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Join host Patty Fahy, MD as she shares the evidence for why physicians must lead healthcare and lead us out of the current healthcare system morass. Patty has twenty years of experience working with leaders in healthcare—as a member of an executive team, founder of a successful coaching and consulting firm, and as a committed physician advocate. This podcast is for you if you want expert physician leaders at the helm of U.S. healthcare systems and if you want practical advice and critical co ...
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Community, connection, purpose: these values are almost palpable even in a virtual conversation with Dr. Susan Rogers. Dr. Rogers is an internist, educator, and activist on behalf of those who suffer when profit motives bulldoze the institutions that are meant to serve the public. A neon example of a public good which has been targeted by profiteer…
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McGill Business Professor Henry Mintzberg is the author of 20 books on management, creator of two revolutionary international management programs, and the recipient of a mountain of accolades and honors for his thought leadership in the business world. Mintzberg minces no words in his pointed criticism of current approaches to management training a…
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Author and certified lifestyle medicine physician, Iris Schrijver, MD, describes a fulfilling and fast-paced academic career at Stanford as a full professor of pathology and director of a molecular genetics research lab. A few years ago, in an unlikely turn of events, an opportunity to design a leadership project ignited her long simmering interest…
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Attorney and author Dennis Hursh helps physicians navigate their employment contracts. He describes his shock early on in his career when he saw the lopsided language in the contracts offered to his highly trained physician clients. He points out that no hospital executive would ever agree to such contractual language for themselves. A sampling of …
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In response to listener questions and comments, we dive into two topics in this episode. The first is influence, especially when managing “up” or when dealing with a high profile colleague. The second topic is incentives. Podcast episode #35 featured Alfie Kohn who surprised listeners when he described the negative impact of incentives on intrinsic…
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Christopher Obetz, MD, is the CEO of an organization which started with a handful of physicians 30 years ago, and now they have over 150 physicians and APPs. The group staffs nine emergency rooms in the Minneapolis St. Paul area. One year ago, Dr. Obetz was my guest on Episode #15 (Title: Emergency Care Consultants CEO: The Incalculable Value of Ph…
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Dr. Keith Smith cofounded the remarkably successful and wonderfully disruptive Surgery Center of Oklahoma. He and fellow anesthesiologist, Dr. Steven Lantier, left their hospital-based practices in 1997 to launch a physician-owned surgery center promising high quality care at a fair, transparent, and all-inclusive price. They had become fed up watc…
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Alfie Kohn is a prolific author and expert on the psychological and organizational effects of rewards, incentives and competition. As a longtime fan of his thinking and writing, it was a huge treat (no pun intended) for me to talk with him about the counterproductive impact of incentive systems in the workplace. In 2018, the 25th Anniversary Editio…
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My guest is Dr. Roger Fowler, Vice President, and Chief Medical Director of Quality, Performance and Innovation with CHRISTUS Health in Irving, Texas. As an expert in population health, quality, and healthcare reform, Dr. Fowler offers a rich perspective on the historical events that underpin our current state of U.S. healthcare. His belief is that…
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Leah Houston, MD is a serial entrepreneur, emergency medicine physician, and activist. She is the founder of: HPEC: Humanistic Physician Empowerment Community is a platform physicians can use to own and store their own digital identity and credentials. A secure, self-sovereign identity is the foundation for restoring physician autonomy. (Find out w…
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My guest this week is national healthcare leader Dr. Jack Cochran. As CEO of the Permanente Federation, he was the top national leader for over 20,000 physicians who cared for more than 10 million people in their Kaiser Permanente medical practices. In this animated conversation, the inspiring and articulate Dr. Cochran describes his non-linear and…
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Lisa Marchiano is a Jungian psychoanalyst and cohost of the marvelous “This Jungian Life” podcast. We discuss Swiss psychiatrist Carl Jung’s work and the implications for physicians and the ailing medical profession. Lisa explains that Jung believed: “We are all on a path toward wholeness. The goal of life is to become more whole—and when that path…
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This episode is a continuation of my animated conversation with Professor J.-C. Spender, a nuclear engineer-turned-business school professor, author, expert on the history of business education, and former executive and business school dean. At the onset of episode #30 I asked Dr. Spender if getting an MBA degree would provide what’s needed if some…
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J.-C. Spender, PhD, is an engineer-turned-business school professor, an author, an expert on the history of business education, and he’s a former business executive and business school dean. These credentials equip him to have insight into the goings-on of business schools and real expertise in the practical challenges of graduate business educatio…
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What is the Corporate Practice of Medicine? In this episode, Brad Adatto, a business law and healthcare attorney, takes us on a journey through the intent, implications, and risks associated with state laws that “ban” the corporate practice of medicine. He describes how these state laws arise from a variety of legal and regulatory sources, and proh…
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Pharmacy benefit managers, or PBMs, are companies that manage prescription drug benefits for payers like insurance companies, government programs such as Medicare and Medicaid, and self-insured employers. They are the middlemen and money handlers who negotiate with pharmaceutical manufacturers to determine drug prices and drug placement on formular…
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In today’s encore episode, I am sharing an excerpt from an earlier episode discussing myths about physician leadership and dispelling those myths with evidence. MYTH: a widely held but false belief or idea Time to bust some of the myths and stereotypes about physicians being arrogant, un-herdable cats and lone wolves who don't understand teamwork, …
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For today’s episode, I asked Dr. Barbara McAneny about her upcoming talk: Stop Blaming the Doctors! My main intention in asking Barbara to come back on the podcast (she was a guest on Episode #13) was to have her guide me through the malodorous sewer where Pharmacy Benefits Managers live. But since I had her corralled on Zoom I suggested we both gi…
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In this encore episode, I’m touching on some of the enormous quantity of research that has been directed at physician burnout. We have clear and convincing descriptions of the causes of physician burnout. What we don’t have, is a lot of action directly tackling those causes. How is it that healthcare leadership has had a lackluster response to the …
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In this encore episode I highlight a portion of my conversation with Dr. Patty Gabow, former CEO at Denver Health. During this 15 minute segment, Patty reacts to my question about the value of physicians’ tacit knowledge and the built-in leadership qualities physicians develop in their training. Listen in as Dr. Gabow weighs in on why physicians mu…
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In this episode, my longtime colleague and friend Lynn Elliott joins me to take a look at the arc of the Licensed to Lead Podcast’s first season. The first three episodes launched the podcast with data dives to support my foundational beliefs about physician leadership, then we turned to interviews with physician leaders and others who shed light o…
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In this first Licensed to Lead “Espresso Shot” podcast—designed to be short but potent— the topic is the unhealthy underbelly of “helping” professions. Cory Katuna and Patty spin-off from their Episode #20 conversation when they talked about Levels of Energy or “mindsets.” They dive into a discussion of the connection between Level Four energy (a m…
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Cory Katuna is a professional coach, writer, graphic artist and social influencer. She joins Patty in this episode to talk about the ways her work and Patty’s work intersect, ultimately creating excellent organizational culture that truly brings out the best in each person. She takes the conversation through the seven levels of energy, a model deve…
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In the first of two special Mother’s Day podcasts, I’m in the guest chair along with my daughter, Jamie Katuna. Podcaster Keith Carlson, RN, (aka “Nurse Keith”) starts this interview by asking how we influenced and inspired each other as mom and daughter, in medicine and in leadership roles. I talk about my admiration for Jamie’s intellectual curio…
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Niran Al-Agba, MD co-authored the book, Patients at Risk—The Rise of the Nurse Practitioner and Physician Assistant in Healthcare, which unearths the confluence of events allowing poorly trained practitioners to diagnose and treat patients. Dr. Al-Agba, who has a nurse practitioner in her own practice, believes NPs and PAs can provide high quality …
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Jennifer McCabe Lentz, MD, and I talk about the Direct Primary Care (DPC) practice she built which transformed her professional life and home life. In 2017 she launched her DPC practice. Direct Primary Care means there is no middle-man between the physician and the patient—their relationship is direct. She takes no insurance. Her patients pay a mon…
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In this episode, you’ll hear from three physicians who work with medical scribes. If you haven’t had experience with either in-person or virtual (remote) scribes, this episode will give you a pretty good picture. First, Dr. Christopher Obetz, CEO of Emergency Care Consultants (ECC) and featured guest in Episode 15, talks about launching their scrib…
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Is it possible to create an outstanding organizational culture in what is often a hellhole of anguished patients, staff dissatisfaction, and high physician turnover? Emergency Medicine, with its high stress, high stakes, and ever-diminishing autonomy, has been a burnout zone for decades. Except—for almost thirty years there’s been an Emergency Medi…
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Dr. Jandel Allen-Davis is the CEO and President of Craig Hospital, a superb rehabilitation center for traumatic brain and spinal cord injuries. Dr. Allen-Davis, an obstetrician and gynecologist, spent 25 years caring for patients and honing her leadership skills in multiple organizational and community roles. In this episode, she describes “The Dis…
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Former AMA President Barbara McAneny is a relentless patient advocate who sees the harm done by the rapacious medical industrial complex. She spells out the toxicity caused by health system consolidation, purchase of physicians’ practices, and financial exploitation of government programs intended to serve the poor. Dr. McAneny, an oncologist, come…
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Amanda Goodall, PhD, joins me in Part Two of our conversation discussing the advanced degree program for physician leaders that she founded. She talks about barriers to physician leadership development including political correctness, assumptions that physicians aren’t interested, and the daunting “re-entry” into entrenched cultures. Dr. Goodall po…
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Amanda Goodall, PhD, a professor and leadership expert, joins Patty in an animated conversation about her theory of expert leadership. Dr. Goodall explains how her research revealed that top scholars, not general managers, make the best university CEOs and the most effective department leaders. This phenomenon doesn’t just apply to the academic wor…
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In this conversation about the neuroscience of autonomy, I roped neurologist and neurophysiologist Bruce Katuna into joining me. It wasn’t a tough sell since he’d already joined me in holy matrimony a few decades ago. My colleague, Lynn Elliott, agreed to facilitate the conversation and help us bring to life the importance and the nature of our pri…
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In this episode I spoke with Dr. Patty Gabow, a nephrologist and researcher who found the right match for her values at Denver Health, a city-center integrated health and hospital system. Dr. Gabow found her leadership chops early, and describes how her passion to care for the underserved fueled a twenty-year stint as CEO of the large, level-one tr…
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This is the first of many conversations with remarkable, consistent, and accomplished leaders in order to put a spotlight on the behaviors that contribute to their leadership effectiveness. In this episode, I talk with Scott Smith, MD, a healthcare leader, and physician. His journey wends its way from his role as chief of cardiopulmonary medicine a…
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In this episode I’m offering my take on why we haven’t budged the needle on physician burnout. We have clear evidence of the causes of burnout—but we don’t have effective action. Why are we so stuck? My observations fall into 4 areas: 1. Weak, bureaucratic language that fails to put a spotlight on the problem of burnout: People who have the podium,…
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This episode moves beyond the definition and underlying causes of burnout to focus on the impact on physicians, medical students, patients, and healthcare systems. Patty Fahy interviews a neurologist who retired in his 40’s and then five years later dusted off his medical license and launched a national company. She also interviews a medical studen…
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Robyn Symon Interview: Physician Suicide & DO NO HARM Robyn Symon, a two-time Emmy award-winning filmmaker, joined me for the Licensed to Lead podcast on April 30, 2020. Robyn has written, directed, and produced films and television series—and she specializes in documentaries. We spoke about her acclaimed and riveting film that takes an unblinking …
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Physician Burnout: Definition, Controversies and Etiology The last episode waded into the murky waters of graduate business education. Anyone listening to that podcast should have emerged with serious doubts about whether an MBA is a desirable credential for healthcare, much less for healthcare leadership. This Licensed to Lead Podcast is the first…
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The Licensed to Lead podcast is for physicians, physician leaders, or anyone who thinks healthcare needs a transformation. Licensed to Lead means that physicians must establish the vision, the standards, and the culture in healthcare systems so that excellent patient care is central. The first two episodes of the LTL podcast spelled out why physici…
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The Licensed to Lead podcast is for physicians, physician leaders, or anyone who thinks healthcare needs a transformation. Licensed to Lead means that physicians must establish the vision, the standards, and the culture in healthcare systems so that excellent patient care is central. In this episode, Patty Fahy, MD, the host of Licensed to Lead des…
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The Licensed to Lead podcast is for physicians, physician leaders, or anyone who thinks healthcare needs a transformation. Licensed to Lead means that physicians  must establish the vision and the medical standards in our healthcare organizations so that excellent patient care is the central focus. Currently, unlike other traditional professions, m…
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