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Patient complaints have psychological repercussions Oct 15, 2021

Show notes

"I believe there is an art to medicine, a psychological connection to your patients through a hands-on patient encounter. There are nuances AI may take decades to compete with. For now, in my lifetime, I hope that people examine patients and when there are questions about the quality of care, institutions perform a deeper dive into the real problem. (Was it the overall experience, a poor relationship with the doctor, financial stress that would be assumed by paying the medical bill, or actual malpractice?) Without support from our employers, physicians will continue to feel the accumulation of burnout and insecurity that leads to emotional duress, leaving medical practice or the worst outcome: physician suicide. We are not machines. The burden cost is evident, but when will the medical community, investors, and hospital administrators begin to truly support physicians and prevent these terrible outcomes?"

Gina Ambrose is an emergency physician.

She shares her story and discusses her KevinMD article, "The psychological repercussions of patient complaints." (https://www.kevinmd.com/blog/2021/07/the-psychological-repercussions-of-patient-complaints.html)

This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

Why the business school mindset doesn't mind physician burnout Oct 14, 2021

Show notes

"We can't expect those with a business school mindset to solve physician burnout. What is needed is leadership throughout health care organizations by those with expertise in the core business, deep commitment to health care workers and patients, extensive tacit knowledge, and credibility. Physician CEOs have better outcomes in all critical metrics, including engagement among staff. And physician leaders have an ethical and fiduciary responsibility to serve patients. Those with a business school mindset do not."

Patty Fahy is an internal medicine physician and founder, Fahy Consulting. She can be reached on Twitter @pattyfahyMD.

She shares her story and discusses her KevinMD article, "The business school mindset doesn't mind physician burnout." (https://www.kevinmd.com/blog/2021/08/the-business-school-mindset-doesnt-mind-physician-burnout.html)

This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

A nurse's story of health care workplace violence Oct 13, 2021

Show notes

"I can imagine the horror of watching a colleague being attacked. I worry about the coworker who Lynne protected that day, since being a survivor can be so bittersweet. I can feel the shock of how quickly the violence escalated, tasting the bitterness from the desperation of being so alone in the immediate first seconds of the downwardly spiraling situation."

June Garen is a nurse and author of Hey! I Could Use a Little Help Here! My Story of Healthcare Workplace Violence.

She shares her story and discusses her KevinMD article, "In memory of a nurse who died from injuries sustained during a patient assault." (https://www.kevinmd.com/blog/2021/08/in-memory-of-a-nurse-who-died-from-injuries-sustained-during-a-patient-assault.html)

This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

When clinicians are bullied at a school board meeting Oct 12, 2021

Show notes

"The first amendment protects your right to free speech. But it does not make you more right, more ethical, or more kind. And nor does it give one license to rewrite history as has been occurring since July 27th, adding insult to our experience. Let me break this down.

On one hand, three pediatric medical professionals and one student spoke eloquently and rationally about facts, guidelines, and personal experiences. On the other hand, grown adults belonging to ironically named groups claiming to "protect kids," tried to intimidate, bully, and silence a child for exercising her first amendment right to free speech.

We now have a vaccine against COVID-19. And even though we (individually and as a medical profession) anticipate continued harassment by these groups, bringing their hateful rhetoric and actions to light is the only inoculation we have against bullying."

Anusha Viswanathan is a pediatric infectious disease physician. Jennifer Bish is a pediatric nurse practitioner.

They share their stories and discuss the KevinMD article, "A pandemic of the bullies over others." (https://www.kevinmd.com/blog/2021/08/a-pandemic-of-the-bullies-over-others.html)

This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

How to recover from a bad electronic health records implementation Oct 11, 2021

Show notes

"Is your health care organization reeling from a bad EHR implementation?

There have been rumblings from hospital leadership and congressional committees about the Veterans Administration (VA) Hospitals' implementation of the Cerner Corporation electronic health record (EHR) replacing the VistA EHR. The $10 million EHR overhaul has been controversial since the staggered rollout started in Spokane, Washington. One report noted that months after the go-live, fewer users knew how to operate the system well.

From the perspective of an outside informaticist, such frustration can be multifactorial. The typical issues are made worse by the COVID-19 hospital restrictions on normal hospital operations. However, many of these issues could have been mitigated by offering expanded in-person expert support to hospital staff supported by virtual technical assistance."

Afua Aning is a physician informaticist.

She shares her story and discusses her KevinMD article, "How to recover from a bad electronic health records implementation." (https://www.kevinmd.com/blog/2021/08/how-to-recover-from-a-bad-electronic-health-records-implementation.html)

This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

Is COVID a turning point for sustainability in hospital supply chains? Oct 10, 2021

Show notes

"Scarcity has, in many ways, defined the COVID-19 experience in the U.S., from shortages in personal protective equipment to ICU ventilators and hospital capacity, to COVID test kits, to drugs like Remdesivir in hard-hit states. These shortages have added impetus and new dimensions to existing conversations around health care supply chains, some of which had originally stemmed from a climate-conscious, sustainability lens. As suggestions are put forth to re-evaluate hospital supply chain design, from procurement to waste disposal, this momentum can be harnessed to achieve the dual aims of bolstering pandemic preparedness and improving sustainability in the health care sector.

COVID-19 illustrates the need for greater resiliency within health care's supply chain. Dependence on expansive global networks for raw materials, manufacture, and distribution of critical health care supplies created a pathway prone to breakdown during a worldwide pandemic. Of note, this pathway is similarly vulnerable to the climate crisis, as worsening natural disasters can disrupt critical junctures of the U.S. supply chain."

Genevieve Silva is a medical student. Cassandra Thiel is an assistant professor, NYU Langone Health's Departments of Population Health and Ophthalmology.

They share their stories and discuss their KevinMD article, "Is COVID a turning point for sustainability in hospital supply chains?" (https://www.kevinmd.com/blog/2020/10/is-covid-a-turning-point-for-sustainability-in-hospital-supply-chains.html)

This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

Robotic surgery's impact on training the next generation of surgeons Oct 09, 2021

Show notes

"Technology continues to evolve every day. In the near-term future, portable and easily deployable robots will allow surgeons all over the world to perform minimally invasive surgery in an increasing number of procedure types and become even more effective surgeons. To achieve our goal of having a future surgeon workforce that meets the demands of an aging population and delivers good patient outcomes, we need training and knowledge-sharing at scale. Surgical robotics is poised to be an important part of the solution."

Barry Greene is a general and bariatric surgeon.

He shares his story and discusses his KevinMD article, "Robotic surgery's impact on training the next generation of surgeons." (https://www.kevinmd.com/blog/2021/08/robotic-surgerys-impact-on-training-the-next-generation-of-surgeons.html)

This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

Physicians and the importance of servant leadership Oct 08, 2021

Show notes

"Dear resident physicians: Soon you'll finish residency, and you may be wondering what's next. Some of you will start fellowships, but most of you will practice your specialty. You may be looking for opportunities that are a good match with your needs and wants. Virtually all of you are looking forward to greater income. I hope that this ending is also a beginning – a renewal of your commitment to the life-long learning that is medicine.

One of the current concerns of our society is the possibility of a physician shortage. Some of that shortfall is attributed to a mass exodus of physicians experiencing "burnout." Pervasive pessimism is the rule. It's time to break the rule. You can thrive, not just survive."

Faith A. Coleman is a family physician.

She shares her story and discusses her KevinMD article, "Physicians and the importance of servant leadership." (https://www.kevinmd.com/blog/2021/08/physicians-and-the-importance-of-servant-leadership.html)

This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

Stop resisting the imposter Oct 07, 2021

Show notes

"The problem with feeling like an imposter is thinking there's something wrong with it.

I know this is different from any way you have thought about it, but humor me. What happens when we are offered an opportunity but we feel like an imposter?

We hide.

We overwork to compensate.

We look around at our colleagues and resent them. Because why do they get to feel so secure? Why aren't they feeling insecure? They don't even spend time worrying about it, and that leads to more resentment! They are not working as hard as you, and now they are not stressing about the opportunity like you are.

What is the result of those actions? We spend lots of time in indecision, overwhelm, fear, resentment, and overwork. We might take the opportunity, do well even, but hate the whole process and add it to the bad feelings we already feel about ourselves.

What is behind feeling like an imposter? It's the thoughts that we tell ourselves. It helps to understand the motivation behind these thoughts.

We were wired to survive."

Amy Vertrees is a general surgeon and co-founder, The Common Thread Women Surgeon Coaching.

She shares her story and discusses her KevinMD article, "Stop resisting the imposter." (https://www.kevinmd.com/blog/2021/08/stop-resisting-the-imposter.html)

This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

Aduhelm and how money and politics supersede science Oct 06, 2021

Show notes

"Sufferers of diseases, particularly terrible ones like Alzheimer's disease, and their loved ones need and deserve something better than science can deliver today. However, the scientific rigor of the clinical trials process where approval is only granted to drugs with a clear benefit in excess of risk needs to return.

Imagine the position this puts neurologists in today. Having a conversation with an Alzheimer's disease patient and family about why prescribing Aduhelm does not make sense. The only thing they would likely hear is they are being robbed of hope, false though it may be. And yet, if the American Academy of Neurology were to actively advise against using Aduhelm and every neurologist in the U.S. treating Alzheimer's disease sufferers were to refuse to prescribe it, the message to the pharmaceutical industry and the FDA would be crystal clear."

Wes Campbell is a health care economist.

He shares his story and discusses his KevinMD article, "Aduhelm and how money and politics supersede science." (https://www.kevinmd.com/blog/2021/07/aduhelm-and-how-money-and-politics-supersede-science.html)

This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

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