The Podcast by KevinMD

"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."

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"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."

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"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.

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"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

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"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.

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