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Collaborative partnerships save rural health care from collapse

The Podcast by KevinMD

Release Date: 01/06/2026

True peace in medicine requires courage not silence show art 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 show art 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 show art 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 show art 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 show art 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 show art 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...

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Personal memories reveal the transformation of HIV care over four decades show art Personal memories reveal the transformation of HIV care over four decades

The Podcast by KevinMD

Professor and senior associate dean of engagement Janet A. Jokela discusses her article "." Janet shares harrowing memories from her time as a medical student in the mid-1980s, recalling the fear and stigma that surrounded the early days of the AIDS epidemic. She traces the evolution of treatment from a time of hopelessness to the revolutionary arrival of protease inhibitors and the global impact of PEPFAR. The conversation highlights touching patient stories that illustrate how a diagnosis once considered a death sentence has become a manageable condition, allowing people to live full and...

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Economic reality tests the limits of subscription medicine show art Economic reality tests the limits of subscription medicine

The Podcast by KevinMD

Health care strategist Dana Y. Lujan discusses her article "" Dana explains how the rising cost of living and subscription fatigue are challenging the retail model of direct primary care for middle-class families. She contrasts this fragility with the stability of employer-sponsored models where organizations absorb the cost to ensure consistent access for their workforce. The conversation highlights the critical need to align medical business models with the actual economic capabilities of the communities they serve rather than relying solely on ideological goals. Join us to explore how...

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Navigating the medical system requires specific life skills show art Navigating the medical system requires specific life skills

The Podcast by KevinMD

Otolaryngologist Alan P. Feren and patient advocate Joyce Griggs discuss their article "Why health self-advocacy is an essential life skill." Alan and Joyce share the personal journey of becoming a "chief health executive" and explain why managing medical care should be treated with the same seriousness as financial planning. They outline the eight core pillars of advocacy, ranging from health literacy to financial navigation, and argue for the creation of condition-agnostic tools that help patients regardless of their specific diagnosis. The conversation highlights how preparation and...

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Regulatory red tape threatens survival of rare disease patients show art Regulatory red tape threatens survival of rare disease patients

The Podcast by KevinMD

Medical oncologist, geriatrician, and physician scientist GJ van Londen and Chief of Genetic and Genomic Medicine at the University of Pittsburgh School of Medicine Gerald Vockley discuss the article "." GJ and Gerald explore the complex regulatory impasse where the U.S. Food and Drug Administration denied standard approval for elamipretide despite a positive advisory committee vote, creating a financial crisis that threatens to cut off supply for everyone. GJ shares his personal journey from treating cancer to living with primary mitochondrial myopathy, while the conversation emphasizes the...

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More Episodes

Health care executive Jason Griffin discusses his article "The digital divide in rural health care." Jason explains how rural providers in the U.S. face critical infrastructure failures and staffing shortages that threaten their ability to serve communities. He explores why standard one-size-fits-all technological solutions often fail these hospitals and advocates for a collaborative model that prioritizes long-term strategic partnerships over temporary fixes. The conversation highlights the economic importance of keeping rural facilities open and the urgent need to listen to local leaders to bridge the digital gap effectively. Join us to learn how we can build resilient systems that ensure equitable access for everyone.

This episode is presented by Scholar Advising, a fee-only financial advising firm specializing in providing advice for DIY investors. If you want clear, actionable strategies and confidence that your financial decisions are built on objective advice without AUM fees or commissions, Scholar is designed for you. Physicians often navigate complex compensation structures, including W-2 income, 1099 work, production bonuses, and practice ownership. Scholar's highly credentialed advisors guide high-earners through decisions like optimizing investments for long-term tax efficiency and expert strategies for financial independence. Every recommendation is tailored to the financial realities physicians face.

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