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Leading the Rounds
55 minutes | Jul 19, 2021
The M.V.P.'s of Healthcare with Dr. Colin West
Dr. Colin West is a professor of Medicine, Medical Education and Biostatistics at The Mayo Clinic. His research focuses primarily on physician well-being, evidence-based medicine, biostatistics, and medical education. He has won numerous awards for work and is a thought-leader in these fields. Dr. West has developed and evaluated a comprehensive evidence-based medicine curriculum for Mayo Medical School and enacted change at the national level in the internal medicine resident career plans and current education climate. Today we further our conversations we’ve had previously about wellness and burnout by taking a magnifying glass to the role of the patient-doctor relationship and how this helps us as trainees and physicians find purpose and passion in our career. Welcome to Leading the Rounds!Questions we asked: Why did you start doing “wellness Wednesdays” on Twitter?Are patients more aware of physician burnout now more than ever? In the airline industry, there are stories of pilots cancelling flights due to fatigue and to promote safety. How would that play out in the healthcare system? How has Mayo Clinic been able to build in layers of backup to improve work environment and give trainees more time off? What are ways that residency programs can support residents long term fulfillment?Are medical students more resilient than the general public? How do we break the cycle of burnout being passed onto new trainees? How does Mayo Clinic’s values mitigate bullying in training? Quotes and Ideas:“We’re taught not to show our patients and our communities the stresses we are experiencing... but healthcare professionals are shockingly human first.” “Healthcare professional and physician burnout is not the patient’s responsibility.”M.V.P.’s of Healthcare = patients They give us Meaning, Value, and Purpose “Dehumanization and depersonalization is one of the hallmarks of burnout.” “In our current training, we have to have layers of safety built in.” Swiss cheese model of avoiding errors “Our own professionalism is used sometimes in a perverse way to say that you will step up; you will always step up.” “We forget why we’re here.” “Despite having higher burnout rates… physicians also have higher levels of resilience than the general public.” Primary value at Mayo Clinic, “the needs of the patient come first” Jobs, demands, resources model= “distress and burnout result when the demands of a job chronically exceed the resources available to meet those demands.” “We work in healthcare teams, and the best team players lift those around them up.” Book Suggestion: The House of God by Samuel Shem
49 minutes | Jul 5, 2021
QI Leadership: Standardization vs. The Art of Doctoring with Dr. Lauge Sokol-Hessner
Welcome to this episode of leading the rounds where we interview Dr. Lauge Sokol-Hessner. Dr. Sokol-Hessner, MD, is an Assistant Professor of Medicine at Harvard University and the Associate Director of Inpatient Quality Improvement at Beth Israel Deaconess Medical Center. He is also faculty for the IHI Virtual Expedition: Is Your Organization Conversation Ready? which educates on end of life conversations with families and patients. We hope you enjoy this episode where we discuss the importance of Quality Improvement for medical leaders, difficult conversations, and more. As always, if you like what we’re doing, give us a positive rating on apple podcasts and connect with us on social media.Welcome to Leading the Rounds! Questions We Asked: As you developed as a leader, what sparked your interest in quality improvement?Who should know about quality improvement science? What is the best way to learn quality improvement? What is different about medical QI and industrial quality work? How can we make quality improvement and change something that people want to do instead of another requirement that people grumble about? Is there a benefit of being an innovator or a lagger with technology? How did you become involved with the Conversation Ready Project?How do you deal with difficult conversations with a dying patient’s family? When does standardization take away from the humanism of medicine? What suggestions do you have to avoid moral distress as physicians? Quotes & Ideas: “Anyone in healthcare who provides care should know the general principles of quality improvement and why they are important.” Innovation/Adoption curve Questions for starting a QI project: What is the problem? Is it really a problem for those involved?Is this something that we can fix? How can we fix it? Is our change better? “You will go much further, much faster if you are doing it with other people.” Joshua Lakin article, https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2715161“We are all hoping that your loved one gets better, but we are worried that will not happen. Would it be okay if we talk about a plan B if that doesn’t happen?” “The purpose of learning the skills is so that they are in your toolbox, and you can use them at the right moment.” “We encounter moral distress… when we have cognitive dissonance between what we believe is the right thing for a patient, and what is actually happening.” Book Suggestions: Long Walk to Freedom by Nelson Mandela Our Iceberg is Melting by John Kotter Just Mercy by Brian Stevenson
56 minutes | Jun 21, 2021
Winning the Nobel Prize and What Makes Life Meaningful with Dr. Robert Lefkowitz
In this episode, we interview Nobel Laureate Dr. Robert Lefkowitz. Dr. Lefkowitz is an internist and cardiologist who is best known for his novel work in the discovery of GPCR’s. This discovery has led to the production of numerous life saving medications. He is currently an investigator for the Howard Hughes Medical Institute and a Professor of Medicine at Duke University. We hope you enjoy this episode where we discuss the serendipity of life, pursuing excellence, the importance of mentorship and more. Welcome to Leading the Rounds! Questions we asked: What do you mean when you call yourself an “accidental scientist”? How do you balance enjoying control vs. recognizing the serendipity of life? What do you ask yourself to live a meaningful life? What does it feel like to be a Nobel Laureate? What is the real value of rewards? How have you been able to pursue excellence while still holding other aspects of your life together? How do you approach building relationships? When experiencing struggles, when do you decide to keep persevering vs. moving onto something else? What are your favorite books? Ideas: The Road Not Taken “Try as you might, you can’t control everything.” “Serendipity blesses each of us… the question is whether you recognize it at the time and take advantage of it.” “Every day… I have the sense that something big is coming.” IKIGAI “I never felt like I was going to work, I was just doing what I do.” “I love the challenge of finding out how to motivate and mentor a trainee.” “The goal for my trainees… is to have them experience what it feels like to work right at their potential.” “If you look at any really successful scientist, they trained with successful scientists.” “Mentoring is about transferring ways of working and values that can’t be written down in a protocol book.” “If half of everything I’m trying to do is working, I’m not working on challenging enough projects.”Books: A Funny Thing Happened on the Way to Stockholm: The Adrenaline-Fueled Adventures of an Accidental Scientist by Robert Lefkowitz The Splendid and the Vile by Eric Larson The Language of God by Francis Collins Plato's Republic The Citadel by A. J. CroninArrowsmith by Sinclair Lewis
35 minutes | Jun 7, 2021
Wellness is NOT Yoga and Granola with Dr. Tait Shanafelt
In this episode we interview Dr. Tait Shanafelt. Dr. Shanafelt is a Jeanie and Stewart Ritchie Professor of Medicine, Chief Wellness Officer, and associate dean at Stanford University School of Medicine. He is the co-author, with one of our former guests Steven Swenson, of “Mayo Clinic Strategies to Reduce Burnout”. He is credited for bringing physician-burnout to the forefront of healthcare discussion. He is a leader in the field of physician wellness and healthcare team efficiency. He has published numerous works in the field of physician well being and his studies in this area have been cited by CNN, USA Today, and The New York Times.We hope you enjoy this episode where we talk about his book, why wellness initiatives often fall flat, and how we can build a positive work environment. Welcome to leading the rounds Questions we asked: How has the pandemic changed the ideas you wrote into “Mayo Clinic Strategies to Reduce Burnout”? What systemic issues in healthcare wellbeing has the pandemic shined a light on? What were some of the processes that your team at Stanford implemented to fight the pandemic? Are financial constraints a valid argument for not prioritizing healthcare wellness? What makes a good wellness initiative? What would you say to a medical leader who is making excuses for not prioritizing physician wellness? Quotes: ”The culture of our organizations is the foundation of wellbeing and professional fulfillment.” "It’s about organizational change, systems change, and culture change, not tips and tricks for personal resilience.” ”Our goal is to fix a broken work environment, not teach and train physicians to tolerate a broken work environment.” Ask your team, ”What do you need from your leaders that you’re not currently getting? What have your leaders done that has been effective?” ”Probably the most important thing we can do [is] listening.” ”When organizational wellness efforts are either lip service, or manifest as yoga and granola and learn how to practice mindfulness… they will fall flat.” ”Physicians have higher resilience than the general population.” ”Even physicians with the highest scores on resiliency… have high levels of burnout.” ”Our efforts are focused on improving the work environment.” ”The purpose of the leader is to accomplish the mission and attend to the welfare of the soldiers.” Book suggestions:Humble Inquiry: The Gentle Art of Asking Instead of Telling by Edgar ScheinGood to Great by Jim Collins Tribal Leadership by Dave Logan
48 minutes | May 24, 2021
Artificial Intelligence, Social Media, and Disruptive Technology with Dr. Roxana Daneshjou
In this episode we interview Dr. Roxana Doneshjou. She is a clinical scholar in the department of dermatology at Stanford School of Medicine. She is a Paul and Daisy Soros Fellowship for New Americans and was the Stanford Medicine TEDMED Student Ambassador in 2015. She is interested in bridging new technologies such as genomics and machine learning with clinical medicine. She is also interested in the use of Twitter for scientific communication and medical education. You can follow her on Twitter: @RoxanaDaneshjou.We hope you enjoy this episode of leading the rounds! If you enjoy what we're doing at Leading the Rounds, subscribe and give us a positive rating. You can also connect with us at leadingtherounds.com and on social media. Questions: How did you develop your leadership philosophy? Have you always been a team player or did you develop it? What is your take on STEP1 being pass/fail? How did you develop your career in medical technology? How will artificial intelligence fit into medicine in the future?How can we avoid bias seeping into medical technology? How do physicians balance promoting their brand on social media and not spreading misinformation? How do you balance being yourself and maintaining your professionalism on social media? How do you balance social media with your patients? How can you thrive at virtual conferences? Ideas: “Artificial intelligence technology has the capacity to offload some burdens within medicine and to provide decision support tools to physicians.” Bias may sneak into AI algorithms “The pace of innovation often outpaces moral obligation.” “We build things, but we don’t always think about the consequences.” On Twitter, “false news stories are 70 percent more likely to be retweeted than true stories are.” “If you are are trying to go viral, that is antithetical to science.” “To me, science should always be about promoting the truth.” When using humor, “Never punch down.” Books: We Are Water Protectors by Carol Lindstrom (children's book)Medical Apartheid by Harriet A. WashingtonHere We Are: American Dreams, American Nightmares by Aarti Namdev Shahani
50 minutes | May 10, 2021
The Bright SIDE of Leadership with Hamza Khan
In this episode, we bring back a guest from season 1 and interview Hamza Khan. Hamza is a multi-award winning marketer, best-selling author, and global keynote speaker whose TEDx talk “Stop Managing, Start Leading” has been viewed over a million times. He is also the author of two books, The Burnout Gamble and his most recent book, Leadership Reinvented. If you want to learn more about Hamza, check out his website hamzakhan.ca. In our episode with Hamza last season, we talked about his leadership experiences, challenging the status quo, as well as his take on burnout being a leadership issue. In today’s episode, we focus on his new book, Leadership Reinvented and go through his belief that Servitude, Innovation, Diversity, and Empathy (SIDE) are the key to 21st century leadership. We hope you enjoy this episode with Hamza Khan.Welcome to Leading the RoundsQuestions we asked included: Tell us about your new book? What does it mean to you to be a servant leader? How do you look at innovation? How do you reorient yourself to stay on the cutting edge? How can you cultivate diversity if you yourself are not “diverse”? Why is empathy important for leadership?What would you add as an addendum to your book? Our favorite Ideas: SIDE (Servitude, Innovation, Diversity, and Empathy) “The dark triad of leadership [narcissistic, Machiavellian, and psychopathic] is officially dead” “Become so good, that you can inspire other people to be better than you” -Hamza “[As a leader] you are at the center of the organization radiating outwards.” -Hamza “If the rate of change on the outside exceeds the rate of change on the inside, the end is near.” -Jack Welch “Tap into very inspired and wise younger people” -Hamza“What we are striving for is diversity of background, experience and perspective.” -Hamza Check out Hamza's new book, Leadership Reinvented online, or at your local bookstore.
60 minutes | Apr 26, 2021
The Anatomy and Physiology of the Healthcare System with Dr. Jonathan Burroughs
Jonathan Burroughs is President and CEO of The Burroughs Healthcare Consulting Network, Inc. He works with some of the nation’s top healthcare consulting organizations to provide ‘best practice’ solutions and training to healthcare organizations throughout the country.Dr. Burroughs serves on the national faculty of the American College of Healthcare Executives and the American Association for Physician Leadership, where he has been consistently rated as one of their top speakers and educators.He is the author or coauthor of many books on healthcare leadership including, Redesign the Medical Staff Model - A Collaborative Approach, which was the winner of the 2016 James A. Hamilton Award for Outstanding Healthcare Management Book of the year.Dr. Burroughs received his bachelor’s degree at Johns Hopkins University, his MD from Case Western Reserve University, and a healthcare MBA with honors from the Isenberg School of Management.We hope you enjoy our conversation where we talked about knowing yourself, the importance of physician healthcare executives, and following the money in medicine. As always, if you like what we’re doing give us a positive rating and follow our social media pages for more content. We hope you enjoy this episode of Leading The Rounds. Questions we asked included: How did you develop your leadership philosophy? Tell us about Burroughs consulting? How do we follow the money in medicine? How do trainees learn the business of medicine? Our favorite quotes: “Learn from every single patient. That’s why they call it the practice of medicine” “Look in the mirror and see who you are… then exploit the strengths and minimize the weaknesses.”“If you don’t learn the business, you are going to be delegated to the assembly line.” “Doctors who only know how to diagnose and treat patients will be treated as a commodity in the coming century.” “He or she who controls the money, controls the system.” Book Suggestions: French’s Differential Diagnosis Introduction to Healthcare Finance by Carlene Harrison and William P. HarrisonEssential Operational Components for High Performing Healthcare Enterprises by Don Burroughs The Innovator's Prescription by Clayton Christensen and Jason Hwang
46 minutes | Mar 29, 2021
5 Rules for Leadership; Season 1 Recap
In this episode, Peter and I put together the culmination of our first season of podcasting. We took lessons from leaders in medicine, business, and the military to bring you 5 rules for leadership. This episode contains lessons from previous guests including Drew Dudley, Dr. Ed Creagan, Dr. Simon Fleming and more. We hope you enjoy this episode of Leading The Rounds!Rule 1: Chase Purpose “Leadership will always start from the inside out. The leader that you are is honed and developed well before a leadership appointment.” - Hamza Khan “Leadership is spending just as much time, and just as much energy and resources setting and chasing goals for your character.” - Drew Dudley Rule 2: Bend, Don't Break “You somehow have to find a way to embrace failure and learn tremendous lessons from it that make you instantly better than you were before.” -Steve Stylianos “As your body acclimates… you become more comfortable being uncomfortable.” -Dr. Edward Barksdale Rule 3: Be Curious “Ask questions, be curious, keep learning and you’ll never get old.” - Steve Swensen "Ask them about their pets." -Dr. Ed Creagan Rule 4: Cultivate Empathy “I try to interact with everybody assuming that not a single person has been nice to them all day" - Drew Dudley “Unless we are sick in our life, we know nothing.” - Dr. Ed Creagan Rule 5: Change the Culture “Better cultures get better outcomes… toxic cultures directly kill and harm patients.” - Dr. Simon Fleming “It’s not weird to want what is right and to fight for justice.” -Dr. Ijeoma Opara Our Book Suggestions: Caleb: Mindset by Carol Dweck Shoe Dog by Phil Knight An American Sickness by Elizabeth Rosenthal Peter Start With Why by Simon SinekEssentialism by Greg Mckeown Dare to Lead by Brene Brown Big thanks to everyone who helped make season one possible. We appreciate all of the leaders that have helped make this possible. If you enjoy what we're doing at Leading the Rounds, subscribe and give us a positive rating. You can also connect with us at leadingtherounds.com and on social media.
55 minutes | Mar 15, 2021
Presence, Excellence, and Leading as an Introvert with Dr. Edward Barksdale
In this episode we interview Dr. Edward Barksdale. He is the newly elected American Pediatric Surgery Association President. He is also the Division Chief of Pediatric General Surgery and Thoracic Surgery at UH Rainbow Babies and Children’s Hospital. He recently Launched the Anti-fragility Initiative, which takes a unique approach to addressing Cleveland’s teen poverty challenge and has already received over $2 million from the Governor of Ohio.We hope you enjoy our conversation where we talked about living in the moment, committing to excellence, leading from a place of purpose, leading as an introvert and the difference between success and significance.As always, if you like what we’re doing give us a positive rating and follow our social media pages for more content. We hope you enjoy this episode of Leading The Rounds. Questions we asked included: You met Dr. MLK when you were a child. Tell us about that story and how it impacted you? How do medical trainees work to live in the moment? What advice would you give to someone struggling to find their purpose? What does excellence look like for you? How do you know if you are adding value to interactions? How can someone overcome their introversion as a leader? What are some of your favorite books? Our favorite quotes: “It doesn’t take wings, a halo, or anything from divinity for you to a leader and have tremendous impact” “Don’t look back, you’re not going that way” “History is not the past. It is the present. We carry our history with us. We are our history.” -James Baldwin“[Don’t] be a human doing, but strive to be a human being”“Success is the pursuit of maximizing your talents to the best level you can, and then giving that away.” “A smooth seas never made a strong sailor” -Franklin D. Roosevelt“Hope… is the ability to work for something because it is good, not because it stands a chance that it will succeed” -Václav Havel ““If one does not know to which port one is sailing, no wind is favorable.” -Seneca “You’ve got to get your boat in the water”“The world breaks everyone and afterward many are strong at the broken places.” -Ernest HemingwayBook suggestions:Altruism, by Matthieu Ricard Forget a Mentor, Find a Sponsor, by Sylvia Ann HewlettThe Second Mountain, by David Brooks Antifragile: Things That Gain from Disorder, by Nassim Nicholas TalebIf you enjoy what we're doing at Leading the Rounds, subscribe and give us a positive rating. You can also connect with us at leadingtherounds.com and on social media.
52 minutes | Mar 1, 2021
Performing in the Face of Disaster with Dr. Jeffrey Upperman
In this episode we interview Dr. Jeffrey Upperman. Dr. Upperman was recently appointed as the Surgeon-in-Chief of Vanderbilt Children’s Hospital. Prior to that, he served at Children’s Hospital Los Angeles and received recognition as an expert in trauma, disaster preparedness, and injury prevention. Upperman is a retired lieutenant colonel in the US Army Medical Corps and was chief of surgery during operation Iraqi Freedom 2. He serves as a sworn member of the National Advisory Committee for Children in Disasters. Upperman has published over 180 peer-reviewed publications, 200 abstracts and 20 book chapters. His research includes sepsis, inflammation, trauma and disaster preparedness. He is happily married to his wife of 26 years who is also a physician and has three sons. In this episode we discuss his background playing sports, his journey to pediatric surgery, excellent performance, disaster preparedness, and more. As always, if you like what we’re doing give us a positive rating and follow our social media pages for more content. You can also follow today’s podcast guest on Twitter @PedsTraumaMan. We hope you enjoy this episode of Leading The Rounds. Questions we asked included: How did your background in athletics influence your mindset as a surgeon? How are surgery programs working to balance hard work vs overworking/burning out? How has your background in the military influenced your leadership as a physician? How did you become involved in disaster preparedness? Has this background affected how you view the pandemic? What could we have done differently in the pandemic? Should information be censored to promote positive communication in pandemics? What are some of your favorite books? Our favorite quotes: “You can’t hurt me” “When you look at NFL, college, and high school football teams, they do more film review than surgeons do.” “You control your lifestyle, but you don’t get to make boatloads of money and also sit at home all the time.” “My life's mission is to improve the health of people” “When you’re in certain environments, you need to learn how to make lemonade.” “They were just unprepared because they didn’t want to read.” “I am sick of lessons learned” Book suggestions:Philippians Humanocracy: Creating Organizations as Amazing as the People Inside Them by Gary Hamel Radical Candor: Be a Kick-Ass Boss Without Losing Your Humanity by Kim Scott If you enjoy what we're doing at Leading the Rounds, subscribe and give us a positive rating. You can also connect with us at leadingtherounds.com and on social media.
62 minutes | Feb 15, 2021
Joy and Justice in Leadership with Dr. Ijeoma Nnodim Opara
In this episode we interview Dr. Ijeoma Nnodim Opara. Dr. Opara received her medical degree from Wayne State University School of Medicine (WSUSOM) and completed a Med-Peds Residency at the Detroit Medical Center where she served as Chief Medical Resident. Currently, she is a double-board certified and an Assistant Professor of Internal Medicine and Pediatrics. She is the Associate Program Director of the Internal Medicine-Pediatrics residency, and attending physician with Wayne State University Physician Group.She is certified in Clinical Teaching by the Stanford Clinical Teaching Program and an inaugural fellow of the Academic Leadership Academy of Wayne State University. She is passionate about mentorship and medical education.She is the founding director of an innovative residency curriculum called “Health Equity and Justice in Medicine”, and co-founding director of Wayne State University Global Health Alliance program and co-created and co-directs the Global Urban Health & Equity curriculum . Her areas of academic interest are in health equity, justice, social and structural determinants of health, global health, and inter-professional education. She has a long history of leadership in service to the African immigrant and African American communities and co-founded Africans in Medicine, whose mission is to unite African medical professionals to further the health interests of Africans living on the continent and in the Diaspora. Dr. Opara is committed to activism, advocacy and clinical care for disenfranchised populations and works vehemently to uplift them. She is recipient of “Most Engaged Physician” award given by the Detroit Medical Center in recognition of her excellent track record in community service, collaboration, and advocacy. She has also received “Faculty of the Year” award. In this episode we discuss her immigration from Nigeria, her role as the Ada, the importance of relationships, and her passion for global health. This interview is great for anyone looking to learn about culture, community, and the health of the world. Questions we asked include: What was it like moving to the US and adjusting to a different culture? How has your culture affected how you look at leading others? How has being the Ada influence your leadership? What is your method of self-reflecting and personal growth? What would you tell someone who is looking to be a leader in global health in the future? Favorite books? Our favorite quotes: “I value relationships over efficiency” “Business becomes much richer when it’s grounded in a trusting relationship” “Hubris is always a risk” “Self-awareness is one of the most important traits of anybody” “Everybody is a leader… it’s just a question of if you have a title or role.” “When you see your sister hurting and you help her feel better, that is leadership” “You’re a leader way before you get the title” “[Representation] doesn’t just matter, it is everything” “It’s not weird to want what is right and to fight for justice.” “There is a lot that we can learn from the rest of the world” Book Suggestions: Caste by Isabele Wilkerson Stamped from the beginning by Ibram X. KendiBlack Detroit A People's History of Self-Determination by Herb BoydIf you enjoy what we're doing at Leading the Rounds, subscribe and give us a positive rating. You can also connect with us at leadingtherounds.com and on social media.
37 minutes | Feb 1, 2021
Why Gender Doesn't Belong in Leadership Conversations with From Skirts to Scrubs and Dr. Stephanie Faubion
In this episode we combine with another podcast to interview. Dr. Stephanie Faubion M.D. She has practiced in the Women's Health Clinic at Mayo Clinic for over 10 years. She has a broad interest in women's health and her research encompasses sex- and gender-based differences in disease, menopause, hormone therapy, healthy aging, and sexual health and dysfunction in women.In her roles as the Penny and Bill George Director for Mayo Clinic's Center for Women's Health and medical director for The North American Menopause Society, Dr. Faubion is acutely aware of the need to improve the evidence base for medical practice. Her role in the research community is guided by the need to develop research strategies that will improve the clinical practice as many research questions come directly from the clinical dilemmas faced every day in medical practice.Dr. Faubion's research group has developed a clinical database: the Data Registry on Experiences of Aging, Menopause and Sexuality (DREAMS). This database, developed in 2005, already has extensive longitudinal data with over 7,000 patients and has facilitated multiple research projects. In this context, Dr. Faubion has encouraged and directed strong research collaborations with established clinical and basic science researchers within the institution.We are also joined today by Aleesha Kotian and Charlotte Thill of From Skirts to Scrubs, a podcast that intersects gender studies, history and medicine. For more information we encourage our listeners to visit their website or check out their social media. In this episode we talk about how to be an authentic leader and why we need to move to a place where gender isn’t a qualifier for leaders in medicine.Questions we asked include: What is her leadership background? How has being a woman shaped your leadership abilities? How can we address equality from a top down and bottom up perspective? Will this problem fix itself over time or do we need to do more? How can there be more support for women entering back into the workforce after taking time off for family? How can we support and normalize men taking time off for raising children, family, etc? Our favorite quotes: “You are a woman leader, but you lead regardless of your gender. For you being a woman is both critical and unimportant.” “Being a woman is not important when I’m leading a team… it doesn’t factor into my decisions.”“If you’re not authentic to yourself, you’re not going to be a good leader.” “The definition of a leader means people are following you” “Do we have the right person for the job, or are we just picking the next white male candidate?” “We have to rethink how we are cultivating leaders and engaging people” “If you’re climbing a ladder, you need to be bringing at least two or three people up with you.” “Lose your self limiting beliefs” Book suggestion: Caste: The Origins of Our Discontents by Isabel WilkersonIf you enjoy what we're doing at Leading the Rounds, subscribe and give us a positive rating. You can also connect with us at leadingtherounds.com and on social media.
46 minutes | Jan 18, 2021
Death, Humor and Bringing Humanism Back to Medicine with Dr. Ed Creagan
In this episode we interview Dr. Ed Creagan. Dr. Ed was first board-certified in medical oncology with a focus on malignant melanoma and lung cancer. He then transitioned into a career in hospice and palliative medicine.He was the Mayo Clinic president 1999, 2000, 2001. He was responsible to the Mayo Clinic CEO who directed answered to the internal board of governors and the external trustees. He believes that this gave him a fascinating insight into what he called the Masters Of The Universe. On a local as well as an international platform. He was able to see the skill set of those who were incredibly effective leaders and those who were not. Every effective leader he noted was an effective communicator.If you want to connect with Dr. Creagan, you can find him at his website or at @EdwardCreagan on Twitter, IG, Linked In.In this episode we talk about bringing humanity back to medicine, his perspective as a hospice physician, and how he copes with the inevitability of death. Book giveaway congratulations to Jenna Dabaja who won a free copy of Dr. Steve Swensen’s book “Mayo Clinic Strategies to Reduce Burnout - 12 Actions to Create the Ideal Workplace” from our last book giveaway. Congratulations Jenna!In addition, we are going to do another book giveaway for this episode. We will be giving away a book from one of my favorite physician authors. We are going to give away Atul Gawande’s book “Being Mortal”. This is a book that both Peter and I loved reading ourselves and our guest for today’s episode suggested as well. Check out our social media pages for the details. Questions we asked include: How did you get involved in hospice medicine and leadership? How can we be more human in medicine? What can death teach us about living a good life? What are a couple of the biggest lessons you’ve learned from it? What is something you never understood about dying until you experienced it at the bedside?As someone who stands at the bedside and cares for those who are dying, do you ever feel anxiety with your own mortality?How do you balance your creative passions with your clinical work? What are some great books on end of life care? What are great books on leadership? Our favorite quotes: “It’s easy to sit on the sidelines or in the bleachers and criticize leadership, but when the buck stops with you... it’s a whole different ball game.” -Dr. Ed “The most significant factor in effective leadership is the ability to communicate” -Dr. Ed "The common man goes nowhere. You have got to be uncommon." -Herb BrooksOn empathy, “Unless we are sick in our life we know nothing” -Dr. Ed “At the bedside, I never see patients talking about their achievements… what I do hear about is regrets and remorse and missed opportunities.” -Dr. Ed “If we are not dead fit… we ain’t gonna go the distance in the current world.” -Dr. Ed Book suggestions: Anything by Ira Byock Anything by Atul Gawande (check out our social media for a chance to win!) When Breath Become Air by Paul Kalanithi So Good They Can't Ignore You by Cal Newport If you enjoy what we're doing at Leading the Rounds, subscribe and give us a positive rating. You can also connect with us at leadingtherounds.com and on social media.
52 minutes | Jan 4, 2021
Esprit De Corps and the Importance of Curiosity with Dr. Stephen J. Swensen
In this interview, we talk to Dr. Stephen J. Swensen. He is dedicated to the support of thoughtful leaders who aspire to nurture fulfillment of their staff. He is a recognized expert, researcher and speaker in the disciplines of leadership and burnout. Dr. Swensen serves as Senior Fellow of the Institute for Healthcare Improvement, where his focus is Joy in Work. He works as the Leadership Theme Leader for NEJM Catalyst. For three decades he served patients at the Mayo Clinic. As Director for Leadership and Organization Development, he co-led the Professional Burnout Initiative and oversaw the development of 4,100 physicians and 232 key leaders. As Chief Quality Officer, he established the Quality Academy wherein 37,000 colleagues were certified as Fellows during his tenure. As Chair of the Department of Radiology, he and his team used their Value Creation System to improve the welfare of both patients and professionals. As professor in the Department of Radiology, he was Principal Investigator of two National Institutes of Health grants and has authored three books and 207 articles. He was honored with the Diamond Lifetime Achievement Award, served as the president of two international societies and founded the Big Sky Group. Dr. Swensen has been married for 43 years, has two children and has completed 39 marathonsIn this episode we discuss his book "Mayo Clinic Strategies To Reduce Burnout: 12 Actions to Create the Ideal Workplace" which YOU CAN ENTER TO WIN by joining our email list. This contest will run until January 11th! We also discuss the MAYO clinic model of care, creating a culture of espirit-de-corps, and the importance of curiosity in medicine. Questions we asked include: Tell us about how you came to write this book? What is espirit-de-corps and how did you arrive at it?Why did you use the paradigm shift of "work life integration" instead of "work-life balance" in your book? Can you introduce us to that and tell our audience what are some of the things that are different at MAYO?Why don’t you think this model has spread everywhere else?What traits do you think physician leaders should work on cultivating? What advice would you give to physician leaders? Our favorite quotes: “Leadership is a potent combination of strategy and character. But if you must be without one, be without strategy.” -General Norman Schwarzkopf“You have to act as if it were possible to radically transform the world. And you have to do it all the time.” -Angela Davis“[In healthcare], we have a shared responsibility to do our work, to improve our work, and to care for each other.” -Dr. Swensen “The needs of the patient come first” -MAYO Clinic Mission“You change culture one behavior at a time” -Dr. Swensen “In order to teach something you have to understand it at a different level and be able to communicate it in a way that’s understandable.” -Dr. SwensenIf you enjoy what we're doing at Leading the Rounds, subscribe and give us a positive rating. You can also connect with us at leadingtherounds.com and on social media.
45 minutes | Dec 21, 2020
Leading During Chaos: from the operating room to COVID-19 with Dr. Steve Styllianos
In this episode, we interview Dr. Steven Styllianos. Dr. Stylianos serves Columbia University as the Rudolph N Schullinger Professor of Surgery and Pediatrics and Chief of the Division of Pediatric Surgery. He is currently the Surgeon-in-Chief of the Morgan Stanley Children’s Hospital/New York Presbyterian.A graduate of Rutgers University and the New York University School of Medicine, Dr. Stylianos completed his general surgical training at Columbia–Presbyterian Medical Center. He subsequently spent two years as the Trauma Fellow at the Kiwanis Pediatric Trauma Institute in Boston and then completed his formal pediatric surgery training at Boston Children’s Hospital. Dr. Stylianos joined the faculty of Columbia University College of Physicians and Surgeons and the Children’s Hospital of New York in 1992. He organized and directed the 50-member team of physicians and nurses who separated conjoined twins in 1993, 1995, 2000 and 2020. These conjoined twins separations attracted the attention of the national media, including Dateline NBC, CBS 48 Hours and Fox News.Throughout the years, Dr. Stylianos has served as Chairman of the Trauma Committee for the American Pediatric Surgical Association (APSA) from 1997–2002 and authored the APSA position paper supporting all measures to reduce the toll of firearm violence in children. He also served as the Co-Principal Investigator of the U.S. Department of Health, Maternal and Child Health Bureau’s grant to APSA “Partnership for Development and Dissemination of Outcomes Measures for Injured Children.”Currently, Dr. Stylianos is a site verification officer of the American College of Surgeons Committee on Trauma and was recently elected to serve on the American Pediatric Surgical Association Foundation’s Board of Directors. He is also Editor-in-Chief of the Journal of Pediatric Surgery Case Reports, Associate Editor of the Journal of Pediatric Surgery and served on the Executive Board as a founding member of the Pediatric Trauma Society. Dr Stylianos recently received the prestigious American Pediatric Surgical Nurses Association’s 2016 Champions Award and the American Trauma Society’s 2016 NY State Trauma Medical Director of Distinction.And most importantly, Dr Stylianos and his wife Joann are proud first-time grandparents to to their grandson Nico. In this episode, we discuss what it was like to lead a team who separated conjoined twins, how he handles leadership in the OR, and his experience in the epicenter of COVID-19 in New York. Questions we asked include: What are your current leadership roles and what do you feel were the experiences that led you to them?What was it like to lead the team that separated conjoined twins?What is your mindset in the OR when things don’t go as you planned?Tell us about the first few days of the pandemic for you. What was it like to be presented with this challenge?Were there any lessons you took as a leader in the OR to role as a leader in administration?What are your pieces of advice to developing medical leaders? What is your process of reflecting on failure? What two of your favorite books that you would recommend to young medical leaders?His suggestions: "Farsighted" by Steven Johnson & "The Splendid and the Vile" by Eric Larson
50 minutes | Dec 7, 2020
Human Leadership and Mental Health with Dr. Alison Van Dyke
Inside-Out Leadership: Human Leadership and Mental Health with Dr. Alison Van Dyke Dr. Alison Van Dyke joined the Data Quality, Analysis, and Interpretation Branch of the Surveillance Research Program (SRP) as Director of the SEER-linked Virtual Tissue Repository (VTR) Pilot Studies. For the VTR Pilot Studies, SRP works with SEER registries to obtain custom annotations of detailed treatment data for pancreas and female breast cancer cases which may have biospecimens available. The goal is to match unusual survival cases with more typical survival controls. Dr. Van Dyke also directs the Residual Tissue Repositories (RTRs). Operated by the SEER registries in Hawaii, Iowa, and Los Angeles, the RTRs collect tissue being discarded by hospital laboratories once the minimum requirement for retaining diagnostic tissue blocks, as set forth by the College of American Pathologists (CAP), has been met.Prior to joining SRP, Dr. Van Dyke earned her MD/PhD from Wayne State University School of Medicine in 2011 with graduate training in cancer biology. Under the mentorship of Dr. Ann Schwartz, her doctoral research focused on the role of inflammation in non-small cell lung cancer among women and included SEER data. She completed postgraduate medical residency training in anatomic pathology at Yale-New Haven Hospital and surgical subspecialty training in thoracic pathology at the University of Pittsburgh Medical Center. In addition to being board certified in Anatomic Pathology by the American Board of Pathology, she is a Fellow of the CAP and serves as the SEER Liaison to the CAP Cancer Committee, which determines what and how tumor information will be reported in pathology reports.Dr. Van Dyke completed a postdoctoral fellowship in the Infections and Immunoepidemiology Branch of the Division of Cancer Epidemiology & Genetics (DCEG). Working with Drs. Jill Koshiol and Eric Engels in DCEG, Dr. Van Dyke's postdoctoral research focused on the incorporation of surgical pathology in epidemiologic research. She utilized data from the NCI Cancer Cohort Consortium to investigate the epidemiology of biliary tract cancers. She was also the first researcher to use the digital slide collection from the National Lung Screening Trial to investigate the relationships between lung scarring characteristics and lung cancer development. In addition, she established pathology tissue collection and evaluation methods for Dr. Koshiol’s Chile Biliary Longitudinal Study (Chile BiLS). She is completing a NAACCR project examining biliary tract cancer incidence trends in the United States.In this episode we discuss her path to being a MD/PhD, some of the projects she is working on currently at the NCI, the lessons she learned from living with Bipolar Disorder, and her experience as a woman in STEM. Questions we posed include: What it means to you to be a physician-scientist and why you chose this path? How does balancing these two professional identities affect your leadership philosophy? What things outside of medical school, research, and residency have you done that most impacted your leadership development? What are some Challenges/barriers that you faced? Why do you still think there is still such a stigma surrounding mental health? What needs to be emphasized during the training of young medical and scientific leaders in order to improve the culture? Do you have any personal stories where you felt that you were discriminated against by your peers for your gender?What message do you want to send to our listeners that may feel discriminated against based on their gender, race, etc? What are your favorite books? What advice do you have for medical trainees?
53 minutes | Nov 22, 2020
The Main Course: Drew Dudley on Day One Leadership, and Lollipops for Patients
“As long as we make leadership something bigger than us… we give ourselves an excuse not to expect it every day, from ourselves and from each other.” -Drew Dudley In this episode we interview Drew Dudley. Drew has been called one of the most inspirational TED speakers in the world, and he is on a mission to help people unlearn some dangerous lessons about leadership. As the founder and chief catalyst of Day One Leadership, he has helped top organizations around the world increase their leadership capacity. His clients have included McDonald’s, American Express, JP Morgan Chase, the United Way, and more than 100 colleges and universities. Prior to this, Drew spent eight years as the director of one of Canada’s largest leadership development programs at the University of Toronto. Drew is also the bestselling author of This is Day One: A Practical Guide to Leadership That Matters that debuted at #6 on the Wall Street Journal bestseller list. As a speaker, Drew has delivered keynotes to more than 250,000 people across five continents. His TED talk “Everyday Leadership (The Lollipop Moment)” was voted “one of the 15 most inspirational TED talks of all time”.In this episode we discuss his idea of day one leadership, his experience on the patient side of healthcare, as well as leadership lessons from the pandemic. If you want to learn more about Drew or his work, you can visit his website, https://www.drewdudley.com/As always if you enjoy our content and want to support us, please subscribe to our podcast and give us a positive rating. You can also connect with us on social media or at leadingtherounds.comWelcome to Leading the Rounds.
53 minutes | Nov 9, 2020
Healthcare 101: Dr. Simon Fleming on Bullying in Medicine and Improving the Culture of Medical Training
"Simon Fleming is a trainee Trauma and Orthopedic surgeon from the United Kingdom who has developed a national, and growing international reputation, for his campaigning work to drive cultural change in the NHS and other healthcare organizations. He has spoken widely across the UK and abroad – including delivering a TEDx talk – around his award-winning #HammerItOut campaign aimed at tackling bullying and discriminatory behaviors in the NHS to create positive and empowering workplaces and to improve patient care. Simon has received over 15 awards for his work in improving standards in medical education and shining the spotlight on the need for cultural change in healthcare organizations. These include being the first man to receive Honorary Membership from the Medical Women’s Federation." In this episode, we discuss bullying in medicine, driving cultural change, as well as his believe that one person can change the world. We hope you enjoy this episode of Leading the Rounds. If you want more information about Simon and his work, you can visit his website https://simonfleming.co.uk/If you like what we're doing at Leading the Rounds, please subscribe and give us a positive rating. You can learn more about us at www.leadingtherounds.com
50 minutes | Oct 26, 2020
Inside-Out Leadership: Hamza Khan on Addressing Burnout from the Inside Out
In this episode, we interview Hamza Khan. Hamza is a multi-award winning marketer, best-selling author, and global keynote speaker whose TEDx talk “Stop Managing, Start Leading” has been viewed over a million times. He is a top-ranked university educator, serial entrepreneur, and respected thought leader whose insights have been featured by notable media outlets such as VICE, Business Insider, and The Globe and Mail. He empowers youth and early talent through his work as Managing Director of Student Life Network, Canada’s largest and most comprehensive education resource platform, which reaches over 2.7 million students. From TEDx stages and international conferences to MBA classrooms and Fortune 500 boardrooms, Hamza is invited regularly to deliver keynotes and workshops around the world. His clients have included some of the world’s most dynamic companies and organizations, including PepsiCo, LinkedIn, Deloitte, PwC (PricewaterhouseCoopers), Trivago, and over 100 colleges and universities. Learn more at hamzakhan.ca. In this episode, we talk about his leadership experiences, challenging the status quo, as well as his take on burnout being a leadership issue. We hope you enjoy this episode of Leading the Rounds. If you want to learn more about the various topics we covered, listen to this episode or view are social media pages for a more detailed breakdown of our discussion. If you enjoy what we're doing at Leading the Rounds, subscribe and give us a positive rating. You can also connect with us at leadingtherounds.com and on social media.
60 minutes | Oct 11, 2020
The Main Course: Lt. Gen. Dr. Mark Hertling on Inter-Professional Physician-Leadership Development
Lieutenant General Mark Hertling retiring from the US Army in January 2013 and recently served as Senior Vice President at Florida Hospital. He is now an advisor to the Advent Health Leadership Institute, where he designed and teaches a physician and healthcare strategic leadership development program. His book, Growing Physician Leaders, was published in May 2016. Mark served in the US Army as the Commanding General of the US Army Europe, after leading over 60,000 soldiers and partnering with the Armies of 51 other nations. He served a total of 38 months in combat, including a tour Commanding the US Army’s 1st Armored Division and Task Force Iron in Northern Iraq for 15 months during the surge. He was also the First commander of the Army’s Initial Military Training Command, where he revamped basic training for incoming soldiers, and he also commanded at each of the Army's three training centers. Among many of Mark’s awards and decorations are the Distinguished Service Medal, several Bronze Stars, the Purple Heart, the Parachutist Badge and awards from international governments including Romania, Poland, Germany, Saudi Arabia, and Kuwait.In 2019, Mark received a Doctorate in Business Administration from the Crummer School of Business at Rollins College, where his thesis addressed the efficacy of formalized leadership programs for physicians and healthcare administrators. After retiring from the Army, LTG Hertling was appointed by President Obama as one of 25 members to the President’s Council on Fitness, Sport and Nutrition. Mark serves as an advisor to the non-profit organizations “Mission: Readiness” in California, “Operation Gratitude” in Washington DC. He is an adjunct scholar at West Point’s Modern War Institute, serves as an executive member of the Dean's Alliance at the School of Public Health of Indiana University, and is an adjunct professor of strategic leadership at the Crummer School of Business at Rollins College. He is the senior military and national security analyst for CNN/CNN International. Mark is married to his best friend, Sue and they have two sons, and five grandsons.If you want more information about us or our podcast, you can visit leadingtherounds.com
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