Are you a woman surgeon who wants to retreat with us in Norway in August? Get on my calendar for an interview here.

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In this episode, Dr. Lauren Umstattd shares her journey through otolaryngology training, a painful facial plastics fellowship experience, and the difficult decision to leave a path that no longer aligned with her values. First drawn to ENT as a medical student by its breadth and clinical complexity, Lauren enjoyed the precision of endoscopic and microscopic surgery during residency but found herself emotionally weighed down by head and neck cancer care. A rotation in facial plastic surgery changed everything, offering her clarity, creativity, and a sense of elective choice that resonated deeply.

Fellowship, however, became one of the most difficult chapters of her training. Despite being a strong student, Lauren felt profoundly out of alignment with her fellowship director and increasingly isolated, questioning herself in ways she never had before. As the experience deteriorated, she began simultaneously building her future practice, ultimately making the terrifying decision to resign just ten months in, despite fears about certification and professional identity. Ultimately, she chose her hard.

Lauren goes on to describe building a facial plastic surgery practice rooted in trust, transparency, and psychological safety. She discusses leveraging social media, thinking like an entrepreneur, and learning to separate the certainty required in surgery from the experimentation required in business. Central to her work is reframing perfectionism and failure, setting honest expectations with patients, and acknowledging that neither surgeons nor outcomes are ever perfect.

This conversation explores what it means to design a life and practice on your own terms, build culture intentionally, and fall in love with the hard parts of the work. It’s a powerful reminder that sometimes the bravest move in surgery and life is choosing alignment over approval.

Dr. Lauren Umstattd is a facial plastic surgeon and entrepreneur known for her commitment to autonomy, ethical patient communication, and psychologically safe practice culture. She is passionate about building systems that support excellence without sacrificing humanity. Follow her on instagram here and TikTok here.

Dr. Kat Hudon shares her journey from enthusiastic learner to an employed physician slowly beaten down by a system designed to keep doctors exhausted, constrained, and disconnected from their creativity.

In this convo, we explore how medicine places an impossible mantle of perfection on physicians, why resilience is a finite resource, and how the system punishes anything that falls outside the narrow definition of “excellence.” Dr. Hudon reflects on moral injury, middle management challenges, the growing administrative bloat in healthcare, and how she realized she always had a choice.

This episode is about reclaiming agency through values, connection, collaboration, and the courage to design a life and practice that actually aligns with who you are.

1. Kat describes the arc many physicians experience: entering medicine as a high-achieving, enthusiastic learner and slowly realizing, “I thought this was going to be better.”
2. Residency forges some of her most meaningful, lifelong relationships—even as the system itself begins to erode joy and creativity.
3. As leadership changes in employed medicine, conditions often worsen rather than improve.

1. Medicine demands perfection while punishing anything less.
2. Resilience is not endless—it’s a bucket that must be actively filled and resourced.
3. The dream of post-training life rarely matches reality; the clinical work is often the easiest part of the job.

1. Five years ago, Kat witnessed a dramatic rise in loneliness and anxiety among children without adequate training, resources, or systems to support them.
2. The moral injury of feeling like she was causing harm simply by working within a broken system shook her willingness to participate in it.
3. Healthcare has become an industry of industries, bloated by layers of administration and confusion designed to perpetuate itself.

1. Insurance companies dictate care decisions, limiting physician autonomy and patient-centered care.
2. If given a magic wand, Kat would eliminate the outsized power insurance holds over medical decision-making
3. The growing number—and salaries—of administrators contrasts sharply with the lived experience of clinicians.

1. Disillusionment with healthcare helped catalyze Kat’s move toward building a direct care clinic focused on longevity and age management.
2. Starting a business required clarity around core values and identity.
3. Physicians have highly transferable skills and more freedom than they are often led to believe.

1. One of medicine’s most powerful skills: building trust within minutes.
2. Relating well to patients—rather than using fear or authority—creates better outcomes.
3. Kat shares how relationship-centered conversations led to a 95% success rate with vitamin K acceptance, compared to 10% when scare tactics were used.

1. Kat describes her current practice model, including hour-long initial consultations followed by a membership structure.
2. Diversifying income streams and designing life intentionally creates capacity for empathy, connection, and meaningful discourse, even in challenging conversations.

1. Drawing on David Brooks’ concept of The Second Mountain, Kat reflects on moving from achievement-driven success to purpose, service, and community.

Kat offers practical first steps for physicians who feel trapped:

1. Pause and reflect: Identify what’s working and what isn’t. This isn’t quitting; it’s pruning.
2. Assess probability: What are the chances you’ll be happy if you stay? What are the chances you’d be happy doing something else?
3. Remember: You always have a choice.

Dr. Kat Hudon isn’t just another voice in the crowd; she’s a dedicated advocate for a new era of medicine–one that values integrity over profit, compassion over convention, and authenticity over everything.

Her voice rises above the noise, guiding both practitioners and patients toward a more holistic, honest approach to healthcare. Because real medicine isn’t just about treatment; it’s about trust, and Dr. Hudon is here to redefine what it means to truly care. Dr. Hudon is on a mission to educate, inspire, and advocate for a system where patients and practitioners are empowered to pursue health and healing with more humanity.

Follow her on instagram here.

Join Empowered Surgeons Group here.

See you all in 2026!

Click here to join us in Empowered Surgeons group.

Check out my latest TEDx talk, "Seeing Beyond the Red Swans", here.

In this conversation, I’m joined by author and human performance expert Brad Stulberg to explore identity diversity, mastery, and what it really means to build a sustainable, meaningful career. We discuss the concept of the identity house, what it means to feel one's way to skill attunement, core values, process vs product, and how presence and flow are at the heart of mastery.

This episode is especially relevant for surgeons and high-achievers who have poured everything into one role and are wondering how to prevent burnout without giving up ambition.

1. The idea that we all live in an identity house with multiple rooms (e.g., surgeon, parent, artist, athlete, writer)
2. Why having multiple rooms matters: if one room floods or burns down, the entire house doesn’t collapse
3. Not all identity rooms are the same size, and we don’t need to spend equal time in each
4. You can spend most of your day in one “room”—the key is not letting the others get moldy
5. The concept of minimum effective dosing for neglected parts of identity
6. Why it’s never too late to renovate your identity home, even if you’ve lived only in the “surgeon room” for years

1. Why defining core values is the first step in preventing burnout and moral injury
2. Research-backed values associated with long-term well-being: Autonomy, mastery, belonging
3. Two distinct types of burnout:

1. The danger of optimizing for a “successful week” instead of a successful career
2. How ego convinces us we’re more indispensable than we are
3. The liberating truth: the world keeps turning without us

1. “Feeling our way to excellence” and how it intersects with see one, do one, teach one
2. The universal mastery trajectory:
3. Simple → Complex → Simple
4. Why what looks “simple” is actually hundreds of unconscious micro-steps
5. The four stages of competence:: unconscious incompetence, conscious incompetence, conscious competence, unconscious competence (the apex of excellence)
6. Why many high-achievers get stuck in conscious competence (or try to skip steps)
7. Presence, intimacy with craft, and why the best moments (like a first kiss) are thoughtless

1. Seeing your work as a craft, not just a job
2. Identifying the right goals without obsessing over them
3. The danger of outcome fixation
4. Why process is what sustains excellence over time

1. The nuance of “going all in” without “going all the time”
2. Stimulus + rest = recovery
3. How intensity and joy are not opposites, but partners

Join Empowered Surgeons Group here.

Find Brad Stulberg and his incredible books here.

Trauma is more common than we think, especially in high-stakes professions like surgery. In this episode, I define trauma, PTSD, and post-traumatic growth and explore how these experiences can show up in the body, the nervous system, and everyday life.

Drawing from my own experience with complex PTSD and panic attacks, I walk you through a practical, humane process for moving through trauma rather than around it. This isn’t about fixing yourself or returning to who you were before. It’s about learning how to metabolize difficult experiences and create something meaningful from them.

If you need support, you can get on my calendar for a free consult here.

Join us in Empowered Surgeons Group here.

Join Empowered Surgeons here.

Book a free consult with me here.

And if you're here for the free content, amazing! My next masterclass + open coaching is on December 14th at 10 am EST. Sign up for "5 Ways Surgeons Fail" here.

In this episode, I break down what coaching is. Not the corporate wellness version, but the real, practical, life-changing version that surgeons and high-stakes professionals actually need.

Coaching, as I define it, is choosing thoughts that generate feelings that empower you to create results you truly desire. It's the antidote to the soul-crushing grind of modern healthcare, moral injury, the day-to-day depletion, and the feeling that you’re running out of capacity while the system demands more.

It’s also the only part of this profession that you can truly control.

We start by identifying what you yearn for (your will), then reconnecting with your power, the internal clarity, agency, and authority that have been buried under years of training, cultural conditioning, and systemic pressure. Then we learn how to wield that power with intention and compassion. In this way, one moment at a time - little by little - your impact and your world expands. Instead of stagnating and staying small, you show up big. You create big things.

I know it works because I've done it.

If you’ve ever wondered what coaching actually is (and isn’t), why it works, or whether it’s worth your time, this episode is your starting point.

⚠️ SENSITIVE CONTENT WARNING

This episode discusses suicide, which may be distressing for some listeners. If this subject is triggering for you, please consider skipping this episode. If you choose to listen, do so gently and take good care of yourself. If you’re feeling hopeless or suicidal, please reach out for support. You can call the Suicide & Crisis Lifeline at 988 or click here for additional resources.

Dr. Michelle Chestovich is a family medicine physician, physician coach, and the host of the Remind Yourself podcast—soon to be renamed Stress Rx. She is also the sister of Dr. Gretchen Butler, a brilliant, beloved human and radiologist who died by suicide on March 5, 2021.

Michelle’s story mirrors the quiet struggle many physicians face. She found herself living a life she didn’t quite sign up for, balancing the demands of medicine with a shifting sense of identity after becoming a mother. Coaching became her pathway back to clarity, alignment, and truth.

Her sister, Gretchen, faced the impossible convergence of pressures, expectations, and circumstances that contribute to the staggering statistic of 300–400 physician suicides each year.

This episode is a tender, honest conversation about grief, the hidden burdens physicians carry, the systemic failures that harm our colleagues, and the transformative power of recognizing our own humanness.

Get a lifetime of support in Empowered Surgeons Group here.

Learn more about Dr. Michelle Chestovich and how she can help you here.

*********SENSITIVE TOPIC WARNING*******************

This episode discusses substance abuse and suicide. Please listen carefully.

In this powerful and deeply honest conversation, Dr. Courtney McKeown shares the story she was once told would be “career suicide”—a story of mental health crisis, addiction, recovery, and the hard-won journey back to her authentic self.

She reflects on the research-year psychotic break that led to hospitalization, the healing support of an extraordinary program director, and her rise into a prestigious hepatobiliary fellowship at the Cleveland Clinic. But even at the top, her body kept signaling what she now sees clearly: her life was misaligned, fueled by external validation and hidden coping mechanisms.

When routine monitoring uncovered her secret drinking, she was thrust into the harsh reality of how the medical system treats physicians in distress—often punitively, fearfully, and without nuance. She describes how the state of Ohio’s approach pushed her to rock bottom, how a trusted psychiatrist saved her life, and how the state of Massachusetts’ more compassionate physician health program ultimately helped her rebuild it.

Courtney has been sober since March 2021. She chose to share her story publicly, despite warnings it would end her career. Instead, the opposite happened. A closed credentialing door redirected her to a new opportunity—now serving as Chief of Surgery in a community where she is supported, aligned, and deeply fulfilled.

Her journey highlights both truths: yes, institutions can weaponize oversight against physicians who don’t “fit,” and our ultimate success cannot be dictated by anything outside of us. Alignment, authenticity, and courage are powerful forces.

Today, she is living her best life: thriving in private practice, leading a department, and connecting with her patients more meaningfully than ever.

• The research-year crisis: stimulants, psychosis, and hospitalization
• The power of a supportive program director and the road back to residency
• The dream fellowship that wasn’t aligned, and how her body told the truth
• Addiction, secrecy, and the moment she was “caught”
• How states differ dramatically in supporting (or punishing) physicians in distress
• The paradox of safety expectations: punished for depression, allowed to operate without sleep
• The credentialing roadblock that redirected her to the role she was meant for
• Two truths: systemic weaponization and internal sovereignty
• Sobriety since March 2021 and what real recovery looks like
• Living in alignment: joy, leadership, community practice, connection with patients

Find Courtney on instagram here.

Watch her story on CBS morning news here.

Join Empowered Surgeons here.

Trauma surgeon and healthcare leader Dr. Scott Ellner joins me to talk about the moments that reshaped his life and career, from witnessing a beachside intubation at age 21 to navigating one of the lowest points of his surgical practice. We explore complications, shame, psychological safety in the OR, and why compassion and emotional intelligence are essential (not optional) in surgery.

Scott shares the retained foreign body case that transformed his approach to leadership, the danger of tense OR energy, and the difference between title-based authority and referent power. We also discuss the failure of punitive peer review, the legacy of Ernest Codman, and what it really takes for surgeons to regain confidence after early-career mistakes.

We each open up about panic attacks—mine recently in the OR, his in medical school—and talk about vulnerability, preparation, and staying ahead of fear. Scott also previews his upcoming book, Wipe Out Rise Up, a blend of surgical stories and lessons from surfing on resilience, perseverance, and facing storms head-on.

Find Scott and his book here.

Listen to his TEDx talk "Lessons from Surgery and Grey's Anatomy" here.

Join Empowered Surgeons Group here.

Get the pre-or mindset checklist here.

Join us in Empowered Surgeons Group here.

Anxiety can be transformed into resilience and courage, but only when we move toward it, not away from it.

Anxiety is the life-saving fear response misapplied to the imagination.

By definition, anxiety is a lie.

What we fear—killing the patient, facing a lawsuit, losing our reputation, losing everything—is not actually happening in real time.

Fear is intuitive, primitive, and immediately actionable. It comes in a wave, then recedes.

Anxiety, on the other hand, never relents.

• Fight
• Flight
• Freeze
• Fawn
• Flop

When we close a loop with fight or flight, our brain registers safety and completion.

But when we respond with freeze, fawn, or flop, the event can encode as trauma.

That’s why exercising healthy fight—asserting boundaries instead of people-pleasing—is essential.

In the hierarchical culture of surgical training, this can be especially hard to do.

Notice the thoughts your brain offers, often disguised as innocent questions:

Instead of accepting that thought as truth, offer the opposite:

Then, shift into a mental state that serves you. I like to remind myself:

Finally, create a short ritual, like visualizing the entire case from start to finish at the scrub sink.

When anxiety hits—bleeding, getting lost in a dissection, uncertainty—let the physiologic surge pass through your system for 90 seconds.

Do not believe the story your brain tells you during those 90 seconds.

Once the wave subsides, find certainty:

Then move from known to unknown with curiosity and creativity.

Download your thoughts.

Speak them into a voice memo or write them down unedited, unfiltered, stream-of-consciousness.

Getting it out of your head helps you process, release, and reset for the next case.

Key takeaway:

Anxiety isn’t the enemy; it’s an invitation.

When you learn to meet it directly, you transform it into the fuel for courage, clarity, and growth.