Afleveringen
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Summary
The latest BOSS podcast discusses the importance of effective medical billing practices for private practices. Dr. Heather Signorelli, a pathologist and founder of Nat Rev MD, shares her insights and recommendations based on her experience working with over 20 practices. The key topics covered include:
Eligibility verification: Ensuring patient insurance eligibility is verified upfront to prevent denials and revenue loss. This is identified as the top issue impacting revenue for many practices.Monitoring billing metrics: Tracking key metrics like denials and accounts receivable aging to identify areas for improvement and prioritize focus areas. Metrics provide visibility into billing process effectiveness.Managing accounts receivable: Staying on top of outstanding payments owed to the practice, with a focus on addressing older claims promptly to avoid timely filing issues and revenue leakage.Dr. Signorelli emphasizes the importance of having a high-level view of the billing process, effective communication between the practice and billing team, and establishing robust workflows and audits. She also discusses her new book 'Thrive' which outlines the top 10 areas for boosting practice revenue, as well as the medical billing course and full-service billing services offered by Nat Rev MD.
Chapters
Introduction and Background
Dr. Heather Signorelli, a pathologist and founder of Nat Rev MD, is introduced as an expert in helping private practices understand business principles. The discussion focuses on her new book 'Thrive' and the top three things private practices should be doing to optimize and improve revenue.
Importance of Eligibility Verification
Eligibility verification is identified as the top issue impacting revenue for many practices. Ensuring patient insurance eligibility is verified upfront, including capturing accurate information and following up on any failures, is crucial to prevent denials and revenue loss. Dr. Signorelli emphasizes the need for a robust eligibility process and communication between the front office and billing team.
Monitoring Billing Metrics
Tracking key billing metrics like denials and accounts receivable aging is essential for identifying areas for improvement and prioritizing focus areas. Dr. Signorelli recommends starting with these two metrics and gradually adding more over time. Monitoring metrics provides visibility into the effectiveness of the billing process and helps practices target specific issues.
Managing Accounts Receivable
Staying on top of outstanding payments owed to the practice, known as accounts receivable, is critical. Older claims become increasingly difficult to collect, so addressing them promptly is important to avoid timely filing issues and revenue leakage. Dr. Signorelli recommends monitoring accounts receivable aging reports and working closely with the billing team to resolve any issues.
Importance of Communication and Workflows
Effective communication between the practice and billing team, as well as robust workflows and audits, are emphasized as essential for a successful billing process. Dr. Signorelli stresses the need for a high-level view of the billing process, identifying operational issues, and implementing improvements. Clear processes and regular audits help ensure no claims or revenue are missed.
Resources and Services Offered by Nat Rev MD
Dr. Signorelli discusses her new book 'Thrive' which outlines the top 10 areas for boosting practice revenue, as well as the medical billing course offered by Nat Rev MD. The course provides education, policies, and procedures for front office staff and billing teams. Additionally, Nat Rev MD offers full-service medical billing and coding services for practices, handling claim submissions, denials management, and accounts receivable.
Action Items
Implement a robust eligibility verification process, ensuring accurate patient information is captured and any failures are promptly addressed before providing services.Start monitoring key billing metrics like denials and accounts receivable aging to identify areas for improvement and prioritize focus areas.Regularly review accounts receivable aging reports and work closely with the billing team to address older claims and resolve any issues promptly.Establish clear workflows and communication channels between the practice and billing team to ensure no claims or revenue are missed.Conduct regular audits to verify the accuracy and completeness of the billing process, identifying and addressing any gaps or issues.Consider utilizing resources like Dr. Signorelli's book 'Thrive' and the medical billing course offered by Nat Rev MD to improve billing practices and revenue optimization.Evaluate the potential benefits of outsourcing medical billing and coding to a full-service provider like Nat Rev MD to streamline the process and leverage their expertise.
Find the book here: https://amzn.to/3TFZDw6
(affiliate link: As an Amazon Associate, I earn commission from qualifying purchases)
Find her course and billing company here:
https://Natrevmd.com
NOT an affiliate link, I do not earn commission
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Find out more about the 90 Day Notice program here
Show Notes:
In this episode, we dive into a group coaching session centered around job transitions and the '90 Day Notice' program offered by Amy and Amanda. This session is packed with practical advice for professionals, especially doctors, who are contemplating or undergoing a job change.
Chapters:
Introduction and Overview
Amy welcomes listeners to the group coaching session, setting the stage for an open discussion about job transitions. She introduces the '90 Day Notice' program and outlines the session's purpose.Limiting Thoughts and Negative Emotions
Amy addresses common limiting beliefs that can impede job changes, such as worries about reputation and financial stability. Amanda shares insights on managing emotions like anger and hurt, and how to redirect these feelings constructively.The '90 Day Notice' Program
Amy provides a detailed overview of the '90 Day Notice' program, including its components: online lessons, live calls, a roadmap, and resources. The program covers everything from assessing your current situation to preparing for exit interviews.Negotiation Tactics and Leverage
Amanda discusses the importance of understanding your leverage in negotiations. She advises against making demands and instead focuses on showcasing your value and understanding market rates. Amy and Amanda explore communication strategies like curiosity, tactical empathy, and storytelling to aid successful negotiations.Leaving a Job and Setting Oneself Up for Success
The coaches offer guidance on leaving a job professionally, avoiding common pitfalls like burning bridges or airing grievances. They stress the importance of maintaining a forward-focused mindset and preparing for success in a new role by addressing limiting beliefs and fostering positive relationships.Action Items:
Explore the idea of leaving your job to understand the associated thoughts and feelings.Challenge limiting beliefs about job transitions, such as concerns about reputation or finances.Constructively process and manage negative emotions related to job changes.Understand and communicate your leverage during negotiations by focusing on your value and market rates.Use effective communication strategies, including curiosity and empathy, to maintain positive relationships during negotiations.Stay professional and focus on the future when leaving a job, avoiding emotional outbursts.Seek support to address and process negative experiences from past roles.Set clear expectations and build positive relationships in your new job to ensure success.Tune in to gain valuable insights and strategies to navigate job transitions with confidence and professionalism!
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Zijn er afleveringen die ontbreken?
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The latest BOSS podcase features Dr. Sangeetha Kolluri, a breast surgeon in Austin, Texas. She shares her journey from an employed physician dealing with billing and administrative headaches to founding her own solo breast surgery practice by navigating non-compete clauses, and advocating for better patient care.
She also used her innovation and desire to help others to create an inclusive community for breastfeeding physicians.
Dr. Kolluri’s insights on understanding the full cycle of work, billing, and advocating for change are invaluable for any physician considering a similar path. Tune in to learn how you can challenge the status quo and take control of your medical career!
https://wildflowerbreast.com
Facebook group:Inclusive Breastfeeding Doctor Group
#PhysicianAdvocacy #BreastSurgery #MedicalEntrepreneur #BreastfeedingSupport
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Summary
This article discusses how to deal with professional disappointment in one's career. The speaker, a surgeon and coach, shares personal experiences and insights on navigating situations where expectations are unmet, work is unappreciated, or processes are biased. Key points include understanding the stages of disappointment, recognizing committee dynamics and biases, managing negative emotions, venting to trusted sources, avoiding victim mentality, focusing on the present moment, re-evaluating priorities and relationships, and finding renewed motivation. The speaker emphasizes the importance of processing pain healthily, letting go of what cannot be controlled, and remembering one's purpose.
Chapters
Introduction
The speaker introduces the topic of dealing with professional disappointment, acknowledging that everyone will face such situations in their career. As a surgeon and coach, the speaker aims to share insights and techniques for processing disappointment based on personal experiences.
Understanding Professional Disappointment
Professional disappointment often stems from unmet expectations, such as feeling underappreciated, mistrusted, or subjected to unfair processes. It can lead to stages like feeling stunned, frustrated, and even betrayed, especially when excluded from discussions or facing biases.
Challenges with Committees
Committees can be breeding grounds for biases, confirmation bias, stereotypes, group dynamics, emotional manipulation, and outdated thinking. Information can be framed in a way that poisons the well, and it's rare for everyone to review all details, leading to potential rubber-stamping.
Responding to Disappointment
When facing disappointment, one can choose to accept the outcome and process the pain or try to fight it. Gathering allies and explaining the situation can backfire if it involves too much commitment from others. Bringing in outside authorities or lawyers may also escalate the situation.
Avoiding Victim and Villain Mentality
It's important to avoid falling into a victim mentality, as it can lead to a lack of power and create villains who may turn the tables. Effective negotiation techniques involve seeing both sides and finding common ground, which can be difficult when feeling angry or betrayed.
Processing Negative Emotions
The speaker advises letting oneself feel negative emotions like grief, sadness, and betrayal, but not acting on them. Venting to trusted sources can be helpful, but it's important to understand that others may not always hear or support one's situation. Avoiding certain people or relationships may be necessary.
Living in the Present
Dwelling on the past or worrying about the future robs one of the present moment. It's important to focus on what can be controlled in the present and choose the feelings one wants to have, rather than drinking poison and hoping others suffer.
Re-evaluating Priorities and Relationships
Professional disappointment can be an opportunity to re-evaluate priorities, values, and relationships. It may be freeing to realize that others do not owe anything, and one can choose to drop obligations or activities that are not truly meaningful. Building new circles or finding a different job may be necessary.
Finding Renewed Motivation
Situations like these can help identify what is worth fighting for and what aligns with one's values and priorities. Dropping everything and then re-choosing what to pick up can lead to renewed motivation and a focus on what truly matters.
Conclusion
The speaker emphasizes the importance of remembering one's purpose, finding inspiration in those around them, and accepting that there are things in life that cannot be controlled. Professional disappointment can be a valuable lesson in personal growth and evolution.
Action Items
Understand the stages of professional disappointment, such as feeling stunned, frustrated, and betrayed.Recognize the potential biases, group dynamics, and emotional manipulation that can occur in committees.Consider venting to trusted sources as a way to express negative emotions, but don't expect them to take action.Avoid falling into a victim mentality and creating villains, as it can lead to a lack of power and escalate the situation.Focus on the present moment and choose the feelings you want to have, rather than dwelling on the past or worrying about the future.Re-evaluate your priorities, values, and relationships, and be willing to drop obligations or activities that are not truly meaningful.Identify what is worth fighting for and what aligns with your values and priorities.Find renewed motivation by re-choosing what to engage with and what truly matters to you.Remember your purpose and find inspiration in those around you, accepting that there are things in life that cannot be controlled.Use professional disappointment as an opportunity for personal growth and evolution. -
Summary
The meeting record transcript covers a comprehensive discussion on effective planning and time management strategies tailored for busy professionals, particularly surgeons. The speaker shares personal experiences, insights, and practical tips on various aspects of planning, including the importance of dedicated growth days, consolidating tasks and information in one place, utilizing planners and journals, managing emails, delegating tasks, and minimizing drama. The key takeaways emphasize the significance of being proactive, prioritizing self-care, and adopting a mindset of being the leader and creator of one's life rather than a mere reactor. The speaker also highlights the value of self-reflection, goal-setting, and aligning daily actions with long-term aspirations.
Chapters
Introduction to Planning
The speaker introduces the topic of planning one's life, acknowledging its importance and the common challenges faced by busy professionals, particularly surgeons, in effectively managing their time and tasks. The speaker encourages self-reflection on the reasons for not planning effectively and shares personal experiences and insights.
The Importance of Growth Days
The speaker emphasizes the critical role of dedicated growth days, which are days off from work, to allow for rest, rejuvenation, and creative thinking. The speaker suggests scheduling two growth days per month and treating them as non-negotiable appointments with oneself.
Consolidating Tasks and Information
The speaker recommends consolidating all tasks, information, and paperwork in one central location, such as a designated box or folder. This approach helps maintain a clear overview of pending tasks and reduces the risk of forgetting or overlooking important items.
Utilizing Planners and Journals
The speaker discusses various planning tools and techniques, including the Bullet Journal, the Purpose Planner, and creating specialized pages for tracking goals, habits, and progress. The speaker emphasizes the importance of finding a system that aligns with one's personal preferences and strengths.
Email Management
The speaker provides strategies for effective email management, such as unsubscribing from unnecessary emails, creating folders for organization, and setting aside dedicated time for email processing. The goal is to minimize the time spent on email and reduce the potential for distraction.
Delegating Tasks
The speaker highlights the importance of delegating tasks to others, whether it's family members, colleagues, or hired assistants. Delegating effectively can free up valuable time and energy, allowing for better focus on priorities. The speaker also discusses common pitfalls in delegation and the need to develop effective delegation skills.
Minimizing Drama
The speaker emphasizes the significance of minimizing drama and unnecessary stress in one's life. Drama is often a result of overthinking, mind-reading, and engaging in unproductive thought patterns. The speaker encourages adopting a mindset of focusing on facts and avoiding unnecessary emotional turmoil.
Self-Reflection and Goal-Setting
The speaker discusses the value of self-reflection and goal-setting, suggesting monthly exercises to identify areas for improvement, set intentions, and align daily actions with long-term aspirations. The speaker also shares personal experiences and examples of how self-reflection can lead to positive changes and a more fulfilling life.
Action Items
Schedule two dedicated growth days per month, treating them as non-negotiable appointments with oneself.Consolidate all tasks, information, and paperwork in one central location, such as a designated box or folder.Find a planning system that aligns with personal preferences and strengths, whether it's the Bullet Journal, the Purpose Planner, or another tool.Implement effective email management strategies, such as unsubscribing from unnecessary emails, creating folders for organization, and setting aside dedicated time for email processing.Identify tasks that can be delegated to others, whether it's family members, colleagues, or hired assistants, and develop effective delegation skills.Adopt a mindset of minimizing drama and unnecessary stress by focusing on facts and avoiding unproductive thought patterns.Engage in monthly self-reflection exercises to identify areas for improvement, set intentions, and align daily actions with long-term aspirations. -
The latest BOSS podcast features Dr. Talar Tejirian, a general surgeon who suffered a cervical spinal injury that led to a permanent nerve injury in her dominant arm. She shares her experience of undergoing surgery for a disc herniation, initially having a positive outcome, but then experiencing worsening symptoms due to improper rehabilitation and being dismissed by medical professionals. After a long struggle, she finally received an accurate diagnosis of a nerve injury. This episode highlights her journey of trying various physical therapies and treatments to manage her condition, and her realization that surgeons often face similar physical challenges due to the demanding nature of their work. Dr. Tajirian emphasizes the importance of surgeons adopting an athlete-like approach, incorporating physical training and recovery into their routines to maintain their health and longevity in the profession. She has become an advocate for surgeon wellness and is working to raise awareness and provide resources through initiatives like the Surgeon Wellness Center at the International Hernia Collaboration meeting.
Register for the meeting here:
https://www.herniagroup.com/ihc-2024-mexico-mailing-list/
Read her article here:
https://www.generalsurgerynews.com/Opinion/Article/09-21/Surgery-Is-a-Contact-Sport/64653
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Free training with Dr. Niazi:
Leave Your Work at Work Wed, Aug 14th at 7pm CTRegister- Join his free training "Leave your work at work" here:
Leave Your Work at Work Wed, Aug 14th at 7pm CT Register here: www.leaveyourworkatwork.com
- Join his "Charting Conquered" at this affiliate link here:
https://www.chartingconquered.com/a/2147915367/poAV3ngMSummary
The BOSS podcast this week discusses the potential of AI in assisting with medical note-taking and documentation. Dr. Junaid Niazi, an expert in time management for physicians, shares his insights on the current state of AI-powered scribing tools and their limitations. He highlights that while AI can be helpful in capturing patient histories and chief complaints, it still struggles with interpreting and organizing information coherently. AI may also hallucinate or make up information, requiring careful proofreading. Niazi emphasizes that AI alone cannot solve the deeper mindset issues like perfectionism and imposter syndrome that lead to excessive note-taking. He suggests that physicians need to restructure their workflows to fully utilize AI's benefits. Dr. Niazi offers a program called 'Charting Conquered' to help physicians reclaim their time and achieve a better work-life balance through mindset coaching and practical strategies for efficient note-taking and message management.
Chapters
Introduction to AI in Medical Note-Taking
The article introduces the topic of AI's potential in assisting with medical note-taking, a task that many physicians find burdensome. Dr. Genaid Niazi, an expert in helping physicians reclaim their time through efficient note-taking, is interviewed to share his insights on this topic.
Current State of AI-Powered Scribing Tools
Niazi explains that the advent of large language models like ChatGPT has enabled virtual scribe companies to offer AI-powered transcription services at lower costs. These AI tools can interface with electronic health records (EHRs) and transcribe dictations directly into patient charts. However, Niazi notes that some tools still require copy-pasting, which he finds less desirable. AI is also being used for tasks like message triage and generating initial responses to patient messages.
Limitations of AI in Note-Taking
While AI can be useful for capturing patient histories and chief complaints, Niazi points out several limitations. AI struggles with organizing information coherently, interpreting data, and generating coherent assessment and plan sections. It may also hallucinate or make up information, requiring careful proofreading. Additionally, AI cannot replace the human touch and interpersonal aspects of the physician-patient relationship.
Mindset Issues and Workflow Restructuring
Niazi emphasizes that AI alone cannot solve deeper mindset issues like perfectionism and imposter syndrome that lead to excessive note-taking. Physicians need to restructure their workflows to fully utilize AI's benefits. For example, Niazi may not use AI for physical exams where he already has a streamlined process. He also suggests that physicians need to trust themselves more and find a balance between thoroughness and efficiency.
Charting Conquered Program
Niazi offers a program called 'Charting Conquered' to help physicians reclaim their time and achieve a better work-life balance. The program includes a course on mindset and practical strategies for efficient note-taking and message management, as well as group coaching sessions and co-working sessions for accountability.
Action Items
Restructure workflows to fully utilize the benefits of AI in note-taking and documentationCarefully proofread AI-generated notes and be aware of potential hallucinations or made-up informationAddress mindset issues like perfectionism and imposter syndrome that contribute to excessive note-takingFind a balance between thoroughness and efficiency in note-taking to avoid missing important informationConsider participating in Niazi's 'Charting Conquered' program for mindset coaching and practical strategies for efficient note-taking and message management -
Are you a general surgeon and want to work with me? Send me your CV and cell at [email protected]
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Summary
This BOSS episode featuring Dr. Kara Pepper, a primary care physician who discusses the topic of high-risk drinking and other forms of escapism that healthcare professionals engage in due to the demanding nature of their jobs. Dr. Pepper shares her personal journey of leaving her successful hospital-owned practice to start her own solo private practice, where she now focuses on treating eating disorders and coaching other physicians. She emphasizes the importance of recognizing when work and coping mechanisms like alcohol become unsustainable and prioritizing self-care. Dr. Pepper provides insights on identifying high-risk drinking behaviors, taking breaks from alcohol, and seeking support from trusted individuals or professionals. The discussion also touches on the role of coaching, therapy, and social media communities in addressing issues like perfectionism, imposter syndrome, and career transitions in medicine.
Chapters
Introduction and Background
The host, Dr. Amy Vertrees, introduces the podcast episode and the guest, Dr. Kara Pepper. She explains that the episode will focus on the topic of high-risk drinking and other forms of escapism that healthcare professionals engage in due to the demanding nature of their jobs. Dr. Vertrees mentions that Dr. Pepper has started her own solo private practice and is helping others with this issue.
Dr. Kara Pepper's Journey
Dr. Kara Pepper shares her background as a former ballet dancer who brought perfectionism and workaholism into medicine. She discusses her experiences with burnout and her decision to leave her successful hospital-owned multi-specialty practice to start her own solo practice. Dr. Pepper now focuses on treating eating disorders and coaching other physicians. She emphasizes the importance of recognizing when work and coping mechanisms like alcohol become unsustainable and prioritizing self-care.
Identifying High-Risk Drinking Behaviors
Dr. Pepper explains the concept of high-risk drinking, which is a spectrum of behaviors before reaching the diagnosis of alcohol use disorder. She discusses the signs and behaviors to look out for, such as feeling the need to control or manage one's drinking, experiencing blackouts, and spending brain space worrying about drinking. Dr. Pepper shares her personal experience with high-risk drinking during the COVID-19 pandemic and the importance of recognizing when drinking becomes a problem.
Taking a Break from Alcohol
Dr. Pepper suggests taking a break from alcohol for a period, such as four weeks, to observe the impact on one's body, mood, sleep, and relationships. She emphasizes that this can provide valuable information about the role alcohol plays in one's life and whether it is causing problems. Dr. Pepper also recommends educating oneself about the effects of alcohol on the body and seeking support from trusted individuals or professionals if needed.
The Role of Coaching and Therapy
The discussion explores the benefits of coaching and therapy in addressing issues like perfectionism, imposter syndrome, and career transitions in medicine. Dr. Pepper highlights the synergy between coaching and therapy, with coaching focusing on mindset shifts, goal-setting, and career changes, while therapy addresses trauma and deeper psychological issues. She emphasizes the importance of seeking support and utilizing these resources to find a sustainable and fulfilling career in medicine.
Social Media and Support Communities
Dr. Pepper mentions the growing sober curious and sobriety communities on social media, particularly for women physicians who have given up drinking. She highlights the power of these communities in normalizing a life without alcohol and providing support and encouragement for those seeking change.
Action Items
Recognize when work and coping mechanisms like alcohol become unsustainable and prioritize self-careIdentify high-risk drinking behaviors, such as feeling the need to control or manage one's drinking, experiencing blackouts, and spending brain space worrying about drinkingTake a break from alcohol for a period, such as four weeks, to observe the impact on one's body, mood, sleep, and relationshipsEducate oneself about the effects of alcohol on the bodySeek support from trusted individuals or professionals if struggling with high-risk drinking or alcohol use disorderConsider coaching and therapy as resources for addressing issues like perfectionism, imposter syndrome, and career transitions in medicineExplore social media communities and support groups for those seeking a sober lifestyle or addressing related issues
You can find Dr. Kara Pepper at https://www.karapeppermd.com -
Summary
This episode discusses a program called Better Together Physician Coaching, created by Dr. Adrienne Mann and Dr. Tyra Feinstad. The program aims to address burnout, imposter syndrome, and other well-being issues faced by medical professionals through group coaching sessions, self-study modules, and one-on-one coaching opportunities. The program is offered to entire populations within institutions or departments, with participants able to join confidentially. The founders share their personal experiences with burnout and how coaching transformed their lives, leading them to create Better Together. They conducted studies, including a randomized controlled trial with over 1,000 residents, which demonstrated significant improvements in burnout, imposter syndrome, and self-compassion scores among participants. The program is now available to medical students, residents, faculty, staff, and advanced practice providers across various institutions. The article highlights the program's accessibility, with institutions paying a fee of $100 per eligible MD/DO/AP and $60 per eligible trainee for a year of access. The founders aim to partner with institutions to drive cultural change and prioritize well-being investments. They also discuss the program's flexibility, allowing participants to engage in various ways, and the sense of community it fosters despite being virtual. Future plans include continuing to partner with institutions, conducting further research, and expanding the program's offerings.
Chapters
Introduction to Better Together Physician Coaching
The article introduces Dr. Adrienne Mann and Dr. Tyra Feinstad, the founders of Better Together Physician Coaching, a program aimed at addressing burnout, imposter syndrome, and other well-being issues faced by medical professionals. The program offers group coaching sessions, self-study modules, and one-on-one coaching opportunities.
Personal Experiences and MotivationDr. Mann and Dr. Feinstad share their personal experiences with burnout and how coaching transformed their lives, leading them to create Better Together. They discuss the challenges they faced, such as feeling disconnected from their roles and struggling with approval addiction, and how coaching helped them regain a sense of self and balance.
Program Structure and Accessibility
The article explains that Better Together is offered to entire populations within institutions or departments, with participants able to join confidentially. The program is accessible, with institutions paying a fee of $100 per eligible MD/DO/AP and $60 per eligible trainee for a year of access. The founders aim to make coaching affordable and available to the masses.
Research and Impact
The article discusses the research conducted by the founders, including a randomized controlled trial with over 1,000 residents. The study demonstrated significant improvements in burnout, imposter syndrome, and self-compassion scores among participants. The founders also mention ongoing research and plans to continue investigating the program's impact on various populations.
Institutional Partnerships and Cultural Change
The founders emphasize the importance of partnering with institutions to drive cultural change and prioritize well-being investments. They aim to engage with stakeholders at various levels, such as CMOs and deans, to promote understanding of the program's necessity and impact.
Program Flexibility and Community
The article highlights the program's flexibility, allowing participants to engage in various ways, such as group coaching calls, written coaching, self-study modules, and one-on-one sessions. Despite being virtual, the program fosters a sense of community among participants, which the founders believe is crucial for its success.
Future Plans and Expansion
The founders discuss their future plans for Better Together, including continuing to partner with institutions, conducting further research, and expanding the program's offerings. They aim to leverage the wealth of data and insights gathered from participants to inform the well-being sphere and drive positive change in the medical field.
Action Items
1. Reach out to Better Together Physician Coaching to inquire about partnering with the program for your institution or medical group
2. Consider implementing the Better Together Physician Coaching program to address burnout, imposter syndrome, and well-being issues among medical professionals within your organization
3. Explore opportunities to prioritize well-being investments and drive cultural change by engaging with stakeholders at various levels, such as CMOs and deans, to promote understanding of the program's necessity and impact
4. Encourage medical professionals within your organization to participate in the Better Together Physician Coaching program, as it offers a flexible and confidential approach to addressing well-being challenges through group coaching, self-study modules, and one-on-one coaching opportunities -
Summary
The latest BOSS podcast features Dr. Diana Londono, a urologist who has experienced burnout twice. We talked about burnout in the high achiever, and how these symptoms can look differently than it does in other people. Dr. Londono shares her personal experiences with burnout, highlighting the physical and emotional manifestations she encountered, such as weight loss, hair loss, insomnia, asthma, chest pain, and joint pain. She emphasizes the importance of recognizing burnout symptoms, which can vary from person to person, and seeking support through resources like coaching, therapy, or support groups.
Self-love, gratitude, and finding purpose are critical in combating burnout. Dr. Londonio discusses the Physician Coach Support Program she created, which offers free and confidential coaching sessions for physicians. We also talked about the Physician Support Line and Physician Anonymous.
The key takeaway is that burnout is a complex issue, especially in the high acheiver that requires a multifaceted approach, including self-care, mindset shifts, and seeking support from others.
Link to the episode in comments.Chapters
Introduction and Background
The podcast host introduces Dr. Diana Londonio, a urologist who has experienced burnout twice. They discuss the rarity of female urologists, especially Latinas, and Dr. Londonio's work in creating education and support programs for physicians.
Recognizing Burnout Symptoms
Dr. Londonio shares her personal experiences with burnout, highlighting the physical and emotional symptoms she encountered, such as weight loss, hair loss, insomnia, asthma, chest pain, and joint pain. She emphasizes the importance of recognizing burnout symptoms, which can manifest differently in different individuals, and seeking support.
The Role of Self-Love and Gratitude
Dr. Londonio discusses the importance of self-love, gratitude, and finding purpose in combating burnout. She emphasizes the power of words and the need to speak to oneself with love and kindness. She also highlights the significance of prioritizing self-care activities like exercise, healthy eating, and sleep.
Seeking Support and Resources
The conversation explores various resources available for physicians struggling with burnout, including coaching, therapy, and support groups. Dr. Londonio discusses the Physician Coach Support Program she created, which offers free and confidential coaching sessions for physicians. Other resources mentioned include the Physician Support Line and Physician Anonymous.
Finding Purpose and Remembering Why
Dr. Londonio emphasizes the importance of remembering the purpose and reasons behind choosing a career in medicine. She suggests that reconnecting with the initial motivations and finding joy in serving others can help combat burnout and restore a sense of fulfillment.
Action Items
Recognize and acknowledge burnout symptoms, which can manifest differently in different individuals, such as dread, cynicism, anger, loss of hope, or physical symptoms like weight loss, insomnia, or joint pain.Practice self-love and self-care activities like exercise, healthy eating, and prioritizing sleep.Seek support through resources like coaching, therapy, or support groups, such as the Physician Coach Support Program, Physician Support Line, or Physician Anonymous.Cultivate gratitude and find purpose in serving others, remembering the initial motivations for choosing a career in medicine.Learn to set boundaries and say 'no' when necessary to avoid overcommitment and overwhelm.Explore forgiveness, both for oneself and others, as a means of healing and letting go of emotional burdens. -
Do you know all that the American College of Surgeons membership has to offer?
The latest BOSS podcast features Dr. Michael Sutherland, the Director of Membership Services of the American College of Surgeons (ACS). He talks about all that the ACS has to offer.The ACS is the largest surgical organization in the world, representing over 92,000 members across 13 surgical specialties. Its mission is to safeguard the standards of surgical practice and elevate the quality of care through various programs, registries, and data-driven initiatives.
ACS membership includes access to discounted insurance programs, practice management resources, coding and reimbursement support, and personal financial management services. The ACS also plays a crucial role in advocacy and health policy, engaging with government agencies and insurance companies to shape policies that impact surgical practice.
Key recommendations are:
1. Explore the ACS website (facs.org) and update your member dashboard to ensure your profile information is accurate and tailored to your surgical specialty and interests.
2. Bookmark and utilize the Surgical Risk Health Calculator available on the ACS website to facilitate informed discussions with patients about potential surgical outcomes based on real data.
3. Attend the annual Clinical Congress event to access cutting-edge education, vendor exhibits, surgical simulations, and networking opportunities with peers from around the world.
4. Investigate the various ACS podcasts, including 'House of Surgery,' 'Surgical Readings from SRGS,' and 'The Operative Word,' to stay updated on surgical topics and research.
5. Reach out to the ACS Member Services team ([email protected]) for assistance in finding resources or exploring opportunities to get involved with the organization.
6. Encourage medical students, residents, and younger surgeons to join the ACS and take advantage of the free membership during residency to experience the value proposition and resources available. -
Summary
What happens if life gets in the way and you want to take a break from surgery. Dr. Zakhireh shares her experience of taking a clinical gap from her surgical practice for several years to care for her three young daughters, and her subsequent journey to re-enter her practice.
There were challenges and doubts she faced from her peers. She felt isolated, but also determined to make it work. Her determination helped her to return to her passion despite the lack of a clear pathway. She shares the strategies she employed, such as maintaining her medical knowledge, collaborating with an open-minded credentialing committee, and designing an individualized re-entry plan. She emphasizes the importance of self-compassion, relying on her core values, and having a supportive village during the process. Her experience highlights the need for more open-mindedness and empowerment within the surgical community to accommodate life events and prevent the loss of talented surgeons.
Suggestions if you want to take a gap from operating:
1. Maintain non-clinical obligations and medical knowledge during a clinical gap to ensure readiness for re-entry.
2. Collaborate with hospital credentialing committees and design an individualized re-entry plan that can be modified based on progress.
3. Work closely with mentors and colleagues to proctor cases and assess competency during the re-entry process.
4. Monitor outcomes, complication rates, and return to surgery rates, and remain open to peer assessment and feedback.
5. Speak kindly to oneself and trust one's judgment during the re-entry process, while also being open to seeking help when needed.
6. Explore all options, such as part-time work or reduced hours, before taking a significant clinical gap, if possible.
7. Rely on core values, life mission, and a supportive village to navigate the challenges and uncertainties of a clinical gap and re-entry. -
If you had a strategy that would make it more likely to achieve your dreams, would you look more into it?
Fatigue is killing our dreams.
If we are not taking breaks and recharging, it's difficult to tap into the creative energy we have. The appreciation for our job and for our life. We have common thought patterns and behaviors that contribute to overworking, like the fear of being perceived as lazy or not doing enough.
Prioritize self-care, create boundaries, and take growth days to prevent burnout are essential key strategies for helping us achieve our dreams. Without rest, we may fall into worsening depression (sometimes difficult to identify in the high achiever) and imposter syndrome. We must value our well-being and make time for rest and rejuvenation to sustain our careers and achieve our greatest aspirations.
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Happy BOSS MD book anniversary!
"Become the BOSS MD: Success Beyond Residency" came out 14 Jun 2023!
I can't believe it's been a year. I wanted to do something special.
I have been asked if there was an audiobook. Well, there was supposed to be one.
It was my first lesson in the for profit business world- not all companies can be trusted. Not even the expensive, over the top popular ones. When the company I paid to have my audiobook put together went bankrupt a year ago, they took my money and audiobook with them.
I didn’t really want to drop a few more thousand dollars on it, and I haven't had time to record in a studio.
But if you know me- there is a powerful and positive reframe in this- And you all benefit!
It was always meant to be this way. I didn't see it then, but I see it now.
I am recording it on a private podcast- and you all are getting it for FREE.
This latest episode of the BOSS podcast is the Intro and Chapter one. It's not in a studio. It's not fancy. It's just me giving you the lessons I needed after residency.
I don’t want you to mindlessly listen to it- I want you to apply these lessons. Share this episode with a friend- and get to work!
Head to BOSSsurgery.com to sign up for the private podcast with the full audiobook. -
Summary
This transcript is an interview with Dr. Cornelia Griggs, a pediatric surgeon and author of the book 'The Sky Was Falling: A Young Surgeon's Story of Bravery, Survival, and Hope'. The interview discusses her experiences working on the frontlines during the COVID-19 pandemic in New York City. Dr. Griggs shares her perspective on the challenges faced by healthcare workers, including the risk of contracting the virus, moral dilemmas, and the strain on the healthcare system. She highlights the disproportionate impact of COVID-19 on vulnerable communities and the need for systemic changes to address health disparities. The discussion also touches on the corporatization of healthcare, the erosion of trust in medical institutions, and the importance of empathy and effective communication in patient care. Additionally, Dr. Griggs reflects on the challenges of balancing her career as a surgeon with motherhood and the societal pressures faced by working mothers. The interview provides insights into the personal and professional experiences of healthcare workers during the pandemic and raises important questions about the state of the healthcare system and the well-being of medical professionals.
Chapters
Introduction and Background
The interview begins with an introduction to Dr. Cornelia Griggs, a pediatric surgeon and author of the book 'The Sky Was Falling: A Young Surgeon's Story of Bravery, Survival, and Hope'. The book captures her experiences working on the frontlines during the COVID-19 pandemic in New York City. The interviewer highlights the importance of revisiting and processing the events of the pandemic, despite the desire to move on.
Experiences on the Frontlines
Dr. Griggs shares her experiences working during the first wave of the COVID-19 pandemic in New York City. She describes the sense of risk and uncertainty, with colleagues becoming ill and the lack of clear guidelines on transmission and protective measures. She compares the experience to being on a battlefield, risking her life in service of her patients. Dr. Griggs also discusses the emotional toll of being separated from her young children during this time.
Balancing Career and Motherhood
The discussion shifts to the challenges of balancing a demanding career as a surgeon with motherhood. Dr. Griggs reflects on the societal pressures and criticism faced by working mothers, and her decision to prioritize her career during the pandemic. She emphasizes the importance of self-actualization and setting an example for her children, while acknowledging the sacrifices and trade-offs involved.
Healthcare System Challenges
Dr. Griggs highlights the systemic issues within the healthcare system that were exacerbated by the pandemic. She discusses the disproportionate impact of COVID-19 on vulnerable communities, the corporatization of healthcare, and the lack of capacity and resources to handle such a crisis. She also expresses concerns about the erosion of trust in medical institutions and the rise of unregulated wellness industries.
Mental Health and Well-being of Healthcare Workers
The interview touches on the mental health challenges faced by healthcare workers during the pandemic, including burnout, moral injury, and the risk of suicide. Dr. Griggs emphasizes the importance of vulnerability, self-care, and creating a supportive environment within the medical profession. She also discusses the need for cultural humility and understanding within the surgical community.
Action Items
Address health disparities and the disproportionate impact of COVID-19 on vulnerable communities through research and advocacy efforts focused on childhood obesity and gun violence prevention.Advocate for systemic changes in the healthcare system to prioritize preventative care, increase capacity, and align financial incentives with keeping populations healthy.Promote open dialogue and vulnerability within the medical profession to destigmatize mental health challenges and create a supportive environment for healthcare workers.Encourage effective communication and empathy in patient care to rebuild trust and bridge the gap between medical institutions and the public.Raise awareness about the unregulated nature of the wellness industry and the potential risks associated with unproven or non-evidence-based practices. -
This episode talks about the Mastery in General Surgery program, which aims to provide advanced postgraduate training for surgeons interested in pursuing a career in general surgery. The program covers various aspects beyond clinical training, such as practice management, billing, legal issues, and the business side of surgery. Dr. Miller explains that the program is designed to address the shortage of general surgeons in the United States, particularly in rural and non-urban areas. He emphasizes that the program offers flexibility, allowing participants to tailor their training to their specific needs and interests. The program provides a safety net and mentorship for surgeons transitioning into practice, while also offering autonomy. Dr. Miller discusses the application process, program structure, curriculum, financing, and the benefits for both participants and hosting sites. The conversation also touches on the broader issue of maintaining competency and addressing gaps in surgical practice, highlighting the need for support and guidance within the surgical community.
For more information, head to Mastery in General Surgery Program -
Summary
Dr. Vertrees shares insights and tips from experienced surgeons on navigating the transition, building relationships, managing expectations, and finding success in the new role. Key topics covered include understanding cultural differences, communicating effectively, asking for help, time management, handling complications, building a referral base, and redefining success beyond just being a surgeon. The episode emphasizes the importance of open communication, setting boundaries, and embracing personal and professional growth throughout one's surgical career.
Chapters
Introduction
Dr. Vertrees introduces the topic of pitfalls when joining a new practice and shares her motivation for creating a self-coaching course called 'Become the Boss MD Self-Coaching.' She highlights the importance of learning lessons not taught in residency to become a successful surgeon.
Transitioning from Residency to Practice
The host discusses the fundamental differences between residency and a job, emphasizing the shift in rules, culture, support systems, and expectations. She encourages surgeons to embrace their ability to influence their experience positively, even if the job does not initially meet their expectations.
Asking for Help and Building Relationships
The article stresses the importance of asking for help and building relationships with colleagues, nurses, and staff. It provides advice from experienced surgeons on when and how to ask for help, as well as tips for senior attendings on supporting and encouraging new graduates.
Managing Expectations and Communicating Effectively
The article discusses the concept of 'want match,' where both parties' desires align, and offers strategies for managing expectations and communicating effectively with partners. It emphasizes the importance of open communication, setting boundaries, and understanding each other's perspectives.
Time Management and Efficiency
The article provides tips on time management, including prioritizing tasks, creating templates, and setting aside 'CEO time' for working on the business. It also stresses the importance of completing notes promptly to avoid burnout and maintain a good reputation.
Building a Referral Base and Marketing
The article offers advice on building a referral base, such as meeting with primary care physicians and gastroenterologists, sending letters about patient care, and understanding the referral patterns in the practice. It also suggests marketing strategies for new graduates.
Handling Complications and Building Trust
The article discusses the importance of being present and communicating openly with patients and families when complications arise. It provides strategies for building trust and maintaining a good reputation, such as following Brené Brown's steps for shame resilience.
Redefining Success and Personal Growth
The article encourages surgeons to redefine success beyond just being a surgeon and to embrace personal and professional growth throughout their careers. It emphasizes the importance of finding satisfaction in efforts, relationships, and the ability to help others, rather than solely focusing on work identity.
Closing Thoughts and Resources
The host concludes by emphasizing the value of coaching and self-coaching for surgeons, and mentions her book 'Become the Boss MD, Success Beyond Residency' and the upcoming 'Become the Boss MD Self-Coaching' course.
Action Items
Head to bosssurgery.com to join the wait list for the Become the Boss MD Self-Coaching course, where there will be plenty of bonuses.Get the book 'Become the Boss MD, Success Beyond Residency' at bosssurgery.com or anywhere books are sold, like amazon.com.As a new graduate, ask for help as soon as you think it's the case, and don't hesitate to call your partners when you need assistance.As a senior partner, pop into the operating room to check on new graduates and offer help without waiting for them to call.Introduce new graduates to the staff and build them up, fostering a supportive environment.Create a list of equipment and preferences for cases, and communicate openly with partners about any changes or additions.Build relationships with primary care physicians, gastroenterologists, and other potential referral sources in the area.Send letters to referring providers about their patients' care and treatment plans to maintain communication and build trust.Set aside dedicated 'CEO time' to work on the business, improve efficiency, and plan for personal and professional growth.Complete notes promptly and efficiently to avoid burnout and maintain a good reputation within the practice.When complications arise, follow Brené Brown's steps for shame resilience: reach out to a trusted source, talk kindly to yourself, and own your story to maintain trust with patients and families.Redefine success beyond just being a surgeon, and embrace personal and professional growth throughout your career. -
The latest BOSS podcast features Dr. Kimberly Kopecky, a surgical oncologist researching the importance of aligning patients' expectations with reality in the context of cancer surgery.
Dr. Kopecky shares her background and motivation for pursuing surgical oncology and palliative medicine training to better communicate with patients and understand their values and expectations.
We talked about shared decision-making, eliciting patient preferences, addressing misunderstandings, and the challenges of managing expectations, particularly in cancer surgery where patients may not feel they have a choice.Dr. Kopecky highlights the need to complement shared decision-making with an explicit focus on aligning expectations and describes her ongoing research efforts to capture patients' experiences and incorporate them into preoperative discussions.
The conversation also touches on the reluctance to study patient regret and the importance of open communication about potential outcomes and complications.
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