Matthew K. Wynia, MD, MPH, FACP, is Director of the Center for Bioethics and Humanities at the University of Colorado.  He previously directed the AMA’s Institute on Ethics for 15 years. Given Dr. Wynia’s training in infectious diseases, public health and health services research, host Mike Sacopulos discusses a range of ethical issues in medical practice including the following:• Factors that caused our response to the COVID-19 pandemic, what happened to the playbook for pandemic response?
• The ethics surrounding vaccine mandates. 
• The need to improve systems that impact physician practice, not the need to improve physicians. 
• Some research surrounding patients that are not truthful with their physicians.
• Patient safety and racial disparities in outcomes, care delivery as medical errors, implications for physician leaders.
As a bonus, Dr. Wynia discusses the application of the study of art to the practice of medicine. https://www.cuanschutz.edu/centers/bioethicshumanities/facultystaff/matthew-wynia
Learn more about the American Association for Physician Leadership at www.physicianleaders.org

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Bioethics During a Pandemic:  Missed Opportunities, Lying Patients, and Disparities in Patient Outcomes

Matthew K. Wynia, MD, MPH, FACP

Professional Capabilities

Integrity

Self-Management

Self-Awareness

Motivations and Thinking Style

Trust and Respect

In this episode of SoundPractice, we dive into an engaging and informative discussion on the future of AI in healthcare and its implications for both doctors and patients. Host Mike Sacopulos is joined by Laura Landro to explore the emerging world of ambient listening technology.

Laura Landro, an award-winning writer and journalist, former Wall Street Journal “Informed Patient” columnist, and author of Survivor: Taking Control of Your Fight Against Cancer, brings an innovative perspective on medical technology advancements.

This technology captures clinician-patient conversations, aiming to alleviate documentation burdens, enhance patient care, and reduce clinician burnout. However, it also raises important concerns about privacy and data security. Tune in to learn how leading institutions are pioneering research while ethical considerations continue to shape its future, especially in sensitive areas of healthcare.

Episode Highlights:

• Research Insights: Discover the benefits that institutions like Mass General Brigham are experiencing in terms of cost and time savings, and improved quality of care.

• Regulatory and Liability Concerns: Explore the potential need for FDA oversight if the technology influences clinical decisions, and the implications of errors in AI-generated documentation.

• Initial Patient Reactions: Gain first-hand insights from patients, including those who find the technology beneficial and others who have privacy concerns.

• Future Outlook: Project how ongoing development and ethical considerations will shape the integration of AI in healthcare.

Resources

• Laura Landro’s WSJ Article: Why AI May Be Listening In On Your Next Doctor's Appointment - https://www.wsj.com/health/healthcare/ai-ambient-listening-doctor-appointment-e7afd587

• Book by Laura Landro: Survivor: Taking Control of Your Fight Against Cancer - https://www.amazon.com/Survivor-Taking-Control-against-Cancer/dp/0684856786

Learn more about the American Association for Physician Leadership at https://www.physicianleaders.org/


Hospital Walls May Have Ears? Ambient Listening Tech with Laura Landro and the WSJ

Laura Landro

Operations and Policy

Technology Integration

Quality and Risk

Healthcare Process

Quality Improvement

Join us for an enlightening episode of SoundPractice featuring Lisa Kern, MD, MPH, a national expert, distinguished professor of medicine, and associate chief for research at Weill Cornell Medicine. In this episode, we explore Kern’s unique career path — from her early fascination with communication as a psychology major at Harvard to her impactful research on healthcare delivery in the United States.

Her journey reveals an enduring commitment to understanding and improving the healthcare system, driven by the impact of external factors like insurance and policy on patient care. This episode not only sheds light on the complexities of the American healthcare system but also underscores the importance of inter-professional collaboration and patient engagement in shaping the future of medicine.

Key Takeaways:

1. Understanding Healthcare Fragmentation: Kern explains the concept of fragmentation, when patients see multiple providers without coordinated care, and the potential harm caused by a lack of coordination.

2. A Patient’s Role in Healthcare Delivery: Fragmentation can lead to communication gaps and poor outcomes, particularly for older adults and minority populations. Kern provides tips for incorporating real-time patient input to enhance care coordination and satisfaction.

3. Inter-Professional Collaboration: Explore proposed policy changes to improve care delivery that focus on value over volume. Kern highlights alternative models for healthcare payment and delivery to better serve patients and reduce provider burnout.

4. The Future of Healthcare Delivery: Identify future challenges and opportunities in healthcare, including the integration of AI. She identifies the importance of ongoing dialogue and proactive measures to shape healthcare to meet the needs and expectations of the American population.

Tune in for a thought-provoking discussion that challenges the status quo and explores innovative solutions for a more integrated and effective healthcare system.

Learn more about the American Association for Physician Leadership at https://www.physicianleaders.org/.


Tackling Healthcare Fragmentation: A Conversation with Dr. Lisa Kern

Lisa Kern, MD, MPH

Strategy and Innovation

Environmental Influences

Join us for an enlightening episode of SoundPractice with guest Jennifer Clark, MD, as she delves into the profound topic of suffering in healthcare. As an allopathic physician specializing in internal medicine, pediatrics, hospice, and palliative care, Clark’s journey from the bedside to the boardroom has been dedicated to healing, education, and innovation. Now volunteering as a medical liaison, she fosters a compassionate learning environment for students and professionals interested in community-based end-of-life care. In her forthcoming book, Suffer, she reflects on nearly 25 years of practice and passion to promote well-being.

Tune in as Clark shares her journey from a career in business to medicine, highlighting the importance of finding purpose and meaning in one’s vocation.

Episode Highlights:

- Purpose and Passion: Discover how Clark’s transition from corporate life to medicine was driven by a search for purpose and influenced by her family’s background in healthcare.

- Understanding Suffering: Clark discusses the importance of defining suffering and understanding its impact. She outlines how reframing pity into compassion can aid in the healing process.

- Art and Science in Medicine: Amidst technological and systemic pressures, Clark outlines the seemingly diminishing role of art in medicine. She addresses the disconnect between healthcare systems and the human aspect of medicine, advocating for compassionate care.

- Looking Ahead: Clark shares her optimism about the potential for healthcare professionals to use the understanding of suffering to improve patient care and clinician well-being.

Don’t miss this compelling conversation that explores the intersection of medicine, compassion, and the quest for meaning in healthcare.

Learn more about the American Association for Physician Leadership at https://www.physicianleaders.org/.

The Art of Suffering: A Conversation with Dr. Jennifer Clark

Jennifer K. Clark, MD

Resilience

Motivate Others

In this episode of SoundPractice, we welcome Corey M. Cronrath, DO, MPH, MBA, FACOEM, CPE, FAAPL, a triple board-certified physician and fellow of the American Association for Physician Leadership. Cronrath’s journey is a testament to resilience and dedication. From overcoming a challenging socioeconomic background and serving in the military, he has emerged as a prominent physician leader with aspirations for the future.

Cronrath has committed his career to enhancing chronic disease care with a passion for supporting patients with mental illness. With his extensive list of credentials, he provides valuable insights and personal experiences on the optimal timing for physicians to pursue leadership education and certification.

Key Topics:

- Growing in Your Career: Cronrath discusses the importance of post-clinical education and career planning while prioritizing self-reflection. Driven by patient-centered values, he also shares his future goals of transitioning from Chief Medical Officer (CMO) to Chief Executive Officer (CEO).

- Lessons From the Military: Learn from his experience in military healthcare and the valuable lessons he learned through training and service. The unique challenges and learning experiences in the military still shape his approach to civilian healthcare today.

- Embracing Value-Based Care: In his current role at Mental Health Cooperative in Nashville, TN, Cronrath shares his work on implementing and expanding a successful value-based care model in a state that does not participate in Medicaid expansion.

Listen to the Episode: Tune in to this episode on SoundPractice, or subscribe on your favorite podcast platform to stay updated with our latest episodes.

Learn more about the American Association for Physician Leadership at https://www.physicianleaders.org/.


Physician Leadership and Clinical Excellence: Insights from Dr. Corey Cronrath

Corey M. Cronrath, DO, MPH, MBA, CPE, FAAPL

Systems Awareness

Humility

In this insightful episode of SoundPractice, we welcome Heather McGowan, BFA, MBA, a prominent future-of-work strategist, keynote speaker, and bestselling author. With a background in industrial design and extensive expertise in the evolving landscape of work, McGowan is a leading voice on how we can adapt to the future.

Join us as Heather McGowan shares her fascinating journey and insights into the dynamic changes shaping the workforce. From the influence of AI to the pivotal role of leadership in healthcare and beyond, this episode offers a deep dive into what lies ahead.

Key Points:

-Sustainable Leadership
  *Discover the essential traits future healthcare leaders need to foster human connection in a digital world.
  *Learn about the importance of hope and purpose in leadership and how it can significantly enhance team performance.

-Healthcare and Technology
  *Explore the integration of advanced technologies like AI to support and elevate clinician performance.
  *Find the balance between utilizing technology and maintaining human connection to ensure accuracy and efficiency in patient care.

-Ensuring Privacy
  *Understand the fine line between data sharing for innovation and protecting privacy.
  *Recognize the impact of employer surveillance on trust and autonomy in the workplace.

-Resilience and High-Performing Teams:
  *Learn strategies to promote employee well-being and build resilient teams.
  *Discover how reframing loneliness, building strong social connections, and managing failure can positively impact work and patient outcomes.

Learn more about McGowan’s work.

Tune in for an optimistic and forward-thinking discussion that will equip you with strategies to navigate and thrive in the ever-changing world of work.

Learn more about the American Association for Physician Leadership.


The Future of Work with Heather McGowan

Heather McGowan, BFA, MBA

Comfort with Visibility

Problem Solving

Critical Appraisal Skills

Episode Summary: In this episode of SoundPractice, host Mike Sacopulos sits down with Mark Katlic, MD, the chair emeritus of surgery for LifeBridge Health System in Baltimore, Maryland. Katlic opens up about his illustrious career, the creation of the Aging Surgeon Program, and the essential topic of maintaining surgical competence as surgeons age.

The Aging Surgeon Program:

The program addresses the critical issue of age-related competency in the surgical field. It offers a comprehensive and unbiased evaluation that assesses the physical and cognitive functions of surgeons over the age of 70. Aimed to ensure the ongoing safety and proficiency of aging surgeons, it identifies treatable or reversible conditions that, if addressed, could enhance their functional capacity. By fostering a culture of self-regulation within multidisciplinary surgical teams, the program helps maintain public trust in the healthcare system.

Key Points:

- The necessity of avoiding a mandatory retirement age, as individual capabilities can vary widely.

- The role of strict confidentiality protocols in identifying and addressing issues that might affect a surgeon’s performance.

- Potential solutions that modify work conditions, allowing experienced surgeons to continue contributing without compromising safety or forcing retirement.

About Mark Katlic, MD: Katlic pursued education at Washington and Jefferson College, Johns Hopkins School of Medicine, and Massachusetts General Hospital. His extensive career spans private practice, general and thoracic surgery, and academic positions at Geisinger Health System and LifeBridge Health System.

Tune in to this insightful episode to learn how the Aging Surgeon Program is making a difference in the surgical community.

Learn more about the American Association for Physician Leadership.

Surgical Competence and the Aging Surgeon Program with Dr. Mark Katlic

Mark Katlic, MD

Bioethics During a Pandemic: Missed Opportunities, Lying Patients, and Disparities in Patient Outcomes

RECENT EPISODES

Hospital Walls May Have Ears? Ambient Listening Tech with Laura Landro and the WSJ

Tackling Healthcare Fragmentation: A Conversation with Dr. Lisa Kern

The Art of Suffering: A Conversation with Dr. Jennifer Clark

Physician Leadership and Clinical Excellence: Insights from Dr. Corey Cronrath

The Future of Work with Heather McGowan

Surgical Competence and the Aging Surgeon Program with Dr. Mark Katlic

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