Escaping the golden cage of traditional medical practice to find joy again
Release Date: 01/16/2026
World Health Organization reframes fertility care as a fundamental right
The Podcast by KevinMD
Fertility specialist and founder of Montgomery Fertility Center Oluyemisi (Yemi) Famuyiwa discusses her article "." Oluyemisi examines the historic release of global guidelines that reframe infertility as a matter of social justice rather than a luxury concern. The conversation highlights the practical strengths of these recommendations for low-resource settings while acknowledging critical gaps regarding environmental toxins and cultural nuance. Oluyemisi argues that addressing the emotional toll of fertility struggles requires a shift in how health care systems prioritize reproductive...
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Racial disparities in pancreatic cancer screening cost Black lives
The Podcast by KevinMD
Internal medicine physician Earl Stewart, Jr. discusses his article "." Earl examines the devastating pattern of pancreatic cancer claiming Black cultural icons like John Lewis and Aretha Franklin while the medical establishment fails to implement race-specific screening guidelines. He highlights research showing that high-risk individuals undergoing surveillance have a 50 percent five-year survival rate compared to just 9 percent for those diagnosed through usual care. The discussion challenges the current medical inertia that demands perfect data before acting and proposes a three-tier...
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Hidden financial dangers of wRVU thresholds in medical employment agreements
The Podcast by KevinMD
Health care attorney Dennis Hursh discusses his article "." Dennis explains the critical distinction between a guaranteed salary and a draw against future earnings where failure to meet production targets can lead to clawbacks. The discussion covers how employers often set unrealistic wRVU thresholds that exceed historical data or MGMA benchmarks while failing to provide adequate marketing support to meet those goals. Dennis highlights the importance of ensuring new physicians have guaranteed income during their ramp-up period and warns against contract language that credits productivity only...
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Healing chronic illness requires treating the mind alongside the body
The Podcast by KevinMD
Internal medicine and functional medicine physician Shiv K. Goel discusses his article "." Shiv explores the limitations of conventional medical models that focus solely on acute intervention while ignoring the emotional roots of chronic conditions. He shares the compelling story of Linda whose physical ailments were deeply connected to decades of suppressed grief and trauma. The conversation delves into the science of psychoneuroimmunology and how unprocessed emotions get stored in the body's tissues eventually manifesting as disease. Shiv explains why true healing involves not just...
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Medicare cuts are destroying independent rural medical practices
The Podcast by KevinMD
Saravanan Kasthuri, medical director at Northwest Endovascular Surgery, and Jason McKitrick, executive director at the Office Based Facility Association, discuss their article "." Saravanan and Jason analyze the critical economic forces dismantling independent medical practices and threatening patient access in underserved areas. They highlight the personal story of Mr. G to illustrate the human cost of broken reimbursement models while explaining how the outdated Physician Fee Schedule forces doctors to sell to hospitals or private equity firms. The conversation details how consolidation...
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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...
info_outlineUrologist Tracy Gapin discusses their article "Is your medical career a golden cage?" 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 well-being over systemic demands and encourages doctors to reinvent how they practice to find purpose again. Redefining your medical career might be the only way to save your life.
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