Physicianary

In this episode, guest Tina Shah, MD, discusses the impact of artificial intelligence in medicine and how it can assist in managing physician burnout and clinical burden.

• Intro 0:24
• Tina Shah, MD, MPH 0:33
• Tell us about yourself and your career. 0:57
• Tell us about your experience with burnout and why you call it a privilege. 1:58
• What can we do to solve physician burnout? What can we do in terms of societal, industry and individual solutions? 4:54
• How can artificial intelligence help prevent burnout and clinical burden? 8:15
• In terms of artificial intelligence, there are a couple of concerns: safety, trustability (i.e., hallucinations) and job security. What are your thoughts? 12:46
• Bhargava and Shah discuss how artificial intelligence can enhance care. 17:03
• Bhargava and Shah discuss ambient artificial intelligence. 19:05
• As an expert in policy, where do you think we are going in the next year in terms of innovation in medicine? In the next three years? 20:53
• Words of wisdom for up-and-coming physicians? 25:25
• How can people reach you? 26:56
• Thanks 27:28

Tina Shah, MD, MPH, is a practicing pulmonary and critical care physician and national expert in workforce burnout, digital health, and health policy. She is the chief clinical officer for Abridge.

We'd love to hear from you! Send your comments/questions to Dr. Bhargava at [email protected]. Follow Dr. Bhargava on X @hansabhargavaMD and on Instagram @doctorhansaMD. Follow Shah on LinkedIn. Become a member of the Physicianary Fan Group and keep the conversation going! Join episode discussions, share your insights and leave your questions for Hansa and her guests. Go to community.healio.com and register today! Disclosures: Bhargava reports no relevant financial disclosures. Shah is the chief clinical officer for Abridge.

In this episode, guest Navin Goyal, MD, discusses side gigs in the health care space, encourages physicians to explore their fields of interest and talks about his book, Physician Underdog.

• Intro 0:24
• Navin Goyal, MD 0:28
• You have done a lot to help Medicaid patients with your venture capital group, OFFOR Health. Can you tell us about that? 1:11
• What was the driver of your venture capital group? Was it access to care? 3:03
• Tell us about your interest in health equity and access to care? What happened next. 6:16
• Tell us about your book, Physician Underdog. Did the book come before, during or after your journey with your venture capital group? 7:51
• What is your advice to physicians and health care workers who feel burnt out and unfulfilled in their career path? 11:23
• Bhargava and Goyal discuss change and adapting to changes in career paths. 14:34
• Bhargava and Goyal discuss the difference between careers in health care and other professions that are likely to pursue new avenues. 16:32
• There are plenty of physicians out there looking for side gigs. What is your advice to physicians and health care workers who want to explore other avenues and side gigs? 18:49
• How do you do it all? 21:56
• Thanks 24:37

Navin Goyal, MD, is a venture capitalist, entrepreneur, physician and author—driven by his passion for human-centered leadership. He is the co-founder and managing partner at LOUD Capital, specializing in early-stage investments in healthcare and technology startups. Goyal is also co-founder of OFFOR Health, a venture-backed startup that provides mobile anesthesia services for pediatric patients on Medicaid, and Beyond Physician, an online learning management platform and job marketplace to enable physicians to learn new skills, get contract work and grow their thought leadership. His journey and insights are captured in his book, Physician Underdog.

We'd love to hear from you! Send your comments/questions to Dr. Bhargava at [email protected]. Follow Dr. Bhargava on X @hansabhargavaMD and on Instagram @doctorhansaMD. Follow Goyal on Instagram @navin.g.md, X @Navin_MD, Facebook and LinkedIn and visit his website: navingoyalmd.com.

Disclosures: Bhargava and Goyal report no relevant financial disclosures.

In this episode, guest Jessi Gold, MD, MS, defines burnout, discusses ways physicians can prioritize positivity and their mental health and talks about her new book, How Do You Feel?

• Intro 0:24
• Jessi Gold, MD, MS 0:28
• Tell us about yourself. 0:47
• How do you have time to write a book, do all that you do and see Taylor Swift? 1:56
• As physicians, we have lived in this "do your job" culture. Do physicians have a problem making the shift to prioritize themselves? 2:46
• This issue of burnout: is it just physicians or is it across the board in other professions? 4:35
• Women tend to experience burnout more often than men. What are your thoughts on why women tend to be more burnt out? 8:49
• Psychologically speaking, do women look at the world differently because it is environmental or is it a societal pressure? 11:19
• In How Do You Feel? you write about your role in your family and the story of your family. Can you share a little bit about your story? 13:29
• Bhargava and Gold discuss productivity and mental health. 15:21
• Bhargava and Gold discuss sharing stories of burnout. 16:56
• What can we do to help ourselves through burnout? 20:08
• Bhargava and Gold discuss positivity and three good things. 22:52
• How can listeners contact you? 27:35
• Thanks 28:34

Jessi Gold, MD, MS, is the chief wellness officer of the University of Tennessee System and an associate professor in the department of psychiatry at the University of Tennessee Health Science Center. She works clinically as an outpatient psychiatrist at University Health Servies and is a regular expert in media on mental health. Her first book, How Do You Feel? One Doctor's Search for Humanity in Medicine, is out now!

We'd love to hear from you! Send your comments/questions to Dr. Bhargava at [email protected]. Follow Dr. Bhargava on X @hansabhargavaMD and on Instagram @doctorhansaMD. Follow Gold on Instagram @drjessigold and X @drjessigold and visit her website: drjessigold.com.

Disclosures: Bhargava and Gold report no relevant financial disclosures.

In this episode, guest Cammie Wolf Rice discusses the opioid crisis, how it impacted her life and family and her foundation's mission to combating the epidemic and spreading awareness.

• Intro 0:24
• Cammie Wolf Rice 0:28
• The numbers in opioid-related deaths are staggering: 81,000 deaths in 2023. And there are 5.6 million people over the age of 12 who suffer from opioid use disorder. What are we doing wrong? Tell us about your work and what you believe is happening in this space. 0:51
• Is there an increase of children being poisoned with the synthetic fentanyl? Are there more fake pills in circulation? 2:21
• Eighty million fake pills were seized last year by the DEA. Is there enough awareness among parents surrounding the fake pills in circulation? And is there enough awareness among schools surrounding the importance of having Narcan? 3:27
• Can you share the story of your son's death? 4:45
• Tell us about the work you are doing in rural hospitals. 7:45
• What are some of the issues among rural hospitals in terms of lack of resources? 8:59
• Rural areas struggle with health care inequities and need help. How many rural communities have received your foundation's support? And where can doctors find the resources they need? 10:10
• Visit cwc.ngo to find resources related to opioid awareness. 11:05
• Rice discusses the differences among specialties in which physicians prescribe varying amounts of opioids. 13:08
• Bhargava and Rice discuss a primary issue in opioid awareness: the access to the pills in the home. 18:50
• For our audience, is there anything else they can do to help with the opioid crisis? 21:11
• How can listeners contact you? And where can they find the resources available? 22:52
• Thanks 24:03

Cammie Wolf Rice is the chief executive officer and founder of the Christopher Wolf Crusade Alliance (CWC). After the tragic loss of her son, Christopher, she founded the CWC Alliance in her son's honor in 2018 and launched a new position in health care: the Life Care Specialist. Learn more about Rice and her journey in her memoir: The Flight: My Opioid Journey.

We'd love to hear from you! Send your comments/questions to Dr. Bhargava at [email protected]. Follow Dr. Bhargava on X @hansabhargavaMD and on Instagram @doctorhansaMD. Follow Rice on Instagram @cwcalliance, LinkedIn, Facebook, email [email protected] and visit cwc.ngo.

Disclosures: Bhargava reports no relevant financial disclosures. Rice is the CEO and founder of the CWC Alliance.

In this episode, guest Cammie Wolf Rice discusses the opioid crisis, how it impacted her life and family and her foundation's mission to combating the epidemic and spreading awareness.

• Intro 0:24
• Cammie Wolf Rice 0:28
• The numbers in opioid-related deaths are staggering: 81,000 deaths in 2023. And there are 5.6 million people over the age of 12 who suffer from opioid use disorder. What are we doing wrong? Tell us about your work and what you believe is happening in this space. 0:51
• Is there an increase of children being poisoned with the synthetic fentanyl? Are there more fake pills in circulation? 2:21
• Eighty million fake pills were seized last year by the DEA. Is there enough awareness among parents surrounding the fake pills in circulation? And is there enough awareness among schools surrounding the importance of having Narcan? 3:27
• Can you share the story of your son's death? 4:45
• Tell us about the work you are doing in rural hospitals. 7:45
• What are some of the issues among rural hospitals in terms of lack of resources? 8:59
• Rural areas struggle with health care inequities and need help. How many rural communities have received your foundation's support? And where can doctors find the resources they need? 10:10
• Visit cwc.ngo to find resources related to opioid awareness. 11:05
• Rice discusses the differences among specialties in which physicians prescribe varying amounts of opioids. 13:08
• Bhargava and Rice discuss a primary issue in opioid awareness: the access to the pills in the home. 18:50
• For our audience, is there anything else they can do to help with the opioid crisis? 21:11
• How can listeners contact you? And where can they find the resources available? 22:52
• Thanks 24:03

Cammie Wolf Rice is the chief executive officer and founder of the Christopher Wolf Crusade Alliance (CWC). After the tragic loss of her son, Christopher, she founded the CWC Alliance in her son's honor in 2018 and launched a new position in health care: the Life Care Specialist. Learn more about Rice and her journey in her memoir: The Flight: My Opioid Journey.

We'd love to hear from you! Send your comments/questions to Dr. Bhargava at [email protected]. Follow Dr. Bhargava on X @hansabhargavaMD and on Instagram @doctorhansaMD. Follow Rice on Instagram @cwcalliance, LinkedIn, Facebook, email [email protected] and visit cwc.ngo.

Disclosures: Bhargava reports no relevant financial disclosures. Rice is the CEO and founder of the CWC Alliance.

In this episode, guest Anthony Chang, MD, discusses the benefits of artificial intelligence and its potential to improve health care.

• Intro 0:24
• Anthony Chang, MD, MBA, MS 0:29
• Tell us about yourself. 1:20
• What drives you to learn about artificial intelligence? How do you think artificial intelligence can influence medicine and clinical care? 2:14
• How can artificial intelligence make an impact on the frontlines in medicine? 3:31
• Can artificial intelligence be the remedy to physician burnout? 6:34
• In reference to artificial intelligence, explain what you mean by "giving the wisdom back." 8:18
• Bhargava and Chang discuss computational intelligence versus cognitive intelligence. 9:31
• To those who are concerned about artificial intelligence, what are your thoughts on the fears about artificial intelligence "taking over"? 11:41
• How do we regulate artificial intelligence? What are the safeguards that physicians and clinicians should be aware of? 14:03
• In terms of equity in medicine, how do we ensure access to artificial intelligence in medical centers across the country? 17:08
• Bhargava and Chang discuss artificial intelligence and its integration into medicine. 19:02
• In reference to generative artificial intelligence, what do physicians need to be aware of when utilizing this technology? 20:49
• Bhargava and Chang discuss physician vigilance when using artificial intelligence and the potential assistance artificial intelligence can provide when diagnosing patients. 22:38
• How can clinicians learn more and gain a fundamental understanding and education of artificial intelligence? 25:15
• Where can physicians and clinicians find courses on artificial intelligence? 27:28
• Bhargava and Chang discuss the importance of understanding the fundamentals of artificial intelligence when utilizing it to improve medicine. 29:32
• Tell us about the AI Med conference. 30:21
• Chang talks about his kids summarizing him in four words. 31:22
• How can listeners contact you? 33:40
• Thanks 35:21

Anthony Chang, MD, MBA, MS, is a pediatric cardiologist with a MS in data science from Stanford and a certification in AI from MIT. He is the medical director of the heart failure program at Children's Hospital of Orange County and chief intelligence and innovation officer of CHOC where he founded the CHOC Sharon Disney Lund Medical Intelligence, Information, Investigation and Innovation Institute or Mi4. Chang is a national and international leader as a speaker, author, convener and the founder of numerous successful societies including the International Society for Pediatric Innovation, AIMed, ABAIM, providing education and certification in AI, the Medical Intelligence Society and most recently created the Alliance for Centers in Artificial Intelligence in Medicine, along with PCAIM, its pediatric component, now with over 100 centers from around the globe.

We'd love to hear from you! Send your comments/questions to Dr. Bhargava at [email protected]. Follow Dr. Bhargava on X @hansabhargavaMD and on Instagram @doctorhansaMD. Dr. Chang can be reached at (949)547-8902.

Disclosures: Bhargava and Chang report no relevant financial disclosures.

In this episode, host Hansa Bhargava, MD, discusses women's reproductive rights in connection to the 2024 presidential election with guests Angela Chaudhari, MD, and Oren Jacobson.

Content warning: This episode discusses sensitive topics related to reproductive rights.

• Intro 0:24
• Angela Chaudhari, MD 1:03
• Tell us about yourself and your work. 1:33
• How do you feel about the Dobbs decision? What are the consequences? And how does ACOG feel about this decision? 2:21
• As an OBGYN, do your colleagues find it hard to practice in states with strict abortion laws or abortion bans? 4:58
• In terms of healthcare inequities, do you believe the restrictions and bans will make the inequities worse? 7:36
• With high rates of burnout in OBGYN, are restrictions and bans making burnout worse? 9:05
• What are you hearing from your trainees and residents about these restrictions and bans? 12:02
• What do your kids think about the Dobbs decision? 15:19
• Have you seen cases in your training or practice where young girls were raped or became pregnant by mistake? 17:42
• What do you see in the future in terms of access to women's reproductive care? 20:00
• Changes in women's reproductive rights are happening rapidly, making it hard and confusing for physicians to counsel their patients appropriately. What are your thoughts on that? 21:36
• What would you say to doctors, clinicians and patients? 23:58
• How can people contact you? 25:37
• Oren Jacobson 26:32
• Tell us about yourself and why you helped put Men4Choice together. 26:45
• Why do men support women's reproductive rights? 31:44
• As a dad, how do you believe dad's feel about women's reproductive rights? 33:42
• What about male relatives and friends? 37:37
• What happens when a patient shows up to an emergency room in the middle of a miscarriage? 40:48
• If physicians and other healthcare workers want to advocate for women's reproductive rights, what is your advice? And how can they get in touch with you? 45:33
• Visit men4choice.org to get involved. 46:19
• Thanks 53:01

Angela Chaudhari, MD, is an associate professor and vice chair of faculty affairs in the department of obstetrics and gynecology at Northwestern Medicine. She serves as vice chief of staff at Northwestern Memorial Hospital, as well as the chief of gynecology and gynecologic surgery managing gynecologic quality, safety and operations. She is also the system director of the P2P Network, a peer support program at Northwestern, helping support physicians, nurses, advanced practice providers, trainees and pharmacists through adverse events and distressful patient situations.

Oren Jacobson is a civic entrepreneur, organizer and thought leader focused on helping communities and organizations build the strength and capacity necessary to improve people's lives. He is the co-founder and executive director of Men4Choice, a multi-state advocacy organization working to activate, educate and mobilize male allies in the fight for reproductive freedom. He is also a political chair of Personal PAC, the leading pro-choice political organization in the state of Illinois.

We'd love to hear from you! Send your comments/questions to Dr. Bhargava at [email protected]. Follow Dr. Bhargava on X @hansabhargavaMD and on Instagram @doctorhansaMD. Follow Dr. Chaudhari on X @angchaudhariMD and on LinkedIn. You can email Jacobson at [email protected] and follow Men4Choice on X @Men_4_Choice and on Instagram @men4choice.

Disclosures: Bhargava reports no relevant financial disclosures. Chaudhari is a consultant for Johnson and Johnson and Richard Wolf Medical. Jacobson is the co-founder and executive director of Men4Choice.

In this episode, host Hansa Bhargava, MD, discusses opioid awareness, the stigma surrounding the opioid crisis and the resources for intervention with David A. Fiellin, MD.

• Intro 0:23
• David A. Fiellin 0:29
• Tell us about yourself and your work with opioid awareness. 0:50
• What are your insights on the deaths related to the opioid crisis? 2:07
• Tell us about the inequities of the opioid crisis. 4:07
• Do you feel educational campaigns have made an impact on opioid awareness? Where do we still have work left to do? 6:56
• Tell us about the stigma surrounding the opioid crisis. 9:02
• Tell us about how physician reluctance and hesitance to intervene can impact the opioid crisis. 11:45
• Visit pcssnow.org for more opioid use disorder support 13:46
• How can we make an impact on the opioid crisis, as well as other drug addiction crises? 14:57
• Are there inadequate resources for the opioid crisis or is there an inefficiency in using the resources? 19:06
• Thanks 22:40

David A. Fiellin, MD, is a professor of medicine, emergency medicine and public health at Yale. He directs the Yale program in addiction medicine and is vice chief for faculty affairs, general internal medicine. He is an internal medicine physician with board certified in addiction medicine. He conducts research focused on improving access to treatment for unhealthy substance use in general medical settings including office-based practice, primary care, emergency departments, hospitals and HIV specialty settings. He is editor-in-chief is of the Journal of Addiction Medicine and served as co-editor of the American Society of Addiction Medicine's textbook, Principles of Addiction Medicine, fourth, fifth and sixth editions.

We'd love to hear from you! Send your comments/questions to Dr. Bhargava at [email protected]. Follow Dr. Bhargava on X @hansabhargavaMD and on Instagram @doctorhansaMD. Follow Dr. Fiellin on X @YaleADM, on Instagram @yaleaddictionmed and on LinkedIn.

Disclosures: Bhargava and Fiellin report no relevant financial disclosures.

In this episode, host Hansa Bhargava, MD, discusses physician burnout, mindfulness and the effects of stress on heart health with Jonathan Fisher, MD, FACC.

• Intro 0:23
• In this episode 0:41
• Jonathan Fisher, MD, FACC 1:11
• You've done so much work in burnout and compassion in the last few years. What lead you to become interested in this area? 1:56
• How do you combat and overcome bullying and isolation? Is it all just kindness? How can our mindset make a difference mentally and in connection to our heart? 3:46
• As a cardiologist, you know that cardiac disease in physically healthy people could be a manifestation of mental stress and anxiety converting into physical disease. Can you tell us more about that? 6:34
• Eighty to ninety percent of heart disease can potentially be prevented by addressing stress. When we go through medical school, we talk about cardiac risk factors. But how much do we focus in medical school on this impact of stress converting into physical disease? Do we need to change our curriculum to focus more on mental health becoming physical health issues? 10:08
• When addressing trauma, how can physicians change their behavior? And do you subscribe to Viktor Frankl's philosophy on the space between an event and reaction to an event? 13:13
• What are your top takeaways from your book, Just One Heart? 17:33
• How can people reach out and contact you? 22:32
• Thanks 23:07

Jonathan Fisher, MD, FACC, is a cardiologist, certified mindfulness teacher and well-being and resiliency leader. He is a #1 Amazon best-selling author for his book Just One Heart: A Cardiologist's Guide to Healing, Health, and Happiness. He is also the founder of Mind Heart Now LLC.

We'd love to hear from you! Send your comments/questions to Dr. Bhargava at [email protected]. Follow Dr. Bhargava on X @hansabhargavaMD and on Instagram @doctorhansaMD. Dr. Fisher can be reached on Instagram @happyheartMD and on LinkedIn.

Disclosures: The host and guest report no relevant financial disclosures.

On this special edition episode, Hansa Bhargava, MD, with Oncology Overdrive's Shikha Jain, MD, and Mend the Gap's Dagny Zhu, MD, discuss physician burnout and managing a good work-life balance with a panel of guests.

• Intro 0:35
• Have you had an opportunity to sit back when you were burnout from advocating for others? 0:49
• What have you done to take care of yourself? How to you reenergize yourself and maintain a good balance? 3:31
• How have you navigated your priorities? Tell me about the systemic issues and solutions for physician burnout. 6:08
• What are the possible challenges of integrating artificial intelligence as a solution to combating burnout? 9:22
• Can a pivot in your career help combat burnout? 12:42
• Society pushes us to become leaders, but is leadership the path for every person? Do we all have to be leaders? 19:54
• How can we manage a good work-life balance? 23:55
• What are one or two things you would like listeners to take away from this conversation? 28:57
• Thanks 30:31

Vineet Arora, MD, MAPP (NAM), is a Herbert T. Abelson professor of medicine, vice dean of education in the biological sciences division and dean for medical education at the University of Chicago Pritzker School of Medicine. She is also an elected member of the National Academy of Medicine. She is a founding member of the 501c3 Women of Impact and advisor to the Women in Medicine Summit.

Jennifer Bepple, MD, MMCi, is a double board-certified physician in urology and informatics. She is a member of the American Telemedicine Association, American Urologic Association and American Medical Informatics Association and holds a certification from the American Board of Telehealth and the American Board of AI in Medicine.

Hansa Bhargava, MD, is Healio's chief clinical strategy and innovation officer. Listen to her Healio podcast, Physicianary.

Shikha Jain, MD, FACP, is a board-certified hematology and oncology physician. She is a tenured associate professor of medicine in the division of hematology and oncology, the director of communication strategies in medicine and the associate director of oncology communication & digital innovation at the University of Illinois Cancer Center in Chicago. Listen to her Healio podcast, Oncology Overdrive.

Mara Schenker, MD, FACS, FAOA, is an orthopedic trauma surgeon at Grady Memorial Hospital. She is double board certified in orthopedic surgery and clinical informatics. She serves as the chief of orthopedics and associate chief medical information officer. She is an associate professor of orthopedics at Emory University School of Medicine. She serves on multiple boards for medical and digital technology advisory and sits on major national committees for the American Academy of Orthopaedic Surgeons, AAMC, American College of Surgeons and the Orthopaedic Trauma Association.

Dagny Zhu, MD, is a cornea, cataract and refractive surgeon and medical director and partner at NVISION Eye Centers in Rowland Heights, CA. She can be reached on X (formerly Twitter) @DZEyeMD.

We'd love to hear from you! Send your comments/questions to [email protected]. Follow us on Twitter @Healio_OSN.

Disclosures: The hosts and guest report no relevant financial disclosures.