Sustainable Clinical Medicine with The Charting Coach

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr, Sarah Smith interviews Dr. Andrea Austin, an emergency medicine physician, educator, and new program director of a residency program in Pensacola, Florida. Dr. Austin shares her journey from an early interest in medicine inspired by a 'Take Our Daughters to Work' day to her current roles in emergency medicine amidst the challenges of COVID and beyond. She discusses her experiences with burnout, the importance of therapy and coaching, and her transformative role in developing curriculum focused on positive changes in healthcare. Dr. Austin also highlights her recently published book 'Revitalized,' which aims to guide physicians toward a fulfilling career. The conversation covers key factors for change-making in medical institutions, the critical need for supportive leadership, and the shared struggles of global physician burnout.The episode provides valuable insights and strategies for recognizing and dealing with burnout effectively. Here are 3 key takeaways from this episode: Change Makers Need Supportive Organizations: Effective change in healthcare requires both individual qualities (insatiable learning, courage, resilience) and organizational support (funding for education, coaching, just culture, appropriate staffing, and the ability to actually take vacation time).  Recovery Requires Time and Space: After experiencing burnout during COVID, Dr. Austin took a part-time remote teaching job that gave her three months to sleep, attend therapy, do coaching, and regulate her nervous system. This pause was essential for her body to "feel human again" and ultimately led to her pursuing a master's degree and starting a residency program.  Caring Leadership Makes the Difference: The most critical factor in preventing physician burnout isn't metrics or ROI—it's caring. Leaders who see the big picture, invest in their people, provide meaningful feedback, and create psychologically safe environments enable physicians to thrive and create positive change, rather than just burning out from institutional betrayal. Meet Dr. Andrea Austin: Dr. Andrea Austin is the inaugural Emergency Medicine Program Director at Sacred Heart in Pensacola, Florida. As a Navy veteran, her military service taught her how to perform under pressure and lead teams in high-stakes environments. She brings that same focus to her work in medical education, physician well-being, and healthcare systems change. Dr. Austin is the author of Revitalized: A Guidebook to Following Your Healing Heartline and host of the Heartline: Changemaking in Healthcare podcast.   Connect with Dr. Andra Austin: 🌐 Website: https://www.andreaaustinmd.com/ Facebook: https://www.facebook.com/andreaaustinmd Instagram: https://www.instagram.com/andreaaustinmd/ -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, the host welcomes Dr. Claire Plumbly, a clinical psychologist from the UK, to discuss her work and insights into managing burnout and trauma. Dr. Plumbly shares her background and journey into clinical psychology, highlighting her work in private practice and her recent book, 'The Trauma of Burnout'. The conversation delves into signs and symptoms of burnout, practical advice for managing it, and the importance of understanding one's nervous system. Dr. Plumbly also emphasizes the need for compassionate self-care, regular check-ins throughout the day, and has suggestions for winding down to improve sleep. She further discusses ways to prevent burnout and introduces the concept of intensive therapy sessions for those who find weekly sessions challenging. The episode provides valuable insights and strategies for recognizing and dealing with burnout effectively. Here are 3 key takeaways from this episode: Understand Your Nervous System States Burnout involves getting stuck in two problematic nervous system states: "Amber" (sympathetic overdrive - constant rushing, can't slow down) and "Red" (dorsal shutdown - autopilot, disconnected, people-pleasing). You need different strategies for each: discharge excess energy when in Amber through movement, and gently thaw out when in Red through soothing touch and connection. Recognize the Four Warning Signs Watch for burnout signals across four areas: Physical (aches, tension, frequent illness), Cognitive (rigid thinking, decision fatigue, making mistakes), Emotional (limited emotional range - stuck in overwhelmed/anxious/flat), and Behavioral (numbing behaviors like extra drinking, doom scrolling, or impulse purchases). Use Transition Points as Check-In Opportunities Don't wait until end of day to address burnout. Use every transition between tasks as a mini pause to check: "What does my body need right now? What gear am I in?" This prevents accumulation of stress and makes winding down at night actually possible - you can't crash from sixth gear into sleep. Meet Dr. Claire Plumbly: Dr Claire Plumbly is a clinical psychologist, EMDR consultant & founder of Plum Psychology - a team of trauma-specialists who offer intensive therapy packages for burnout and trauma in the UK. She is the author of The Trauma of Burnout - which shows us how to navigate out of overwhelm tapping into the power of your nervous system  Connect with Dr. Claire Plemby: 🌐 Website: Www.drclaireplumbly.com Facebook: https://www.facebook.com/DrClairePlumbly Instagram: https://www.instagram.com/drclaireplumbly -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Zhen Chan shares his unique journey from growing up in Miami, Florida to becoming a pediatrician in Washington, DC, and ultimately venturing into the entrepreneurial side of healthcare. Dr. Chan discusses his educational background, including an MD-MBA dual degree, and how it shaped his interests in blending artistic and scientific aspects within the medical field. He delves into his clinical practice in the 'fast track' side of an emergency room and his desire to improve healthcare systems. Dr. Chan also talks about his entrepreneurial endeavors, like founding Grapevine, a community focused on healthcare workforce optimization and reducing burnout among medical professionals. Throughout the conversation, he emphasizes the importance of networking and staying updated with technological advancements to better serve patients and the healthcare community. Here are 3 key takeaways from this episode: 1. The Power of Networking in Healthcare: Dr. Chan emphasizes that building professional relationships and communities—like her Grapevine initiative—is crucial for career growth, combating burnout, and reducing social isolation among healthcare professionals. Networking is not just for business leaders; it’s essential for clinicians at all stages. 2. Innovation and Entrepreneurship are Vital for Modern Physicians: Dr. Chan’s journey shows that blending clinical practice with entrepreneurial thinking and process improvement (such as Six Sigma and MBA training) can help address systemic issues in healthcare. Physicians can—and should—embrace innovation to improve patient care and the healthcare system. 3. Technology and AI Can Reduce Administrative Burden: The discussion highlights how AI-powered tools (like scribing and coding assistants) are transforming healthcare by reducing administrative workload, allowing doctors to focus more on patient care. Accurate documentation and embracing new technologies are key to improving efficiency and outcomes. Meet Dr. Zhen Chan: Dr. Zhen Chan is a practicing pediatrician at Children’s National Medical Center in Washington, DC and Founder/CEO of Grapevyne, a community dedicated to empowering physician autonomy and wellbeing through better networking and understanding about healthcare beyond medicine. He graduated from the University of Miami with his BS in Neuroscience and Criminology, MD, and MBA in Health Management & Policy. After completing his education, he went on to complete his pediatrics residency at New York Presbyterian Hospital-Weill Cornell Medicine, where his work in quality improvement and advocacy projects revealed a career path to impact healthcare at scale beyond the exam room. In addition to his clinical practice and his own community, he advises other healthcare startups as well focused on improving healthcare access. Connect with Dr. Zhen Chan: 🌐 Website: https://grapevyne.health LinkedIn: www.linkedin.com/in/zhenmd Instagram: https://www.instagram.com/zhen_md/ -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Happy Holidays from the Sustainable Clinical Medicine Podcast! In honour of the holidays we are replaying our top two episodes of 2025. This week we’re excited to bring you a replay of Episode 125 of the Sustainable Clinical Medicine Podcast. In this special episode, Dr. Sarah Smith brings together her “brains trust”—the talented team of assistant coaches from Charting Champions and Smarter Charting—for an inspiring and honest roundtable discussion. Join Dr. Jacqueline Holm-Jhass, Dr. Milene Argo, and Dr. Noelle Nelson as they open up about their personal journeys from burnout to rediscovering joy in medicine and share their passion for helping clinicians create better clinical days. You’ll hear first hand stories about the real costs of working after hours, practical strategies for managing the chaos of unpredictable clinic days, and priceless reminders that you are not alone in the struggle. The coaches offer compassionate advice on emotional regulation, self-compassion, and the vital importance of finding celebration and purpose—even on the hardest days. Whether you’re deep in the trenches of clinical work or just starting to think about how to make medicine more sustainable, this episode is packed with relatable insights, encouragement, and actionable wisdom to help you reclaim time for your life outside of medicine. Get ready to meet the coaches who are changing the way clinicians approach their clinical days and rekindling love for the profession—one conversation at a time. Here are 3 key takeaways from this episode: You’re Not Alone: Every physician experiences overwhelm—even the coaches and leaders we look up to. Vulnerability and community are key to finding solutions and breaking the cycle of isolation. Small Wins & Self-Compassion Matter: Shifting from self-criticism to celebration of even tiny wins each day (like finishing one tough chart, or supporting a grieving patient) helps change the narrative and builds resilience over time. The System is Broken, Not You: The impossible demands of modern medicine make it crucial to set boundaries and redefine what “good enough” looks like for you, rather than striving for unattainable perfection. The Charting Champions Coaches Dr. Sarah Smith and her vibrant Charting Coach team: Dr. Jacqueline Holm-Jhass, Dr. Milene Argo, and Dr. Noelle Nelson. Get ready for an honest, supportive, and practical conversation about what it truly takes to create a sustainable, joyful clinical day as a physician or clinician. -------------- Would you like to view a transcript of this episode? Click here ****Get in on the Backlog Buddies Sale where All Session in June are only $10 https://www.backlogbuddies.com/ **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to the Sustainable Clinical Medicine Podcast! In this special episode, Dr. Sarah Smith joins forces with Dr. Priyanka Venugopal from the Unstoppable Mom Brain Podcast for a deeply insightful conversation all about reclaiming time and creating more sustainable clinical practices. Together, they dive into the real-life struggles physicians face when it comes to finishing work at work—and not letting charting and paperwork spill into precious family time. Dr. Smith shares her own journey of burnout, the “aha” moments that changed her approach forever, and the practical strategies that helped her—and now hundreds of other clinicians—conquer endless documentation and interruptions. This episode is packed with actionable gems, from simple mindset shifts to rethinking workflow, delegation, and team dynamics. Whether you're a physician, a professional working mom, or anyone craving more balance between career and home, this conversation will inspire you to rethink what’s possible. Tune in for tangible tips, relatable stories, and a whole lot of encouragement to create those “bucket loads of time” you’ve been searching for. Here are 3 key takeaways from this episode: Redesign Your Workflow—One Small Step at a Time: Challenging your status quo doesn't require a massive overhaul overnight. Dr. Smith emphasizes starting with one thing you wish were different, then getting curious about how to make that change—whether it’s charting as you go or setting clearer boundaries for finishing tasks before heading home. Choose the 'Goat Track' over the 'Superhighway': Our brains crave familiar (often inefficient) routines. Breaking those habits will feel awkward and slower at first, but staying consistent creates more “bucket loads of time”—those open evenings and weekends we all crave. Teamwork and Delegation Create Freedom: Whether you have a team or work solo, look for ways to delegate, systematize, and create assets that make recurring tasks easier. Training others (or even your future self!) means you spend your best energy on what truly requires your expertise. Episode 102: Burn Stress. Lose Weight. Podcast (Formerly the Unstoppable Mom Brain Podcast) https://www.burnstressloseweight.com/blog/getting-work-done-at-work-with-dr-sarah-smith In this episode of the Unstoppable Mom Brain Podcast, I have Dr. Sarah Smith sharing her journey from being a rural family physician to becoming an expert in optimizing work-life balance for physicians, particularly focusing on completing tasks efficiently during clinical hours. Dr. Smith's transformation from struggling with work-life balance to finding simplicity and joy in her professional and personal life is inspiring. Through her coaching, she helps physicians reclaim their time, reduce stress, and prioritize their well-being while excelling in their careers. Tune in to this episode to unlock valuable insights and actionable strategies that will empower you to achieve greater balance, joy, and success in your professional and personal life. Sarah Smith is the Charting Coach for Physicians and clinicians and a practicing Rural Family Physician in Alberta. Sarah is the founder of the Charting Champions Program helping more than 150 Physicians in the specific area of getting home with their charting done.  She has a passion for reducing burnout and overwhelm resulting from the administrative burden of clinical medicine. Using evidence-based coaching to help Physicians find their most simple solutions within the clinical environments that they work in.   Sarah is married to her husband of 21 years and has two sons and lives on her small farm. Evenings and weekends are for enjoying pursuits such as farming, exploring, reading and coaching. -------------- Would you like to view a transcript of this episode? Click here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! Today, we’re joined by Dr. Maire Daugharty, an accomplished anesthesiologist who made the bold transition into clinical mental health counseling. In this episode, Dr. Daugharty opens up about her personal experience with burnout, the journey that led her to psychotherapy, and the lessons she learned about mental health—both as a physician and as a therapist. Whether you’re a healthcare professional, someone navigating career changes, or simply interested in well-being, this conversation is packed with valuable insights and practical advice. Here are 3 key takeaways from this episode: Burnout and Depression Are Distinct but Overlapping: Dr. Maire Daugharty emphasizes the importance of distinguishing between burnout and depression. Burnout is specifically related to work overload and emotional exhaustion, while depression is a broader mental health condition. Recognizing the difference is crucial for seeking the right kind of help and intervention. Career Transitions Can Be Empowering and Challenging: Dr. Daugharty shares her journey from anesthesiology to clinical mental health counseling, highlighting the challenges of making a major career shift. She discusses the importance of self-reflection, support from loved ones, and the value of aligning one’s work with personal interests and well-being. There Is No Shame in Seeking Help: A central message of the episode is that seeking psychotherapy or counseling is a sign of strength, not weakness. Dr. Daugharty encourages medical professionals (and everyone) to value their own well-being, challenge the stigma around mental health, and recognize that taking care of oneself is essential for providing the best care to others. Meet Dr. Maire Daugharty: I am an anesthesiologist, over the course of my career specialized in regional and cardiac anesthesia. I went back to graduate school and completed a master’s degree in clinical mental health counseling. I opened a practice working with a range of issues for adult individuals and couples including depression, anxiety, ramifications of childhood trauma, burnout, navigating conflict. I continue to work part time as an anesthesiologist on our general and obstetrical services, and work full time as a psychotherapist integrating mental health medication management when indicated.   Connect with Dr. Maire Daugharty: 🌐 Website: www.mdaugharty.com https://kevinmd.com/post-author/maire-daugharty LinkedIn: https://www.linkedin.com/in/maire-daugharty/?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! Today, we’re joined by Mary Remón, a licensed counselor and experienced coach who has spent over two decades supporting healthcare professionals. Mary brings a wealth of insight from her work managing Employee Assistance Programs and coaching physicians through the unique challenges of burnout, compassion fatigue, and career sustainability. In this conversation, Mary and Dr. Sarah Smith dive deep into the realities of working in healthcare, the stigma around seeking help, and practical strategies for building resilience and well-being. Whether you’re a clinician, a leader, or simply interested in the human side of medicine, this episode is packed with wisdom and actionable advice. Here are 3 key takeaways from this episode: Confidential Support Is Available for Healthcare Professionals: Employee Assistance Programs (EAPs) offer confidential counseling and support for physicians and clinicians. Most concerns about privacy and stigma are unfounded—these services are designed to protect employees and are not part of personnel files or medical records, except in rare safety-related cases. Burnout and Compassion Fatigue Are Common—But Not Personal Failures: Many physicians experience burnout, imposter syndrome, and compassion fatigue due to the demanding nature of their work. These are normal reactions to challenging environments, not signs of weakness or failure. Recognizing and talking about these issues is the first step toward healing. Small, Positive Changes and Support Networks Make a Big Difference: Sustainable well-being comes from making small, manageable changes—like setting boundaries, celebrating small wins, and seeking support from peers or coaches. Sharing struggles and accepting help can break the cycle of isolation and lead to meaningful improvements in mental health and job satisfaction. Meet Mary Remón: Mary Remón is a licensed counselor, certified coach, and Certified Employee Assistance Professional with over 20 years of experience in healthcare. In her professional role, she has coached physicians and leaders at hundreds of healthcare institutions across North America, including many leading academic medical centers. Mary previously managed employee assistance programs on-site at two academic medical centers, supporting physicians, leaders and frontline staff. She continues to support physicians and leaders through her private practice. Connect with Mary Remón: 🌐 Website: https://www.maryremon.com/ LinkedIn: https://www.linkedin.com/in/maryremon/ Facebook: https://www.facebook.com/MaryRemon.LCPC.LMHC.CEAP SoMeDocs: https://doctorsonsocialmedia.com/mary-remon-lcpc-cpc-ceap/ -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this podcast episode #150 we shine a light on the real experiences of early-career medical professionals and listening to the voices of junior doctors. I’m your host, Dr. Sarah Smith, and today we’re joined by Victoria Lister—researcher, workplace coach, and passionate advocate for change in healthcare. Diving into the hidden struggles junior doctors face: the culture of silence, the impact of discrimination and burnout, and the critical importance of psychological safety at work. Victoria shares her research and personal insights on why so many doctors feel unable to speak up, and what leaders and colleagues can do to create safer, more supportive environments. Whether you’re a medical professional, a student, or simply interested in the future of healthcare, this conversation is packed with eye-opening stories and practical advice. Let’s get started! Here are 3 key takeaways from this episode: The Culture of Silence in Medicine: Junior doctors often feel unable to speak up about their working conditions due to fear of retaliation, career setbacks, and entrenched hierarchies. This silence can have serious consequences for both staff wellbeing and patient safety. Psychological Safety is Essential: Creating environments where junior doctors feel safe to voice concerns is crucial. Leadership that listens, acts, and genuinely supports staff can transform toxic workplaces into supportive, high-performing teams. Discrimination and Burnout are Widespread: Issues like bullying, harassment, and discrimination—based on gender, race, or background—are still prevalent in medical training. Addressing these challenges requires systemic change, open conversations, and collective action to ensure a healthier future for all healthcare professionals. Meet Victoria Lister: Victoria Lister is a researcher in the Business School at Griffith University in Brisbane, Australia. Her PhD research investigates junior doctors’ working conditions silences and how the medical profession acts as a barrier to voice. To support junior doctors, Victoria trained as a workplace coach and is currently researching and delivering a ‘coaching for communication’ program for emergency medicine clinicians. She also works on other research projects in the medical context; has consulted on a healthcare workforce wellbeing initiative and a cultural change program designed to address bullying, harassment and discrimination in medicine; and has published on these themes. Connect with Victoria Lister: 🌐 Website: https://www.victorialister.com/ linkedin.com/in/victoria-lister https://scholar.google.com.au/citations?user=Fzi-II4AAAAJ&hl=en&oi=ao -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith explores the challenges of balancing mental load and domestic labor, particularly for women in medicine. She is joined by Dr. Pip Houghton, a family physician, facilitator, and advocate for women’s wellness. Dr. Houghton shares her expertise in mental health and her personal journey with the Fair Play Method, offering practical strategies for creating more equitable and joyful lives at home and at work. Together, they discuss how open communication, trust, and small changes can lead to big results for busy professionals and families. Listeners will gain valuable insights into sharing responsibilities, building supportive partnerships, and lightening the mental load—making this episode a must-listen for anyone seeking balance and sustainability in their personal and professional lives. Here are 3 key takeaways from this episode:  The Fair Play Method Empowers Equitable Domestic Labor Pip Houghton shares how the Fair Play Method helps families clearly define, distribute, and take ownership of household tasks. This system reduces mental load, prevents resentment, and creates more space for joy, self-care, and professional fulfillment—especially for women physicians.  Open Communication and Trust Are Essential Successful implementation of Fair Play and equitable labor requires honest conversations and mutual trust between partners. Letting go of micromanagement and allowing each person to fully own their responsibilities is key to reducing stress and building a supportive partnership.  Small Changes Lead to Big Results Pip emphasizes starting with one small task—like managing garbage or backpacks—to build momentum and confidence. Gradually, these small wins can transform household dynamics, involve children in responsibilities, and even improve teamwork in professional settings. Meet Dr. Pip Houghton: Dr Phillippa "Pip" Houghton is a family physician on Vancouver Island providing addiction, mental health and primary care to adults and youth in her community. Dr Pip completed a B.Sc. in Kinesiology from the University of Victoria (2011), medical school at The University of Wollongong (2015) and family practice residency through the University of British Columbia in 2019. In addition to her formal education, Dr Pip is particularly supporting families in navigating the many challenges that we all face when it comes to balancing the demands of the three P’s (partner, professional, parent). Dr Pip has pursued additional education in the areas of perinatal Mental Health, digital health and wellness and most recently as a Fair Play Facilitator. In addition to her assigned roles, Dr Pip is also a mother to three boys, wife to an amazing husband, house hippo owner, new-ish CrossFit enthusiast, creative writer, book club enthusiast and cut-flower garden newbie. Connect with Dr. Pip Houghton: 🌐 Website: www.timeoutmd.ca 🗣️ Speaking & Workshops: Revived Physician Retreat -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Becket Mahnke, a pediatric cardiologist and seasoned Chief Medical Information Officer, to explore the evolving landscape of clinical informatics and practical strategies for making your clinical day more sustainable. Together, they dive into the complexities of electronic health record (EHR) systems—especially Epic—and discuss how thoughtful design, team-based approaches, and data-driven solutions can reduce physician burnout, enhance care efficiency, and foster more meaningful patient interactions. From leveraging AI-powered ambient dictation and chart summarization tools, to reimagining clinic workflows and setting healthy boundaries for clinicians, this conversation is packed with insights to help you reclaim time for yourself while delivering excellent patient care. Whether you’re an EHR power user, an informatics enthusiast, or simply searching for ways to optimize your workday, you'll find actionable tips and a dose of inspiration in today's episode. Here are 3 key takeaways from this episode: Thoughtful EHR Design: Dr. Becket Mahnke emphasized that EHR systems, especially EPIC, are shaped by user requests—leading to many ways to do the same thing, but also plenty of opportunities to streamline workflows by standardizing processes at the organizational level. Teamwork for Efficiency & Wellness: Measuring teamwork (like tracking how many orders are started by team members rather than just physicians) can reveal powerful opportunities for redesigning clinical workflows. Taking a team-based approach relieves cognitive load and enables clinicians to spend more quality time with patients. AI & Ambient Documentation: Dr. Becket Mahnke shared how new AI-driven ambient dictation and chart summarization tools are true game changers, letting providers focus on real patient conversations—benefiting not just the clinician, but also the patient experience. Meet Dr. C. Becket Mahnke: Dr. C. Becket Mahnke is the Chief Medical Information Officer at Confluence Health and a practicing pediatric cardiologist. He is board‑certified in Clinical Informatics, an Epic‑certified Physician Builder, and serves on Epic's Physician Advisory Council. Under his leadership, Confluence Health has delivered measurable improvements in clinician experience—reducing EHR burden and after‑hours work, increasing patient portal adoption, and earning top‑quartile ARCH Collaborative EHR satisfaction, AMA Joy in Medicine™ Gold, and the WSMA Apple Award. His current focus is pragmatic, sustainable design and AI that protects clinician attention and improves care. You can find Dr. C. Becket Mahnke on:   LinkedIn: www.linkedin.com/in/cbecketmahnke -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Cheryl Chase, a clinical psychologist and expert in attention and learning disorders, to explore the unique challenges clinicians face in making their workday more sustainable. Dr. Chase shares her journey from working with children to advising physicians and other adults, highlighting practical strategies for maintaining executive function, managing overwhelming administrative tasks like charting, and coping with burnout and decision fatigue. The conversation dives deep into how both neurodiverse and neurotypical clinicians can adopt simple, habit-based solutions to tackle the ever-growing workload, find ways to set boundaries, and build systems that truly support wellbeing—inside and outside the clinic. Whether it's accepting that perfection is unattainable, learning to disappoint others when necessary, or using visual tools and external reminders to stay organized, Dr. Chase brings relatable wisdom and actionable advice to help listeners preserve their energy and get home with their work done. If you’ve ever wondered how to start tackling that painful chart backlog, keep your executive function sharp throughout the day, or simply give yourself more grace at work, you’re in the right place. Get ready for a thoughtful, empowering discussion packed with ideas you can put into practice today. Here are 3 key takeaways from this episode: Habits Beat Willpower: Whether it's charting, managing emails, or tackling that overwhelming to-do pile, consistent habits and small rewards can make all the difference. Set up simple, repeatable systems to take the edge off tasks you hate—pair a reward with every chart completed, or celebrate reaching micro-goals. Radical Acceptance & Boundaries: It's okay (and necessary) to get comfortable disappointing others. You can't (and shouldn't) say yes to everything—prioritize your energy for the things and people that matter most. Set clear boundaries for email, patient messages, and team interruptions. Support Your Executive Function: Fatigue and burnout are real. Proactively support your brainpower with quality sleep, mindful breaks, minimal task switching, and templates to reduce decision fatigue. Even short, timed bursts of focused work can move you forward! Meet Dr. Cheryl Chase: Dr. Cheryl Chase is a licensed clinical psychologist based in Independence, Ohio (a suburb of Cleveland), specializing in ADHD, learning disorders, and emotional challenges across the lifespan. Through PSYPACT, she is able to serve clients in over 42 states in the US. She’s also an international speaker and consultant, known for making complex topics like executive function and dyslexia both relatable and actionable. Whether she’s working with families, schools, or businesses, Dr. Chase blends science with real-world strategies—and a dose of humor. -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this special solo episode, Dr. Sarah Smith—family doctor, clinical day advisor, and charting coach—reflects on a major milestone: the five-year anniversary of the Charting Champions program. She shares her personal journey from burnout and paperwork overwhelm to developing sustainable strategies for physicians and clinicians to reclaim time, boost efficiency, and improve quality of life. You’ll hear the inspiring story behind Charting Champions, how the program was built step-by-step, its expansion to help a diverse range of specialties, and real success stories from members who have transformed their clinical day. Dr. Sarah Smith also highlights the value of peer support, assistant coaches, and expert guest workshops that make this community thrive. Whether you’re struggling with backlog, searching for better ways to manage your administrative burden, or simply wanting to enjoy more time outside of medicine, this episode is packed with practical advice, encouragement, and a celebration of what’s possible when strategy meets support. Stick around for updates on upcoming masterclasses, backlog events, and ways you can get more involved with a thriving network dedicated to making clinical medicine more sustainable—one chart at a time. Here are 3 key takeaways for anyone striving for more sustainable and fulfilling clinical work: Sustainable Strategies Work: The Charting Champions approach (now with 1,500+ doctors) has led to a significant reduction in hours spent on charting and paperwork outside of clinical hours—without impacting patient care or volume. Improved Quality of Life: Data from the program shows doctors reported greater focus, more control over their day, increased mental energy, and a marked decrease in burnout and work-related dread. Community & Lifelong Support: Lifetime access, peer support, and live coaching calls offer tailored help for every stage and change in a clinician’s career. Programs like Backlog Buddies provide a judgment-free space to tackle paperwork with others, making tough tasks more doable—and even fun! Meet The Charting Coach: Dr. Sarah Smith is a dedicated family doctor, clinical day advisor, and the innovative mind behind the Charting Champions coaching program. As host of the Sustainable Clinical Medicine podcast, Dr. Smith shares inspiring conversations with colleagues and world experts to help physicians find more sustainable ways to navigate their clinical day and carve out time for life outside medicine. In October 2020, she launched Charting Champions, which now celebrates its fifth anniversary, empowering doctors to transform their charting processes and clinical routines. With remarkable passion, Dr. Smith continues to support and guide healthcare professionals, equipping them with strategies to enhance well-being and thrive both in and out of practice. -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith is joined by Dr. Archana Shrestha—an emergency physician, certified coach, author, and founder of the Mama Doc School and Physician Wellness Solutions. Together, they dive deep into the journey of physician burnout, particularly from the perspective of emergency medicine. Dr. Shrestha shares her personal story of navigating the double burden of clinical and parental burnout, and how she transformed her approach to wellness by addressing not just physical exhaustion, but also the crucial mental and emotional components. Listeners will hear about practical strategies for reclaiming energy, building emotional resilience, and making time for life outside of medicine. Dr. Shrestha opens up about the challenges women in medicine face, the importance of self-stewardship, and why addressing the dread around tasks like charting can have far-reaching impacts on personal health and quality of life. Whether you're looking to overcome burnout, manage stress eating, or simply feel more fulfilled in your medical career, this episode is packed with insightful advice and real-life inspiration for making clinical practice more sustainable. Here are 3 key takeaways from this episode: Burnout has multiple layers: It isn’t just physical exhaustion. Addressing mental and emotional fatigue is just as crucial for true recovery and lasting wellness. Processing emotions is a skill, not a luxury: Dr. Shrestha details a practical method (the “H & P” approach) for health professionals to name, rate, and process difficult emotions—crucial in high-stress environments like the ER. Self-stewardship is essential: True self-care goes beyond the occasional treat; it’s about reclaiming basic needs like sleep, movement, healthy food, and time for yourself—so you can give your best at work and at home. Meet Dr. Archana Shrestha: Dr. Archana Shrestha is an emergency physician, certified coach, author, and speaker who is passionate about helping physicians create lasting wellness. She is the founder and Chief Wellness Officer of Mama Docs School and Physician Wellness Solutions, where she leads programs designed to reduce burnout and help doctors reclaim their health, energy and joy in medicine. Drawing from both her personal journey and professional expertise, Dr. Shrestha’s mission is to empower physicians not just to survive the demands of medicine—but to truly thrive. You can find Dr. Archana Shrestha on: Instagram: https://www.instagram.com/mightymommd/ https://www.mamadocsschool.com/ https://physicianwellnesssolutions.com/ -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In today’s episode, Dr. Sarah Smith sits down with Dr. Laura Suttin, a family physician from Texas who has transitioned from full-time clinical practice to a dynamic career in consulting, coaching, and leadership within healthcare organizations. Dr. Suttin shares her journey from frontline family medicine into administrative roles, highlighting the unique challenges faced in both spheres — from adapting to EMRs and managing work-life balance, to navigating the delicate balance between administrative demands and patient care. Together, Dr. Suttin and Dr. Smith explore strategies for creating more sustainable clinical days, reducing administrative burdens, fostering effective team communication, and building supportive leadership structures that empower clinicians. Whether you’re a clinician yearning for more time and less burnout, or a healthcare leader aiming to build thriving teams, this conversation offers valuable insights and actionable ideas for making clinical practice more sustainable for everyone. Here are 3 key takeaways from this episode: Effective Leadership Matters: Suttin emphasized how team well-being starts with leadership—respect, transparency, and clear communication are foundational to a clinic’s success. Boundaries Create Balance: She shared actionable strategies for clinicians to set boundaries between administrative duties and patient care, like physical/electronic separation and explicit policies for inbox coverage. These systems help prevent overwhelm and improve workflow. Team-Based Support Reduces Burden: Morning team huddles, warm handovers, and a buddy system for inbox management are just a few processes that can bring teams together, streamline care, and foster continuity for patients. Meet Dr. Laura Suttin: Dr. Laura Suttin is a physician, former healthcare executive, certified coach, speaker, organizational consultant, and author of The Purposeful MD-Creating the Life You Love Without Guilt. With decades of leadership experience, Laura partners with healthcare organizations to realign leadership and culture around her proprietary Compass Framework: Purpose, Connection, Empowerment, and Joy. Her work addresses burnout at its root—by transforming misaligned, fragmented cultures into high-performing environments where people thrive, outcomes rise, and the business bottom line improves. Laura’s clients stop chasing short-term burnout fixes and instead build resilient, sustainable healthcare systems—where engagement grows and both people and performance flourish. You can find Dr. Laura Suttin on: Linked In: https://www.linkedin.com/in/laura-suttin-md/ Facebook: https://www.facebook.com/lauraksuttin Instagram: https://www.instagram.com/laurasuttinmdcoach Ticktok: https://www.tiktok.com/@thepurposefulmd YouTube: http://www.youtube.com/@thepurposefulMD -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this inspiring episode, Dr. Sarah Smith sits down with Dr. David Park—a family physician, medical educator, executive coach, and true leadership enthusiast. Dr. Park shares his incredible journey, from immigrating to the U.S. from South Korea, to his early days as core faculty in New York, through pioneering roles as a founding dean in new medical schools across Nevada, Utah, and Montana. Together, they dive into the realities of building a meaningful, sustainable medical career while juggling clinical practice, entrepreneurship, and leadership. Dr. Park opens up about the personal lessons he’s learned—including the importance of taking care of your own well-being, strategies for time management, and why effective delegation can empower both you and your team. He also discusses the value of faculty development, executive coaching, and how reconnecting with your purpose can fuel longevity and joy in medicine. If you’re a clinician looking to craft a career path that honors your ambition while making room for balance, this episode is packed with wisdom you can put into action. Let’s dive in! Here are 3 key takeaways from this episode: Prioritize Self-Care Alongside Career Growth: No role is sustainable if it comes at the expense of your mental, physical, or spiritual health. Carve out time for rest, exercise, and reflection—even in the busiest phases of your career. Delegation and Teamwork Drive Sustainability: Great leaders delegate effectively, leaning on the strengths and passions of their teams. Not only does this elevate others, but it keeps your own workload manageable and fosters a culture of shared success. Invest in Lifelong Growth and Development: Never stop learning. Whether through executive coaching, public speaking courses, or leadership workshops, continued personal and professional development empowers you and those you mentor. Meet Dr. David Park: Dr. David Park is a dual board-certified family physician, medical educator, and nationally recognized leader in medicine. He has served in numerous leadership roles including medical school dean, residency program director, and president of the American College of Osteopathic Family Physicians. Dr. Park has served on boards of various medical organizations at the local, state, and nation levels. He is passionate about leadership development, health and wellness, and developing the next generation of physician leaders. He is also an executive coach and his mission is to cultivate leaders by inspiring purpose, building confidence, and developing action-oriented leadership skills with the ultimate goal of creating a legacy of leadership. You can find Dr. Daavid Park on: Linked In: https://www.linkedin.com/in/davidjparkdo/ -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Pam Pappas, a seasoned psychiatrist based in Scottsdale, Arizona, whose passion for supporting physicians through burnout has shaped a unique and impactful career. Drawing on her extensive background in psychiatry, integrative medicine, homeopathy, and spiritual wellness, Dr. Pappas shares her personal journey through multiple cycles of burnout and the hard-won wisdom that emerged from those experiences. Together, Dr. Smith and Dr. Pappas explore the realities of working in high-pressure medical environments, the myth that changing jobs will always solve burnout, and the deep cultural expectations in medicine that can make doctors feel isolated and inadequate. Dr. Pappas discusses how coaching—still a novel concept for many in healthcare—became a lifeline for herself and now forms the cornerstone of her work with colleagues seeking more sustainable and fulfilling clinical lives. Listeners will gain insight into the importance of self-reflection, tapping into one’s inner wisdom, and making authentic choices—whether that means reshaping your current position or making a courageous transition. This conversation offers tangible hope and guidance for clinicians who are craving real change and a more balanced, joyful path in medicine. Here are 3 key takeaways from this episode: Real Healing Goes Beyond the Surface: Burnout isn’t just about toxic environments—it’s also about how we process and integrate our experiences as clinicians. Coaching can help us ask deeper questions, like “What do you truly want?” instead of just “How do you cope?” Mentorship Isn’t the Same as Coaching: Traditional medical mentorship often models unsustainable work habits, while coaching creates space for reflection, self-discovery, and personalized pathways to change—something most doctors have never been asked to do. Your Wisdom Is a Hidden Superpower: Dr. Pappas highlights the importance of tapping into our own innate wisdom—beyond intellect and rote skills—to guide us toward more aligned, joyful, and sustainable careers in medicine. Meet Dr. Pam Pappas: Pam Pappas MD, FAPA is a highly experienced psychiatrist and physician coach who helps physicians cultivate clarity, compassion, wisdom, and FUN in their personal lives, medical practices, teams, and organizations. She lives and works from a psychospiritual understanding that takes excess worry and stress off our minds, and revives hope, insight, autonomy, and sense of purpose. This "Wisdom-Informed" orientation allows more natural, fulfilling, and effective action in the world -- transforming burnout into wholehearted living, working, and leading. You can find Dr. Pam Pappas on: Facebook: @TheAHADoctor Linked In: https://www.linkedin.com/in/pampappasmd/ Website: https://www.thehappymd.com/physician-coach-pam-pappas Website: https://drpampappas.com/ -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Brittany Anderson, a passionate rural family medicine physician from Alabama who’s breaking the myth that private practice is dead. Dr. Anderson shares her inspiring journey from employed, academic medicine—where bureaucracy and lack of autonomy led to burnout—to launching her own thriving private practice in 2022. She opens up about the challenges and rewards of creating a sustainable, patient-centered clinic from the ground up, how she built a strong team, and the financial realities of going solo. Dr. Anderson also offers valuable advice for physicians considering private practice, emphasizing the importance of vision, efficient teamwork, and maintaining personal well-being along the entrepreneurial journey. If you’ve ever wondered what it takes to make private practice work in today’s healthcare landscape, or you’re navigating burnout yourself, this episode is packed with practical insights, encouragement, and hope. Tune in and get ready to be inspired! Here are 3 key takeaways from this episode: Build on a Strong Foundation: Before launching your own practice, get crystal clear on your vision and mission. Let these guide every decision—from hiring to daily processes—so you create a practice aligned with your purpose. Teamwork & Efficiency Matter: Dr. Anderson credits her success to a well-integrated team. Investing in proper team formation, regular huddles, and empowering every staff member (from receptionist to nursing staff) leads to efficient care, happier patients, and less burnout. Start Lean, Grow Smart: You don’t need the fanciest setup to begin. Focus on essential expenses, know your numbers, and market purposefully. Dr. Anderson started small, used powerful grassroots marketing, and filled her panel from day one—proof positive that strategic planning works! Meet Dr. Brittney Anderson: I’m Dr. Brittney Anderson, a board-certified family medicine physician and the founder and CEO of Anderson Family Care — a thriving private practice I launched in Alabama in 2022. I completed undergraduate studies at Duke University and medical school at UAB (Birmingham) I did my family medicine residency training at The University of Alabama (Tuscaloosa). I know firsthand how overwhelming (and exhilarating) it can be to step away from traditional models and create something of your own. That’s why I’m passionate about helping other physicians reclaim their freedom and joy in medicine by launching successful private practices of their own. In addition to my clinical and coaching work, I host the podcast, Physicians Hanging a Shingle, and I’m honored to serve as current Board Chair of the Alabama Chapter of the American Academy of Family Physicians and Vice-Speaker for the Medical Association of the State of Alabama. I also serve on numerous boards throughout my community and state, working to amplify the voice of physicians and improve healthcare access in Alabama. You can find Dr. Brittney Anderson on: Instagram: @hanging_a_shingle Linked In: https://www.linkedin.com/in/drbrittneyanderson/ Website: https://hangingashingle.com/ Sign up for her weekly newsletter: https://hangingashingle.com/subscribe -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Marcia Kashani, a nurse and experienced healthcare improvement advisor, to explore practical strategies for making your clinical day more efficient, effective, and—most importantly—sustainable. Drawing on years of experience facilitating primary care transformation and team-based initiatives, Dr. Kashani shares stories of real-world success: from leveraging the strengths of every team member, to optimizing clinic workflows, and even reimagining how tasks get delegated to maximize value for both clinicians and patients. If you’ve ever felt overwhelmed by a never-ending list of tasks, long wait times for appointments, or the challenge of figuring out what you can hand off—and to whom—this is an episode you won’t want to miss. Dr. Smith and Dr. Kashani offer actionable insights into improving access, reducing unnecessary physician workload, and embracing change as a path to better care and a better work-life balance. Whether you’re part of a large clinic or running a small practice, you’ll find inspiration and hope for positive change right here. Tune in and take one step closer to reclaiming time for your patients—and yourself! Here are 3 key takeaways from this episode: Empower Your Team: Distinguish between physician, nurse, and administrative tasks. When tasks are thoughtfully delegated—like patient screening calls or form-filling—clinicians can reclaim time for patient care and improve office efficiency. Reduce Unnecessary Visits: Examine return visit rates and consider whether clinical follow-ups always require physician attention. Thoughtful use of nurses, pharmacists, and even patients’ support networks can safely reduce visit volumes and waiting times. Leverage Process Improvement: Document and map out workflows to highlight inefficiencies, duplications, and points of delay (like EMR optimization or referral processing). Even simple changes—like consistently titling scanned documents—deliver significant time savings for clinicians. Meet Dr. Marcia Kashani: Marcia has over 40 years of front-line nursing and progressive leadership experience in primary care, community care and acute care. Notable accomplishments include involvement in the business planning and governance of multiple Primary Care Networks in the Edmonton Zone. In 2005 her focus turned to Quality Improvement and System Redesign where she became the first non-physician AIM faculty, participating in several AIM collaboratives.  She completed the Improvement Advisor Program through the Institute of Healthcare Improvement and continued as a facilitator for the program. Most recently, Marcia has been a project manager with the Edmonton Zone Primary Care Networks team and North Zone Primary Care Business Unit, including work with Transitions of Care, Specialty Access and Referral teams, and assisting Practice Facilitators with improvement initiatives. You can find Dr. Marcia Kashani on: LinkedIn: https://www.linkedin.com/in/marcia-kashani-44898638/ -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Jeff Cohn, a retired hematologist-oncologist whose journey took him from the patient bedside to the halls of hospital leadership and, ultimately, to coaching fellow physicians. Dr. Cohn shares deeply moving stories from his clinical days—like orchestrating a final, meaningful anniversary for two dying patients—as well as the challenges and motivations that led him to transition into healthcare quality improvement. Through engaging anecdotes, Dr. Cohn reveals how he championed transformative approaches to organizational change, particularly the innovative use of “positive deviance” to tackle MRSA infections in the hospital. He explains how listening to frontline healthcare workers and drawing out internal best practices led to remarkable reductions in hospital-acquired infections—by 85%! Along the way, you'll learn about practical facilitative techniques, such as “liberating structures,” that empower teams and ensure every voice is heard. The episode also delves into the realities of clinician burnout, the complexities of driving system-wide change, and Dr. Cohn’s current passion: coaching physicians in positive intelligence and mental fitness. Whether you’re a healthcare professional or simply interested in sustainable, people-centered medicine, this conversation offers inspiring perspectives and actionable insights on making systems—and ourselves—work better. Here are 3 key takeaways from this episode: Harnessing Frontline Wisdom: Dr. Cohn described the transformative power of inviting frontline staff to identify solutions—a process called “positive deviance.” By genuinely asking nurses, transporters, and other care team members for their ideas (and truly listening), his organization achieved an 85% reduction in MRSA infections, all through internally sourced solutions. Liberating Structures Make Meetings Matter: Traditional hospital meetings too often drain energy and stifle creativity. Dr. Cohn’s team used “liberating structures”—simple yet structured facilitation tools—to ensure every voice was heard, which sparked engagement and uncovered innovative solutions. Prioritizing Wellbeing for Sustainable Change: Through his coaching work, Dr. Cohn now helps physicians leverage mental fitness and positive psychology. He emphasizes that systemic change should support—not overwhelm—the clinical workforce, and that even within challenging systems, there are individuals and habits from which we can all learn. Meet Dr. Jeff Cohn: I'm a native Philadelphian, trained as a hematologist/medical oncologist. I practiced/taught/did clinical research full-time for the first 15 years of my career. I then was asked to assume various non-clinical roles (division head, interim Chair of Internal Medicine, Chief Quality Officer). The Chief Quality Officer role ultimately became a full-time role and I held that position for 12 years. Since then I've led a non-profit organization for three years (Plexus Institute) and worked with a couple of design teams as the medical director. I'm now working as a Mental Fitness and Leadership coach with physicians. Along the way I obtained a Masters in Healthcare Management from Harvard School of Public Health. You can find Dr. Jeff Cohn on: Linked In: https://www.linkedin.com/in/jeff-cohn-2738b82b/ Website: https://caretochangecoaching.com/ -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this inspiring episode, Dr. Sarah Smith sits down with Dr. Cynthia Chen-Joea, a double board-certified family and obesity medicine physician, educator, and passionate advocate for physician wellness. Dr. Cynthia shares her personal journey from academic medicine through the challenges of burnout, her transformative experience with coaching, and how becoming a parent reshaped her professional values and priorities. Together, they dive deep into the realities of trauma and harm in medical training, the persistence of unhealthy work habits into clinical practice, and the importance of redefining our identities as physicians. Dr. Cynthia also discusses practical strategies for establishing boundaries, healing from the pressures of perfectionism and people-pleasing, and making medicine truly sustainable. You’ll hear about her current work supporting physicians through coaching, retreats, and advocacy, and discover how small daily changes can lead to a more meaningful, balanced career. If you’ve ever questioned what it means to thrive in medicine, or wondered how to reclaim your empathy and joy for the profession, this conversation is packed with insightful stories and actionable advice. Tune in for a message of hope, transformation, and the reminder that a sustainable career in medicine is possible. Here are 3 key takeaways from this episode: Medical training often normalizes unhealthy patterns: Dr. Chen-Joea highlights how the culture of self-sacrifice and hierarchy during medical training can introduce trauma, shaping physicians to ignore their own needs. Breaking these cycles is essential for lasting well-being. Redefining your career is possible—and necessary: Whether through coaching, boundary-setting, or exploring new roles, Dr. Chen-Joea emphasizes that medicine can be sustainable. Small, intentional changes—like building in non-negotiable personal time—can have a huge impact. Trauma awareness matters (and it’s practical): Understanding your own “activation” responses (like fight, flight, freeze, or fawn) is key. Recognizing these signs allows clinicians to proactively care for themselves and model healthy behaviors for colleagues and patients alike. Meet Dr. Cynthia Chen-Joea: Dr. Cynthia Chen-Joea is a physician career and life coach dedicated to helping early-career physicians finding sustainability in medicine by achieving their “career by design” goals while cultivating a healthy work-life balance. She is a double board-certified physician in family and obesity medicine. Dr. Chen-Joea currently serves as a Medical Director of Copa de Oro Medical Group and Inpatient Director at the Charles Drew Family Medicine Residency Program. In addition to her clinical work, Dr. Chen-Joea has held numerous leadership roles, including her past position as Department Chair of Family Medicine, Secretary-Treasurer of the Medical Staff and Physician Advisor at Emanate Health. She is also very active in advocacy on her local, state and national specialty organizations, and currently represents her peers as the New Physician Director on the American Academy of Family Physicians (AAFP) Board of Directors. Dr. Chen-Joea is passionate about advancing physician wellness, advocating at the systemic level, and providing individual coaching support to empower physicians in achieving sustainable careers in medicine. Her interests include inpatient medicine, leadership, advocacy, procedures and women's health. Outside of work, Dr. Chen-Joea enjoys quality time with her two-year-old daughter and her nine-year-old pup, traveling and exploring new cultures with her husband, savoring delicious foods, practicing yoga and Pilates, and indulging in the occasional Netflix reality TV binge. You can find Dr. Cynthia Chen-Joea on: Instagram/Facebook: @thrivationcoaching Linked In: https://www.linkedin.com/in/cynthia-chen-joea-do-mph-faafp-dabom-002b5a1b/ Website: thrivationcoaching.com  -------------- Would you like to view a transcript of this episode?  Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.   **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.