Flourishing in Medicine: From Surviving to Thriving

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Flourishing in Medicine: From Surviving to Thriving explores ways that health professionals- physicians, nurses and nurse practitioners, physician assistants, mental health providers, therapists, and others- can truly flourish in the complex and challenging world of health care.The ability for physicians and other health professionals to practice high quality care and attain professional satisfaction and meaning in their work has been under continued challenge. These critically important members of our communities experience ongoing threats to their well-being and hence to the quality of care they deliver. The recent pandemic has only exacerbated changes that have occurred over the preceding years in the practice of medicine, exposing even further the fragility of our imperfect health care systems. This podcast explores the many ways that physicians can and do flourish, including a deeper exploration of what it means to work at the frontier of human frailty and suffering, while applying biomedical science and compassionate care to address the complexities of the human condition. It is the hope that this podcast can help support these health professionals and ultimately translate into improved care of themselves, their patients, and our communities.Your host, Mick Krasner M.D., F.A.C.P, is a Professor Emeritus of Medicine at the University of Rochester School of Medicine and Dentistry. Dr. Krasner has been teaching Mindfulness-Based programs to patients, medical students, and health professionals for more than 23 years, involving over 4000 participants and more than 2000 health professionals, and continues to facilitate Mindfulness-Based Stress Reduction for employees and dependents of the University of Rochester. He was the project director of Mindful Communication: Bringing Intention, Attention, and Reflection to Clinical Practice, sponsored by the New York Chapter of the American College of Physicians, funded by the Physicians Foundation for Health Systems Excellence, with results reported in JAMA in September 2009. This program led to the establishment of Mindful Practice in Medicine Programs at the University of Rochester which he co-directs, offering continuing educational programs to health professionals and educators locally and internationally for the past 13 years, and includes a multi-year teacher training program for future facilitators of Mindful Practice. He has been engaged in a variety of research projects including the investigations of the effects of mindfulness practices on the immune system in the elderly, on chronic psoriasis, and on caregivers of Alzheimer’s patients. His most recent project, The Healer’s Journey, is a documentary film in production that explores the professional identity formation of our newest health professionals, the medical students.Dr. Krasner graduated from the University of California, Berkeley in 1983 and received the Doctor of Medicine degree from the University of California, San Diego School of Medicine in 1987, completing residency in both Internal Medicine and Pediatrics at the University of Rochester School of Medicine and Dentistry where he continued as a full-time faculty member, engaging in medical student and residency education, post-graduate medical education, and research. He has shared his work in peer-reviewed publications, scientific assemblies, workshops, visiting professorships, and intensives throughout the world, focusing primarily on the roots of Hippocratic medicine through the cultivation of attention, awareness, and reflection on the health professional- healing relationship. Having recently left clinical practice, he now devotes all his time to the pursuit of helping physicians and other health professionals flourish.

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40 episodios

Why Meaning Matters in Medicine with Dr. Jonathan Ripp | Flourishing In Medicine Podcast #40

Today, we are joined by Dr. Jonathan Ripp, a nationally recognized leader in physician well-being, serving as Senior Associate Dean for Well-Being and Resilience and Chief Wellness Officer at the Icahn School of Medicine at Mount Sinai. Dr. Jonathan Ripp is a professor, researcher, and clinician who has helped shape the national conversation on burnout and resilience through his leadership of initiatives such as CHARM, his work with the ACGME and National Academy of Medicine, and his pioneering research on physician distress and professional fulfillment. At Mount Sinai, he leads system-wide efforts to support the flourishing of students, trainees, and faculty. Dr. Ripp brings both deep clinical experience and organizational perspective to questions about what it takes for healthcare systems to cultivate cultures where clinicians feel supported, connected, and able to thrive. We also cover: * The tension between medicine's ideals and the realities of modern healthcare systems, including burnout, moral distress, and the systemic roots of clinician suffering * The importance of organizational culture, psychological safety, and supportive leadership in creating environments where clinicians can flourish * Practical and hopeful developments, from coaching and peer support networks to AI tools that reduce clerical burden, while emphasizing that meaningful work, human connection, and purpose remain at the heart of sustainable healing professions Dr. Ripp concludes with a hopeful call to preserve purpose, community, and humanity in medicine while continuing to push for systemic change at the organizational and policy levels. Links: More on Dr. Ripp: https://profiles.mountsinai.org/jonathan-a-ripp [https://profiles.mountsinai.org/jonathan-a-ripp] Dr. Ripp’s LinkedIn: https://www.linkedin.com/in/jonathan-ripp-md-mph/ [https://www.linkedin.com/in/jonathan-ripp-md-mph/] Icahn School of Medicine at Mount Sinai: https://icahn.mssm.edu/ [https://icahn.mssm.edu/] EmPro Website: https://www.myempro.com/ [https://www.myempro.com/] EmPro Peer Support Program: https://www.myempro.com/peer-support/ [https://www.myempro.com/peer-support/] Physician Support Line: +1(888) 409-0141 Physician Support Line Website: https://www.physiciansupportline.com/ [https://www.physiciansupportline.com/] Dr. Krasner's Website: https://mickkrasnermd.com/ [https://mickkrasnermd.com/] Mindful Practice in Medicine Website: https://mindfulpracticeinmedicine.com/ [https://mindfulpracticeinmedicine.com/] Chapters: (00:00) Introduction (02:00) Why Medicine (04:00) Mount Sinai and Family Values (05:30) Ideals vs. Reality (08:00) When Burnout Became Real (10:00) Advancing Idealism in Medicine (12:00) Evolution of Physician Well-Being (15:00) System vs. Individual Factors (17:00) Performative vs. Authentic Wellness (20:00) What Healthy Culture Looks Like (23:00) Moral Distress and Leadership (26:00) What Works: System and Individual Level (29:00) Technology and Reducing Burden (32:00) Coaching and Community (35:00) CHARM Initiative (38:00) Conversations We Need to Have (40:00) Sustaining Meaning and Hope (42:00) Role of Ordinary Clinicians (44:00) Conclusion

3 de jun de 2026 - 45 min

Beyond the Screen: Presence and Technology in Medicine with Dr. Alice Loveys | FIM Podcast #39

Today, we are joined by Dr. Alice Loveys, a pediatrician and nationally recognized clinical informatics expert working at the intersection of healthcare, technology, digital health, and equity. Dr. Alice Loveys, MD, FAAP, FHIMSS, ABP-CI, is a pediatrician and Chief Medical Information Officer at IT Practice Consulting Group. She has practiced pediatrics in the Rochester region since 1994 and was among the inaugural class of United States physician diplomates in Clinical Informatics. Drawing from decades of experience spanning clinical care, software design, blockchain strategy, HIPAA/privacy initiatives, and healthcare leadership, she has become a nationally recognized voice on the intersection of medicine, technology, and human connection. Known as "Dr. Gadget" for her work testing and implementing new healthcare technologies, Dr. Loveys brings both clinical wisdom and systems-thinking to questions about how digital transformation can either fragment or deepen the healing relationship between clinicians and patients. In the conversation, Dr. Loveys shares how a Life Magazine photograph of a baby in utero sparked her lifelong sense of awe and wonder in medicine, revealing how that sense of the miraculous continues to inform her approach to both patient care and technology implementation. We also cover: * How electronic health records were built for billing rather than storytelling, and what gets lost when documentation systems prioritize transactions over relationships * The promise and ethical tensions of AI in medicine, including questions of bias, transparency, patient empowerment, and the cultural shifts needed to support shared decision-making * Why technology should be the "stone in stone soup" (the catalyst that brings people together) and how thoughtfully designed tools can reduce suffering when they preserve rather than replace human connection Dr. Loveys concludes by reminding us to never underestimate the laying on of hands, emphasizing that the guidance, empowerment, and authentic human encounter at the heart of healing must always come from or with a human being. Links: Dr. Ali Loveys LinkedIn: https://www.linkedin.com/in/dr-ali-loveys/ [https://www.linkedin.com/in/dr-ali-loveys/] EmPro Website: https://www.myempro.com/ [https://www.myempro.com/] EmPro Peer Support Program: https://www.myempro.com/peer-support/ [https://www.myempro.com/peer-support/] Physician Support Line: +1(888) 409-0141 Physician Support Line Website: https://www.physiciansupportline.com/ [https://www.physiciansupportline.com/] Dr. Krasner's Website: https://mickkrasnermd.com/ [https://mickkrasnermd.com/] Mindful Practice in Medicine Website: https://mindfulpracticeinmedicine.com/ [https://mindfulpracticeinmedicine.com/] Chapters: (00:00) Introduction (01:50) Dr. Alice Loveys (04:00) Why Medicine (09:00) The Concrete and the Miraculous (11:00) Systems in the Digital Age (16:00) Electronic Health Records (20:00) Technology and Burnout (23:00) Humanity in Informatics (31:00) AI in Medicine (35:00) Patient Empowerment (38:00) Blind Spots in AI (42:00) Sustaining Oneself (44:00) The Laying On of Hands (46:00) Conclusion

20 de may de 2026 - 50 min

Getting Unstuck in Medicine: Coaching, Leadership, and the Path to Flourishing with Dr. Ellen Singer | Flourishing in Medicine: From Surviving to Thriving #38

Today, we are joined by Dr. Ellen Singer, a board-certified internist and pediatrician. Dr. Ellen L. Singer is a dual board-certified internist and pediatrician with more than 30 years of experience in clinical practice, medical leadership, and physician development. She serves as a Physician Development Coach for Legacy Health, a regional Virtualist with Northwest Permanente, and Medical Director of The Foundation for Medical Excellence. Ellen brings deep expertise in recruitment, credentialing, quality oversight, documentation, revenue cycle, and practice redesign across multiple specialties. ICF-certified, she coaches clinicians and leaders through difficult patient interactions, burnout, privilege restrictions, and career transitions. Grounded in empathy, storytelling, and reflection Ellen is passionate about helping healthcare professionals build meaningful, resilient careers and sustainable, engaged clinical teams. In the conversation, Dr. Singer reflects on the formative influences that drew her to medicine and how her training at the University of Rochester shaped her lifelong attention to the inner lives of clinicians, ultimately leading her to develop a second professional identity as a physician coach. We also cover: * How coaching differs from traditional medical problem-solving by creating space for reflection, clarity, and self-directed solutions rather than prescribing answers * The structural challenges in modern healthcare including tensions around time, resources, organizational priorities, and the struggle for physician autonomy * Practical approaches to transforming meetings, leadership dynamics, and team relationships to create more sustainable and humane clinical environments Dr. Singer concludes with a vision of flourishing grounded in meaningful relationships, sustainable self-care habits, and shared commitment to patient care that truly matters, emphasizing that change must come from individual clinicians and teams building flourishing from the ground up. Links: Dr. Ellen Singer LinkedIn: https://www.linkedin.com/in/ellensingermdcpcc/ [https://www.linkedin.com/in/ellensingermdcpcc/] The Foundation for Medical Excellence: https://tfme.org/ [https://tfme.org/] EmPro Website: https://www.myempro.com/ [https://www.myempro.com/] EmPro Peer Support Program: https://www.myempro.com/peer-support/ [https://www.myempro.com/peer-support/] Physician Support Line: +1(888) 409-0141 Physician Support Line Website: https://www.physiciansupportline.com/ [https://www.physiciansupportline.com/] Dr. Krasner's Website: https://mickkrasnermd.com/ [https://mickkrasnermd.com/] Mindful Practice in Medicine Website: https://mindfulpracticeinmedicine.com/ [https://mindfulpracticeinmedicine.com/] Chapters: (00:00) Introduction (01:50) Dr. Ellen Singer (03:00) Early Influences (07:00) Clinicians' Inner Lives (11:00) The Unexpected Evolution to Coaching (16:00) Why Traditional Medical Culture Needs Coaching (20:00) Physician Struggles (23:00) Moral Distress and Resource Constraints (27:00) Narratives of Concern (31:00) Transforming Meetings (35:00) Moments That Matter (39:00) How Coaching Changed Dr. Singer (41:00) What Flourishing Looks Like Today (44:00) Conclusion

18 de mar de 2026 - 49 min

Contemplation in Action: Rewiring Burnout from the Inside Out with Dr. Lia Antico | FIM Podcast #37

Today, we are joined by Dr. Lia Antico, a neuroscientist, educator, and contemplative scholar whose work explores the neural and behavioral mechanisms underlying burnout, empathy, and compassion in health professionals. Dr. Lia Antico is an Assistant Doctor at the Medical School of the University of Fribourg in Switzerland and an Adjunct Assistant Professor at the Brown University School of Public Health. Her research investigates the behavioral and neural mechanisms underlying various states of mind and body, focusing specifically on burnout and anxiety. She develops and tests interventions based on mindfulness aimed at preventing or alleviating burnout and fostering well-being and flourishing at work, especially among healthcare professionals. She is a strong advocate for Contemplation in Action, emphasizing the integration of mindfulness into daily life and relationships to build communities grounded in authenticity and trust. In the conversation, Dr. Antico shares how her early volunteer experiences in hospitals and her Christian contemplative tradition shaped her path into neuroscience and clinician wellbeing research. We also cover: * The development of a brief app-based mindfulness intervention at Brown University that reduced burnout by 30% and anxiety by 40% in clinicians * The neuroscientific distinction between empathy and compassion and why understanding this difference matters for sustainable caregiving * Her vision for creating spaces in hospitals and universities where clinicians can pause, breathe, share experiences, and reconnect with meaning in their work Dr. Antico concludes by emphasizing the importance of building communities grounded in authenticity and trust. Links: Dr. Lia Antico LinkedIn: https://www.linkedin.com/in/lia-antico-phd-2082ab56/ [https://www.linkedin.com/in/lia-antico-phd-2082ab56/] Unwinding by Sharecare App: https://unwindingbysharecare.com/ [https://unwindingbysharecare.com/] Clinician Burnout Course (Free): https://drjud.com/clinician-burnout-course/ [https://drjud.com/clinician-burnout-course/] EmPro Website: https://www.myempro.com/ [https://www.myempro.com/] EmPro Peer Support Program: https://www.myempro.com/peer-support/ [https://www.myempro.com/peer-support/] Physician Support Line: +1(888) 409-0141 Physician Support Line Website: https://www.physiciansupportline.com/ [https://www.physiciansupportline.com/] Dr. Krasner's Website: https://mickkrasnermd.com/ [https://mickkrasnermd.com/] Mindful Practice in Medicine Website: https://mindfulpracticeinmedicine.com/ [https://mindfulpracticeinmedicine.com/] Chapters: (00:00) Empathy and Compassion (02:30) Introduction (04:00) Wellbeing and Wisdom (05:00) Early Fascination (06:00) Volunteer Experiences (08:00) Contemplative Practices (09:00) The Pediatric Unit (12:00) Neural Mechanisms of Burnout (15:00) Mindfulness Intervention at Brown (18:00) Research Findings (21:00) Empathy vs. Compassion (29:00) Current Opportunities (32:00) Contemplation in Action (34:00) Faith Informing Professional Life (38:00) Bridge Between Personal and Professional (41:00) Breathe and Share (44:00) Conclusion

4 de mar de 2026 - 46 min

Mindfulness, Self-Compassion, and the Future of Healthcare in Singapore with Dr. Virginia Lien | Flourishing in Medicine: From Surviving to Thriving #36

Today, we are joined by Dr. Virginia Lien, a physician, psychotherapist, and mindfulness teacher from Singapore who has been caring for others for four decades. Dr. Virginia Lien is a physician, psychotherapist and mindfulness teacher caring for others for four decades in Singapore. Since retiring from clinical medicine after a serious accident 12 years ago, she has recovered to start The Mindful Compassion Project in 2017. This is a not-for-profit partnership offering mindful compassion programs and retreats to promote well-being and flourishing among local professional caregivers in medicine and healthcare. Working with many gifted clinicians and medical educators locally and internationally, she is passionate about promoting Mindfulness and Compassion in Medicine to effect holistic changes both at the personal and the organizational leadership level. She believes that, together, we can bring healing back to healthcare, beginning by caring for ourselves and our dedicated colleagues. In the conversation, Dr. Lien shares how a traumatic burn injury transformed her understanding of both patient and caregiver experience, leading her to create circles of connection that ripple outward to influence healthcare culture in Singapore and beyond. We also cover: * The rapid evolution of Singapore's healthcare system and the escalating pressures on students and clinicians * Three key programs: Mindful Self-Care, Self-Compassion for Healthcare Communities, and Mindful Practice in Medicine * How small circles of practitioners create ripple effects of kindness and humanity in healthcare systems Dr. Lien concludes by emphasizing the importance of bringing mindfulness and compassion to leadership levels, noting that compassionate leadership actually strengthens resilience and connection rather than creating weakness or inefficiency. Links: The Mindful Compassion Project: https://www.themindfulcompassionproject.com/ [https://www.themindfulcompassionproject.com/] EmPro Website: https://www.myempro.com/ [https://www.myempro.com/] EmPro Peer Support Program: https://www.myempro.com/peer-support/ [https://www.myempro.com/peer-support/] Physician Support Line: +1(888) 409-0141 Physician Support Line Website: https://www.physiciansupportline.com/ [https://www.physiciansupportline.com/] Dr. Krasner's Website: https://mickkrasnermd.com/ [https://mickkrasnermd.com/] Mindful Practice in Medicine Website: https://mindfulpracticeinmedicine.com/ [https://mindfulpracticeinmedicine.com/] Chapters: (00:00) Introduction (05:28) Why Medicine (06:40) Childhood Illness (10:12) Healthcare Journey (11:30) Patient Experience (12:00) Discovering Mindfulness and Self-Compassion (13:58) Healthcare in Singapore (16:55) Pressures on Healthcare Professionals (19:15) The Mindful Compassion Project (22:24) Transformation During COVID (24:21) The Power of Connection (25:25) Scaling Programs in Singapore's Healthcare System (28:14) Community, Practice, and Regional Vision (30:00) Opportunities in China and Asia Pacific (32:22) Bringing Compassion to Leadership (34:24) Conclusion

11 de feb de 2026 - 37 min

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