The Fire Chief

<p><span>The Fire Chief – The Chief Medical Officer Podcast is your frontline briefing on what it truly means to lead in the heat of healthcare. Hosted by Dr. Lee Scheinbart, this series offers raw, insightful conversations with current and former Chief Medical Officers—unfiltered stories from the command center of crisis, healing, and transformation. Drawing a powerful parallel between firefighting and medical leadership, each episode illuminates the path from early training to the burning challenges of the CMO role. From crisis response and financial strain to resilience, equity, and ethical leadership—these candid conversations decode what it takes to steer healthcare systems through turbulence. Whether you're a physician climbing the leadership ladder, a seasoned executive confronting systemic fires, or simply fascinated by the intersection of medicine and leadership, The Fire Chief delivers thought-provoking leadership lessons that are as urgent as they are timeless. Welcome to the front line.</span></p>

The Human Margin

In this dynamite episode of the Fire Chief Podcast, host Lee Scheinbart engages with Dr. Katherine Meese, an expert in healthcare leadership and organizational behavior. They discuss the importance of prioritizing human well-being in healthcare settings, the need for trust in leadership, and the impact of generational differences on workplace dynamics. Dr. Meese emphasizes the necessity of preventative maintenance for healthcare workers, the significance of measuring the "human margin," and actionable strategies for leaders to foster a supportive and productive environment. The conversation highlights the critical role of empathy and genuine care in effective leadership, especially in the challenging landscape of healthcare today.  

12-16
40:03

The Universality of Physician Leadership

In this episode of the Fire Chief Podcast, host Lee Scheinbart interviews Professor Matt Sabin, former Chief Medical Officer at the Royal Children's Hospital in Melbourne, Australia. The two former CMOs discuss the challenges of physician leadership, the importance of self-awareness, communication, and organizational culture in improving patient outcomes. Matt shares insights on handling disruptive behavior, the significance of written communication, the importance of values-based leadership and the need for a shift in the traditional role of CMOs. The conversation also touches on the psychological impact of the pandemic on healthcare workers, emphasizing the significance of staff-centered care in healthcare settings.

12-09
37:01

The Curiously Brave CMIO, From Zero to Bronze.

In this honest and heartfelt episode of the Fire Chief Podcast, host Lee Scheinbart interviews the show’s first Chief Medical Information Officer (CMIO), Dr. Rachel McEntee.  They discuss Dr. McEntee's journey into informatics, the evolving role of CMIOs, the need to move from integration of technology in healthcare to the importance of leadership in informatics. This is particularly true as the conversation touches on the challenges of burnout, and the bravery that Dr. McEntee and her team exhibited when they examined their responsibility to the medical staff, et. al.  After discovering a baseline from a remarkable survey, the Informatics team not only intervened but also received recognition from the AMA Joy in Medicine program regarding their work effort. As an emerging leader, Dr. McEntee emphasizes the need for a values-driven approach in the informatics space, along with the need to promote the right types of impact of digital healthcare technology.

12-02
41:08

AI in Peer Review and Performance

In this next level episode of the Fire Chief Podcast, host Lee Scheinbart once more explores AI, but this time with a lens on Peer Review and Physician Performance.  The conversation delves into the possibility of not just automating medical staff office functions of credentialing and privileging, but how integrating AI through ambient architecture into physician workflows and care delivery is poised to revolutionize the identification of deviations in clinical practice, recovery times, and adherence to evidence-based guidelines, enabling real-time insights that can preemptively address potential issues before they are noticed by human reviewers.  CMOs would be wise to consider how AI will not only improve the medical staff office, but how it will improve the medical staff itself.  

11-25
21:25

Embracing the Future: AI in Healthcare Leadership

In this sci-fi episode of the Fire Chief Podcast, host Lee Scheinbart explores the future of healthcare, focusing on the role of AI, the transformation of care delivery and possibly medical education, and the need for innovative leadership in the healthcare sector. He discusses the challenges and opportunities presented by ambient AI and emphasizes the importance of rethinking workforce training to meet the demands of a rapidly evolving healthcare landscape. Scheinbart advocates for a shift in system architecture and design, one that prioritizes judgment and contextual understanding over old school hierarchy, ultimately aiming to enhance patient care and outcomes.  A flattening of workflows over insertion into the old tiresome ones.  

11-18
28:06

Preparing Physicians for the CEO Role: From the OR to the C-Suite

In this perceptive episode of the Fire Chief Podcast, host Lee Scheinbart engages in a deep conversation with Dr. Leo Spector, CEO of OrthoCarolina, about the evolving role of physician executives. They discuss the challenges and opportunities in transitioning from the OR and clinical roles to leadership positions, emphasizing the importance of empathy, humility, and intentionality in leadership. Dr. Spector shares deeply personal anecdotes and remarkable insights on how physicians can prepare for leadership roles, the misconceptions about physician executives, and the future of physician leadership.

11-11
34:49

Key Insights for Physicians Seeking the CEO Role

In this insightful episode of the Fire Chief Podcast, host Lee Scheinbart engages in a deep conversation with Steve McGovern, President and CEO of McGovern Executive Search. They explore the evolving role of physicians as CEOs in healthcare, discussing the challenges and opportunities that come with this transition. Using recent publications and informal, but truthful responses from healthcare leaders, the discussion covers the importance of empathy, business acumen, and strategic thinking in leadership roles, as well as the impact of corporatization in medicine. The podcast explores how physicians need to avoid being typecast when seeking leadership roles and Steve shares insights from his extensive experience in executive search, highlighting the unique attributes physicians bring to leadership positions and the potential for more mission-driven leadership in healthcare.  

11-04
44:41

Building Culture Through Coaching

In this dynamite episode of the Fire Chief Podcast, host Lee Scheinbart interviews Dr. Rawle “Tony” Seupaul, diehard U of Miami ‘Canes fan AND Chief Physician Executive at Carilion Clinic. They discuss the importance of physician leadership, the unique structure of Carilion Clinic, and the need for coaching and development in leadership roles. Dr. Seupaul shares his personal journey in developing leadership skills and the initiatives he has implemented to foster a culture of leadership development within the organization. The conversation also touches on the evolution of medical education and the importance of aligning departmental goals with institutional priorities.  Oh yeah, and Dr. Seupaul’s intense desire for a UM-OSU Championship re-match.  Serious like a Hurricane…  

10-28
43:51

Patients Over Politics? Get Upstream

In this energetic episode of the Fire Chief Podcast, host Lee Scheinbart interviews Dr. Tina Shah, a devoted pulmonary and critical care physician and passionate Congressional candidate. They discuss Dr. Shah's journey in healthcare, her leadership philosophy, and her advocacy for healthcare reform. Dr. Shah shares her experience with burnout, the drive to help others, and the importance of getting upstream to change policy.  Dr. Shah also stresses importance of having more physicians in Congress (and in all levels of government) to address the most pressing healthcare issues of our day.   

10-21
23:52

How Leaders (Invite and) Make Change

In this profound and meaningful episode of the Fire Chief Podcast, host Lee Scheinbart engages with Deborah Rowland, a leader in organizational change and mindfulness. They discuss the importance of mindfulness in leadership, particularly in high-pressure environments like healthcare. Deborah emphasizes the need for leaders to confront reality without judgment and to understand the difference between what 'ought' to be and what 'is'. The conversation also explores the challenges leaders face and the importance of empathy and understanding in navigating these challenges. Deborah introduces the concept of 'institutional acupuncture', advocating for minimal yet impactful changes in organizations. The episode concludes with a reflection on the role of leaders as Sherpas, guiding others through difficult journeys.  

10-14
46:56

What Crisis Requires

In this explosive episode of the Fire Chief Podcast, host Lee Scheinbart engages with Regina Phelps, a global expert in crisis management, to discuss the critical role of physician leaders in navigating crises within healthcare. They explore the differences between emergency response and crisis management, the challenges faced by healthcare systems, and the importance of effective communication and training. Regina emphasizes the need for self-care among healthcare leaders and the significance of enterprise resiliency in preparing organizations for unexpected events. The conversation highlights the necessity for boards to be involved in crisis management and the impact of malinformation on healthcare leadership.  

10-07
45:09

Physician Advisor: The #1 Role CMOs Need in Their Life

In this witty episode of The Fire Chief Podcast, host Lee Scheinbart interviews Dr. Clarissa Barnes, former President and CEO of the American College of Physician Advisors and currently the Chief Medical Officer for Medicaid in South Dakota. They discuss the evolving role of physician advisors, the challenges and opportunities in healthcare leadership, and the impact of AI on the in UR/UM and denials. Dr. Barnes shares her journey from a family background in medicine to her current leadership roles, emphasizing the importance of understanding both clinical and administrative aspects of healthcare. The conversation also touches on how to embark on a physician leadership career as well as the significance of continuous learning and adaptation in the role of leader.  

09-30
46:57

Arresting Doctors

In this off-world of an episode, host Lee Scheinbart launches into the remarkable career and educational journey of Dr. Daniel Handel, Vice President and Chief Medical Officer for the Central Area of Atrium Health.  Dr. Handel, the primary editor of the definitive and groundbreaking textbook on healthcare administration for aspiring physicians, is now also the program director of the Healthcare Administration Leadership and Management (HALM) fellowship at Atrium. Lee and Dan explore a wide range of future facing topics for future CMOs, including teaching residents about workflows, a post-EHR ecosystem, and changes to administrative fellowships.  Whether you're an aspiring leader or a seasoned professional, this episode offers valuable lessons on navigating the healthcare landscape of this world as we simultaneously prepare for the next one. 

09-23
45:04

Chief Mascot Officer

In this truly remarkable episode of the Fire Chief Podcast, we delve into the amazing career of Chris Deacon, a nationally respected voice on healthcare reform. From her beginnings as a Deputy Attorney General to leading one of the largest health plans in the country, the indefatigable Chris shares her journey and the pivotal moment when her moral compass shifted. Frustrated by a system rigged against patients and public servants, she chose to speak hard truths and advocate for change. Join us as Chris discusses her dedication to transparency, her testimony before Congress, and her vision for a rebirth in healthcare. Tune in for an inspiring conversation about mascots, leadership, courage, and the relentless pursuit of doing what's right.  

09-16
38:41

We Need An Even Bigger Boat (Part 2)

In Part 2 of this incredible conversation, Lee Scheinbart and Dr. Larry McEvoy, the founder of Epidemic Leadership, continue to go exponential and explore leadership 'at scale.', In this blistering Part 2 of the most intense conversation to date on the podcast, the you will hear further insights on physician leadership, the importance of a healing ethic, and the role of strategic development in creating impactful leaders.  The two physicians expound on the importance of physicians leading with a healing ethic that extends beyond the bedside and how strategic development and intentionality can shape effective physician leaders. While recognizing the structural forces at work in today's world, both leaders share a vision for the economic and societal benefits of prioritizing health in leadership roles.    

09-09
56:03

We Need A Bigger Boat

In this intense conversation, Lee Scheinbart and Dr. Larry McEvoy, the founder of Epidemic Leadership, explore the evolving landscape of healthcare and the role of physician leadership. In the first of this two part series, the discussion touches on the importance of nurturing emerging leaders and the potential for innovative solutions in healthcare management.  These two leadership teachers deep dive into the importance of a healing ethic in medicine, the need for physicians to exponentially lead both internally and externally, and the challenges facing the healthcare system today. Dr. McEvoy presents a radical, yet entirely logical, approach to create change in healthcare right now and both doctors examine and redefine what success in healthcare looks like beyond profit, advocating for a focus on health as a driver of societal well-being. 

09-02
41:01

Remember to Breathe

In this hot start episode of the Fire Chief Podcast, host Lee Scheinbart interviews Dr. Harpreet Pall, the recently appointed Chief Medical Officer at Hackensack Meridian Jersey Shore Hospital AND K. Hovnanian Children's Hospital.  Dr. Pall shares his journey from pediatric gastroenterology to adult hospital management, discussing the challenges and learning experiences he faced during this transition as a new CMO and covering adult medicine for the first time in his executive trajectory. He emphasizes the importance of leadership skills, building relationships with medical staff, and the need for effective time management. Dr. Pall also reflects on his first 90 days in the role and expresses concerns about what keeps him awake at night amidst the changing healthcare landscape.

08-26
40:21

The Big Mystery

In this lightning hot episode of the Fire Chief Podcast, host Lee Scheinbart welcomes Rebecca Kapphahn, Vice President and Senior Client Partner at Furst Group, to explore the mystery of physician executive recruitment, especially for the role of Chief Medical Officer.  Together they examine the critical role of cultural fit and the contribution of leadership. With over two decades of experience in physician leadership recruitment, Rebecca shares insights into how aligning personal values with organizational culture can drive impactful change. Discover the art and science behind executive recruitment, the importance of soft skills, and how leaders can become cultural contributors to inspire and engage their teams. Tune in for a deep dive into the nuances of leadership that go beyond traditional metrics. 

08-19
51:26

Things Need To Change

In this deeply heartfelt episode of the Fire Chief Podcast, host Lee Scheinbart honors Dr. Lorna Breen and discusses the critical issues surrounding physician leadership and mental health in healthcare. Dr. Stefanie Simmons, Chief Medical Officer of the Dr. Lorna Breen Heroes Foundation, shares her journey from emergency medicine to leadership, emphasizing the importance of interpersonal relationships and change management in healthcare. The conversation explores the impact of trauma on medical professionals, the role of the Foundation in advocating for healthcare worker wellbeing, and the necessity of self-care for effective leadership.

08-12
50:51

Turning The Page

In this insightful, yet funny and irreverent episode, host Lee Scheinbart sits down with Dr. Caesar Gonzalez to explore the dynamic world of physician leadership. For the first time on The Fire Chief, the topic of job security is discussed.  Dr. Gonzalez shares his personal journey from anesthesiologist to Chief Medical Officer, highlighting the challenges and opportunities that come with transitioning into leadership roles.  He also opens up about what it was like when facing job insecurity in healthcare today. Discover the strategies he employed to overcome obstacles, the importance of staying true to one's values, and the impact of strong physician leadership on healthcare systems. Whether you're an aspiring leader or a seasoned professional, this episode offers valuable lessons on navigating career transitions in the ever-evolving field of healthcare and physician leadership.

08-05
46:26

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