pandemic to avoid litigation?"

Laura Fortner is an obstetrician-gynecologist.

She shares her story and discusses her KevinMD article, "Avoiding medical malpractice in the wake of the pandemic."

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Antibodies are the future of cancer treatment Sep 10, 2022

Show notes

"Since President Nixon declared war on cancer in 1971, and despite some great victories and many losses, there continues to be a never-ending battle in this long-fought war that seems never-ending. The convergence of great intellect and resources of academia and industry, fueled by continued entrepreneurship and investment funding into the biotechnology sector, despite the many risks of failure and expense, is one that is obvious to yield the greatest rewards to both prosperity and health. Ultimately, targeted therapies will improve lifespans and quality of life for cancer patients."

Eugene Chan is a health care executive.

He shares his story and discusses his KevinMD article, "Cancer of the future: diagnosis, treatment, and impact on the health care system and patients."

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How you can donate effectively after tragedy Sep 09, 2022

Show notes

"Gun violence, war, pandemic, natural disasters — listening to the news or doom scrolling on social media during times of tragedy can leave us feeling devastated, discouraged, and angry. Tragedy can also make us feel like helping. We're motivated to reach those affected and do something.

Giving money can be a simple way to help. In the wake of a tragedy, many of us react fast and give to the first plea that comes across our Facebook feed. This is reactive giving, and while it's significant, reactive givers often feel like they didn't actually make a difference.There is another approach to giving that will leave you confident about your contribution. After recent mass shootings, many people asked me how to help. So I am providing tools to put the power of your money to work effectively in any tragedy."

Recha Bergstrom is a women's imaging radiologist. She is founder and CEO, The Physician Philanthropist, helping doctors learn how to donate effectively and invest responsibly so they can maximize their positive impact on the world, and can be reached on LinkedIn, Facebook, and Instagram. Join the private Facebook group, The Physician Philanthropist Group.

She shares her story and discusses her KevinMD article, "How you can donate effectively after tragedy."

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Contractual issues for female physicians Sep 08, 2022

Show notes

"All physicians need to be concerned about issues such as potential delays in the start date, restrictive covenants, potential ownership in a private practice, malpractice tail coverage, employee benefits, etc. Unfortunately, until discrimination against female physicians ends, female physicians need to be especially vigilant in protecting their rights."

Dennis Hursh is a physician contract lawyer. He blogs at Physicians Contracts Blog.

He shares his story and discusses his KevinMD article, "Special contractual issues for female physicians."

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5 things this allergist-immunologist will never do Sep 07, 2022

Show notes

"Jumping on the recent TikTok trend of medical professionals sharing the things they would never do given their knowledge and expertise, I am sharing the five things I would never do as a board-certified allergist-immunologist."

Kara Wada is an allergist-immunologist.

She shares her story and discusses her KevinMD article, "5 things I would never do as an allergy and immune system expert."

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