by Drs. Rajani Katta and Samir Desai
The SIM podcast is dedicated to helping students and physicians achieve success in medicine. With interviews and a review of research in different areas, including career development and well-being, as well as clinical and non-clinical careers in medicine, Drs. Rajani Katta and Samir Desai present evidence-based advice and a range of insider perspectives.
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🇺🇲
Publishing Since
2/16/2017
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October 4, 2024
<p>Dr. Meena Julapalli is a pediatric dermatologist, one of only about 400 in the country. This was a fascinating conversation, because she relays her journey from academic dermatology to a direct care practice, as well as her work on creating resources and conducting workshops on the path to joy. <br />One of the fascinating topics we discussed was the different approaches to providing medical care. In medical school and in training, we are often exposed to academic medicine, and sometimes private practice. But there are different types of medical practice, and Dr. Julapalli started what is known as a direct care practice. In a direct care practice, patients pay a set fee to see the physician. Patients know ahead of time what that fee will be, and there are no surprises. In her previous academic dermatology positions, she would sometimes see as many as 50 patients a day. In her current position, she may see nine patients a day, which allows her the space and time to fully respond to her patient concerns. She describes the setting as a micropractice, where she keeps her overhead low by paying attention to expenses and using a virtual assistant.<br />Dr. Julapalli is also the founder of The Joyful Path, whose mission is "to help children build the intuition of how to nourish their mind, body, and soul so that they may live, love, and serve generously with an open heart, intention, and purpose." Dr. Julapalli has been involved for the last 20 years with support groups and camp programs throughout the country, as well as leading workshops. She is also the author of two children's books about joy, as well as a mindset coach for kids, world explorer, and amateur swing dancer.<br />I found this a fascinating conversation, because it highlights that there are many ways to approach a particular challenge, whether that’s the challenge of providing the type of patient care that you wish to, or the challenge of helping children beyond the ones that you care for in your practice.<br /><a href="http://www.bluebirddermatology.com/" target="_blank" rel="ugc noopener noreferrer">www.BluebirdDermatology.com</a></p> <p><a href="http://www.thejoyfulpath.org/" target="_blank" rel="ugc noopener noreferrer">www.</a><a href="http://www.thejoyfulpath.org/" target="_blank" rel="ugc noopener noreferrer">TheJoyfulPath.org</a></p>
September 6, 2024
<p>My interview with prenatal genetic counselor and researcher Lauren Westerfield is a fantastic lesson in how to approach challenging career decisions.The framework and approach to impending burnout that she describes in this episode is very thoughtful and analytical--and has proven effective. <br>Miss Westerfield works in both clinical practice and research as the research study coordinator for an NIH-funded multicenter study. She is based at Texas Children's Hospital and the Baylor College of Medicine.One of the things that struck me about her conversation, and that she highlighted, is that many of the discussions about burnout are on "how do you move onto the next thing". By contrast, her approach provides an option for staying in a position in a more sustainable way, because that’s also an option for resolution of burnout. She wanted to stay in a great institution, doing work that she loves.<br></p> <ul> <li>She describes how she was approaching burnout at a specific point in her career, during which there were increased clinical demands and ongoing leadership and teaching responsibilities.</li> <li>One thing that struck me about our conversation is that she had a high degree of self-awareness to recognize that despite her strong coping skills, she was approaching burnout and needed to make a change.</li> <li>She developed a framework for determining the next steps in her career, and developed a three phase process. Phase 1 was survival, identifying what was contributing to her stress level and determining how to modify those.</li> <li>She next approached her managers. As a high performer, she had proven her worth to the organization, and her managers were committed to working with her to help retain her in the organization. Moving forward, they were able to re-allocate some of her leadership tasks and rebalance her clinical time with her research time. </li> <li>Throughout this process, she was sharing this with the junior members of her team, and continues to share and speak very honestly and transparently about her experiences.</li> </ul> <p>For those who would love to stay in a career or a position that they love, this is an inspiring episode about how making deliberate changes and having challenging conversations can lead to great outcomes. </p>
August 2, 2024
<p>I really enjoyed speaking to Dr. Stefanie Simmons, because her work with the Dr. Lorna Breen Heroes' Foundation is an example of how advocacy in action can lead to change, even over the course of just a few years.</p> <p>Dr. Simmons is the Chief Medical Officer of the Dr. Lorna Breen Heroes' Foundation. Over the course of her career, she has served as a clinician, an educator, a healthcare executive, and now Chief Medical Officer. In this conversation, we speak about her advocacy work, and how the foundation has been able to make significant strides in promoting healthcare well-being.</p> <p>In speaking with her, she is clearly energized by her mission: to support healthcare providers in rediscovering the joy in their work, in order to improve the quality of their lives and improve the care that they provide to patients. She explains that her work is focused on advocacy, awareness, and advancing solutions.</p> <p>As part of her work with the foundation, she meets with state and federal legislators. She also conducts outreach to healthcare organizations to increase the awareness of the drivers of burnout. The foundation also helps to advance solutions to accelerate the pace of change, including via the Impact Well-Being Campaign.</p> <p>The goals of the foundation include, among others, safeguarding access to mental healthcare for healthcare providers. The work of the foundation began with the tragic death of Dr. Lorna Breen in the spring of 2020. One of the contributing factors to Dr. Breen's mental health crisis and suicide was her fear that if she sought treatment, she would lose her medical license. This fear stemmed from the fact that many states ask questions on licensing applications as to whether physicians had "ever" been treated for a mental health condition. </p> <p>The foundation and other organizations have been working to change these questions. Instead of asking about past treatments, the focus should ideally be on current physical and/or mental impairment. In 2021, there were 17 states that avoided the use of invasive questions about past treatment for mental health conditions. Now, there are 27 states, and 11 more are considering making changes. This is a remarkable improvement over the course of just a few years. </p> <p> In this episode, Dr. Simmons shares her own experience of postpartum depression, and how she did not seek care because of concern about licensing issues. One of the things that has motivated her throughout her career is her wish to leave this place and the rules that govern us better than she found them.</p> <p>For students interested in advocacy work, or how they can continue to advocate for professional well-being as clinicians, this episode provides inspiration and actionable takeaways.</p> <p><a href="https://www.linkedin.com/in/stefsimmons/" target="_blank">Dr. Stefanie Simmons, Chief Medical Officer, Dr. Lorna Breen Heroes' Foundation</a></p> <p><a href="https://drlornabreen.org/" target="_blank">The Dr. Lorna Breen Heroes' Foundation</a><br></p> <p><br><a href="https://drlornabreen.org/student-chapter/" target="_blank">More on how to start a medical school chapter of the organization</a></p> <p><a href="https://www.kevinmd.com/2023/02/breaking-the-stigma-why-doctors-are-afraid-to-seek-mental-health-treatment.html" target="_blank">My post on KevinMD on why doctors are afraid to seek mental health treatment</a><br></p>
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