When a young Eva Kollisch arrives as a refugee in New York in 1940, she finds a community among socialists who share her values and idealism. She soon discovers ‘the cause’ isn’t as idyllic as it seems. Little does she know this is the beginning of a lifelong commitment to activism and her determination to create radical change in ways that include belonging, love and one's full self. In addition to Eva Kollisch’s memoirs Girl in Movement (2000) and The Ground Under My Feet (2014), LBI’s collections include an oral history interview with Eva conducted in 2014 and the papers of Eva’s mother, poet Margarete Kolllisch, which document Eva’s childhood experience on the Kindertransport. Learn more at www.lbi.org/kollisch . Exile is a production of the Leo Baeck Institute , New York | Berlin and Antica Productions . It’s narrated by Mandy Patinkin. Executive Producers include Katrina Onstad, Stuart Coxe, and Bernie Blum. Senior Producer is Debbie Pacheco. Associate Producers are Hailey Choi and Emily Morantz. Research and translation by Isabella Kempf. Sound design and audio mix by Philip Wilson, with help from Cameron McIver. Theme music by Oliver Wickham. Voice acting by Natalia Bushnik. Special thanks to the Kollisch family for the use of Eva’s two memoirs, “Girl in Movement” and “The Ground Under My Feet”, the Sophia Smith Collection at Smith College and their “Voices of Feminism Oral History Project”, and Soundtrack New York.…
Physicians Practice® spoke with Dr. Reena Pande, chief medical officer of AbleTo, about the current standards and challenges physicals are facing with standards of care.
Physicians Practice® spoke with Dr. Reena Pande, chief medical officer of AbleTo, about the current standards and challenges physicals are facing with standards of care.
Norman K. “Kip” Beals, MD, is executive director of primary care for Independence Health System in western Pennsylvania. He is board certified in family medicine and sports medicine. A physician practicing for 35 years, Beals has worked in independent practice and as a physician leader and chief innovation officer for health systems. Beals joins the show to discuss the evolving landscape of health care reimbursement — and how physicians can weather the storm. For more, be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know. Music Credits: Chill Lounge by Elonix - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to Healthcare Reimbursement (00:00:22) Overview of the podcast and discussion topics, including Medicare cuts and financial pressures. Physicians' Awareness of Medicare Cuts (00:01:04) Dr. Beals discusses how physicians typically learn about Medicare reimbursement cuts through news rather than direct communication. Reactions to Reimbursement Cuts (00:03:12) Physicians often feel a mix of frustration and resignation regarding ongoing cuts to reimbursements. Burnout Among Physicians (00:04:44) Discussion on the alarming statistic of physician burnout and its impact on healthcare practices. Business Training in Medical Education (00:07:08) Dr. Beals highlights the lack of business training for physicians during medical school. Strategies for Increasing Revenue or Cutting Expenses (00:09:32) Exploration of how physicians can approach financial challenges in their practices. Collaboration in Healthcare (00:10:36) Emphasis on the need for intense collaboration among healthcare providers to improve efficiency. Lessons from the COVID-19 Pandemic (00:13:30) Reflections on how the pandemic has forced healthcare practices to adapt and become leaner. Innovative Approaches in Healthcare (00:15:42) Discussion on using technology and innovative thinking to enhance healthcare delivery. Community Needs Assessment (00:18:23) Dr. Beals shares the importance of understanding community needs for effective healthcare solutions. Practical Examples of Community Engagement (00:19:10) Examples of initiatives aimed at addressing barriers to healthcare access in rural areas. Population Health and Cost Efficiency (00:22:40) Discussion on improving healthcare outcomes and reducing costs through efficient disease management and early problem detection. Government Cuts and Innovation (00:23:41) Impact of potential Medicare cuts on driving innovation and finding better healthcare solutions. Importance of Primary Care (00:25:46) Encouragement for patients to seek care from primary care providers for efficient and comprehensive healthcare. Collaboration in Healthcare Leadership (00:26:59) Advocacy for collaboration between clinical and administrative leaders to enhance patient care and community health outcomes. Closing Remarks and Gratitude (00:27:48) Expression of appreciation for the conversation and acknowledgment of the importance of continued dialogue.…
Andrea Greco, senior vice president of health care safety at CENTEGIX, joins the podcast to discuss keeping practices safe and how failing to do so can impact patient care. For more, be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know. Music Credits: Retro Rhythm by BJBeats - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Workplace Violence is Unacceptable (00:00:00) Discussion on the unacceptability of workplace violence in healthcare settings. Introduction to the Episode (00:00:15) Host Keith Reynolds introduces the episode's focus on workplace safety in healthcare. Impact of Workplace Violence on Nurses (00:00:54) Andrea Greco explains how workplace violence affects nurse satisfaction and patient care. Workplace Safety and Staff Retention (00:02:25) Discussion on the importance of workplace safety for retaining healthcare staff, especially younger workers. Creating a Culture of Safety (00:03:00) Strategies for fostering a culture of safety and well-being in healthcare organizations. Situational Awareness for Incident Responders (00:05:33) Importance of situational awareness and tools for employees to report incidents. Barriers to Incident Reporting (00:07:42) Exploration of barriers preventing effective incident reporting in healthcare settings. Visitor Management Protocols (00:09:00) Steps for primary care practices to enhance visitor management and reduce safety risks. Prioritizing Workplace Safety (00:11:13) Key priorities for healthcare leaders to ensure a safe workplace moving forward. Final Thoughts on Caregiver Support (00:12:31) Emphasis on putting caregivers first and maintaining a supportive environment.…
Yashaswini Singh, PhD, MPH, a health care economist and assistant professor at Brown University's School of Public Health, joins the show to discuss her recent research article, " Growth of Private Equity and Hospital Consolidation in Primary Care and Price Implications ," published in JAMA Health Forum. For more, be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know. Music Credits: Lofi Chillout Hip Hop Beat by Joystock - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to Primary Care Pressures (00:00:00) Discussion on significant pressures faced by independent primary care practices in the U.S. Podcast Introduction (00:00:17) Austin Littrell introduces the episode and the speakers, including guest Yashaswini Singh, PhD, MPH. Trends in Hospital and Private Equity Consolidation (00:01:08) Dr. Singh discusses consolidation trends in primary care involving hospitals and private equity. Market Dynamics of Healthcare (00:02:39) Insights on how U.S. healthcare markets struggle due to inadequate competition and increasing consolidation. Private Equity Investment Overview (00:03:48) Discussion on the substantial investment by private equity firms in various healthcare settings. Methodology of Research Study (00:04:00) Overview of the research objectives and methodology used to analyze primary care employment trends. Findings on Primary Care Employment (00:05:01) Key findings reveal a significant increase in hospital-affiliated primary care physicians from 2009 to 2022. Impact of Pricing on Care (00:06:18) Analysis of how physician employment trends affect healthcare costs and patient pricing. Explaining Price Differences (00:08:14) Discussion on factors contributing to price differences between hospital-affiliated and independent practices. Regional Disparities in Consolidation (00:10:27) Examination of geographic variations in hospital and private equity affiliations among primary care physicians. Evolution of Private Equity in Healthcare (00:12:16) Insights into the timeline and focus shifts of private equity investment in physician practices. Future Research Directions (00:15:05) Discussion on the need for further research on consolidation impacts and private equity exit strategies. Implications for Primary Care Physicians (00:17:23) Advice for primary care physicians on navigating the changing landscape of healthcare consolidation. Emerging Trends in Primary Care (00:19:15) Recognition of additional evolving models in primary care beyond hospital and private equity affiliations.…
Ferhat Dikbiyik, chief research and intelligence officer at the cybersecurity firm Black Kite, joins the podcast to discuss cybersecurity and the evolving structure and threat of ransomware gangs. Music Credits: Ready for Repeat by Rolla Coasta - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to the episode (00:00:15) Host Keith Reynolds introduces the podcast and the discussion on cybersecurity and ransomware gangs. Surge in ransomware attacks (00:00:49) Ferhat discusses the 32% increase in ransomware attacks in healthcare from 2023 to 2024. Dynamics of ransomware ecosystem (00:01:11) Ferhat explains shifts in the ransomware ecosystem, emphasizing the rise of affiliate-driven models. Affiliates in ransomware (00:03:39) Discussion on how affiliates operate within the ransomware ecosystem and their motivations. Targeting smaller medical practices (00:06:01) Ferhat highlights the increased risk smaller medical practices face from ransomware attacks. Banning ransom payments (00:08:33) Discussion on the implications of banning ransom payments for victims under pressure. Changing negotiation tactics (00:10:01) Ferhat notes the shift towards urgent ransom demands with little room for negotiation. Challenges for law enforcement (00:11:53) Ferhat explains the difficulties law enforcement faces in combating organized ransomware groups. Geographic distribution of ransomware groups (00:12:49) Ferhat discusses the locations of ransomware groups, primarily in Eastern Europe and Russia. Finding targets for attacks (00:14:35) Ferhat describes how cybercriminals identify and select small medical practices to target. Health care as a prime target (00:15:29) Ferhat predicts that healthcare will continue to be a significant target for cybercriminals. Protecting small medical practices (00:16:29) Advice on proactive measures small practices can take to safeguard against ransomware. Phishing and vulnerabilities (00:17:56) Ferhat discusses the prevalence of phishing as an attack method for ransomware groups. Training employees on phishing (00:18:30) Emphasis on the importance of training staff to recognize phishing attempts. Final thoughts on ransomware risks (00:18:37) Ferhat stresses the need for vigilance and proactive measures against increasing ransomware risks.…
Maryal Concepcion, MD, FAAFP, the owner and CEO of Big Trees MD, joins the show to talk direct primary care with Medical Economics Editorial Director, Chris Mazzolini. Concepcion shares the story of her own personal transition from traditional, fee-for-service medicine, to starting her own direct primary care practice. Music Credits: A Cup Of Warm Tea by JO.BITE - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to Direct Primary Care (00:00:00) Maryal Concepcion, MD, FAAFP, shares her vision of primary care as it relates to direct primary care (DPC). What is Direct Primary Care? (00:01:01) Concepcion explains DPC and its differences from traditional fee-for-service medicine. The Community Aspect of DPC (00:02:42) Discussion on the importance of community relationships in DPC and patient care. Challenges in Traditional Medicine (00:04:41) Concepcion reflects on her experiences in traditional fee-for-service medicine. Journey Through Medical Training (00:05:02) Overview of Concepcion's medical education and her transition to attending physician. Experience in Fee-for-Service (00:06:39) Concepcion describes the limitations and frustrations in her fee-for-service practice. Impact of Corporate Medicine (00:08:47) Insights on corporate practices and the challenges faced by physicians. Creating a Podcast for Healing (00:10:47) Concepcion discusses starting a podcast as a way to share experiences and heal. Describing the DPC Practice (00:13:00) Concepcion explains how her DPC practice operates and its patient-centered focus. Setting Up a DPC Practice (00:17:16) Discussion on the steps taken to establish her DPC practice from scratch. Marketing and Communication in DPC (00:20:07) Concepcion talks about the importance of marketing and patient communication in DPC. Elevator Pitch for Patients (00:20:59) Overview of how Concepcion introduces DPC to patients and addresses their concerns. Understanding Patient Needs (00:22:06) Discussion on the importance of listening to patients and addressing their needs in healthcare. Transitioning to Direct Primary Care (00:23:03) Advice for listeners on taking the first steps toward transitioning from fee-for-service to DPC. Resources for DPC Transition (00:23:33) Introduction of various resources available for those interested in starting a DPC practice. Support and Community in DPC (00:25:13) Emphasis on the supportive community available to DPC practitioners across the United States. Closing Remarks (00:26:27) Thanking Maryal Concepcion for her insights and contributions to the discussion.…
Anders Gilberg, senior vice president for government affairs with MGMA, joins us to discuss the second Trump administration and MGMA's policy wishlist. MGMA's advocacy agenda Music Credits: Cup of Coffee by Ionics - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction and overview (00:00:00) Discussion begins with a mention of Elon Musk's impact on a significant healthcare bill. Welcome and context (00:00:17) Keith introduces Anders Gilberg and sets the context of the conversation regarding the second Trump administration. Current state of health care (00:01:25) Anders discusses the unfinished business from the previous Congress and the lack of political leadership in key agencies. Key personalities in HHS (00:02:54) Exploration of potential new leaders in HHS and their implications for healthcare legislation. Challenges from previous Congress (00:04:38) Discussion on the lingering effects of changes made to evaluation and management codes affecting physician payments. Legislative uncertainty (00:08:08) Anders reflects on the unexpected changes to a crucial healthcare bill and its impact on physician payments. Regrouping and future strategies (00:09:58) Anders outlines the need for re-education and regrouping following the shifts in Congress and political landscape. Advocacy agenda overview (00:15:12) Anders shares key priorities for the GMA, focusing on physician payment reform and reducing regulatory burdens. Prior authorization issues (00:16:37) Discussion on the burdens of prior authorization and efforts to improve transparency in insurance practices. Quality reporting concerns (00:18:05) Anders critiques the MIPS program and the need for a more efficient way to report quality measures. Cybersecurity in health care (00:19:20) Highlighting the importance of addressing cybersecurity threats and the implications for healthcare operations. Conclusion and future check-ins (00:20:35) Anders expresses willingness to return for future discussions as the political landscape evolves.…
Medical Economics Managing Editor Todd Shryock and Peter H. Reilly, North American health care practice leader and chief sales officer at HUB International, discuss the top risks that medical practices face in 2025, as detailed in HUB International's 2025 Healthcare Outlook and Insurance Market Rate Report , from malpractice insurance rates to cybersecurity to natural disasters. Music Credits: Backroad lounge by Christian Petermann/Jamendo - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to the Episode (00:00:20) Overview of the podcast and introduction of speakers discussing healthcare risks for 2025. Discussion on Healthcare Costs (00:02:23) Exploration of rising costs and decreasing reimbursements in healthcare. Rural Hospitals and Financial Pressures (00:05:49) Impact of financial strain on rural hospitals and the need for awareness among physicians. Worker Shortages and Burnout (00:08:10) Addressing the challenges of worker shortages and mental strain in healthcare practices. Malpractice Insurance Trends (00:12:08) Overview of the medical professional liability market and its financial pressures. Mitigating Natural Disaster Risks (00:15:21) Strategies for practices to prepare for natural disasters and minimize operational disruptions. Cybersecurity Risks in Healthcare (00:19:16) Discussion on the increasing threat of cybercrime and the importance of data security. Final Thoughts on Risk Management (00:23:32) Encouragement for practitioners to understand and proactively manage risks in their practices.…
Medical Economics Senior Editor Richard Payerchin and Robert Kushner, MD, professor of medicine and medical education at Northwestern university talking about the latest advancements in treating obesity, and how physicians should approach the drugs making a splash across the industry. Music Credits: Future Medicine by mark woollard - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to new medications (00:00:00) Discussion on understanding the administration and combination of new medications for weight loss and health improvement. Podcast introduction (00:00:20) Host introduces the episode featuring Richard Payerchin andRobert Kushner, MD, discussing obesity treatment advancements. Current status of physicians (00:01:15) Kushner highlights physicians' increasing awareness and adoption of new obesity medications. Effectiveness of new medications (00:02:02) Overview of how new medications improve weight loss and health outcomes compared to previous treatments. Not a cure-all (00:03:38) Kushner clarifies that while effective, these medications are not a complete solution for obesity. Patient questions and concerns (00:05:14) Common patient inquiries about candidacy for new medications and managing side effects. Criteria for candidacy (00:06:45) Discussion on body mass index (BMI) criteria for patients to qualify for obesity medications. Economic factors in treatment (00:08:34) Challenges regarding medication affordability and insurance coverage impacting treatment decisions. Personal experience with medications (00:09:03) Kushner shares his extensive experience prescribing various obesity medications. Treatment regimen approach (00:10:55) Emphasis on addressing obesity as a chronic disease with appropriate treatment strategies. Lifestyle foundation for treatment (00:13:10) Importance of lifestyle changes alongside pharmacotherapy in obesity management. Avoiding counterfeit medications (00:15:40) Discussion on the dangers of counterfeit drugs and the importance of sourcing legitimate medications. Long-term study insights (00:18:30) Insights from a study on semaglutide and its acceptance rate among patients regarding side effects. Future of obesity medications (00:21:18) Predictions on the long-term safety and efficacy of semaglutide based on recent studies. Financial predictions for coverage (00:23:54) Discussion on potential changes in medication coverage and the future of obesity treatment advancements. Introduction to new medications (00:24:36) Discussion on glucagon and amylin medications showing promise in obesity treatment trials. Oral medications development (00:25:10) Anticipation for oral small molecule medications that mimic injectable treatments for obesity. Medicare approvals and cost implications (00:25:42) Medicare's approval of semaglutide for certain patients and the need to reduce medication costs. Future of medication pricing (00:26:29) Expectations for price renegotiation and the potential for generic medications to lower costs. Importance of primary care engagement (00:26:48) Emphasis on primary care physicians' role in managing obesity with new medications and lifestyle changes. Closing remarks (00:27:59) Gratitude expressed for the discussion and the importance of familiarity with obesity treatments.…
Medical Economics Assistant Editor Austin Littrell and Richard Miller, MD, a psychiatrist with Elwyn Adult Behavioral Health in East Greenwich, Rhode Island, discuss how to talk to patients about health information they get from social media. Music Credits: Information Overload by Riverworn - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to social media's Impact (00:00:00) Discussion on the prevalence of social media and its role in shaping health perceptions. Host Introduction (00:00:21) Keith Reynolds introduces the podcast and the guests for the episode. Richard Miller's background (00:01:01) Miller shares his professional background and current practice details. Misaligned patient expectations (00:02:28) Exploration of how social media trends create unrealistic expectations for treatment options. Addressing inappropriate treatment requests (00:04:45) Strategies for physicians to manage patient requests for unproven treatments from social media. Managing patient frustration (00:06:18) Techniques for healthcare providers to handle misunderstandings and frustrations from patients. Role of empathy in patient relationships (00:07:46) Importance of empathy in maintaining strong patient-provider relationships amid misinformation. Shared decision-making in treatment (00:09:42) Discussion on how shared decision-making can help navigate patient concerns rooted in misinformation. Educating patients on treatment plans (00:11:23) Recommendations for healthcare providers to effectively educate patients about treatment options. Improving patient education with social media (00:12:35) Suggestions for healthcare providers to use social media as a tool for patient education. Importance of reliable resources (00:14:17) Advocacy for creating reliable resources to provide accurate health information to patients. Closing thoughts on psychiatric treatments (00:15:18) Miller emphasizes the benefits of modern psychiatric medications and treatment options. Conclusion and yhanks (00:16:22) Keith Reynolds wraps up the episode, thanking the guests and listeners.…
Medical Economics Assistant Editor Austin Littrell and Jay W. Lee, MD. MPH, FAAFP, board member at the AAFP and medical director at Integrated Health Partners of Southern California, discuss how to overcome vaccine hesitancy in patients. Music Credits: Chill Coffee by Musinova - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to Vaccine Discussion (00:00:00) The podcast introduces the topic of vaccine hesitancy among patients. Overview of CDC Recommendations (00:01:03) Dr. Lee discusses the latest CDC recommendations on COVID-19 and pneumococcal vaccines. Importance of Encouraging Vaccinations (00:03:19) Dr. Lee emphasizes the need for physicians to promote vaccinations during the respiratory season. Changing Approaches Post-COVID (00:06:02) The conversation highlights how vaccine discussions have evolved due to misinformation since the pandemic. Building Rapport with Patients (00:08:33) Strategies for physicians to address vaccine hesitancy through establishing trust and open dialogue. The Role of Family Practices (00:10:55) Dr. Lee explains the importance of family practices in providing vaccines and maintaining patient relationships. Encouraging Usual Source of Care (00:12:35) The significance of having a consistent healthcare provider for better patient outcomes is discussed.…
Medical Economics Managing Editor Todd Shryock and attorney Emma Schuering, of the Polsinelli law firm discuss non-compete agreements in health care. Music Credits: Lofi Chillout Hip Hop Beat by Joystock - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to Non-Compete Agreements (00:00:14) Introduction to the episode and the guests discussing non-compete agreements in healthcare. Current Legal Landscape (00:01:06) Emma Schuering explains the ongoing uncertainty about non-compete agreements following the FTC's rule and legal challenges. Elements of Non-Compete Agreements (00:03:19) Discussion of the typical components of non-compete agreements, including restrictions on employment and geographic limitations. Public Policy Considerations (00:04:26) Emma highlights the strong public policy against restricting physicians from treating patients of their choice. State Law Variations (00:05:38) Overview of how enforceability of non-compete agreements varies by state, including buyout clauses. Alternatives to Non-Competes (00:08:36) Exploration of legal mechanisms that protect practices without limiting physicians' employment opportunities. Risks of Hiring Physicians with Non-Competes (00:13:25) Discussion on the potential liability for practices hiring physicians with existing non-compete agreements. Consequences of Termination (00:15:36) Explanation of the legal complications that arise if a physician is fired due to a non-compete issue. Enforcement of Non-Solicitation Agreements (00:17:41) Details on the process and recourse for practices when a former employee violates a non-solicitation agreement. Implementing Non-Compete Agreements (00:22:44) Advice for practice owners on assessing the need for non-compete agreements and understanding applicable laws. The Future of Non-Compete Agreements (00:26:17) Discussion on the trend of banning non-compete agreements and preparing for a world without them. Planning for Change (00:27:39) Importance of proactive planning for healthcare practices regarding non-compete agreements and future regulations. Closing Remarks (00:28:13) Concluding thoughts and gratitude from the host and guest, emphasizing the conversation's significance. Subscription Information (00:28:34) Encouragement to subscribe to the podcast and the Medical Economics newsletter for more insights.…
Medical Economics presents the Physician’s Guide to Running for Office. This is a companion piece to the wonderful print feature by Medical Economics Editor Richard Payerchin. This episode has been pulled from the hours of interviews he performed with Physicians serving in government at the local, state, and federal level. Physician politicians: Why doctors choose to serve -- and how you can too by Richard Payerchin Cast list (in order of appearance) Name: Jasmeet Bains, M.D. City, State: Delano, California Specialty: Family medicine, addiction medicine Elected Office: Assemblymember, California State Assembly Medical school: American University of Antigua Name: Ken Moore, M.D. City, State: Franklin, Tennessee Specialty: Orthopedic surgery Elected Office: Mayor, Franklin Tennessee Medical school: University of Tennessee College of Medicine Name: Elizabeth Steiner, M.D. City, State: Portland, Oregon Specialty: Family medicine Elected Office: Senator, Oregon Senate, and running for Oregon state treasurer Medical school: University of Massachusetts Medical School Name: Alice Mann, M.D., M.P.H. City, State: Edina, Minnesota Specialty: Emergency medicine Elected Office: Senator, Minnesota Senate Medical school: Meharry Medical College, Johns Hopkins University Name: Ami Bera, M.D. City, State: Sacramento County, California Specialty: Internal medicine Elected Office: Congressman, U.S. House of Representatives Medical school: University of California, Irvine Name: Michael C. Burgess, M.D. City, State: Cooke County, Texas Specialty: Obstetrics/gynecology Elected Office: Congressman, U.S. House of Representatives Medical school: University of Texas Medical School Name: Kim Schrier, M.D. City, State: Sammamish, Washington Specialty: Pediatrics Elected Office: Congresswoman, U.S. House of Representatives Medical school: University of California, Davis, School of Medicine Name: Bill Hauter, M.D. City, State: Morton, Illinois Specialty: Emergency medicine, anesthesiology Elected Office: Representative, Illinois House of Representatives Medical school: Indiana University Music Credits : America the Beautiful (MARCHING BAND VERSION) by Traditional - stock.adobe.com Yankee Doodle by michelangeloop – stock.adobe.com The Star Spangled Banner by mattharveymusic – stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to the Episode (00:00:00) Discussion on the impact of policy decisions made by those without medical experience on healthcare practices. Challenges in Politics (00:01:11) Dr. Jasmeet Bains shares her hesitations about entering politics and the significant commitment required. Dr. Ken Moore's Quick Decision (00:02:10) Dr. Ken Moore explains his spontaneous decision to run for office in Tennessee. Dr. Elizabeth Steiner's Advocacy (00:02:51) Dr. Steiner discusses her advocacy work and the realization of the need for a physician's voice in legislation. Dr. Alice Mann's Motivation (00:04:50) Dr. Mann shares her concern for patients and her journey back into politics after initially stepping away. Dr. Ami Bera's Political Entry (00:06:51) Dr. Bera describes his motivation to run for office during the Affordable Care Act discussions. Dr. Michael Burgess's Influential Moment (00:07:31) Dr. Burgess reflects on how 9/11 influenced his decision to run for office. Fundraising Challenges (00:08:06) Dr. Kim Schrier discusses her discomfort with fundraising and the necessity of it in campaigning. Campaigning and Community Engagement (00:10:11) Dr. Steiner emphasizes the importance of community interaction during her campaign. Negative Campaigning Experiences (00:11:12) Dr. Bill Hauter recounts facing negative attacks from his own party during the primary election. Dr. Mann's Insight on Political Messaging (00:14:10) Dr. Mann shares her experiences with misleading attack ads during her campaign. Reflections on Losing Elections (00:16:34) Dr. Bera discusses his initial loss in 2010 and the valuable experiences gained from it. Trust in Election Results (00:17:42) Dr. Schrier expresses caution regarding election numbers but acknowledges the trust constituents place in her. Day-to-Day Life in Congress (00:18:58) Dr. Bera describes the demanding schedule of a U.S. House representative. Legislative Routine in Oregon (00:20:50) Dr. Steiner outlines her busy schedule during legislative sessions and the importance of relationship building. Full-Time Commitment in Politics (00:22:43) Dr. Mann explains her view of her legislative role as a full-time job alongside her medical practice. Balancing Family and Politics (00:24:02) Dr. Mann discusses how she incorporates her family into her political activities and campaign efforts. Balancing Politics and Practice (00:24:44) Dr. Bains shares her experience managing time between being a legislator and medical director. The Need for Physician Advocacy (00:25:53) Discussion on the importance of physician voices in state politics despite time constraints. The Dual Role of Physicians (00:26:59) Physicians must prioritize advocacy while managing their demanding medical careers. Diversity in Political Perspectives (00:28:51) Dr. Burgess highlights the lack of uniformity among physician politicians in Congress. Bipartisan Collaboration (00:29:53) Dr. Schreier emphasizes the importance of physician camaraderie across party lines for effective governance. Pressure and Freedom in Politics (00:31:05) Dr. Horton discusses the freedom of being a citizen legislator without career politician pressures. Advice for Aspiring Legislators (00:33:07) Dr. Steiner advises on the patience and tenacity required for legislative roles. Understanding Your Motivations (00:33:26) Reflecting on the importance of knowing why one wants to run for office. The Interconnection of Medicine and Politics (00:33:51) Dr. Mann stresses the necessity for physicians to engage in political processes affecting healthcare. Closing Remarks (00:35:01) Host Keith Reynolds concludes the episode, thanking contributors and encouraging political engagement.…
Medical Economics Editorial Director Chris Mazzolini and Dr. Eve Cunningham, chief of virtual health and digital care at Providence and founder of MedPearl, discuss challenges with patient management and workflow. Music Credits: POSITIVE HAPPY RNB (FUNK NATION) NO MEL by Yummy Tunes - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Access Challenges in Healthcare (00:00:00) Discussion on the growing access challenges in healthcare if not addressed. Introduction to the Podcast (00:00:18) Keith Reynolds introduces the podcast and its focus on healthcare challenges. Guest Introduction (00:00:50) Dr. Eve Cunningham is welcomed to discuss patient management and workflow challenges. Challenges in Patient Management (00:01:23) Dr. Cunningham outlines the complexities of patient management and referral decisions for primary care physicians. Overwhelming Medical Knowledge (00:01:27) Discussion on the rapid increase of medical knowledge and its impact on clinicians. Referral Dysfunction Issues (00:02:31) Exploration of common referral dysfunctions and the need for optimized transitions. Examples of Referral Issues (00:03:41) Real-life examples illustrating the frequent misdirection in patient referrals. Access to Care and Burnout (00:04:48) Highlighting the shortage of doctors and its effect on access to care and clinician burnout. Introduction to MedPearl (00:06:19) Overview of MedPearl as a solution to the challenges faced by doctors. Genesis of MedPearl (00:06:38) Dr. Cunningham shares the story behind the development of MedPearl. Communication Gaps in Healthcare (00:07:13) Discussion on the knowledge-sharing gap between primary care and specialists. Need for Clinician-Centric Technology (00:08:13) Emphasis on creating technology that supports primary care clinicians effectively. Med Pearl's Features (00:09:31) Description of MedPearl's capabilities and how it aids clinicians at the point of care. Case Study in NEJM Catalyst (00:11:35) Discussion on a case study highlighting the impact of MedPearl in clinical settings. Pilot Program Results (00:12:45) Review of pilot results demonstrating Med Pearl's effectiveness in referrals and patient care. Scaling MedPearl (00:13:58) Description of MedPearl's scaling process and its growing user base. I mproving Referral Value (00:15:10) Discussion on enhancing referral quality and outcomes through MedPearl. Burnout and Clinician Efficiency (00:15:10) Exploration of how MedPearl addresses clinician burnout and improves efficiency. Importance of Clinician Involvement (00:17:02) Discussion on why clinician input is essential in developing effective healthcare solutions. Future Plans for Med Pearl (00:19:40) Dr. Cunningham shares upcoming implementations and goals for MedPearl.…
Medical Economics Managing Editor Todd Shryock sits down with Roger Kapoor, MD, author of "Work Happy" to discuss the scourge of burnout. Music Credits: Burned Out by Stefan Kartenberg - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to Stress (00:00:00) Discussion on the nature of stress, highlighting that not all stress is detrimental. Podcast Overview (00:00:14) Keith Reynolds introduces the podcast and its focus on physician burnout. Defining Burnout (00:01:29) Kapoor explains burnout as a syndrome recognized by WHO, emphasizing its chronic nature. Workplace Causes of Burnout (00:02:28) Exploration of workplace factors contributing to burnout, such as administrative tasks and lack of control. Lifestyle Choices and Burnout (00:03:41) The impact of personal lifestyle choices on burnout, including sleep deprivation and work-life balance. Differentiating Burnout from Stress (00:04:38) Key signs of burnout versus normal work stress, including emotional exhaustion and depersonalization. The Nature of Stress (00:06:22) Discussion on how stress can be both beneficial and harmful, depending on its management. Job Satisfaction and Change (00:07:57) Kapoor discusses the importance of aligning career with personal purpose and the concept of ikigai. Understanding Ikigai (00:08:59) Introduction to ikigai, a Japanese concept for finding one's life purpose through self-reflection. Example of Ikigai in Action (00:10:07) Story of Joe Addis, illustrating how passion and purpose can lead to success. The Importance of Nurturing Skills (00:11:14) Metaphor of apple picking to emphasize the need to nurture personal skills and competencies. Finding True Purpose (00:12:19) Encouragement to explore personal passions and competencies to discover true purpose. Mindset Around Job Change (00:16:10) Discussion on the emotional struggle of leaving a job and the importance of prioritizing well-being. Steps to Combat Burnout (00:18:58) Practical advice for physicians experiencing burnout, including self-reflection and job satisfaction. Prioritizing Sleep (00:22:07) Emphasis on the critical role of sleep in preventing burnout and maintaining well-being. Understanding Emotions and the Brain (00:24:31) Overview of brain layers and their role in processing emotions, relevant to managing burnout. Understanding Emotions and Burnout (00:27:11) Discusses how emotions influence responses and the importance of pausing before reacting to avoid burnout. Cumulative Negative Emotions (00:28:26) Explores how unresolved emotions can build up, leading to cynicism and burnout. The Power of Journaling (00:28:26) Recommends keeping a daily journal to process emotions and allow rational thought to catch up. Proactive Leadership to Prevent Burnout (00:30:14) Highlights the need for leaders to recognize burnout signs in their staff and take proactive measures. Stockholm Syndrome Analogy (00:31:08) Compares employee burnout to Stockholm syndrome, emphasizing the difficulty in recognizing toxic environments. Recognizing Team Efforts (00:32:19) Stresses the importance of acknowledging team contributions to boost morale and prevent burnout. Avoiding Micromanagement (00:32:19) Discusses how micromanagement can drain energy and creativity from employees. Constructive Feedback (00:32:19) Emphasizes the need for clear, constructive feedback to reduce anxiety and burnout among teams. Realistic Expectations (00:32:19) Warns against setting unrealistic goals, advocating for achievable objectives to foster long-term success. Hiring and Firing Practices (00:33:39) Advises on hiring practices focused on insight and decisively addressing underperformance to maintain a healthy environment. Burnout Awareness in Leadership (00:34:55) Notes that if leaders feel burned out, their employees are likely experiencing it even more. Book Overview (00:35:11) Kapoor discusses his book "Working Happy," born from experiences during the COVID-19 pandemic.…
Patient Care Online Editor Sydney Jennings and Dr. Steven P. Furr, Former President of the American Academy of Family Physicians sit down to discuss immunizations. Music Credit: COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to Immunizations (00:00:05) Overview of the podcast and introduction of speakers discussing immunizations in primary care. Decline in Vaccination Coverage (00:00:32) Discussion on the decrease in vaccination rates among kindergarten students and its implications. Impact of COVID-19 on Well-Child Visits (00:00:54) How COVID-19 disrupted routine well-child visits affecting vaccination rates. Measles Cases and Vaccination (00:01:33) Increase in measles cases linked to unvaccinated individuals and the importance of herd immunity. Vaccine Hesitancy Post-COVID (00:03:15) Concerns about ongoing vaccine hesitancy and misinformation stemming from the COVID-19 pandemic. Addressing Vaccine Confusion (00:03:30) Need for clear communication from primary care providers regarding vaccination updates and schedules. Encouraging Vaccination During Visits (00:04:44) Strategies for clinicians to suggest vaccinations during patient visits to improve uptake. Adult Vaccination Recommendations (00:05:52) Changes in adult vaccination recommendations as respiratory virus season approaches. Challenges with Medicare Vaccine Coverage (00:07:27) Issues with Medicare coverage affecting access to certain vaccines for patients. Advocacy for Vaccine Coverage (00:09:09) Discussion on the need for advocacy to improve vaccine coverage under Medicare Part B.…
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