Rank #1: Jocko Willink On Extreme Ownership
Jocko Willink, Navy SEAL and co-author of “Extreme Ownership: How Navy SEALs Lead And Win” joins us to discuss a wide array of leadership perspectives ranging from activating resistant leaders to his fantastic and productive take on managing disruptive behavior.
Dec 28 2015
Rank #2: Gurpreet Dhaliwal, The Sherlock Holmes of Medicine
In our final episode of 2018, we have a proper A-list MD, Dr. Gurpreet Dhaliwal, joining us. He is a master diagnostician who never fails to dazzle an audience with his process for evaluating and solving the most challenging cases. We discuss how he learns and trains, the need to look for “desirable difficulty” and how his mistakes are his most valuable tool.
This is our first Grand Slam episode! All 4 Pillars of Explore The Space are fully engaged in this conversation!
1. Why Dr. Dhaliwal should be an A-list celebrity in medicine
2. Is Sherlock Holmes the right popular culture comparison for Dr. Dhaliwal?
3. What Dr. Dhaliwal does that gets such a response from an audience
4. How practice and his training program allow him to reach his maximal potential
5. Shifting information from short term memory to long term memory and how to extract it when needed
8. What is the number #1 enemy of learning…
8. The importance of tempo in optimizing his process to provide patient care in a busy environment
9. Extrapolating the skills Dr. Dhaliwal uses into any profession where someone wants to do their work better
10. Diagnostic error and why Dr. Dhaliwal keeps track of each case where he got the diagnosis wrong
11. The value of discussing mistakes and the opportunity we miss in medicine when we don’t do this.
12. Anchoring bias and how it plays into error creation
13. Does he make diagnoses while walking around with the public?
#hospitalist, #medicine, #podcast, #UCSF, #teaching, #education, #FOAMed, #reasoning, #heuristics, #podcast, #learning, #error, #mistakes, #diagnosis, #clinicalreasoning, #internalmedicine, #memory, #celebrity, #sherlockholmes
Dec 17 2018
Rank #3: Arghavan Salles On Being Authentic
“The key is always trying to get better, do better and be better and figure out how to bring people along on the journey.”
Arghavan Salles is a surgeon and a PhD who has an incredible fan base on social media & was the most-requested guest when I posed the question several months ago. She joins us for an amazing discussion of her authenticity around gender discrimination, being a perfectionist, and the art of saying No.
1. Why does Arghavan think she was so heavily requested by #MedTwitter
2. Where her motivation to talk openly about her personal struggles come from
3. The most powerful tools for sharing stories & how she selects where to publish, including her superb article in USA Today on women’s anger & gender discrimination
4. The ripple effect of writing in Time Magazine about egg freezing and infertility and hearing from many other women who had been struggling in silence
5. The tension between pouring energy and years into an academic article which quickly fades, being in a mainstream article that persists for years, and what this means for academic journals
6. The current dynamic that occurs wherein physicians are forced to publish in academic journals that exist solely as a repository of this material
7. Where her awareness of gender discrimination came from during her training, learning about stereotype threat, and being advised not to research gender discrimination
8. Are the ranks of those who work to make things different growing?
9. Being a perfectionist and fearing failure as a physician, mentor and teaching
10. One aspect of teaching Arghavan does not enjoy and how her desire for perfection interferes with her ability to teach
11. The resonance of Arghavan’s approach of always wanting to get better, knowing that she won’t always succeed, and doing it anyway
12. Times where carrying heavy weight feels like it’s too much and how she cares for herself
13. The art of saying “No”
14. Wherein I share one of my Imposter Syndrome reflexes
15. Step into the tension for an oral surgical exam question with Dr. Arghavan Salles!
Time Magazine article: http://time.com/5484506/fertility-egg-freezing/
Arghavan’s Behind The Knife podcast episode: https://behindtheknife.libsyn.com/159-mock-orals-9-upper-gi-and-bariatrics-with-dr-arghavan-salles
May 13 2019
Rank #4: Dave Berke On Redefining Perfection
David Berke is a retired Marine aviator, Top Gun instructor, and pilot of next generation F-22 and F-35 fighter planes. He joins us to discuss his article on redefining perfection and we get into an extraordinary conversation on accountable leadership, the importance of discussing mistakes with teammates and the importance of organizational culture.
Aug 29 2017
Rank #5: Bob Wachter On The AIDS epidemic
Dr. Wachter returns to discuss his experiences on the front lines during the early days of the AIDS epidemic.
May 12 2015
Rank #6: ZDoggMD On Medical Satire and Iconoclasm
Zubin Damania (aka ZDoggMD) joins us for a wide-ranging, frequently hilarious conversation on being an iconoclast, creating medical satire, and the value of risk-taking.
Oct 19 2015
Rank #7: Chris Herren On Substance Abuse & Recovery
Chris Herren is an ex-NBA basketball player, a recovering drug addict, and one of our greatest resources for learning about substance abuse and how to approach it and help those in need. He is an incredible speaker and reaches audiences from all walks of life; his experiences and insights are an invaluable tool for everyone to share.
Nov 18 2015
Rank #8: Elisabeth Rosenthal On “An American Sickness” & Healthcare Reform
Elisabeth Rosenthal is the author of a provocative and powerful book on healthcare delivery in the United States called “An American Sickness.” She joins us during a nationwide debate over healthcare reform to evaluate our current state and how to move forward.
Jul 18 2017
Rank #9: Kimberly Manning On Finding Your Whitney Houston
“I see you. I hear what you’re saying”
Dr. Kimberly Manning is a Professor of Medicine at Emory University and Grady Hospital. She is an essential guide, writer, teacher and voice, this episode is simply extraordinary. A brief summary of this episode will not suffice, please listen and enjoy.
Email feedback or ideas to email@example.com
1. Starting off with The Ragnar Relay and why Kimberly is a Ragnarian
2. Kimberly’s extraordinary ability to find common ground and draw people in
3. Wherein Kimberly shares some of her secrets: 30 seconds of attention, body language, and use of 1st names
4. The process by which Kimberly creates her incredible Twitter story threads
5. Finding your Whitney Houston
6. What feels aspirational for Kimberly heading into a New Year and new decade?
#teaching, #writing, #WhitneyHouston, #pluripotent, #NewYear, #decade, #aspiration, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician
Dec 23 2019
Rank #10: Dave Berke On The Pillars Of Team Culture
Dave Berke is back and we continue our deep-dive into assessing and building team culture. In our 3rd conversation, we get into the importance of selflessness in driving culture, ensuring a team has a sense of purpose and creating shared experience to bring people together. Plus, another round of Quick Hitters!
- Generalizability of culture conversations to any type of team or organization
- The demands of tackling culture and avoiding “easy outs.”
- Importance of positive culture in a high pressure moment
- What is the fabric of good culture?
- Aligning priorities and linking the tactical to the strategic
- The dividing line between good and great culture
- The 3 Pillars: selflessness, sense of purpose, shared experience
- Recognizing circumstances are the same regardless of profession or industry
- The burden of getting it right
- Culture building as a process
- What’s next: converting ideas into practice
- Another round of Quick Hitters
Apr 26 2018
Rank #11: Dave Berke On Assessing Team Culture
David Berke is back to help us harvest hard-won lessons in leadership from his career as a fighter pilot and Top Gun instructor. We build on his previous appearance to look at how to assess a team’s culture and the key steps needed to reveal some hard truths. There’s also a new “quick-hitters” question batch at the end featuring medicine vs military including pop culture, late night eats, and sleep deprivation.
Feb 07 2018
Rank #12: Episode 100! Des Shapiro On Finding Joy
Des Shapiro is a physician with a 40-plus year career in medicine and an incredible legacy under his belt. He’s also my Dad and I’m delighted to have him join me for the 100th episode. We discuss finding joy in medicine, being a Foreign Medical Graduate, and the extraordinary manner in which he always put patients at the center.
1. A few words to celebrate Episode 100 of Explore The Space podcast
2. The 4 Pillars of Explore The Space
3. What the future holds for the podcast
4. Introducing the guest for Episode 100, my father Des Shapiro
5. How Des started his journey into medicine and starting medical school at 16
6. Realizing early on that medicine was a calling and never looking back
7. A crazy story about handwashing and the world’s first heart transplant
8. The impact of a commitment to observation, physical exam and narration in becoming an excellent physician and elevating connection to patients
9. Ensuring the beauty and importance of holding a patient’s hand as connection, as exam, and as a privilege
10. Sharing concerns around Foreign Medical Graduates being targets for derision and the importance of welcoming physicians to the United States
12. What was exhilarating and what was scary about building a life as a physician?
13. Possessing the ability to feel what patients are feeling in a manner that is sustainable while avoiding compassion fatigue
14. The single most important lever that both physicians and patients have a responsibility to pull and protect.
15. A pathway for finding joy with every patient encounter and in the practice of medicine
16. The importance of evolving as a physician and seeking to understand new challenges like physician burnout
17. Crowning achievements in his career and how fun it is when I see one of his previous patients
18. The most important lesson I learned from my Dad and an incredible story to illustrate the point
19. Reiterating a recurrent theme on Explore The Space: physician as activist
Mar 07 2019
Rank #13: Epic EHR: Controversies, Tensions, & Goals
Seth Hain is Vice-President of Research & Development and Chris Mast is a Family Medicine physician & Vice-President of Clinical Informatics at Epic. They join for a candid and broad conversation of the current state and future goals of Epic. We also cover their understanding and perspective of challenges and frustrations coming from end users. Epic staff very rarely do any kind of press, it was absolutely fascinating to get behind the curtain.
1. Background on rise and growth of EHRs, affirming that we are not going back to paper charting, and identifying points of tension
2. What is their sense of the “temperature” of the end-users of Epic and the barriers keeping us from the ideal future state
3. Closing the training, implementation, and experience gap
4. Steps to build and rebuild perceptions and trust
5. What they see and hear from the peer-reviewed literature and social media regarding the work they do
6. Wherein we discuss this JAMA paper
7. The connection of physician and health care provider burnout and EHRs
8. Social media commentary and how much of a role does this play in driving work they do
9. Receiving and integrating individual physician voices who reach out to Epic with concerns and the importance of local Epic champions.
Jul 02 2019
Rank #14: Pregnancy, Maternity, & Being A Doctor
Emily Gottenborg, Christine Jones, Marisha Burden and Anna Maw are Hospitalists at the University of Colorado and all have had children at some point during their careers. They came on the podcast to discuss their paper “You Can’t Have It All” which looks at the inequities and problems women face when they have children while practicing medicine. An unsparing and inspiring conversation, just like the paper itself.
Note: co-authors Li-Kheng Ngov & Anastasiya Ponomaryova were not able to join this interview
1. The origins of this incredible paper, especially their shared memories around parental leave (or lack thereof)
2. Framing the paper as a scientific article, then rapidly evolving to one sounding an alarm
3. Using qualitative research and allowing the stories to guide the conclusion
4. The emotional rollercoaster of collecting data, doing the study and identifying inequities in the system
5. The impact of feeling like having children is a choice therefore all the inequities that followed are the fault of the mother for making that choice
6. Releasing the article and embracing the response and the catharsis
7. Dealing with the fear of losing jobs around bringing this material forward and moving past just “being a good soldier” and being a “troublemaker”
8. The unique challenges of being in medical training and starting a family
9. Immediate feedback when the paper was presented at Grand Rounds
10. Progress around paid time off, resources and space for pumping, and work still to be done
11. Crossing from publishing research into becoming activists
12. Moving forward into progress on a huge problem, finding solidarity and sharing information
13. Creating connections across the country through different parts of the work moving forward and where do we find examples of places doing this work well
14. Attrition of great minds and talents from medicine due to gender inequity
The article “You Can’t Have It All” https://www.journalofhospitalmedicine.com/jhospmed/article/189543/hospital-medicine/you-cant-have-it-all-experience-academic-hospitalists
Division Of Hospital Medicine at University of Colorado: http://www.ucdenver.edu/academics/colleges/medicalschool/departments/medicine/GIM/ClinicalCare/HospitalMedicine/Pages/HospitalMedicine.aspx
#pregnancy, #maternity, #gender, #genderinequity, #medicine, #hospitalist
Mar 27 2019
Rank #15: Guy Bizek On Battling Ebola, Part 2
In the second part of our conversation about his experiences battling Ebola in Sierra Leone, Dr. Guy Bizek tells stories both devastating and uplifting from this very real human tragedy. Part 2 of 2.
Jun 01 2015
Rank #16: Amitha Kalaichandran on Bullying In Medicine
Amitha Kalaichandran is a physician and a journalist who wrote a provocative and impactful piece in The Boston Globe about bullying in medicine. She joins us to discuss the astounding response to the article, writing as a physician who crosses into the public sphere, and levers to pull to reduce bullying behaviors
1. Understanding that the article is going to be a big deal
2. The surprising revelations that came her way in the wake of the article & being preparing for those stories
3. A key way that medicine and journalism are similar
4. Pitching the story to the Boston Globe editorial team
5. Writing an article that crosses over into universal readership as opposed to one that goes either behind a paywall or into PubMed hell
6. The impact of low psychological safety in a hospital
7. Does the nature of a hospital setting enable behaviors that are otherwise not tolerated
8. How “hot spots” and malignant sectors of medicine are able to develop wherein bullying can occur
9. The levers to pull to improve a disruptive culture and change bullying behaviors and the power of showing there is a different way
10. Support local journalism!
#bullying, #hospital, #medicine, #journalism,
Apr 11 2019
Rank #17: Aimee Gardner On USMLE Step 1 & Choosing Residents
Aimee Gardner has a PhD in Organizational Psychology and is Assistant Dean of Evaluation & Research at Baylor College of Medicine. She joins us for a provocative discussion of how residency programs select medical students. This is a fraught issue for our profession and the concepts around recruiting are generalizable across any organization.
1. How we connected during the controversy surrounding standardized tests for medical students.
2. The major criteria that make a candidate attractive to a residency program
3. Defining Step 1 of the USMLE and the stakes and stress associated with it
4. How the exam moved from a standard pass-fail to a variety of purposes it is neither intended nor designed for.
5. The rational steps that should be taken when assessing whether a candidate is right for any type of organization
6. The implications that the mis-application of USMLE has on fairness and diversity as well as why other industries stay away from standardized tests
7. The risks and stresses that USMLE Step I puts medical students through
8. The challenges that programs making selections face in this same equation
9. A hard look at the unstructured way resident selection is done now
10. Building a selection process built around a fair, equitable and scientific manner
11. The components & metrics of a rigorous selection process that apply to medicine and across any industry
12. Facing the harsh reality around effectiveness of what is currently compiled by medical students in their applications
13. The search for new criteria and where to look, including a place you might not expect
14. How much enthusiasm is there to change the current processes
15. Ensuring proper attention is paid to socioeconomics, gender and racial equity in how residency classes are selected
Aimee’s Twitter feed: @aimeeGthePHD
AAMC Best Practices for Conducting Residency Program Interviews: https://www.aamc.org/download/469536/data/best_practices_residency_program_interviews_09132016.pdf
Society for Industrial & Organizational Psychology: https://www.siop.org/
#residency, #USMLE, #medicalschool, #education, #meded, #interviews
Feb 19 2019
Rank #18: Ricardo Nuila On Talking About Death, Part 1
Conversations about end of life care are never easy, whether it’s about you, your loved one, or your patient. Dr. Ricardo Nuila joins us to consider these difficult but vital discussions, as well as his recent article on the subject in The Atlantic, which you can read here.
Sep 08 2015
Rank #19: Jen Gunter On Being An Expert
“All you can do is deliver the best content”
Jen Gunter is the Internet’s Gynecologist, a New York Times contributor, and an amazing voice on social media. She is simultaneously releasing her highly anticipated book “The Vagina Bible” and her TV show “Jensplaining.” She joins me to discuss how authenticity and expertise brought her to this point, meeting people where they live, and the Jen Gunter Twitter Response Pyramid
Photograph by Chloe Jackson Photography
1. The importance of mission-driven decision making in building a body of work
2. How Jen has become a physician-celebrity without changing her mission
3. The importance of facts and informed decision-making in Jen’s mission
4. Creating “The Vagina Bible” and how Jen writes like she talks
5. The Jen Gunter Twitter Response Pyramid & dealing w/ Twitter attacks
6. Writing and filming “Jensplaining”
7. Stepping into a new frontier.
Jen’s website: https://drjengunter.com
“The Vagina Bible” https://drjengunter.com/social-media/
#advocacy, #authenticity, #vagina, #vaginabible, #female, #femalehealth, #womenshealth, #twitter, #writing, #author, #obstetrics, #obgyn, #celebrity, #celebrityculture, #medicine, #doctor, #physician, #podcast, #television, #jensplaining, #tvshow, #junket, #booktour, #book
Aug 19 2019
Rank #20: Esther Choo On Being An Influencer
Esther Choo is an Emergency Medicine physician, a founder of TimesUp Healthcare, and a cornerstone voice driving progress in our profession. She is a remarkable voice on social media, on stage, and in the press. Her research, creativity, and passion are rocket fuel for change; she is highly sought-after and after speaking with her it is clear why!
1. Being one of the key influencers for our profession on social media and beyond
2. The moment her social media presence took off and comparing impact to writing for academic publication
3. Reconciling tension between effort and visibility
4. How Esther deals with, learns from, and ignores criticism on social media
5. The art of sharing controversial and provocative takes and trusting your audience will provide guidance on “bad” takes
6. Her path to becoming a student, expert, and spokesperson around issues of gender bias
7. The formation & mission of TimesUp Healthcare and the historical foundation it is built upon
8. Sharing stories of curtailed opportunity, gender-based discrimination, and the loss of so many talented women who left the profession
9. Speaking outside of the echo chamber to audiences on challenging subjects and her techniques for disarming a crowd
10. Starting Equity Quotient and developing metrics and measurements around discrimination and harassment
11. The sensation of being “in demand” and turning it into an opportunity to elevate others
TimesUp Healthcare: https://www.timesuphealthcare.org
Equity Quotient: https://www.eqmedicine.com
Jul 15 2019