In this conversation, Dr. Kelly Cheung and Dr Saba Fatima discuss the multifaceted challenges of residency, emphasizing the emotional toll, the struggle for work-life balance, and the importance of compassion in medicine. They explore the cultural expectations within medical training, the financial burdens faced by residents, and the need for supportive environments. The dialogue highlights the evolution of medical education and the necessity for a more humane approach to training future physicians.

Dr Kelly Cheung is a geriatrics–palliative care fellow in a new two-year combined program at UCLA. She trained in internal medicine in the primary care track and attended medical school at VCU in Richmond, Virginia. She hopes to bring geriatrics and palliative care into both primary care and hospital settings, serving both resourced and under-resourced communities.

Her professional passions include building age-friendly health systems and exploring the intersection of medical education and social media. Kelly grew up in Anaheim, California, in a trilingual, multigenerational immigrant household and was the first in her family to attend college at UC Irvine.

Her opinions are her own and do not reflect those of her employer.

Takeaways
Residency is not just about long hours; it involves emotional and financial strains.
Emotional regulation is crucial for coping with the challenges of residency.
Balancing personal life and professional demands is a significant challenge for residents.
Work hours in residency can be brutal, impacting mental health.
The culture of toughness in medicine can be detrimental to resident well-being.
Financial struggles and social isolation are common among residents.
Compassion in medicine is essential for both patient care and personal fulfillment.
The narrative around residency is changing with a new generation of physicians.
Support from attendings can greatly impact resident experiences.
Mental health and emotional well-being should be prioritized in medical training.


keywords
#residency , #medical #training, emotional health, #worklifebalance , #compassion , #healthcare culture, financial struggles, #medicaleducation , #mentalhealth , #physicianwellness well-being

Chapters:
00:00
Introduction to Dr. Kelly Chang and Her Journey
05:01
Reflections on Residency: Joys and Challenges
08:16
Balancing Personal Life and Residency
11:02
The Reality of Work Hours in Residency
13:52
Coping with Emotions in Medicine
16:59
The Importance of Emotional Connection in Patient Care
20:01
Changing Perspectives on Work-Life Balance
23:01
Financial Education in Medical Training
27:58
Navigating Residency Challenges
30:15
The Culture of Residency
32:01
Feedback and Evaluation in Medical Training
34:05
The Role of Attendings and Mentorship
37:08
Compassion in Medicine
42:14
Personal Stories and Emotional Resilience
45:05
Systemic Issues in Residency
47:20
Self-Care and Boundaries in Medicine
50:04
The Impact of Social Media on Medical Professionals
53:51
Conclusion

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Dr. Rebecca Gill, a pediatric hospitalist and expert in medical child abuse, discusses with host Dr Saba Fatima, the complexities of diagnosing and managing cases of Munchausen by proxy. She emphasizes the importance of multidisciplinary teamwork, effective communication with families, and the emotional toll that such cases can take on healthcare providers. Dr. Gill shares her personal journey into this niche field, the challenges of identifying early red flags, and the significance of documentation in protecting both the child and the medical team. The conversation highlights the need for compassion, understanding, and collaboration in addressing these sensitive issues in pediatric care.

Rebecca Gill, M.D., also known as Dr. Bex, is a distinguished pediatric hospitalist with over a decade of experience at Nemours Children’s Hospital. In addition to her clinical duties, Dr. Bex plays a pivotal role in shaping future medical professionals as an assistant professor at the University of Central Florida College of Medicine, and she is actively involved in resident and
medical student education. Dr. Bex is a recognized expert in medical child abuse/Munchausen by proxy, having presented her knowledge at prestigious conferences across the country. She is also a recurring contributor on the acclaimed podcast "Nobody Should Believe Me" which
delves into compelling cases of medical child abuse and has garnered a significant following.
Passionate about spreading awareness of medical child abuse, Dr. Bex actively advocates for victims and survivors through various initiatives, including as a Board member for the nonprofit organization, Munchausen Support, and as a member of the APSAC National Subcommittee on
Munchausen by Proxy.

takeaways
• The emotional impact of medical child abuse on healthcare providers is significant.
• Effective communication with families is crucial in managing suspicions of abuse.
• Documentation should be thorough and objective to protect the child and the provider.
• Identifying early red flags can help in preventing severe cases of medical child abuse.
• A multidisciplinary approach is essential in addressing complex cases of Munchausen by proxy.
• Physicians must balance compassion with the need to protect children from harm.
• Social media and the internet can complicate the dynamics of medical child abuse cases.
• Healthcare providers should be aware of their own biases and assumptions in these situations.
• Shared experiences among providers can provide support and validation in difficult cases.
• Advocating for the child sometimes requires being seen as the 'villain' by families.

keywords
medical #childabuse, #munchausenbyproxy #healthcare pediatric hospitalist, physician well-being, multidisciplinary teams, patient advocacy, emotional toll, communication in healthcare, documentation, early red flags #childabuseawareness #munchausen

Chapters
00:00
Introduction to Medical Child Abuse
04:17
Understanding Munchausen by Proxy
07:16
The Impact on Healthcare Providers
10:18
Defining Medical Child Abuse
13:18
Exploring Causes and Motivations
16:22
Identifying Red Flags
19:15
Differentiating Between Real Symptoms and Abuse
22:11
Navigating the Diagnosis Process
25:13
The Role of Teamwor

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this enlightening conversation, Dr. Pamela Buchanan shares with host Dr Saba Fatima her experiences and insights on the intersection of race and healthcare. She discusses the impact of racism on patient care, the importance of recognizing and addressing implicit biases, and the need for culturally competent care. Dr. Buchanan emphasizes the significance of listening to patients, advocating for their needs, and the challenges faced by healthcare providers of color. She also highlights the importance of mental health and self-care for physicians, particularly in the face of systemic racism and burnout. The conversation concludes with a call for systemic changes to promote racial equity in healthcare and the importance of compassion in the medical field.

Dr Pamela Buchanan is a board-certified physician, speaker, and nationally recognized thought leader in mental well-being and health equity.
With over 20 years of medical experience, she's a TEDx speaker known for her powerful talk on emotional flatline, where she shared the emotional toll of emergency medicine during the pandemic. She is the author of the Oxygen Mask Principle and a strong voice in the movement to prevent physician suicide. Her work in health equity challenges healthcare systems to listen better, reflect deeply, and deliver care that is truly inclusive.

#healthequity, #racism in healthcare, maternal mortality, implicit bias, culturally competent care, #physicianwellness, #mentalhealth, patient advocacy, racial disparities, #DEI efforts

takeaways
Dr. Buchanan emphasizes the importance of joy in medicine and the lives she has touched.
Racism in healthcare is still prevalent and affects patient outcomes.
Maternal mortality rates for Black women are alarmingly high.
Implicit biases can lead to mismanagement of pain in patients of color.
Culturally competent care is essential for effective treatment.
Healthcare providers must actively combat their biases.
Compassion is crucial when dealing with racist comments from patients.
Advocacy and allyship are important for career advancement in medicine.
Mental health support is vital for healthcare providers.
Systemic changes are needed to ensure equitable care for all patients.

Chapters
00:00
Introduction to Racism in Medicine
03:50
Personal Experiences with Racism
06:59
Impact of Racial Bias on Patient Care
12:03
Recognizing and Addressing Implicit Bias
13:17
Culturally Competent Care
15:30
Navigating Racism in Healthcare
18:04
Racism in Professional Advancement

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this episode of Muted in Medicine, host Saba Fatima speaks with Dr. Will Bynum about the pervasive issue of shame in the medical field. Dr. Bynum shares his personal journey with shame stemming from a medical error during his residency, highlighting the emotional turmoil and isolation that often accompanies such experiences. The conversation delves into the cultural factors that perpetuate shame in healthcare, including perfectionism and the stigma surrounding vulnerability. Dr. Bynum emphasizes the need for open discussions about shame and the importance of creating supportive environments in medical education and practice. The episode concludes with reflections on how to navigate struggles in medical training and the role of grading and ranking in shaping self-worth among medical learners. In this conversation, Will Bynum and Saba Fatima explore the complexities of shame, its impact on personal growth, and the importance of shame competence in various contexts, including parenting and medical education. They discuss practical strategies for managing shame, recognizing it in others, and fostering a supportive environment that encourages self-compassion and emotional literacy. The dialogue emphasizes the need for awareness and understanding of shame as a universal human experience, particularly in professional settings.


Will Bynum, MD, PhD is an Associate Professor of Family Medicine at Duke University School of Medicine and a Veteran of the United States Air Force. He received his M.D. at the University of South Carolina School of Medicine in 2010, completed his residency with the US Air Force and received his Ph.D. in Health Professions Education at Maastricht University in the Netherlands in 2023, where defended his thesis entitled “Out of the shadows: a qualitative exploration of shame in medical learners”, which was awarded best Doctoral Dissertation by the Association for Medical Education in Europe. He has published and spoken widely on the topic of shame and is Co-Founder and Co-Director of The Shame Lab, which conducts research, develops training, and delivers consultancy to advance constructive engagement with shame in professional practice

takeaways
Shame is a common yet invisible emotion in medicine.
Medical errors can lead to feelings of isolation and shame.
Human connection is a source of joy in medicine.
Struggle is a normal part of the learning process.
Perfectionism in medicine can exacerbate feelings of shame.
Shame can hinder open communication among healthcare professionals.
Creating supportive environments can help mitigate shame.
Medical education often perpetuates a culture of shame.
Grading and ranking can negatively impact self-worth.
Engaging with shame can lead to personal and professional growth. You can hold them accountable to things that shame otherwise might have impeded accountability.
Children need to learn about failure, but at what age?
Instilling effort and self-worth in children is crucial.
Authentic self-worth should not be tied to achievement.
Shame competence is a set of skills we can learn.
Shame is a distributed emotion that affects everyone.
Recognizing shame in ourselves and others is essential.
Self-compassion is a vital tool for managing shame.
Treating ourselves with kindness can transform our experiences.
Feeling shame is a sign of our hu

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this episode of Muted in Medicine, Host Dr. Saba Fatima speaks with Dr. Jennifer Cowart about the critical role of advocacy in healthcare. They discuss the importance of physician advocacy, the barriers that prevent doctors from engaging in advocacy, and how physicians can get involved at local, state, and federal levels. Dr. Cowart shares her experiences with current healthcare issues, including rural access to care, food insecurity, and the impact of Medicaid cuts. The conversation also highlights the challenges posed by prior authorization processes in patient care, emphasizing the need for greater transparency and advocacy in the healthcare system. In this conversation, Jennifer Cowart discusses the evolving dynamics of hospital care, emphasizing the shift towards outpatient services and the challenges faced by families in providing care. The discussion also highlights the pressing issue of food insecurity, particularly its impact on children and families, and the importance of community support. Cowart advocates for healthcare workers, addressing workplace safety and the need for systemic reforms. The conversation touches on the challenges faced by rural healthcare providers, particularly regarding visa issues for international physicians. Cowart encourages healthcare professionals to engage in advocacy, providing practical steps for involvement while navigating the potential risks of political engagement. The discussion concludes with a hopeful outlook on future generations and their commitment to justice and equity in healthcare.

Dr. Jennifer Cowart is a practicing academic hospitalist and Associate Professor of Medicine. She has more than ten years of experience in patient safety and quality improvement, which led her to develop an interest in healthcare policy and legislative advocacy. She has served on policy committees for Society of Hospital Medicine and Society of General Internal Medicine. Her opinions expressed here are her own and not representative of her employer nor any medical society of which she is a member.

takeaways
Advocacy is essential for improving patient care.
Physicians often hesitate to advocate due to fear of politics.
Small actions can lead to significant changes in healthcare.
Engaging with local policymakers can improve community health.
Advocacy can start with identifying daily frustrations in care.
Physicians can participate in advocacy days organized by medical societies.
Meetings with lawmakers can be productive and engaging.
Medicaid cuts lead to increased healthcare deserts and access issues.
Prior authorization processes can delay necessary patient care.
Advocacy is a moral responsibility for healthcare providers. Moral injury is prevalent in healthcare due to tight turnaround times.
Hospitals are no longer places for recovery but for acute care.
Food insecurity is a growing concern, especially for children.
Community support is vital in addressing food insecurity.
Staff safety is directly linked to patient safety in healthcare settings.
Advocacy can start at the local level and be impactful.
Physicians should be aware of their organization's media policies.
Younger generations are passionate about creating a more just world.
There is a need to increase the number of American medical trainees.
Engaging in advocacy can begin with small, practical s

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Dr. Umara Raza shares with Host Dr Saba Fatima, her profound journey as a mother of a child with special needs while navigating her career as a physician. She discusses the emotional challenges of parenting, the impact of the healthcare system on families, and the importance of empathy in medical practice. Dr. Raza emphasizes the need for community support, the significance of communication in partnerships, and the journey of acceptance and advocacy for special needs children. Her insights provide valuable lessons for both parents and healthcare professionals.

Dr Umara Raza is a Cardiologist at the Baylor College of Medicine, Houston and is a special needs advocate. Her daughter was born deaf and was diagnosed with #Waardenburgsyndrome while she was in Cardiology Fellowship.

takeaways

Dr. Umara Raza shares her journey as a mother and physician.
Navigating a child's diagnosis can be overwhelming for parents.
The dual role of being a physician and a parent brings unique challenges.
Grief is a natural part of accepting a child's special needs.
The healthcare system can be a barrier for families seeking support.
Empathy in medical practice is crucial for patient care.
Misinformation about special needs can lead to stigma and blame.
Finding a supportive community is essential for special needs families.
Communication between partners is vital in managing stress and responsibilities.
Balancing career and family is a personal journey that varies for each parent.

keywords
#parenting , #specialneeds , #healthcare , #empathy, #advocacy , medical challenges, community support, #physician experience, grief, acceptance #waardenburgsyndrome #trending #deafcommunity

00:00
Introduction to the Journey of a Physician-Parent
02:45
Navigating the Diagnosis of Complex Needs
08:30
The Emotional Landscape of Parenting a Child with Special Needs
11:20
Transitioning from Grief to Advocacy
16:42
The Reality of the Healthcare System from a Patient's Perspective
20:17
The Impact of Personal Experience on Medical Practice
27:00
Finding Perspective in Grief
29:24
Transforming Medical Practice Through Personal Experience
30:35
The Importance of Empathy in Healthcare
31:52
Navigating Misinformation in Autism Awareness
33:35
Social Isolation and Inclusion Challenges
36:08
Building a Supportive Community
39:54
Advice for Parents and Physicians
40:53
Balancing Career and Family Responsibilities
48:43
Systemic Changes Needed in Healthcare for Special Needs
50:03
Celebrating Pro

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Leilani shares with Host Dr Saba Fatima with her profound journey from personal tragedy to becoming a patient advocate, emphasizing the importance of communication and compassion in healthcare. She discusses her experiences with hospitals after the loss of her son, the need for authentic apologies, and the challenges faced by healthcare workers. Leilani highlights the significance of understanding and transparency in healing, both for patients and providers, and introduces her current work aimed at improving communication in healthcare settings.

Leilani Schweitzer is a patient safety advocate who helps healthcare systems respond to medical harm with compassion, honesty, and accountability. Her journey into patient advocacy began after the death of her 20-month-old son, Gabriel, in 2005 due to a series of medical errors. Following this tragedy, Stanford offered her a position working with patients and families who experienced medical harm, where she served for twelve years as Assistant Vice President for Communication & Resolution.
Leilani co-founded Comms Corps, which trains healthcare professionals to communicate clearly and compassionately with patients and families after medical harm. The organization’s Certified Medical Harm Communicator course offers CME credit and practical tools to help institutions meet ethical, legal, and regulatory expectations for transparency.
Leilani is a former Board President of the Collaborative for Accountability & Improvement at the University of Washington and serves on the Patient Safety Advisory Board for Philips Healthcare and AHRQ’s Technical Expert Panel. She is also a champion for Patients for Patient Safety US.
Leilani's work has been recognized in The New York Times, The Wall Street Journal, and CNN. Her TEDx talk about the need for transparency and compassion in healthcare has been viewed more than 245,000 times and is used in physician and nursing trainings worldwide. She has also been featured on the Ted Radio Hour and RadioLab podcasts, sharing her insights on patient safety and the importance of open communication in healthcare. In addition to her advocacy and healthcare work, Leilani is also an artist, creating large-scale art installations, often in hospitals.


#patientcare #advocacy, #healthcare #communication, authentic #disclosure, #compassion, #litigation, healthcare workers, bad outcomes, communication models, empathy, trust


Chapters
00:00
Introduction to Healthcare Silence
02:58
Leilani's Journey into Patient Adv

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Dr. Graham Walker discusses with Host Dr Saba Fatima the evolving role of AI in healthcare, addressing both its potential benefits and concerns. He emphasizes the importance of clinical judgment, the impact of AI on job security, and the need for regulation and standards. Dr. Walker also highlights the biases inherent in AI systems and the ethical considerations surrounding their use in medical education and patient care. He expresses cautious optimism about the future of AI in medicine, advocating for a balanced approach that prioritizes patient safety and clinician engagement.

Graham Walker, MD is an emergency physician and health tech leader based in San Francisco. He serves as Co-Director of Advanced Development at The Permanente Medical Group, where he drives innovation and digital transformation for Kaiser Permanente’s 4 million Northern California members. As a clinical informaticist, he leads emergency and urgent care strategy for KP’s electronic health record.
Graham is also a software developer and entrepreneur. He founded MDCalc, the leading evidence-based medical calculator platform, and Offcall, a new digital hub supporting the physician workforce. His work bridges clinical practice and systems-level innovation, with a focus on reducing friction and burnout across care delivery.
He writes frequently on AI, tech, and the future of medicine, and authored The Physicians’ Charter for Responsible AI — a framework to guide safe, fair, and clinically sound AI adoption.

takeaways
AI in healthcare brings both promise and concerns.
Generative AI is often misunderstood as the entirety of AI.
AI can replace busy work but not clinical judgment.
Job security in emergency medicine is less threatened by AI.
AI's role in specialties like radiology may evolve.
Patients must be cautious when using AI for healthcare advice.
AI can assist in medical education by generating realistic scenarios.
Bias in AI reflects human biases and can impact healthcare disparities.
The ethical use of AI in medicine is still being defined.
Future AI tools must prioritize patient safety and clinician engagement.

keywords
#ai #healthcare #generativeAI, clinical judgment, job security, medical education, patient privacy, healthcare disparities, bias in AI, ethical use of AI, future of medicine #aihealthcare #chatgpt #openevidence

Chapters
00:00
Introduction to AI in Healthcare
03:48
The Promise and Concerns of AI
06:53
AI's Role in Clinical Work
09:51
The Future of AI in Specialties
12:47
Pitfalls of AI in Patient Care
15:58
AI in Medical Education and Practice
18:43
Regulations and Standards for AI
21:46
Bias in AI and Healthcare Disparities
24:47
Understanding AI's Role in Predictive Medicine
26:45
The Evolution of AI in Healthcare
28:43
Ethical Considerations in Medical AI
30:42
The Impact of AI on Medical Education
32:58
Future Prospects of AI in Medicine
34:45
Challenges and Risks of AI Adoption
36:49
The Human Element in AI-Driven Care
38:36
Navigating AI's Limitations and Misconceptions
40:48
The Balance of Compassion and Efficiency in AI
42:40
Final Thoughts on AI's Role in Healthcare
49:21
Conclusion

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com