The Podcast by KevinMD with host Kevin Pho, MD

Doctors are sued far less often than they were 25 years ago, but the average malpractice payout has never been higher. Robert E. White, Jr., president of The Doctors Company, has spent 58 years in malpractice insurance. This episode is based on his article "Why medical malpractice claims cost more than ever," published on KevinMD. You'll hear why he thinks tort reform and a patient safety push that began in 1999 drove lawsuits down. He explains how nuclear verdicts of $10 million or more raise the average settlement, even though they get settled for less. You'll also learn why insurers now pay on more of the claims that are filed, keeping pressure on premiums. He warns that obstetricians and other high-risk specialists may drop parts of their practice if premiums climb, leaving patients without care. He asks physicians to answer the call when organized medicine pushes for reform. Hear what patients say when asked why they sued, and why more time with them could head off many cases.

Partner with me on the KevinMD platform. With more than 100 million impressions a year and nearly 750,000 followers, subscribers and email recipients across my channels, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

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The office chairs most of us sit in all day have little science behind them, and the popular fixes may not be much better. Turner Osler is a trauma surgeon and epidemiologist. This episode is based on his article "How the benefits of active sitting change desk work," published on KevinMD. You will hear why life table analyses suggest the people who sit the most lose about two years of life, where the 90-90-90 posture came from, and why lumbar support has largely failed. You will hear what goes wrong with kneeling chairs and yoga balls, and why he says standing desks are even worse, citing a 2018 Ontario study of 6,300 people followed for 12 years in which heart disease was doubled in the group that stood. You will also learn how active sitting builds movement into the workday by changing the environment rather than relying on willpower, and what a moving surface could do for people who use a standing desk. Press play for why you do not have to accept the chair you are sitting in.

Partner with me on the KevinMD platform. With more than 100 million impressions a year and nearly 750,000 followers, subscribers and email recipients across my channels, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

A physician was fired by the doctors she had trained, in part because she preferred to see her own patients herself. Moral injury, she argues, does not require 100-hour weeks. Sarah A. Vlach is a physiatrist and sports medicine physician. This episode is based on her article "Moral injury doesn't care how many hours you worked," published on KevinMD. You will hear how her working conditions slowly deteriorated, including nine months without a medical assistant, and why her first response was to knuckle down and work harder. She describes how financial incentives like RVUs now shape decisions in both corporate and private practice, and why she sees a two-track system forming as more clinicians move to cash-based care. She offers advice for new physicians starting out with large loans, and she explains how the Physician Support Line and writing about the experience helped her. Press play to hear what she wishes she had done sooner, and why she has found there is life after being a physician.

Partner with me on the KevinMD platform. With more than 100 million impressions a year and nearly 750,000 followers, subscribers and email recipients across my channels, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

The words you put in a patient's chart can be used to deny their disability claim. A note that says "stable" or "improved" can mean one thing to you and another to the insurer. Jennifer Hess, an ERISA disability attorney and Riemer Hess partner, represents physicians and other professionals in long-term disability claims. This episode is based on her article "Why your patient's disability claim was denied," published on KevinMD. You'll hear why a fixed return-to-work date on a disability form can get benefits cut off, and what to write instead. You'll also learn how to add context to notes about improvement, pain, or depression, and why a short narrative letter can go a long way. Jennifer explains why you can ask insurers to put their questions in writing instead of answering on a surprise call. She also makes the case for checking your own disability policy, since you could one day be on the other side of the table. Hear what to write, what to leave out, and what to read before you sign.

Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Many doctors who run their own practices spend hours on work someone else could do. One practice owner who charges $300 an hour was his own receptionist, verifying insurance all night and stepping away from a family dinner to take a patient's call. Central AI and Wing Assistant CEO Karan Kanwar discusses his KevinMD article "The physician opportunity cost nobody puts on a bill." He argues that this time, along with the revenue lost when calls go unanswered, never shows up on a profit and loss statement. You'll hear why practices hesitate, from reluctance to let go of tasks to worries about HIPAA compliance and connecting to the EHR. He walks through the easiest places to start, including phone calls, payer calls, billing and test result questions, and non-clinical questions about medical equipment. He also shares how to judge whether an AI vendor will still be around. Stay for a simple exercise: look at everything you do in a day and decide what you can give away.

Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast