Physician's Guide to Doctoring

Troy Bannister is the CEO of Particle Health, a company that is shaping the new standard for healthcare data exchange with a user-friendly application programming interface platform. After spending years in the healthcare industry as an EMT, clinical researcher, and medical student, he decided to attempt the seemingly insurmountable task of fixing the interoperability problem of electronic medical records. Particle Health gives application designers, and therefore patients, access to their records. You’ll get a better understanding when he explains it. We talk about how he came up with the idea for Particle Health, the precedent in the financial industry that most of us use, how the interface works, and why blockchain isn’t necessary for portability and security.

A health psychologist by training, Dr. Margaret Hay has worked in health professional education for the past 2 decades in both curriculum governance and teaching roles. She is the inaugural Head of the Monash Centre for Professional Development and Monash Online Education in the Portfolio of the Deputy Vice-Chancellor, Monash University. Prior to this, she was the inaugural Director of Professional and Continuing Education, and the inaugural Director of the Monash Institute for Health & Clinical Education in the Faculty of Medicine, Nursing, and Health Sciences, Monash University. She has supervised to completion of 19 Doctoral research projects, and been thrice nominated for Supervisor Awards, and is currently supervising a range of Ph.D. and Master's projects in health professions education, having transitioned from her research in health psychology. She is Australian and spent some time studying in the US, so we compare the medical education systems of both countries. We also discuss what the admissions process is really designed to select for, why diversity of educational background leads to better outcomes, why medical education should follow students’ lead, and how to teach without making the learner feel like garbage. Dr. Hay is a co-opted member of the Australian and New Zealand Intensive Care Society Education Committee and has taught several Harvard Macy Institute courses in Boston, and Harvard Partners International courses for the National Health Group, Singapore. She is a member of the Course Steering Committee for the Harvard Medical School Master's in Medical Education degree.

Dr. Arian Nachat is an emergency medicine and palliative care physician, which to me was a surprising combination, so we start the discussion with why emergency medicine physicians are well suited for palliative care. Most recently, she founded Pallity which brings together resources to educate, empower and enable patients with life-altering illness to live their life to their fullest potential. Dr. Nachat currently practices emergency medicine and serves as clinical faculty at Balboa Naval Medical Center and the VA Medical Center in San Diego, California. She founded Kaiser’s first inpatient integrative symptoms management service in northern California, served on the State of Oregon opiate prescribing task force, and is an exam item writer for the American Board of Internal Medicine. This discussion mostly centered around a Twitter interaction from a few months prior where two male physicians were discussing why female physicians are burning out faster than men. Dr. Nachat noted that a lot of salient issues had been neglected so that’s what we discussed today and how institutions can address them, including on-site childcare.

Sandman Legal Services is the nation's only law firm dedicated to the needs of medical expert witnesses and consultants.  Its founder and principal, Dan Sandman, Esq., has been a licensed attorney for nearly 20 years.  For nearly 8 years, Dan led a leading medical expert witness and consulting agency, American Medical Forensic Specialists ("AMFS"), helming the company as President for 5 years, and seeing it successfully through 2 acquisitions, the pandemic and exponential growth.  Dan started Sandman Legal Services in February of 2022 where he combines his legal expertise and medical expert witness industry knowledge in providing legal and consulting services to the medical expert witness community. We talk today about the business aspect of being a medical expert. How do we end up on the list, do we really need to take a course first, why is it important to have a retainer (and why lawyers need a retainer to write your retainer), and how to set our fees. This interview was full of brass tacks advice and will likely be the first of many with Dan.

Adam Rosh is the Chief Medical Officer at Blueprint Prep and Founder of Rosh Review. which he created in 2011. He received his BA and MS from the University of Wisconsin, Madison. He received his medical degree from Rutgers Medical School and completed his emergency medicine residency training at NYU. He went on to serve as assistant residency director and residency director at Detroit Receiving Hospital. He is the author and editor of Pretest Emergency Medicine and Case Files Emergency Medicine both published by McGraw Hill. There are two main components to our discussion, the origins and evolution of Rosh Review and its acquisition by Blueprint Prep and, given his career-long involvement in medical education, we also talk about both teaching and learning.

Dr. Crystal Beal, a Board-Certified Family Medicine Physician, started QueerDoc with the mission to raise the bar in gender-affirming care and improve LGBTQ+ lives through: Telemedicine-based direct clinical services Provider education LGBTQ+ DEI Healthcare consulting They leverage their lived experience and medical expertise to offer a level of unsurpassed nuance to their services.   We talk about Gender-Affirming Medical Care and the evolving language surrounding it and how best to recover after making a mistake regarding that language. Words matter. Dr. Beal attended Florida State University College of Medicine where they helped found the LGBTQ+ medical student group. They completed their training at Valley Family Medicine Residency Program. Dr. Beal sought extensive additional training in sexual health, queer health, and gender-affirming care including self-study, continuing medical education trainings, and shadowing experts in the community. They have focused CME in the topics of cultural humility, trauma-informed care, sex-positive care, and kink-affirming care. They share their knowledge working with medical students and through their online program QueerCME.com. Physician’s Guide to Doctoring listeners can get 10% off with the code “PGTD2022”. They are a non-binary femme and are SUPER queer themself enjoying queer burlesque, vintage fashion, and their queer, kinky, poly family!  Twitter: @docqueerIG: @queerdocTT: @queercme 

Dr. Simon Maltais is an active cardiac surgeon and author of Healthcare Anonymous: Learn How to Put Yourself First While Pursuing a Calling. He served as a previous vice-chair of the Mayo Clinic, has a doctorate degree in biomedical engineering and heart regeneration. He is an internationally recognized leader in the field of heart transplantation, mechanical heart devices, and alternative cardiac interventions. He has worked in two different countries and health systems and provides a unique perspective on the delivery of care and its inherent challenges for healthcare workers, particularly in these difficult and tiring times.  Simon led 2 world-renowned programs in his specialty and has pioneered numerous novel approaches for advanced cardiac surgery interventions. At the age of 35, he was among the youngest promoted associate professors at a nationally recognized institution. Simon is a frequent keynote speaker, has published more than 160 articles and has contributed to numerous books. He sounds like everything your department chairman hoped you would be. If you were anything like me, you were a big disappointment. Turns out, all that success wasn’t making Simon happy. It was a pressure cooker that finally cracked. We talk about the toll it took on him, his family, his coworkers and his HR department, and the insight he has gained on how to keep yourself out of that pressure cooker. He talks about the fulfilling life he has now built for himself.

Many of you know Dr. Jimmy Turner. He calls himself the Physician Philosopher and this is his second time on the show. In the first episode with him, we talked about his first book, The Physician Philosopher’s Guide to Personal Finance and he just published Determined: How Burned Out Doctors Can Thrive In a Broken Medical System. He also runs the alpha coaching experience and hosts the Physician Philosopher podcast. But we didn’t talk about ANY OF THAT. He recently bought a smoker and I love smoking meat, so I thought we’d chat about smoking. I’m on Long Island and he’s in Winston-Salem, North Carolina, so I thought I’d learn something from him. As it turns out, I spent most of the episode teaching him! This is my first episode that has NOTHING to do with medicine and I hope it is a nice mental break for you. https://twitter.com/TPP_MD https://www.instagram.com/tpp_md/ https://www.linkedin.com/in/jimmy-turner-md-59051355/

Terry Ciesla is the senior vice president of Scribe EMR, a remote scribing company that provides remote scribing, coding, and a variety of virtual assistance services. Prior to this, he served in various senior management positions for several healthcare service and IT vendors. He has also led startups of a medical transcription company as well as a successful venture that delivered artificial intelligence and analytics software to hospitals and physician practices in the form of computer-assisted coding (CAC), clinical document improvement (CDI), and revenue cycle management (RCM) software. Terry served as a healthcare administrator in the US Navy for 20 years. He possesses a Bachelor of Science degree in Healthcare Administration from National-Louis University. We talk about the different types of virtual scribe, like one that works with you contemporaneously vs. records the charts after the visit, ones that utilize AI, how they collect the information, and in what types of practices they are the most useful. 

In the new book Lessons Learned: Stories from Women Physician Leaders, 32 women physician leaders share their career paths with the goal of improving the trajectory of women in medicine. We talked today with Theresa Rohr-Kirchgraber, MD, MPH, AMWA (American Medical Women’s Association) President (2022-2023) and Professor of Medicine, Augusta University/University of Georgia Medical Partnership, and Deborah M. Shlian, MD, MBA, the book editor and author, and AMWA leader. Dr. Shlian is also CEO of Shlian & Associates, an executive/physician search and medical management consulting firm. We talk about how Dr. Shlian came to write the book, as she typically writes medical thrillers, why women are under-represented in leadership positions - even though when I graduated, over 15 years ago, there were more women than men in the class - how to reduce institutional barriers, how COVID affected women leaders, and how AMWA is addressing the need for more women physicians in leadership roles.

Dr. Nina Shapiro is the Director of Pediatric Otolaryngology and a Professor of Head and Neck Surgery at the David Geffen School of Medicine at UCLA. A graduate of Harvard Medical School and Cornell University, she completed her surgical residency at Harvard and finished additional subspecialty training in pediatric otolaryngology at the Great Ormond Street Hospital for Children in London and the Children’s Hospital of San Diego. When she has downtime between cases, you’d think she’d be scrolling or posting on social media, where she is very active, but no, she spends that time writing, both articles for the lay media and books! She also has over 80 peer-reviewed publications and over 200 presentations. For perspective, I have 3. She’s on the show today to talk about her book, HYPE: A Doctor’s Guide to Medical Myths, Exaggerated Claims and Bad Advice – How to Tell What’s Real and What’s Not We often hear pseudoscientific claims from our patients and even our colleagues, so we start with the incident that motivated her to write the book, Hype, that she has fallen for - a recent diet fad that she thinks actually lives up to the hype. We also talk about how she navigates conversations with patients when they bring up pseudoscience. She can be found on Twitter and Instagram @drninashapiro and on her website, also DrNinaShapiro.com.

Dr. Taylor Brana was a Resident Physician at the time of the original recording (now at attending) in Psychiatry, Creator of The Happy Doc Podcast and developer of educational platforms that utilize voice-first technology. Our interview is really two separate interviews in one. In the first, we cover his podcast, where he interviews physicians on how they manage to continue finding fulfillment and enjoyment in their lives and practices in a world of crushing debt, wasteful administrative burdens, and so much clicking. We discuss the recurring themes that he sees from his guests. He started this as a med student and continues with it in residency, so we also talk about how he has managed to get the approval from his institutions for this. We then talk about his voice-interactive studying software, MedFlashGo (Medical Flashcards on the Go), which is the first of its kind. We talk about how he managed to do this in residency and how he took it from an idea to the final product.   He has created over 200+ podcast episodes featuring TED Talk speakers, top level executives, physician leaders, influencers, and more. He has been featured on numerous podcasts and articles discussing concepts around happiness, fulfillment, success, entrepreneurship, and creativity. He is the CEO and Co-Founder of three voice-interactive education platforms geared towards pre-medical, medical, and dental students, with plans to create more. Taylor has a passion for inspiring others to reach towards their potential and dreams.  Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!!

In today’s episode, you’ll hear two men talking about endometriosis. I recognize the optics of this, but this is a topic I haven’t covered yet, and an important one, so when today’s expert approached the show with the idea to discuss endometriosis, I said absolutely. Dr. Laurence Orbuch completed his training at the New York Hospital Weill Cornell Medical College and SUNY Upstate Medical Center. He served as the Director of Minimally Invasive and Pelvic Reconstructive Surgery at The Mount Sinai Hospital and Director of Gynecologic Robotic Surgery at The Mount Sinai Beth Israel Hospital. Dr. Orbuch is currently Clinical Professor of Obstetrics and Gynecology at both Cedars- Sinai Marina Del Rey Hospital and Providence Saint John’s Hospital in Los Angeles and Lenox Hill Hospitals in New York. He is also the Medical Director of GYN Laparoscopic Associates LA in Beverly Hills, California. In his practice, he specializes in minimally invasive and robotic surgery for the treatment of endometriosis and all benign gynecologic conditions requiring surgical intervention. www.LAGynDoc.com We talk about the pathophysiology of endometriosis, which was very surprising for me, how it typically presents, as well as some atypical presentations, that make more sense given his explanation for how it occurs. We talk about who is at higher risk, different conditions that may be caused or influenced by endometriosis, some misdiagnoses that may actually be endometriosis, and treatment options.

This is part 2 of my interview with Dr. BJ Fogg, author of Tiny Habits: The Small Changes that Change Everything. In this part, we talk about how success breeds success and having your patient work on the habit you want them to change shouldn’t be the first priority. The first priority should be what they want to change because it shows them that they can be successful in creating lasting change. We also discuss how positive emotions help to encode habits and he actually came up with a technique to make ourselves feel successful after we’ve performed an act we want to repeat. We end by talking about the habits that he is still working on himself. He can be found at BJFogg.com and TinyHabits.com. Dr. Fogg founded the Behavior Design Lab at Stanford University. In addition to his research, Dr. Fogg teaches industry innovators how human behavior really works. He created the Tiny Habits Academy to help people around the world and interestingly, the Tiny Habits Academy long preceded the Tiny Habits book. He lives in Northern California and Maui. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!!

Ashwini Bapat, MD, is a palliative care doctor and co-Founder of Hippocratic Adventures  a community of US-trained physicians practicing and dreaming of practicing medicine outside the US. She is also the founder of EpioneMD  which provides virtual serious illness coaching and advance care planning to individuals and telepalliative care consultations to healthcare organizations.  We talk about the origins of both Hippocratic Adventures and EpioneMD. She also dispels the myth that you need to do a residency in a country to practice there. In fact, the US seems to be the only country that requires residency be done internally, giving us the ability to practice almost anywhere we speak the language. We also discuss how she set up a telemedicine practice without having to get licensed in all 50 states, and given she’s in Portugal, we talk very briefly about the Portuguese healthcare system.

This interview is one of my most important. If you are doing to share any of my episodes, this is one that I would implore you to share with your friends, family and colleagues. This is part 1 of 2 of my interviews with BJ Fogg, PhD, author of the book Tiny Habits: The Small Changes That Change Everything. We all struggle to change our behaviors, to develop good habits and stop bad habits. There is a lot of popular wisdom about this and most, if not all, is just wrong. This is where Dr. Fogg steps in. Dr. Fogg discovered the keys to changing behavior through changing habits. For those of you on medical school faculty, this should be a class. This should actually be taught in high school. Until then, as physicians, this information is critical, not just for lifestyle changes that can help patients eat better, move more, and smoke less, but even applies to checking their blood pressure and taking their medication. Popular wisdom is wrong. Guilt and shame are destructive. People don’t start habits by feeling badly, they start habits by feeling successful. And we are more likely to be successful by starting a habit that is small, that we actually want to do, and the third key to this is a prompt that reminds you it is time to perform the behavior. If you are going to learn piano, you start with chopsticks. If you are going to start to exercise, you do one sit-up. The smallest increment that you can fall back on when you motivation is waning so you don’t fall off the wagon completely and you keep your habit. And you do it at a point in your day that you can associate with the new behavior, even if they are completely unrelated. You’ll have a reminder that is baked into your day. Dr. Fogg founded the Behavior Design Lab at Stanford University. In addition to his research, Dr. Fogg teaches industry innovators how human behavior really works. He created the Tiny Habits Academy to help people around the world and interestingly, the Tiny Habits Academy long preceded the Tiny Habits book. He lives in Northern California and Maui. He can be found at BJFOGG.com and tinyhabits.com

Dr. Chester Zoda’s education company “Digital Doctor,” helps doctors build passive income with online courses. At the start of the pandemic, Dr Zoda was working 80–100-hour weeks and feeling burnt out and overworked. He wanted to spend more time with family but was unable due to clinical obligations. He wanted to find a way to make extra money, so he created an online course teaching digital marketing via Facebook advertising. His first online course made $5,000 in the first month of launch and was featured on the frontpage of Oberlo magazine. He started taking on additional clients on-the-side, helping Ecommerce and Digital Marketers launch their online courses. After many requests, he eventually decided to teach his methods to a small group of doctors. In late 2020, he left clinical practice completely to focus on the business we discussed today. He teaches healthcare practitioners how to create online courses. There are patients (and other clinicians) throughout the world who will pay for us to tell them what we say to our patients or trainees each day. What I think he has mastered most, is how to use the search engine algorithms to set up ads that will show up in our target audiences. How to make sure we show up at the top, which works as social proof that we are the experts we claim to be and thus deserve what we charge for our courses.

Ryan Inman was a fee-only financial advisor who works exclusively with physicians and he teaches how to pick a financial advisor.  How did he end up in the physician niche?  He understands us.  His wife is a pediatric pulmonologist and part of why he understands the struggle so well is that they’ve been together since college.  He graduated from the University of San Diego and has two masters, one in business administration and another in Accounting and financial management.  We discuss how to find a financial advisor and answer questions like, what is a fiduciary, who should I buy life and disability insurance from, is picking stocks and timing the market possible with enough research, what services should a financial advisor provide and what is the most common financial mistake he sees physicians make. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five star review, a nice comment and SHARE!!!

Dr. Altelisha “Lisha” Taylor is a family medicine resident, professional speaker, doctor-preneur, and money coach who promotes physician wellness through financial literacy. She is the founder of  CareerMoneyMoves.com and creator of the Facebook Group Financial Grand Rounds, two platforms that help busy young professionals, especially doctors, put systems in place to build wealth. We first discussed something unrelated to personal finance and it was how someone who went to a super competitive undergrad like Duke, chose the not so competitive specialty of family medicine, and ultimately it came down how one defines success, and why its important to make sure we have internal measures of success rather than external ones. Then we got into the money stuff, like how as a resident she can discuss real estate when none of us had two nickels to rub together, the worst advice she every got, money mistakes she’s made, common advice she gives to colleagues, why physicians love Robert Kiyosaki so much (who has become a doomsday prepper).  Dr. Taylor got her bachelors from Duke University, MPH from George Washington University, MD from the University of Florida, and did her residency at Emory University. She was an exclusive content writer for Doximity, worked at the Center on Budget and Policy Priorities, spent time in private equity, and even created the Personal Finance guide for Residents and Fellows at Emory University that is now on the GME website.

Dr. Jeff Jarvis, the EMS Medical Director for Williamson County EMS and Marble Falls Area EMS in Central Texas, teaches us about cardiac arrest for every physician, from pathologists to podiatrists.  We learn how to identify and manage a cardiac arrest if we happen to be the medical professional on the scene.  We cover multiple circumstances from the woods to the mall to a plane.  After this talk, you will feel better equipped to know what you can and can’t, should and shouldn’t do in those situations. Dr. Jarvis maintains his clinical practice at Baylor Scott & White Hospital in Round Rock, Texas. He is board certified in both Emergency Medicine and Emergency Medical Services. He began his career in EMS over 30 years ago, has worked in three states as a paramedic, and retains his active paramedic license today. He teaches extensively and has authored multiple articles on EMS issues in both peer-reviewed and industry journals. His research interests include airway management and clinical performance measures. He discusses EMS research on his podcast “EMS Lighthouse Project Podcast”. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five star review, a nice comment and SHARE!!!

Naomi Lawrence-Reid, M.D. is a pediatrician and founder of Doctoring Differently, a course and coaching platform designed to teach physicians of all specialties how to transition out of full-time clinical and academic practice while starting lucrative and flexible careers that best utilize their medical training and experience. We discuss all of her different income streams, like per-diem, locum tenens, veteran and social security disability exams, medical expert witness work, aesthetics, how she got into each of them, how we can get started, and why it is OK for a pediatrician to inject Botox into adults. Dr. Lawrence-Reid initially intended on a career as a pediatric emergency medicine specialist, but she was unwilling to yield to the confines of restrictive hospital contracts, non-negotiable salaries, exhaustive administrative duties, and oppressive call schedules. She developed the Doctoring Differently curriculum in order to give physicians the tools to choose themselves and transform their individual passions and expertise into gratifying careers with increased income, tremendous freedom, and enhanced quality of life. Dr. Lawrence-Reid is a proud Boston-area native currently based in San Diego, California. She attended Wake Forest University, University of Massachusetts Medical School, and she completed her pediatrics residency at Children’s Hospital at Montefiore/Albert Einstein College of Medicine in Bronx, New York. You can find her at www.doctoringdifferently.com

Megan Gerber, MD, MPH is a general internist with a career-long focus on the medical care of trauma-exposed women. We start out defining trauma and then get introduced to trauma-informed care.  Interfacing with the medical system and physicians can be traumatizing and triggering, so we discussed ways to minimize that, and why it actually isn’t important to identify who needs trauma informed care. We should be taking a “universal precautions” like approach.  She teaches us how to incorporate a routine of respectful care and how we can get the staff involved.  The approach to patients needs to change from questions like “what’s wrong with you?” to “what happened to you?” but this needs to happen within the confines of our time limited schedules, so Dr. Gerber teaches out how to be effective while still respecting the time of those in the waiting room. She is currently an Associate Professor of Medicine at Boston University and Medical Director of Women’s Health at VA Boston. She holds an adjunct appointment as Lecturer on Medicine at Harvard Medical School.  Her work focuses on optimizing medical outcomes for women who have experienced trauma as well as adapting systems of care to be “trauma-informed” and sensitive to the needs of survivors.  She has authored multiple peer-reviewed publications on intimate partner violence and is the editor of the Springer book, “Trauma-informed Healthcare Approaches: A Guide for Primary Care.” She is very active on Twitter at @meggerber

Steven Kupferman DMD, MD, Co-Founder, and CEO of MedVA, holds D.M.D. and M.D. degrees from the Harvard School of Dental Medicine and UCLA’s David Geffen School of Medicine, respectively. He first pioneered the use of Virtual Assistants to optimize the management of his six oral surgeon practice while simultaneously improving the quality of patient care. He then went on to found MedVA, a healthcare virtual staffing company. They vet the healthcare professionals, mostly registered nurses in the Philippines before hiring and then they are trained in the MedVA proprietary program to optimize practice management. We talked about the advantages and disadvantages of a VA, how he defines a virtual assistant, rather than any pandemic employee who works from home, and where to start when you’re delegating tasks to your new VA.  MedVA.com  

Brian Cohen, MD, is a practicing anesthesiologist and entrepreneur in the digital health space. In 2015, he co-founded Miami Anesthesia Services, a concierge anesthesia company throughout South Florida. Dr. Cohen acts as Administrative Chief of Miami Anesthesia Services and Chief of their Management Service Organization that supports other independent anesthesia practices throughout Florida. Dr. Cohen is the co-founder and Chief Medical Officer of Adaptrack, a medical risk focused digital platform for clinicians. He is also the co-founder and Chief Medical Officer of CMEfy, a platform that acts as an engagement and reward tool for clinicians co-learning with each other and within organizations. Additionally, Dr. Cohen is the Specialty Medical Director for the Preferred Anesthesia and Pain Management Program of AMS-RRG, an AM Best, A-rated medical liability company. This was a wide-ranging conversation starting with his concierge anesthesia practice, why he started an MSO if he has no intention of selling said MSO, and then we move onto the digital space and discuss Adaptrack, which creates CME accredited content for physicians that is specialty specific based on trends in litigation to help us manage risk. We end on how you all are going to start getting CME credits for listening to this podcast and reflecting on what you learn via CMEfy. Dr. Cohen completed his BA/MD at the University of Missouri-Kansas City and his residency in anesthesia at Washington University in St. Louis. Most importantly, Dr. Cohen is married to his college sweetheart, also a practicing physician, and the father of their two amazing daughters.

Adam Brown, MD, is a rheumatologist at Cleveland Clinic and the host of the Rheuminations podcast. For the med students out there, we discuss why someone would choose rheumatology and why they are frequently the smartest doctors in the hospital. We discuss the basics of arthritis, how to interpret an ANA and why we shouldn’t be so laser-focused on our own organ systems if a patient isn’t improving as expected. We also discuss why gout is such an underappreciated phenomenon. Dr. Brown went to med school at the University of New Mexico and then did residency Georgetown in Internal Medicine. He then did fellowships in rheumatology and vasculitis, both at Cleveland Clinic, where he currently practices. He authored Rheumatology Made Ridiculously Simple, a herculean feat for such a complex specialty. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!!

Gopi Shah is a Pediatric Otolaryngologist at the University of Texas Southwestern Medical Center in Dallas.  She did her residency in otolaryngology at Thomas Jefferson University Hospital in Philadelphia and her fellowship in peds at UT Southwestern.  Her clinical interests are pediatric sinus and skull base. She loves teaching and is the fellowship director for pediatric otolaryngology. She is also a co-host for the BackTable ENT podcast. We talk a little about the podcast and then get into snotty, stuffy, noisy pediatric ENT problems, like what OTC medications she gives her kids when they're sick, how to tell a sinus infection from just cold after cold, when to order a sleep study, and what to look for when trying to diagnose an ear infection. Not the cone of light!   Backtable.com/shows/ent

On today’s show we speak to allergist, Dr. Payel Gupta about penicillin allergy.  Dr. Gupta is triple board certified in Allergy & Immunology, Pediatrics and Internal Medicine and currently has a practice at Ease Allergy in Brooklyn.  We discuss how common penicillin allergy is and how commonly the diagnosis is incorrect.  She goes through the four types of hypersensitivity reaction, and then focus in on type I, the IgE-mediated reaction.  We go through presentation, treatment, and some commonly confused conditions.  She teaches us how penicillin testing is done, why we can trust it and dispels some misconceptions about penicillin allergy. Dr. Gupta earned her medical degree from Michigan State University; and then pursued a residency in both Internal Medicine and Pediatrics at Rush University Medical Center in Chicago. She then moved to New York City where she completed a fellowship in Allergy and Immunology at the State University of New York, Downstate Medical Center. She is currently on the board of the New York Allergy and Asthma Society and serves as the treasurer/ secretary.  She is also a National Spokesperson for the American Lung Association. Find her practice at easeallergy.com, her podcast at itchpodcast.com and follow her on Instagram @nycdoctor. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!!

Dr. Aaron Fritts is a co-founder of BackTable and a practicing Interventional Radiologist in Dallas, Texas. Early in his practice, Dr. Fritts realized the need for centralized, in-depth procedure and device information that his peers could access on the fly. Not long after, BackTable was born. Backtable is a podcasting brand for physician education, which started as interventional radiology and now also includes ENT, urology and their newest podcast, innovation, for physician entrepreneurs. We talk about the origin of the backtable, where he sees it evolving, what will happen if he starts including specialties that don’t have backtables and most importantly how to build a team. I have chosen to outsource everything, whereas he has slowly built his team, so this was good information for me. But, one big takeaway for me was JoinHandshake.com, so I’m eventually going to hire a premed to help me. It’ll be a good experience for them, something interesting for the resume and will take some tasks off my plate. He tries to convince me to join him for the next podcast convention. I think he just wants to hang out since I come across as so much fun.  Backtable.com JoinHandshake.com   This is a podcast that answers the question, “what should we have been learning while we were memorizing Kreb’s cycle?” This is a practical guide for practicing physicians and other healthcare practitioners looking to improve in any and all aspects of our lives and practices. For more Physician's Guide to Doctoring, visit: PhysiciansGuideToDoctoring.com

Dr. Sarah Hart-Unger is a pediatric endocrinologist, who did all of her education at Duke, and is now the pediatric residency program director at Joe Dimaggio Children’s Hospital in South Florida.  She is intrigued by the challenges of making work and life fit together — so much that she cohosts a podcast on the topic, Best of Both Worlds, with time management expert and writer Laura Vanderkam. She is married to a vascular surgeon and has three young children, so we discuss how they manage get it all done using the Getting Things Done methodology.  We talk about how checklists aren’t just critical in central line placement and she has her own checklist manifesto to get your day, your month, and your life more organized. She has some favorite apps although she finds paper keeps her more organized. She tries to help me get organized so I don’t end up thinking about all the things I need to do while I’m playing with my kids and then tries to convince me to keep my desk clean. In addition to her podcast, you can find her at theshubox.com.   The apps she mentioned were todoist.com and cozi.com. Check out our sponsor, Thermal Custom Packaging, at https://thermalcustompackaging.co/38s7tF3 

Zwade Marshall, MD, MBA is a co- founder/managing partner of Doc2DocLending and is principally involved with investor relations and business development. He is a Harvard-trained, double board certified anesthesiologist and interventional pain management specialist. He also serves as the Chief Medical Officer of Regenerative Spine and Pain in Atlanta, GA.   Dr. Marshall got his MD/MBA from Emory and while there was awarded Emory’s Humanitarian of the Year Prize for his work with Pipeline, a longitudinal inner-city high school mentoring program.    Dr. Marshall is the managing partner of Arrowhead Healthcare Consultancy, LLC and serves on the Board of the Emory Alumni Association and the Medical Executive Committee of Alliance Spine and Pain. He is a clinical preceptor for medical students in his pain practice and is actively involved in philanthropy in Atlanta and Guyana.   We talk about how Doc2Doc Lending got started, some of the hiccups, how lending small amounts of money for low interest rates is a money-making business, why someone might borrow from Doc2Doc, and how his MBA has helped him with the business and his perspective on problem-solving in healthcare.   https://thermalcustompackaging.co/38s7tF3