Episodes
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In this episode, sleep physician Dr. Funke Afolabi-Brown, author of 'Beyond Tired: A Sleep Physician's Guide to Solving Your Child's Sleep Problems' discusses the impact of children on sleep patterns, the difference between sleep deprivation and insomnia, and shares practical tips for improving sleep quality.
Dr. Afolabi-Brown highlights the importance of self-care, the role of physical activity, and dietary choices in achieving restful sleep. They also address common sleep disorders like sleep apnea and offer advice for new mothers and busy professionals. Listeners are encouraged to pay attention to sleep habits and seek professional help for persistent sleep issues.
00:00 Introduction and Guest Welcome
00:46 Meet Dr. Funke Afolabi-Brown
01:29 The Importance of Self-Care for Parents
02:34 Dr. Brown's Journey to Sleep Medicine
04:11 Understanding Sleep Deprivation vs. Insomnia
06:19 Common Sleep Disorders and Statistics
09:04 Steps to Improve Sleep Quality
12:27 The Role of Sleep Studies
18:14 Postpartum Sleep Strategies
26:24 Sleep Issues in Different Life Stages
32:36 Conclusion and Where to Find More Resources
https://www.therestfulsleepplace.com/about
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Summary
This transcript is a conversation between Dr. Amy Vertrees, a general surgeon, and Carrie Glass, her office manager. They discuss the crucial role of an office manager in ensuring smooth operations, managing staff, handling patient interactions, and navigating various administrative tasks. Carrie shares her background and how she transitioned into the office manager role after gaining diverse experience in the medical field. They delve into the challenges of scheduling patients, managing late arrivals, collecting copays, and dealing with difficult situations. Keri emphasizes the importance of documentation, coding, and proper billing procedures to ensure timely reimbursements from insurance companies. They also discuss strategies for maintaining staff morale, addressing performance issues, and enforcing boundaries. Throughout the conversation, Keri's expertise and Dr. Vertrees' appreciation for her contributions are evident, highlighting the significance of a strong office manager in a successful medical practice.
Chapters
Introduction and Background
Dr. Vertrees introduces Carrie Glass, her office manager, and highlights the importance of understanding the office manager's role. Carrie shares her background, starting in the medical field at a young age and gaining diverse experience in various roles before becoming an office manager.
Managing Patient Interactions
Carrie discusses her approach to managing patient interactions, including scheduling appointments, handling late arrivals with compassion, and explaining policies like copay collection. She emphasizes the importance of being a mediator between patients and providers, ensuring smooth communication and understanding.
Staff Management and Morale
Carrie shares her strategies for managing staff, addressing performance issues, and maintaining morale. She highlights the importance of open communication, being a team player, and creating a positive work environment through small gestures like buying lunch or allowing early departures on slow days.
Documentation and Coding
The conversation shifts to the importance of proper documentation and coding for successful billing and reimbursement. Carrie explains the pitfalls of incorrect coding, the need for accurate documentation, and the challenges of working with insurance companies' requirements.
Revenue Cycle and Reimbursement
Carrie and Dr. Vertrees discuss the revenue cycle, from scheduling and pre-authorization to coding, billing, and collecting payments. They highlight the importance of each step and the potential consequences of missing any part of the process, emphasizing the need for collaboration between providers and office staff.
Relationship and Collaboration
Throughout the conversation, the strong relationship and collaboration between Dr. Vertrees and Carrie are evident. They discuss the importance of mutual support, understanding each other's roles, and working together to overcome challenges and achieve success in the medical practice.
Action Items
Establish clear communication channels between providers and office staff to address scheduling conflicts, documentation requirements, and coding queries.Implement regular training sessions for staff on coding best practices, insurance requirements, and documentation standards to ensure accurate billing and reimbursement.Develop a comprehensive policy for managing late patient arrivals, addressing the root causes with compassion while maintaining office efficiency.Foster a positive work environment by recognizing staff contributions, offering flexibility when possible, and promoting team-building activities.Conduct periodic reviews of the revenue cycle process, identifying potential bottlenecks or areas for improvement, and implementing necessary changes to streamline operations.Encourage providers to document procedures using precise terminology aligned with coding guidelines to facilitate accurate coding and minimize denials or delays in reimbursement.Establish clear boundaries and enforce policies consistently, addressing performance issues promptly while maintaining open communication and offering support when needed. -
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Summary
This podcast episode discusses strategies for making the most out of attending medical conferences as a surgeon. The host shares personal experiences and insights on preparing for conferences, managing thoughts and emotions, networking effectively, reflecting on career goals, and following up after the event. Key points include setting intentions beforehand, being mindful of self-talk, making meaningful connections, allowing for flexibility in plans, and practicing self-compassion throughout the experience.
Chapters
Introduction and Anticipation
The host introduces the topic of attending conferences and the mixed feelings of excitement and dread that often accompany them. She emphasizes the value of anticipating the event and enjoying the experience before, during, and after. Preparing for presentations and packing in advance can help reduce stress and allow for a more positive mindset.
Managing Thoughts and Emotions
The host acknowledges the various thoughts and emotions that can arise during conferences, such as self-doubt, imposter syndrome, and feelings of inadequacy. She encourages recognizing these as choices and practicing self-compassion. Strategies like setting deadlines, being present, and listening to one's body are recommended.
Networking and Connecting
Networking and making meaningful connections are highlighted as essential aspects of conferences. The host suggests preparing an elevator pitch, being open to new contacts, and following up after the event. Social media can also be a valuable tool for extending connections and promoting one's work.
Reflection and Career Goals
The host emphasizes the importance of reflecting on career goals and direction during and after conferences. Feelings of inspiration, intimidation, or discouragement can provide valuable feedback on desired growth areas. Gratitude and self-compassion are encouraged throughout the process.
Post-Conference Follow-Up
After the conference, the host recommends recording lessons learned, reviewing materials, completing CME requirements, submitting expenses for reimbursement, and scheduling a buffer day for reflection and recalibration. Proper follow-up can help maximize the benefits of attending the conference.
Action Items
Set intentions and goals for the conference beforehandPrepare an elevator pitch for networking opportunitiesPractice self-compassion and manage self-talk during the conferenceMake an effort to connect with peers, mentors, and speakersUtilize social media to extend connections and promote your workReflect on career goals and direction during and after the conferenceRecord lessons learned and follow up on materials or connectionsComplete CME requirements and submit expenses for reimbursementSchedule a buffer day for reflection and recalibration after the conference -
Summary
The article is an interview with Dr. Laura Sutton, a family practice physician and author of the book 'The Purposeful M.D.: Creating the Life You Love Without Guilt'. The discussion revolves around her motivation for writing the book, the challenges physicians face in managing their time effectively, and the strategies she offers to help readers find more time and energy in their lives. Dr. Sutton shares insights from her coaching experience, emphasizing the importance of setting realistic goals, reframing expectations, and asking for help. The book aims to guide readers through a transformative journey, enabling them to create intentional and fulfilling lives while strengthening relationships and improving overall well-being.
Chapters
Dr. Sutton's Motivation for Writing the Book
Initially, Dr. Sutton doubted her ability to write a book, considering herself a physician rather than a writer. However, after receiving positive feedback on her blog posts and articles, she realized her enjoyment in writing and its potential to help others. This realization, coupled with encouragement from others, motivated her to embark on the journey of writing 'The Purposeful M.D.'.
Time Management Challenges for Physicians
Physicians face significant challenges in managing their time effectively. Dr. Sutton explains that during their training, physicians are conditioned to say 'yes' to every request, fearing negative consequences like failing a rotation or losing opportunities. This ingrained habit of prioritizing others' needs over their own makes it difficult for physicians to set boundaries and say 'no' later in their careers, leading to overwhelming demands and a lack of time for personal pursuits.
Strategies for Finding More Time and Energy
The book offers strategies to help readers find more time and energy in their lives. Dr. Sutton emphasizes the importance of setting specific and realistic goals, reframing expectations, and being honest with oneself about what is achievable. She encourages readers to journal and take action on the concepts learned, as well as to seek support from others. Additionally, Dr. Sutton highlights the benefits of automating tasks and making things easier for oneself, rather than adhering to ideals that may not align with one's current circumstances.
The Transformed Life After Reading the Book
After reading the book, readers can expect to experience freedom of time, with their time being spent intentionally across various aspects of their lives. They will have increased energy, as the book helps alleviate the mental burden of overwhelming demands and unrealistic expectations. Stronger relationships are also a potential outcome, as Dr. Sutton encourages readers to ask for help and empower those around them. Overall, the book aims to guide readers towards better physical and emotional health, enabling them to create the life they desire.
Action Items
Identify specific and realistic goals for finding more time and energy in your life.Reframe expectations and be honest with yourself about what is achievable in your current circumstances.Journal and take action on the concepts learned from the book.Seek support from others, such as coaches or accountability partners.Automate tasks and make things easier for yourself, rather than adhering to ideals that may not align with your current situation.Ask for help from those around you, empowering them and strengthening relationships.Prioritize self-care and activities that contribute to your physical and emotional well-being. -
Summary
The latest BOSS podcast discusses the importance of effective medical billing practices for private practices. Dr. Heather Signorelli, a pathologist and founder of Nat Rev MD, shares her insights and recommendations based on her experience working with over 20 practices. The key topics covered include:
Eligibility verification: Ensuring patient insurance eligibility is verified upfront to prevent denials and revenue loss. This is identified as the top issue impacting revenue for many practices.Monitoring billing metrics: Tracking key metrics like denials and accounts receivable aging to identify areas for improvement and prioritize focus areas. Metrics provide visibility into billing process effectiveness.Managing accounts receivable: Staying on top of outstanding payments owed to the practice, with a focus on addressing older claims promptly to avoid timely filing issues and revenue leakage.Dr. Signorelli emphasizes the importance of having a high-level view of the billing process, effective communication between the practice and billing team, and establishing robust workflows and audits. She also discusses her new book 'Thrive' which outlines the top 10 areas for boosting practice revenue, as well as the medical billing course and full-service billing services offered by Nat Rev MD.
Chapters
Introduction and Background
Dr. Heather Signorelli, a pathologist and founder of Nat Rev MD, is introduced as an expert in helping private practices understand business principles. The discussion focuses on her new book 'Thrive' and the top three things private practices should be doing to optimize and improve revenue.
Importance of Eligibility Verification
Eligibility verification is identified as the top issue impacting revenue for many practices. Ensuring patient insurance eligibility is verified upfront, including capturing accurate information and following up on any failures, is crucial to prevent denials and revenue loss. Dr. Signorelli emphasizes the need for a robust eligibility process and communication between the front office and billing team.
Monitoring Billing Metrics
Tracking key billing metrics like denials and accounts receivable aging is essential for identifying areas for improvement and prioritizing focus areas. Dr. Signorelli recommends starting with these two metrics and gradually adding more over time. Monitoring metrics provides visibility into the effectiveness of the billing process and helps practices target specific issues.
Managing Accounts Receivable
Staying on top of outstanding payments owed to the practice, known as accounts receivable, is critical. Older claims become increasingly difficult to collect, so addressing them promptly is important to avoid timely filing issues and revenue leakage. Dr. Signorelli recommends monitoring accounts receivable aging reports and working closely with the billing team to resolve any issues.
Importance of Communication and Workflows
Effective communication between the practice and billing team, as well as robust workflows and audits, are emphasized as essential for a successful billing process. Dr. Signorelli stresses the need for a high-level view of the billing process, identifying operational issues, and implementing improvements. Clear processes and regular audits help ensure no claims or revenue are missed.
Resources and Services Offered by Nat Rev MD
Dr. Signorelli discusses her new book 'Thrive' which outlines the top 10 areas for boosting practice revenue, as well as the medical billing course offered by Nat Rev MD. The course provides education, policies, and procedures for front office staff and billing teams. Additionally, Nat Rev MD offers full-service medical billing and coding services for practices, handling claim submissions, denials management, and accounts receivable.
Action Items
Implement a robust eligibility verification process, ensuring accurate patient information is captured and any failures are promptly addressed before providing services.Start monitoring key billing metrics like denials and accounts receivable aging to identify areas for improvement and prioritize focus areas.Regularly review accounts receivable aging reports and work closely with the billing team to address older claims and resolve any issues promptly.Establish clear workflows and communication channels between the practice and billing team to ensure no claims or revenue are missed.Conduct regular audits to verify the accuracy and completeness of the billing process, identifying and addressing any gaps or issues.Consider utilizing resources like Dr. Signorelli's book 'Thrive' and the medical billing course offered by Nat Rev MD to improve billing practices and revenue optimization.Evaluate the potential benefits of outsourcing medical billing and coding to a full-service provider like Nat Rev MD to streamline the process and leverage their expertise.
Find the book here: https://amzn.to/3TFZDw6
(affiliate link: As an Amazon Associate, I earn commission from qualifying purchases)
Find her course and billing company here:
https://Natrevmd.com
NOT an affiliate link, I do not earn commission
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Find out more about the 90 Day Notice program here
Show Notes:
In this episode, we dive into a group coaching session centered around job transitions and the '90 Day Notice' program offered by Amy and Amanda. This session is packed with practical advice for professionals, especially doctors, who are contemplating or undergoing a job change.
Chapters:
Introduction and Overview
Amy welcomes listeners to the group coaching session, setting the stage for an open discussion about job transitions. She introduces the '90 Day Notice' program and outlines the session's purpose.Limiting Thoughts and Negative Emotions
Amy addresses common limiting beliefs that can impede job changes, such as worries about reputation and financial stability. Amanda shares insights on managing emotions like anger and hurt, and how to redirect these feelings constructively.The '90 Day Notice' Program
Amy provides a detailed overview of the '90 Day Notice' program, including its components: online lessons, live calls, a roadmap, and resources. The program covers everything from assessing your current situation to preparing for exit interviews.Negotiation Tactics and Leverage
Amanda discusses the importance of understanding your leverage in negotiations. She advises against making demands and instead focuses on showcasing your value and understanding market rates. Amy and Amanda explore communication strategies like curiosity, tactical empathy, and storytelling to aid successful negotiations.Leaving a Job and Setting Oneself Up for Success
The coaches offer guidance on leaving a job professionally, avoiding common pitfalls like burning bridges or airing grievances. They stress the importance of maintaining a forward-focused mindset and preparing for success in a new role by addressing limiting beliefs and fostering positive relationships.Action Items:
Explore the idea of leaving your job to understand the associated thoughts and feelings.Challenge limiting beliefs about job transitions, such as concerns about reputation or finances.Constructively process and manage negative emotions related to job changes.Understand and communicate your leverage during negotiations by focusing on your value and market rates.Use effective communication strategies, including curiosity and empathy, to maintain positive relationships during negotiations.Stay professional and focus on the future when leaving a job, avoiding emotional outbursts.Seek support to address and process negative experiences from past roles.Set clear expectations and build positive relationships in your new job to ensure success.Tune in to gain valuable insights and strategies to navigate job transitions with confidence and professionalism!
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The latest BOSS podcase features Dr. Sangeetha Kolluri, a breast surgeon in Austin, Texas. She shares her journey from an employed physician dealing with billing and administrative headaches to founding her own solo breast surgery practice by navigating non-compete clauses, and advocating for better patient care.
She also used her innovation and desire to help others to create an inclusive community for breastfeeding physicians.
Dr. Kolluri’s insights on understanding the full cycle of work, billing, and advocating for change are invaluable for any physician considering a similar path. Tune in to learn how you can challenge the status quo and take control of your medical career!
https://wildflowerbreast.com
Facebook group:Inclusive Breastfeeding Doctor Group
#PhysicianAdvocacy #BreastSurgery #MedicalEntrepreneur #BreastfeedingSupport
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Summary
This article discusses how to deal with professional disappointment in one's career. The speaker, a surgeon and coach, shares personal experiences and insights on navigating situations where expectations are unmet, work is unappreciated, or processes are biased. Key points include understanding the stages of disappointment, recognizing committee dynamics and biases, managing negative emotions, venting to trusted sources, avoiding victim mentality, focusing on the present moment, re-evaluating priorities and relationships, and finding renewed motivation. The speaker emphasizes the importance of processing pain healthily, letting go of what cannot be controlled, and remembering one's purpose.
Chapters
Introduction
The speaker introduces the topic of dealing with professional disappointment, acknowledging that everyone will face such situations in their career. As a surgeon and coach, the speaker aims to share insights and techniques for processing disappointment based on personal experiences.
Understanding Professional Disappointment
Professional disappointment often stems from unmet expectations, such as feeling underappreciated, mistrusted, or subjected to unfair processes. It can lead to stages like feeling stunned, frustrated, and even betrayed, especially when excluded from discussions or facing biases.
Challenges with Committees
Committees can be breeding grounds for biases, confirmation bias, stereotypes, group dynamics, emotional manipulation, and outdated thinking. Information can be framed in a way that poisons the well, and it's rare for everyone to review all details, leading to potential rubber-stamping.
Responding to Disappointment
When facing disappointment, one can choose to accept the outcome and process the pain or try to fight it. Gathering allies and explaining the situation can backfire if it involves too much commitment from others. Bringing in outside authorities or lawyers may also escalate the situation.
Avoiding Victim and Villain Mentality
It's important to avoid falling into a victim mentality, as it can lead to a lack of power and create villains who may turn the tables. Effective negotiation techniques involve seeing both sides and finding common ground, which can be difficult when feeling angry or betrayed.
Processing Negative Emotions
The speaker advises letting oneself feel negative emotions like grief, sadness, and betrayal, but not acting on them. Venting to trusted sources can be helpful, but it's important to understand that others may not always hear or support one's situation. Avoiding certain people or relationships may be necessary.
Living in the Present
Dwelling on the past or worrying about the future robs one of the present moment. It's important to focus on what can be controlled in the present and choose the feelings one wants to have, rather than drinking poison and hoping others suffer.
Re-evaluating Priorities and Relationships
Professional disappointment can be an opportunity to re-evaluate priorities, values, and relationships. It may be freeing to realize that others do not owe anything, and one can choose to drop obligations or activities that are not truly meaningful. Building new circles or finding a different job may be necessary.
Finding Renewed Motivation
Situations like these can help identify what is worth fighting for and what aligns with one's values and priorities. Dropping everything and then re-choosing what to pick up can lead to renewed motivation and a focus on what truly matters.
Conclusion
The speaker emphasizes the importance of remembering one's purpose, finding inspiration in those around them, and accepting that there are things in life that cannot be controlled. Professional disappointment can be a valuable lesson in personal growth and evolution.
Action Items
Understand the stages of professional disappointment, such as feeling stunned, frustrated, and betrayed.Recognize the potential biases, group dynamics, and emotional manipulation that can occur in committees.Consider venting to trusted sources as a way to express negative emotions, but don't expect them to take action.Avoid falling into a victim mentality and creating villains, as it can lead to a lack of power and escalate the situation.Focus on the present moment and choose the feelings you want to have, rather than dwelling on the past or worrying about the future.Re-evaluate your priorities, values, and relationships, and be willing to drop obligations or activities that are not truly meaningful.Identify what is worth fighting for and what aligns with your values and priorities.Find renewed motivation by re-choosing what to engage with and what truly matters to you.Remember your purpose and find inspiration in those around you, accepting that there are things in life that cannot be controlled.Use professional disappointment as an opportunity for personal growth and evolution. -
Summary
The meeting record transcript covers a comprehensive discussion on effective planning and time management strategies tailored for busy professionals, particularly surgeons. The speaker shares personal experiences, insights, and practical tips on various aspects of planning, including the importance of dedicated growth days, consolidating tasks and information in one place, utilizing planners and journals, managing emails, delegating tasks, and minimizing drama. The key takeaways emphasize the significance of being proactive, prioritizing self-care, and adopting a mindset of being the leader and creator of one's life rather than a mere reactor. The speaker also highlights the value of self-reflection, goal-setting, and aligning daily actions with long-term aspirations.
Chapters
Introduction to Planning
The speaker introduces the topic of planning one's life, acknowledging its importance and the common challenges faced by busy professionals, particularly surgeons, in effectively managing their time and tasks. The speaker encourages self-reflection on the reasons for not planning effectively and shares personal experiences and insights.
The Importance of Growth Days
The speaker emphasizes the critical role of dedicated growth days, which are days off from work, to allow for rest, rejuvenation, and creative thinking. The speaker suggests scheduling two growth days per month and treating them as non-negotiable appointments with oneself.
Consolidating Tasks and Information
The speaker recommends consolidating all tasks, information, and paperwork in one central location, such as a designated box or folder. This approach helps maintain a clear overview of pending tasks and reduces the risk of forgetting or overlooking important items.
Utilizing Planners and Journals
The speaker discusses various planning tools and techniques, including the Bullet Journal, the Purpose Planner, and creating specialized pages for tracking goals, habits, and progress. The speaker emphasizes the importance of finding a system that aligns with one's personal preferences and strengths.
Email Management
The speaker provides strategies for effective email management, such as unsubscribing from unnecessary emails, creating folders for organization, and setting aside dedicated time for email processing. The goal is to minimize the time spent on email and reduce the potential for distraction.
Delegating Tasks
The speaker highlights the importance of delegating tasks to others, whether it's family members, colleagues, or hired assistants. Delegating effectively can free up valuable time and energy, allowing for better focus on priorities. The speaker also discusses common pitfalls in delegation and the need to develop effective delegation skills.
Minimizing Drama
The speaker emphasizes the significance of minimizing drama and unnecessary stress in one's life. Drama is often a result of overthinking, mind-reading, and engaging in unproductive thought patterns. The speaker encourages adopting a mindset of focusing on facts and avoiding unnecessary emotional turmoil.
Self-Reflection and Goal-Setting
The speaker discusses the value of self-reflection and goal-setting, suggesting monthly exercises to identify areas for improvement, set intentions, and align daily actions with long-term aspirations. The speaker also shares personal experiences and examples of how self-reflection can lead to positive changes and a more fulfilling life.
Action Items
Schedule two dedicated growth days per month, treating them as non-negotiable appointments with oneself.Consolidate all tasks, information, and paperwork in one central location, such as a designated box or folder.Find a planning system that aligns with personal preferences and strengths, whether it's the Bullet Journal, the Purpose Planner, or another tool.Implement effective email management strategies, such as unsubscribing from unnecessary emails, creating folders for organization, and setting aside dedicated time for email processing.Identify tasks that can be delegated to others, whether it's family members, colleagues, or hired assistants, and develop effective delegation skills.Adopt a mindset of minimizing drama and unnecessary stress by focusing on facts and avoiding unproductive thought patterns.Engage in monthly self-reflection exercises to identify areas for improvement, set intentions, and align daily actions with long-term aspirations. -
The latest BOSS podcast features Dr. Talar Tejirian, a general surgeon who suffered a cervical spinal injury that led to a permanent nerve injury in her dominant arm. She shares her experience of undergoing surgery for a disc herniation, initially having a positive outcome, but then experiencing worsening symptoms due to improper rehabilitation and being dismissed by medical professionals. After a long struggle, she finally received an accurate diagnosis of a nerve injury. This episode highlights her journey of trying various physical therapies and treatments to manage her condition, and her realization that surgeons often face similar physical challenges due to the demanding nature of their work. Dr. Tajirian emphasizes the importance of surgeons adopting an athlete-like approach, incorporating physical training and recovery into their routines to maintain their health and longevity in the profession. She has become an advocate for surgeon wellness and is working to raise awareness and provide resources through initiatives like the Surgeon Wellness Center at the International Hernia Collaboration meeting.
Register for the meeting here:
https://www.herniagroup.com/ihc-2024-mexico-mailing-list/
Read her article here:
https://www.generalsurgerynews.com/Opinion/Article/09-21/Surgery-Is-a-Contact-Sport/64653
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Free training with Dr. Niazi:
Leave Your Work at Work Wed, Aug 14th at 7pm CTRegister- Join his free training "Leave your work at work" here:
Leave Your Work at Work Wed, Aug 14th at 7pm CT Register here: www.leaveyourworkatwork.com
- Join his "Charting Conquered" at this affiliate link here:
https://www.chartingconquered.com/a/2147915367/poAV3ngMSummary
The BOSS podcast this week discusses the potential of AI in assisting with medical note-taking and documentation. Dr. Junaid Niazi, an expert in time management for physicians, shares his insights on the current state of AI-powered scribing tools and their limitations. He highlights that while AI can be helpful in capturing patient histories and chief complaints, it still struggles with interpreting and organizing information coherently. AI may also hallucinate or make up information, requiring careful proofreading. Niazi emphasizes that AI alone cannot solve the deeper mindset issues like perfectionism and imposter syndrome that lead to excessive note-taking. He suggests that physicians need to restructure their workflows to fully utilize AI's benefits. Dr. Niazi offers a program called 'Charting Conquered' to help physicians reclaim their time and achieve a better work-life balance through mindset coaching and practical strategies for efficient note-taking and message management.
Chapters
Introduction to AI in Medical Note-Taking
The article introduces the topic of AI's potential in assisting with medical note-taking, a task that many physicians find burdensome. Dr. Genaid Niazi, an expert in helping physicians reclaim their time through efficient note-taking, is interviewed to share his insights on this topic.
Current State of AI-Powered Scribing Tools
Niazi explains that the advent of large language models like ChatGPT has enabled virtual scribe companies to offer AI-powered transcription services at lower costs. These AI tools can interface with electronic health records (EHRs) and transcribe dictations directly into patient charts. However, Niazi notes that some tools still require copy-pasting, which he finds less desirable. AI is also being used for tasks like message triage and generating initial responses to patient messages.
Limitations of AI in Note-Taking
While AI can be useful for capturing patient histories and chief complaints, Niazi points out several limitations. AI struggles with organizing information coherently, interpreting data, and generating coherent assessment and plan sections. It may also hallucinate or make up information, requiring careful proofreading. Additionally, AI cannot replace the human touch and interpersonal aspects of the physician-patient relationship.
Mindset Issues and Workflow Restructuring
Niazi emphasizes that AI alone cannot solve deeper mindset issues like perfectionism and imposter syndrome that lead to excessive note-taking. Physicians need to restructure their workflows to fully utilize AI's benefits. For example, Niazi may not use AI for physical exams where he already has a streamlined process. He also suggests that physicians need to trust themselves more and find a balance between thoroughness and efficiency.
Charting Conquered Program
Niazi offers a program called 'Charting Conquered' to help physicians reclaim their time and achieve a better work-life balance. The program includes a course on mindset and practical strategies for efficient note-taking and message management, as well as group coaching sessions and co-working sessions for accountability.
Action Items
Restructure workflows to fully utilize the benefits of AI in note-taking and documentationCarefully proofread AI-generated notes and be aware of potential hallucinations or made-up informationAddress mindset issues like perfectionism and imposter syndrome that contribute to excessive note-takingFind a balance between thoroughness and efficiency in note-taking to avoid missing important informationConsider participating in Niazi's 'Charting Conquered' program for mindset coaching and practical strategies for efficient note-taking and message management -
Are you a general surgeon and want to work with me? Send me your CV and cell at [email protected]
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Summary
This BOSS episode featuring Dr. Kara Pepper, a primary care physician who discusses the topic of high-risk drinking and other forms of escapism that healthcare professionals engage in due to the demanding nature of their jobs. Dr. Pepper shares her personal journey of leaving her successful hospital-owned practice to start her own solo private practice, where she now focuses on treating eating disorders and coaching other physicians. She emphasizes the importance of recognizing when work and coping mechanisms like alcohol become unsustainable and prioritizing self-care. Dr. Pepper provides insights on identifying high-risk drinking behaviors, taking breaks from alcohol, and seeking support from trusted individuals or professionals. The discussion also touches on the role of coaching, therapy, and social media communities in addressing issues like perfectionism, imposter syndrome, and career transitions in medicine.
Chapters
Introduction and Background
The host, Dr. Amy Vertrees, introduces the podcast episode and the guest, Dr. Kara Pepper. She explains that the episode will focus on the topic of high-risk drinking and other forms of escapism that healthcare professionals engage in due to the demanding nature of their jobs. Dr. Vertrees mentions that Dr. Pepper has started her own solo private practice and is helping others with this issue.
Dr. Kara Pepper's Journey
Dr. Kara Pepper shares her background as a former ballet dancer who brought perfectionism and workaholism into medicine. She discusses her experiences with burnout and her decision to leave her successful hospital-owned multi-specialty practice to start her own solo practice. Dr. Pepper now focuses on treating eating disorders and coaching other physicians. She emphasizes the importance of recognizing when work and coping mechanisms like alcohol become unsustainable and prioritizing self-care.
Identifying High-Risk Drinking Behaviors
Dr. Pepper explains the concept of high-risk drinking, which is a spectrum of behaviors before reaching the diagnosis of alcohol use disorder. She discusses the signs and behaviors to look out for, such as feeling the need to control or manage one's drinking, experiencing blackouts, and spending brain space worrying about drinking. Dr. Pepper shares her personal experience with high-risk drinking during the COVID-19 pandemic and the importance of recognizing when drinking becomes a problem.
Taking a Break from Alcohol
Dr. Pepper suggests taking a break from alcohol for a period, such as four weeks, to observe the impact on one's body, mood, sleep, and relationships. She emphasizes that this can provide valuable information about the role alcohol plays in one's life and whether it is causing problems. Dr. Pepper also recommends educating oneself about the effects of alcohol on the body and seeking support from trusted individuals or professionals if needed.
The Role of Coaching and Therapy
The discussion explores the benefits of coaching and therapy in addressing issues like perfectionism, imposter syndrome, and career transitions in medicine. Dr. Pepper highlights the synergy between coaching and therapy, with coaching focusing on mindset shifts, goal-setting, and career changes, while therapy addresses trauma and deeper psychological issues. She emphasizes the importance of seeking support and utilizing these resources to find a sustainable and fulfilling career in medicine.
Social Media and Support Communities
Dr. Pepper mentions the growing sober curious and sobriety communities on social media, particularly for women physicians who have given up drinking. She highlights the power of these communities in normalizing a life without alcohol and providing support and encouragement for those seeking change.
Action Items
Recognize when work and coping mechanisms like alcohol become unsustainable and prioritize self-careIdentify high-risk drinking behaviors, such as feeling the need to control or manage one's drinking, experiencing blackouts, and spending brain space worrying about drinkingTake a break from alcohol for a period, such as four weeks, to observe the impact on one's body, mood, sleep, and relationshipsEducate oneself about the effects of alcohol on the bodySeek support from trusted individuals or professionals if struggling with high-risk drinking or alcohol use disorderConsider coaching and therapy as resources for addressing issues like perfectionism, imposter syndrome, and career transitions in medicineExplore social media communities and support groups for those seeking a sober lifestyle or addressing related issues
You can find Dr. Kara Pepper at https://www.karapeppermd.com -
Summary
This episode discusses a program called Better Together Physician Coaching, created by Dr. Adrienne Mann and Dr. Tyra Feinstad. The program aims to address burnout, imposter syndrome, and other well-being issues faced by medical professionals through group coaching sessions, self-study modules, and one-on-one coaching opportunities. The program is offered to entire populations within institutions or departments, with participants able to join confidentially. The founders share their personal experiences with burnout and how coaching transformed their lives, leading them to create Better Together. They conducted studies, including a randomized controlled trial with over 1,000 residents, which demonstrated significant improvements in burnout, imposter syndrome, and self-compassion scores among participants. The program is now available to medical students, residents, faculty, staff, and advanced practice providers across various institutions. The article highlights the program's accessibility, with institutions paying a fee of $100 per eligible MD/DO/AP and $60 per eligible trainee for a year of access. The founders aim to partner with institutions to drive cultural change and prioritize well-being investments. They also discuss the program's flexibility, allowing participants to engage in various ways, and the sense of community it fosters despite being virtual. Future plans include continuing to partner with institutions, conducting further research, and expanding the program's offerings.
Chapters
Introduction to Better Together Physician Coaching
The article introduces Dr. Adrienne Mann and Dr. Tyra Feinstad, the founders of Better Together Physician Coaching, a program aimed at addressing burnout, imposter syndrome, and other well-being issues faced by medical professionals. The program offers group coaching sessions, self-study modules, and one-on-one coaching opportunities.
Personal Experiences and MotivationDr. Mann and Dr. Feinstad share their personal experiences with burnout and how coaching transformed their lives, leading them to create Better Together. They discuss the challenges they faced, such as feeling disconnected from their roles and struggling with approval addiction, and how coaching helped them regain a sense of self and balance.
Program Structure and Accessibility
The article explains that Better Together is offered to entire populations within institutions or departments, with participants able to join confidentially. The program is accessible, with institutions paying a fee of $100 per eligible MD/DO/AP and $60 per eligible trainee for a year of access. The founders aim to make coaching affordable and available to the masses.
Research and Impact
The article discusses the research conducted by the founders, including a randomized controlled trial with over 1,000 residents. The study demonstrated significant improvements in burnout, imposter syndrome, and self-compassion scores among participants. The founders also mention ongoing research and plans to continue investigating the program's impact on various populations.
Institutional Partnerships and Cultural Change
The founders emphasize the importance of partnering with institutions to drive cultural change and prioritize well-being investments. They aim to engage with stakeholders at various levels, such as CMOs and deans, to promote understanding of the program's necessity and impact.
Program Flexibility and Community
The article highlights the program's flexibility, allowing participants to engage in various ways, such as group coaching calls, written coaching, self-study modules, and one-on-one sessions. Despite being virtual, the program fosters a sense of community among participants, which the founders believe is crucial for its success.
Future Plans and Expansion
The founders discuss their future plans for Better Together, including continuing to partner with institutions, conducting further research, and expanding the program's offerings. They aim to leverage the wealth of data and insights gathered from participants to inform the well-being sphere and drive positive change in the medical field.
Action Items
1. Reach out to Better Together Physician Coaching to inquire about partnering with the program for your institution or medical group
2. Consider implementing the Better Together Physician Coaching program to address burnout, imposter syndrome, and well-being issues among medical professionals within your organization
3. Explore opportunities to prioritize well-being investments and drive cultural change by engaging with stakeholders at various levels, such as CMOs and deans, to promote understanding of the program's necessity and impact
4. Encourage medical professionals within your organization to participate in the Better Together Physician Coaching program, as it offers a flexible and confidential approach to addressing well-being challenges through group coaching, self-study modules, and one-on-one coaching opportunities -
Summary
The latest BOSS podcast features Dr. Diana Londono, a urologist who has experienced burnout twice. We talked about burnout in the high achiever, and how these symptoms can look differently than it does in other people. Dr. Londono shares her personal experiences with burnout, highlighting the physical and emotional manifestations she encountered, such as weight loss, hair loss, insomnia, asthma, chest pain, and joint pain. She emphasizes the importance of recognizing burnout symptoms, which can vary from person to person, and seeking support through resources like coaching, therapy, or support groups.
Self-love, gratitude, and finding purpose are critical in combating burnout. Dr. Londonio discusses the Physician Coach Support Program she created, which offers free and confidential coaching sessions for physicians. We also talked about the Physician Support Line and Physician Anonymous.
The key takeaway is that burnout is a complex issue, especially in the high acheiver that requires a multifaceted approach, including self-care, mindset shifts, and seeking support from others.
Link to the episode in comments.Chapters
Introduction and Background
The podcast host introduces Dr. Diana Londonio, a urologist who has experienced burnout twice. They discuss the rarity of female urologists, especially Latinas, and Dr. Londonio's work in creating education and support programs for physicians.
Recognizing Burnout Symptoms
Dr. Londonio shares her personal experiences with burnout, highlighting the physical and emotional symptoms she encountered, such as weight loss, hair loss, insomnia, asthma, chest pain, and joint pain. She emphasizes the importance of recognizing burnout symptoms, which can manifest differently in different individuals, and seeking support.
The Role of Self-Love and Gratitude
Dr. Londonio discusses the importance of self-love, gratitude, and finding purpose in combating burnout. She emphasizes the power of words and the need to speak to oneself with love and kindness. She also highlights the significance of prioritizing self-care activities like exercise, healthy eating, and sleep.
Seeking Support and Resources
The conversation explores various resources available for physicians struggling with burnout, including coaching, therapy, and support groups. Dr. Londonio discusses the Physician Coach Support Program she created, which offers free and confidential coaching sessions for physicians. Other resources mentioned include the Physician Support Line and Physician Anonymous.
Finding Purpose and Remembering Why
Dr. Londonio emphasizes the importance of remembering the purpose and reasons behind choosing a career in medicine. She suggests that reconnecting with the initial motivations and finding joy in serving others can help combat burnout and restore a sense of fulfillment.
Action Items
Recognize and acknowledge burnout symptoms, which can manifest differently in different individuals, such as dread, cynicism, anger, loss of hope, or physical symptoms like weight loss, insomnia, or joint pain.Practice self-love and self-care activities like exercise, healthy eating, and prioritizing sleep.Seek support through resources like coaching, therapy, or support groups, such as the Physician Coach Support Program, Physician Support Line, or Physician Anonymous.Cultivate gratitude and find purpose in serving others, remembering the initial motivations for choosing a career in medicine.Learn to set boundaries and say 'no' when necessary to avoid overcommitment and overwhelm.Explore forgiveness, both for oneself and others, as a means of healing and letting go of emotional burdens. -
Do you know all that the American College of Surgeons membership has to offer?
The latest BOSS podcast features Dr. Michael Sutherland, the Director of Membership Services of the American College of Surgeons (ACS). He talks about all that the ACS has to offer.The ACS is the largest surgical organization in the world, representing over 92,000 members across 13 surgical specialties. Its mission is to safeguard the standards of surgical practice and elevate the quality of care through various programs, registries, and data-driven initiatives.
ACS membership includes access to discounted insurance programs, practice management resources, coding and reimbursement support, and personal financial management services. The ACS also plays a crucial role in advocacy and health policy, engaging with government agencies and insurance companies to shape policies that impact surgical practice.
Key recommendations are:
1. Explore the ACS website (facs.org) and update your member dashboard to ensure your profile information is accurate and tailored to your surgical specialty and interests.
2. Bookmark and utilize the Surgical Risk Health Calculator available on the ACS website to facilitate informed discussions with patients about potential surgical outcomes based on real data.
3. Attend the annual Clinical Congress event to access cutting-edge education, vendor exhibits, surgical simulations, and networking opportunities with peers from around the world.
4. Investigate the various ACS podcasts, including 'House of Surgery,' 'Surgical Readings from SRGS,' and 'The Operative Word,' to stay updated on surgical topics and research.
5. Reach out to the ACS Member Services team ([email protected]) for assistance in finding resources or exploring opportunities to get involved with the organization.
6. Encourage medical students, residents, and younger surgeons to join the ACS and take advantage of the free membership during residency to experience the value proposition and resources available. -
Summary
What happens if life gets in the way and you want to take a break from surgery. Dr. Zakhireh shares her experience of taking a clinical gap from her surgical practice for several years to care for her three young daughters, and her subsequent journey to re-enter her practice.
There were challenges and doubts she faced from her peers. She felt isolated, but also determined to make it work. Her determination helped her to return to her passion despite the lack of a clear pathway. She shares the strategies she employed, such as maintaining her medical knowledge, collaborating with an open-minded credentialing committee, and designing an individualized re-entry plan. She emphasizes the importance of self-compassion, relying on her core values, and having a supportive village during the process. Her experience highlights the need for more open-mindedness and empowerment within the surgical community to accommodate life events and prevent the loss of talented surgeons.
Suggestions if you want to take a gap from operating:
1. Maintain non-clinical obligations and medical knowledge during a clinical gap to ensure readiness for re-entry.
2. Collaborate with hospital credentialing committees and design an individualized re-entry plan that can be modified based on progress.
3. Work closely with mentors and colleagues to proctor cases and assess competency during the re-entry process.
4. Monitor outcomes, complication rates, and return to surgery rates, and remain open to peer assessment and feedback.
5. Speak kindly to oneself and trust one's judgment during the re-entry process, while also being open to seeking help when needed.
6. Explore all options, such as part-time work or reduced hours, before taking a significant clinical gap, if possible.
7. Rely on core values, life mission, and a supportive village to navigate the challenges and uncertainties of a clinical gap and re-entry. - Show more
