Can gratitude really transform anxiety into a powerful tool for healing? Dr. Tyra Fainstad, an insightful internist from the University of Colorado, takes us through her intense battle with burnout. Hear about her residency at the University of Washington, where she became hooked on external validation, and how the lack of feedback post-residency drove her to feelings of inadequacy, further complicated by the pressures of early motherhood. Discover how a chance suggestion of life coaching from a friend sparked a transformation, helping Tyra regain control over her life and career.

Ever wonder how physicians can build internal validation amidst the high-stakes pressures of their profession? We explore the critical role of self-compassion and metacognition in fostering resilience among healthcare professionals. Through initiatives like group coaching and programs such as Better Together, we aim to create supportive communities for doctors, residents, and medical students. Tyra shares her journey of learning to appreciate anxiety, processing emotions, and the significant insight that not all thoughts need to be believed. This episode sheds light on the broader issue of burnout in the medical profession, examining whether it stems from the nature of medical training or the inherent traits of those in the field.

Finally, we tackle the complex dynamics at play in addressing burnout comprehensively, from the necessity of systemic change in medical training to the importance of maintaining boundaries in patient care. Learn how group coaching can shift self-critical mindsets, and hear about strategies to navigate the guilt that often misleads doctors into crossing their own boundaries. Tyra and I delve into the emotional toll on procedural specialists and advocate for systemic accountability and comprehensive support systems funded by academic institutions. Tune in to discover how building internal worthiness and fostering self-reflection can lead to a more compassionate and sustainable healthcare environment.

TYRA.FAINSTAD@CUANSCHUTZ.EDU
https://bettertogetherphysiciancoaching.com/

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Ever wondered what it takes to defend a healthcare professional's reputation amidst a storm of malpractice allegations? This week on Journey to Better, we have the privilege of talking to Elizabeth "Liz" Leedom, a formidable trial lawyer who specializes in medical malpractice defense. Liz unravels her fascinating path from childhood dreams to championing doctors, hospitals, and nurses in the courtroom. With gripping stories and expert insights, she navigates the emotional and legal complexities of defending healthcare providers, offering a rare glimpse into a career dedicated to protecting those who care for others.

Join us as Liz shares her invaluable perspective on the critical importance of physician-patient communication. We discuss how transparency and honesty can make or break a medical practice, especially when complications arise. Liz provides essential advice on evaluating healthcare providers, emphasizing the value of experience and patient comfort. We also delve into the emotional and practical measures physicians should take when facing potential lawsuits, including seeking robust legal advice and emotional support to maintain their well-being.

The conversation doesn't stop at the individual level; Liz offers profound insights into systemic issues within our healthcare system. From the impacts of corporatization on patient care to the ethical dilemmas faced by expert witnesses in malpractice cases, we explore a wide array of challenges. Liz's candid reflections on her own professional growth and the importance of maintaining authenticity in high-stakes roles add an enriching layer to the discussion. Tune in for an eye-opening episode that bridges the worlds of law and medicine, delivering essential takeaways for healthcare providers and patients alike.

https://www.bbllaw.com/legal-team/elizabeth-leedom/

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Pioneering medical procedures and the emotional resilience required in cardiology is the topic as we sit down with Dr. Zach Steinberg from the University of Washington. With his roots on the East Coast, Zach has carved out a remarkable career in adult congenital intervention and pulmonary balloon angioplasty. You'll follow his educational journey and see how he helped shape new procedural guidelines in the challenging field of chronic thromboembolic pulmonary hypertension (CTEF). Through candid discussions, Zach shares his experiences of balancing safety and effectiveness, offering invaluable insights for medical professionals and curious minds alike.

Ever wondered about the complexities of chronic total occlusions (CTOs) and the intense preparation that goes into cardiac procedures? Zach lifts the veil on the meticulous planning, transparency, and reflective practices that are crucial for success in this high-stakes environment. A compelling case study provides a poignant look at productive failure, revealing how early setbacks can pave the way for enhanced techniques and better patient outcomes. His story underscores the significance of collaboration and shared learning in improving success rates and establishing widely accepted therapies.

Mentorship is at the heart of any lasting legacy, and Zach's transition from an innovator to a mentor highlights this beautifully. Hear about the emotional toll of continuous innovation and the critical role of mentorship in fostering a culture of learning and growth. By openly discussing mistakes and the importance of a supportive institutional framework, Zach encourages a shift towards transparency and shared decision-making. This episode is a must-listen for anyone interested in the delicate balance of risk, innovation, and mentorship in the ever-evolving field of cardiology.

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What if the future of healthcare lies in the untold stories of those working behind the scenes? Join us as we sit down with John Michael Maier, the innovative mind behind "Journey to Better," who takes us on a journey from roles at Covidien to promoting University of Washington's Heart Institute. John Michael discusses the intersection of surgical devices, community building, and the transformative power of storytelling in healthcare marketing.

We also get into some of the root causes of dysfunction within the healthcare system. From administrative overheads consuming the lion's share of healthcare costs to the need for political and systemic change, we call on those with marketing and political acumen to spearhead this transformation. Delving into topics ranging from the Certificate of Need process to the integration of artificial intelligence in medical practice, this episode champions continuous education, compassionate care, and the vital role of experienced medical professionals in improving patient outcomes. Tune in for a thought-provoking conversation that aims to reshape the future of healthcare.

uwheart@uw.edu

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Dr. Ed Tuohy joins us to help understand physician reimbursement and hospital finance. Dr. Tuohy sheds light on the importance of relative value units (RVUs), how they affect both physician paychecks and hospital margins, and the necessity for accurate surveys to ensure fair compensation. We discuss the pros and cons of different payment models, such as salary-based versus RVU-based systems, and the role of dyad management in creating a fair and efficient work environment. This episode is packed with valuable insights that demystify the often opaque world of medical finance.

The healthcare industry is fraught with challenges that impact both efficiency and patient care. From the burdens imposed by electronic medical record systems like Epic to the broader issues of physician burnout, Dr. Tuohy offers strategies for mitigating these challenges through better administrative engagement and optimization of resources. We also tackle the ethical dilemmas and systemic issues inherent in the current reimbursement model, emphasizing the need for a healthcare system that truly values the dedication and skills of its physicians. Tune in for an episode that not only informs but also inspires, as we explore the heart of compassionate and effective medical practice.

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Have you ever wondered how a Ph.D. poet could end up shaping the future for a global oil giant? Join us as we chat with the extraordinary Betty Sue Flowers, who shares her transformative journey from academia to strategic foresight planning at Royal Dutch Shell. Betty Sue reveals how being open to possibilities can help us transcend conventional roles and narratives, and why holding multiple future scenarios is key to expanding our potential outcomes. Learn how she crafts image-rich stories that captivate executives and overcomes corporate resistance to change by fostering a mindset of openness.

Shifting gears, we explore the complex cultural landscape of healthcare, where economic constraints often clash with the moral missions of healthcare providers. This tension not only inhibits true healing but also leads to burnout among medical professionals. We discuss strategies for fostering organizational change through collaboration and innovative leadership, focusing on how charismatic leaders can inspire their teams to envision and energetically pursue goals greater than themselves. This chapter is rich with insights on navigating resistance to change and creating environments where groundbreaking ideas can thrive.

Finally, we tackle the transformative phases of change, drawing parallels between the healthcare and aviation industries. Betty Sue introduces us to the 'bottom of the U' phase, a mysterious yet critical moment where unexpected insights emerge, often leading to productive failure that fosters learning and improvement. We discuss the importance of support systems in achieving success and delve into the power of myth and storytelling in shaping our personal and professional lives. With a passionate emphasis on compassion in healthcare, this episode rounds out with a heartfelt message of encouragement for ongoing projects and a call to build a more innovative, compassionate future. Don't miss this inspiring conversation with Betty Sue Flowers, packed with wisdom and practical strategies for personal and organizational transformation.

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Unlock the secrets of balancing a high-stakes career with a competitive spirit as we chat with Dr. Eric Rothstein, a former D1 tennis star turned interventional cardiologist. Eric reveals his unique journey from the tennis courts to the catheterization lab, sharing how his passion for sports initially led him to orthopedics before pivoting to the demanding field of cardiology. Discover his insights on the evolution of coronary interventions and the critical role of being coachable, whether you're an athlete or a doctor, and how a willingness to learn can set you apart in any profession.

Ever wondered how your personal learning style can impact your professional growth? Eric and I dissect the importance of understanding and embracing individual learning methods, from visual aids to hands-on experiences. Through engaging anecdotes, Eric illustrates the value of honest self-assessment and open communication, shedding light on how constructive self-talk and a supportive environment can fuel continuous improvement. Learn how personal experiences can shape your approach to challenges and how fostering vulnerability can lead to greater success.

Finally, we journey into the mindset required to thrive in high-pressure environments such as medicine and sports. Eric shares practical advice on maintaining balanced self-talk and the importance of team-based accountability. From overcoming failures to creating a culture of collaboration, this episode is packed with real-world examples that demonstrate the power of mentorship and the qualities that make a successful mentee. Don't miss this opportunity to gain valuable insights on coaching, learning, and professional development from someone who has excelled in both the athletic and medical arenas.

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What happens when a heartfelt friendship of 18 years becomes the catalyst for incredible change in the lives of many? Join us as we take you on a journey with Steve Keene, from his roots in Lincoln, Nebraska, to his remarkable work in the healthcare industry and, more importantly, his transformative efforts in addiction recovery. Hear about our memorable taxi ride in London and how these shared experiences led to the founding of the Pelican Intervention Fund. Since 2013, this charity has raised over $800,000 and helped 160 clients struggling with opiate and alcohol addiction through 12-step, faith-based, long-term residential sober living programs.

We'll break down the 12-step recovery process, its origins, and its profound principles. Discover the individualized nature of "rock bottom," and listen to personal stories that illustrate the varied paths people take towards realizing they need help. We'll explore what makes a great candidate for treatment and the unique challenges faced by different age groups, including those on medically assisted treatment. Through our discussion, you'll gain a deeper understanding of the complexities of addiction and recovery.

In the concluding segments, we shine a light on the Pelican Intervention Fund’s deep impact and the power of community support. Learn about the fund's symbolic name and hear inspiring stories of recovery and growth. This episode is not just a testament to the power of service but a call to action for all of us. Let’s reflect on the significance of giving back, spreading hope, and making a positive impact in our own communities. Join us, and together, let’s continue the journey of mutual improvement.

Reach out to Steve:
https://pelicaninterventionfund.org/
&
https://www.linkedin.com/in/steve-keene-24a3781/

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