The Physician's Pulse

Solving the Culture Crisis in Healthcare - Dr. Eldrin Lewis

Dr. Ramin Manshadi interviews Dr. Eldrin Lewis, Chief of Cardiovascular Medicine at Stanford, about physician wellbeing and cardiology burnout. Dr. Lewis highlights major drivers of burnout and potential solutions. He discusses how AI can help solve many issues faced by modern physicians, and highlights some of the risks.Dr. Lewis brings his personal experiences to the table and he advises trainees to align passion, technical fit, future job landscape, and lifestyle to reduce misalignment and burnout.Its an incredibly useful conversation for both future medical professionals and practicing physicians alike.00:00 – Introduction to Physicians’ Pulse & Guest Bio (Dr. Eldrin Lewis)01:44 – Biggest contributors to cardiologist burnout today04:00 – Data deluge, critical results, and fear of missing something06:36 – How AI can help reduce burnout and improve patient care08:30 – Patient trust, privacy, and keeping AI within the health system firewall09:24 – Advice to trainees choosing a cardiology career path16:00 – Team culture, coverage, and making room for real life events17:32 – Do we need such a long training pathway in cardiology?18:00 – Piloting shorter, focused subspecialty pathways (e.g., ACHD 2+2)28:00 – Stanford’s vision: from basic science to implementation and health span

Dr. Ramin Manshadi: A Cardiologist Becomes the Patient

After experiencing sudden chest discomfort and using his Apple Watch to identify atrial fibrillation at a heart rate of 171, cardiologist Dr. Ramin Manshadi is wheeled to the ER as a patient—an experience that prompts him to ask what is happening to those who dedicate their lives to healing others. He reflects on the pressures of pre-med, medical school, residency, and private practice, including long hours, stress, emergencies, administrative burdens, and running a business, while also acknowledging the deep rewards of saving lives. Citing historically high physician burnout, he introduces Physicians Pulse as a podcast exploring the human side of medicine through conversations across training and leadership to improve physician training, reduce burnout, modernize board certification, and build a healthcare system where physicians can thrive. 00:00 A Doctor Becomes Patient 00:58 Denial and ER Reality 01:39 Why This Podcast Exists 02:09 The Training Gauntlet 03:37 Private Practice Pressures 05:23 Why Medicine Matters 07:00 Burnout and the Mission 08:04 Questions We Will Tackle 08:54 A Call to Heal Together 09:51 Closing Thanks

Welcome To The Physician's Pulse

Join me bi-weekly to learn what it takes to survive the medical profession. You'll hear stories on how to succeed in every stage of your professional life as a practitioner, from pre-med to opening your own practice.