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

Front Row Seats to Humanity: Awe and the Practice of Medicine with Dr. Erica Miller & Dr. Emily Salib | FIM Podcast #41

Today, we are joined by Dr. Erica Miller and Dr. Emily Salib, educators and physicians from the University of Rochester. Dr. Erica Miller, MD, is a cardiologist and Assistant Professor at the University of Rochester. She serves as Program Director of the Internal Medicine-Pediatrics Residency Program. Dr. Emily Salib, MD, is an Assistant Professor of Medicine and Pediatrics at UR and a Med-Peds hospitalist who holds multiple faculty development and residency leadership roles. In this rich and deeply human conversation, Drs. Miller and Salib join Mick Krasner to explore awe in medicine and how wonder, moral beauty, connection, and transcendence can sustain clinicians amid the pressures of modern healthcare. We also cover: * What awe is and Dacher Keltner's research * How modern medicine may unintentionally train awe out of trainees and clinicians * How to notice and cultivate awe in daily practice * New research linking awe and sacred moments to lower rates of burnout Learn from these two physician-educators about how awe might be a powerful, accessible, and overlooked resource for sustaining meaning and well-being in medicine. Dr. Erica Miller LinkedIn: https://www.linkedin.com/in/erica-miller-md/ [https://www.linkedin.com/in/erica-miller-md/] Dr. Erica Miller Profile: https://www.urmc.rochester.edu/people/112360726-erica-miller [https://www.urmc.rochester.edu/people/112360726-erica-miller] Dr. Emily Salib Profile: https://www.urmc.rochester.edu/people/112360918-emily-salib [https://www.urmc.rochester.edu/people/112360918-emily-salib] Greater Good Science Center: https://greatergood.berkeley.edu/ [https://greatergood.berkeley.edu/] Awe by Dacher Keltner: https://www.amazon.com/Awe-Science-Everyday-Wonder-Transform/dp/1984879685 [https://www.amazon.com/Awe-Science-Everyday-Wonder-Transform/dp/1984879685] A Grateful Day (by Brother David Steindl-Rast): https://www.youtube.com/watch?v=zSt7k_q_qRU&t=28s [https://www.youtube.com/watch?v=zSt7k_q_qRU&t=28s] Gratefulness.org [http://Gratefulness.org]: https://gratefulness.org/ [https://gratefulness.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 (06:35) Why Medicine (11:25) Defining Awe (13:35) Awe During the Pandemic (18:15) Awe & Clinicians (21:25) Cultural Fears (25:20) Awe with Colleagues (28:55) Connecting with Awe (32:00) Awe & Grief (37:00) Sacred Moments (41:00) Conclusion

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

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

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

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