The Podcast by KevinMD
Kevin Pho, MD

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Health care is upside down
The Podcast by KevinMD
11/12/22 • 18 min
"With regard to health care in the USA, the quote from Dickens is twice correct. We are in the best of times for knowledge, capability, and potential. We also are in the worst of times with regard to the application of our knowledge and the outcomes achieved, especially when compared to other nations."
Henry Buchwald is a surgeon.
He shares his story and discusses his book, Healthcare Upside Down: A Critical Examination of Policy and Practice.
The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience.
With a growing physician shortage, increasing burnout, and declining patient satisfaction, a dramatic change is needed to make health care more efficient and effective and bring back the joy of practicing medicine. AI-driven ambient clinical intelligence promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself.
The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational.
Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR.
VISIT SPONSOR → https://nuance.com/daxinaction
SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast
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GET CME FOR THIS EPISODE → https://earnc.me/zXe6xz
Powered by CMEfy.
11/12/22 • 18 min

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Top tips for new interns
The Podcast by KevinMD
09/06/22 • 20 min
"New resident physicians who have earned their MD degrees will be heading to hospitals to start their residencies during the last two week in June and the first week in July. What can a beginning doctor do during the first month of internship to get his or her career off to a good start, and in so doing, also learn to provide the best care to patients?"
Vijay Rajput is an internal medicine physician.
He shares his story and discusses his KevinMD article, "Top 10 things new interns should do."
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Click here to earn 1.0 AMA PRA Category 1 CME for this episode.
Also available in Category 1 CME bundles.
Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)TM. Learn more at about.cmefy.com/cme-info
09/06/22 • 20 min

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A neurosurgeon puts down the knife
The Podcast by KevinMD
09/17/22 • 17 min
"MRI studies of these patients determined that it was not only the circuitry that was affected by the burnout but also the size of the brain structures. Compared with the controls, patients suffering from burnout showed volume loss in the prefrontal cortex. Burnout patients appeared to also have shrinking in their dorsal striatum (caudate and putamen nuclei (areas that modify movement) and hippocampus (an area involved in emotion and memory), but an increased volume of tissue in the amygdalae.
So, put down the knife. Keep a work-life balance. Don’t burn out. Working too hard is bad for your brain."
Resources: Buddhism Without Beliefs: A Contemporary Guide to Awakening Azazel’s Public House
Marc Arginteanu is a neurosurgeon.
He shares his story and discusses his KevinMD article, "Put down the knife: A neurosurgeon explains the importance of a work-life balance."
This episode is sponsored by the Stanford Physician Leadership Certificate Program.
For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success. Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace. Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader. They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu.
Did you enjoy today’s episode?
Rate and review the show so more audiences can find The Podcast by KevinMD.
Subscribe on your favorite podcast app to get notified when a new episode comes out.
Click here to earn 1.0 AMA PRA Category 1 CME for this episode.
Also available in Category 1 CME bundles.
Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)TM. Learn more at about.cmefy.com/cme-info
09/17/22 • 17 min

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Using simulations to improve medical decision making
The Podcast by KevinMD
10/18/22 • 13 min
"The scenario is preset, and hence based on a lot of constraints, but when it is run, there is freedom for everyone to operate. This freedom to take part in the defined context is the same as the spirit of the rules.
The constraints and rules that we set define every problem. How we leverage scope determines how we can position ourselves for success. The prioritization becomes more critical as we engage with more complex and overarching challenges. The goal is to understand without running into infinite loops and endless rabbit holes."
Carlo Mahfouz is a technology executive and author of Reality Check: In Pursuit of the Right Questions.
He shares his story and discusses his KevinMD article, "Chaos and order: the simulated context."
SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast
RATE AND REVIEW → https://www.kevinmd.com/rate
FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd
FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd
GET CME FOR THIS EPISODE → https://earnc.me/VrK05i
Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)TM. Learn more at about.cmefy.com/cme-info
10/18/22 • 13 min

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Meet the emergency physician who writes satire
The Podcast by KevinMD
10/05/22 • 18 min
"In the dark radiology reading rooms, only the gentle hum of the computers and the quiet chatter of residents dictating radiology reads break the silence. Among the computers sits Dr. Exner, a senior radiology resident at Hospital Woeisme. He has recently become known for a peculiar habit – he has begun adding Rorschach interpretations into every radiology report he completes."
Stephanie Benjamin is an emergency physician and can be reached on Twitter @stephbenjaminmd.
She shares her story and discusses her KevinMD article, "Resident adds Rorschach reads to radiology reports."
This episode is sponsored by the Nuance Dragon Ambient eXperience.
With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients.
A t Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational.
Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. Visit nuance.com/daxinaction to learn more.
SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast
RATE AND REVIEW → https://www.kevinmd.com/rate
FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd
FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd
GET CME FOR THIS EPISODE → https://earnc.me/s3Jx6s
Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)TM. Learn more at about.cmefy.com/cme-info
10/05/22 • 18 min

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A nut allergy nightmare at 35,000 feet
The Podcast by KevinMD
09/13/22 • 17 min
"People developing anaphylaxis will not always have five extra minutes to spare. I do appreciate that auto-injectors are expensive, but it is not at all expensive to have an ampule or vial of epinephrine on board, which can be drawn up in five seconds. Those also come in a much friendlier concentration of 1 mg/1 mL.
The chances of using epinephrine to treat a cardiac arrest patient are astronomically small compared to the chances of needing it to arrest an anaphylactic reaction, particularly if they continue to serve food containing nut products.
Parents in the nut allergy community have advocated for these changes for years. And while the airlines have taken the important step of no longer serving packets of nuts on board, little else has been done to make air travel safer for the food-allergy community. I call upon the major airlines to revise their medical kits and to offer allergy-safe meals for those in need. It is such a simple measure, and you can quite literally save a life."
Samara Friedman is a pediatric orthopedic surgeon.
She shares her story and discusses her KevinMD article, "A nut allergy nightmare at 35,000 feet."
Did you enjoy today’s episode?
Rate and review the show so more audiences can find The Podcast by KevinMD.
Subscribe on your favorite podcast app to get notified when a new episode comes out.
Click here to earn 1.0 AMA PRA Category 1 CME for this episode.
Also available in Category 1 CME bundles.
Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)TM. Learn more at about.cmefy.com/cme-info
09/13/22 • 17 min

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What is the medical basis of vampires and other medical myths?
The Podcast by KevinMD
07/08/20 • 15 min
"Where did the myth of vampires come from? Like many myths, it is based partly in fact. A blood disorder called porphyria, which has has been with us for millennia, became prevalent among the nobility and royalty of Eastern Europe. A genetic disorder, it becomes more common with inbreeding. Porphyria is a malfunction in the process of hemoglobin production. Hemoglobin is the protein molecule in red blood cells that carries oxygen from the lungs to the body tissues. It seems likely that this disorder is the origin of the vampire myth. In fact, it is sometimes referred to as the 'Vampyre Disease.'"
Michael Hefferon is a pediatrician and author of Of Plagues and Vampires: Believable Myths and Unbelievable Facts from Medical Practice. (https://amzn.to/3eREPeP)
He shares his story and discusses his KevinMD article, "The medical basis of vampires." (https://www.kevinmd.com/blog/2020/03/the-medical-basis-of-vampires.html)
07/08/20 • 15 min
A physician who treats depressed, anxious, and suicidal teens
The Podcast by KevinMD
07/09/20 • 23 min
"After almost 30 years in this profession, I have come to the conclusion that there is some truth to that, as no day or week passes that I do not have a depressed, anxious or suicidal teen on my 'to see list.' Could it be my own personal history of depression and suicidal ideation? Could it be my own history of being bullied as a young child? My insecurities as a teenager? My personal history of sexual assault as a young, bright-eyed medical student? Or my own history of private pain and suffering? We may never know. But one thing is for sure I do want my patients, my teens, and tweens to stop hurting. And I plan on doing something about it. One patient’s mother thinks I have a 'healing spirit.' That is why they come to me. I say: I hear the call and am ready to be sent."
Uchenna Umeh is a pediatrician and can be reached at Teen Alive (https://www.teenalive.com/) and on Facebook and YouTube.
She shares her story and discusses her KevinMD article, "A pediatrician’s healing spirit: treating depressed, anxious, and suicidal teens." (https://www.kevinmd.com/blog/2018/07/a-pediatricians-healing-spirit-treating-depressed-anxious-and-suicidal-teens.html)
07/09/20 • 23 min
A psychiatrist explores the mental health of physicians
The Podcast by KevinMD
07/12/20 • 13 min
"We know that the past two months haven’t been easy. We know about the sleepless nights, anger, tears, depression, and anxiety. We know all of this because we know what trauma does to a person, and you are in the middle of experiencing a repeated trauma. The trauma of watching patients die in ways you’ve never seen, the trauma of watching colleagues die, the trauma of knowing what exactly this virus could do to you if you were to become infected.
We know that some of you feel helpless in your role as a physician, and that inability to control things that you are used to controlling is disrupting your confidence. For some of you, the frustration with your institutions is making it difficult to make through each shift."
Nicole B. Washington is a psychiatrist and can be reached at her self-titled site, drnicolepsych.com.
She shares her story and discusses her KevinMD article, "To every physician from the psychiatrists who are here to support you." (https://www.kevinmd.com/blog/2020/05/to-every-physician-from-the-psychiatrists-who-are-here-to-support-you.html)
07/12/20 • 13 min
A view from an infectious disease physician in Texas
The Podcast by KevinMD
07/05/20 • 13 min
"Death is not meant to be rushed. Saying goodbye shouldn’t be rushed. Celebrating a life once lived cannot be rushed. And yet, we must. Taking a moment, a minute, an hour, maybe a day to feel something that normally takes far longer. Because we must. And in our hearts, the grief remains. Frozen in time in this state of mourning that we are all experiencing. We say the same words to our friends, to the families of patients that we ourselves have been the recipient of. The awkward moment when we realize that offering our condolences, again and again, has begun to lose meaning. There is a certain degree of numbing that occurs, perhaps protective, when faced with traumatic situations day in and day out. What do you when the tears no longer fall?"
Julie B. Trivedi is an infectious disease physician.
She shares her story, explores the pandemic from the perspective of a Texas-based infectious disease physician, and discusses the KevinMD article, "How do you grieve when you are still mourning?" (https://www.kevinmd.com/blog/2020/04/how-do-you-grieve-when-you-are-still-mourning.html)
07/05/20 • 13 min
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FAQ
How many episodes does The Podcast by KevinMD have?
The Podcast by KevinMD currently has 1297 episodes available.
What topics does The Podcast by KevinMD cover?
The podcast is about Life Sciences, Doctor, Health & Fitness, Medicine, Podcasts, Science, Health and Healthcare.
What is the most popular episode on The Podcast by KevinMD?
The episode title 'Health care is upside down' is the most popular.
What is the average episode length on The Podcast by KevinMD?
The average episode length on The Podcast by KevinMD is 18 minutes.
How often are episodes of The Podcast by KevinMD released?
Episodes of The Podcast by KevinMD are typically released every day.
When was the first episode of The Podcast by KevinMD?
The first episode of The Podcast by KevinMD was released on May 22, 2020.
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