Sham peer review uses one vague word to end physician careers, and up to 10 percent of peer reviews fit the pattern. Tracey O'Connell, MD, a radiologist and physician coach, breaks down the playbook on The Podcast by KevinMD: the email out of nowhere, the "disruptive" label with no specifics,…
Why physicians cannot take sabbaticals, even at institutions where the policy exists on paper. A palliative care physician asked for three months off and was told to come back in 10 years. Christie Mulholland, palliative care physician and certified physician development coach, walks through her own request, the denial, and…
For the first time in eight years, the LDL cholesterol targets just changed. Preventive cardiologist Seth Baum, who chairs the Family Heart Foundation, walks through the March 2026 ACC and AHA guideline update: the new LDL thresholds by risk level, a new risk calculator, universal lipoprotein(a) screening, an elevated role…
GLP-1 weight loss looks good on the scale and dangerous on bioimpedance. Skeletal muscle loss and elevated body fat are showing up in patients who lost 50 pounds and felt like a success story. Maureen McBeth is a physical therapist and certified lymphedema specialist. She explains why BMI is inadequate…
Bettina Reed, FNP-BC, draws a hard line: if a task hurts patient care, she will not do it, even if admin writes her up. 🎧 Search "The Podcast by KevinMD" on Apple or Spotify Any clinician fighting healthcare bureaucracy or burnout needs to hear how she handles admin pushback. #Shorts
Three states now have legal psilocybin therapy access. Most physicians were never trained on contraindications, drug interactions, or patient screening. Lynn Marie Morski, MD, JD, walks through what primary care physicians need to know before the next exam-room conversation, with 2026 FDA priority review developments factored in. Search "The Podcast…
Obesity medicine physician Jessica Duncan on why the GLP-1 long-term decision has to be made at visit one, not after the weight comes off. 🎧 Search "The Podcast by KevinMD" on Apple or Spotify Anyone starting Ozempic, Wegovy, or Zepbound for weight loss needs this conversation before the first injection.…
She was 28, in her first week of anesthesiology training, and her chest was filling with lymphatic fluid. The imaging found lungs that looked like lace. Lyndsay Hoy, an anesthesiologist who now serves on the board of a rare disease nonprofit, learned she had a rare estrogen-sensitive lung disease and…
Physician coach Jessica Singh, MD shares the one thing she would change about how she handled a difficult workplace event. 🎧 Search "The Podcast by KevinMD" on Apple or Spotify Practical advice on physician workplace conflict, hospital administrator meetings, and protecting yourself in difficult conversations at work. #Shorts
A 69-year-old family physician describes his unsedated colonoscopy and gives a pain map at each anatomic landmark of the colon. Mike Neskovic has practiced family and geriatric medicine for 33 years. He took the Hippocratic Oath in 1977 and has run 31 Los Angeles marathons. For his first colonoscopy in…
He said no to one routine x-ray and the cleaning was canceled on the spot, framed as a licensure risk that turned out not to exist. Aaron Rosenberg, a patient advocate who has worked across clinical practice, health systems, and insurance, walks through the dental visit that made him write…
Physician imposter syndrome is treated as a personal failing. Pediatrician Jessie Mahoney, MD argues it is a system feature, and women in medicine are caught hardest in the trap. Search "The Podcast by KevinMD" wherever you listen to podcasts. Link in bio. #ThePodcastbyKevinMD #PhysicianBurnout #WomenInMedicine #ImposterSyndrome #Shorts
Amna Shabbir, MD, traces her physician burnout to the year she was born, when her mother was an OB/GYN intern. She picked primary care to avoid her mother's life and burnt out in four months. A conversation about inherited burnout, women in medicine, and physician moms. Search "The Podcast by…
A pediatrician added up the unpaid hours she had donated to teaching and got a number that should disturb every physician: over 2,000. That is more than a full year of unpaid work, sitting on top of clinic, leadership, and raising three kids. Jessie Mahoney, a pediatrician and physician coach,…
Same hospital. Same training. Same hours. Same patients. Female emergency physicians earn $21,000 less per year than male colleagues. Here is why. Jake Horowitz, co-founder of Off Call, and emergency physician Resa E. Lewiss break down the full gender pay gap in emergency medicine: $17 less per hour, $28K mid-career,…
Why do patients regain weight after stopping GLP-1 medications? Obesity medicine physician Jessica Duncan, MD, explains the overlooked flaw in the GLP-1 weight regain studies and how she structures post-medication care to prevent it. Search "The Podcast by KevinMD" wherever you listen to podcasts. Link in bio. #ThePodcastbyKevinMD #GLP1 #ObesityMedicine…
ENT physician Frances Mei Harden on why physician wellness advice fails surgical residents, and the DBT distress tolerance skills that actually work inside the operating room. Harden trained at a malignant ENT residency and spent her chief year learning the dialectical behavioral therapy framework she wishes she had as an…
You know the feeling. The note is signed, the visit is billed, the AVS is sent, and something still nags at you on the drive home. Retired surgeon and patient advocate Alan Feren has a name for it: unfinishedness. It is the gap between administrative closure and clinical closure, and…
Younger doctors aren't lazy. The system changed underneath them. Palliative care physician Christie Mulholland explains why physician boundary-setting is a rational response to administrative burden, prior auth, and corporatized workflow eating the rewarding part of the job. Search "The Podcast by KevinMD" wherever you listen to podcasts for the full…
Neurologist Carolyn Larkin Taylor was told her postmenopausal bleeding was "just stress." A second opinion caught endometrial cancer. Why medical gaslighting is rarely malicious. Search "The Podcast by KevinMD" wherever you listen to podcasts. Link in bio. #ThePodcastbyKevinMD #medicalgaslighting #womenshealth #Shorts
Two medical students noticed mid-clerkship that the mental habits they had built over thousands of chess games were showing up in how they saw patients. Jay Pendyala and Jonathan Berg, both third-year medical students and co-founders of their school's chess club, break down the specific transfers, from pattern recognition to…
Robert Wachter, MD, chair of medicine at UCSF and author of A Giant Leap, explains why physician job replacement is not the real threat to medicine. On clinical AI, physician autonomy, and decision support. Search "The Podcast by KevinMD" wherever you listen to podcasts. Link in bio. #ThePodcastbyKevinMD #medicine #healthcareAI…
ER physician Kenneth Ro on the shame armor physicians build in training, why imposter syndrome is actually a sign of humility, and what dying patients taught him. Search "The Podcast by KevinMD" wherever you listen. Link in bio. #ThePodcastbyKevinMD #PhysicianBurnout #EmergencyMedicine #MedicalTraining #Shorts
Robert Wachter wrote the definitive grumpy book about how electronic records failed medicine. Now he's back with an optimistic one about AI. Wachter, who chairs the Department of Medicine at UCSF, walks through what's changing on rounds, in med schools, in primary care, and for patients bypassing doctors. He calls…