Healthcare 101

We will be working to learn more about the healthcare system from leaders within it, books, and our own endeavors. We will focus on growing our listeners basic understanding of the system of healthcare in the US, the changes that may occur in the coming years, and how this will impact our future as physicians.

Why Gender Doesn't Belong in Leadership Conversations w/ Dr. Stephanie Faubion & From Skirts to Scrubs

Dr. Stephanie Faubion M.D. has practiced in the Women's Health Clinic at Mayo Clinic for over 10 years. She has a broad interest in women's health andher research encompasses sex- and gender-based differences in disease, menopause, hormone therapy, healthy aging, and sexual health and dysfunction in women.

In her roles as the Penny and Bill George Director for Mayo Clinic's Center for Women's Health and medical director for The North American Menopause Society, Dr. Faubion is acutely aware of the need to improve the evidence base for medical practice. Her role in the research community is guided by the need to develop research strategies that will improve the clinical practice as many research questions come directly from the clinical dilemmas faced every day in medical practice.

Dr. Faubion's research group has developed a clinical database: the Data Registry on Experiences of Aging, Menopause and Sexuality (DREAMS). This database, developed in 2005, already has extensive longitudinal data with over 7,000 patients and has facilitated multiple research projects. In this context, Dr. Faubion has encouraged and directed strong research collaborations with established clinical and basic science researchers within the institution.

We are also joined today by Aleesha Kotian and Charlotte Thill of From Skirts to Scrubs, a podcast that intersects gender studies, history and medicine. For more information we encourage our listeners to visit their website or check out their social media. In this episode we talk about how to be an authentic leader and why we need to move to a place where gender isn’t a qualifier for leaders in medicine.

Leading During Chaos: from the operating room to COVID-19 with Dr. Steve Stylianos

In this episode, we interview Dr. Steven Styllianos. Dr. Stylianos serves Columbia University as the Rudolph N Schullinger Professor of Surgery and Pediatrics and Chief of the Division of Pediatric Surgery. He is currently the Surgeon-in-Chief of the Morgan Stanley Children’s Hospital/New York Presbyterian.

A graduate of Rutgers University and the New York University School of Medicine, Dr. Stylianos completed his general surgical training at Columbia–Presbyterian Medical Center. He subsequently spent two years as the Trauma Fellow at the Kiwanis Pediatric Trauma Institute in Boston and then completed his formal pediatric surgery training at Boston Children’s Hospital. Dr. Stylianos joined the faculty of Columbia University College of Physicians and Surgeons and the Children’s Hospital of New York in 1992. He organized and directed the 50-member team of physicians and nurses who separated conjoined twins in 1993, 1995, 2000 and 2020. These conjoined twins separations attracted the attention of the national media, including Dateline NBC, CBS 48 Hours and Fox News.

Currently, Dr. Stylianos is a site verification officer of the American College of Surgeons Committee on Trauma and was recently elected to serve on the American Pediatric Surgical Association Foundation’s Board of Directors, Editor-in-Chief of the Journal of Pediatric Surgery Case Reports, Associate Editor of the Journal of Pediatric Surgery and served on the Executive Board as a founding member of the Pediatric Trauma Society. Dr Stylianos recently received the prestigious American Pediatric Surgical Nurses Association’s 2016 Champions Award and the American Trauma Society’s 2016 NY State Trauma Medical Director of Distinction.

In this episode, we discuss what it was like to lead a team who separated conjoined twins, how he handles leadership in the OR, and his experience in the epicenter of COVID-19 in New York.

Bullying in Medicine and Improving the Culture of Medical Training with Dr. Simon Fleming

Simon Fleming is a trainee Trauma and Orthopaedic surgeon who has developed a national, and growing international reputation, for his campaigning work to drive cultural change in the NHS and other healthcare organizations. He has spoken widely across the UK and abroad – including delivering a TEDx talk – around his award-winning #HammerItOut campaign aimed at tackling bullying and discriminatory behaviours in the NHS to create positive and empowering workplaces and to improve patient care. Simon is also a much in demand motivational speaker and has delivered talks and presentations around his experience of leadership, training and culture to a wide range of public, private and professional bodies. He is also passionate about achieving excellence in medical education and his roles in this area include being Vice Chair of the Academy of Medical Royal Colleges Trainee Doctors’ Group (ATDG) and Associate Editor of Medical Education and The Clinical Teacher. Indeed, Simon has received over 15 awards for his work in improving standards in medical education and shining the spotlight on the need for cultural change in healthcare organisations. These include being the first man to receive Honorary Membership from the Medical Women’s Federation.

He tries to change the world in his spare time as well as keeping fit. However, he is the first to admit that he undoes all the good from going to the gym and dog walks with a love of great food! But that’s another story…….

Value Based Care and the Future of Medicine with Dr. Brent James

Dr. Brent James was a Senior Fellow at the Institute for Healthcare Improvement, Senior Advisor at the Leavitt Group and a Senior Advisor at Health Catalyst, in Salt Lake City, Utah. He holds faculty appointments at the Stanford University School of Medicine and at several other universities. He was formerly the Vice President and Chief Quality Officer at Intermountain Healthcare.

He has been honored with many awards for quality in health care delivery, including the John M. Eisenberg Patient Safety & Quality Award, The Joint Commission and the National Quality Forum, The C. Jackson Grayson Medal for Distinguished Quality Pioneer, The Joint Commission Earnest A. Codman Award, The National Committee for Quality Assurance Quality Award, and the American College of Medical Quality Founders' Award. For 8 out of its first 9 years, Dr. James was named among Modern Physician's "50 Most Influential Physician Executives in Healthcare." In Modern Healthcare, he was named among the "100 Most Powerful People in Healthcare" and "25 Top Clinical Informaticists."

In this episode, we discuss his leadership background, value based medicine, as well as his outlook on the future of medicine. We hope you enjoy this episode of Leading the Rounds.

What is Medical Waste and How Can You Clean it Up?

The United States Ranks #1 in Healthcare spending, reaching nearly 18% of our GDP or $3.8 trillion. There are a number of reasons for this huge spending and we hope to explore this further in our episodes on the business of healthcare. Today we’re talking about waste in healthcare delivery. It is estimated that 25% of healthcare spending can be attributed to one form of waste or another. Today we’ll talk about what medical waste looks like, what others have suggested as solutions, and why it's important- as medical trainees- to be on the lookout for areas of waste or inefficiency.

Fee-for-Service vs. DPC: Interview with Paul Thomas M.D.

Understanding different models of care-delivery is critical in developing health systems literacy. Direct primary care (DPC) has a lot of promise in addressing problems with the current fee-for-service model. We interviewed Dr. Paul Thomas, a board-certified family medicine physician and founder of Plum Health DPC. Dr. Paul Thomas is a leader in the DPC movement and his mission is to deliver affordable, accessible health care services in Detroit and beyond. He is the author of two books. We hope you enjoy our stimulating discussion Dr. Thomas and learn a little more about what DPC is and what it has to offer patients and physicians alike.

Understanding Medicare & Medicaid

As physicians in the US, many of our patients will use some form of medicare or medicaid. We believe that medical students and residents should have a base understanding of what each of those are before they enter the workforce. In this episode, we will give you an introduction to Medicare and Medicaid, and discuss how it may impact you as a physician.