How I Doctor with Dr. Graham Walker

Eve Cunningham has spent her career navigating the hard edges of modern medicine from delivering babies and performing gynecologic surgery to leading large health system initiatives and now serving as Chief Medical Officer at Cadence. Along the way, she’s seen firsthand why chronic disease care continues to fail patients despite more data, more technology, and more dashboards than ever before.In this episode of How I Doctor, Graham Walker sits down with Eve to unpack why clinic-based, episodic care is fundamentally mismatched to conditions like heart failure, diabetes, and hypertension. She explains why early efforts at remote patient monitoring fell flat, how change management and not technology has always been the real barrier, and why most health systems struggle to turn insight into action.The conversation moves from the realities of governance-heavy decision-making and physician burnout to what it actually takes to manage patients upstream before they land back in the ICU. Eve also shares the deeply personal connection that drives her work, including how her father’s experience with chronic illness shaped her view of what patients truly need.This is not a tech demo or a sales pitch. It’s a candid discussion about redesigning chronic disease care in a way that works for patients, clinicians, and the realities of modern medicine.What You’ll LearnWhy episodic, visit-based medicine is structurally incapable of managing chronic diseaseWhat early remote patient monitoring efforts got wrong and what has finally made them workHow change management and incentives matter more than technology aloneWhy health systems struggle to act on data, even when the answers are obviousWhat proactive, upstream care looks like when someone is actually accountable🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/IG https://www.instagram.com/ubergraham/Bluesky https://bsky.app/profile/drgrahamwalker.com✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe🟧 Follow Offcall onLinkedIn https://www.linkedin.com/company/joinoffcall/IG a...

David Rhew has spent his career at the intersection of frontline medicine and cutting-edge technology. An infectious disease physician by training and now Global Chief Medical Officer at Microsoft, David brings a rare perspective shaped by decades of clinical work, health system leadership, and early research on AI in healthcare.In this episode of How I Doctor, Graham Walker sits down with David to unpack where AI in medicine is actually headed and why so many clinicians feel frustrated despite using these tools every day. David explains why physicians aren’t afraid of AI itself, but of poorly designed systems that remove judgment, overload workflows, and fail to reflect how medicine really works.From agentic AI and ambient documentation to population screening, risk stratification, and resource allocation, the conversation moves beyond buzzwords into the real mechanics of how AI can support better care.David makes the case that AI’s true promise is helping clinicians practice at the top of their license, identify disease earlier, and redesign care around human decision-making rather than administrative burden.This is not a futurist thought experiment or a vendor pitch. It’s a grounded, systems-level look at how AI could meaningfully improve medicine.Explore the Data📊 Want to see how your peers are actually using AI today? Download Offcall’s 2025 Physicians AI Report, featuring insights from over 1,000 physicians on daily AI use, adoption gaps, and what doctors really want from these tools:👉 https://2025-physicians-ai-report.offcall.com/What You’ll LearnWhy the biggest failure of healthcare AI isn’t the technology itself, but how it’s measured, implemented, and governedHow agentic AI with multiple models working together on discrete tasks can outperform single “super models” in complex clinical problemsWhy ambient documentation succeeded by addressing burnout and patient experience, not productivity metricsHow AI-enabled screening and risk stratification can identify high-risk patients long before symptoms appearWhat skills physicians will need in the next decade to apply AI responsibly without losing clinical judgment🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/IG https://www.instagram.com/ubergraham/Bluesky

Merry Christmas! Today we are re-releasing one of our favorite episode of the year. We'll be back next week with a brand new interview to kickoff 2026. Mark Cuban is a business mogul, the “Shark” every entrepreneur wants to make a deal with, the former owner of the Dallas Mavericks, and, most recently, an online pharmacy CEO. In 2022, Mark co-founded Cost Plus Drugs with the goal of lowering prescription drug prices. The direct-to-consumer company makes generic drugs affordable by cutting pharmacy benefit managers out of the distribution chain. But, once Mark starts talking about tackling the pharmaceutical market, you get the sense he has his sights set on an even bigger goal: reforming the healthcare system at large.Offcall co-founder Graham Walker recently got the chance to interview Mark on How I Doctor, a podcast that explores the lives and careers of physicians who are practicing medicine differently. Mark, of course, is not a physician. But, as Graham notes, “I'm talking to him because I think he actually gives a damn about healthcare, and more importantly, he's doing something about it.”Mark pulls no punches in this episode, and frames American healthcare as a David- and Goliath-style fight between good and bad actors.Physicians are on the good team: “I happen to be a fan of people who save lives and make other people feel better, you know? Call me crazy.”Who’s on the bad team? Anyone trying to game the system and extract money from it for their own benefit — insurance companies, hospitals, private equity firms, and others. “In healthcare, that $4.9 trillion wherever anybody can arbitrage whatever they can out of the system, that's exactly what they are going to do.”With clarity of conviction and a hard-charging spirit, Mark shares his vision for how to fix healthcare.🩺 Offcall is more than a platform — it’s a movement! Join today!https://www.offcall.com/For a full transcript of this episode click HEREhttps://www.offcall.com/learn/podcast/mark-cuban-interview-how-shark-tank-star-and-cost-plus-drugs-ceo-would-fix-healthcareFind all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.In this episode, Graham and Mark discuss:04:26 Expanding Medical School Enrollment09:33 Insurance Plan Designs16:27 Insurance Company Tactics20:45 Negotiation Loopholes and Legal Tangles28:04 Healthcare Spending34:53 Transparency and Trust Drive Growth43:37 Unfair Broker Fees49:53 Profitability in Specialized Medical Services55:08 Future of AI-Assisted Healthcare👨‍⚕️Follow Dr. Graham Walker:LinkedIn https://www.linkedin.com/in/graham-walker-md/IG https://www.instagram.com/ubergraham/Bluesky https://bsky.app/profile/drgrahamwalker.com✉️ Get our On/Offcall email newsletter: https://offcall.beehiiv.com/subscribe🟧 Follow Offcall:LinkedIn

Dr. Eric Topol is one of the most influential voices in modern medicine. Founder of the Scripps Research Translational Institute and author of Deep Medicine and Super Agers, Eric has spent decades interrogating medical dogma, calling out hype, and pushing the profession toward evidence, prevention, and humanity.Dr. Graham Walker sits down with Eric for a candid conversation about why physicians shouldn’t fear AI and why when used correctly, it may be one of the most powerful tools we’ve ever had to reduce errors, restore trust, and shift medicine from late-stage treatment to true prevention. From diagnostic error and physician burnout to immune aging, GLP-1s, personalized risk prediction, and the limits of randomized trials, this episode is both a reality check and a roadmap. Eric makes the case that AI’s greatest promise isn’t automation, but rather it’s the ability to see what humans never could, identify risk earlier, and finally decouple aging from chronic disease.This isn’t a hype cycle conversation. It’s a grounded, evidence-based look at how AI could help fix what’s broken in medicine if physicians lead the way.Explore the Data📊 Want to see how your peers are actually using AI today? Download Offcall’s 2025 Physicians AI Report, featuring insights from over 1,000 physicians on daily AI use, adoption gaps, and what doctors really want from these tools:👉 https://2025-physicians-ai-report.offcall.com/What You’ll LearnWhy Eric Topol believes doctors shouldn’t fear AI and why holding it to an impossible standard may be harming patientsHow AI could dramatically reduce diagnostic error and support better clinical judgmentWhy prevention has failed historically and how AI finally makes it possible at scaleThe difference between AI hype and evidence-backed breakthroughs physicians should actually care aboutHow personalized, data-rich medicine may reshape trials, training, and the future role of the physician🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG

AI is already shaping how physicians practice. And for the release of The 2025 Physicians AI Report, Graham is taking a different kind of episode: a deep-dive mailbag where he answers the questions doctors are actually asking about AI, grounded in one of the largest physician surveys of its kind.More than 1,000 physicians were polled in this project, and their answers paint a far more nuanced picture than the headlines suggest. 📊 Yes, two-thirds of physicians already use AI every day. ✅ Yes, the majority believe AI can meaningfully reduce administrative burden. ⚠️ And yes, 81% are frustrated with how their organizations are deploying it. In this episode, Graham walks through those realities one by one.He breaks down why doctors trust AI for documentation but hesitate when it comes to decision support. Why the #1 fear isn’t “AI will replace me,” but rather who will control it. How payers, administrators, and mixed incentives shape the way AI enters clinical workflows. And why physicians may quietly be years ahead of their institutions in actually using the technology day-to-day.He also shares the moments from the report that surprised him most and the “dream tools” physicians wish someone would build already. And he offers a roadmap for healthcare leaders, AI companies, and clinicians about how to prevent AI from becoming the next EHR rollout: deployed to doctors instead of with them.👉 If you want to go deeper, you can download the full dataset and insights in The 2025 Physicians AI Report at https://2025-physicians-ai-report.offcall.com/Whether you’re experimenting with AI every shift or still cautiously watching from the sidelines, this episode offers clarity on where physicians actually stand  and where medicine is headed next.What You’ll LearnWhat doctors are really doing with AI right now Two-thirds of physicians already use AI daily, but what exactly are they using it for, and how are they integrating it into their clinical workflows?Why organizational deployment is failing physicians From restrictive policies to unclear guidelines, Graham explains why 81% of doctors are frustrated and what leaders must fix to avoid repeating the mistakes of the EHR era.The #1 fear doctors have about AI and it’s not job loss Physicians overwhelmingly worry about AI falling under payer and administrative control. Graham breaks down the incentives behind that fear.What physicians want from AI companies A clear message to builders: specialty matters. Physicians don’t want “AI for doctors”; they want tools that understand their specific workflows.Why AI adoption is happening with or without institutions Graham explains how grassroots physician use is outpacing formal hospital adoption and what that means for the future of medical practice.Access all findings from The 2025 Physicians AI Report Download the full report, charts, and analysis at  https://2025-physicians-ai-report.offcall.com/🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes...

Independent primary care isn’t a relic of the past — it’s becoming the future of American medicine. In this episode of How I Doctor, Dr. Graham Walker talks with two leaders helping drive that shift: Dr. Umar Bowers, an internist who left a major health system to build the practice he always envisioned, and Dan Bowles, General Manager of Practice Health at Aledade , the physician-led company enabling thousands of doctors to stay independent, financially stable, and clinically autonomous.Umar shares his personal journey from rising frustration inside a large employed medical group to opening Dawson Medical Group with the support of Aledade. He explains what independence really means, why he had zero fear stepping out of the system, and how value-based care became the engine that allowed his practice to thrive. You can read more of his story in Aledade’s physician success profile or connect with him directly on LinkedIn.Dan offers a rare inside look at why so many doctors feel trapped in employment, what’s driving the national shift back toward physician-led care, and how Aledade’s data, contracting expertise, and ready-made community of independent clinicians help doctors cross the bridge to autonomy instead of trying to swim it alone.This isn’t another story about burnout or bureaucracy, it’s a roadmap for physicians who want their careers, their schedules, and their practices back. Whether you’re considering independent practice or simply want to understand the movement reshaping primary care, this episode shows how doctors are taking back control of the profession, one practice at a time.What You’ll LearnWhy independent primary care is resurging and how value-based care is creating new financial stability for small practices.How Dr. Umar Bowers built his own practice from scratch and why he had zero fear leaving a major health system.What Aledade’s turnkey model actually provides, from startup capital and contracting support to data, workflows, and a nationwide physician community.How doctors can reclaim autonomy, flexibility, and clinical decision-making power without sacrificing income, infrastructure, or patient care.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here

This Thanksgiving, we’re pressing pause on the chaos of clinical life to honor the physicians, nurses, and healthcare workers who keep showing up tired, hopeful, frustrated,and inspired. In this special “Best Of” episode, Dr. Graham Walker revisits five conversations that have sparked the most messages, DMs, forwarded links, and late-night reflection from our listeners. These clips come from leaders who’ve helped all of us re-examine the work, the system, and ourselves:Featured Episodes & LinksDr. Shiv Rao is a cardiologist, entrepreneur, and the CEO and co-founder of Abridge, the physician-founded AI company transforming how clinical conversations become care.Listen to The Physician AI Conversation: How Doctors Can Drive the AI Era in Medicine Forward with Abridge CEO Dr. Shiv RaoDr. Danielle Ofri is an internist at Bellevue Hospital, clinical professor at NYU, and one of the most widely read physician-writers of our time. Listen to Medicine’s Broken Promises: Dr. Danielle Ofri on Greed, Trust, and Why the System Survives on Exploiting CliniciansMark Cuban is a business mogul, the “Shark” every entrepreneur wants to make a deal with, the former owner of the Dallas Mavericks, and, most recently, an online pharmacy CEO.Listen to Mark Cuban: How I’d Reform Healthcare If I Were in ChargeDr. Vineet Arora is the Dean for Medical Education at the University of Chicago and one of the nation’s leading voices on equity, leadership, and physician well-being.Listen to Why Women Physicians Still Earn Less — and What We Can Do About It With Dr. Vineet AroraDr. Ali Chaudhary is an emergency physician, entrepreneur, and one of the leading voices helping doctors reclaim control over their careers.Listen to Breaking Free from W-2 Medicine: The Physician’s Guide to Locum Tenens with Dr. Ali ChaudharyWhat You’ll LearnDr. Shiv RaoWhy AI adoption is accelerating inside health systems faster than anyone expected and how clinicians can shape the guardrails, not get steamrolled by them.Dr. Danielle OfriThe “unbroken chain” of clinicians and why modern healthcare quietly relies on exploiting professionalism to keep the system from collapsing.Mark CubanHow insurance design, pre-auth delays, and underpayment schemes shift financial risk onto physicians while confusing patients — and why it’s not your fault.Dr. Vineet AroraHow women residents fall three months behind in milestone...

Dr. Kalie Dove-Maguire is an emergency physician, health-tech leader, and the President and Chief Product Officer at Evidently — a physician-founded company building clinical decision support tools designed to earn trust, not replace judgment. After years on the frontlines, Kalie saw firsthand how critical information gets lost in the noise, how clinicians compensate for broken workflows, and how better tools could prevent avoidable harm. That realization ultimately pushed her from the ER to the product world, where she now designs AI systems that surface the right data, cite their sources, and respect the mental work only clinicians can do.In this episode of How I Doctor host Dr. Graham Walker sits down with Kalie to talk about about why AI must be transparent, why judgment can’t be automated, and what it really takes to create decision support clinicians actually want in their workflow. From the emotional weight of missed findings in residency to shipping software with guardrails, Kalie explains how Evidently approaches trust, verification, and workflow design in a way that empowers physicians.This isn’t just a conversation about AI. It’s a look at how doctors can shape the tools that guide their practice, protect clinical judgment, and help build the next generation of decision support that clinicians rely on.What You’ll LearnWhy clinical decision support fails when it ignores physician judgment — and how Evidently builds tools that do the opposite.How Kalie’s ER experience shaped her approach to product design, safety, and transparency.The difference between predictive models, LLMs, and workflow-level AI — and why lumping them together creates misconceptions.How Evidently “shows its work” by surfacing evidence, matching data to action, and earning clinician trust over time.Practical lessons for physicians considering a transition into tech, entrepreneurship, or product roles.Why the future of AI in medicine is augmentation, not automation — and why the “AI resident” metaphor matters.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG

Dr. Shiv Rao is a cardiologist, entrepreneur, and the CEO and co-founder of Abridge, the physician-founded AI company transforming how clinical conversations become care. Built on the belief that healthcare is about people, not paperwork, Abridge is now embedded in more than 200 major health systems, processing millions of encounters each week and helping doctors reconnect with the meaning of their work.In this special in-person episode, How I Doctor host Dr. Graham Walker sits down with Shiv for an unfiltered, wide-ranging conversation about the rise of AI in medicine, the moral crisis facing clinicians, and what it truly takes to build technology that serves the physician instead of replacing them.From Abridge’s early days of being dismissed as a “party trick” to its current role in reshaping clinical workflows nationwide, Shiv shares how the company scaled, why it never called itself an “AI scribe,” and how every patient conversation can now fuel better care, fewer clicks, and more connection.This isn’t just another startup story — it’s a blueprint for how doctors can lead the AI movement from the inside.🎥 Watch the full video conversation now — exclusively on offcall.com/learn/podcast/physician-ai-conversation-shiv-rao-abridgeWhat You’ll LearnHow healthcare AI grew from a party trick to becoming an integral part of healthcare infrastructure.How Abridge turns physician-patient conversations into structured clinical data.Shiv’s vision for the future and where the company will go next from a product standpoint.Why Shiv believes physicians must lead the AI movement and not watch from the sidelines.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is...

Dr. Jackie Gerhart is a family physician, clinical informaticist, and Chief Medical Officer at Epic — the company whose software powers much of American healthcare. From ambient documentation and AI scribes to patient-facing AI assistants like Emmy, Epic is now redefining how data, technology, and the human touch coexist in clinical care. Few physicians have seen this evolution from the inside and even fewer have helped shape it.In this episode of How I Doctor, host Dr. Graham Walker talks with Jackie about Epic’s internal culture, its push to make the EHR invisible, and the company’s next wave of physician-centric innovation. Jackie also opens up about Epic’s development philosophy, the company’s obsessive customer-focus, and why she believes we’re entering the most exciting era in modern medicine, but only if physicians can stay engaged in shaping what comes next.This episode pulls back the curtain on one of healthcare’s most influential companies and offers a grounded look at how Epic envisions the future of practice for the doctors who depend on it every day.What You’ll Learn in This Episode:How Epic’s “software-factory” model enables faster innovation across healthcare.Where many EHR frustrations stem from and how Epic considers what to address.How Epic’s new AI tools, Art and Emmy, aim to reduce friction for both doctors and patients.What “the office visit of the future” could look like – powered by ambient AI with no typing and no mouse.How Epic thinks about collaboration vs. competition with startups like Abridge and partners like Microsoft.Why Dr. Gerhart believes this is the most exciting time to practice medicine in decades.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:We're releasing a Physicians AI Whitepaper and need your help!Calling all MDs: Help us shape the future of what AI looks like in medicine. Participate...

We're releasing a Physicians AI Whitepaper and need your help!Calling all MDs: Help us shape the future of what AI looks like in medicine. Participate Here! Dr. Sean Codier is an emergency physician at Salem Hospital within Mass General Brigham and one of the leaders behind the first successful physician unionization effort in the system’s history. What started as frustration over understaffing, overcrowding, and a lack of voice in patient-care decisions grew into a movement that’s now inspiring doctors nationwide to organize for change.In this episode of How I Doctor, Dr. Graham Walker talks with Dr. Codier about why more physicians are turning to unions as their only legal avenue to force real dialogue with hospital leadership. They discuss how the corporatization of medicine has stripped doctors of autonomy, the myths administrators use to discourage organizing, and what it actually looks like to form and run a physician union. Dr. Codier also shares the personal risks, lessons learned, and why he believes reclaiming physicians’ collective voice is essential to protecting both the profession and the patients we serve.This episode is a candid look at how medicine reached this crossroads and asks whether the future of physician advocacy depends on this form of collective power.What You’ll Learn in This Episode:Why more physicians are unionizing and what that process really involves.The biggest myths hospitals spread about unions — and what’s actually true.The personal and professional risks of organizing inside large health systems.Whether unionization is a long-term solution to help physicians reclaim medicine’s moral core.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:We're releasing a Physicians AI Whitepaper and need your help!Calling all MDs: Help...

Dr. Vineet Arora is the Dean for Medical Education at the University of Chicago and one of the nation’s leading voices on equity, leadership, and physician well-being. Her groundbreaking research has exposed how gender bias and pay inequity continue to shape medicine—from how residents are evaluated to how faculty are promoted and paid. But more importantly, she’s focused on what can be done about it.On this episode of How I Doctor, Dr. Graham Walker talks with Dr. Arora about why women physicians still earn less than their male peers—and the systemic, cultural, and personal strategies that can finally close the gap. They discuss the hidden ways bias shows up in training and evaluations, how compounding pay inequities add up to millions over a career, and what real pay transparency should look like. Dr. Arora also shares practical advice for early-career physicians on negotiation, knowing your value, and finding professional fulfillment without burning out.This episode will challenge how you think about pay, power, and progress in medicine—and what each of us can do to make equity the norm, not the exception.What You’ll Learn in This Episode:The real data behind the $2 million lifetime gender pay gap in medicine.How bias in evaluations and promotions starts as early as residency.Why pay transparency alone won’t fix inequity and what else needs to change.How fair pay connects directly to feeling valued, supported, and able to keep practicing the medicine you love.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

Dr. Ali Chaudhary is an emergency physician, entrepreneur, and one of the leading voices helping doctors reclaim control over their careers. After leaving a traditional W-2 job, he built Locums United and LocumOS - two platforms designed to bring transparency, fairness, and autonomy to how physicians are staffed and compensated. Having lived both sides of medicine, Ali shares how locum tenens work can transform burnout into balance and turn short-term contracts into long-term career freedom.On this episode of How I Doctor, Dr. Graham Walker talks with Ali about what really happens when doctors leave the W-2 world, how to build stability as an independent contractor, and why locums can be the key to both financial freedom and professional fulfillment. They break down the myths that scare physicians away from 1099 work, the financial strategies that make it sustainable, and the mindset shift required to think like a business owner instead of an employee.If you’ve ever wondered whether it’s possible to make more, work less, and still love medicine again then this episode is your blueprint.What You’ll Learn in This Episode:Why the traditional W-2 model is burning out physicians and how locums flips the script.How to set up your locums life for stability.The real financial math behind 1099 work, and how to maximize your take-home pay.How to spot red flags in locums contracts and avoid being underpaid.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

Dr. Alison Haddock is an emergency physician, educator, and past president of the American College of Emergency Physicians (ACEP). She’s spent her career fighting for physician autonomy and building a sustainable future for emergency medicine. One where doctors aren’t just surviving shift to shift, but leading the systems that shape their work. A national voice on policy and workforce reform, Dr. Haddock has seen firsthand how crowding, violence, and financial pressure are pushing ER physicians to their breaking point and what it will take to bring them back.On this episode of How I Doctor, Dr. Graham Walker sits down with Alison live at ACEP to unpack what’s really driving burnout in emergency medicine, how systemic failures fuel the crisis in the ED, and why unionization and pay transparency may be the boldest tools for reclaiming control. They dive into the politics of boarding, the hidden cost of private equity in healthcare, and the urgent need to rebuild physician power from the ground up. It’s a candid, timely conversation about survival, advocacy, and the kind of leadership emergency medicine needs right now.If you’ve ever walked out of a shift wondering how much longer you can do this, or what it would take to make things better, this episode is for you!What You’ll Learn in This EpisodeWhy burnout isn’t about resilience—it’s about control. How the loss of professional autonomy, not the lack of self-care, drives physicians out of the field.How ED boarding exposes systemic rot. Why emergency physicians are paying the price for hospital inefficiency, and what policy changes could actually fix it.The financialization of medicine explained. How profit-first strategies have warped incentives and left doctors carrying the moral and financial burden.Why unionization is gaining traction among physicians. How collective action could be the next step in protecting clinicians and reshaping the balance of power in healthcare.What ACEP is doing to fight back. Inside Dr. Haddock’s efforts to reform employment models, prevent physician exploitation, and push for meaningful change.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG

Dr. Brian Dixon is a psychiatrist, entrepreneur, and one of the boldest physician voices pushing for salary transparency and fairness in medicine. He’s the founder of Simply Psych and Mindful, and he’s built his career by pulling back the curtain on contracts, compensation, and the hidden math of how health systems profit off physicians. With radical honesty, he shares not just his wins but also his mistakes—showing doctors the real trade-offs between employment, private practice, and entrepreneurship.On this episode of How I Doctor, Dr. Graham Walker talks with Brian about why most contracts are designed to exploit physicians, how transparency builds trust, and what it really takes to scale a practice without burning out. They dig into the myths that keep doctors underpaid, the psychological traps that make us easy to exploit, and the lessons Brian had to buy - sometimes for $50,000 - that can save you from the same fate. If you’ve ever wondered how to get paid fairly and keep your autonomy intact, this is the conversation you’ve been waiting for.If you’ve ever looked at your paycheck and wondered, “Is this really what I’m worth?”—this episode will change how you see employment, private practice, and the business of medicine.What You’ll Learn in This Episode:Why the salary you’re offered is rarely the salary you’re actually worth—and how employers frame the numbers against you.How the culture of altruism in medicine gets exploited, leading doctors to accept less than they deserve.The three true career paths for physicians (employee, owner, or hybrid) and how to think about risk versus autonomy.Why employed physicians today may face more risk than independent ones—and how non-competes and contract language trap doctors.How to scale a private practice the right way so you don’t burn out trying to do everything yourself.Thank you to our wonderful sponsors for supporting the podcast:Abridge - AI for clinical conversations: https://www.abridge.com/Evidently - Leading AI-powered clinical data intelligence https://evidently.com/🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn

This episode is sponsored by Abridge - the leading AI platform that drafts structured, clinically useful notes at the point of conversation.MDCalc turns 20 this year. What began as a scrappy side project in med school grew - without outside funding - into one of the most-used, most-trusted clinical references in the world. In this episode of How I Doctor, host Dr. Graham Walker sits down with his co-founder Dr. Joe Habboushe - an emergency physician, math nerd in the best sense, and relentless advocate for evidence-based care - to unpack how MDCalc was built, why clinicians trusted it early, and what comes next in the age of AI.They revisit the “slow and thoughtful, not move-fast-and-break-things” playbook that earned physician trust, the scrappy years when both were working full-time in the ED while growing the site score-by-score, and how partnering with tool creators and societies raised the bar for quality. From COVID’s chaotic first year to today’s AI hype cycle, Joe explains why guardrails matter, why calculators should augment (not replace) clinical judgment, and how MDCalc plans to lead responsibly.What You’ll Learn in This EpisodeHow two ER docs grew MDCalc organically into a global, trusted clinical toolThe product philosophy behind MDCalc: safe, fast, trusted—and why “don’t break things” works in medicineWhy decision tools must partner with clinical judgment and not compete with “gestalt vs. calculator” false choicesHow MDCalc’s contributor model and society partnerships improved evidence quality and bedside usabilityMDCalc + AI: where responsible, physician-led guardrails can make tools powerful and safePractical advice for physician-founders: finding a complementary co-founder, building step-by-step, and choosing work that actually fits youAbout Dr. Joe HabbousheEmergency physician, co-founder of MDCalc, and long-time champion of evidence-based medicine. Joe helped design MDCalc’s contributor ecosystem, content standards, and “safe-fast-trusted” ethos that clinicians rely on at the bedside.If you’re a clinician who uses MDCalc, this conversation is a rare behind-the-scenes on how it was built for you—and how it will stay clinician-first as AI enters the workflow.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here

Ethan Nkana spent over a decade as a hospital executive negotiating contracts on behalf of health systems. He knew the inside playbook: how administrators calculated physician value, what mantras they used behind closed doors, and the quiet ways hospitals exploited physician professionalism. Then he switched sides. In this episode of How I Doctor, Dr. Graham Walker sits down with Ethan to explore medicine’s hidden business realities. From the stigma of being called “greedy,” to why the squeaky wheel gets the raise, Ethan unpacks how contracts are really written and how doctors can speak up without jeopardizing their careers. He shares the three buckets every physician should focus on - life balance, practice support, and fair pay - and the practical strategies that turn an uneven negotiation into a fair one.He calls himself the “Jerry Maguire for physicians,” and in this conversation Ethan shares what every doctor needs to know before signing or renewing a contract.What You’ll Learn in This Episode:Why “greedy” is a trap word and how to reframe fair pay as part of safe patient careThe 3 contract buckets that matter most: life balance, practice support, and compensationWhat hospital executives really say behind closed doors about new physician hiresWhy the best physicians don’t always get paid the most—and who doesSimple, non-adversarial scripts physicians can use to ask for what they needAdditional Resource for Physicians:👉 Contract Negotiation Guide Before your next contract discussion, make sure you’ve gathered:Your actual weekly workload (clinical + after-hours documentation)Recent productivity metrics and patient satisfaction scoresEvidence of non-revenue work (committees, teaching, outreach)Market data for your specialty and regionA clear ask for at least one improvement in each bucket: life balance, practice support, fair pay\Find out more about Rocky Mountain Physician AgencyFollow Ethan on Instagram at https://www.instagram.com/physicianagency/?hl=en 🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn a...

Dr. Danielle Ofri is an internist at Bellevue Hospital, clinical professor at NYU, and one of the most widely read physician-writers of our time. Through her books, essays, and New York Times op-eds, she has given voice to the emotional realities of medical work and exposed the ways the business of healthcare exploits the professionalism of doctors and nurses. Her clarity and candor have made her a trusted guide for physicians who feel the weight of a system that too often prioritizes profit over patient care.In this episode of How I Doctor, Dr. Graham Walker sits down with Danielle to discuss medicine’s broken promises. From the erosion of trust and the exploitation of clinicians’ goodwill, to the disconnect between luxury hospitals and patient harm, they explore the hidden economy of modern healthcare and the ethical line between professionalism and exploitation. Dr. Ofri shares why nursing shortages are directly tied to patient mortality, how administrators rely on doctors “doing the right thing,” and what it will take for physicians to reclaim their voice in shaping the system.What You’ll Learn in This Episode:Why the “professionalism” of doctors and nurses has become healthcare’s most exploited resourceHow nursing shortages directly affect patient safety and mortality ratesThe ethical and personal toll of 20-minute visits for medically complex patientsThe hidden disconnect between nonprofit hospital profits and patient careStrategies for physicians to speak up without crossing ethical or professional linesSubscribe to Danielle’s newsletter hereFollow her on Instagram at https://www.instagram.com/danielle_ofri/  🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Dr. Hillary Lin is a Stanford-trained internist and longevity entrepreneur who is cutting through the hype to bring evidence-based clarity to one of medicine’s buzziest frontiers. As co-founder and CEO of Carecore and host of The Longevity Show, she’s built her career at the intersection of clinical skepticism and innovation, challenging what’s real and what physicians need to know about this fast-growing space.In this episode of How I Doctor, Dr. Graham Walker sits down with Hillary to unpack the science of longevity medicine. From the pillars that actually work to the overhyped products flooding social feeds. They explore supplements, multivitamins, full-body scans, and the influencer-driven myths that confuse patients, while offering physicians a framework for counseling patients who are curious, skeptical, or already experimenting with longevity trends.💡 Want to Go Deeper?We’ve created a companion resource to this episode: Longevity Medicine Resource Guide for Physicians: Separating Fact from Fiction. Inside you’ll find curated evidence, peer-to-peer insights, and practical tools to help you counsel patients to cut through wellness industry hype and stay current on what really works.👉 Download the guide nowWhat You’ll Learn in This Episode:The Lifestyle Pillars That Actually Extend HealthspanSupplements And Multivitamins: What’s Worth It (And What’s Not)The Most Overhyped Longevity Trends—DebunkedWhy Longevity Medicine Isn’t A Real SpecialtyThe Future: Pre-Disease Screening And At-Home TestingSubscribe to Hillary’s newsletter on evidence-based strategies for extending healthspan🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom 

Dr. Gita Pensa is an emergency physician and nationally recognized advocate who knows firsthand the toll malpractice takes on doctors. After enduring a 12-year legal battle that included two jury trials, she emerged determined to break the silence around litigation and its hidden impact on physicians’ identity, mental health, and careers. Today, she uses her story to teach colleagues how to survive what she calls medicine’s “second trauma.”In this episode of How I Doctor, Dr. Graham Walker talks with Gita about the day she was served, the years she spent fighting in court, and how that experience reshaped her mission. From defensive medicine to the isolation lawsuits create, Gita offers hard-earned insights and a blueprint for how doctors can protect themselves, find support, and come out stronger on the other side.The Physician’s Guide to Surviving Medical MalpracticeOffcall has created a comprehensive resource guide to help physicians navigate the realities of litigation. This guide pulls together expert advice, peer support programs, and practical strategies for what to do if you’re sued. Whether you’re early in your career or decades into practice, this guide offers the tools and community you need to protect your career, care for yourself, and move forward with confidence.👉 Read The Physician’s Guide to Surviving Medical MalpracticeWhat You’ll Learn in This Episode:Common mistakes doctors make after being sued  - and how to avoid themHow litigation drives defensive medicine and impacts the way we practiceWhat every physician should know about malpractice coverage including state-by-state differencesReforms that could make the system more fair for patients and doctorsWhy finding support and breaking the silence is critical for surviving litigationWatch A World of Hurt: How Medical Malpractice Fails Everyone🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok...