Treating your bone density like a retirement account
Release Date: 12/28/2025
Artificial intelligence demands that doctors become architects of digital health
The Podcast by KevinMD
Family physician Tod Stillson discusses his article "." Tod explains how his career evolution revealed that artificial intelligence is not a threat to the medical profession but a necessary tool for reshaping care delivery. He argues that physicians must actively lead the integration of AI to ensure that clinical judgment is amplified rather than overridden by automation. The conversation covers the necessity of digital fluency, the shift toward structured asynchronous data collection, and how these technologies can actually restore the human connection by relieving administrative burdens....
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Overcoming the economic barriers of fee-for-service medicine
The Podcast by KevinMD
Surgeon and health tech strategist Sarah Matt discusses her article "." Sarah analyzes the friction between efficient digital health tools and an outdated payment system that rewards activity over quality. She proposes replacing analog metrics like visit volume with shadow KPIs that track actual health outcomes such as time-to-resolution and preventable hospitalizations. The discussion outlines a practical strategy to utilize existing billing codes for remote patient monitoring while simultaneously gathering data to negotiate shared savings agreements. Listen to learn how clinicians can drive...
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Urological analysis of delayed cancer diagnoses in political figures
The Podcast by KevinMD
Urologist William Lynes discusses his article "." William examines the medical plausibility of a former president being diagnosed with widespread metastatic prostate cancer just months after leaving office. He explains why the slow growth of this disease means it almost certainly existed during the presidency and challenges the narrative that it went undetected despite world-class health care. The discussion covers the standard of care regarding PSA screening and hormonal therapy while highlighting how symptoms like bone pain would likely have been obvious to any competent medical team....
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Genetic testing requires more than just a binary result
The Podcast by KevinMD
Fertility specialist Oluyemisi Famuyiwa discusses their article "." Oluyemisi explores the transition to "Genetic Carrier Screening 3.0," a new era where expanded panels reveal hidden complexities that defy simple positive or negative interpretations. The conversation highlights how specific variations in genes like CFTR and SMN1 can lead to unexpected clinical consequences, such as male infertility or silent carrier status in spinal muscular atrophy. By examining the nuances of hemoglobinopathies and X-linked conditions, Oluyemisi explains why being a "carrier" often has direct health...
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True peace in medicine requires courage not silence
The Podcast by KevinMD
Professor and coach Kathleen Muldoon discusses their article "." Kathleen explores the dangerous misconception that peace in health care means silence or compliance. The conversation highlights how teaching medical students to smooth their edges and avoid conflict often leads to burnout, moral injury, and emotional numbness. By redefining peace as an active skill that requires a spine, Kathleen outlines how clinicians can navigate hierarchy and uncertainty without erasing their own humanity. This episode examines the vital difference between keeping the peace and protecting dignity in...
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Silence is a survival mechanism that costs women their joy
The Podcast by KevinMD
Obstetrician-gynecologist Priya Panneerselvam discusses their article "." Priya discusses how the quiet deference observed in their mother's generation continues to manifest in patients who apologize for their pain and hesitate to ask questions. The conversation explores the cultural and national forces that suppress female voices, linking personal family history to the broader political landscape regarding women's rights and leadership. By examining the cost of this inherited silence, Priya advocates for speaking out as an act of rebellion and gratitude for those who could not. Breaking this...
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Focusing on outcomes over novelty prevents AI failure in health care
The Podcast by KevinMD
Health care executive Dave Wessinger discusses their article "." Dave explains why organizations must move beyond the hype of artificial intelligence to focus on measurable goals like driving growth and improving quality. The conversation highlights specific high-value applications in documentation and patient intake while emphasizing the critical need for a clinician in the loop approach to ensure patient safety. By prioritizing administrative automation over clinical decision-making initially, leaders can build trust and avoid the risks associated with imperfect technology. This episode...
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Escaping the golden cage of traditional medical practice to find joy again
The Podcast by KevinMD
Urologist Tracy Gapin discusses their article "" Tracy explores the paradox of achieving professional success while feeling trapped in a demoralizing and insurance-driven health care system. The conversation highlights how factors like short visits and administrative burdens contribute to physician burnout and alarmingly high rates of suicide among doctors. By identifying the limiting beliefs that hold medical professionals hostage in their careers, Tracy outlines a path toward freedom through a cash-based precision medicine model. This episode examines the necessity of prioritizing personal...
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Capping student loans destroys the rural medical pipeline
The Podcast by KevinMD
Kenneth Botelho, founding director of the doctor of medical science (DMSc) program at The College of St. Scholastica and a physician assistant, discusses his article "." Kenneth explains how impending borrowing limits for physician assistant and nurse practitioner programs create an insurmountable barrier for students from the very communities that need providers most. He illustrates the paradox where government grants aim to stabilize rural health care while loan policies simultaneously cut off the supply of future clinicians. The conversation highlights the urgent need to align financial aid...
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Physician suicide represents a silent epidemic demanding urgent reform
The Podcast by KevinMD
Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article "." Muhamad opens with the tragic losses of Dr. Nolan R. Williams and Dr. Charles Szyman to illustrate the devastating toll of the profession on even its most accomplished members. He examines the alarming data showing suicide as a leading cause of death among medical residents and outlines specific, actionable steps for trainees, program directors, and hospital executives to build safety nets rather than barriers. The conversation emphasizes the importance of using neutral language like "died by...
info_outlineOrthopedic surgeon Yoshihiro Katsuura, medical student Mark Polemidiotis, and premedical student Cyrus Nasr discuss their article, "Why young people need to care about bone health now." Yoshihiro, Mark, and Cyrus explain that osteoporosis is not just an old person's disease but a result of peak bone mass missed during youth. They use the powerful metaphor of a "retirement account" to describe skeletal metabolism, where deposits must be made before age twenty to prevent a "moth-eaten" structure later in life. The discussion highlights the shocking mortality rates of insufficiency fractures and reveals why modern anabolic medications are revolutionizing treatment beyond the old "freezing" methods of bisphosphonates. Learn how to invest in your skeleton now to avoid paying the high price of frailty later.
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