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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31 EpisoderMindfulness in Swedish Medicine with Dr. Whitmer Jacobsson & Dr. Bååthe | Flourishing in Medicine: From Surviving to Thriving #31
Today, we are joined by Dr. Anamaria Whitmer Jacobsson, MD, a senior OB/GYN surgeon at Varberg and Kungsbacka Hospitals in Sweden, and Dr. Fredrik Bååthe, PhD, a senior researcher and lecturer at the Institute of Stress Medicine in Gothenburg and guest researcher at the Legeforskningsinstituttet in Oslo. In the conversation, Drs. Whitmer Jacobsson and Bååthe share their deeply personal “why,” exploring how formative experiences shaped their values of service, connection, and human potential. We also cover: * Why traditional debriefing can backfire when teams are outside their window of tolerance and what to do instead * How trauma-informed, appreciative questions help clinicians and patients heal, learn, and reconnect after crises * What sustainable healthcare looks like in practice, with lessons from a Swedish clinic achieving low burnout and high fulfillment for over 20 years Links: Dr. Whitmer Jacobsson’s LinkedIn: se.linkedin.com/in/anamaria-whitmer-jacobsson-b69b966b [http://se.linkedin.com/in/anamaria-whitmer-jacobsson-b69b966b] Dr. Bååthe’s LinkedIn: / [https://www.linkedin.com/in/fredrik-b%C3%A5%C3%A5th-10682a89/?originalSubdomain=se]www.linkedin.com/in/fredrik-b%C3%A5%C3%A5th-10682a89/ [http://www.linkedin.com/in/fredrik-b%C3%A5%C3%A5th-10682a89/] Claritatis AB: https://claritatisab.com/new-page-1 [https://claritatisab.com/new-page-1] A.L.S.O. Scandinavia: https://www.also-scandinavia.com/kurs-i-sverige/ [https://www.also-scandinavia.com/kurs-i-sverige/] SLF: https://slf.se/in-english/ [https://slf.se/in-english/] SFOG: https://www.sfog.se/kunskap/psykosocial-ob-gyn-samt-sexologi-pos-arg/ [https://www.sfog.se/kunskap/psykosocial-ob-gyn-samt-sexologi-pos-arg/] ISM: https://tinyurl.com/5n7ce2d5 [https://tinyurl.com/5n7ce2d5] LEFO: https://tinyurl.com/3mv2nbzy [https://tinyurl.com/3mv2nbzy] 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) The Why: Service and Human Connection (10:00) From Industry to Healthcare: Unlocking Human Potential (20:00) Mindful Practice and the Birth of the Swedish Model (30:00) Complexity Science and Organizational Healing (37:00) Trauma-Informed, Appreciative Inquiry in Practice (43:00) Sustainable Healthcare in Sweden (47:00) Expanding to Michigan and Beyond (51:00) Vision for the Future of Care (55:00) Conclusion
From Anatomy Lab to Arts & Humanities with Dr. Elizabeth Gaufberg | Flourishing in Medicine: From Surviving to Thriving #30
Today, we are joined by Dr. Elizabeth Gaufberg, MD, MPH, an Associate Professor of Medicine and Psychiatry at Harvard Medical School and Director of Professional and Academic Development at the Cambridge Health Alliance. In the conversation, Dr. Gaufberg shares how a formative anatomy lab moment sparked her lifelong commitment to reflective practice and using the arts and humanities to cultivate essential clinical skills. We also cover: * How the Cambridge Integrated Clerkship model preserves patient-centeredness through longitudinal relationships and relational learning * Using "third things" like visual art and poetry to teach observation, bias awareness, teamwork, and tolerance for ambiguity * Practical approaches for bringing arts-based reflection into clinical settings to support psychological safety and professional flourishing Links: Dr. Elizabeth Gaufberg Faculty Profile: https://postgraduateeducation.hms.harvard.edu/faculty-staff/elizabeth-gaufberg [https://postgraduateeducation.hms.harvard.edu/faculty-staff/elizabeth-gaufberg] Cambridge Health Alliance: https://www.chacmc.org/new-page [https://www.chacmc.org/new-page] Cambridge Health Alliance PAD: https://chacpad.org/staff [https://chacpad.org/staff] Dr. Gaufberg LinkedIn: https://www.linkedin.com/in/elizabeth-gaufberg-503a0b7a/ [https://www.linkedin.com/in/elizabeth-gaufberg-503a0b7a/] AAMC FRAHME: https://www.aamc.org/about-us/mission-areas/medical-education/frahme [https://www.aamc.org/about-us/mission-areas/medical-education/frahme] 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/] Relevant Publications: Hirsh D, Gaufberg E, Ogur B, Cohen P, Krupat E, Cox M, Pelletier S, Bor D. Educational outcomes of the Harvard Medical School-Cambridge integrated clerkship: a way forward for medical education. Acad Med. 2012 May;87(5):643-50. doi: 10.1097/ACM.0b013e31824d9821. PMID: 22450189. Gaufberg E, Hirsh D, Krupat E, Ogur B, Pelletier S, Reiff D, Bor D. Into the future: patient-centredness endures in longitudinal integrated clerkship graduates. Med Educ. 2014 Jun;48(6):572-82. doi: 10.1111/medu.12413. Epub 2014 Apr 9. PMID: 24713035. Chapters: (00:00) Introduction (03:00) Origin Story and Path to Medicine (08:00) Why Psychiatry After Internal Medicine (10:00) Formative Anatomy Lab Moment (14:00) The Arts and Humanities in Medical Education (24:00) Bringing Arts-Based Reflection to Clinical Teams (29:00) Cambridge Integrated Clerkship Model (38:00) Challenges and Boundary Issues in Relational Learning (43:00) Hypothetical Impact on Medical Culture (49:00) Personal Well-Being Practices (52:00) Conclusion and Reflection Exercises
Connection & Compassion in Physician Wellness with Dr. Catherine Pound | Flourishing in Medicine: From Surviving to Thriving #29
Today, we are joined by Dr. Catherine Pound, MSc, MPH, MD, FRCPC, Director of Physician Support and Wellness at the Canadian Medical Protective Association. Dr. Pound joined CMPA as a Physician Advisor in Safe Medical Care Learning in 2021 and became the Director of Physician Support and Wellness in 2023. She is also a pediatrician and researcher, and was an Associate Professor in the Department of Pediatrics at the University of Ottawa until 2024. Dr. Pound holds master's degrees in epidemiology as well as in public health, with a focus on health policy. Dr. Pound has obtained multiple research grants, and has been published extensively in the areas of medical education, health promotion, and clinical medicine. She has also implemented and led multiple physician wellness programs, both in clinical and administrative settings. In the conversation, Dr. Pound shares her personal journey from experiencing burnout early in her career to recognizing the widespread silent suffering among physicians and dedicating her work to systemic change that helps healthcare professionals thrive. We also cover: * How her values of connection, compassion, and curiosity led her from pediatrics through public health to physician wellness leadership * CMPA's innovative programs including peer support, longitudinal coaching, and the national Physician Wellbeing Index assessment * The critical connection between healthcare professional wellbeing and patient safety as a public health issue Dr. Pound concludes by envisioning a healthcare system where professionals give themselves permission to acknowledge when they need help, creating environments of trust, collaboration, and compassionate care. Links: Dr. Catherine Pound LinkedIn: https://www.linkedin.com/in/catherine-pound-b22a921/ [https://www.linkedin.com/in/catherine-pound-b22a921/]CMPA: https://www.cmpa-acpm.ca/en/home [https://www.cmpa-acpm.ca/en/home]CMPA Practically Speaking podcast: https://www.cmpa-acpm.ca/en/education-events/cmpa-podcasts [https://www.cmpa-acpm.ca/en/education-events/cmpa-podcasts]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(03:00) Why Medicine: Connection and Compassion(08:00) Personal Journey to Physician Wellness Work(11:00) Public Health Approach to Prevention(14:00) Physician Wellbeing as Public Health Crisis(15:00) Joining CMPA and Building Programs(17:00) Developing Evidence-Based Support Systems(22:00) Theater-Based Training and Team Approaches(25:00) Research-Driven Program Development(27:00) Envisioning the Future of Healthcare(32:00) Conclusion
Transforming Healthcare from the Inside with Dr. Donald Moore | Flourishing in Medicine: From Surviving to Thriving #28
Today, we are joined by Dr. Donald E. Moore, MD, MPH, a Yale-trained physician, longtime Brooklyn primary care doctor and hospital attending educator at Weill Cornell, Downstate and Pace. Dr. Donald E. Moore earned his M.D. and M.P.H. from Yale in 1981. He is an Adjunct Professor of Biology at Pace University and a Clinical Assistant Professor at Weill Cornell Medicine and Downstate Health Sciences University. For more than 30 years, Dr. Moore served as an Attending Physician at New York Presbyterian Brooklyn Methodist Hospital while also managing a primary care practice in Brooklyn for over 35 years. He is the former President of the Provident Clinical Society of Brooklyn and currently holds leadership positions in the Medical Society of the State of New York (MSSNY), including Chair of the Wellness and Resilience Committee and Chair of the AI Taskforce. Additionally, he has served as the past Chair of the Committee on Physician Health. Dr. Moore advocates for a healthcare system focused on patient care, access to quality medicine, and ethical doctor-patient relationships rooted in trust and beneficence. In the conversation, Dr. Moore traces his calling to medicine from a transformative college biology class through his humanistic education at Yale, sharing how ethics, trust, and beneficence guide his practice. We also cover: * Making over 20,000 house calls and what horizontal care taught him about doctor-patient relationships * His leadership in physician wellness and moving from downstream treatment to upstream prevention of burnout * Artificial intelligence in medicine and the essential role of curiosity in medical practice Dr. Moore concludes by reflecting on medicine as a calling rather than just a job, emphasizing that physicians are healers and teachers who must maintain curiosity and dedication throughout their careers. Links: Dr. Donald Moore Website: https://donaldmooremd.com [https://donaldmooremd.com] Dr. Donald Moore LinkedIn: https://www.linkedin.com/in/donald-e-moore-m-d-m-p-h-a3868868/ [https://www.linkedin.com/in/donald-e-moore-m-d-m-p-h-a3868868/] Pace University Advisory Board: https://www.pace.edu/dyson/about-dyson/advisory-board/donald-moore-76 [https://www.pace.edu/dyson/about-dyson/advisory-board/donald-moore-76] 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 (03:00) Dr. Moore’s Calling to Medicine (08:00) Yale's Humanistic Medical Education (12:00) Ethics, Trust, and Beneficence in Practice (21:00) The Art of Making House Calls (28:00) Horizontal Care and Patient Relationships (30:00) Leadership in Physician Wellness (36:00) Embracing Artificial Intelligence in Medicine (42:00) The Central Role of Curiosity (47:00) Conclusion
Building a Physician Wellness Coalition with Colleen Camenisch | Flourishing in Medicine: From Surviving to Thriving #27
Today, we are joined by Colleen Camenisch, MBA, Executive Director of the Nevada Physician Wellness Coalition. Colleen Camenisch, MBA, is an experienced Chief Executive Officer with a demonstrated history of working with leaders in the mindfulness industry and in the higher education industry and Medicine. She has a wide range of skills that include Management, Strategic Planning, Marketing Strategy, Mindfulness Based Interventions, and Public Speaking. Her strong business development experience with a post graduate training in International Business and Trade Law from United Nations' International Labour Organization (ILO) in conjunction with the University Institute of European Studies adds depth and a worldview rarely found in leaders of a community organization like the NPWC. She is a certified Mindfulness Based Stress Reduction Teacher and Teacher Trainer who regular teaches programs for the University of Massachusetts and Brown University. In the conversation, Colleen shares the deeply personal story of how losing her father to a likely medical error led her on a healing journey through mindfulness and eventually into transformative work supporting healthcare professionals. We also cover: * The grassroots evolution of the Nevada Physician Wellness Coalition from responding to physician suicides to a dynamic statewide organization * How mindfulness practice informs her leadership in navigating uncertainty and holding space for difficult conversations * The coalition's innovative programs including peer support networks, hospital leadership collaboratives, and medical student mentorship Colleen concludes by envisioning a future where healthcare professionals feel safe, valued, and have time for meaningful patient care, while sharing her hope to replicate the coalition model nationally. Links: Nevada Physician Wellness Coalition: https://www.nevadaphysicianwellnesscoalition.com/ [https://www.nevadaphysicianwellnesscoalition.com/] Colleen Camenisch’s LinkedIn: https://www.linkedin.com/in/colleen-camenisch-mba/ [https://www.linkedin.com/in/colleen-camenisch-mba/] TEDx Reno Talk: https://www.youtube.com/watch?v=hQo-CQzoW24 [https://www.youtube.com/watch?v=hQo-CQzoW24] 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 (03:00) Personal Origin Story and Loss (08:00) Finding Calling in Healthcare Support (11:00) Evolution of the Nevada Physician Wellness Coalition (15:00) Coalition Programs and Services (18:00) Collaborative Working Groups (24:00) Assessment and Net Promoter Score (25:00) Mindfulness and Leadership (30:00) Balancing Training with Broad Impact (33:00) Envisioning the Future of Healthcare (40:00) Conclusion
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