Of Life and Limb; Diabetes, Limb Preservation & Mortality

We’re fighting a pandemic but it’s not the Coronavirus we’re talking about in this episode. No, we’re talking about Diabetes, an insidious disease developing so gradually it’s well established before its effects become apparent and all too often, deadly. Some quick facts from the CDC about Diabetes:

– More than 34 million people in the United States have diabetes, and 1 in 5 of them don’t know they have it.

– In the last 20 years, the number of adults diagnosed with diabetes has more than doubled as the American population has aged and become more overweight or obese.

– Diabetes is the 7th leading cause of death in the United States (and may be underreported).

– Medical costs and lost work and wages for people with diagnosed diabetes total $327 billion yearly.

– Medical costs for people with diabetes are twice as high as for people who don’t have diabetes.

To take a deeper dive into this topic, the team is joined by Dr David Armstrong, DPM, MD, PhD, recognized as a world leader in diabetic foot care and limb salvage. He is professor of surgery at the University of Arizona in Tucson and also director of the University’s Southern Arizona Limb Salvage Alliance (SALSA). Dr. Armstrong has written more than 400 peer-reviewed research papers in more than three dozen scholarly medical journals as well as over five dozen book chapters and is co-editor of the American Diabetes Association’s Clinical Care of the Diabetic Foot, now entering its third edition. In 2011, Dr. Armstrong was appointed chair of the World Diabetic Foot Commission of the FIP, representing clinicians from more than 30 nations. Dr. Armstrong is the founder and co-chair of the International Diabetic Foot Conference, the largest bi-annual international symposium on the diabetic foot in the world.

Bringing a great deal of knowledge and experience, Dr Armstrong takes a deep dive with the team in this discussion about Diabetes, limb preservation and mortality. Grab a cup of coffee and join the conversation, Inside The Doctor’s Lounge!

Dr David Armstrong’s Rx For Success podcast episode https://rxforsuccesspodcast.com/the-storyteller-david-armstrong-dpm-md-phd/#more-15754

Of Life and Limb: Diabetes, Limb Preservation & Mortality

The Performance of Medicine

Medical Practice is undergoing the most radical changes seen in decades. Novel reimbursement models and increasing demands on physician’s limited time are causing unhappiness among practitioners and patients alike. Yet, the patient experience affects patient outcomes, and patient satisfaction scores will have an impact on how much physicians and other health care providers are paid. Thus is the foundation for Dr Bob Baker’s book ‘The Performance of Medicine’, in which he offers practical strategies and techniques that physicians and other practitioners can employ to control the one thing they can directly impact – the patient encounter.

In this episode of Inside The Doctor’s Lounge, the team welcomes Dr. Bob Baker, an internist/gastroenterologist with a driving passion to help doctors rediscover the love of practicing medicine while boosting patient ratings and physician compensation. In private practice for 35 years, Dr. Bob is proud to have received Press Ganey scores in the 99th percentile from his patients. He has a deep understanding of the challenges physicians face today and how to overcome them to create win-win results for physicians and patients alike. Grab a cup of coffee and join the conversation, as the group discusses in more detail how to give a “good performance” and how successful businesses use the “performance” model to give great customer service. Oh, and Dr Bob introduces us to some very special friends he’s brought along to help deliver the message. It’s an entertaining time, to be sure!

Dr Bob Baker’s website https://www.drbobbaker.com/

Dr Bob Baker’s ‘Rx For Success’ podcast episode https://rxforsuccesspodcast.com/the-magician-bob-baker-md/#more-589

The Performance of Medicine

What’s In A Name: Physicians Or Providers?

The term “provider” is vague and reflects what seems to be an increasing commoditization of medicine and health care. It’s used in reference to any number of licensed, non-physician healthcare professionals such as nurse practitioners, physician assistants, certified nurse midwives, clinical nurse specialists and certified registered nurse anesthetists. In recent years, the term is also used in reference to physicians. Therein lies a very big concern. Words have meaning, weight, and consequences.

Healthcare is not a commodity and neither are doctors. In a 2016 Viewpoint article in JAMA, Allan Goroll, MD, a Professor of Medicine at Harvard Medical School, wrote that “Assigning the ‘provider’ designation to primary care health professionals also risks deprofessionalizing them.” The word “provider” belies many of the reasons why doctors went into the profession in the first place. Goroll goes on to say “”Using the ‘provider’ designation in primary care also suggests that primary care is simple care that can be commoditized and delivered piecemeal in a variety of settings by less well-trained personnel operating interchangeably at low cost.”

In this episode of Inside The Doctor’s Lounge, the team the team welcomes Dr Edwin Leap, Emergency Medicine Physician and award-winning columnist and blogger who has written for the Huffington Post, Politico, and Focus on the Family Magazine. He also publishes monthly columns in the Emergency Medicine News, Medpage Today, Greenville News, and the South Carolina Baptist Courier. Together, they discuss in more detail how the generic use of the term “provider” is impacting today’s healthcare landscape. It’s a good conversation, grab a cup of coffee and join us!

Dr Allan Goroll’s JAMA article: https://jamanetwork.com/journals/jama…

Dr Edwin Leap’s website/blog: https://edwinleap.com/

Dr Edwin Leap’s Rx For Success podcast episode https://rxforsuccesspodcast.com/the-writer-edwin-leap-md/#more-1214

What’s In A Name: Physicians or Providers?

Gender Equity In Medicine

Gender equity, as defined by the United Nations Educational, Scientific and Cultural Organization, means “fairness of treatment for men and women according to their respective needs. This may include equal treatment or treatment that is different but which is considered equivalent in terms of rights, benefits, obligations, and opportunities.” This is a complex, multi-layered issue enveloped in subtleties and microaggressions, and the field of medicine is not exempt.

In this episode of Inside The Doctor’s Lounge, Dr Shikha Jain joins the team for our discussion on gender equity in medicine. Dr Jain, a board-certified hematology and oncology physician and assistant professor of medicine in the Division of Hematology, Oncology and Cell Therapy at the University of Illinois Cancer Center in Chicago, speaks frequently on this topic. Founder and the Chair of the Women In Medicine Summit, she delivered a TEDx Talk in 2019 on the gender moonshot and the importance of gender parity in healthcare.

Take a break, grab a cup of coffee and join us as we discuss gender equity in medicine and the evolution of empowerment!

Women in Medicine Summit – https://www.womeninmedicinesummit.org/

Dr Shikha Jain’s Rx For Success Podcast episode https://rxforsuccesspodcast.com/the-advocate-dr-shikha-jain/#more-494

Dr Shikha Jain’s 2019 Tedx Talk – https://www.youtube.com/watch?v=tHEyW…

Gender Equity In Medicine | Inside The Doctor’s Lounge | MD Coaches

Have We Lost The Ability To Communicate?

Digital Devices are no longer an option. Our lives are very much plugged in and revolve around our ability to be accessible “online”. And without doubt, they have had an enormous impact on our efficiency and effectiveness. However, for all their usefulness, it seems we are hard pressed to sit down to have a conversation with another person without being compelled to check our phones every two minutes. Does this reliance on technology, also mean we are losing the ability to effectively communicate with each other in person? This is the focus of this conversation Inside The Doctor’s Lounge. Grab a cup of coffee and join us in the conversation!

Have We Lost The Ability To Communicate? | Inside The Doctor’s Lounge | MD Coaches

#MedBikini

The hashtag #MedBikini quickly trended on social media in the summer of 2020 after the Journal of Vascular Surgery posted in its August edition the article titled “Prevalence of unprofessional social media content among young vascular surgeons.” It evaluated the accounts of 480 young vascular surgeons to see if their social media posts could be labeled as blatantly unprofessional or potentially unprofessional to a future patient searching for a doctor.

The article specifically mentioned photos that included “provocative posing in bikinis/swimwear” and “holding/consuming alcohol.” Many medical professionals argued that the contents targeted women and highlighted the sexism problem in the medical field. In a show of solidarity and protest, medical professionals across the world posted pictures of themselves in swimwear. Due to the backlash, the journal issued apologies and retracted the article.

Without question, this topic was discussed in many doctor’s lounges across the globe, including this one. Grab a cup of coffee and join us as we explore thoughts, opinions and concerns about this hot topic!

#MedBikini | Inside The Doctor’s Lounge | MD Coaches

Doctors at the Crossroads

Many doctors who leave traditional clinical medicine for other healthcare jobs do so in their 30s or 40s, and often because they’re disenchanted with the reality of practicing medicine. Why is this? With substantial investment of time, energy and expense to establish themselves in practice, what could prompt such a decision? And how can they optimally pivot in a new direction? The MD Coaches team takes a closer look at this phenomenon during this discussion on Inside The Doctor’s Lounge hosted by Executive Physician Coach Dr Desmond Bell. Always seeking to learn, we’re interested in your thoughts. Let us know what you think.

Doctors At The Crossroads | Inside The Doctors Lounge | MD Coaches