What happens when grief collides with medical training?

In this deeply personal episode of Surgeon, Interrupted, Frances Mei sits down with family physician, educator, and author Dr. Shanda McManus to discuss loss, caregiving, resilience, and the hidden emotional costs of becoming a doctor.

Growing up in North Philadelphia, Shonda helped care for her mother through advanced ovarian cancer before eventually becoming the first person in her family to attend college and pursue medicine. During medical school, her brother was murdered, a loss that would shape her life in profound ways. Like many physicians, she learned to keep moving, keep performing, and keep achieving—even while carrying unprocessed grief.

Together, Frances and Shanda explore the culture of medicine that often rewards endurance while leaving little room for healing, and why creating space for grief may be one of the most important acts of self-preservation for physicians.

Topics include:

• Growing up in North Philadelphia

• Caring for a parent with cancer as a child

• Becoming the first person in your family to attend college

• Pregnancy and parenthood during medical training

• Taking time away from medicine without derailing your career

• The murder of a sibling during medical school

• Unprocessed grief and emotional survival in medicine

• Why physicians deserve space to heal

• Writing, memoir, and finding meaning through storytelling

• The inspiration behind Shanda's new book

This conversation is about loss, love, family, identity, and the ways medicine sometimes asks us to be less human when we need humanity most.

Host: Frances Mei Hardin, MD

Guest: Shanda McManus, MD

Connect with Shanda: https://www.shandamcmanus.com/

Brother Epistles - https://www.splitlippress.com/product-page/brother-epistles

Presented by: The Hippocratic Collective

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What happens when your residency program suddenly shuts down mid-training?

In this episode of Surgeon, Interrupted, Frances Mei sits down with internal medicine physician Dr. Julia Torrellas to discuss one of the most destabilizing experiences a trainee can face: the closure of a residency program during training.

Julia shares what it was like to learn that her hospital was shutting down, how residents were absorbed into a new program, and the emotional fallout of losing mentors, support systems, routines, and a sense of stability overnight. The conversation explores burnout, identity, self-sacrifice, boundaries, and what happens when medicine becomes your entire sense of self.

Topics include:

• What it feels like when a residency program closes

• Starting over in a new hospital as a senior resident

• Burnout and emotional exhaustion in training

• Why many physicians tie their identity to their career

• Self-abandonment and self-sacrifice in medicine

• Setting boundaries without sabotaging your career

• Navigating residency politics and power dynamics

• Finding agency during uncertainty and disruption

• Lessons learned from career setbacks and unexpected change

Whether you're a medical student, resident, attending physician, or someone navigating a major life transition, this conversation offers a thoughtful look at resilience, identity, and rebuilding after disruption.

Host: Frances Mei Hardin, MD

Guest: Julia Torrellas, MD

Connect with Julia: @drjuliatorrellas

Presented by: The Hippocratic Collective

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And subscribe to ⁨@HippocraticCollective⁩ on Youtube for all of the other shows the Hippocratic Collective has to offer.

What does it actually feel like to finish a plastic surgery residency in 2026?

In this episode of Surgeon, Interrupted, Frances Mei sits down with graduating plastic surgery resident Dr. Liz Malphrus just days before graduation to reflect on the end of a six-year journey through surgical training. Together, they discuss burnout, confidence, identity, career choices, and what comes next after residency.

Liz shares how her perspective on medicine evolved during training, why she ultimately chose private practice over academia, and the lessons she wishes she could tell her intern-year self. The conversation explores everything from comparison culture and perfectionism to finding agency, building a meaningful career, and the role supportive partners play in surviving medicine.

They also discuss:

• What residency teaches you about yourself

• The surprising parts of surgical training

• Why comparison is the thief of joy in residency

• Academic medicine vs. private practice

• The power of mentorship outside institutions

• Marriage, support systems, and surviving training together

• What happens when you finally get your life back

• Why physicians may be more capable than they realize

Whether you're a medical student, resident, attending physician, or simply curious about life behind the curtain of medical training, this episode offers an honest look at one of the biggest transitions in a physician's career.

Host: Frances Mei Hardin, MD

Guest: Liz Malphrus, MD

Connect with Liz: https://www.hippocratic-collective.com/members/liz-malphrus-md

@dr.malphrus

Presented by: The Hippocratic Collective

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Why does the United States spend more on healthcare than ever before while chronic disease continues to rise?

In this episode of Surgeon Interrupted, Frances Mei sits down with reconstructive plastic surgeon Dr. Joshua Mirrer to explore the systems behind modern healthcare. From residency burnout and preventive medicine to agriculture, economics, chronic disease, and the incentive structures shaping American health, this conversation goes far beyond the operating room.

Dr. Mirrer shares how his experiences in surgical training led him to study the larger forces influencing health outcomes, and why he believes meaningful change will require both individual action and community-level solutions.

Topics include:

• Why healthcare is built around treating disease rather than preventing it
• The rising cost of chronic illness in America
• How food systems and healthcare incentives intersect
• The role of community in improving health outcomes
• Lessons from diabetes prevention programs
• Writing, medicine, and making sense of complex systems
• What surgeons can teach us about long-term thinking

If you've ever wondered why healthcare feels broken, or what it might take to fix it, this conversation offers a thoughtful place to start.

Host: Frances Mei Hardin, MD

Guest: Joshua Mirrer, MD

Connect with Joshua: http://www.linkedin.com/in/joshua-mirrer-ab27436b

https://substack.com/@jmirrer

Presented by: The Hippocratic Collective

Follow Frances Mei on Instagram & Tiktok @francesmeimd

And subscribe to ⁨@HippocraticCollective⁩ on Youtube for all of the other shows the Hippocratic Collective has to offer.

What happens when a longtime magazine editor leaves the world of celebrity journalism and finds herself at the forefront of narrative medicine?

This week on Surgeon, Interrupted, Frances Mei sits down with Donna Bulseco, editor of the literary and arts journal Intima and co-editor of Where It Hurts: Dispatches from the Emotional Front Lines of Medicine. Together, they explore the power of storytelling in healthcare, why medicine needs the humanities, and what physicians can learn from writers, poets, and artists.

Donna reflects on her journey from InStyle magazine to Columbia University's Narrative Medicine program, the lessons she's learned from editing thousands of submissions from clinicians, and the common writing mistakes physicians make when trying to tell meaningful stories. The conversation also dives into creativity, taste, ego, revision, and why the most powerful stories often trust the reader enough to leave conclusions unsaid.

Whether you're a clinician, writer, artist, or simply someone interested in the human experience of healthcare, this episode offers a thoughtful look at the stories that shape us, and the ones that help us heal.

Topics discussed:

• Narrative medicine and physician storytelling
• The transition from publishing to healthcare humanities
• Why doctors need art, literature, and philosophy
• Developing taste, voice, and creativity
• Common pitfalls in physician writing
• The making of Where It Hurts
• Finding humanity in modern medicine
• Trusting the reader and embracing revision

Books Mentioned:

Where It Hurts: Dispatches from the Emotional Front Lines of Medicine

Host: Frances Mei Hardin, MD

Guest: Donna Bulseco

Connect with Donna: @dbulseco

Presented by: The Hippocratic Collective

Follow Frances Mei on Instagram & Tiktok @francesmeimd

And subscribe to ⁨@HippocraticCollective⁩ on Youtube for all of the other shows the Hippocratic Collective has to offer.

In this episode of Surgeon, Interrupted, Frances Mei sits down again with her husband Colin for an unfiltered conversation about residency culture, hyper-productivity, and the psychological habits that follow physicians long after they leave the hospital.

What begins as a discussion about planning Hippocratic Collective’s first West Coast event in the Hollywood Hills evolves into a broader examination of how medicine conditions people to equate suffering with value. Frances Mei and Colin unpack the “culture of sacrifice” mentality in residency — bragging about missed weddings, sleepless nights, impossible workloads, and constant exhaustion — and question whether any of it actually makes better doctors.

The episode explores:

• Why suffering is often mistaken for productivity in medicine
• The toxic martyrdom culture embedded in residency training
• How physicians lose the ability to rest guilt-free
• Hyper-vigilance, comparison, and the “zero-sum game” mindset in surgical culture
• Why high-achieving people struggle to play, relax, or exist without output
• The long-term effects of residency on identity, nervous system regulation, and self-worth
• The difference between loving medicine vs. loving the culture surrounding medicine
• How Frances Mei still carries residency habits into entrepreneurship and creative work, even a year after leaving clinical practice
• A recent study showing physicians are leaving medicine at younger ages than ever before

Through stories about migraines, video games, art, childhood conditioning, and even a neighborhood encounter with children playing outside, the conversation becomes a larger meditation on adulthood, performance, and what it means to reclaim joy after years of survival mode.

This episode is for physicians, trainees, and high-achieving professionals who feel trapped in cycles of overwork — and for anyone trying to learn that rest, creativity, and play do not need to be earned.

Host: Frances Mei Hardin, MD

Presented by: The Hippocratic Collective

Following Frances Mei on Instagram & Tiktok @francesmeimd

And subscribe to ⁨@HippocraticCollective⁩ on Youtube for all of the other shows the Hippocratic Collective has to offer.

This week on Surgeon, Interrupted, Frances Mei sits down with family physician and educator Dr. Joan Chan for a conversation about ambition, burnout, identity, and the myth of “having it all.”

Together, they unpack the pressure many physicians feel to optimize every area of life at once — career, relationships, creativity, wellness, leadership — and why that mindset so often leads to exhaustion and loss of self. Joan shares what she’s learning while helping build a new residency training site from the ground up, including the tension between preserving institutions and protecting the humans inside them.

The conversation explores medical education, agency, tradeoffs, focus, seasons of life, and the difference between suffering for something aligned versus suffering inside deep misalignment.

Topics include:

• Why “you can have it all” is incomplete advice
• The hidden cost of trying to do everything simultaneously
• Burnout in medicine and academic systems
• Building residency programs differently
• Institutional culture vs. human sustainability
• Creativity, fulfillment, and feeling “alive” again
• Why protecting people matters more than preserving systems

A thoughtful, funny, and deeply honest conversation about building a life intentionally — and what medicine gets wrong about success.

Host: Frances Mei Hardin, MD

Guest: Joan Chan, MD

Connect with Joan: https://www.hippocratic-collective.com/members/joan-chan-md

Presented by: The Hippocratic Collective

Follow Frances Mei on Instagram & Tiktok @francesmeimd

And subscribe to ⁨@HippocraticCollective⁩ on Youtube for all of the other shows the Hippocratic Collective has to offer.

One year after leaving the hospital, Frances Mei reflects on what actually changes when you step away from medicine, and what doesn’t.

After a month-long Europe trip spanning Cambridge, London, Copenhagen, Paris, Rome, Naples, and the Amalfi Coast, Frances and Colin unpack identity, burnout, healing, neurodivergence, perfectionism, and the uncomfortable reality of personal growth after medicine.

They talk about:

• Why “wellness” often isn’t enough for doctors
• The trap of outsourcing your rational brain
• Learning how to enjoy life again after survival mode
• Why high achievers struggle to dream outside of medicine
• How travel, art, museums, and creativity changed Frances Mei's life
• The surprising grief of realizing you actually can change
• Letting go of the version of yourself built entirely around achievement

This episode is about what happens when the career you sacrificed everything for is no longer the center of your life — and how difficult, disorienting, and beautiful rebuilding can be.

Host: Frances Mei Hardin, MD

Presented by: The Hippocratic Collective

Following Frances Mei on Instagram & Tiktok @francesmeimd

And subscribe to ⁨@HippocraticCollective⁩ on Youtube for all of the other shows the Hippocratic Collective has to offer.

What happens when life doesn’t wait for training to end?

In this episode of Surgeon, Interrupted, Frances Mei sits down with ENT surgeon Dr. Kelly Schmidt to talk about a reality rarely discussed in medicine: navigating fertility, miscarriage, and pregnancy during residency.

What begins as a straightforward plan to “just have a baby” quickly becomes something else—cycles that don’t work, loss that doesn’t pause training, and the disorienting experience of trying to solve a problem that effort alone can’t fix.

Kelly shares her story openly—from miscarrying while on call to continuing to work through grief, to eventually building a path forward with fertility treatment and advocacy.

This episode covers:

• Trying to conceive during residency
• Miscarriage while on call—and returning to work
• The emotional toll of infertility in high-achievers
• What actually helps (and what doesn’t) when supporting someone
• Navigating FMLA and time off during training
• How to advocate for yourself in a rigid system

If you’ve ever felt like medicine leaves no room for real life—this conversation is for you.

Host: Frances Mei Hardin, MD

Guest: Kelly Schmidt, MD

Connect with Kelly: @kschmidt93

Presented by: The Hippocratic Collective

Follow Frances Mei on Instagram & Tiktok @francesmeimd

And subscribe to ⁨@HippocraticCollective⁩ on Youtube for all of the other shows the Hippocratic Collective has to offer.

What if the moment that almost broke you… was the one that made everything possible?

In this episode of Surgeon, Interrupted, Frances sits down with cornea specialist Dr. Imane Tarib to unpack a journey that spans continents, identities, and nearly two decades of training.

From medical school in Morocco to starting over in the United States as an IMG, Imane shares what it actually takes to rebuild a career from scratch—learning a new system, navigating isolation, and studying for the USMLE for 18 months… only to fail.

But this isn’t a story about failure.

It’s about what happens after.

They talk about:

• The reality of being an IMG and immigrant in U.S. medicine
• The psychological impact of failure—and how to reframe it
• The hidden cost of “starting over” after already becoming a doctor
• Love, long distance, and choosing a life that wasn’t the original plan
• Why success often looks effortless—but never is

Imane’s story challenges the myth of the “straight path” in medicine—and replaces it with something more honest: persistence, reinvention, and the courage to keep going when nothing feels certain.

Because sometimes the long way is the only way.

And sometimes, it’s the right one.

Host: Frances Mei Hardin, MD

Guest: Imane Tarib, MD

Connect with Imane:

- Instagram: @imanetarib.md

- TikTok: @imanetarib.md

- LinkedIn: Imane Tarib, MD

- YouTube: @RealImaneTaribMD

Imane Tarib, MD, is a cornea, cataract, and refractive surgeon and Assistant Professor of Ophthalmology at the Wilmer Eye Institute at Johns Hopkins University. Imane is an International Medical Graduate from Morocco who trained at the Mohammed V Military Teaching Hospital in Rabat before completing three research fellowships and two advanced Cornea, External Disease, and Refractive Surgery fellowships at the University of Illinois at Chicago and the Bascom Palmer Eye Institute in Palm Beach Gardens.

Her academic focus includes corneal disease, refractive cataract surgery, and global ophthalmology. Her work also explores the intersection of medicine, mentorship, and advocacy for international medical graduates and women in medicine. Through her social media platforms, she shares insights into medical training, career growth, and building a meaningful life in and outside of medicine.

Presented by: The Hippocratic Collective

Follow Frances Mei on Instagram & Tiktok @francesmeimd

And subscribe to ⁨@HippocraticCollective⁩ on Youtube for all of the other shows the Hippocratic Collective has to offer.