How I Doctor with Dr. Graham Walker Podcast By Offcall cover art

How I Doctor with Dr. Graham Walker

How I Doctor with Dr. Graham Walker

By: Offcall
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I built MDCalc 20 years ago because I wanted to save myself and other doctors time and make it easy for them to integrate more evidence into their medical care. Now I’ve launched Offcall to tackle something even bigger: giving doctors back our autonomy — through salary and workload transparency. These ideas shouldn’t be radical…but here we are. I still practice emergency medicine, but I’ve spent my career breaking out of the cookie cutter version of “what a doctor looks like” or “what a doctor’s supposed to do.” That’s why I started How I Doctor: a podcast about the most creative and influential physicians and how they’re rewriting the job description. Medicine wasn’t built for creativity. But I think that’s exactly what it needs. If you’re looking for new role models, different stories, or just proof that fulfillment is still possible in this era of medicine — this show’s for you. Welcome to “How I Doctor,” where we’re bringing joy back to medicine. If you enjoy the show, please hit the follow button! That will help us continue to bring you more great episodes every week. And don’t forget to sign up for Offcall. Join the growing movement! Offcall: https://www.offcall.com/ LI: https://www.linkedin.com/company/joinoffcall TikTok: https://www.tiktok.com/@offcalldotcom IG: https://www.instagram.com/offcalldotcom/Copyright 2026 Offcall Hygiene & Healthy Living Physical Illness & Disease Science
Episodes
  • Using AI to Accurately Code and Measure Physician Outcomes, With Solventum’s Dr. Travis Bias

    Using AI to Accurately Code and Measure Physician Outcomes, With Solventum’s Dr. Travis Bias
    Apr 16 2026
    Most physicians understand that documentation is important. Very few understand the systems that determine what that documentation actually means for how they're paid, measured, and judged.Dr. Travis Bias does because he's spent years operating on both sides of that divide.In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Travis Bias, Deputy Chief Medical Officer of Health Information Systems at Solventum, and one of the few clinicians who has led AI strategy for a company whose tools are already inside 80% of U.S. hospitals. The conversation covers the hidden infrastructure behind hospital quality scores, risk adjustment, and clinical documentation. And what most physicians don't realize about how those systems are shaping their professional reputation every day.Travis also brings a perspective most health tech voices lack: two years teaching medicine in Kenya and Uganda, where finite resources and physical exam skills are the standard of care. It's a vantage point that sharpens his thinking on everything from clinical judgment to what U.S. medicine consistently gets wrong.What You'll LearnWhy ambient AI documentation tools are capturing clinical complexity that physicians never had time to write down, and what that means for how patients are coded and how doctors get paidHow hospital quality scores, mortality rankings, and US News ratings are all downstream of documentation completeness and what physicians can do about itWhy the regulatory framework for healthcare AI is already behind the technology, and what happens if it doesn't catch upHow his time teaching medicine in East Africa changed the way he thinks about resource stewardship, clinical judgment, and the U.S. healthcare system's relationship with overtestingWhat tech companies consistently get wrong about physicians and what physicians consistently get wrong about techWhy Travis sees his role as a translator between medicine and technology, and how clinical training makes you better at bothResources & Where to Find TravisSolventum.com Travel Health Consult: LinkedIn🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom
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    36 mins
  • The AI Conversations Every Physician Should Hear: Highlights from Yann LeCun, Dr. Bob Wachter, and Dr. David Rhew

    The AI Conversations Every Physician Should Hear: Highlights from Yann LeCun, Dr. Bob Wachter, and Dr. David Rhew
    Apr 9 2026
    AI is everywhere right now. In your inbox, your EHR, your hospital's strategic plan, and probably your last three CME credits. But most of what physicians hear about AI is either hype or fear. We think you deserve something better.In this special Best of AI episode, Dr. Graham Walker revisits three conversations that generated the most messages, DMs, and forwarded links from How I Doctor listeners, plus a Physician Spotlight that has nothing to do with AI and everything to do with why physicians need support right now.These guests don't agree on everything. But together they map a path that every physician needs to understand: where AI actually works today, where it falls short, and what's coming next.Featured Episodes & LinksYann LeCun is the ACM Turing Award Laureate, former Chief AI Scientist at Meta, and co-founder of AMI, Advanced Machine Intelligence. Alex LeBrun is a serial entrepreneur, co-founder of NABLA, and CEO of AMI. Listen to Move Over LLMS! AI Legends Yann LeCun and Alex LeBrun Debut AMI Labs' Bold Ambitions for World Models in HealthcareDr. Bob Wachter is Chair of the Department of Medicine at UCSF, author of The Digital Doctor, and author of the new book A Giant Leap: How AI Is Transforming Healthcare and What It Means for Our Future. Listen to What Doctors Get Wrong About AI with Robert Wachter, MDDr. David Rhew is an infectious disease physician and Global Chief Medical Officer at Microsoft, working at the intersection of the world's largest health systems and its largest technology companies. Listen to Where AI in Medicine Is Actually Headed, with Microsoft’s CMO David RhewWhat You'll LearnYann LeCun & Alex LeBrunWhy large language models have a fundamental ceiling and what world models are designed to do insteadWhy 80% accuracy is considered excellent in research and completely unusable in clinical practiceWhat it actually took to build AI tools physicians trust and why every assumption they walked in with was wrongDr. Bob WachterWhy the healthcare system is uniquely positioned to benefit from AI, and uniquely capable of wasting those gains on a faster hamster wheelThe deskilling death spiral: what happens when the AI becomes more reliable than the human checking its workWhat part of medicine Bob believes we should never hand to AI, and whyDr. David RhewWhy AI in medicine isn't one thing, it's a portfolio of tools, and conflating them leads physicians to trust the wrong onesHow retinal screening AI is finding advanced diabetic disease in people who were told everything was fine months earlierWhy the most important physician skill in 2030 will have nothing to do with clinical knowledgeDr. Stefanie SimmonsThe spheres of control, influence, and acceptance and why physicians chronically misestimate which is whichWhy 43 state medical boards have now removed stigmatizing mental health questions, and how to check if yours is one of them🩺 Offcall is more than a platform — it’s a community. Join today!🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom
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    28 mins
  • The Pay Gap in Medicine Is Real. Dr. Pamela Buchanan Is Done Being Quiet About It

    The Pay Gap in Medicine Is Real. Dr. Pamela Buchanan Is Done Being Quiet About It
    Apr 2 2026

    Dr. Pamela Buchanan is an emergency physician, author, founder of Melanated Medicine, and one of the most candid voices in medicine on the things doctors aren't supposed to talk about.

    In this episode of How I Doctor, Dr. Graham Walker sits down with Pamela to have the conversation most physicians have been trained their entire careers to avoid.

    What does it actually cost to stay silent about pay?

    What happens when a colleague throws a stethoscope on the ground and tells you that you're worth more than you're making? What does it feel like to be called the N-word by a patient you treat anyway?

    Pamela doesn't flinch. She talks about the $100,000 pay gap Black women physicians face even when matched for the same role. She walks through the moment a friend told her to rip up a signed contract — and the $75,000 sign-on bonus that landed in her bank account 48 hours later. She speaks openly about burnout, depression, and the mental health crisis medicine refuses to name. And she makes the case that the silence around all of it isn't accidental.

    This isn't a conversation about victimhood. It's a diagnosis of a broken system and a blueprint for every physician who's ever stayed quiet too long.

    What You'll Learn

    • Why pay transparency in medicine isn't just taboo, and why Pamela believes the silence is intentional
    • How two candid conversations with colleagues changed her financial trajectory permanently
    • What to say, what to ask, and what to refuse when you're sitting across from someone offering you a contract
    • How racism shows up on shift — not occasionally, but every single day — and what it costs to absorb it alone
    • What Melanated Medicine is, why Pamela built it, and what happens when Black women physicians finally find each other
    • Why asking for help — professional, domestic, emotional — is not weakness but math

    🩺 Offcall is more than a platform — it’s a community. Join today!

    📝 For a full transcript of this episode click HERE

    🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

    👨‍⚕️Follow Dr. Graham Walker on

    LinkedIn https://www.linkedin.com/in/graham-walker-md/

    IG https://www.instagram.com/ubergraham/

    Bluesky https://bsky.app/profile/drgrahamwalker.com

    ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe

    🟧 Follow Offcall on

    LinkedIn https://www.linkedin.com/company/joinoffcall/

    IG https://www.instagram.com/offcalldotcom/

    TikTok https://www.tiktok.com/@offcalldotcom

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    38 mins
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