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  • The latest BOSS podcast features Dr. Kimberly Kopecky, a surgical oncologist researching the importance of aligning patients' expectations with reality in the context of cancer surgery.  

    Dr. Kopecky shares her background and motivation for pursuing surgical oncology and palliative medicine training to better communicate with patients and understand their values and expectations.  

    We talked about shared decision-making, eliciting patient preferences, addressing misunderstandings, and the challenges of managing expectations, particularly in cancer surgery where patients may not feel they have a choice.  

    Dr. Kopecky highlights the need to complement shared decision-making with an explicit focus on aligning expectations and describes her ongoing research efforts to capture patients' experiences and incorporate them into preoperative discussions.  

    The conversation also touches on the reluctance to study patient regret and the importance of open communication about potential outcomes and complications.

  • The latest BOSS podcast features Dr. Valerie Libby, a fertility doctor and reproductive endocrinologist. We talked about how it is never too early to talk about fertility.   She discusses her personal experience with egg freezing during her residency and the importance of fertility preservation for surgical residents.   Dr. Libby shares details about a program she started at Shady Grove Fertility to provide discounted egg freezing services specifically for surgical residents, as studies have shown they have a higher burden of infertility due to the demanding nature of their training.   We also talked about how egg freezing works, the legal implications surrounding embryos and more.

    Visit the Shady Grove Fertility website and look up the 'Egg Freezing for Surgical Residents' program to find contact information and express interest in participating.

     

    Valerie Libby, MD, MPH, FACOG  is board certified in obstetrics and gynecology and board eligible in reproductive endocrinology and infertility. She has expertise in the diagnosis and treatment of infertility, including polycystic ovary syndrome, male factor infertility, and ovarian aging. She is also accomplished in the areas of fertility preservation and elective egg freezing. 

     

    Dr. Libby joined Shady Grove Fertility in September 2020 and is seeing patients at SGF's Atlanta – Northside and Buckhead locations.   

    Follow her @valerielibbymd on Instagram 

    Egg Freezing for Surgical Residents Program: https://www.shadygrovefertility.com/treatments/egg-freezing/surgical-residents-program/ and email [email protected] 

     

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  • Summary

    This episode discusses advice for new attending physicians starting at a new practice. It covers topics such as building relationships with colleagues and the community, understanding the practice's expectations, seeking mentorship, negotiating contracts, and handling job transitions or losses.

    The key points include:
    - Doing due diligence when choosing a job to ensure the practice aligns with expectations and can support the desired specialty.
    - Being willing to say 'yes' to tasks outside one's specialty initially to build relationships and establish a patient base.
    - Seeking mentorship from experienced colleagues, former attendings, or specialty organizations for guidance.
    - Thoroughly reviewing employment contracts, understanding exit clauses, and negotiating favorable terms.
    - Maintaining professionalism and building trust with the local community to attract patient referrals.
    - Preparing for potential job changes or losses by understanding contract terms and having a support system.
    - Exploring entrepreneurial pursuits like podcasting to combat burnout and find fulfillment outside clinical practice.The discussion provides valuable insights for new attendings navigating the challenges of starting a medical practice and building a successful career.

     

  • Are you falling into these traps:

    I have to keep doing what I was doing because I trained all this timeI have to give up on the life that I want because I had kidsNot taking into account that your life and interests changeFeel obligated to serve others even though we are burning out

    The idea of a modern day village comes in because some people don't really have anyone to tell what is going on with them or if they tell someone else, they will not get the response that they need. Being intentional about finding and creating that village, especially as a new mother, can help to make sure that you are not alone.

    "And at the end of the day,  you have to be willing to step outside of the guilt and the shame that may be there and, use your voice to get the love and support and the care that you deserve."

    “I really just had to realize that I needed to take care of myself and not wait for anybody else to do it. I need to set the example. And I also need to speak up about what I need and let people take care of me.”

    "It all comes back to, am I really serving anyone, myself, my patients, if I am not happy and I'm not fulfilled and the answer is no." - Dr. Latoya Luces- Sampson

  • Geoff McNeave's journey into the world of surgical assistance started with a volunteering job at a hospital during high school and progressed to starting his own company as a surgical (first) assist. We talked about the difference between surgical technicians and surgical assistants, with surgical assistants being trained to provide more hands-on assistance to surgeons during operations.There is lack of standardization and licensing requirements for surgical assistants across different states and organizations, which Geoff aims to address through advocacy and education.We highlighted the importance of surgical assistants in anticipating surgeons' needs, ensuring patient safety, and streamlining procedures. He shared the various employment models for surgical assistants, including being hired by hospitals, contracting with surgical groups, or running an independent practice. He noted the challenges faced by surgical assistants in terms of recognition, compensation, and billing practices, particularly due to the lack of licensing and regulation. Geoff has been a leader in advocating for mandatory certification, educational standards, and licensure for surgical assistants through organizations like the Association of Surgical Assistants.Overall, the conversation highlights the crucial role of surgical assistants in the operating room and the need for greater professionalism, standardization, and recognition of their skills and training.

    I wish that they (doctors) knew the struggles that we have to go to to be professionally recognized in the surgical suite. We show up, we do our job, we care for your patients, but on the outside of things, we also struggle with recognition. - Geoff McNeave

    In this episode, you will be able to:

    Discover the crucial role and impact of surgical assistants on patient safety and surgical outcomes.

    Learn about the essential training and certification paths for professional advancement as a surgical assistant.

    Understand the clear distinctions between surgical technologists and surgical assistants in the operating room.

    Uncover the prevalent challenges in achieving accreditation for surgical assistant programs and how to address them.

    Explore the various employment models available for surgical assistants and their implications for career growth and satisfaction.

    Explore the essential training
    Geoff highlights the need for standardized education and accreditation for surgical assistants. The discussion emphasizes the importance of formal training, professional standards, and accreditation to ensure that surgical assistants are equipped with the necessary skills and knowledge to support surgeons effectively. Exploring the essential training for surgical assistants is key to enhancing patient safety and advancing the profession.

    The resources mentioned in this episode are:

    Association of Surgical Assistance (ASA) - This organization advocates for education standards, licensure, and registration for surgical assistants. They work with lobbyists and have legal initiatives in various states to push for recognition and regulation of the profession.

    National Board of Surgical Technology and Surgical Assisting (NBSTSA) - This organization offers the Certified Surgical First Assistant (CSFA) title and provides accreditation for surgical assistants.

    National Surgical Assistance Association (NSAA) - NSAA holds the title of Certified Surgical Assistant and provides accreditation for surgical assistants. They also advocate for education requirements, certification, and licensure for surgical assistants nationwide.

  • This is a transcript of a podcast episode featuring Dr. Nabilah Noor, a urogynecologist, discussing the lessons she learned in developing her practice after completing her fellowship. The key topics covered include understanding compensation models and revenue generation, effective time management strategies, maximizing efficiency in the operating room, building a strong professional network, and achieving work-life balance. Dr. Noor shares her insights on leveraging her team, delegating tasks, pre-planning for clinic and surgery days, communicating clearly with staff, and prioritizing self-care to avoid burnout. The conversation highlights the importance of adapting to the specific needs and resources of one's practice environment while maintaining focus on providing quality patient care.

    Chapters00:01:28Introduction and Background

    The host, Dr. Amy Vertings, introduces the guest, Dr. Nabilah Noor, a urogynecologist employed in a large hospital network. Dr. Noor shares her educational and training background, including medical school at Duke University, residency at Mount Sinai, and fellowship at Beth Israel Deaconess Medical Center. She explains her decision to join her current practice, driven by the desire to maintain a busy surgical volume and operate regularly.

    00:06:32Lesson 1: Understanding Compensation Models and Revenue Generation

    Dr. Noor discusses the importance of understanding the compensation model in her practice, which is based on relative value units (RVUs) and revenue generation. She learned to identify the revenue-generating activities, such as surgical cases, and prioritize seeing patients who could potentially convert to surgery. Dr. Noor worked closely with her team, including physician assistants and schedulers, to streamline the patient flow and ensure efficient use of resources.

    00:21:00Lesson 2: Effective Time Management

    Dr. Noor shares her strategies for effective time management, including pre-planning clinic notes, utilizing downtime between surgeries, and dedicating specific times for administrative tasks. She emphasizes the importance of not taking work home and maintaining a work-life balance. Dr. Noor also highlights the value of leveraging her team's skills and delegating tasks to the appropriate personnel.

    00:29:27Lesson 3: Maximizing Efficiency in the Operating Room

    Dr. Noor discusses her approach to maximizing efficiency in the operating room, which involves pre-planning surgeries, visualizing potential challenges, and ensuring the availability of necessary instruments and equipment. She emphasizes the importance of clear communication with the surgical team and requesting specific staff members who work well with her to streamline the process. Dr. Noor also highlights the value of remaining calm and in control during challenging situations.

    00:35:10Lesson 4: Building a Strong Professional Network and Collaboration

    Dr. Noor emphasizes the importance of building a strong professional network and collaborating with colleagues from various specialties. She discusses the value of clear communication, setting boundaries, and accommodating each other's schedules when working on combined cases. Dr. Noor also acknowledges the support of her family, including her husband and parents, in helping her balance her professional and personal responsibilities.

    00:41:45Closing Remarks

    Dr. Noor concludes by encouraging surgeons not to give up on their careers due to burnout or workplace challenges. She emphasizes the importance of adapting to different practice models and environments while maintaining confidence in one's abilities. Dr. Noor expresses her willingness to share her experiences and insights with others in the field.

    Action Items00:07:24Understand the compensation model and identify revenue-generating activities to prioritize in your practice.00:23:31Implement effective time management strategies, such as pre-planning clinic notes, utilizing downtime, and delegating tasks to appropriate team members.00:31:04Pre-plan surgeries, visualize potential challenges, and ensure the availability of necessary instruments and equipment to maximize efficiency in the operating room.00:35:22Build a strong professional network and collaborate with colleagues from various specialties, communicating clearly and accommodating each other's schedules.00:36:45Seek support from family and loved ones to achieve a healthy work-life balance and avoid burnout.00:41:17Adapt to different practice models and environments while maintaining confidence in your abilities as a surgeon.00:41:00Share your experiences and insights with others in the field to help them navigate the challenges of developing a successful surgical practice.
  • Dr. Caissa Troutman, a board-certified family medicine, obesity medicine, and culinary medicine physician, joins Dr. Amy Vertrees to share her journey of over 20 years in the medical field. With experience in primary care and urgent care, Dr. Troutman's insights into the challenges faced by primary care providers offer a unique perspective on the realities of the medical profession. Through her own experiences and professional expertise, she sheds light on the impact of paperwork, work-life balance, and the transition between different medical roles. Dr. Troutman's personal journey of overcoming burnout and delving into lifestyle medicine adds depth and authenticity to her understanding of the complexities that primary care providers encounter.

    "The security is not in the job. The ability to create money, or money is within me, I do it. I can make the money. I can." - Dr. Caissa Troutman

     

    Find her at:

    Website - www.weightremdy.net

    Facebook /IG - @weightremdy

    Youtube - @WEIGHTreMDyinPA

  • If you are employed, your job is at risk. 

    This has been true for all industries, but medicine seemed to be immune from these trends for the most part. Last year, medicine was the third largest industry experiencing layoffs. From new graduates to higher up physician leaders, there does not seem to be anyone who is safe. Private practice has likely been the canary in the coal mine and first to experience the hit of decreased reimbursements. 

    Amanda Hill, JD is a strong advocate for physicians. We recorded this episode a few days ago, because we have been seeing these alarming trends accelerating. 

    We joined forces last year to create the program 90 Day Notice to help. It is more relevant than ever. Find out more information here

  • Dr. Nora Vasquez, a triple certified coach on leadership and wellness, brings a unique perspective to the discussion on healthcare burnout. With a background in internal medicine and a decade of serving underserved communities, Dr. Vasquez's personal experience with burnout led her to pursue coaching as a means to heal the healers. She is passionate about addressing institutional change, advocating for resources and support within healthcare systems, and empowering both individuals and teams to navigate the challenges of burnout. Through her work with medical societies and hospitals, Dr. Vasquez is dedicated to creating impactful, sustainable change that benefits the well-being of healthcare professionals and the quality of patient care.

    "Who heals the healers? I do. I have these tools. I can help heal." - Dr. Nora Vasquez

    In this episode, you will be able to:

    Discover how coaching can empower physicians to overcome burnout and thrive in their careers.

    Explore the impact of implementing wellness programs in healthcare institutions for staff and patient care.

    Learn effective strategies for creating work-life balance to enhance well-being for healthcare professionals.

    Uncover actionable strategies for driving positive change within the healthcare system.

    Explore the benefits of coaching for healthcare teams in improving job satisfaction and patient outcomes.

    Create Work-Life Balance Strategies
    In the pursuit of balance, Dr. Vasquez encourages professionals to get clear on personal desires instead of attempting to meet external expectations. She recognizes the variation in work-life balance needs according to life stages, endorsing the belief that balance is achievable even while navigating demanding careers and personal responsibilities. By promoting these strategies, Dr. Vasquez supports a more sustainable and fulfilling lifestyle for healthcare professionals.

    The resources mentioned in this episode are:

    Visit the website www.renewyourmindmd.com to request a free strategy session and discuss individual challenges or bringing a grand rounds to your institution. The coaching offers CME and are free, providing a win for everybody.

    Join the free online community on the website www.renewyourmindmd.com to connect with others and access additional resources and support.

    Explore the website www.renewyourmindmd.com to learn more about the coaching services offered, including life coaching, leadership coaching, and wellness coaching for healthcare professionals.

    Reach out to Dr. Nora Vasquez through the website www.renewyourmindmd.com to inquire about bringing coaching programs to your institution, including retreats and ongoing support for staff.

    Engage in a free strategy session with Dr. Nora Vasquez by visiting the website www.renewyourmindmd.com to discuss specific challenges and explore how coaching can provide hope and support for healthcare professionals.

  • Have you thought about the evolving role of surgeons in today's complex healthcare environment?

    The latest BOSS podcast features the inspiring Dr. Frank Opelka, a true leader in the field of surgery.

    We left residency thinking that we were the leaders of the team. Our jobs told us that our value is in wRVUs. 

    With the rise of AI, the reality is that information will be a leading influence on the team, and without proper understanding and supervision, we could be led with misinformation.

    From predictive medicine to the value of surgeons in a changing system, Dr. Opelka's expertise sheds light on a whole new dimension of patient care.

    “Medicine is not getting less complicated over time. It's getting more complicated, because our understanding of the science keeps growing. But our patient complexity is also growing. ” -Dr. Frank Opelka

    Key TakeawaysGain insights into the evolving landscape of surgery and stay ahead of the curve in healthcare advancements.Discover the importance of transparency in healthcare and how it can positively impact patient outcomes and satisfaction.Learn strategies to help patients attain their goals in care, leading to improved overall well-being and recovery.Explore the benefits of surgeon coaching for professional development and enhancing surgical skills.Uncover the potential of AI in shaping the future of surgery and its impact on patient care and surgical outcomes.About Dr. Frank Opelka

    Frank Opelka, MD FACS is a recognized expert in healthcare quality and health policy. He is currently the primary consultant having founded Episodes of Care Solutions, LLC. Dr. Opelka is the immediate past medical director for quality and health policy for the American College of Surgeons. He has served the College in various quality and policy roles for over 30 years. His expertise stretches from payment policy to systems design, quality measurement, and includes healthcare informatics. His roles have included an advisory capacity and surgical representative to various health policy and quality committees throughout the Washington DC landscape. He has testified and advised both houses of the US Congress as well as served in an advisory role to four presidential administrations and a long list of federal agencies.

    Dr. Opelka's early work involved standing up the Relative Value Update Committee, known as the RUC. In his recent work, he has moved away from defining surgeons by RVUs and promotes the value of a surgeon for the many contributions surgeons bring that are outside the boundaries of RVUs. Dr. Opelka served on the Medicare Episode Grouper development project that created open standards for defining surgical episodes of care. He currently serves as the chair of the board of the PACES Center which is the non-profit organization that continues to promote physician-defined episode definitions for use in price transparency. Dr. Opelka is involved in several consultant projects to better align surgical quality to meet the patients needs in finding care, to aid surgeons in driving improvement, and to assisting payers in understanding aligned incentives to reward care.

    In addition, Dr. Opelka's work in informatics highlights the importance of expertise in a generative AI world of knowledge management. He insists we are on the cusp of a knowledge explosion in healthcare and the importance of specialists to find the "signal" amidst all the "noise" has increasing relevance. It is less about EHRs and registries and more about trusted knowledge. He supports policy efforts to secure knowledge bases that are filtered by experts before seeking generative AI analytics.

    Finally, Dr. Opelka is an author and public speaker with countless contributions in texts, peer-reviewed journals, editorial staff and policy manuscripts.

    Key Moments

    00:00:02 - Introduction and Guest Introduction

    00:03:07 - The Complexity of the System

    00:07:10 - Overcoming Barriers in Healthcare

    00:12:45 - Trustworthy Knowledge Sources

    00:16:38 - Current Data Pools and Future Considerations

    00:17:07 - Enhancing Data Integrity

    00:18:49 - Health Information Exchange

    00:20:29 - Patient Goal Attainment

    00:23:38 - Transition to Patient-Centric Care

    00:30:38 - Predictive Medicine and Knowledge Management

    00:34:11 - The Future of Medical Education and Residencies

    00:35:26 - The Role of AI in Healthcare

    00:37:33 - Developing Surgeons as Leaders

    00:39:12 - The Role of a Surgeon Coach

    00:43:24 - Dr. Opelka's Projects and Future Endeavors

  • Have you heard these myths about balancing medicine and fertility?

    Myth 1: You have to sacrifice your career for your family.Myth 2: Fertility treatments always work.Myth 3: You can't have it all. 

    Join my special guest today, Dr. Erica Bove, as she shares her story of practicing medicine on her own terms while navigating fertility challenges. From breaking free of traditional constraints to empowering women physicians, her path to achieving work-life balance and informed fertility decisions will inspire you.

    “This was the first time in six years I had cried. And I remember having this image of this open, gaping wound.” -Dr. Erica Bove

    Key TakeawaysDiscover the transformative impact of coaching on increasing self-awareness and personal growth.Overcome the barriers of perfectionism and self-doubt to unlock your full potential in both your professional and personal life.Learn effective strategies for balancing the demands of your career with your personal priorities and well-being.Gain insights into the unique fertility challenges faced by female physicians and how to navigate them with confidence.Understand the importance of proactive fertility preservation and make informed decisions about your reproductive health.About Dr. Erica Bove

    Erica Bove, MD, is a double board certified OB-GYN and Reproductive Endocrinologist (REI) physician at the University of Vermont, as well as a certified life coach through The Life Coach School. She is also the founder of Love and Science: Thriving Through Infertility. She has a keen interest in marrying an evidence-based approach with intuitive knowing in the context of a trusting relationship.

    She is beyond excited to bring coaching skills and paradigms to help women professionals thrive while undergoing fertility treatments. She is an expert in the field of sex and intimacy, as well as embodiment and mindful self compassion. She believes that the best outcomes are obtained when the whole person is seen and understood.

    Her mission is to heal and support the healers and to create a legacy she is proud of.

    If you're curious:

    Undergrad: University of Notre DameMed school: University of VermontResidency: New York Presbyterian Hospital-ColumbiaFellowship: University of MichiganFind Out MoreLinked In: www.linkedin.com/in/erica-bove-0701a0173 IG: https://www.instagram.com/loveandsciencefertility/ FB: https://www.facebook.com/profile.php?id=61553692167183 Key Moments

    00:00:00 - Empowering Women in Medicine

    00:02:38 - Recognizing Unmet Needs

    00:06:04 - The Power of Coaching

    00:09:57 - Challenging Limiting Beliefs

    00:11:41 - Rethinking Success and Reality

    00:12:15 - Internal Success Metrics

    00:13:18 - Creating Job Flexibility

    00:15:24 - Job Transition and New Opportunities

    00:21:02 - Fertility Coaching Practice

    00:24:06 - Addressing Emotions and Priority Shifts in Infertility Journey

    00:26:06 - Increased Risk of Infertility in Surgeons

    00:28:00 - Fertility Preservation and Support for Surgery Residents

    00:29:51 - Proactive Approach to Fertility Awareness

    00:33:28 - Creating a Supportive Culture in Medicine

  • Does this sound familiar? You've been told to prioritize and manage your time, but it's not bringing the results you want. Instead, you're feeling overwhelmed, stressed, and struggling to set boundaries. If you're a physician or healthcare professional facing these challenges, you're not alone. In this episode, Dr. Laura Suttin shares her wisdom on how to prioritize your life, manage your time, and set boundaries without guilt.

    “There was a part of me that said, I have so much going on. I don't even want to think about it. And then I realized if I don't face it, then nothing’s going to get done, and denial is not the right place to be either.” -Dr. Laura Suttin

     

    Key TakeawaysMaster time management and set clear boundaries for a balanced life.Learn the importance of saying no and setting healthy boundaries.Manage feelings of regret and prioritize your own well-being.Understand personal values and make intentional choices for fulfillment.Create space for yourself and reclaim control of your time.

     

    About Dr. Laura Suttin

    Dr. Laura Suttin is a Board Certified family physician, an ICF-trained and certified coach, a physician executive, a consultant, and an entrepreneur. She currently practices in San Antonio, where she lives with her family. She completed her medical training at the McGovern Medical School in Houston and her residency at the Christus Spohn Memorial Family Medicine Residency Program in Corpus Christi, Texas. She received her MBA from the University of Texas at Dallas in 2016.

    Dr. Suttin began working with a coach over 10 years ago, and found it so life-changing that she became a coach herself. She is certified through both the Physician Coaching Institute and The Insight Coaching Community. She launched Purposeful MD in 2021, with the mission of empowering physicians to create the lives they love without guilt. In her spare time, she enjoys running, triathlon, travel, and glamping with her family in their travel trailer.

     

    Find Out More

    www.thepurposefulmd.com

    https://www.facebook.com/purposefulMD/

    www.linkedin.com/in/laura-suttin-md

    www.tiktok.com/@thepurposefulmd

    www.youtube.com/@thepurposefulmd

     

    Key Moments

    00:00:00 - Introduction and Background

    00:01:35 - The Power of Coaching

    00:03:46 - Facing the Reality of Time

    00:07:01 - Using Technology to Manage Tasks

    00:11:07 - Calendarizing Tasks for Clarity

    00:12:57 - Anticipating Curveballs and Setting Boundaries

    00:14:00 - Overcoming Fear of Saying No

    00:15:29 - Prioritizing Time and Energy

    00:16:56 - Decision-Making Process

    00:23:30 - Empowering Others and Succession Planning

    00:25:48 - Avoiding Burnout by Allowing Help and Amplifying Voices

    00:26:11 - Managing Feelings of Regret

    00:28:13 - Clarifying Core Values

    00:30:52 - Prioritizing Roles and Responsibilities

    00:33:01 - Being the Creator of Your Schedule 



  • All of us have some tendency towards addiction. It could be to achievement, it could be to sugar, it could be to alcohol, it could be to medications, it could be anything. 

    Join my special guest today, Dr. Courtney Barrows McKeown, as she shares her experience of pulling it all back together and thriving after struggling with addiction, to spinning out of control, to having her medical license suspended and even being hospitalized after a psychotic episode.

    “I was trying to cover it all up. I certainly was too terrified to admit to anybody. And so they just thought I was having a ‘mental breakdown’ or whatever.” -Dr. Courtney Barrows McKeown

     

    About Dr. Courtney Barrows McKeown

    Courtney Barrows McKeown, MD is a board-certified general surgeon. She earned her medical degree at New York Medical College, graduating Alpha Omega Alpha. She completed her general surgery residency training in 2020 at Beth Israel Deaconess Medical Center in Boston, MA, and received additional subspecialty training in hepatopancreatobiliary (HPB surgery) in the Midwest. She started her career as a community general surgeon in New Hampshire, and is excited for her next opportunity, where she will be moving to TN to join Dr. Vertrees' Columbia Surgical Partners as a general surgeon.

    Dr. Barrows McKeown recently sat down for an interview and wrote a follow up article on Rethinking Residency, where she shared her story of struggling with perfectionism, mental health, and addiction during training - including the trials and tribulations she faced and the barriers she overcame to get her health and career back on track. She has recently partnered with the Dr. Lorna Breen Heroes' Foundation to advocate, increase awareness, and identify solutions to promote physician health and well-being. She is grateful to be celebrating three years of recovery next month. Her mission is to provide hope and mentorship to other early career physicians who may be struggling with similar issues she faced, reduce stigma, and help drive systemic changes in order to make our professional climate better for the next generation of surgeons.

    In her free time, Dr. Barrows McKeown enjoys spending time with her husband and their dog Buddy, golfing, kayaking, and is an avid Boston sports fan. 

    Find Out Morehttps://rethinkingresidency.com/wellness/overcome-early-career-physician-setbacks/https://rethinkingresidency.com/wellness/overcoming-addiction-in-residency/Facebook - https://www.facebook.com/courtney.barrowsLinked In - www.linkedin.com/in/courtney-barrows-mckeown-mdInstagram - @courtb_mckeown_md
  • We have really hard jobs.

     

    It's easy to forget that, especially when the only thing that we notice are the behaviors we do to deal with the negative feelings we have from our jobs.

     

    Understanding our own behaviors we wish we didn't have will also help us understand our patients better.

    Dr. Heather Awad, the Vibrant MD, shares really helpful insights that will shift your perspective on overeating and temptations.

    “I had someone who was just feeling very sad and resentful that these other people could eat cake all the time, and she could not. I said, well, let me just ask you in a very neutral way, ‘Do you want to eat cake every day?” -Dr. Heather Awad

    Key TakeawaysMaster stress eating and achieve weight loss effortlessly.Discover effective strategies to overcome stress eating for good.Transform habits and behavior with successful change methods.Embrace mindfulness and savor the joy of food like never before.Cultivate self-compassion and understand the power of quitting habits.About Dr. Heather Awad

    Heather Awad, MD is a family doctor in Minnesota who helps professional women over age 50 lose weight for the last time. She is also a certified Life and Weight Loss Coach through the Life Coach School, and has additional training in Positive Intelligence coaching. She hosts the Vibrant-MD podcast where she discusses weight loss, women’s health, and food.

     

    Find Out More

    Family Medicine Doctor and CEO Vibrant Weight Loss for professional women: https://www.heatherawadmd.com/

    Host of Vibrant-MD podcast on Apple, Spotify or anywhere you get your podcasts: https://app.kajabi.com/podcasts/2147488988/feed

    LinkedIn: https://www.linkedin.com/in/heatherawadmd/

    Instagram: https://www.instagram.com/heatherawadmd/

    Facebook: https://www.facebook.com/heathervibrantmd and https://www.facebook.com/groups/1003612497095969

    YouTube: https://www.youtube.com/channel/UC8ksjIG1j7eIRttczBE1o2Q 

     

    Key Moments

    00:00:02 - Introducing Dr. Heather Awad

    00:02:37 - Understanding Stress Eating

    00:06:25 - Overcoming Food Pushing and Cravings

    00:09:19 - Dealing with Social Expectations

    00:13:18 - Healthy Coping Mechanisms

    00:14:37 - Understanding Addiction and Compassionate Counseling

    00:17:24 - Tips for Overcoming Addictive Habits

    00:19:23 - Appreciating Real Food and Nourishment

    00:21:43 - Changing Mindset and Kicking Habits Down the Road

    00:22:47 - Seeking Support and Deep Habit Work 



  • If you're feeling overwhelmed by the complexities of tax planning and financial decisions, then you’re not alone! Managing your business's tax structure, retirement planning, and investment options can feel like navigating a maze of rules and regulations.

    David Wilcox sheds some light on how you can take advantage of legal and accounting expertise to make informed decisions and make your money count for taxes and retirement.

    “You're going to have a lot of tax surprises, operational surprises, things you didn't have to deal with directly as an employee.” -David Wilcox, MBA, CTP, EA

    Key TakeawaysMaximize tax savings and financial growth with optimized tax planning strategies.Ensure legal protection and peace of mind for your business through essential documentation.Discover the best tax classification and entity selection for your business to maximize benefits.Simplify payroll taxes and efficiently manage billing to streamline your business operations.Explore retirement account options and effective tax strategies for long-term financial security.About David Wilcox

    David Wilcox, MBA, CTP, EA is the Founder of Numbercraft and a skilled tax professional with over 20 years of experience. He is an EA (Enrolled Agent), CTP (Certified Treasury Professional), and Licensed Tax Consultant in Oregon. Beyond the tax, accounting and finance realm, he has years of related IT experience in CRM systems.

    David also writes and helps others to develop their business ideas through encouraging them and helping them form strategies and identifying potential partners and customers.

    David obtained his MBA at the University of Barcelona and is completely fluent in Spanish. David also has five years of experience with international and multinational living and is fluent in the unique documentation challenges which this lifestyle entails.

    David founded Numbercraft to assist small businesses and individuals, harnessing the power of cloud based accounting and CRM systems to create efficiencies and improve data.

    Find Out Morehttps://numbercraft.tax/https://www.facebook.com/numberengineerhttps://twitter.com/numberengineerhttps://www.linkedin.com/company/numbercraft/ Key Moments

    00:00:02 - Introduction to David Wilcox's expertise

    00:04:28 - Setting up a Business Entity

    00:09:50 - Registering with the IRS

    00:11:59 - Importance of Financial Segregation

    00:15:06 - Key Considerations for New Business Owners

    00:15:29 - Importance of Clear Business Planning

    00:19:04 - Difference in Getting Paid

    00:23:00 - Deducting Business Expenses

    00:27:03 - Cost of Goods Sold and Business Taxes

    00:29:27 - Importance of Form W-9

    00:30:11 - Tax Structure and Independent Contractors

    00:31:43 - 1099 Forms and Tax Deductions

    00:35:43 - Employment vs. Contractor Relationships

    00:40:30 - Quarterly Tax Filing and Financial Planning

    00:43:27 - Payroll Services and Payroll Tax Compliance

    00:44:51 - Importance of Payroll Taxes and State Obligations

    00:46:06 - Understanding Payroll Tax Liability

    00:47:44 - Importance of Outsourcing Billing and Coding

    00:50:30 - CEO Mindset and Business Oversight

    00:55:38 - Retirement Planning and Tax Benefits for Business Owners

    00:59:22 - Traditional vs. Roth IRAs

    01:00:53 - Backdoor Roth Contributions

    01:02:06 - SEP IRA for Self-Employed

    01:04:42 - Business Succession Planning

    01:07:17 - Professional Advice and Disclaimers

  • Dr. Frances Mei Hardin is on a mission to improve residency training and support the mental health of medical students and residents, but she faces the daunting challenge of changing a deeply ingrained culture.

    Tired of hearing these myths about mental health in residency?

    Myth 1: You have to be mentally tough to handle the demands of residency.Myth 2: Seeking help for mental health issues will hurt your career.Myth 3: Mental health struggles are a sign of weakness.

    “Public humiliation was levied against us as residents.” - Dr. Frances Mei Hardin

    Key TakeawaysDiscover innovative approaches to rethinking residency programs.Uncover the impact of toxic dynamics in medical education.Learn effective strategies for breaking the cycle of abuse.Explore practical ways to support mental health in residency.Build resilience and develop essential coping skills.About Dr. Hardin

    Frances Mei Hardin earned a B.S. in Biochemistry at the University of Notre Dame, graduating at 20 years of age. She went on to earn an MD degree at the Case Western Reserve University School of Medicine and was inducted as a member of the Alpha Omega Alpha society.

    After completing her ENT residency training in the Midwest, she began her practice as a general ENT in Tennessee. She has extensive academic writing experience with her work featured in astrophysics publications from the age of 16 years old.

    She is the founder of Rethinking Residency, which provides supportive resources for resident physicians and promotes skills to increase effectiveness at work.

    Find out more here:[email protected]@rethinkingresidencyWebsiteshttps://francesmei.com https://rethinkingresidency.com The key moments in this episode are:

    00:00:02 - Introducing Dr. Frances Mei Hardin

    00:00:49 - The Need for Rethinking Residency

    00:03:00 - Identifying a Malignant Residency

    00:07:22 - Impact of Stress and Fear on Residents

    00:12:58 - Overcoming a Broken System

    00:15:39 - The Cycle of Abuse in Medical Residency

    00:16:58 - Rethinking Residency Strategies

    00:18:07 - Breaking the Cycle of Bullying

    00:21:44 - Implementing DBT Skills in Residency

    00:29:40 - Healing from Residency Trauma

    00:31:49 - Recognizing the Need for Change

    00:32:44 - Coping Strategies for Medical Students and Residents

    00:34:19 - Rethinking Residency Resources

    00:38:21 - Empowerment and Breaking the Cycle

    00:42:18 - Accessing Resources

  • Getting paid is all about mastering the revenue cycle. Specialist Carolyn Stamey makes sure you’re getting that final payment. She shares how focusing on the patient and doctor experience, enhanced patient satisfaction, and more precise billing will increase reimbursement for the work you do.

    “It's so important to have a copy of that insurance contract and really understand it because you can make the insurance company a partner in many ways. You leveraging that provider rep is so important, but having a copy of that contract and understanding it is really critical.” -Carolyn Stamey

    Key takeaways:Unlock the secrets to maximizing revenue and streamlining your billing processes.Discover the key to avoiding claim denials and ensuring prompt reimbursement for your services.Learn how to navigate the complexities of dealing with insurance companies to optimize your revenue cycle.Uncover the crucial role of accurate coding and documentation in ensuring maximum payment accuracy and compliance.Gain insights into simplifying the complexities of medical billing to enhance your practice's financial performance.About Carolyn

    Carolyn Stamey is a revenue cycle professional who helps physicians achieve financial success through revenue cycle excellence. She is currently the President & CEO of Contemporary Medical Solutions.

    Before starting Contemporary Medical Solutions, Carolyn worked for 30 years leading large revenue cycle teams. After a successful career supporting both small physician practices and large multi-specialty groups associated with a hospital, she now helps physicians maintain their independent practice by ensuring accurate and timely medical billing, up to date insurance contracts and credentialing with payers.

    Carolyn is based in the Phoenix area with her husband and daughter. She enjoys camping and sewing in her spare time.

    Carolyn is available to support your revenue cycle needs and offers free consultations. You can reach Carolyn at 717.557.5257 or [email protected].

    Find out more here:Website: www.ContemporaryMedicalSolutions.com Facebook: https://www.facebook.com/profile.php?id=100094615897338 LinkedIn: linkedin.com/company/96291853Business email: [email protected] Business phone: 602.834.4628The key moments in this episode are:

    00:00:00 - Understanding the Revenue Cycle

    00:02:15 - Impact of Large Organizations

    00:05:53 - Patient-Provider Relationship

    00:09:46 - Responsibility in Billing

    00:12:55 - Pitfalls and Contract Awareness

    00:14:12 - Timely Filing Limits and Payment Delays

    00:15:34 - Interacting with Insurance Companies

    00:16:50 - Understanding Insurance Company Requests

    00:19:29 - Impact of Insurance Contracting and Credentialing

    00:24:21 - The Significance of Payer Enrollment

    00:27:50 - Navigating Insurance Company Relationships

    00:29:31 - When to Seek Help

    00:31:00 - Shifting Perspectives on Interactions

    00:33:43 - Key Learnings in Revenue Cycle Management

    00:37:33 - Future Resources for Providers and Patients

  • Many of us feel powerless with the rise of corporate medicine. Our guest today decided to take her power back and reject this concept. She seemed like the least likely person to do so, given that she is a single mother by choice and without a ton of resources. She decided that practicing medicine on her terms was more important than the financial promises these large companies are selling. Aligning her career with her values made the most sense to her.

    Embarking on this new path, she discovered that she did not need the guarantees that were offered. She is able to secure her own future.

    Key TakeawaysDiscover how Dr. Ritha Belizaire's journey can inspire and motivate your own career in medicine.Learn effective strategies for balancing personal and professional life as a physician.Uncover the power of overcoming perfectionism and embracing growth in your medical career.Explore ways to empower single mothers in the field of medicine and create a supportive community.Unlock the potential of entrepreneurship in medicine and how it can transform your career.My special guest today is Dr. Ritha Belizaire.

    Dr. Ritha Belizaire is a dual board certified general and colorectal surgeon in Houston, Texas and is passionate about providing accessible, inclusive surgical care. After several years of employment, she made her departure from academics, fueled by burnout and a sense of devaluation within the system.

    She opened her own practice, Houston Community Surgical, in July 2023. In the transition from academics to self employment, she has borne witness to the epidemic of physician burnout, depression and anxiety caused by increasing demands on physicians to make money for their institutions while having less and less personal and professional autonomy and leading to a mass exodus of physicians from the medical profession.

    Concerned for the future of fellow physicians and of healthcare in America, Dr. Belizaire shares insights into her transformative journey of reclaiming control over her professional and personal life. She hopes that her story of challenging the status quo can offer some hope for physicians seeking a path to fulfillment in their medical careers.

    For more information, visit:Facebook: https://www.facebook.com/houstoncommunitysurgical Instagram: @rithabelizairemdTikTok: @rithabelizairemdWebsite - https://www.houstoncommunitysurgical.com The key moments in this episode are:

    00:00:00 - Introducing Dr. Ritha Belizaire

    00:01:06 - Recognizing the Need for Change

    00:07:14 - Seeking Agency and Freedom

    00:09:22 - Finding Her "Why"

    00:11:50 - Self-Investment and Guaranteed Success

    00:13:56 - Overcoming Limiting Beliefs in Residency Training

    00:15:00 - Recognizing Physicians as Commodities

    00:17:13 - Navigating Agency in the Healthcare System

    00:18:25 - The Journey to Entrepreneurship

    00:21:07 - Surprising Lessons in Entrepreneurship

    00:27:56 - Balancing Personal Passion with Professional Responsibilities

    00:29:19 - Overcoming Overwhelm and Prioritizing Tasks

    00:30:38 - Building a Fence Around Your Dreams

    00:33:25 - Overcoming Feeling Stuck and Empowering Change

    00:35:06 - Inspiring Others in the Medical Field

  • Have you noticed that being a physician these days is like many voices screaming into the void?

    What if we could gather together as one loud voice? 

    Is it time to start forming unions? 

    My guest Dr. Junaid Niazi is part of the largest physician unions that formed recently. He was initially hesitant about what unions would bring, but the idea that real change in physician work flows and physician wellness. 

    “They may have had some negative images or ideas of what a union is based on other unions and seeing those unions function, but again, a union is what the people make it out to be just like our democracy as a whole. So our democracy only works as well as the people who are running it are. ” - Dr. Junaid Niazi 

    Does the thought of unionization make you nervous? Maybe it’s time to dive deeper. Join me today with Dr. Junaid Niazi as we explore the benefits of physician unionization as a way forward to gain more respect, value and financial security for clinicians.

    “What recourse is there when medicine's getting so corporatized, and decisions are being made from spreadsheets?” 

    -Dr. Junaid Niazi