Dr Daniel Meltzer is a Boston University trained Emergency Medicine physician. Having originally worked in Healthcare Consulting, he went on to become the Chief of Emergency Medicine at Kaiser Permanente in San Diego, California. Currently he is the Chief Learning Officer at Practicing Excellence, a physician and healthcare coaching organization based in San Diego.
In this conversation we go deep on the value of trusting your instincts on big decisions in your life and how conversations with our mentors can have lasting impact for years to follow. Daniel is a close friend and is someone who shares the philosophies as to why I began this podcast at the outset.
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Selected Show Notes:
Kaiser Permanente Emergency Medicine Residency - Southern California
The Social Transformation of American Medicine by Paul Starr
Twitter @danielmeltzermd
Dr Mike Gibson is an Interventional Cardiologist and Professor Of Medicine at Harvard Medical School. Having trained at Beth Israel Hospital he has gone on to be one of the most influential voices in medicine and cardiology today. He is one of the master voices of medicine on Twitter with over 200,ooo followers and is a news anchor for the worlds biggest interventional cardiology conference and news site, TCTMD. He is the founder of WikiDocs, the worlds largest open source online medical text, which has been viewed millions of times.
As an immensely accomplished painter and photographer we delve deep into how these worlds overlap and how the world of medicine is changing.
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Selected Show Notes:
Brian Johnson is a 'Teacher Of Wisdom' and the founder of Philosophers Notes and Optimize 101. Having dropped out of Law School early in life, he has pursued a Phd in 'Living', by diving deep into the texts of philosophy and personal development that have been written through the ages. His website BrianJohson.me is a fantastic resource of the philosophies of how to pursue your passion in life and navigate the challenges we face.
This is an incredible discussion on how philosophy can change your life by giving you the framework of thinking that will define how you manage the obstacles in your life.
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Selected Show Notes:
Are You Fully Charged by Tom Rath
Philosophers Notes by Brian Johnson
The Hero's Journey by Joseph Campell
Ego Is The Enemy by Ryan Holiday
The Obstacle Is The Way by Ryan Holiday
So Good They Can't Ignore You by Cal Newport
The Happiness Equation by Neil Pasricha
Twitter: @_Brian_Johnson
Dr Mark Shapiro is a Baylor College of Medicine, Texas trained Hospitalist who practices full time here in California. He is also the host of the healthcare podcast 'Explore The Space' and in addition to flexing his creative muscles in the podcasting space he has also worked as a full time sports writer. This conversation is full of gems of wisdom where we delve deep into the topics that often lie in our blind spot as physicians.
We explore some incredibly exciting topics from how Abraham Lincoln is critical reading for all physicians to how we have much to learn from one of the most decorated Navy Seals of all time.
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Selected Show Notes:
Dr Mark Shapiro - Hospitalist
Extreme Ownership by Jacko Willink & Leif Babin
Team of Rivals: The Political Genius of Abraham Lincoln
Twitter: @ETSshow
Dr Adam Gazzaley is Director of the Gazzaley Lab and Professor of Neuroscience, Physiology and Psychiatry at UCSF. His work as a cognitive researcher has reached international acclaim with publications in Nature, The New York Times, TIME, Discover, WIRED and has been the recipient of numerous awards and honors. He wrote and hosted the PBS documentary 'The Distracted Mind" and continues to do cutting edge research in the area of cognitive neuroscience with a particular interest in how gaming influences cognitive processes.
Having completed his MD PhD at the Mount Sinai School of Medicine in New York, research fellowships at UC Berkeley and now sits on the frontier of neuroscience cognitive gaming research, he has walked an incredibly unique path in medicine. This is an exciting conversation I have wanted to have for a long time and we touch on issues related to the gamification of medicine, meditation neuroscience and if there is a scientific basis to enlightenment.
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Selected Show Notes:
Dr Adam Gazzaley - The Gazzaley Lab
Come Wander - Adam Gazzaley Photography
PBS Special - "The Distracted Mind" with Dr Adam Gazzaley
TEDxASB: Mumbai India "Closing The Loop Between The Brain and Education"
Ted Sonoma - Promise of Tech and the Brain
Dr Brene Brown is a research professor at the University of Houston Graduate College of Social Work and is a world renowned expert in shame, guilt and vulnerability research. She is the author of 3 New York Times best sellers and her TEDx talk has been viewed almost 25 million times. She is also the Founder and CEO of The Daring Way and COURAGEworks.
This was a conversation I was looking forward to having for quite some time and I believe the issues we discuss are at the very core of physician unhappiness and how we navigate the challenges of being a physician today.
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Selected Show Notes:
Dr Paul Teirstein is Chief of Cardiology at the Scripps Green Hospital, La Jolla, California. He is a world renowned Interventional Cardiologist and was a pioneer in the early development of coronary stent technologies. He is the holder of 23 patents, all of which have been licensed. Last year, he was awarded one of the most prestigious awards in cardiology, being recipient of the Geoffrey Hartzler, Master Clinical Operator award. Beyond the world of medicine he is an immensely accomplished pilot and an avid salsa dancer.
This conversation is one of the most enlightening and heart felt conversations I have had and Dr Teirstein is one of those rare minds in medicine. His perspectives and insights are truly brilliant and I know that I will be listening to this conversation again and again.
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Selected Show Notes:
Dr Paul Teirstein - Chief of Cardiology, Scripps Green Hospital, CA
Dr Geoffrey Hartzler - Pioneering Cardiologist
Dr Geoffrey Hartzler - Master Clinical Operator Award - TCT 2015
National Board of Physicians and Surgeons (NBPAS)
NEJM Boarded To Death - Why Maintenance Of Certification Is Bad For Doctors and Patients
Dr Dike Drummond is a Mayo trained Family Practice Physician who now specializes in physician burnout. The founder of TheHappyMD.com and author 'Stop Physician Burnout' he has come face to face with the realities of burnout as a physician on two separate occasions himself. He understands the complexities of physician burnout and how the one suffering burnout is often the last to know. Dr Drummond has coached thousands of physicians through the challenging times of burnout and speaks regularly across the globe to healthcare institutions in need of guidance on addressing this ever growing problem.
This is Part 2 of a two part series on burnout. Episode 1 focused on the causes and symptoms of burnout and this episode focuses on the strategies to address burnout at an individual and group level. This is truly an eye opening episode jam packed with strategies to beat burnout.
If you enjoyed this episode please ‘Subscribe‘ on iTunes or Stitcher.
Enjoy!
Selected Show Notes:
Stop Physician Burnout by Dike Drummond
Dr Dike Drummond is a Mayo trained Family Practice Physician who now specializes in physician burnout. The founder of TheHappyMD.com and author 'Stop Physician Burnout' he has come face to face with the realities of burnout as a physician on two separate occasions himself. He understands the complexities of physician burnout and how the one suffering burnout is often the last to know. Dr Drummond has coached thousands of physicians through the challenging times of burnout and speaks regularly across the globe to healthcare institutions in need of guidance on addressing this ever growing problem.
This episode is part 1 of a two part series. On this episode we deep dive into what burnout is, what its causes are and how it manifests. This episode will be followed up by Part 2 which will focus on the strategies to target burnout at an individual and organizational level.
If you enjoyed this episode please ‘Subscribe‘ on iTunes or Stitcher.
Enjoy!
Selected Show Notes:
Stop Physician Burnout by Dike Drummond
Dr Este Geraghty is the Chief Medical Officer of Esri (Environmental Systems Research Institute) in Redlands, California. Having originally trained in Internal Medicine and working as an Assistant Professor of General Internal Medicine at UC Davis her primary focus is now on how healthcare data visualization can change how we deliver healthcare in the modern world. This is an exciting conversation with topics ranging from how technology will guide the patient to the best car parking space to how recent infectious diseases crisis like the ebola epidemic in Sierra Leone and Liberia was managed.
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Selected Show Notes:
Esri - Health & Human Services
California HHS Open Data Portal
California Center for Health Statistics and Informatics
ESRI - Ebola Outbreaks 1976 - 2015
'The Hot Spotters' the New Yorker by Atul Gawande
The Ghost Map: The Story of London's Most Terrifying Epidemic by Steven Johnson
Tracking Medicine: A Researchers Quest to Understand Health Care by John Wennberg
The Emperor Of All Maladies: A Biography of Cancer by Siddhartha Mukherjee
Dr Bruce Johnson is an extreme physiology researcher at the Mayo Clinic, Rochester, Minnesota whose real laboratories are the extreme environments the world has to offer. He has conducted high altitude physiology research with climbers on Aconcagua in Argentina and free divers in Croatia. He has also conducted high altitude research over two seasons in Antarctica. Recently, as part of a NorthFace and National Geographic expedition to Everest he conducted extreme physiology research with the world renowned climber, Conrad Anker.
This conversation explores the details of how to integrate the passions you may have outside of your conventional career and use them as an opportunity to do truly exciting things. Dr Johnson's work is an exploration of the extreme physiology of the abnormal in normal environments and the normal in the most abnormal environments.
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Selected Show Notes:
Dr Bruce Johnson - The Mayo Clinic
The North Face: Everest Research Expedition
National Geographic - 'The Call of Everest'
Dr Ronan Kavanagh is a practicing rheumatologist in Galway, Ireland and is the co-founder of the dotMED Conference which embraces all that is creative in medicine. In addition to his full time practice Dr Kavanagh is a regular medical blogger and has been one of the leading physicians on social media for many years. Dr Kavanagh is a medical columnist with The Medical Independent, is a consultant to several med tech startups and is also the chairman of the Macnas Theatre Company.
This discussion takes us through all the challenges that surface during a career in medicine and how embracing a more diverse range of interests can be the thing that adds balance to a busy life as a clinician.
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Selected Show Notes:
dotMED The Creative Medical Conference
The Medical Independent - Dr Ronan Kavanagh Column
How Twitter Cured My Mid-Life Crisis by Ronan Kavanagh
Atul Gawande - Personal Best (On Having A Coach)
The Bad Doctor: The Troubled Life and Times of Dr. Iwan James by Ian Williams
A Fortunate Man by John Berger
Here are two quick exercises by Dr Dike Drummond, the physician burnout expert, that anyone struggling in healthcare should try. The first helps greatly in providing insight into burnout, the second is an emergency reset button when things get challenging. Enjoy!
Dr Dike Drummond is a Mayo trained Family Practice Physician who now specializes in physician burnout. The founder of TheHappyMD.com and author 'Stop Physician Burnout' he has come face to face with the realities of burnout as a physician on two separate occasions himself. He understands the complexities of physician burnout and how the one suffering burnout is often the last to know. Dr Drummond has coached thousands of physicians through the challenging times of burnout and speaks regularly across the globe to healthcare institutions in need of guidance on addressing this ever growing problem.
In this episode we discuss how burnout manifests in physicians, how men and women differ in their display of symptoms and most importantly we discuss the steps to addressing burnout. This discussion was one of the most eye opening conversations on burnout I have had and explained so much of why we feel the way we do in times of stress.
If you enjoyed this episode please ‘Subscribe‘ on iTunes or Stitcher.
Enjoy!
Selected Show Notes:
TheHappyMD.com
Stop Physician Burnout by Dike Drummond
Burnout Prevention MATRIX by Dike Drummond
Twitter: @DikeDrummond
Dr Ryan Gray is a Flight Surgeon and Aerospace Medicine Physician who has also founded MedicalSchoolHQ.net, which guides applicants through the often arduous process of applying to medical school. In this interview we deep dive into some of the ingredients to an excellent medical school application, what a Flight Surgeon really does and how to deal with adversity when unexpected things come your way.
If you enjoyed this episode please ‘Subscribe‘ on iTunes or Stitcher.
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Selected Show Notes:
The Checklist Manifesto by Atul Gawande
Twitter: @MedicalSchoolHQ
Dr David Cox is the Chief Medical Officer of Headspace, one of the worlds leading providers of online meditation. Having begun his career as an Emergency Department physician, he soon realized that to implement the changes he felt were so needed at an institutional level in healthcare, would require a transition to his role as a healthcare executive and management consultant. After several years in an executive role, the opportunity to join Headspace came about through a fortuitous meeting with one of its cofounders. The rest as they say, is history.
In this episode we deep dive into several key issues including the challenges of front line care, being a small piece in an enormous cog of a giant healthcare system and the best ways to think about career progression.
If you enjoyed the show please 'Subscribe' on iTunes or Stitcher.
Selected show notes:
Redefining Healthcare by Michael Porter
Dr David Albert is a Cardiologist, Inventor and Serial Entrepreneur who holds over 40 patents and has been the founder of multiple successful medtech startups. Currently he is the founder AliveCor, a personalized EKG device that is compatible with your smartphone which went viral after a famous 4 minute self made Youtube video.
The medtech world is increasingly appealing to physicians but is fraught with challenges and pitfalls. Dr Albert has managed to navigate this world to immense success and shares his journey here.
For anyone interested in the mechanics of Digital Medicine entrepreneurship, this episode is a must listen.
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Enjoy!
Selected Show Notes:
Eric Topol - AliveCor Airline Dramas
AliveCor - Pubmed Publication List
Vinod Khosla - Technology will replace 80% of doctors.
The Tipping Point by Malcolm Gladwell
The Creative Destruction of Medicine by Eric Topol
The Patient Will See You Now by Eric Topol
David Albert Email: drdave@alivecor.com
Twitter: @DrDave01
Dr Pamela Wible is a Family Medicine physician in Eugene, Oregon who runs one of the most unique medial practices in the United States today. It is a healthcare center designed not by doctors, but by patients. She is the author of 'Pet Goats and Pap Smears' and founder of the site IdealMedicalCare.org. Having spoken at TEDMED and Tedx she is truly a unique and passionate voice for physicians who are struggling in todays healthcare infrastructure.
This is an enlightening conversation on topics from why you shouldn't think of yourself as having 'burnout' and how to create your 'Ideal Clinic'.
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Selected Show Notes:
Pet Goats and Pap Smears by Pamela Wible
TEDx Salem - How To Get Naked With Your Doctor by Dr Pamela Wible
Dr Ed Coats is a Specialist Registrar/Fellow in Reproductive Medicine in Nottingham, UK but is also an incredibly seasoned adventurer and explorer. As part of a 5 part TV Documentary series for the BBC entitled 'On Thin Ice' he raced to the South Pole with James Cracknell and Ben Fogle. Prior to this he represented Great Britain as a track and field decathlete and also embarked on an epic '30 at 30' challenge which saw him participate in a host of extreme athletic events over the course of a year.
Dr Coats has also appeared on the TV documentary 'North Pole Ice Airport' leading a ski expedition to the North Pole and has also led a series called 'Extreme Classroom' taking children with challenging behavior to engaging learning environments including walking in Africa as part of the 'Hottest Classroom On Earth' episode.
On this episode we discuss what drives him to pursue such activities as a complement to his career in medicine and how to deal with adversity both in the hostile environments of the Antarctic and in day to day medical practice.
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Enjoy!
Selected Show Notes:
Doctor In The House - TV Series.
Scott of The Antarctic - Movie 1948.
Mark Pollack - Northern Irish Adventurer.
European Working Time Directive (EWTD)
The No Asshole Rule by Robert Sutton.
Dr Zubin Damania AKA ZDoggMD is the Founder of Turntable Health, a novel healthcare delivery model in Downtown Las Vegas. Trained as an Internal Medicine physician at Stanford University he also spent time being a stand up comedian which ultimately transformed him into the satirical healthcare star he is today. Over several years he has enlightened and entertained the healthcare community with videos ranging from 'Manhood in the mirror' as a promotion for testicular cancer screening to 'EHR State of Mind' which describes with hysterical precision the frustrations that physicians have with electronic health records. Dr Damania is the comedic parody voice we all wish we could have in collectively voicing our thoughts on healthcare today.
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Selected show notes:
Dr Zubin Damania - Commencement Speech
ZDoggMD - 'Ain't the way to die'
Waking Up: A Guide To Spirituality Without Religion by Sam Harris
Headspace - Meditation App for those looking to start meditating.
ZDoggMD - 'EHR State Of Mind'.
Dr Joe Smith is the Chief Medical & Science Officer at the West Health Institute and President of The West Health Policy Center. Originally trained in Medical Engineering and Physics he then pursued his MD training at Harvard. After 20 years as a practicing Electrophysiologist he became Chief Medical Officer for Guidant and Boston Scientific's Cardiac Rhythm Management Division. Named as one of the "Twenty People Who Make Healthcare Better' he also serves as faculty advisor to the University of Southern California, Johns Hopkins, Harvard & MIT and The Wellcome Trust. In this discussion we delve deep into the motivations to pursue a career in medicine, how the arc of your career can take many paths and the skills that physicians are valued most for in roles outside of traditional clinical care.
If you enjoyed this episode please ‘Subscribe‘ on iTunes or Stitcher.
Enjoy!
Selected Show Notes:
West Health Institute, La Jolla, California.
West Health Policy Institute, Washington DC.
Meditations by Marcus Aurelius.
The Youngest Science: Notes of a Medicine-Watcher by Lewis Thomas.
Dr Dan Siegal is Professor of Psychiatry at the UCLA School of Medicine, where he serves also as faculty of the Center for Culture, Brain and Development and is founding co-director of the Mindful Awareness Research Center. In addition to being an Executive Director of the Mindsight Institute he has also published several books including the New York Times bestseller No-Drama Discipline. He regularly speaks to audiences across the globe on mindfulness. Although he completed his Medical training at Harvard he left medical school part way through his training to seek out the best way to become a salmon fisherman!
If you enjoyed the show please 'Subscribe' on iTunes or Stitcher.
Selected Show Notes:
Midnight: The New Science of Personal Transformation by Dan Siegel
Dr Ravi Komatireddy is the Chief Medical Officer at Reflexion Health Inc, a med tech startup focused on using motion tracking technology to entirely redefine the field of home rehabilitation. Having completed his medical school training at Dartmouth University and Internal Medicine training at UCSD he went on to complete a Fellowship in Digital Medicine at The Scripps Translational Science Institute/West Health. An Associate Professor of Medicine at UCSD he has conducted research on the effects of microgravity on physiological monitoring systems with NASA and remains actively involved with continuing human suborbital flight research.
On this episode we get into how to innovate in medicine, how clinical training is critical for understanding the realities of how healthcare changes and how being a pilot made him a better doctor.
Enjoy!
If you enjoyed the show please 'Subscribe' on iTunes or Stitcher.
Selected Show Notes:
Wallace & Gromit - Laying Train Tracks
Dr Joseph Smith - West Health Inc
IDEO: A Design and Innovation Consulting Firm
The 10 Faces of Innovation by Tom Kelley and Jonathon Littman
Dr. Sandeep Jauhar is Cardiologist and the Director of Heart Failure Program at the Long Island Jewish Medical Center, New York. His books 'Intern: A Doctors Initiation' and 'Doctored: The Disillusionment of an American Physician' offer incredible insights into what underpins the causes of physician disillusionment. On this episode we delve into such issues as dealing with the confusion of early training to the existential crisis of our professional expectations and how they have changed.
Dr. Steve Steinhubl is Director of Medicine at The Scripps Translational Science Institute in San Diego California. He originally trained as an Interventional Cardiologist at The Cleveland Clinic where he ran several large scale multinational randomized controlled trials. Following this his experience in healthcare can only be described as a truly global one, having worked in Alaska, Switzerland, Sierra Leone and now California. On this episode we discuss the challenges of building out the future of Digital Medicine, how anyone with an interests in the area can get involved and how his wife was so key to his success over the years. If you like this episode please let me know by reaching out on Twitter (@Paradox_Doctor) or Facebook.