The Podcast by KevinMD with host Kevin Pho, MD

Deciding on a career change can turn into polling everyone you know until someone says what you want to hear. Lauren Fine, an allergist-immunologist and founder of Permission to Change, felt that pull when she moved from mostly clinical work into medical education and later into coaching. This episode is based on her article "How to stop asking for permission and decide for yourself," published on KevinMD. You will hear why you, not your family or colleagues, decide the "shoulds" about what a doctor should be, and why she believes you are never truly ready until you do it. She explains how coaching differs from mentoring, and why "what" questions work better than "why" questions, which stir up emotion. She also describes burnout as not getting back what you put in, which sometimes calls for changing how you work rather than what you do. Press play to hear why she starts with a small, reversible change, and why it helps to find someone who asks the right questions instead of granting permission.

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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When a hospital replaces an established physician team, the beds can stay open while the care behind them quietly erodes. Shelly Haug Monti is a neonatologist, palliative care physician, and bioethicist, and a cofounder of Babies First Southern Oregon. This episode is based on her KevinMD article "Why physician outsourcing is a warning sign for hospitals." You will hear how her entire group of neonatologists at a community NICU was terminated and replaced by locum tenens physicians and nurse practitioners, why she compares a NICU team to a philharmonic orchestra, and why she rejects the idea that financial survival and clinical excellence are competing interests. She describes how her group built an advocacy movement with families, nurses, community members, and state legislators, and why advocacy is a skill set few physicians learn. She also explains how to recognize a deteriorating health care system, from clinical infrastructure to hospital governance and staff bylaws. Press play to hear how physicians can spot the warning signs before their own team disappears.

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

Two Alzheimer's drugs now slow the disease, and they work best when symptoms are still mild. Emer MacSweeney is a neuroradiologist and the cofounder and CEO of Re:Cognition Health. This episode is based on her article "Early Alzheimer's detection is now a treatment decision," published on KevinMD. She explains why she calls this a new era, how a simple blood test can start the workup, and why clearing amyloid early matters for the tau protein that tracks symptoms. You will hear what the trials showed: The mildest patients had no decline over the first year, and treatment slows the move from one stage to the next by about half. She makes the case that staying in the mild stage keeps patients eligible for the next medications in the pipeline. She also takes on the cost question, since these drugs slow decline rather than cure it, drawing on patients she treats who are fit, active, and often still working. Press play to hear why she says the biggest risk is not getting treated.

If this episode helped, follow The Podcast by KevinMD on Apple Podcasts or Spotify, and leave a rating.

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

No one ever ran a blinded trial on handwashing. It became standard practice around the world anyway. Narinder Singh Parhar, an internal medicine, hospital medicine, and critical care physician, calls evidence-based medicine one of the field's great achievements and credits it with saving millions of lives. This episode is based on his article "Evidence-based medicine needs a broader view of evidence," published on KevinMD. He also believes medicine has begun to confuse one research method with science itself, and names the questions a blinded drug trial was never built to answer. You will hear why elderly patients carrying several diagnoses and several medications so often fall outside the study group. He makes the case for pragmatic trials, prospective cohorts, pilot programs, and functional outcomes when the question is not a single drug. You will also hear why he wants physicians running their own research and what to ask when a new guideline arrives attached to a product. Press play to hear why he says evidence-based medicine must be protected and should never become methodology-based medicine.

If this episode helped, follow The Podcast by KevinMD on Apple Podcasts or Spotify, and leave a rating.

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

Doctors are adopting tools that answer clinical questions, and some give inconsistent answers or invented patient data. Neil Panchal, an emergency physician and cofounder and chief medical officer of Longevitix, a clinical AI decision support company, wrote a quick screen for colleagues asking which tools to trust. This episode is based on his article "4 questions to ask before you trust clinical AI tools," published on KevinMD. You will hear whether a tool shows its sources, gives the same output for the same input, admits what it does not know, and reaches the right person without alarm fatigue. He explains how a lab panel from overseas shows the danger of a tool that quietly converts units. You will also hear why benchmarks can mislead, why he treats these tools like a first-year resident, and why they need monitoring after deployment. Press play to hear why he says physicians should help shape clinical AI instead of waiting for technology companies, and why an impressive demo is not a safe clinical system.

If this episode helped, follow The Podcast by KevinMD on Apple Podcasts or Spotify, and leave a rating.

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