The Evolution of Nursing

Challenging social norms and justifying the value of education, Florence Nightengale is credited with what we today know as modern nursing. However, nursing is as old as mankind since people have always needed nursing when they fall ill or become wounded. And as we discuss in this episode, nursing has undergone many transitions since Florence’s days, with the demands of research and technology advancements requiring much, much more from today’s nursing professional.

Joining the conversation in the lounge is Jerry Mansfield, PhD, RN, a distiguished nursing leader currently providing oversight as the Chief Nursing Officer for the Mount Carmel Health System and Associate Dean for the Mount Carmel College of Nursing in Columbus, Ohio. A structure, process, and outcomes champion, Jerry has a reputation for building interprofessional teams and inspiring change in difficult circumstances. Jerry received his Diploma in Nursing from Saint Vincent Hospital School of Nursing, a bachelor’s degree in Nursing from Xavier University, a master’s degree in nursing administration and a PhD in public health from The Ohio State University.

With great respect and gratitude for nursing, the ITDL team discusses the evolution of the nursing profession with one of the best. Grab a cup of coffee and join us for another insightful conversation Inside The Doctor’s Lounge!

Jerry Mansfield’s Rx For Success podcast episode

The Evolution of Nursing

“I Play A Doctor….On TV”

Pick up your remote to do a little channel surfing and you’re almost guaranteed to find a program or two among the potential selections focusing on hospitals and the physicians and nurses working within them. Whether it’s a serious medical drama like ER or a comedy series like Scrubs, viewers have no shortage of hospital shows to watch and imagine what life may be like as a healthcare professional.

Having first hand experience at what hospital life is like, the ITDL team take a look at some of their favorite television doctors and discuss the impact of the Grey’s Anatomy effect on the public’s opinion of the medical profession. It’s a light-hearted, fun discussion – grab a cup of coffee and join the conversation, Inside The Doctor’s Lounge!

I Play A Doctor….On TV

Something Has To Change

“Physicians are becoming more and more disillusioned with the practice of medicine. What once was considered a sacred calling to some is now what over one-third of us would not recommend to a young family member. The consequences of physician burnout can be devastating to doctors, patients, family and the entire health care community.” Thus begins the pre-pandemic article penned by Dr Jennifer Spector, DPM, FACFAS titled “Physician Burnout: Recognizing The Warning Signs and Keys To Prevention” in the January 2020 edition of PodiatryToday Magazine.

Dr Jennifer Spector is an Associate Editor for Podiatry Today, a premier print and online publication in the field of podiatric medicine and surgery. She is also a member of the medical advisory board for Modulim, a microvascular imaging company. Dr. Spector has lectured on the national circuit for the American Association for Women Podiatrists, the Goldfarb Foundation and the American Podiatric Medical Association. She has spent nearly six years on the Executive Board of the American Association for Women Podiatrists, of which she is currently President. Dr. Spector has lectured on the national circuit for the American Association for Women Podiatrists, the Goldfarb Foundation and the American Podiatric Medical Association.

Drawing from knowledge gained in her own burnout battle, she joins the ITDL team and poses the questions ” What is being done about this growing phenomenon?” and “What can we do to prevent burnout or recognize and intervene when it happens to us or to others?” It’s a very important conversation, so grab a cup of coffee and please join us for the discussion Inside The Doctor’s Lounge.

Dr Jennifer Spector’s Podiatry Today article:

Dr Jennifer Spector’s Rx For Success podcast episode:

Something Has To Change

Transitions & Telehealth

Although it’s been around for a while, it took a pandemic to propel telehealth to the forefront of the healthcare landscape. And for better or worse, it seems to be here to stay. Based on a survey by Sage Growth Partner (SGP) and Black Book Market Research, 25% of consumer respondents had used telehealth prior to the current COVID-19 pandemic. Fifty-nine percent reported they are more likely to use telehealth services now than previously, and 33% would leave their current physician for a provider who offered telehealth access.

In this episode, the ITDL team is joined by Courtney Chambers, MD, FACS, a highly successful general surgeon who has recently made the transition from surgical suite to telehealth screen. We discuss what it’s like for physicians to make career transitions and more specifically what the future of telehealth may bring to the future of healthcare.

It’s an interesting discussion so grab a cup of coffee and join the conversation inside the doctor’s lounge!

SGP and Black Book Market Research Survey

Dr Courtney Chambers’ Rx For Success podcast episode

Transitions & Telehealth

Holidays In Healthcare

Being a healthcare provider is very rewarding, helping patients and their families through some of the most difficult times in their lives. In general, this work can bring great fulfillment and satisfaction. However, at the holidays, when everyone wants to be home with their own families, it can be even more stressful and certainly a bigger challenge. It’s the nature of the job and both the healthcare provider and their families learn to adjust in service of the greater community need.

In this episode, the ITDL team discusses the difficulties of being away from our own families at the holidays as well as the special opportunity healthcare workers on duty have to create a “surrogate family” with their coworkers and patients.

Let’s face it, no one wants to be there but if you are, how can we make the season a little brighter for those who probably need it the most? Grab a cup of coffee, hot cocoa or even a bit of spiced eggnog and join the conversation Inside The Doctor’s Lounge!

Holidays In Healthcare

Physicians & Administrators: The Struggle Is Real

It’s an age-old story, the stuggle between physicians and hospital administrators. Typically appearing as a lack of understanding, lack of cooperation, lack of engagement, anger, frustration, and disrespectful behavior, this gap is a source of underlying tension in many health care organizations. Negative stereotypes often fuel the divide with administrators seeing physicians as having no understanding or interest in resource management or proper organizational behavior and the physician viewing the administrator as a heartless bean counter whose sole concern is only for a healthy bottom line. All the while, the real antagonist, our dysfunctional health care system, continues to wreak havoc with more and more federal directives affecting care delivery.

So what can be done to bridge the gap? Is there a playbook to help remove the struggle and instill harmony in this turbulent relationship?

To take a deeper dive into these questions, we are joined by Janet Smith Meeks, the author of “Gracious Leadership: Lead Like You’ve Never Led Before”. Janet has four decades of experience in the highly regulated healthcare and financial services industries. She has served in Executive roles for four nationally known healthcare systems including the $14+Billion Trinity Health, one of the nation’s largest faith-based, non-profit healthcare systems and the prestigious $5+ Billion Vanderbilt University Medical Center. Before entering the healthcare sector, she worked in the financial services industry for Bank of Mississippi (now BancorpSouth, Inc. – BXS on NYSE).

Serving for nine years as President of Mount Carmel St. Ann’s Hospital, Janet led the turnaround of a struggling community hospital into an award-winning regional medical center that ranks among the top 5% of hospitals nationally. Through building a positive corporate culture while emphasizing accountability for results, Janet consistently led highly engaged teams to generate sustained value, profitability and customer satisfaction. Her stellar results were featured in Smart Business Magazine in August 2016.

This a really good conversation, certainly one you don’t want to miss ! Grab a cup of coffee and come be a part of the conversation “Inside The Doctor’s Lounge”!

Smart Business Magazine, August 2016 featuring Janet Smith Meeks :

Janet’s website for her book “Gracious Leadership: Lead Like You’ve Never Led Before”

Janet Smith Meek’s Rx For Success podcast episode

Physicians & Administrators : The Struggle Is Real

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

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

Dr Bob Baker’s ‘Rx For Success’ podcast episode

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:…

Dr Edwin Leap’s website/blog:

Dr Edwin Leap’s Rx For Success podcast episode

What’s In A Name: Physicians or Providers?