What You\u2019ll Learn

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Thu, 12 Nov 2026 - 28min

106 - Most Patients Have Never Heard of Direct Primary Care. A Doctor on The Traitors Is Changing That with Dr. Jay Vinnedge

Most patients have never heard of direct primary care. One family physician is introducing it to them from a downtown Oklahoma City clinic and now from NBC's The Traitors: New Blood.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Jay Vinnedge, a family physician and former Air Force flight medic who opened The Little DPC in 2023 with his wife Danielle, a PA. The two talk about how Jay filled his panel by speaking candidly on social media about what's broken in healthcare, why he caps new patients so same-day access stays real, and what changes when a practice has no billing department and no volume treadmill. Jay also gets specific about the math: a small rented office, an affordable EMR, and a breakeven point he puts at around 20 patients.

From there the conversation turns to The Traitors. Jay explains why he applied, how reading what patients leave unsaid carried over to reading other players, and what the show gave him that he didn't expect. It closes with Jay's message for employed physicians weighing a leap, and a look at whether direct specialty care could follow where DPC has led.

What You'll Learn

Why Jay built his audience on social media and why patients arrive feeling like they already know himHow removing insurance from the visit eliminates billers, coders, and the pressure to see more patientsWhat Jay's breakeven math looks like for a small DPCWhy Jay limits new patients to one a day and is hiring a second physicianHow reading what patients leave unsaid shaped Jay's approach to The TraitorsWhy Jay tells physicians weighing a leap that their MD or DO is a safety net, and why he believes most don't see the revenue they generate

Where to Find Jay and Offcall

Find Jay's practice: thelittledpc.com

Follow The Little DPC on social media: @thelittledpc

Follow Jay's personal account: @wellroundedphysician

Watch The Traitors: New Blood on NBC on Thursday nights, streaming the next day on Peacock

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Thu, 05 Nov 2026 - 33min

105 - Meet DR GPT™: Dr. Harvey Castro on Patients, Robots, and Who Will Drive AI in Medicine

By the time your patient reaches you, you may be their fourth opinion. They have already asked a chatbot, or several, and they arrive with a diagnosis, a drug name, and a level of confidence you did not create.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Harvey Castro, an emergency physician, MBA, and one of the most visible physician voices on AI in healthcare, known as DR GPT™. Before he became an AI evangelist, Harvey owned and ran freestanding emergency departments in Texas, with a payroll he personally guaranteed. He wrote one of the first medical apps for the iPhone, then wrote a book on ChatGPT in healthcare days after it launched, against the advice of friends. His message to physicians is simple: treat AI output as a draft, not a decision, and keep the clinician accountable for making the call.

Harvey and Graham get into what changes when patients show up with an AI first opinion, and why Harvey worries about both bias in the models and patients self-treating. He makes the case that generative AI is mostly a communication tool, from discharge instructions as coloring books to coaching physicians on bedside manner. He describes the personal digital twin he built from his wearables, genetics, labs, and medical record, and why he believes patients, not hospitals or governments, will drive the next wave of AI. Graham pushes back on whether the next generation will really prefer a robot to a human doctor, and the two debate what happens to the role of physicians over the next 50 years.

The conversation closes with rapid-fire takes, including whether ambient AI scribes are overhyped, why Harvey calls the human in the loop a scapegoat in the loop, what he thinks is the biggest mistake medicine could make with AI, and the one thing he says AI should never touch.

What You’ll Learn

Why patients arriving with an AI first opinion creates new risks around bias, self-treatment, and physician liabilityHow generative AI can improve communication across languages, cultures, and ages, and even coach doctors on bedside mannerWhy Harvey believes patients, not hospitals, will drive AI adoption, and what a patient “Bill of Rights” for AI could look likeWhy “human in the loop” can really mean “scapegoat in the loop”Where Harvey draws the line on what AI should never do

📖 Learn more about Dr. Harvey Castro, his apps, books, and speaking athttps://HarveyCastroMD.com

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Thu, 29 Oct 2026 - 36min

104 - Primary Care Is the API for Healthcare. So Why Is Nobody Building for It? with Jefferson Health’s Dr. David Nichols

Primary care doctors spend their days stitching together a system that was never built to connect. Dr. David Nichols thinks they should be the ones to rebuild it.

In this episode of How I Doctor, Dr. Michael Hobbs sits in for Dr. Graham Walker to talk with his friend Dr. David Nichols, a family physician who finished residency in 2023 and became a medical director at Jefferson Health a year later. David co-founded a value-based care company at 23, ran its technology side through medical school and part of residency, and now leads AI work inside a large health system. He explains why primary care is the API for healthcare, the connector that fills every gap between specialists, hospitals, and patients’ lives, and why that connector is so poorly built.

From there, Michael and David get practical. David shares how clinicians can start building, what makes an AI project stick instead of stalling after phase one, and why hours saved is a risky way to measure AI when saved time can quietly become more patients on the schedule. They also dig into a billing structure that pays doctors only when patient and physician share a room, physical or digital, and never for the thinking and coordination that make care safe.

What You’ll Learn

Why David calls primary care the API for healthcare, and why he says it is poorly writtenHow to start building if you’re a frontline clinician, from finding builders in your own network to meetups and online communitiesWhat separates AI projects that stick from pilots that stall, and why Jefferson’s boss prefers the term phase oneWhy AI scribes may not save time but can still improve the quality of a visitWhy doctors are not paid for coordination, asynchronous work, or cognitive thinking, and what David would change

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ePrescribe anytime anywhere with eNavvi

Thu, 22 Oct 2026 - 27min

103 - Is Not Asking About ChatGPT the Next Malpractice Risk? With Berkeley Law's Vincent Joralemon

Your patient asked a chatbot about their medication before they asked you. If something goes wrong, the law may care less about what the chatbot said than about whether you asked.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Vincent Joralemon, director of the Life Sciences Law and Policy Center at Berkeley Law. Vincent is a former high school biology teacher who went on to law school at Berkeley and Harvard. In his recent paper in npj Digital Medicine, “Who bears liability when AI gives bad prescribing advice?”, co-authored with Julia Etkin, he argues that the learned intermediary doctrine works differently depending on whether AI sits behind the clinician or advises patients directly, and that clinicians may be required to screen patients for AI-sourced prescribing advice. Graham expected the answer to be technology companies, but Vincent’s argument lands back on physicians.

Vincent explains the learned intermediary doctrine, the legal principle that already makes physicians the filter between drug manufacturers and patients, and why the same logic is likely to govern AI. He and Graham work through what happens when a physician follows an algorithm, when one overrides it, and how a note explaining your reasoning can be the strongest protection you have. They also get into whether asking “What did ChatGPT tell you?” is on its way to becoming a standard of care question, what de-skilling means in legal terms, and what a physician should do when a hospital mandates an AI tool they know is flawed.

The conversation closes with rapid-fire predictions, including a malpractice case that names both a physician and a chatbot company, and Vincent’s answer on the biggest legal mistake a physician can make with AI right now.

What You’ll Learn

Why the learned intermediary doctrine is the foundation of AI liability for physiciansWhy patients’ tendency to trust chatbots more than traditional sources may change a physician’s duty to ask about themHow to protect yourself when you override an AI recommendation, or follow oneWhat the law may expect of you when your hospital requires a tool you believe is faultyWhy Vincent expects settlements before court decisions, and a physician and chatbot company named in the same suit

📄 Read the paper: Etkin J, Joralemon V. “Who bears liability when AI gives bad prescribing advice?” npj Digital Medicine. 2026;9:448. https://doi.org/10.1038/s41746-026-02854-5

This episode is presented in partnership with eNavvi, a clinician-built digital prescribing platform.

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ePrescribe anytime anywhere with eNavvi

Thu, 15 Oct 2026 - 33min

102 - If AI Can Prescribe, Who's Liable When It Gets It Wrong? Four Experts Weigh In

In the first-ever How I Doctor Roundtable, Dr. Graham Walker brings together four people who see prescribing from four different seats: Dr. Simon Chang, an internal medicine physician, AI Task Group lead for NCPDP, and founder of eNavvi; Tanvi Patel, Vice President and General Manager of Amazon Pharmacy; Deepika Srivastava, Chief Operating Officer of The Doctors Company, the nation's largest physician-owned malpractice insurer; and David Simon, Associate Professor of Law at Northeastern University.

Together they dig into why prescribing in 2026 still runs on one-way messages and guesswork, why the prescriber is usually the last to learn a patient never got their medication, and how real-time price, stock, and delivery data could change treatment decisions at the point of care. They also take on the harder questions: how AI concentrates liability, why broken handoffs (not bad clinical decisions) drive so much malpractice risk, and what physicians should do to protect themselves while the law and regulation catch up.

The common thread: physicians stay in charge of clinical decisions, and everyone else's job is to make that safer and easier.

This episode is presented in partnership with eNavvi, a clinician-built digital prescribing platform.

What You'll Learn

What really happens after a physician hits send, and why the prescriber is usually the last to know when a prescription fails.How real-time price, stock, and delivery data at the point of prescribing could change treatment plans.Why e-prescribing shifted the burden of choosing a pharmacy from patients to physicians, and how putting the digital script back in patients' hands could restore choice.Why AI prescribing concentrates liability, and what a malpractice carrier and a health law professor say physicians should do right now.Why labeling AI involvement in prescriptions matters for audit trails, accountability, and trust.

Where to Find The Panel

Dr. Simon Chang: https://www.linkedin.com/in/docschang/

Tanvi Patel: https://www.linkedin.com/in/tanvipatel/

Deepika Srivastava: https://www.linkedin.com/in/deepika-srivastava-1041257a/

David Simon: https://davidasimon.us /

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Thu, 08 Oct 2026 - 40min

101 - Why Can't Good Medical Advice Go Viral? Dr. Mike Evans on Health Communication in the Influencer Era

Every physician has met the patient who arrives with a confident claim from a feed, a podcast, or a supplement ad. The careful, evidence-based answer is the one that sounds like the outlier. Good medicine is nuanced, and nuance rarely travels.

In this episode of How I Doctor, Dr. John Schumann sits in for Dr. Graham Walker to talk with Dr. Mike Evans, a family physician best known for a whiteboard, a marker, and a question that became a phenomenon: What is the single best thing we can do for our health? Mike practiced inner city family medicine for 15 years, taught at the University of Toronto, and later brought his approach to health innovation at Apple. His whiteboard videos have been watched tens of millions of times.

Mike and John dig into the gap between knowing and doing. Mike shares what he learned about behavior change building health programs at Apple scale, including a 900-person asthma trial published in JAMA that cut emergency room visits by 42% among Medicaid patients. They also take on the influencer economy, from the halo effect to paid promotions, and Mike makes his case that the basics of movement, connection, sleep, diet, and agency still deliver the highest return in health.

The conversation closes with Mike's research on retirement, his read on where wearables and AI are headed over the next year, and the Evans Health Lab Substack he is building as a counterweight to bad influencers.

What You'll Learn

Why the most evidence-based health advice struggles to go viral, and why Mike believes audiences will still reward authenticityHow the halo effect and undisclosed paid promotion shape what patients believe about healthWhy behavior change depends more on environment, peers, and personalization than on willpowerWhat an Apple asthma trial showed about who benefits most from digital health toolsWhy the basics still have the best returns in medicine, and what the evidence says about retirement, social connection, and the brain

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Thu, 01 Oct 2026 - 30min

100 - How Dr. Keith Matheny Turned His Practice's Biggest Headaches Into Businesses, While Still Seeing Patients

Most physicians finish training without a single business class, then spend their careers inside practices run the same way. Dr. Keith Matheny decided to fix that, starting with his own.

In this episode of How I Doctor, guest host Dr. Basil Kahwash sits down with Dr. Keith Matheny, an ENT in the Dallas area who holds patents on bioabsorbable drug delivery implants, has co-founded device and remote monitoring companies, serves as team otolaryngologist for the Dallas Cowboys, and still keeps a full clinic schedule. Keith explains how, before he was even a partner, he took over operations at a practice with paper charts, no website, a leaky revenue cycle, and ancillary services that were losing money, and turned it into one with new locations, new referral streams, and service lines that supported the rest of the practice.

That turnaround became a consulting business and then US ENT, a national group purchasing organization. Keith walks through why supply costs have exploded for office-based specialties, why he signed up suppliers before he had a single physician member, and how early suspicion that he was a private equity "Trojan horse" gave way to rapid growth when COVID shutdowns left practices scrambling to make payroll. Today the GPO is free to join and has about 3,500 members.

The conversation closes on why Keith refuses to leave the exam room, how staying clinical keeps him credible with colleagues facing the same rising costs he is, and his advice for physicians who want to build something of their own: get involved, protect your ideas, and just start.

What You'll Learn

What Keith found when he took over the business side of his practice, and how he turned money-losing service lines into profit centersWhy community practice gave him more freedom to patent and commercialize his inventions than an academic path would haveWhy Keith recruited suppliers before physicians, and how COVID turned skeptics into membersHow rising payroll, rising supply costs, and flat reimbursement are squeezing independent practices, and why Keith feels it as much as his members doKeith's case for why physicians should shape AI rather than fear it

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Thu, 24 Sep 2026 - 27min

99 - Cut Out the Middleman, Keep the Patients: Dr. Chloe Kindred on Building a Direct Primary Care Practice From Zero

Most doctors who complain about their employed job never actually leave. Dr. Chloe Kindred did, with no backup plan the first time and a real one the second.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Chloe Kindred, a family physician who spent three years in a hospital-affiliated system in Central Florida before leaving to launch Kindred Family Medicine, a direct primary care practice opening this October. Chloe walks through exactly how an employed job that started out manageable became untenable: a starter panel that tripled within months after three colleagues left in close succession, unpaid hours that crept from thirty minutes early into full weekend mornings, and a request to simply pause new patients that her health system flatly refused.

What follows is a real-time account of building an independent practice from nothing, from pricing a subscription against other DPC practices in the region to picking an EHR and billing platform to the bureaucratic loops of setting up basic infrastructure like prescribing credentials. Along the way, an unscripted Instagram post she made mostly so patients could find her after she left turned into 800,000+ views and a 230-person pre-enrollment waitlist, more than double her original year-one goal.

The conversation closes on why Chloe thinks direct primary care specifically, not just independence broadly, is the model that actually removes the risk she couldn't tolerate: a payer able to unilaterally rewrite the terms of her own work.

What You'll Learn

What happened when Chloe asked her health system to simply pause new patient intake, and why the answer was noThe story of her first resignation: submitted with zero plan, rescinded twelve hours laterWhat actually convinced her to quit for good, and why it wasn't burnout but a single contract emailHow she's pricing, staffing, and sizing Kindred Family Medicine, and what tools she chose to run itWhy an unscripted Instagram post now has 800,000+ views, and how it turned into a 230-person waitlist before she saw a single patientChloe's case for direct primary care

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Thu, 17 Sep 2026 - 35min

98 - These Physicians Explain Why They'd Never Go Back to Being Employed

Something kept happening on Offcall that we didn’t plan for. Guest after guest, across totally different specialties, kept circling back to the same decision: walking away from employed medicine and building something of their own instead.

This Labor Day, instead of one long conversation, How I Doctor is pulling together the sharpest moments from five of those conversations, physicians in primary care, pediatrics, allergy, and ENT, who each found their own path to independence and never looked back.

Featured in This Episode

Dr. Farzad Mostashari, Former National Coordinator for Health IT and CEO of Aledade: on the economics behind why independent primary care is making a financial comeback, and why he calls employed physicians "cogs in a machine" built around someone else's goals.Dr. Ari Brown, Pediatrician and founder of 411 Pediatrics: on what it takes to stay independent for over thirty years, and her stark warning that independent pediatric practice is now "on the extinction list."Dr. Paulius Mui, Family medicine physician and founder of XPC Health: on walking away from full-time employed primary care to build a direct primary care practice where patients pay what they can afford.Dr. Basil Kahwash, Allergist/immunologist and co-author of Offcall's Referral Manifesto: on the isolation that comes with independent practice, and his vision for a connected network that fixes it.Dr. Bradley Block, Otolaryngologist and board member at ENT and Allergy Associates: on how a 170-partner, full-equity ownership model became too big and too democratic for private equity to buy.

Resources and Where to Find Our Guests

Dr. Farzad Mostashari's full episode:The Future of Primary Care Is Independence, And It's More Lucrative Than You ThinkDr. Ari Brown's full episode:What Happened to Trust Between Parents and PediatriciansDr. Paulius Mui's full episode:Reinventing Primary Care to Put Patients FirstDr. Basil Kahwash's full episode: Going Independent Doesn't Mean Going It AloneDr. Bradley Block's full episode:The Physician-Owned Practice That Private Equity Can't BuySubmit a comment on the CMS CY 2027 Physician Fee Schedule (file code CMS-1848-P): regulations.govRead the Referral Manifesto: offcall.com/manifestoLearn about Offcall's referral product and new Lounges feature: offcall.com/referrals

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Thu, 10 Sep 2026 - 20min

97 - Medicine Is Headed Toward Semi-Autonomous Care. Are Doctors Ready? With Counsel Health CMO Rishi Khakhkhar

A recent JAMA perspective argued that AI already outperforms physicians in many cases. One emergency physician building an AI health company thinks that argument gets the timeline right and the conclusion wrong.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Rishi Khakhkhar, an emergency physician at Mount Sinai and Chief Medical Officer of Counsel Health, an AI-enabled virtual care company. Rishi splits his week between ER shifts and building toward what he calls semi-autonomous care, a deliberate middle stage between fully human and fully automated medicine.

The two start with the patients Rishi sees in the ER who never needed to be there, then work through how AI-assisted, physician-supervised care actually functions in practice: an AI takes a full history first, flags when a physician should join, and leaves the decision to escalate in the patient's hands. From there the conversation turns to the JAMA piece itself, with Rishi agreeing that AI can already outperform physicians on narrow tasks like reading subtle EKGs, while pushing back hard on the idea that human-in-the-loop care is holding medicine back. He compares it to Waymo's years of supervised driving before removing the human behind the wheel, and argues medicine shouldn't rush that same transition.

The conversation closes on what's structurally in the way: a 50-state licensing system built for a pre-internet world, the deskilling risk facing residents who train alongside tools that already outperform them, and what Rishi thinks primary care looks like in 2036, when it may no longer be built around a relationship with one person at all.

What You'll Learn

How AI-assisted care actually works: what the AI is allowed to decide, and what always escalates to a physicianWhere Rishi agrees and disagrees with the JAMA perspective arguing AI already beats doctorsWhy Rishi resists skipping past human-in-the-loop careWhat Rishi tells residents they still need to learn without AI, and what he thinks doesn't matter as much anymoreWhat Rishi thinks primary care looks like by 2036

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Thu, 03 Sep 2026 - 35min

96 - The Physician-Owned Practice That Private Equity Can't Buy With Dr. Bradley Block

Private equity has been buying up ENT and allergy practices at a fast clip. One group has stayed independent and grown into the largest player in its space anyway.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Bradley Block, an otolaryngologist and board member at ENT and Allergy Associates, the country's largest ENT, allergy, and audiology practice. Brad is also the voice behind Succeed in Medicine, a physician communication podcast he ran for years and hundreds of episodes before stepping away this spring.

The two start with why Brad built a podcast in the first place, a solo project born out of a long commute and a simple question: how were his partners seeing more patients per hour than he was without sacrificing the visit. From there the conversation turns to ENTA itself, a practice built on a contract every incoming physician can read on day one, one with a clear, no buy-in path to full equity partnership. That structure now spans roughly 170 partners, and Brad makes the case that scale, not resistance, is exactly what keeps private equity away. He also gets specific about what it costs to build a model like this: founding partners who sacrificed financially to create it, then retired with no buyout at all.

The conversation closes on where the real disadvantage lies for independent practices, not efficiency or leadership, but lobbying power on Capitol Hill, where large health systems can outspend independent groups on influencing the reimbursement rules everyone has to live by.

What You'll Learn

Why Brad built a physician communication podcast because the one he needed didn't existHow ENTA's contract guarantees a clear, no buy-in path to full equity partnership for every incoming physicianWhy a 170 partner structure is nearly impossible for private equity to acquire, and why Brad argues it wouldn't even helpWhat the founding partners gave up to create the model ENTA runs on todayThe one question Brad tells physicians to ask before joining any practice, and why the leverage to ask it disappears the moment they sign

Resources and Where to Find Brad

Find Brad on LinkedIn: Find Brad's ENTA profile: Succeed in Medicine (podcast archive): succeedinmedicine.comFind Brad on Instagram and Threads: @succeedinmedicine

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📝 For a full transcript of this episode click HERE

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Thu, 27 Aug 2026 - 35min

95 - Dr. Ari Brown on What Happened to Trust Between Parents and Pediatricians

Dr. Ari Brown is a pediatrician in Austin, Texas, who has run her own independent practice, 411 Pediatrics, for more than 13 years and been a pediatrician for more than 30. She's the author of the bestselling Baby 411 series, Baby 411, Toddler 411, and the newly released Expecting 411, books that have sold millions of copies and made her one of the most trusted parent educators in the country. Every new edition means going back and correcting the record, including reversing her own earlier guidance to delay introducing peanuts and eggs once the evidence flipped.

In this episode of How I Doctor, Dr. Graham Walker talks with Ari about what happened to trust between parents and pediatricians, and what it actually takes to hold that trust together while the ground underneath the science keeps shifting. They dig into why vaccines have become victims of their own success, as parents who've never seen measles or chickenpox come to fear the shot more than the disease, and why so many pediatricians have moved onto social media to fight misinformation directly. Ari reframes physicians as teachers first, and walks through the honesty and communication skills she thinks medical training still underserves.

Ari and Graham also get into how instant portal access to labs and imaging has reshaped the emotional weight of practicing medicine, how she coaches families through screens and digital parenting, and what she's seeing families care about most today, from nutrition to developmental milestones. The conversation closes on a warning: with margins this thin, Ari believes independent pediatric practices, and the kind of long-term, trusted care they provide, are genuinely at risk of disappearing.

What You'll Learn

Why Ari calls vaccines "victims of their own success" and what that means for how parents perceive riskWhy she believes physicians are teachers first, and what medical training still gets wrong about communicationHow instant portal access to labs and imaging has quietly reshaped physician workload and burnoutWhat's actually changed for families in the last decade, from screen time to a growing focus on developmental milestonesWhy Ari believes independent pediatric practice is at real risk of disappearing, and what's at stake if it does

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Thu, 20 Aug 2026 - 33min

94 - Dr. Karandeep Singh Doesn’t Trust AI Blindly. That’s Exactly Why UC San Diego Health Trusts Him With It

Dr. Karandeep Singh is a practicing nephrologist, an informaticist, and the inaugural Chief Health AI Officer at UC San Diego Health, where he also leads the Joan and Irwin Jacobs Center for Health Innovation. Back in 2021 at the University of Michigan, he published research questioning Epic's own sepsis model, finding it worked only about 63% of the time and that a clinician might have to evaluate eight separate alerts just to find one real case of sepsis. He's one of the rare people who has been on both sides of AI in medicine, exposing a flawed model and now deciding which ones get deployed at all.

In this episode of How I Doctor, Dr. Graham Walker talks with Karandeep about what it actually takes to govern AI inside a health system, and why the doctors who trust AI the least are often the ones best equipped to run it. Karandeep traces his path from teaching himself to code at age eight, through building tools to solve his own clinical frustrations in training, to formally discovering biomedical informatics as a field only during his nephrology fellowship.

Karandeep and Graham dig into why generative AI feels transformative to physicians while predictive AI often doesn't, even when the data shows it's saving lives. They walk through a real case study of using agentic AI to automate pre-colonoscopy prep calls without cutting nurses out of the loop, and unpack what a Chief Health AI Officer's job actually involves day to day. The conversation closes on Karandeep's case for regulatory sandboxes, structured ways to test AI-enabled care models that current rules don't yet allow, and his prediction for where AI scribes are headed next.

What You'll Learn

Why Karandeep's research found Epic's sepsis model wasn't doing what its own model card claimedWhy predictive AI creates work that's hard to feel, while generative AI's time savings are noticeable almost dailyHow UC San Diego Health automated colonoscopy prep calls with AI while keeping nurses at the center of careWhat a Chief Health AI Officer actually does across evaluation, governance, and implementationWhy Karandeep believes regulatory sandboxes, not blanket approval, are how AI expands access to care

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Thu, 13 Aug 2026 - 35min

93 - Running Kaiser's Largest Medical Group Taught Former CEO Dr. Robert Pearl What’s Actually Broken in Healthcare

Dr. Robert Pearl spent 18 years as CEO of The Permanente Medical Group, the nation's largest physician-led medical group, where he oversaw the care of more than 5 million Kaiser Permanente members delivered by 10,000 physicians and 38,000 staff. He's since become one of healthcare's most direct critics from the inside, a Forbes healthcare contributor, a LinkedIn Top Voice, and the author of the Washington Post bestseller "Mistreated" and his newest book, "ChatGPT, MD," which argues generative AI will become as essential to physicians as the stethoscope.

In this episode of How I Doctor, Dr. Graham Walker sits down with Robert, his former CEO, to trace some of the hardest calls of his tenure, including the lunchroom video he made to prepare 10,000 physicians and staff for the uncertainty of the Affordable Care Act. That instinct for delivering an uncomfortable diagnosis before anyone wants to hear it runs through the entire conversation.

Robert doesn't think AI's biggest opportunity in healthcare is cutting physician headcount. He argues the real prize, close to $1.8 trillion by his estimate, is preventing the chronic disease that drives most heart attacks, strokes, and kidney failure before it ever starts.

Graham and Robert get into why fee-for-service quietly rewards a patient staying sick, how hospital consolidation and private equity have monetized medicine in ways unique to the United States, why he believes capitation is the prerequisite for AI to actually work, and what a routine doctor's visit could look like in five years if his vision plays out.

What You'll Learn

Why Robert says cutting physician jobs is the wrong AI strategy for hospitalsThe real math behind the $1.8 trillion he says is sitting in chronic disease preventionWhy fee-for-service rewards treating a complication over preventing oneHow capitation changes what a physician group is financially motivated to want for a patientWhat Robert thinks a doctor's visit looks like in five years

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Thu, 06 Aug 2026 - 36min

92 - Dr. Jordan Shlain: Insurance Killed Primary Care, So I Built a Practice Without It

Dr. Jordan Shlain is an internist,= and founder of Private Medical, one of the longest-running concierge practices in the country, and a doctor who has spent 25 years arguing that primary care should never have been bundled into health insurance in the first place. His practice, and his writing on Substack at Don't Listen To Me, have made him one of concierge medicine's most direct voices, direct enough that the New England Journal of Medicine recently devoted a piece to asking whether his model has something to teach the rest of primary care.

In this episode of How I Doctor, Dr. Graham Walker sits down with Jordan to trace the origin story back to when a canceled business meeting sent Jordan wandering into a hotel lobby, where he talked his way into becoming the on-call physician for the Mandarin Oriental. That accidental job became San Francisco On Call Medical Group, then Private Medical in 2002, and eventually a 25-year experiment in what happens when a doctor's incentives and a patient's health point in exactly the same direction.

Jordan doesn't hedge. Insurance, he argues, is a financial hedge against catastrophic loss, not a mechanism for a doctor visit, and folding primary care into that system created most of the dysfunction physicians and patients feel today.

Graham and Jordan get into the actual economics of membership-based primary care, why fee-for-service quietly rewards a patient staying sick, what trust really means when it's stripped down to a promise instead of a marketing term, and why Jordan believes AI will only help physicians if it restores their agency instead of adding another layer of control.

What You'll Learn

Why Jordan argues insurance was never built for routine primary careThe real math behind a membership-based practiceHow a flat annual membership changes what a doctor is financially motivated to want for a patientThe real definition of trustJordan's prediction that 90 percent of healthcare could already move to email, text, and videoWhat Jordan would eliminate from healthcare tomorrow if he could

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Thu, 30 Jul 2026 - 33min

91 - 51 of the Top 100 Healthcare Companies Had a Physician Founder: Dr. David Lortscher Explains Why

Dr. David Lortscher is a dermatologist turned founder of Curology, one of the first companies to combine telehealth, prescription skincare, and a subscription model into something patients would actually use. He's also the author of a new book making a data backed case that should unsettle every hospital administrator who's ever doubted a physician founder: Why Doctors Win.

In this episode of How I Doctor, Dr. Graham Walker sits down with David to trace his path from a dermatopathology fellowship waiting for him at UCLA to starting Curology, and then a decade later stepping back from the CEO seat. That gave him time to go looking for proof that his own success wasn't a fluke.

What he found is that 51 of the top 100 healthcare companies founded in the last 40 years had a physician founder!

Graham and David get into why the doctor plus engineer pairing keeps showing up in the biggest healthcare success stories, the blind spot that trips up even smart physician founders, and David's blunt rule for anyone gathering advice before making the leap: take the inputs, not the conclusions.

What You'll Learn

Why physician founded healthcare companies outperform at roughly 3x the rate you'd expect from their overall representation among foundersThe doctor plus engineer combination that shows up in 7 of the 10 companies profiled in Why Doctors Win, and why it worksHow an MD behind your name changes the way you sell into a hospital, from the CMO's office up to the CEO and CFOThe most common blind spot physician founders hit: falling for the technology itself instead of the harder question of who will actually pay for itDavid's rule for gathering advice from as many people as possible while still keeping the final decision your own

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Thu, 23 Jul 2026 - 30min

90 - What Does Good AI in Healthcare Look Like? CHAI CEO Brian Anderson Is Trying to Get Every Hospital in America to Agree

Dr. Brian Anderson is a pediatrician turned CEO of the Coalition for Health AI (CHAI), the organization behind the push to give every AI tool in your EHR something like a nutrition label: what it was trained on, who trained it, and where it might fail.

In this episode of How I Doctor, Dr. Graham Walker sits down with Brian to trace his path from a Mass General exam room, where a clunky EHR rollout first pushed him toward building technology instead of just using it, to running a coalition of more than 3,000 organizations trying to agree on one deceptively hard question: what does good AI in healthcare actually look like.

They also break two major pieces of news together, live on the show. OpenAI and Anthropic are donating thousands of AI licenses to public health agencies through CHAI, aimed at rebuilding trust in digital tools after decades of underinvestment. And CHAI is launching a health sector specific version of Anthropic's Project Glasswing, bringing serious cybersecurity firepower to the industry Brian calls the most attacked critical infrastructure in the country.

Graham and Brian also get into what "human in the loop" should really mean for a working physician, why model cards solve procurement but not the fifteen-minute exam room, and what CHAI is doing to finally connect AI performance to real clinical outcomes.

What You'll Learn

What CHAI's model cards actually tell a physician, and the gap that still exists between hospital procurement and the exam roomThe details of CHAI's new partnership with OpenAI and Anthropic, and what it means for public health agencies gaining free access to Claude and ChatGPTWhy CHAI is bringing a health sector version of Anthropic's Project Glasswing to hospitals, the most attacked critical infrastructure sector in the countryHow CHAI plans to measure whether AI tools are actually improving patient outcomes, not just getting deployed

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Thu, 16 Jul 2026 - 31min

89 - Two Surgeons Explain Why U.S. Healthcare Is So Broken And Can't Be Reformed From Inside, from Wendy Dean's 43cc Podcast

A few weeks ago, Graham sat down with Dr. Wendy Dean, co-founder of Moral Injury in Healthcare, for one of his favorite conversations this show has ever recorded. It's the kind of episode that changes how you talk about your own job.

That's why this week, How I Doctor is doing something new: handing the feed over to Wendy's own show, 43cc, which she co-hosts with orthopedic surgeon Dr. Matt Ramsey. 43cc bills itself as informal, informative, and irreverent, and if this episode is representative, that's undersold. It's the conversation you'd have with a colleague after a brutal clinic day, if you let yourself say the quiet part out loud.

In this episode, Wendy and Matt start from a real patient encounter, a $3,100 out-of-pocket shoulder MRI on a $6,500 deductible, and use it to walk through exactly how the system got this expensive and this hard to fix from the inside. They don't stop at diagnosing the problem. They name the specific legislative mechanism (a provision buried in the Affordable Care Act) that keeps physicians from building an alternative, and the bills currently in Congress trying to undo it.

What You'll Learn in This Episode:

Why one patient's $3,100 out of pocket MRI charge reveals exactly how high deductible plans are designed to work against patients, not for themThe real difference between concierge medicine and direct primary care, and why Wendy argues only one of them actually changes the underlying cost of careHow Section 6001 of the Affordable Care Act froze the growth of physician owned hospitals in 2010, and why reversing it has become one of the more promising paths to real competition in healthcareWhy employer sponsored health plans, not federal legislation, may be the most realistic lever for forcing change in how insurers and hospitals operate

Subscribe to 43cc wherever you get your podcasts to hear more from Wendy Dean and Matt Ramsey. Full episode and show notes here:43ccpodcast.com

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Thu, 09 Jul 2026 - 39min

88 - 40+ Authors, 9 Specialties, and a Book Written by the Next Generation of Doctors: Emily Leventhal and Rishma Jivan on The Physician's Guide to AI From Offcall and MD+

Emily Leventhal is a third-year MD-PhD student at the Icahn School of Medicine at Mount Sinai. Rishma Jivan is a fourth-year at Rush Medical College who spent years inside San Francisco health tech startups before going back to medical school. Together they co-led The Physician's Guide to AI, a nine-specialty e-book built with more than 40 physician authors, published in partnership with MD+.

In this episode of How I Doctor, Dr. Graham Walker sits down with Emily and Rishma to find out what medical training actually looks like from inside the AI shift. What's really happening on rotations, in the hallways, and in the conversations students are having with attendings who don't always know what to make of it.

They dig into the "hidden curriculum," the unwritten norms of medical training that AI is starting to help close for students who don't come from medical families, and why Rishma refuses to let herself trust an AI output without teaching herself to critique it first. Emily makes the case that AI won't just change how physicians practice, it will change which specialties students choose to go into at all. And both push back on the idea that relying on these tools is a shortcut, describing it instead as a discipline they're still building the rules for in real time.

This isn't about students skipping the hard parts of training. It's about a generation building the habits and guardrails the rest of medicine hasn't caught up to yet.

📖 Download The Physician's Guide to AI: https://www.amazon.com/dp/B0GY36B58Z

What You'll Learn

Why every medical student is already using ChatGPT to prep for cases, and why that's different from the smaller group actually building AI tools.What the "hidden curriculum" is, and how AI is helping close that gap for students without a medical background in the family.How to guard against automation bias: the habit of verifying an AI output against its source before trusting a clinical recommendation.Why AI's impact on a specialty may become a real factor in how students choose where to train.

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Thu, 02 Jul 2026 - 35min

87 - Your Patient Trusts ChatGPT More Than You Now: The New Yorker's Dr. Dhruv Khullar on Medical Authority in the Age of AI

Dhruv Khullar is a hospitalist at New York Presbyterian, a health policy researcher at Weill Cornell, and a contributing writer to The New Yorker. That combination is rarer than it should be. Most physicians writing about medicine observe it from a remove. Dhruv rounds on patients in the morning, then sits down to report on what medicine is becoming for one of the most widely read publications in the country. What he writes carries clinical weight because he was just in the room.

Over the past several years, Dhruv has reported at length on AI and its risks for clinical training, the structural forces reshaping the profession, and what he calls the Gilded Age of American medicine: dazzling innovation on the surface, structural rot underneath. That rot has a specific anatomy. Private equity now owns roughly 500 hospitals in the United States, and in some markets a single firm controls more than half of physician practices in a given specialty. Medicare Advantage insurers have turned risk-adjusted payment into a revenue strategy, systematically capturing diagnostic codes for conditions patients may not know they have and that no physician is treating, because sicker-looking patients generate more money. The value-based care revolution that many physicians believed in, Dhruv included, has not delivered on its promise. And all of it is happening while AI is simultaneously raising the ceiling of what medicine can do and quietly lowering the floor of what training physicians are being asked to do themselves.

In this episode of How I Doctor, Graham sits down with Dhruv to get into what his reporting has actually uncovered and what it means for physicians living inside this moment. They talk about the difference between cognitive deskilling and cognitive foreclosure: the risk that medical trainees who turn to AI before doing the hard thinking themselves may never build the reasoning infrastructure that clinical judgment depends on. Dhruv describes watching an AI model called Cabot go head to head with one of the best diagnosticians he has ever trained alongside on a New England Journal CPC case, and nearly gasping when the machine finished in minutes. They also get into what happens to medical authority when a patient in your ER trusts ChatGPT over the physician standing in front of them, how Medicare Advantage is being gamed, and whether medicine can still be a calling after the system has spent years making it feel like a job.

What You'll Learn in This Episode:

Why cognitive foreclosure may be a bigger threat to physician training than cognitive deskillingWhat Dhruv witnessed when an AI went up against one of the best diagnosticians he has ever trained alongside, on one of medicine's hardest diagnostic case formats, and why it made him nearly gaspHow Medicare Advantage insurers have turned risk adjustment into a revenue strategy Why the most successful version of physician advocacy will be built around patient needs rather than professional statusWhether medicine can still be a calling after the system has spent years turning it into a job

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Thu, 25 Jun 2026 - 37min

86 - How Stanford Health Care Is Rethinking What AI Should Actually Do for Clinicians with CIO Dr. Michael Pfeffer

Dr. Michael Pfeffer is Stanford Healthcare's Chief Information Officer and a practicing hospitalist, which means he builds AI tools in the morning and uses them on patients that afternoon. That combination is rarer than it should be, and it shapes everything about how he thinks.

Stanford is one of the most AI-forward health systems in the country. It runs 1,500 software applications, has put generative AI into the hands of its clinicians through ambient documentation and a plain-language chart querying tool called ChatEHR, and has published the outcomes of all of it, including the parts that did not go as expected. Mike's argument is that none of that is the point. Healthcare spends three times more on AI than any other industry, and most of that investment is going toward automating processes that were broken to begin with. Digitizing the way medicine has always been done is not transformation. The real opportunity is redesigning what the encounter itself looks like, offloading guideline-driven busywork to agents that can own it, and building toward a world where the right test is ordered the first time and the right drug is prescribed before the patient leaves the room.

In this episode of How I Doctor, Graham sits down with Mike to get into what Stanford has actually built, what the data shows, and what distinguishes a health system that deploys AI responsibly from one that just deploys it. They also get into clinical AI governance, how physicians interact with decision support versus how they should, whether the next generation of trainees is losing its curiosity or still has it, and what Mike's ideal AI-enabled hospital day actually looks like in five years.

What You'll Learn in This Episode:

What the difference between digitizing and transforming healthcare actually means in practiceWhy healthcare spending more on AI than any other industry may be a sign of lag, not leadershipHow Stanford uses the FURM framework to evaluate every AI applicationWhy the biggest mistake medicine could make with AI is buying a lot of it without understanding the value, and what responsible deployment actually requiresWhy Mike is less worried about AI deskilling the next generation of physicians than most and what he saw on rounds last week that gave him confidence

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Thu, 18 Jun 2026 - 35min

85 - Meet the Doctor Who Went Anonymous to Say What the Rest of Us Can't: The Story of Dr. Orange

Dr. Orangeis a primary care physician, one year out of residency, practicing somewhere in the United States at a health system she can't name. She posts on TikTok as a talking orange, with her face obscured and her voice altered, because showing up as herself would cost her too much. Her employer might find out. Her patients might lose confidence in her. And after years of training and too much debt, she cannot afford either.

What she says from behind that mask is not radical. It is what physicians say to each other in workrooms, in parking lots, in group texts that will never see the light of day. That the job is not what they signed up for. That the administrative burden is crushing. That corporate medicine has turned patient care into customer service. That they feel like children being managed by a system that owns them.

She said it anyway. Thousands of people have found her.

In this episode of How I Doctor, Dr. Graham Walker sits down with Dr. Orange for the most candid conversation about the state of medicine you will hear from a physician who is still inside it. They cover the financial trap that keeps early-career doctors locked in jobs they want to leave, the expectation gap that nobody warns you about before you become an attending, what would actually have to change for her to love her job, and why the anonymous fruit salad of healthcare workers she accidentally created online is one of the most honest signals medicine has produced in years.

What You'll Learn in This Episode:

Why physicians who speak honestly about hating their jobs risk their patients, their employers, and their careers, and what it says about medicine that anonymity is the only safe container for that conversationWhat the first year of attending life actually looks like when residency ends and the full weight of portal messages, non-clinical requirements, and production pressure lands all at onceHow student loan debt and restrictive contracts function as a structural trap that keeps early-career physicians in systems that are making them miserableWhy autonomy, not salary, may be the variable that determines whether the next generation of physicians stays in medicine at all

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Thu, 11 Jun 2026 - 34min

84 - Moral Injury Is Why The Best Doctors Are Disappearing with Dr. Wendy Dean

Dr. Wendy Dean is a psychiatrist, author, and the co-founder of Moral Injury of Healthcare, a nonprofit dedicated to understanding and alleviating clinician distress. In 2018, she co-wrote a 500-word op-ed in STAT News that did something rare: it handed an entire profession the language for something most physicians had been carrying alone. The argument was simple and devastating.

Physicians aren't burning out.

That implies a personal failure of resilience. What's actually happening is moral injury, the damage that accumulates when you are repeatedly forced to act in ways that violate your own moral code.

That piece started an international conversation that Wendy has been leading ever since, through her book "If I Betray These Words," her podcast 43cc, and her ongoing research and consulting work with health systems around the world.

In this episode of How I Doctor, Dr. Graham Walker sits down with Wendy to go deep on what moral injury actually is, why getting the language right matters so much, and what a healthcare system that takes clinician distress seriously would actually need to look like. They cover AI's entry into an already fractured system, the EMR as a cautionary tale the profession is at risk of repeating, and the grief that comes with watching a profession you love get slowly hollowed out.

What You'll Learn in This Episode:

Why burnout and moral injury are distinct problems that require fundamentally different solutions, and why naming it correctly changes where responsibility sitsWhat it actually feels like to be morally injured, and why the absence of a bid to repair a betrayal is often where the real damage sets inHow physicians are trained to be independent thinkers and then placed in systems that give them no authority, no agency, and all of the responsibilityWhy Wendy believes AI is walking into the same trap as the EMR, and what the liability question nobody in health law has answered yet tells us about where this is headingWhat gives Wendy genuine hope that medicine gets to the other side, and why the grief physicians are carrying right now is also a signal that the fight is not over

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Mentioned in this episode:

It's all coming together

Abridge is hosting its first-ever Keynote, live from New York City and streaming globally for the Offcall community. Join Abridge CEO and Founder, Dr. Shiv Rao, for a presentation on the future of AI in healthcare. Register at https://events.abridge.com/keynote

Thu, 04 Jun 2026 - 35min

83 - Now Is Not the Time for Silence. Dr. John Whyte on the AMA, AI, and the Stakes for Physicians Right Now

Dr. John Whyte is a board-certified internist who has spent his career at the intersection of medicine, policy, media, and technology. He served at the FDA, built a reputation as one of medicine's most trusted public communicators at WebMD, and 10 months ago became CEO and Executive Vice President of the American Medical Association, the oldest and largest physician organization in the United States.

Whyte came into the role with a candid assessment: the AMA had lost some of its relevance and impact, and needed to become a real force for physicians and patients in Washington again. He's now leading that effort at a moment when the profession is navigating burnout, prior authorization, scope creep, a rapidly shifting AI landscape, and a payment system that fails to make the case for what physicians actually contribute to patient safety and access.

In this episode of How I Doctor, Dr. Graham Walker sits down with John to cover what the AMA is focused on right now and why, how AI is already reshaping the way physicians practice whether they're ready or not, and what it means that the efficiency gains from AI tools are largely flowing to health systems rather than back to physicians or patients. They also get into the harder question underneath all of it: who speaks for physicians when the stakes are this high, and what happens to the profession if physicians stay on the sidelines.

What You'll Learn in This Episode:

Why physician burnout remains at 40% across the profession and above 50% in emergency medicine and OB-GYN, and why the AMA believes it has to be solved at the systems levelHow AI adoption among physicians jumped from 38% to 81% in three years, and why that speed of uptake hasn't translated into more time with patientsWhy the real argument for physician payment is not compensation but patient safety and how the public narrative gets this wrongWhat the AMA is doing on prior authorization and scope creep, and why those are the two issues where physicians are most aligned across specialties

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Thu, 28 May 2026 - 31min

82 - Dr. Rana Awdish Almost Died as a Fellow. Now She's Teaching Doctors How to Heal.

Dr. Rana Awdish is a pulmonologist, critical care physician, and Medical Director of Care Experience at Henry Ford Health in Detroit. She is also the author of In Shock, a book that has changed the way countless physicians walk into a patient's room, and her new book After Shock, which picks up where that story left off.

Rana nearly died as a fellow from a catastrophic illness that left her hospitalized in the very system she had trained inside. What she heard, experienced, and absorbed from the other side of the bed became the foundation for a decade of research into how medical language shapes patient outcomes.

In this episode of How I Doctor, Dr. Graham Walker sits down with Rana to explore what it actually means to heal, both for patients and for the physicians caring for them. They dig into Rana's Never Words research, published in Mayo Clinic Proceedings, which identifies specific phrases physicians use that strip power from patients and offers concrete alternatives. And they get into the harder questions: how do you build trust with patients, why the data shows compassionate care actually makes clinical visits more efficient, and what it means that medicine has spent decades rewarding physicians for ignoring their own bodies.

What You'll Learn in This Episode:

The specific words and phrases from Rana's Never Words list that physicians should stop using, and what to say insteadWhy redistributing power through language is not just ethical but changes clinical outcomes including adherence and return visitsWhy medicine rewards disembodiment in physicians and what the cost of that has been for trainees, patients, and the professionWhat curiosity can do when every other communication tool has run outWhy the culture of medicine is not fixed, and what physicians can actually do to reshape it from within

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Thu, 21 May 2026 - 36min

81 - Physician VC Dr. John Dayton on What It Takes to Actually Build a Winning Healthcare Startup

Dr. John Dayton is an emergency physician, Stanford innovation fellow, and co-founder of Wildfire Partners, a new healthcare seed fund built around a simple but data-backed conviction: physicians make better health tech founders than the industry has ever given them credit for.

The data is hard to ignore: more than a quarter of billion-dollar healthcare companies built in the last decade had at least one clinician co-founder. John did not just write that paper. He built a fund around it.

In this episode of How I Doctor, Dr. Graham Walker sits down with John to dig into what it actually takes to build a health tech company worth funding. They walk through John's Seven Ps framework for evaluating startups, what makes a pitch compelling versus an instant red flag, and why the barrier to entry for physician-founders has never been lower thanks to AI.

What You'll Learn in This Episode:

The Seven Ps framework John uses to evaluate every health tech company he considers fundingWhat kills a pitch immediately and what signals a founder has actually done their homeworkWhy AI has dramatically lowered the barrier to entry for physician-founders and what that changes about building a company todayHow to think about the principal-agent problem when selling into health systemsWhy ambient AI tools matter more for physician burnout than the time savings data alone suggestsWhat John learned about scalable, practical problem solving from practicing in resource-poor clinical environmentsWhat winning actually looks like and why it is about more than financial

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Thu, 14 May 2026 - 38min

80 - Going Independent Doesn't Mean Going It Alone. Dr. Basil Kahwash on Fixing Referrals and Building Physician Networks

Most physicians have had a referral disappear. Many have spent days tracking down a colleague just to coordinate care for a single patient.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Basil Kahwash, an allergist and immunologist in Columbus, Ohio, to talk about one of the most universal and underappreciated problems in medicine: the referral system is broken, and independent physicians are paying the highest price.

Basil didn't set out to become an advocate for fixing referrals. He trained at Vanderbilt, where reaching a collaborating physician was as simple as sending an Epic message or jumping on a 20-minute Zoom call with three specialists at once. Then he went into independent practice in Columbus and discovered that none of that infrastructure existed. No shared records. No easy way to reach a referring physician. No directory of local specialists. Just a fax machine, a stack of paper charts, and a phone number he hoped was still current.

The referral black hole isn't just a physician frustration. It's a patient safety problem. Basil shares the story of a pregnant patient with a rare drug allergy whose referring OB-GYN he couldn't reach for three to four days. These aren't edge cases. They're a typical Tuesday.

Graham and Basil co-authored the referral manifesto at offcall.com/manifesto, making the case that independent practice doesn't have to mean isolated practice. This episode is the conversation behind that letter: what's actually broken, what it costs physicians and patients, and what a connected network of independent physicians could change.

What You'll Learn

How patients have become the de facto middlemen in a system that has no better optionWhy most referrals arrive as little more than a diagnosis code, and what even a small amount of added context would changeHow the fax machine became the rate-limiting step for physician collaboration and why EHRs haven't solved the problemWhy hyperlocal physician networks exist within specialties online but not across specialties within cities, and what filling that gap could look likeWhat winning looks like if the referral problem gets solved: coordination fades into the background and physicians get back to patient care

Resources and Where to Find Basil and Offcall

Read the Referral Manifesto: offcall.com/manifestoLearn about the Offcall Referral Product: offcall.com/referralsFind Basil on LinkedIn: linkedin.com/in/basil-kahwash-mdFind Graham on LinkedIn: linkedin.com/in/graham-walker-md

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Thu, 07 May 2026 - 42min

79 - Restoring Physician Mental Health and Honoring the Legacy of Dr. Lorna Breen, With Dr. Stefanie Simmons

Most physicians know a colleague who has struggled. Many know one who didn't make it.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Stefanie Simmons, Chief Medical Officer of the Dr. Lorna Breen Heroes' Foundation and practicing emergency physician in Ann Arbor, Michigan, for one of the most important conversations in medicine right now.

Physician mental health isn't an abstract policy issue.

It's the licensing form that places a mental health history question directly after "are you a pedophile." It's the peripartum depression Stefanie developed during her own residency that she never treated because a formal diagnosis felt like a career risk. It's Dr. Lorna Breen, chair of emergency medicine at New York Presbyterian, working 18-hour days through the first COVID wave in Manhattan, who received mental health care and told her family she was terrified it would cost her her license.

Stefanie didn't know Lorna before her death. But like every emergency physician in the country, she was one degree of separation from her. And when Lorna's family started hearing from hundreds, then thousands, of healthcare workers who said "she wasn't alone," Stefanie was one of the people who called.

Stefanie makes the case that physician mental health is a systems failure, not a personal one, and that the fix is structural. The foundation has already changed the credentialing language at more than 2,000 hospitals and across 70 state licensing boards, covering more than 3 million health workers. The Lorna Breen Healthcare Provider Protection Act was reauthorized in February 2026. The calculus is shifting. But the work is far from complete.

This episode is an honest conversation about why physicians won't seek mental health care, what it costs when they don't, and how one foundation is rebuilding the system from the inside out.

What You'll Learn

How the Dr. Lorna Breen Healthcare Provider Protection Act works, what it funds, and why its reauthorization matters for every physicianHow a single question on a licensing application has kept generations of physicians from getting help, and what the foundation is replacing it withWhy physicians massively overestimate how much their colleagues will judge them for seeking mental health care, and what the data actually showsWhat Stefanie's own experience with peripartum depression during residency taught her about the cost of not getting helpWhy burnout is an occupational syndrome, not a personal failingWhat a struggling physician can do right now, and where to find support

If You or a Colleague Need Help

988 Suicide and Crisis Lifeline: call or text 988 / 988lifeline.orgPhysician Support Line: free, confidential, anonymous, staffed by psychiatrists / 1 (888) 409-0141 / physiciansupportline.comEmotional PPE Project: free anonymous mental health care for clinicians / emotionalppe.comAll For Mental Health resource hub: drlornabreen.org/all-for-mental-health

Resources and Where to Find Stefanie and the Foundation

Dr. Lorna Breen Heroes' Foundation: drlornabreen.org Take Action: drlornabreen.org/take-action All In Wellbeing First for Healthcare Coalition: drlornabreen.org/all-inFind Stefanie on LinkedIn: https://www.linkedin.com/in/stefsimmons/ Follow the Foundation on Instagram: https://www.instagram.com/drlornabreenheroesfoundation/

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Thu, 30 Apr 2026 - 38min

78 - Why The Pitt Is the Show Every Doctor Needs Right Now, with Dr. Jeremy Faust

The Pitt just wrapped its most talked-about season yet - and two ER doctors who lived the real version have thoughts.

In this episode of How I Doctor, Dr. Graham Walker sits down with Dr. Jeremy Faust, emergency physician at Brigham and Women's Hospital and Editor-in-Chief of MedPage Today, to have an honest, insider conversation about what The Pitt actually gets right, what it's doing to the culture around medicine, and why it's hitting clinicians so differently than everyone else.

This isn't a review. It's a reckoning. Graham and Jeremy explore physician grief, the mythology of burnout, the generational trauma baked into medical training, and why every ER doctor they know secretly identifies with Santos. Along the way, they explore what it means that a TV show is doing more to help Americans understand social determinants of health, end-of-life care, and the emotional weight of this job than almost anything the healthcare system has produced on its own.

For doctors who have felt seen by this show, and for those who can't bring themselves to watch it yet, this is the conversation worth having.

What You'll Learn

Why the most accurate thing about The Pitt isn't the medicine, it's the ethos.What the show is actually changing about how patients approach end-of-life conversations.Why ER doctors defend Santos when nobody else will, and what that reveals about the profession.How medical training perpetuates cycles of traumaWhy the term "burnout" may be the wrong frame entirely for what's happening to emergency physicians right now.

🔗 Resources & Further Reading

Jeremy Faust, MD — Inside Medicine Substack: https://insidemedicine.substack.comJeremy Faust on MedPage Today: https://www.medpagetoday.com/people/jf6550/jeremy-faustJeremy Faust on Instagram: https://www.instagram.com/jeremysamuelfaust/Jeremy Faust on Threads: https://www.threads.com/@jeremysamuelfaustThe Pitt on Max: https://www.max.com/shows/the-pitt

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Thu, 23 Apr 2026 - 45min

77 - Using AI to Accurately Code and Measure Physician Outcomes, With Solventum’s Dr. Travis Bias

Most physicians understand that documentation is important. Very few understand the systems that determine what that documentation actually means for how they're paid, measured, and judged.

Dr. Travis Bias does because he's spent years operating on both sides of that divide.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Travis Bias, Deputy Chief Medical Officer of Health Information Systems at Solventum, and one of the few clinicians who has led AI strategy for a company whose tools are already inside 80% of U.S. hospitals. The conversation covers the hidden infrastructure behind hospital quality scores, risk adjustment, and clinical documentation. And what most physicians don't realize about how those systems are shaping their professional reputation every day.

Travis also brings a perspective most health tech voices lack: two years teaching medicine in Kenya and Uganda, where finite resources and physical exam skills are the standard of care. It's a vantage point that sharpens his thinking on everything from clinical judgment to what U.S. medicine consistently gets wrong.

What You'll Learn

Why ambient AI documentation tools are capturing clinical complexity that physicians never had time to write down, and what that means for how patients are coded and how doctors get paidHow hospital quality scores, mortality rankings, and US News ratings are all downstream of documentation completeness and what physicians can do about itWhy the regulatory framework for healthcare AI is already behind the technology, and what happens if it doesn't catch upHow his time teaching medicine in East Africa changed the way he thinks about resource stewardship, clinical judgment, and the U.S. healthcare system's relationship with overtestingWhat tech companies consistently get wrong about physicians and what physicians consistently get wrong about techWhy Travis sees his role as a translator between medicine and technology, and how clinical training makes you better at both

Resources & Where to Find Travis

Solventum.com

Travel Health Consult:

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Listen to Move Over LLMS! AI Legends Yann LeCun and Alex LeBrun Debut AMI Labs' Bold Ambitions for World Models in Healthcare

Thu, 16 Apr 2026 - 35min

76 - The AI Conversations Every Physician Should Hear: Highlights from Yann LeCun, Dr. Bob Wachter, and Dr. David Rhew

AI is everywhere right now. In your inbox, your EHR, your hospital's strategic plan, and probably your last three CME credits. But most of what physicians hear about AI is either hype or fear. We think you deserve something better.

In this special Best of AI episode, Dr. Graham Walker revisits three conversations that generated the most messages, DMs, and forwarded links from How I Doctor listeners, plus a Physician Spotlight that has nothing to do with AI and everything to do with why physicians need support right now.

These guests don't agree on everything. But together they map a path that every physician needs to understand: where AI actually works today, where it falls short, and what's coming next.

Featured Episodes & Links

Yann LeCun is the ACM Turing Award Laureate, former Chief AI Scientist at Meta, and co-founder of AMI, Advanced Machine Intelligence. Alex LeBrun is a serial entrepreneur, co-founder of NABLA, and CEO of AMI.

Dr. Bob Wachter is Chair of the Department of Medicine at UCSF, author of The Digital Doctor, and author of the new book A Giant Leap: How AI Is Transforming Healthcare and What It Means for Our Future.

Listen to What Doctors Get Wrong About AI with Robert Wachter, MD

Dr. David Rhew is an infectious disease physician and Global Chief Medical Officer at Microsoft, working at the intersection of the world's largest health systems and its largest technology companies.

Listen to Where AI in Medicine Is Actually Headed, with Microsoft’s CMO David Rhew

What You'll Learn

Yann LeCun & Alex LeBrun

Why large language models have a fundamental ceiling and what world models are designed to do insteadWhy 80% accuracy is considered excellent in research and completely unusable in clinical practiceWhat it actually took to build AI tools physicians trust and why every assumption they walked in with was wrong

Dr. Bob Wachter

Why the healthcare system is uniquely positioned to benefit from AI, and uniquely capable of wasting those gains on a faster hamster wheelThe deskilling death spiral: what happens when the AI becomes more reliable than the human checking its workWhat part of medicine Bob believes we should never hand to AI, and why

Dr. David Rhew

Why AI in medicine isn't one thing, it's a portfolio of tools, and conflating them leads physicians to trust the wrong onesHow retinal screening AI is finding advanced diabetic disease in people who were told everything was fine months earlierWhy the most important physician skill in 2030 will have nothing to do with clinical knowledge

Dr. Stefanie Simmons

The spheres of control, influence, and acceptance and why physicians chronically misestimate which is whichWhy 43 state medical boards have now removed stigmatizing mental health questions, and how to check if yours is one of them

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Thu, 09 Apr 2026 - 28min

75 - The Pay Gap in Medicine Is Real. Dr. Pamela Buchanan Is Done Being Quiet About It

Dr. Pamela Buchanan is an emergency physician, author, founder of Melanated Medicine, and one of the most candid voices in medicine on the things doctors aren't supposed to talk about.

In this episode of How I Doctor, Dr. Graham Walker sits down with Pamela to have the conversation most physicians have been trained their entire careers to avoid.

What does it actually cost to stay silent about pay?

What happens when a colleague throws a stethoscope on the ground and tells you that you're worth more than you're making? What does it feel like to be called the N-word by a patient you treat anyway?

Pamela doesn't flinch. She talks about the $100,000 pay gap Black women physicians face even when matched for the same role. She walks through the moment a friend told her to rip up a signed contract — and the $75,000 sign-on bonus that landed in her bank account 48 hours later. She speaks openly about burnout, depression, and the mental health crisis medicine refuses to name. And she makes the case that the silence around all of it isn't accidental.

This isn't a conversation about victimhood. It's a diagnosis of a broken system and a blueprint for every physician who's ever stayed quiet too long.

What You'll Learn

Why pay transparency in medicine isn't just taboo, and why Pamela believes the silence is intentionalHow two candid conversations with colleagues changed her financial trajectory permanentlyWhat to say, what to ask, and what to refuse when you're sitting across from someone offering you a contractHow racism shows up on shift — not occasionally, but every single day — and what it costs to absorb it aloneWhat Melanated Medicine is, why Pamela built it, and what happens when Black women physicians finally find each otherWhy asking for help — professional, domestic, emotional — is not weakness but math

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📝 For a full transcript of this episode click HERE

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Thu, 02 Apr 2026 - 37min

74 - Virtual Neurology at Scale: Raj Narula and Melanie Winningham on How Sevaro Is Transforming Rural Stroke Care

Dr. Raj Narula is a vascular neurologist who walked away from a neurointerventional radiology fellowship to build something that could reach thousands of patients instead of one at a time.

Dr. Melanie Winningham is a vascular neurologist, medical director of a comprehensive stroke center in Virginia, and VP of Clinical Strategy at Sevaro- someone who has lived the neurology access gap from both sides of it.

In this episode of How I Doctor, Dr. Graham Walker sits down with Raj and Melanie to explore one of the most urgent and most invisible crises in American healthcare.

What happens when a stroke patient lands in a rural ER at 2 AM and the nearest neurologist is a hundred miles away?

For too long, geography has been the single biggest predictor of whether that patient walks out of the hospital. Sevaro was built to change that. This episode gets into what telestroke actually looks like when it's done right. They explain how Sevaro's AI-enabled platform — built by neurologists, for neurologists — puts a board-certified specialist on screen in 45 seconds, eliminates the call center entirely, and follows patients from the acute encounter all the way through rehab and outpatient care.

This isn't a pitch for virtual care. It's a clinician's diagnosis of a workforce crisis that isn't getting better and a concrete look at what it takes to build technology that works the way physicians actually practice.

If stroke outcomes are going to improve in rural America, it won't be through more neurologists. It will be through smarter infrastructure that makes the ones we have go further.

What You'll Learn

Why geography remains the single biggest predictor of stroke outcomes and what it actually takes to close that gap at scale.How Sevaro eliminated the call center entirely and why that single design decision changes everything about the speed and quality of a telestroke consult.What AI is doing inside an acute stroke encounter and where Raj and Melanie draw a hard line between decision support and decision making.Why the neurology workforce crisis is structural and worsening, and how virtual neurology is reshaping who enters the field and why.How keeping patients in their own communities creates a trust loop that improves outcomes over time.Why state licensing requirements are the single regulatory change that would do the most to expand virtual specialty access in rural America.

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Thu, 26 Mar 2026 - 37min

73 - How Medical Misinformation Took Over — and What Doctors Can Do to Take It Back w/ Dr. Geeta Nayyar

Medical misinformation isn't a new problem. But somewhere along the way, it stopped being background noise and became the loudest voice in the room.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Geeta Nayyara rheumatologist, former Chief Medical Officer at both Salesforce and AT&T, and bestselling author of Dead Wrong. Together they diagnose how medical misinformation went from the fringes of the bell curve to the halls of power, and what physicians can actually do about it.

Geeta doesn't come to this conversation as a distant observer. She's spent her career at the intersection of clinical medicine and health tech, advising organizations from the AMA to Fortune 500 companies on how to navigate a healthcare information landscape that has fundamentally broken down.

Her perspective is grounded in something personal too. She saved her own mother's life during fellowship by doing what the system failed to do: gathering all the data, laying it out on the floor, and refusing to accept a diagnosis that didn't add up. That experience drove her into rheumatology and eventually into health tech, motivated by a simple question she still hasn't stopped asking: what does the average patient do when they don't have a doctor in the family?

That question has never been more urgent. When patients can't get an appointment for six to nine months, they don't wait. They go to TikTok. They follow influencers who are confident, simple, and wrong. And while wellness gurus monetize confusion, hospitals are still telling their physicians they can't mention their institution on social media. Medicine left a vacuum, and the wrong people filled it.

This episode is a call to action for every physician who has watched that happen and felt powerless to stop it. Graham and Dr. G make the case that physicians aren't just allowed to take the microphone. They are obligated to! And that the hospitals and health systems who figure that out first won't just be doing the right thing. They'll be winning.

What You'll Learn

Resources & Where to Find Dr. Geeta Nayyar

Website

Dead Wrong

Instagram

Thu, 19 Mar 2026 - 33min

72 - Inside the First Autonomous AI Prescription Program in America w/ Doctronic CMO Dr. Byron Crowe

Most physicians see AI as something happening to medicine. Dr. Byron Crowe is one of the few who decided to make it happen himself.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Byron Crowe — internal medicine physician, former Harvard Medical School faculty, and Chief Medical Officer of Doctronic — to discuss the most provocative development in healthcare AI yet: the nation's first state-approved program allowing AI to autonomously renew prescriptions, currently live in Utah.

This episode doesn't traffic in hypotheticals. The program is running right now. And the questions it raises are ones every physician is going to have to answer eventually — whether they're ready or not. Who's responsible when AI gets a prescription wrong? Is the current system it's replacing actually any better? And if AI can handle the routine work, what does that mean for the physicians who've been doing it? Byron has thought harder about these questions than almost anyone in medicine. He's the first author on the Society for General Internal Medicine's position statement on generative AI. He's published peer-reviewed research in JAMA on AI's diagnostic capabilities. And now he's running clinical strategy for a company that calls itself your personal AI doctor — and means it.

Byron doesn't come to this conversation to sell the technology. He comes to make the case that the status quo — millions of prescription refills processed via portal clicks with minimal physician review — is already broken, and that AI done right, with graduated autonomy, genuine accountability, and clinicians at the center, is an improvement worth taking seriously. It's a conversation that will challenge what you think you know about where medicine is headed and who gets to decide.

What You'll Learn

Resources & Where to Find Byron

Byron's LinkedIn

Byron's Substack: Always On Call

Doctronic

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Thu, 12 Mar 2026 - 36min

71 - 99 Ways to Avoid Death: Lessons from Author and ER Physician Dr. Ashely Alker

Most people spend their entire lives trying not to think about death. Emergency physicians don't have that option.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Ashely Alker an emergency physician, founder of Meaningful Media, and author of 99 Ways to Die and How to Avoid Them.

This episode goes somewhere most medical conversations don't. And that's the point.

Because death isn't an abstract concept in the emergency department. It's the patient who never documented their wishes and ended up on a ventilator they never wanted. It's the 19-year-old with undiagnosed Marfan syndrome you catch while suturing a hand. It's the lost patients you carry with you forever.

Ashely has been thinking about death since her twenties, when she lost her mother and became the de facto medical translator for a family with no one else to turn to. That personal history, combined with years on the front lines of emergency medicine, is what eventually became a book she wrote for the patients who need it most.

This episode is an honest conversation about what emergency medicine teaches you about dying and how that changes the way you live.

What You'll Learn

Resources & Where to Find Ashely

99 Ways to Die and How to Avoid Them— available at Amazon, Barnes & Noble, and independent bookstores everywhere

Ashely's Website

Instagram

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Thu, 05 Mar 2026 - 32min

70 - What Will It Take to Actually Build a Quality Healthcare System? NCQA's New CEO Dr. Vivek Garg Has a Plan

Every quality metric shaping your career, your bonus, and your reputation traces back to one nonprofit most physicians have never thought twice about.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Vivek Garg, the new President and CEO of NCQA - the National Committee for Quality Assurance - and only the second leader in the organization's 36-year history.

This episode is unabashedly nerdy. And that's the point.

Because the measures you're chasing, the scores you're being judged on, and the bonuses tied to your performance don't come from nowhere. They come from a deliberate two-year long process of evidence review, statistical validation, and independent clinical committee sign-off. It’s a process most physicians have never seen and don't know they can influence.

Vivek doesn't come to this conversation to defend the status quo. He's blunt that the current system produces incomplete data, punishes independent practices for lacking the infrastructure of large health systems, and has overused financial incentives as a lever for change. He calls value-based care underappreciated and AI overhyped, and then spends the rest of the conversation explaining exactly where both could actually move the needle.

This episode is an honest reckoning with whether we're measuring what actually matters and what it would take to build a system that clinicians trust and patients actually feel.

What You'll Learn

Thu, 26 Feb 2026 - 35min

69 - OB-GYN Influencer: How Doctors Can Find Their Social Media Voice and Fight Wellness Misinformation w/ Dr. Fran

Physicians are making more correcting medical misinformation online than delivering babies.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down withDr. Fran Haydanek, better known to millions as Paging Dr. Fran, for an unfiltered conversation about medicine in the algorithm era.

Fran is a board-certified OB-GYN, residency faculty member, hospital medical director and a physician creator with more than one million followers across TikTok and Instagram. What began as a simple video correcting breastfeeding misinformation during maternity leave has evolved into a full-scale media operation. One that now generates more income than her clinical practice.

But this episode isn’t about clicks. It’s about trust.

Together, Graham and Fran examine why patients increasingly turn to influencers instead of physicians and why the medical system itself helped create that vacuum. Fran argues that physicians don’t just compete in this digital ecosystem and that they have an obligation to show up in it.

This episode isn’t a defense of influencer culture.

It’s a reckoning with where patients actually learn about their health and whether physicians are willing to meet them there.

What You’ll Learn

Resources & Where to Find Dr. Fran

Website: https://www.pagingdrfran.com/

TikTok: https://www.tiktok.com/@pagingdrfran

Instagram: https://www.instagram.com/pagingdrfran

Thu, 19 Feb 2026 - 36min

68 - Move Over LLMS! AI Legends Yann LeCun and Alex LeBrun Debut AMI Labs' Bold Ambitions for World Models in Healthcare

Yann LeCun is one of the most influential figures in artificial intelligence. Alex LeBrunis the founder of Nabla and newly announced CEO of AMI Labs, a new AI research company he and Yann are building around a bold idea: large language models aren’t enough for medicine.

In this special episode of How I Doctor, Dr. Graham Walker sits down in-person with Alex and Yann to explore the next frontier of AI in healthcare - world models. While today’s AI systems excel at predicting the next word, Yann argues that real clinical intelligence requires something deeper: models that can imagine, simulate, and plan.

From the limitations of LLMs in high-stakes environments to the concept of building a “patient model” that can predict the consequences of treatment decisions, this episode dives into what it would actually take to build AI that reasons more like a physician. They discuss why documentation was the first breakthrough use case, how 80% accuracy fails in clinical settings, and why reliability, and not hype, will determine who wins in healthcare AI.

This isn’t about replacing doctors. It’s about amplifying them.

If AI is going to meaningfully change medicine, it won’t be through better chatbots. It will be through systems that understand the world.

Watch or Listen

🎥 Watch the full video conversation now — exclusively on https://www.offcall.com/learn/podcast/ai-world-models-medicine-yann-lecun-alex-lebrun

🔊 Or stream the audio version on your favorite podcast platform.

What You’ll Learn

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– National Correspondent,

Thu, 12 Feb 2026 - 38min

67 - The Crisis in Primary Care No One Wants to Own with NEJM’s Lisa Rosenbaum, MD

Primary care sits at the center of medicine and yet no one seems willing to truly own it.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Lisa Rosenbaum, cardiologist and national correspondent for the New England Journal of Medicine, for a wide-ranging conversation about why primary care remains both indispensable and persistently undervalued.

🎧 Before you go any further:If this conversation resonates, make sure you also listen to Lisa’s excellent NEJM podcast, Not Otherwise Specified. It’s one of the most honest, intellectually rigorous explorations of modern medicine and this past season focuses deeply on primary care.

Lisa has spent the past year reporting on primary care across the country, and what she uncovers isn’t a story about technology gaps or workforce shortages. It’s a story about culture. About respect. About responsibility. Together, Graham and Lisa explore how modern incentives have quietly shifted medicine away from ownership - of patients, of decisions, and of outcomes - and why primary care has absorbed the consequences more than any other specialty.

They dig into uncomfortable but essential questions:

Lisa argues that the crisis in primary care is not inevitable, and not intractable but only if medicine is willing to confront its own values.

This episode isn’t about nostalgia.

It’s about deciding what kind of profession medicine wants to be.

What You’ll Learn

Resources & Where to Find Lisa

Lisa Rosenbaum, MD

New England Journal of Medicine

Not Otherwise Specified (NEJM Podcast)

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A Giant Leap: How AI Is Transforming Healthcare and What It Means for Our Future

Thu, 05 Feb 2026 - 40min

66 - What Doctors Get Wrong About AI with Robert Wachter, MD

AI has arrived in medicine faster than anyone expected, but speed doesn’t guarantee wisdom.

In this episode of How I Doctor, Dr. Graham Walker sits down with Dr. Robert Wachter, chair of medicine at UCSF and one of healthcare’s most trusted voices on technology, to unpack what physicians are getting wrong about AI.

Drawing from his new book A Giant Leap, Bob offers a rare, grounded perspective: neither hype nor fear, but informed optimism. Graham and Bob explore de-skilling, trust, medical education, workflow realities, regulation, and the very human question of what happens when clinicians start relying on machines that may eventually outperform them.

This is a conversation for doctors who are already using AI, and those who are uneasy about what comes next. Not a manifesto, but a clear-eyed guide to thinking better about AI before it reshapes medicine for us.

What You’ll Learn

🔗 Resources & Further Reading

Robert Wachter on Substack

Robert Wachter, MD – UCSF Faculty Page

Previous Book: The Digital Doctor

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https://www.wimedicine.org

Thu, 29 Jan 2026 - 38min

65 - Fix the System, Not the Women: Shikha Jain on Why Medicine Is Failing Female Physicians

Medicine is full of people doing the right thing inside systems that reward the wrong work.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Shikha Jain, a hematologist-oncologist, professor, and founder of Women in Medicine, to discuss why some of the most essential work in medicine happens after hours, off the clock, and without recognition - especially for women physicians.

Shikha makes a clear case for why physician distress isn’t a resilience problem, a time-management issue, or a pipeline failure. It’s a systems problem. From RVU-based compensation models that ignore invisible labor, to unpaid committee work that never counts toward promotion, to insurance barriers that put doctors in the crosshairs while profits flow elsewhere, she explains how modern healthcare quietly extracts more from physicians while valuing them less.

Together, Graham and Shikha explore how gender expectations shape leadership, why women physicians are “voluntold” into uncompensated work, and how stereotypes around empathy and agreeableness create double standards that follow doctors from the clinic to the boardroom.

The conversation closes with practical guidance for change: how physicians can set boundaries without guilt, how institutions can measure the work that actually matters, and how male allies can show up in ways that help rather than harm.

This episode isn’t about blaming individuals. It’s about fixing the system so doctors can keep doing the work that brought them to medicine in the first place.

What You’ll Learn

Learn More About Shikha & Women in Medicine

https://shikhajainmd.com

https://www.wimedicine.org/summit

https://oncologyoverdrive.com

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📝 For a full transcript of this episode click HERE

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Thu, 22 Jan 2026 - 41min

64 - ER Doctor Running for Congress Diagnoses How to Fix the U.S. Healthcare System, with Dr. Tim Peck

Tim Peck has spent his career practicing medicine where the system is most fragile. A Harvard-trained emergency physician, healthcare entrepreneur, and frontline clinician in rural America, Tim has worked inside nursing homes, healthcare deserts, and communities shaped by the opioid crisis—places where delays, payment failures, and policy decisions have immediate consequences.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Tim to explore what emergency medicine teaches about leadership, systems failure, and responsibility beyond the bedside. Tim shares why ER doctors are uniquely trained to lead in chaos, how seeing patients too late distorts outcomes, and what he learned by embedding himself in the environments that generate avoidable hospitalizations.

The conversation moves beyond ideology into the mechanics of why U.S. healthcare breaks down—from fee-for-service incentives and uninsured rural populations to ambulance shortages and hospital closures that happen quietly, then all at once.

This is not a political debate or a campaign pitch. It’s a clinician’s diagnosis of a system under strain—and a candid discussion of what it would take to fix it.

What You’ll Learn

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📝 For a full transcript of this episode click HERE

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Thu, 15 Jan 2026 - 39min

63 - Reimagining the Future of Chronic Disease Care, With Cadence CMO Eve Cunningham, MD

Eve Cunninghamhas spent her career navigating the hard edges of modern medicine from delivering babies and performing gynecologic surgery to leading large health system initiatives and now serving as Chief Medical Officer at Cadence. Along the way, she’s seen firsthand why chronic disease care continues to fail patients despite more data, more technology, and more dashboards than ever before.

In this episode of How I Doctor, Graham Walker sits down with Eve to unpack why clinic-based, episodic care is fundamentally mismatched to conditions like heart failure, diabetes, and hypertension. She explains why early efforts at remote patient monitoring fell flat, how change management and not technology has always been the real barrier, and why most health systems struggle to turn insight into action.

The conversation moves from the realities of governance-heavy decision-making and physician burnout to what it actually takes to manage patients upstream before they land back in the ICU. Eve also shares the deeply personal connection that drives her work, including how her father’s experience with chronic illness shaped her view of what patients truly need.

This is not a tech demo or a sales pitch. It’s a candid discussion about redesigning chronic disease care in a way that works for patients, clinicians, and the realities of modern medicine.

What You’ll Learn

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📝 For a full transcript of this episode click HERE

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👉 https://2025-physicians-ai-report.offcall.com/

Thu, 08 Jan 2026 - 39min

62 - Where AI in Medicine Is Actually Headed, with Microsoft’s CMO David Rhew

David Rhew has spent his career at the intersection of frontline medicine and cutting-edge technology. An infectious disease physician by training and now Global Chief Medical Officer at Microsoft, David brings a rare perspective shaped by decades of clinical work, health system leadership, and early research on AI in healthcare.

In this episode of How I Doctor, Graham Walker sits down with David to unpack where AI in medicine is actually headed and why so many clinicians feel frustrated despite using these tools every day. David explains why physicians aren’t afraid of AI itself, but of poorly designed systems that remove judgment, overload workflows, and fail to reflect how medicine really works.

From agentic AI and ambient documentation to population screening, risk stratification, and resource allocation, the conversation moves beyond buzzwords into the real mechanics of how AI can support better care.

David makes the case that AI’s true promise is helping clinicians practice at the top of their license, identify disease earlier, and redesign care around human decision-making rather than administrative burden.

This is not a futurist thought experiment or a vendor pitch. It’s a grounded, systems-level look at how AI could meaningfully improve medicine.

Explore the Data

📊 Want to see how your peers are actually using AI today? Download Offcall’s 2025 Physicians AI Report, featuring insights from over 1,000 physicians on daily AI use, adoption gaps, and what doctors really want from these tools:

What You’ll Learn

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📝 For a full transcript of this episode click HERE

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Thu, 01 Jan 2026 - 38min

61 - Mark Cuban: How I’d Reform Healthcare If I Were in Charge (Re-Release)

Merry Christmas! Today we are re-releasing one of our favorite episode of the year. We'll be back next week with a brand new interview to kickoff 2026.

Mark Cuban is a business mogul, the “Shark” every entrepreneur wants to make a deal with, the former owner of the Dallas Mavericks, and, most recently, an online pharmacy CEO. In 2022, Mark co-founded Cost Plus Drugs with the goal of lowering prescription drug prices. The direct-to-consumer company makes generic drugs affordable by cutting pharmacy benefit managers out of the distribution chain. But, once Mark starts talking about tackling the pharmaceutical market, you get the sense he has his sights set on an even bigger goal: reforming the healthcare system at large.

Offcall co-founder Graham Walker recently got the chance to interview Mark on How I Doctor, a podcast that explores the lives and careers of physicians who are practicing medicine differently. Mark, of course, is not a physician. But, as Graham notes, “I'm talking to him because I think he actually gives a damn about healthcare, and more importantly, he's doing something about it.”

Mark pulls no punches in this episode, and frames American healthcare as a David- and Goliath-style fight between good and bad actors.

Physicians are on the good team: “I happen to be a fan of people who save lives and make other people feel better, you know? Call me crazy.”

Who’s on the bad team? Anyone trying to game the system and extract money from it for their own benefit — insurance companies, hospitals, private equity firms, and others. “In healthcare, that $4.9 trillion wherever anybody can arbitrage whatever they can out of the system, that's exactly what they are going to do.”

With clarity of conviction and a hard-charging spirit, Mark shares his vision for how to fix healthcare.

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For a full transcript of this episode click HERE

https://www.offcall.com/learn/podcast/mark-cuban-interview-how-shark-tank-star-and-cost-plus-drugs-ceo-would-fix-healthcare

Find all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.

In this episode, Graham and Mark discuss:

04:26 Expanding Medical School Enrollment

09:33 Insurance Plan Designs

16:27 Insurance Company Tactics

20:45 Negotiation Loopholes and Legal Tangles

28:04 Healthcare Spending

34:53 Transparency and Trust Drive Growth

43:37 Unfair Broker Fees

49:53 Profitability in Specialized Medical Services

55:08 Future of AI-Assisted Healthcare

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Mentioned in this episode:

This Episode is Sponsored by Abridge

Abridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversation

👉 https://2025-physicians-ai-report.offcall.com/

Thu, 25 Dec 2025 - 1h 03min

60 - Eric Topol on Why Doctors Shouldn’t Fear AI — And How It Could Finally Fix Our Broken System

Dr. Eric Topol is one of the most influential voices in modern medicine. Founder of the Scripps Research Translational Institute and author of Deep Medicine and Super Agers, Eric has spent decades interrogating medical dogma, calling out hype, and pushing the profession toward evidence, prevention, and humanity.

Dr. Graham Walker sits down with Eric for a candid conversation about why physicians shouldn’t fear AI and why when used correctly, it may be one of the most powerful tools we’ve ever had to reduce errors, restore trust, and shift medicine from late-stage treatment to true prevention.

From diagnostic error and physician burnout to immune aging, GLP-1s, personalized risk prediction, and the limits of randomized trials, this episode is both a reality check and a roadmap. Eric makes the case that AI’s greatest promise isn’t automation, but rather it’s the ability to see what humans never could, identify risk earlier, and finally decouple aging from chronic disease.

This isn’t a hype cycle conversation. It’s a grounded, evidence-based look at how AI could help fix what’s broken in medicine if physicians lead the way.

Explore the Data

📊 Want to see how your peers are actually using AI today? Download Offcall’s 2025 Physicians AI Report, featuring insights from over 1,000 physicians on daily AI use, adoption gaps, and what doctors really want from these tools:

What You’ll Learn

Why Eric Topol believes doctors shouldn’t fear AI and why holding it to an impossible standard may be harming patientsHow AI could dramatically reduce diagnostic error and support better clinical judgmentWhy prevention has failed historically and how AI finally makes it possible at scaleThe difference between AI hype and evidence-backed breakthroughs physicians should actually care aboutHow personalized, data-rich medicine may reshape trials, training, and the future role of the physician

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📝 For a full transcript of this episode click HERE

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Mentioned in this episode:

This Episode is Sponsored by Abridge

Abridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversation

Thu, 18 Dec 2025 - 43min

59 - What Doctors Really Think About AI: Here Are the Surprising Findings From Offcall’s 2025 Physicians AI Report

AI is already shaping how physicians practice. And for the release of The 2025 Physicians AI Report, Graham is taking a different kind of episode: a deep-dive mailbag where he answers the questions doctors are actually asking about AI, grounded in one of the largest physician surveys of its kind.

More than 1,000 physicians were polled in this project, and their answers paint a far more nuanced picture than the headlines suggest.

📊 Yes, two-thirds of physicians already use AI every day.

✅ Yes, the majority believe AI can meaningfully reduce administrative burden.

⚠️ And yes, 81% are frustrated with how their organizations are deploying it.

In this episode, Graham walks through those realities one by one.

He breaks down why doctors trust AI for documentation but hesitate when it comes to decision support. Why the #1 fear isn’t “AI will replace me,” but rather who will control it. How payers, administrators, and mixed incentives shape the way AI enters clinical workflows. And why physicians may quietly be years ahead of their institutions in actually using the technology day-to-day.

He also shares the moments from the report that surprised him most and the “dream tools” physicians wish someone would build already. And he offers a roadmap for healthcare leaders, AI companies, and clinicians about how to prevent AI from becoming the next EHR rollout: deployed to doctors instead of with them.

👉 If you want to go deeper, you can download the full dataset and insights in The 2025 Physicians AI Report at https://2025-physicians-ai-report.offcall.com/

Whether you’re experimenting with AI every shift or still cautiously watching from the sidelines, this episode offers clarity on where physicians actually stand and where medicine is headed next.

What You’ll Learn

What doctors are really doing with AI right nowTwo-thirds of physicians already use AI daily, but what exactly are they using it for, and how are they integrating it into their clinical workflows?Why organizational deployment is failing physiciansFrom restrictive policies to unclear guidelines, Graham explains why 81% of doctors are frustrated and what leaders must fix to avoid repeating the mistakes of the EHR era.The #1 fear doctors have about AI and it’s not job lossPhysicians overwhelmingly worry about AI falling under payer and administrative control. Graham breaks down the incentives behind that fear.What physicians want from AI companiesA clear message to builders: specialty matters. Physicians don’t want “AI for doctors”; they want tools that understand their specific workflows.Why AI adoption is happening with or without institutionsGraham explains how grassroots physician use is outpacing formal hospital adoption and what that means for the future of medical practice.Access all findings from The 2025 Physicians AI ReportDownload the full report, charts, and analysis at https://2025-physicians-ai-report.offcall.com/

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📝 For a full transcript of this episode click HERE

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Mentioned in this episode:

This Episode is Sponsored by Abridge

Abridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversation

Thu, 11 Dec 2025 - 44min

58 - The Future of Primary Care Is Independent: How Aledade Helps Doctors Break Free From Employed Medicine with Dr. Umar Bowers and Dan Bowles

Independent primary care isn’t a relic of the past — it’s becoming the future of American medicine.

In this episode of How I Doctor, Dr. Graham Walker talks with two leaders helping drive that shift: Dr. Umar Bowers, an internist who left a major health system to build the practice he always envisioned, and Dan Bowles, General Manager of Practice Health at Aledade , the physician-led company enabling thousands of doctors to stay independent, financially stable, and clinically autonomous.

Umar shares his personal journey from rising frustration inside a large employed medical group to opening Dawson Medical Group with the support of Aledade. He explains what independence really means, why he had zero fear stepping out of the system, and how value-based care became the engine that allowed his practice to thrive. You can read more of his story in Aledade’s physician success profile or connect with him directly on LinkedIn.

Dan offers a rare inside look at why so many doctors feel trapped in employment, what’s driving the national shift back toward physician-led care, and how Aledade’s data, contracting expertise, and ready-made community of independent clinicians help doctors cross the bridge to autonomy instead of trying to swim it alone.

This isn’t another story about burnout or bureaucracy, it’s a roadmap for physicians who want their careers, their schedules, and their practices back. Whether you’re considering independent practice or simply want to understand the movement reshaping primary care, this episode shows how doctors are taking back control of the profession, one practice at a time.

What You’ll Learn

Why independent primary care is resurging and how value-based care is creating new financial stability for small practices.How Dr. Umar Bowers built his own practice from scratch and why he had zero fear leaving a major health system.What Aledade’s turnkey model actually provides, from startup capital and contracting support to data, workflows, and a nationwide physician community.How doctors can reclaim autonomy, flexibility, and clinical decision-making power without sacrificing income, infrastructure, or patient care.

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📝 For a full transcript of this episode click HERE

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Mentioned in this episode:

This Episode is Sponsored by Abridge

Abridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversation

Listen toThe Physician AI Conversation: How Doctors Can Drive the AI Era in Medicine Forward with Abridge CEO Dr. Shiv Rao

Thu, 04 Dec 2025 - 41min

57 - Thank You, Doctors! A Thanksgiving Highlight Reel from Mark Cuban, Shiv Rao, Danielle Ofri and More

This Thanksgiving, we’re pressing pause on the chaos of clinical life to honor the physicians, nurses, and healthcare workers who keep showing up tired, hopeful, frustrated,and inspired.

In this special “Best Of” episode, Dr. Graham Walker revisits five conversations that have sparked the most messages, DMs, forwarded links, and late-night reflection from our listeners. These clips come from leaders who’ve helped all of us re-examine the work, the system, and ourselves:

Featured Episodes & Links

Dr. Shiv Rao is a cardiologist, entrepreneur, and the CEO and co-founder ofAbridge, the physician-founded AI company transforming how clinical conversations become care.

Dr. Danielle Ofri is an internist at Bellevue Hospital, clinical professor at NYU, and one of the most widely read physician-writers of our time.

Listen toMedicine’s Broken Promises: Dr. Danielle Ofri on Greed, Trust, and Why the System Survives on Exploiting Clinicians

Mark Cuban is a business mogul, the “Shark” every entrepreneur wants to make a deal with, the former owner of the Dallas Mavericks, and, most recently, an online pharmacy CEO.

Listen toMark Cuban: How I’d Reform Healthcare If I Were in Charge

Dr. Vineet Arora is the Dean for Medical Education at the University of Chicago and one of the nation’s leading voices on equity, leadership, and physician well-being.

Listen toWhy Women Physicians Still Earn Less — and What We Can Do About It With Dr. Vineet Arora

Dr. Ali Chaudhary is an emergency physician, entrepreneur, and one of the leading voices helping doctors reclaim control over their careers.

Listen toBreaking Free from W-2 Medicine: The Physician’s Guide to Locum Tenens with Dr. Ali Chaudhary

What You’ll Learn

Dr. Shiv Rao

Why AI adoption is accelerating inside health systems faster than anyone expected and how clinicians can shape the guardrails, not get steamrolled by them.

Dr. Danielle Ofri

The “unbroken chain” of clinicians and why modern healthcare quietly relies on exploiting professionalism to keep the system from collapsing.

Mark Cuban

How insurance design, pre-auth delays, and underpayment schemes shift financial risk onto physicians while confusing patients — and why it’s not your fault.

Dr. Vineet Arora

How women residents fall three months behind in milestone advancement by graduation — and the narrative biases in feedback that fuel the promotion gap.

Dr. Ali Chaudhary

Why the traditional W-2 model is structurally unstable — and how locums work can restore autonomy, income stability, and control over your life.

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Thu, 27 Nov 2025 - 34min

56 - Building Decision Support AI That Doctors Truly Love and Trust, with Evidently's Dr. Kalie Dove-Maguire

Dr. Kalie Dove-Maguire is an emergency physician, health-tech leader, and the President and Chief Product Officer at Evidently — a physician-founded company building clinical decision support tools designed to earn trust, not replace judgment. After years on the frontlines, Kalie saw firsthand how critical information gets lost in the noise, how clinicians compensate for broken workflows, and how better tools could prevent avoidable harm. That realization ultimately pushed her from the ER to the product world, where she now designs AI systems that surface the right data, cite their sources, and respect the mental work only clinicians can do.

In this episode of How I Doctor host Dr. Graham Walker sits down with Kalie to talk about about why AI must be transparent, why judgment can’t be automated, and what it really takes to create decision support clinicians actually want in their workflow. From the emotional weight of missed findings in residency to shipping software with guardrails, Kalie explains how Evidently approaches trust, verification, and workflow design in a way that empowers physicians.

This isn’t just a conversation about AI. It’s a look at how doctors can shape the tools that guide their practice, protect clinical judgment, and help build the next generation of decision support that clinicians rely on.

What You’ll Learn

Why clinical decision support fails when it ignores physician judgment — and how Evidently builds tools that do the opposite.How Kalie’s ER experience shaped her approach to product design, safety, and transparency.The difference between predictive models, LLMs, and workflow-level AI — and why lumping them together creates misconceptions.How Evidently “shows its work” by surfacing evidence, matching data to action, and earning clinician trust over time.Practical lessons for physicians considering a transition into tech, entrepreneurship, or product roles.Why the future of AI in medicine is augmentation, not automation — and why the “AI resident” metaphor matters.

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📝 For a full transcript of this episode click HERE

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Mentioned in this episode:

This Episode is Sponsored by Abridge

Abridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversation

Thu, 20 Nov 2025 - 37min

55 - The Physician AI Conversation: How Doctors Can Drive the AI Era in Medicine Forward with Abridge CEO Dr. Shiv Rao

Dr. Shiv Rao is a cardiologist, entrepreneur, and the CEO and co-founder of Abridge, the physician-founded AI company transforming how clinical conversations become care. Built on the belief that healthcare is about people, not paperwork, Abridge is now embedded in more than 200 major health systems, processing millions of encounters each week and helping doctors reconnect with the meaning of their work.

In this special in-person episode, How I Doctor host Dr. Graham Walker sits down with Shiv for an unfiltered, wide-ranging conversation about the rise of AI in medicine, the moral crisis facing clinicians, and what it truly takes to build technology that serves the physician instead of replacing them.

From Abridge’s early days of being dismissed as a “party trick” to its current role in reshaping clinical workflows nationwide, Shiv shares how the company scaled, why it never called itself an “AI scribe,” and how every patient conversation can now fuel better care, fewer clicks, and more connection.

This isn’t just another startup story — it’s a blueprint for how doctors can lead the AI movement from the inside.

🎥 Watch the full video conversation now — exclusively onoffcall.com/learn/podcast/physician-ai-conversation-shiv-rao-abridge

What You’ll Learn

How healthcare AI grew from a party trick to becoming an integral part of healthcare infrastructure.How Abridge turns physician-patient conversations into structured clinical data.Shiv’s vision for the future and where the company will go next from a product standpoint.Why Shiv believes physicians must lead the AI movement and not watch from the sidelines.

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📝 For a full transcript of this episode click HERE

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Mentioned in this episode:

This Episode is Sponsored by Abridge

Abridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversation

Thu, 13 Nov 2025 - 50min

54 - A Rare Look Inside Epic's Vision for Physicians' Future With CMO Dr. Jackie Gerhart

Dr. Jackie Gerhart is a family physician, clinical informaticist, and Chief Medical Officer at Epic — the company whose software powers much of American healthcare. From ambient documentation and AI scribes to patient-facing AI assistants like Emmy, Epic is now redefining how data, technology, and the human touch coexist in clinical care.

Few physicians have seen this evolution from the inside and even fewer have helped shape it.

In this episode of How I Doctor, host Dr. Graham Walker talks with Jackie about Epic’s internal culture, its push to make the EHR invisible, and the company’s next wave of physician-centric innovation. Jackie also opens up about Epic’s development philosophy, the company’s obsessive customer-focus, and why she believes we’re entering the most exciting era in modern medicine, but only if physicians can stay engaged in shaping what comes next.

This episode pulls back the curtain on one of healthcare’s most influential companies and offers a grounded look at how Epic envisions the future of practice for the doctors who depend on it every day.

What You’ll Learn in This Episode:

How Epic’s “software-factory” model enables faster innovation across healthcare.Where many EHR frustrations stem from and how Epic considers what to address.How Epic’s new AI tools, Art and Emmy, aim to reduce friction for both doctors and patients.What “the office visit of the future” could look like – powered by ambient AI with no typing and no mouse.How Epic thinks about collaboration vs. competition with startups like Abridge and partners like Microsoft.Why Dr. Gerhart believes this is the most exciting time to practice medicine in decades.

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📝 For a full transcript of this episode click HERE

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Mentioned in this episode:

We're releasing a Physicians AI Whitepaper and need your help!

Calling all MDs: Help us shape the future of what AI looks like in medicine. Participate Here! https://tally.so/r/n0pxeN

This Episode is Sponsored by Abridge

Abridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversation

Thu, 06 Nov 2025 - 46min

53 - Should Doctors Unionize? The Story of Why Physicians at Salem Hospital Joined a Union to Take Back Power with Dr. Sean Codier

We're releasing a Physicians AI Whitepaper and need your help!

Calling all MDs: Help us shape the future of what AI looks like in medicine. Participate Here!

Dr. Sean Codier is an emergency physician at Salem Hospital within Mass General Brigham and one of the leaders behind the first successful physician unionization effort in the system’s history. What started as frustration over understaffing, overcrowding, and a lack of voice in patient-care decisions grew into a movement that’s now inspiring doctors nationwide to organize for change.

In this episode of How I Doctor, Dr. Graham Walker talks with Dr. Codier about why more physicians are turning to unions as their only legal avenue to force real dialogue with hospital leadership. They discuss how the corporatization of medicine has stripped doctors of autonomy, the myths administrators use to discourage organizing, and what it actually looks like to form and run a physician union. Dr. Codier also shares the personal risks, lessons learned, and why he believes reclaiming physicians’ collective voice is essential to protecting both the profession and the patients we serve.

This episode is a candid look at how medicine reached this crossroads and asks whether the future of physician advocacy depends on this form of collective power.

What You’ll Learn in This Episode:

Why more physicians are unionizing and what that process really involves.The biggest myths hospitals spread about unions — and what’s actually true.The personal and professional risks of organizing inside large health systems.Whether unionization is a long-term solution to help physicians reclaim medicine’s moral core.

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📝 For a full transcript of this episode click HERE

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Mentioned in this episode:

We're releasing a Physicians AI Whitepaper and need your help!

Calling all MDs: Help us shape the future of what AI looks like in medicine. Participate Here! https://tally.so/r/n0pxeN

Thu, 30 Oct 2025 - 42min

52 - Why Women Physicians Still Earn Less — and What We Can Do About It With Dr. Vineet Arora

Dr. Vineet Arora is the Dean for Medical Education at the University of Chicago and one of the nation’s leading voices on equity, leadership, and physician well-being. Her groundbreaking research has exposed how gender bias and pay inequity continue to shape medicine—from how residents are evaluated to how faculty are promoted and paid. But more importantly, she’s focused on what can be done about it.

On this episode of How I Doctor, Dr. Graham Walker talks with Dr. Arora about why women physicians still earn less than their male peers—and the systemic, cultural, and personal strategies that can finally close the gap. They discuss the hidden ways bias shows up in training and evaluations, how compounding pay inequities add up to millions over a career, and what real pay transparency should look like. Dr. Arora also shares practical advice for early-career physicians on negotiation, knowing your value, and finding professional fulfillment without burning out.

This episode will challenge how you think about pay, power, and progress in medicine—and what each of us can do to make equity the norm, not the exception.

What You’ll Learn in This Episode:

The real data behind the $2 million lifetime gender pay gap in medicine.How bias in evaluations and promotions starts as early as residency.Why pay transparency alone won’t fix inequity and what else needs to change.How fair pay connects directly to feeling valued, supported, and able to keep practicing the medicine you love.

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📝 For a full transcript of this episode click HERE

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Mentioned in this episode:

This Episode is Sponsored by Abridge

Abridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversation

Thu, 23 Oct 2025 - 41min

51 - Breaking Free from W-2 Medicine: The Physician’s Guide to Locum Tenens with Dr. Ali Chaudhary

Dr. Ali Chaudhary is an emergency physician, entrepreneur, and one of the leading voices helping doctors reclaim control over their careers. After leaving a traditional W-2 job, he built Locums United and LocumOS - two platforms designed to bring transparency, fairness, and autonomy to how physicians are staffed and compensated. Having lived both sides of medicine, Ali shares how locum tenens work can transform burnout into balance and turn short-term contracts into long-term career freedom.

On this episode of How I Doctor, Dr. Graham Walker talks with Ali about what really happens when doctors leave the W-2 world, how to build stability as an independent contractor, and why locums can be the key to both financial freedom and professional fulfillment. They break down the myths that scare physicians away from 1099 work, the financial strategies that make it sustainable, and the mindset shift required to think like a business owner instead of an employee.

If you’ve ever wondered whether it’s possible to make more, work less, and still love medicine again then this episode is your blueprint.

What You’ll Learn in This Episode:

Why the traditional W-2 model is burning out physicians and how locums flips the script.How to set up your locums life for stability.The real financial math behind 1099 work, and how to maximize your take-home pay.How to spot red flags in locums contracts and avoid being underpaid.

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📝 For a full transcript of this episode click HERE

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Mentioned in this episode:

This Episode is Sponsored by Abridge

Abridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversation

Thu, 16 Oct 2025 - 39min

50 - The Future of Emergency Medicine: Dr. Alison Haddock on Physician Empowerment, Unionization, and Survival in the ED

Dr. Alison Haddock is an emergency physician, educator, and past president of the American College of Emergency Physicians (ACEP). She’s spent her career fighting for physician autonomy and building a sustainable future for emergency medicine. One where doctors aren’t just surviving shift to shift, but leading the systems that shape their work. A national voice on policy and workforce reform, Dr. Haddock has seen firsthand how crowding, violence, and financial pressure are pushing ER physicians to their breaking point and what it will take to bring them back.

On this episode of How I Doctor, Dr. Graham Walker sits down with Alison live at ACEP to unpack what’s really driving burnout in emergency medicine, how systemic failures fuel the crisis in the ED, and why unionization and pay transparency may be the boldest tools for reclaiming control. They dive into the politics of boarding, the hidden cost of private equity in healthcare, and the urgent need to rebuild physician power from the ground up. It’s a candid, timely conversation about survival, advocacy, and the kind of leadership emergency medicine needs right now.

If you’ve ever walked out of a shift wondering how much longer you can do this, or what it would take to make things better, this episode is for you!

What You’ll Learn in This Episode

Why burnout isn’t about resilience—it’s about control. How the loss of professional autonomy, not the lack of self-care, drives physicians out of the field.How ED boarding exposes systemic rot. Why emergency physicians are paying the price for hospital inefficiency, and what policy changes could actually fix it.The financialization of medicine explained. How profit-first strategies have warped incentives and left doctors carrying the moral and financial burden.Why unionization is gaining traction among physicians. How collective action could be the next step in protecting clinicians and reshaping the balance of power in healthcare.What ACEP is doing to fight back. Inside Dr. Haddock’s efforts to reform employment models, prevent physician exploitation, and push for meaningful change.

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📝 For a full transcript of this episode click HERE

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Mentioned in this episode:

This Episode is Sponsored by Abridge

Abridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversation

Thu, 09 Oct 2025 - 29min

49 - Escaping Physician Exploitation: Private Practice, Pay Transparency, and Entrepreneurship with Dr. Brian Dixon

Dr. Brian Dixon is a psychiatrist, entrepreneur, and one of the boldest physician voices pushing for salary transparency and fairness in medicine. He’s the founder of Simply Psych and Mindful, and he’s built his career by pulling back the curtain on contracts, compensation, and the hidden math of how health systems profit off physicians. With radical honesty, he shares not just his wins but also his mistakes—showing doctors the real trade-offs between employment, private practice, and entrepreneurship.

On this episode of How I Doctor, Dr. Graham Walker talks with Brian about why most contracts are designed to exploit physicians, how transparency builds trust, and what it really takes to scale a practice without burning out. They dig into the myths that keep doctors underpaid, the psychological traps that make us easy to exploit, and the lessons Brian had to buy - sometimes for $50,000 - that can save you from the same fate. If you’ve ever wondered how to get paid fairly and keep your autonomy intact, this is the conversation you’ve been waiting for.

If you’ve ever looked at your paycheck and wondered, “Is this really what I’m worth?”—this episode will change how you see employment, private practice, and the business of medicine.

What You’ll Learn in This Episode:

Why the salary you’re offered is rarely the salary you’re actually worth—and how employers frame the numbers against you.How the culture of altruism in medicine gets exploited, leading doctors to accept less than they deserve.The three true career paths for physicians (employee, owner, or hybrid) and how to think about risk versus autonomy.Why employed physicians today may face more risk than independent ones—and how non-competes and contract language trap doctors.How to scale a private practice the right way so you don’t burn out trying to do everything yourself.

Thank you to our wonderful sponsors for supporting the podcast:

Abridge - AI for clinical conversations: https://www.abridge.com/

Evidently - Leading AI-powered clinical data intelligence https://evidently.com/

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📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

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Mentioned in this episode:

This Episode is Sponsored by Abridge

Abridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversation

Thu, 02 Oct 2025 - 41min

48 - How Two ER Doctors Created the Top Clinical Tool for Physicians: The Origins of MDCalc with Dr. Joe Habboushe

This episode is sponsored byAbridge- the leading AI platform that drafts structured, clinically useful notes at the point of conversation.

MDCalc turns 20 this year. What began as a scrappy side project in med school grew - without outside funding - into one of the most-used, most-trusted clinical references in the world. In this episode of How I Doctor, host Dr. Graham Walker sits down with his co-founder Dr. Joe Habboushe - an emergency physician, math nerd in the best sense, and relentless advocate for evidence-based care - to unpack how MDCalc was built, why clinicians trusted it early, and what comes next in the age of AI.

They revisit the “slow and thoughtful, not move-fast-and-break-things” playbook that earned physician trust, the scrappy years when both were working full-time in the ED while growing the site score-by-score, and how partnering with tool creators and societies raised the bar for quality. From COVID’s chaotic first year to today’s AI hype cycle, Joe explains why guardrails matter, why calculators should augment (not replace) clinical judgment, and how MDCalc plans to lead responsibly.

What You’ll Learn in This Episode

How two ER docs grew MDCalc organically into a global, trusted clinical toolThe product philosophy behind MDCalc: safe, fast, trusted—and why “don’t break things” works in medicineWhy decision tools must partner with clinical judgment and not compete with “gestalt vs. calculator” false choicesHow MDCalc’s contributor model and society partnerships improved evidence quality and bedside usabilityMDCalc + AI: where responsible, physician-led guardrails can make tools powerful and safePractical advice for physician-founders: finding a complementary co-founder, building step-by-step, and choosing work that actually fits you

About Dr. Joe Habboushe

Emergency physician, co-founder of MDCalc, and long-time champion of evidence-based medicine. Joe helped design MDCalc’s contributor ecosystem, content standards, and “safe-fast-trusted” ethos that clinicians rely on at the bedside.

If you’re a clinician who uses MDCalc, this conversation is a rare behind-the-scenes on how it was built for you—and how it will stay clinician-first as AI enters the workflow.

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📝 For a full transcript of this episode click HERE

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Mentioned in this episode:

This Episode is Sponsored by Abridge

Abridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversation

Thu, 25 Sep 2025 - 36min

47 - From Hospital Insider to Physician Advocate: How Ethan Nkana Switched Sides to Champion Doctors’ Voices

Ethan Nkana spent over a decade as a hospital executive negotiating contracts on behalf of health systems. He knew the inside playbook: how administrators calculated physician value, what mantras they used behind closed doors, and the quiet ways hospitals exploited physician professionalism. Then he switched sides.

In this episode of How I Doctor, Dr. Graham Walker sits down with Ethan to explore medicine’s hidden business realities. From the stigma of being called “greedy,” to why the squeaky wheel gets the raise, Ethan unpacks how contracts are really written and how doctors can speak up without jeopardizing their careers. He shares the three buckets every physician should focus on - life balance, practice support, and fair pay - and the practical strategies that turn an uneven negotiation into a fair one.

He calls himself the “Jerry Maguire for physicians,” and in this conversation Ethan shares what every doctor needs to know before signing or renewing a contract.

What You’ll Learn in This Episode:

Why “greedy” is a trap word and how to reframe fair pay as part of safe patient careThe 3 contract buckets that matter most: life balance, practice support, and compensationWhat hospital executives really say behind closed doors about new physician hiresWhy the best physicians don’t always get paid the most—and who doesSimple, non-adversarial scripts physicians can use to ask for what they need

Additional Resource for Physicians:

👉 Contract Negotiation Guide

Before your next contract discussion, make sure you’ve gathered:

Your actual weekly workload (clinical + after-hours documentation)Recent productivity metrics and patient satisfaction scoresEvidence of non-revenue work (committees, teaching, outreach)Market data for your specialty and regionA clear ask for at least one improvement in each bucket: life balance, practice support, fair pay\

Find out more about Rocky Mountain Physician Agency

Follow Ethan on Instagram at https://www.instagram.com/physicianagency/?hl=en

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📝 For a full transcript of this episode click HERE

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Thu, 18 Sep 2025 - 40min

46 - Medicine’s Broken Promises: Dr. Danielle Ofri on Greed, Trust, and Why the System Survives on Exploiting Clinicians

Dr. Danielle Ofri is an internist at Bellevue Hospital, clinical professor at NYU, and one of the most widely read physician-writers of our time. Through her books, essays, and New York Times op-eds, she has given voice to the emotional realities of medical work and exposed the ways the business of healthcare exploits the professionalism of doctors and nurses. Her clarity and candor have made her a trusted guide for physicians who feel the weight of a system that too often prioritizes profit over patient care.

In this episode of How I Doctor, Dr. Graham Walker sits down with Danielle to discuss medicine’s broken promises. From the erosion of trust and the exploitation of clinicians’ goodwill, to the disconnect between luxury hospitals and patient harm, they explore the hidden economy of modern healthcare and the ethical line between professionalism and exploitation. Dr. Ofri shares why nursing shortages are directly tied to patient mortality, how administrators rely on doctors “doing the right thing,” and what it will take for physicians to reclaim their voice in shaping the system.

What You’ll Learn in This Episode:

Why the “professionalism” of doctors and nurses has become healthcare’s most exploited resourceHow nursing shortages directly affect patient safety and mortality ratesThe ethical and personal toll of 20-minute visits for medically complex patientsThe hidden disconnect between nonprofit hospital profits and patient careStrategies for physicians to speak up without crossing ethical or professional lines

Subscribe to Danielle’s newsletter here

Follow her on Instagram at https://www.instagram.com/danielle_ofri/

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📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

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Thu, 11 Sep 2025 - 38min

45 - Longevity Doctor Reveals The Truth About Supplements, Multivitamins, Biohacking, And More with Dr. Hillary Lin

Dr. Hillary Lin is a Stanford-trained internist and longevity entrepreneur who is cutting through the hype to bring evidence-based clarity to one of medicine’s buzziest frontiers. As co-founder and CEO of Carecore and host of The Longevity Show, she’s built her career at the intersection of clinical skepticism and innovation, challenging what’s real and what physicians need to know about this fast-growing space.

In this episode of How I Doctor, Dr. Graham Walker sits down with Hillary to unpack the science of longevity medicine. From the pillars that actually work to the overhyped products flooding social feeds. They explore supplements, multivitamins, full-body scans, and the influencer-driven myths that confuse patients, while offering physicians a framework for counseling patients who are curious, skeptical, or already experimenting with longevity trends.

💡 Want to Go Deeper?

We’ve created a companion resource to this episode: Longevity Medicine Resource Guide for Physicians: Separating Fact from Fiction. Inside you’ll find curated evidence, peer-to-peer insights, and practical tools to help you counsel patients to cut through wellness industry hype and stay current on what really works.

👉 Download the guide now

What You’ll Learn in This Episode:

The Lifestyle Pillars That Actually Extend HealthspanSupplements And Multivitamins: What’s Worth It (And What’s Not)The Most Overhyped Longevity Trends—DebunkedWhy Longevity Medicine Isn’t A Real SpecialtyThe Future: Pre-Disease Screening And At-Home Testing

Subscribe to Hillary’s newsletter on evidence-based strategies for extending healthspan

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📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

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Thu, 04 Sep 2025 - 36min

44 - Surviving Medicine’s Hidden Trauma: How Dr. Gita Pensa’s Malpractice Lawsuit Became a Blueprint for Helping Other Doctors

Dr. Gita Pensa is an emergency physician and nationally recognized advocate who knows firsthand the toll malpractice takes on doctors. After enduring a 12-year legal battle that included two jury trials, she emerged determined to break the silence around litigation and its hidden impact on physicians’ identity, mental health, and careers. Today, she uses her story to teach colleagues how to survive what she calls medicine’s “second trauma.”

In this episode of How I Doctor, Dr. Graham Walker talks with Gita about the day she was served, the years she spent fighting in court, and how that experience reshaped her mission. From defensive medicine to the isolation lawsuits create, Gita offers hard-earned insights and a blueprint for how doctors can protect themselves, find support, and come out stronger on the other side.

The Physician’s Guide to Surviving Medical Malpractice

Offcall has created a comprehensive resource guide to help physicians navigate the realities of litigation. This guide pulls together expert advice, peer support programs, and practical strategies for what to do if you’re sued. Whether you’re early in your career or decades into practice, this guide offers the tools and community you need to protect your career, care for yourself, and move forward with confidence.

👉 Read The Physician’s Guide to Surviving Medical Malpractice

What You’ll Learn in This Episode:

Common mistakes doctors make after being sued - and how to avoid themHow litigation drives defensive medicine and impacts the way we practiceWhat every physician should know about malpractice coverage including state-by-state differencesReforms that could make the system more fair for patients and doctorsWhy finding support and breaking the silence is critical for surviving litigationWatch A World of Hurt: How Medical Malpractice Fails Everyone

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

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LinkedIn https://www.linkedin.com/company/joinoffcall/

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Thu, 28 Aug 2025 - 36min

43 - No Insurance Needed! Same Day Appointments! Unlimited Visits! Pay Whatever You Can! How Dr. Paulius Mui Is Reinventing Primary Care to Put Patients First

Dr. Paulius Mui is a family physician, technologist, and community builder who refuses to fit into a single box. Instead of choosing between clinic shifts and tech projects, he’s built a portfolio career that blends patient care, experimentation, and creativity. Most recently, Paulius is reimagining what primary care looks like by launching a direct primary care practice that lets patients pay what they can.

In this episode of How I Doctor, Dr. Graham Walker talks with Paulius about why full-time primary care has become nearly impossible and why he has decided to choose mission over money for the benefit of patients and his profession. Paulius’ story offers a blueprint for fellow physicians to break the rules — and build something better.

📘 Resource Guide for Primary Care Physicians

We’ve created a companion resource guide to this episode, including tools, communities, and references for anyone who is interested in learning more about direct primary care.

Whether you’re exploring direct care models, looking for innovative tech tools, or are ready to set up a direct primary care practice of your own, this guide offers concrete next steps.

👉 Download the Resource Guide here

What You’ll Learn in This Episode:

Why primary care has gotten so challengingHow Direct Primary Care offers a path forward for doctors who prioritize mission over moneyHow technology, community, and curiosity can help doctors build better systems instead of just fighting broken ones

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

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Thu, 21 Aug 2025 - 37min

42 - What Happens When a Pediatrician Takes On Congress - Dr. Annie Andrews on Turning Clinical Advocacy into Political Action

Dr. Annie Andrews is a pediatric hospitalist, public health advocate, and U.S. Senate candidate in South Carolina taking on incumbent Lindsey Graham. Known for her unapologetic advocacy for children’s health, Annie has spent over 15 years caring for sick and injured kids, only to realize that many of their challenges stemmed from broken policies far upstream of the hospital. From gun violence prevention to protecting Medicaid, she’s made it her mission to bring a physician’s voice into the rooms where decisions are made and to speak with a candor rarely heard in politics.

In this episode of How I Doctor, Dr. Graham Walker talks with Annie about why more physicians should step into public life, how to fight misinformation without losing credibility, and the communication skills doctors already have that translate to the campaign trail. They dig into the gender inequities baked into medicine and why telling patient stories matters more than citing p-values. If you’ve ever wondered how to turn clinical advocacy into real political action, Annie’s story will make the case that there’s never been a more important time for doctors to run toward the fire.

What You’ll Learn in This Episode:

The skills every physician already has that translate to political leadershipHow to fight misinformation without sounding like you’re in an ivory towerWhy gender inequities in medicine persist even in female-dominated specialtiesThe role of storytelling in rebuilding public trust in physiciansWhat politicians would learn if they were required to spend a day in a children’s hospital

Find out more about Annie here and connect with her on Instagram at https://www.instagram.com/annieandrewsmd/

Watch her campaign launch video at https://www.youtube.com/watch?v=J8wMNLaSNW4

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

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LinkedIn https://www.linkedin.com/company/joinoffcall/

Thu, 14 Aug 2025 - 30min

41 - Doctors Can’t Stay Silent Anymore: Why Shoshana Ungerleider Is Calling on Clinicians to Speak Out

Dr. Shoshana Ungerleider is an internal medicine physician, a public health advocate, and one of the most trusted voices translating science for the real world. Whether she’s hosting th TED Health podcast, advising Netflix on end-of-life storytelling, or calling out hype and misinformation in the media, her work is reshaping how clinicians show up at the bedside and in the public square.

In this episode of How I Doctor, Dr. Graham Walker talks with Shoshana about the skill every physician needs but few are taught: communication. They explore how bias shows up in clinical encounters, why doctors are often unprepared to talk about serious illness, and how media can be a tool for connection and not just distraction. If you’ve ever struggled to explain something complicated to someone who doesn’t “get it,” this conversation will remind you why curiosity, not certainty, is a clinician’s greatest asset.

What You’ll Learn in This Episode:

Why most doctors are never trained to communicate serious news, and how that’s harming patientsHow media, film, and storytelling can shift culture around end-of-life careHow unconscious bias shows up in clinical care, and what to do about itWhy misinformation spreads faster than facts and how physicians can fight back without losing trustWhy more physicians need to step into public conversations—and what’s at stake if they don’t

Find out more about Shoshana here and connect with her on Instagram at https://www.instagram.com/shoshanamd/

Listen to the TED Health Podcast at https://www.ted.com/pages/ted-health

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe

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LinkedIn https://www.linkedin.com/company/joinoffcall/

Thu, 07 Aug 2025 - 31min

40 - From Rural ER Doc to the Governor’s Mansion: How Hawaii Gov. Josh Green Is Rewriting the Rules of Public Health

Dr. Josh Green is an emergency physician who’s done what many doctors only talk about. He’s taken a seat at the table and turned it into a platform for real change. After two decades practicing rural medicine in Hawaii and witnessing firsthand the systemic failures that lead to poor outcomes, he ran for office in his scrubs - and won. Today, as Governor of Hawaii, he’s applying the triage mindset of emergency medicine to some of the most complex public health and policy problems of our time, from homelessness and housing to climate change, Medicaid reform, and AI in healthcare.

In this episode of How I Doctor, Dr. Graham Walker talks with Josh about how clinical experience shapes better leadership, why physicians need to be in public office, and what it means to build a healthcare system that actually works - especially when resources are scarce. If you’ve ever felt like your work in medicine should mean more, this conversation will show you how one ER doc turned frustration into a force for statewide change.

What You’ll Learn in This Episode:

How ER training helps leaders make faster, better decisions during crises
Why housing should be treated as a core public health intervention
How Hawaii’s unique healthcare model delivers lower costs and longer life expectancy
Why physicians make strong political candidates—and how to start your own campaign
How to think like a policymaker without losing your clinical instincts
How low-resource rural practice taught him to rely on relationships and diagnostic skill, not technology

Find out more about Josh here and connect with him on Instagram at https://www.instagram.com/govjoshgreen/

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe

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LinkedIn https://www.linkedin.com/company/joinoffcall/

Thu, 31 Jul 2025 - 41min

39 - Why Health Tech Needs More Clinicians at the Table, And on the Cap Table! With Scrub Capital's Rebecca Mitchell

Rebecca Mitchell is a physician, product strategist, and founding partner at Scrub Capital - a new kind of venture fund built from first principles to fix what’s broken in health tech investing. Alongside her co-founders, Rebecca is working to make sure that healthcare startups aren’t just built for clinicians, they’re built with them.

In this episode of How I Doctor, Dr. Graham Walker talks with Rebecca about why it’s time to give clinicians more power. Not just at the bedside, but on the cap table. They dive into how Scrub Capital is supporting over 800 physicians, nurses, and frontline leaders as active collaborators in early-stage investing. From prescribing infrastructure and fertility tech to virtual specialty care and IVF lab automation, Rebecca shares where she thinks health tech is headed and why the industry’s obsession with hype has blinded it to what actually matters in care.

What You’ll Learn in This Episode:

Why clinicians should stop waiting for a seat at the table and start investing in the companies shaping careHow Scrub Capital is building a community of over 800 clinicians to co-create the next generation of health techWhat Rebecca looks for in a founder and why “missionary, not mercenary” is her #1 investing filterWhy many health systems fail at innovation and how digital health can succeed where they don’tWhich trends in healthcare are overhyped, underhyped, or actually worth the buzz (GLP-1s? Wearables? Psychedelics?)How software, not just new hardware, is unlocking the future of innovationWhy now may be the best time to start a healthcare company - if you’ve got the right insight and a long-term mindset

Follow Rebecca Mitchell on LinkedIn and learn more about Scrub Capital at https://scrubcapital.com/

Apply to join their clinician community here

Submit an investment opportunity here

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

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Thu, 24 Jul 2025 - 35min

38 - The RVU Trap: How Hospitals Use Productivity Metrics to Keep Physicians in the Dark, with Contract Attorney Dennis Hursh

Attorney Dennis Hursh has reviewed more than 3,500 physician contracts and has seen the same patterns again and again - doctors being underpaid, overworked, and legally trapped by language they didn’t know to question.

In this episode, Dr. Graham Walker talks with Dennis about how RVUs and non-competes are often used against physicians, and how to push back. They dive into the structural imbalance between hospitals and physicians, the myths of “standard contracts,” and the silent clauses that could cost you tens of thousands of dollars.

From shocking stories of RVU misreporting to seven-figure locums arbitrage, this episode unpacks how the business of medicine quietly undermines doctors’ financial stability and career flexibility. Dennis brings clarity and tactical advice for any doctor negotiating a contract. Whether you’re fresh out of residency, or already practicing and unsure if you’re getting a fair deal, there’s something in this episode for everyone.

If you’ve ever felt like your compensation didn’t reflect your work. Or if you’ve been told “this is just how it’s done”. This episode will show you how to reclaim your leverage and ask the right questions before you sign.

Dennis wanted to make his decades worth of knowledge available to all Offcall physicians. So he’s compiled aContract Negotiation Guidefeaturing helpful negotiation resources, key questions to ask during a negotiation, and practical pointers. This is a one-of-a-kind resource and it’s free and available exclusively for Offcall physicians.

Create an Offcall account (or log-in if you’ve already done so) in order to access the guide athttps://www.offcall.com/learn/podcast/the-rvu-trap-physician-contract-red-flags-rvu-pitfalls-and-negotiation-tips-with-dennis-hursh

What You’ll Learn in This Episode:

Why “standard contracts” are a trap — and how to spot the clauses that limit your freedom or earningsHow malpractice tail coverage can destroy your savings if you’re not carefulThe truth about RVU compensation and why most physicians never get the full pictureHow locums companies profit on your labor — and how to negotiate like a free agentThe Stark Law loopholes and myths that employers use to shut down fair pay discussions

We’re excited to announce that Dennis is offering a special 10% discount for his legal services for all Offcall physicians. You can book a free consultationhere, and be sure to mention “Offcall” during your appointment to claim your 10% discount!

🩺 Offcall is more than a platform — it’s a community. Join today!

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

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Thu, 17 Jul 2025 - 44min

37 - Innovation and AI-Driven Healthcare, with MD Entrepreneur Dr. Jay Parkinson

Dr. Jay Parkinson is a pediatrician and founder who’s been reinventing healthcare from the outside in for nearly two decades. From launching one of the first tech-enabled house call services in Brooklyn to pioneering virtual primary care with Sherpaa, Jay has always believed that doctors can design better systems. Now he’s back with Automate Clinic, a new venture training physicians to fine-tune clinical AI models with real-world judgment and insight.

In this episode of How I Doctor, Dr. Graham Walker talks with Jay about bucking the traditional medical career path, designing more human-centered systems, and what most startups (and health systems) still don’t get about primary care. They also dive into Jay’s new work building AI you can actually trust, and why the doctors best positioned to shape its future are the ones curious enough to break stuff and ask better questions. If you’ve ever wanted more freedom, more creativity, or more control in medicine then this one’s for you.

What You’ll Learn in This Episode:

Why Jay bet on the iPhone, and not the EMR, as the future of medicine
What healthcare can learn from previous startups like Uber and Google
Why most doctor visits don’t need to happen in person and how to rethink the “front door” of care
How AI can surface consensus, not just “the right answer” and why that’s so powerful in medicine
Why design is a form of protest, and every patient deserves a more beautiful experience

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

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LinkedIn https://www.linkedin.com/company/joinoffcall/

Thu, 10 Jul 2025 - 42min

36 - FTEs, RVUs, PSLF...WTF? Everything You Were Never Taught to Become a Successful Doctor with Dr. Ami DeWaters

Dr. Ami DeWaters is a hospitalist, medical educator, and one of the leading voices reimagining how we prepare residents for the realities of modern medicine. She’s an associate professor at Penn State College of Medicine that’s known for her sharp insights and deep commitment to building physicians who are not just clinically excellent, but also financially, professionally, and systemically fluent.

In this episode of How I Doctor, Dr. Graham Walker talks with Ami about the disconnect between what doctors are taught and what they actually need to succeed. From FTEs and RVUs to PSLF and prior auths, they unpack the hidden curriculum of becoming a practicing physician - and why not understanding how the system works is no longer an option. If you’ve ever felt like medicine handed you the keys without teaching you to drive, this episode will tell you how to take back control.

What You’ll Learn in This Episode:

Why understanding FTEs is essential for your contract, your income, and your loan forgivenessHow to negotiate your first job like a pro and the surprising reason your desk might be the first red flagThe hidden power of residents to drive change and how one radiology resident helped redesign their entire overnight workflowWhy every doctor needs to speak the language of RVUs, billing, and insurance regulation if they want to lead and not just surviveThe one lesson every intern should learn by the end of their first year

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

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Thu, 03 Jul 2025 - 44min

35 - Young Doctors Need to Be Willing to Make the Ultimate Sacrifice with Congressman Greg Murphy

Dr. Greg Murphy is a practicing urologist and four-term Republican Congressman representing North Carolina’s third district—and the only physician in Congress who still actively sees patients, entirely pro bono. Before entering politics, he served as an affiliate professor, urology group president, and chief of staff at a Level 1 trauma center in Greenville, NC. These days, he’s sounding the alarm about what he sees as a crisis in the medical profession: a generation of young doctors who, in his view, are losing their sense of calling.

In this episode of How I Doctor, Dr. Graham Walker talks with Congressman Murphy about the tweet that sparked backlash from younger physicians and the deeper frustrations behind it. Together, they explore the erosion of autonomy, the death of private practice, and what Murphy calls “the ultimate sacrifice” that medicine requires. It’s a fiery, honest, and civil conversation that cuts across generations, full of tough questions, uncomfortable truths, and a shared commitment to fighting for the future of patient care.

What You’ll Learn in This Episode:

Why Congressman Murphy believes too many doctors are using the system as an excuse to stop doing what’s right for the patient.What he means when he says medicine is “a field of sacrifice”—and why he thinks too many young physicians are prioritizing lifestyle over service.His critique of how medical schools admit, train, and prepare students—and what needs to change now.Why he thinks physicians need to give more than just their time to advocacy—and why money matters in politics.How doctors can get more engaged, whether it’s through policy, protest, or running for office themselves.

If you’re a doctor questioning the future of medicine or just looking for a straight-talking take on what it means to stay in the fight this episode’s for you.

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe

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Thu, 26 Jun 2025 - 43min

34 - Why Medical Education Is Broken, And How We Can Fix It with Dr. Paul Tran

Dr. Paul Tran is a pediatric gastroenterologist, award-winning medical educator, and the creator behind Alimentary School — an online platform using storytelling, mentorship, and dad jokes to make medicine more human. He’s on a mission to break down outdated hierarchies and rebuild medical education around trust, real-time feedback, and genuine connection.

In this episode of How I Doctor, Dr. Graham Walker talks with Paul about what’s broken in medical training and how we can actually fix it. With warmth and wit, Paul explains why seeing students as “just students” undermines patient care, how virtual interviews and pass/fail boards have reshaped the residency match, and why the way we give feedback needs to change yesterday. He also shares the killer interview question every applicant should ask, and how social media can help bridge gaps traditional training leaves wide open. If you’ve ever wondered what it would look like to blow up med ed and start fresh, this is the conversation for you.

What You’ll Learn in This Episode:

Why medical training still relies on outdated hierarchies — and how that hurts future doctors and patients alike.How the move to pass/fail Step 1 and virtual interviews is reshaping residency applications (and adding new pressures).The big flaws with “Feedback Fridays” — and Paul’s practical advice for giving and getting better feedback every day.The exact two-part question every med student should ask to uncover a residency program’s real culture.How Paul uses humor and short-form videos to make medical education more accessible, honest, and fun.

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

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Thu, 19 Jun 2025 - 38min

33 - We're Sharing AI Secrets for Clinicians

The world of medicine is entering a new era. One where AI isn’t just a buzzword, but a daily presence in the lives of physicians. That’s why Offcall recently hosted a live webinar We're Sharing AI Secrets for Clinicians, featuring Dr. Graham Walker, ER physician and co-founder of Offcall, and Dr. Sarah Gebauer, anesthesiologist and founder of Valara Health. Longtime friends and Stanford med classmates.

Their goal? Demystify AI for busy clinicians and provide practical tools to navigate this moment of transformation. Not in five years, but right now. Throughout the session, Graham and Sarah unpacked the real-world impact of AI in clinical practice, offering a blend of foundational education, cautionary guidance, and hands-on tips.

You can watch the full video presentation at https://www.linkedin.com/events/7331694686937530368/about/

Physicians, visit Offcall.com/AIGuide to download Graham & Sarah’s AI Guide.

For everyone else who doesn’t have an NPI number you can download that guide at https://docsend.com/v/3t6h4/offcallwebinar

What You’ll Learn in This Episode:

AI Is Already Here—You Just Might Not Know ItKnow Your AI Types: Generative vs. DeterministicUse Cases Are Expanding RapidlyAsk the Hard Questions Before You AdoptBias and Hallucinations Are Real RisksOverreliance Can Weaken Clinical JudgmentLegal and Ethical Guardrails Are Still Being BuiltClinicians Need to Lead the Conversation

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

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Thu, 12 Jun 2025 - 37min

32 - Nurses Know How to Fix Healthcare, So Why Are They Left Out of the Room? with Shawna Butler, RN

Shawna Butler is a nurse, economist, and creator of the EntrepreNURSE movement — but above all, she’s a force for rethinking how healthcare systems are built and who gets a say.

In this episode of How I Doctor, Dr. Graham Walker talks with Shawna about what we lose when we treat nurses like costs instead of collaborators. They unpack the deep roots of burnout and moral injury, explore why innovation often fails without frontline input, and ask a radical but overdue question: what if nurse wellbeing were a quality metric?

It’s a bold conversation about power, trust, and how healthcare can only heal when the people delivering it are heard, valued, and supported.

What You’ll Learn in This Episode:

The Real Reason Nurses Burn Out - It’s not just stress. Nurses are seen as expenses, not expertsm and that perception shapes everything from policy to paychecks.Why Burnout Isn’t Just Exhaustion — It’s Moral Injury - Healthcare workers know what their patients need and are powerless to provide it. That’s not just frustrating, it’s ethically devastating.How Innovation Can Actually Keep Nurses at the Bedside - Nurses aren’t afraid of change, they’re afraid of being left out of it. When nurses lead innovation, they stay longer and solve more.The Untapped Power of Team-Based Care - Doctors and nurses are on the same team, but the system wasn’t built to reward teamwork. Fixing that is key to fixing care.

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

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Thu, 05 Jun 2025 - 34min

31 - This 2x Founder Did Something Radical: He Listened to Doctors Before Building Anything With Aniq Rahman

Aniq Rahman is a two-time tech founder, but when he turned his attention to healthcare he did something most disruptors don’t - he shut up and listened. Aniq embedded himself in hospitals, shadowed physicians, and absorbed the daily frustrations that don’t show up in EMR logs or admin dashboards.

In this episode of How I Doctor, Dr. Graham Walker talks with Aniq about what he learned by watching before building, and how that humility shaped his approach to transforming healthcare with Fabric. They dig into what’s broken in the current system, why software often makes doctors’ lives harder, and how a product-first mindset can fail in a field where people - not features - are the real complexity.

It’s a rare conversation that bridges tech optimism with physician realism and makes a compelling case for designing with doctors, not just for them.

What You’ll Learn in This Episode:

Why Tech Usually Gets Healthcare Wrong - The classic startup playbook fails when applied to medicine.What Happens When You Listen First - How a year of shadowing and silence led to insights most founders never hear.Fixing the Wrong Problems - Why too many platforms are optimized for metrics instead of meaning and how Fabric is different.Doctors Aren’t the Problem, The System Is - A candid look at how current tools make good physicians feel ineffective, and what needs to change.The Case for Physician-Led Innovation - Why tech needs more co-design, less command-and-control and what healthcare can learn from infrastructure.

❓What's the biggest question you have about AI and healthcare? ❓

We’re throwing our first live event, and you’re invited! Graham Walker, MD and Sarah Gebauer, MD are two of the country's leading MD experts about AI and they'll be answering your questions in an urgent live webinar on June 3rd. Register at https://www.linkedin.com/events/we-resharingaisecretsforclinici7331694686937530368/theater/

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

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Thu, 29 May 2025 - 39min

30 - Confessions from a Mid-Career Physician: Why It’s Okay to Want More Than Medicine with Dr. Kaveh Hoda

Dr. Kaveh Hoda is a practicing gastroenterologist and longtime podcaster. He’s part of a cohort of doctors who trained on paper charts, watched the rise of EHRs, and now find themselves navigating mid-career questions that older generations rarely asked. Questions about purpose, burnout, and identity beyond the white coat.

In this episode of How I Doctor, Dr. Graham Walker talks with Kaveh about what it means to hit your clinical stride and still feel a pull toward something more. They unpack the hidden costs of professionalism, the subtle slide from skepticism into cynicism, and the permission every mid-career physician needs to explore life beyond the hospital. It’s a candid, funny, and deeply reflective look at the decade of your career no one warns you about, but nearly every doctor will face.

Whether you’re feeling stagnant, questioning your purpose, or just wondering what’s next, this episode is a reminder that you’re not alone. and it’s okay to want more than medicine.

What You’ll Learn in This Episode:

The Mid-Career Medicine Trap - Why hitting your clinical peak can leave doctors feeling stuck—and how to shift from autopilot to intentionality.Beyond the White Coat - How today’s mid-career physicians are building identities outside medicine, and why that’s a strength—not a failure.When Skepticism Turns to Cynicism - The warning signs of burnout masked as indifference—and how to reclaim curiosity and compassion.Why You Don’t Feel Like a “Young Doctor” Anymore - Aging in medicine, the end of being called “too young to be a doctor,” and finding empathy through shared experience.Redefining Success in the Middle - Letting go of outdated goals, learning from the next generation, and making space for joy, hobbies, and reinvention.

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📝 For a full transcript of this episode click HERE

https://www.offcall.com/learn/podcast/the-mid-career-physician-crisis-identity-burnout-and-reinvention

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Thu, 22 May 2025 - 31min

29 - The Future of Primary Care Is Independence And It’s More Lucrative Than You Think with Dr. Farzad Mostashari

Dr. Farzad Mostashari is the former National Coordinator for Health IT, the CEO and co-founder of Aledade, and a longtime champion for independent primary care. He’s spent his career trying to answer one question: how do we fix American healthcare by paying doctors to prevent illness—not just treat it? In this episode of How I Doctor, Dr. Graham Walker sits down with Farzad to unpack the financial forces behind physician burnout, the byzantine mess of incentives driving consolidation, and why empowering small, independent practices could be the key to turning it all around.

They talk about how value-based care is finally beginning to deliver real results, with independent practices earning more through shared savings than through fee-for-service billing. Farzad breaks down the math behind a billion-dollar primary care group, what it really means to have leverage with payers, and how doctors can reclaim both their autonomy and financial upside. Whether you’re an early-career physician wondering what path to take—or a veteran feeling stuck inside a system you didn’t design—this conversation offers a clear-eyed look at what’s broken and what’s finally working.

What You’ll Learn in This Episode:

Why the Payment Model Is the Root Problem – How the current system rewards volume over outcomes, and what happens when that finally changes.The Hidden Power of Primary Care – Why independent doctors can drive massive savings—and how a 100-physician practice can become a billion-dollar enterprise.Who Built the Machine—and Why It’s So Hard to Escape – A candid look at the patchwork of well-intentioned policies that now trap physicians in burnout.The Business Case for Independence – How some practices are now earning more in one check than in an entire year of fee-for-service billing.Control, Respect, and the Right to Say No – Why owning your schedule matters as much as your paycheck—and how it connects to professional satisfaction.Rebuilding a Career on Your Terms – What it takes to go independent today, and why the future might finally be tipping in favor of small, physician-led care.

This conversation is for anyone who’s ever wondered: What happens when being a doctor isn’t enough — and what else might be possible?

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📝 For a full transcript of this episode click

https://www.offcall.com/learn/podcast/independent-practice-is-reshaping-primary-care-and-making-doctors-more-money

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Thu, 15 May 2025 - 40min

28 - How Medicine Is Failing Women Doctors, And What We Can Do to Fight Back with Dr. Tiffany Moon

Dr. Tiffany Moon is a board-certified anesthesiologist, entrepreneur, mother of twins, and former cast member on The Real Housewives of Dallas. She is a deeply thoughtful physician who is working to reclaim joy in a system that often seems designed to extinguish it.

In this episode of How I Doctor, Dr. Graham Walker talks with Tiffany about her journey through burnout, perfectionism, and the pressures that push so many women out of medicine. With humor and honesty, she unpacks what it means to build a meaningful life inside and outside the hospital walls.

They discuss why burnout is often a systemic failure, not a personal one, how motherhood changed the way she practices, and why going part-time helped her rediscover her full self. Along the way, Tiffany offers a powerful reminder: joy isn’t something you wait for, it’s something you create.

A Special Thanks

Tiffany has been a vocal advocate for salary transparency and pay equity in medicine. Her support for Offcall’s rural anesthesia salary negotiation project helped amplify the need for change and drew hundreds of contributions from anesthesiologists nationwide. We’re grateful for her voice and her leadership.

New Book Out May 6: Joy Prescriptions

Part memoir, part guide, Joy Prescriptions is a call to action for anyone feeling stuck in the cycle of burnout, people-pleasing, or perfectionism. It’s available now at joyprescriptions.com and wherever books are sold. Be sure to go and buy the book, you won’t be disappointed!

What You’ll Learn in This Episode:

Why Perfectionism Is Every Physician’s Hidden Enemy – And how unlearning it can open the door to joy, fulfillment, and longevity in your career.The Gender Gap That Won’t Go Away – How pay inequity, unconscious bias, and inflexible systems push women out of medicine.What Happens When You Go Part-Time – Why Tiffany made the decision, and how the system punished her for it.How Parenthood Changed Her Approach to Practicing Medicine – Why becoming a mom made her more empathetic, more human, and more protective of her boundaries.Redefining Success After Burnout – How Tiffany built a personal brand, found new creative outlets, and reclaimed her identity outside the OR.The Myth of the Doctor-Hero – Why “always putting the patient first” can be a dangerous cultural norm — and how it’s driving physicians to the brink.

This conversation is for anyone who’s ever wondered: What happens when being a doctor isn’t enough — and what else might be possible?

🩺 Offcall is more than a platform — it’s a movement! Join today:

https://www.offcall.com/

📝 For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/how-medicine-is-failing-women-doctors-and-how-to-fight-back

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Mon, 05 May 2025 - 39min

27 - Harvard Cardiologist Reveals What Doctors Never Learn in Training About Careers, Contracts, and Building a Life Outside Medicine with Dr. Sanjay Divakaran

Dr. Sanjay Divakaran is a cardiologist, educator, and Associate Chief at Brigham and Women’s Hospital. He’s also one of the most thoughtful voices when it comes to guiding the next generation of physicians. Not just in clinical medicine, but in career strategy, mentorship, and personal growth.

In this episode of How I Doctor, Dr. Graham Walker sits down with Sanjay to explore the hidden curriculum of medicine. What is the essential career advice doctors rarely receive in training? From how to choose the right mentors, to understanding how your job performance will actually be measured, to why networking matters more than you think, this episode is filled with practical insights every early-career physician should hear.

Whether you’re just entering residency or rethinking your next career move, Sanjay offers a blueprint for finding clarity, building community, and staying grounded in what really matters.

What You’ll Learn in This Episode:

Why Medicine Is Still an Apprenticeship – And how that mindset can help you grow faster as both a clinician and a leader.How to Build Your Personal Board of Mentors – Why no single mentor can meet all your needs and how to find the right people to guide your journey.The Career Questions Doctors Should Be Asking – Including how you’ll be measured, what your institution actually values, and how to assess job fit beyond the posting.What Most Physicians Miss About Networking – Why your med school and residency friends may be your most valuable long-term connections.Understanding the System You Work In – How learning the non-clinical side of healthcare can improve your job satisfaction and influence.The Rise of Career Multipliers – Why more doctors want to be more than clinicians—and how to find fulfillment through education, leadership, and impact.

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📝 For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/harvard-cardiologist-reveals-what-doctors-never-learn-in-training-about-careers-contracts-and

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Thu, 01 May 2025 - 36min

26 - Former Epic Doctor Says the System Is Designed to Fail Physicians

Dr. Craig Joseph is a pediatrician, informaticist, and the Chief Medical Officer at Nordic Global. He’s also the author of Designing for Health and a former Epic employee, with decades of experience at the intersection of clinical care and health IT.

On this episode of How I Doctor, Dr. Graham Walker talks with Craig about what’s actually broken in American healthcare — and why blaming the EHR is often missing the point. They dive into the messy realities of health system design, the unintended consequences of bad tech workflows, and why true innovation in medicine will only come when doctors help lead it. Craig offers a behind-the-scenes look at how physicians can rethink technology, push for smarter design, and prepare for the coming wave of AI in healthcare.

What You’ll Learn in This Episode:

Why EHRs Aren’t the Real Problem – How poorly designed systems, not software alone, are burning doctors out.The Myth of the “Standard Workflow” – Healthcare isn’t one-size-fits-all and why software should reflect that.The Moment Doctors Stopped Calling the Shots – How the shift to employment models and admin control reshaped the physician experience.AI and the Future of Documentation – Craig’s prediction for 2030 and how recording clinical encounters could reshape care.Getting Rid of Stupid Stuff – What it really takes for hospitals to stop wasting doctors’ time on useless clicks and forms.Reclaim Your Career Without Leaving Medicine – Why it’s okay to want something different—and how clinical experience is still your superpower.

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📝 For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/physician-informaticist-dr-craig-joseph-explains-healthcare-it

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Thu, 24 Apr 2025 - 32min

25 - Physician Contract Lawyer: No Other Profession Has It As Bad As Doctors! Here Are the Most Insane Clauses In Doctors’ Contracts and Why Every Physician Needs to Renegotiate Them!

Michael Johnson is an attorney and the founder of Michael Johnson Legal, a firm that works exclusively with physicians and physician groups to review contracts, negotiate fair compensation, and protect career freedom.

In this episode of How I Doctor, Dr. Graham Walker sits down with Michael to unpack one of the most overlooked yet high-stakes parts of practicing medicine: the employment contract. Together, they explore why doctors receive little to no training in negotiation, how “standard” contract clauses can be career-ending, and why more physicians need to challenge the status quo at the start of their careers as well as well into practice.

Michael shares insights on everything from non-competes and clawbacks to how doctors can start renegotiating even years after signing their first deal.

What You’ll Learn in This Episode:

The Hidden Dangers in Physician Contracts – Why even well-intentioned doctors sign deals that limit their freedom, income, and ability to leave.How to Negotiate Like a Pro (Even as a New Grad) – Tactics and talking points you can use right now to secure better terms.The Myth of the “Standard Contract” – How vague clauses around call, compensation, and termination hurt physicians—and how to spot them early.Renegotiating After Years in Practice – Why it’s never too late to re-open the conversation and how doing so helps the next generation.CRNAs, Hospital Takeovers, and Rural Practice Pressures – A real-world look at how physicians are fighting to stay independent in a shifting healthcare landscape.Why Data Is Power – How physician-level compensation data (like what we’re building at Offcall) changes the game in contract negotiations.

🩺 Offcall is more than a platform — it’s a movement! Join today:

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📝 For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/what-physicians-need-to-know-about-negotiating-employment-contracts

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Thu, 17 Apr 2025 - 43min

24 - Most Shared Episodes: These 4 Physicians Are Fighting to Save Medicine and Give Doctors Their Power Back! -- Dr. Glaucomflecken, Dr. Eric Bricker, Dr. Elisabeth Potter, Dr. Jim Dahle

Last week’s interview with Mark Cuban generated a huge response — thank you to everyone who listened, commented on, or shared the episode.

New guests will debut next week, but this week, we’ve rounded up some of the show’s most inspiring and thought-provoking moments to date to help all the new listeners get acquainted with How I Doctorand Offcall’s mission. The four physicians featured in this episodes are examples of MD leaders who are using their voices to improve the healthcare system. Their insights will push you to think about medicine differently:

Dr. Will Flanary, an ophthalmologist and comedian who’s become better known by his online persona Dr. Glaucomflecken.Dr. Eric Bricker, an internal medicine physician-slash-entrepreneur who explains the finer points of healthcare finance in signature whiteboard videos.Dr. Elisabeth Potter, a reconstructive breast surgeon who went viral on social media for exposing how insurance companies bully doctors and compromise patient interests.Dr. Jim Dahle, an emergency medicine physician who founded the White Coat Investor to teach doctors about personal finance and money management.

🩺 Offcall is more than a platform — it’s a movement! Join today!

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📝 For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/most-shared-episodes-these-4-physicians-are-fighting-to-save-medicine-and-give-doctors-their

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Thu, 10 Apr 2025 - 43min

23 - Mark Cuban: How I’d Reform Healthcare If I Were in Charge

Mark Cuban is a business mogul, the “Shark” every entrepreneur wants to make a deal with, the former owner of the Dallas Mavericks, and, most recently, an online pharmacy CEO. In 2022, Mark co-founded Cost Plus Drugs with the goal of lowering prescription drug prices. The direct-to-consumer company makes generic drugs affordable by cutting pharmacy benefit managers out of the distribution chain. But, once Mark starts talking about tackling the pharmaceutical market, you get the sense he has his sights set on an even bigger goal: reforming the healthcare system at large.

Offcall co-founder Graham Walker recently got the chance to interview Mark on How I Doctor, a podcast that explores the lives and careers of physicians who are practicing medicine differently. Mark, of course, is not a physician. But, as Graham notes, “I'm talking to him because I think he actually gives a damn about healthcare, and more importantly, he's doing something about it.”

Mark pulls no punches in this episode, and frames American healthcare as a David- and Goliath-style fight between good and bad actors.

Physicians are on the good team: “I happen to be a fan of people who save lives and make other people feel better, you know? Call me crazy.”

Who’s on the bad team? Anyone trying to game the system and extract money from it for their own benefit — insurance companies, hospitals, private equity firms, and others. “In healthcare, that $4.9 trillion wherever anybody can arbitrage whatever they can out of the system, that's exactly what they are going to do.”

With clarity of conviction and a hard-charging spirit, Mark shares his vision for how to fix healthcare.

🩺 Offcall is more than a platform — it’s a movement! Join today!

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For a full transcript of this episode click HERE

https://www.offcall.com/learn/podcast/mark-cuban-interview-how-shark-tank-star-and-cost-plus-drugs-ceo-would-fix-healthcare

Find all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.

In this episode, Graham and Mark discuss:

04:26 Expanding Medical School Enrollment

09:33 Insurance Plan Designs

16:27 Insurance Company Tactics

20:45 Negotiation Loopholes and Legal Tangles

28:04 Healthcare Spending

34:53 Transparency and Trust Drive Growth

43:37 Unfair Broker Fees

49:53 Profitability in Specialized Medical Services

55:08 Future of AI-Assisted Healthcare

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Thu, 03 Apr 2025 - 59min

22 - It’s Time for Physicians To Fight Back Against Insurance Companies To Save Our Practice With Dr. Elisabeth Potter

Dr. Elisabeth Potter is a plastic surgeon and practice owner in Austin, Texas, who specializes in post-mastectomy breast reconstruction. In January, Elisabeth made waves on social media when she posted a video about UnitedHealthcare calling her during surgery, pulling her out of the OR to explain why her patient — who was already under anesthesia — needed to stay in the hospital overnight.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker talks with Elisabeth about dealing with absurd coverage requirements, calling out insurance companies for undermining patient care, and being the “face of medicine” in today’s climate. Elisabeth also discusses the most rewarding and difficult aspects of running her own practice, opens up about her viral video, and shares how she’s using social media to educate patients and push for policy changes.

🩺 Offcall is more than a platform — it’s a community. Join today!

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For a full transcript of this episode click HERE

https://www.offcall.com/learn/podcast/why-viral-plastic-surgeon-elisabeth-potter-is-exposing-insurance-companies

Find all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.

In this episode, Graham and Elisabeth discuss:

03:15 Why Insurance Companies Are Getting Away with Abusing Doctors

08:42 Going Viral After Speaking Out About Insurance Harassment

2:20 The Challenges of Running an Independent Practice

7:05 How Social Media Is Giving Doctors a Voice

23:40 Balancing Patient Care with Advocacy

28:55 Lessons Learned from Taking on UnitedHealthcare

32:15 The Power of Speaking Up and Inspiring Others to Advocate

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Thu, 27 Mar 2025 - 37min

21 - Banks Rejected Me in Residency - So I Started My Own Bank for Doctors with Dr. Michael Jerkins

Dr. Michael Jerkins is a meds-peds physician and the co-founder of Panacea Financial, a financial services company for doctors. After being rejected for multiple loans during residency, Michael realized that traditional banks were failing doctors as customers. So, he created a bank that understands the unique financial struggles and goals of the medical community.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker talks with Michael about why doctors need their own bank and how Panacea has evolved since its launch to meet the needs of physicians (and eventually other clinician groups). They also explore why more doctors are looking for ways to practice medicine on their own terms, and discuss numerous other aspects of doctors’ financial lives.

🩺 Offcall is more than a platform — it’s a community. Join today!

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For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/why-med-peds-physician-michael-jerkins-started-a-bank-specifically-for-doctors

Find all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.

In this episode, Graham and Michael discuss:

05:01 Peer Lending Solution for Loan Challenges

13:06 Medical Practice Financing Challenges

16:24 Financial Challenges for Med Students

19:55 Medicare's Evolving Role with Dentistry

24:19 Doctors' Dilemma: Medicine vs. Tech

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Thu, 20 Mar 2025 - 30min

20 - Physician CEO: PBMs Are Ruining Healthcare! I Quit Full-Time Medicine to Start a Company ... So I Could Fight the Drug Industry Head-On!

Dr. Simon Chang is a hospitalist and the CEO and co-founder of eNavvi, an online pharmacy platform. Since finishing his residency in 2022, Simon has been a part-time physician, splitting his time between clinical care and entrepreneurship.

On this episode of How I Doctor, Offcall co-founder Dr. Graham Walker talks with Simon about building a career in medicine and a pharma-tech company at the same time, interacting with other physicians as both angel investors and product users, and partnering with like-minded companies including Mark Cuban’s Cost Plus Drugs. Simon explains why he set his entrepreneurial sights on prescription drugs and how eNavvi helps remove pricing-transparency barriers created by PBMs (pharmacy benefit managers). He also makes a convincing case that physicians are especially well-equipped to solve the most complex and stubborn problems in healthcare.

🩺 Offcall is more than a platform — it’s a movement. Join today!

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For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/how-hospitalist-simon-chang-balanced-working-as-a-physician-and-building-a-startup

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Thu, 13 Mar 2025 - 20min

19 - I Made Myself Sick Working Back-to-Back 20-Hour Shifts in Residency. How Burned-Out Doctors Can Find Our Creativity Again with The Nocsturnist’s Dr. Emily Silverman

Dr. Emily Silverman is a practicing internist and the founder of The Nocturnists, a groundbreaking podcast that amplifies the raw, deeply human stories of healthcare workers.

In this episode of How I Doctor, Dr. Graham Walker sits down with Dr. Silverman to discuss her personal experience with burnout, the systemic flaws in medicine that drive physician exhaustion, and how storytelling can serve as a powerful tool for healing and connection. She shares how her own journey — from back-to-back 20-hour shifts in residency leading to a devastating health crisis — sparked her passion for rethinking medical culture and supporting fellow physicians through creative expression.

What You’ll Learn in This Episode:

The Reality of Physician Burnout – Emily recounts the moment she realized the system that trains doctors to heal was, ironically, making her sick.How Medical Training Stifles Creativity – Why doctors often feel they’ve “lost a piece of themselves” during training and how to reclaim personal expression.The Power of Storytelling in Medicine – How The Nocturnists became a movement for processing the emotional weight of medicine.Structural Issues in Healthcare – The impact of corporate consolidation, private equity, and systemic burnout on physician well-being.Supporting Women in Medicine – Dr. Silverman discusses maternity leave, childcare challenges, and the gender pay gap in healthcare.Career Advice for New Physicians – Why embracing diverse career paths can lead to greater fulfillment and impact.

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For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/nocturnists-host-dr-emily-silverman-made-herself-sick-working-back-to-back-shifts

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Thu, 06 Mar 2025 - 30min

18 - AI Tools for Doctors: Fact vs. Fiction with Dr. Spencer Dorn

Dr. Spencer Dorn, a gastroenterologist, informatics physician, and professor at UNC, is passionate about the intersection of technology and healthcare. Spencer, who frequently writes about AI for Forbes, is helping to shape the conversation around real-world applications of AI in medicine, and how AI can complement (rather than replace) physicians.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker talks with Spencer — his longtime friend — about how AI is being used in medicine now, and where it has the most potential going forward. Artificial intelligence and machine learning tools have been part of healthcare for a while, from EKG analysis to clinical documentation. But what does the next chapter look like? And what are the biggest misconceptions about AI’s impact on doctors, patients, and the healthcare system? Their conversation also covers AI literacy standards for doctors and how to incorporate AI into medical training.

This episode is a crash course on AI in medicine — what’s already happening, where things are heading, and how physicians should feel about AI’s expanding role.

What you’ll learn about in this episode:

The true purposes of AI in medicineHow ambient scribes are changing note-takingHow AI medical summarization can revolutionize patient careWhat AI literacy means for physiciansHow AI will affect medical trainingEthical and regulatory challenges that will emerge with increased AI reliance

🩺 Offcall is more than a platform — it’s a movement. Join today!

https://www.offcall.com/

For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/the-evolving-role-of-ai-agents-in-healthcare-with-dr-spencer-dorn

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Thu, 27 Feb 2025 - 25min

17 - Why I Chose Direct Primary Care with Dr. Kenneth Qiu

Dr. Kenneth Qiu is a family medicine physician and the founder of EuDoc, a direct primary care practice in Virginia. Kenneth brings a fresh perspective, having taken the bold step of starting his own practice right out of residency.

On this episode of How I Doctor, Offcall co-founder Dr. Graham Walker talks with Kenneth about the state of primary care and why he believes a direct care model has advantages over insurance-based care. Kenneth also discusses launching and marketing his practice, the specific challenges of family medicine, and the importance of having humility as a physician. This short episode delivers a lot — from big ideas about systemic healthcare change to tactical tips for entrepreneurial doctors.

🩺 Offcall is more than a platform — it’s a community. Join today!

https://www.offcall.com/

For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/how-dr-kenneth-qiu-launched-a-successful-direct-primary-care-practice-out-of-residency

Find all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.

In this episode, Graham and Kenneth discuss:

03:59 Exploring Direct Primary Care Experiences

09:07 Avoiding Lifestyle Creep

10:07 Balancing Treatment with Nature's Course

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Thu, 20 Feb 2025 - 14min

16 - Finding Your Physician Voice With Dr. Darien Sutton

Dr. Darien Sutton is an emergency physician, correspondent for ABC News, and doctor-influencer with over 2 million followers on TikTok. Darien uses his platforms to educate the public, combat misinformation, and advocate for a more equitable healthcare system.

On this episode of How I Doctor, Offcall co-founder Dr. Graham Walker talks with Darien about the value of teaching patients health literacy, the importance of doctors looking like their patients, and Darien’s shift from full-time physician to media figure. Darien weighs in on physician pay transparency (we need more of it) and the new specialty he’d invent (doctors for anxious 30- and- 40-somethings). And he shares all sorts of insights about TikTok, including how the platform helped him find his voice, why creators need to be their own super fans, and how avoiding trends helps his content take off.

🩺 Offcall is more than a platform — it’s a community. Join today!

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For a full transcript of this episode click HERE

https://www.offcall.com/learn/podcast/abc-news-correspondent-and-tiktok-influencer-dr-darien-sutton-s-formula-for-engaging-content

Find all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.

In this episode, Graham and Darien discuss:

03:59 Emergency Medicine's Educational Role

06:52 Journey from School to Health Journalist

12:00 Finding Healthcare's Root Causes

16:14 Power in Community and Connection

19:19 Understanding Patients Better

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

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Thu, 13 Feb 2025 - 22min

15 - Finding Your Calling with Dr. Kai Romero

Dr. Kai Romero is an emergency and palliative care physician who recently became the head of clinical success at Evidently, a cognitive AI platform powered by clinical data. Previously, Kai worked at By the Bay Health, where she began as a hospice physician before moving into a leadership role as chief medical officer.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker talks with Kai about her journey from those adrenaline-fueled days in the emergency room to the compassionate and complex world of palliative care. Kai discusses why she made the jump, how the two specialties overlap, and why ER doctors’ “soft skills” help them thrive in jobs outside of traditional medicine. She also makes the case that doctors in leadership roles should continue seeing patients and shares thoughts on empathy, physician identity, and the doctor-patient relationship.

🩺 Offcall is more than a platform — it’s a community. Join today!

https://www.offcall.com/sign-up

For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/dr-kai-romero-s-journey-from-emergency-medicine-to-palliative-care-to-ai

Find all episodes of How I Doctor at offcall.com/podcastor subscribe on your favorite podcast player at https://episodes.fm/1767429315.

In this episode, Graham and Kai discuss:

04:34 Hospice and Emergency Medicine Parallels

07:14 Exploring Empathy

12:15 Balancing Clinical Practice and Leadership

14:16 Maximizing Patient Care

18:09 Relationships in Care

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LinkedIn https://www.linkedin.com/company/joinoffcall/

Thu, 06 Feb 2025 - 19min

14 - Dodge Financial Predators With White Coat Investor Founder Jim Dahle

Jim Dahle is an emergency medicine doctor in Utah — but you probably know him as the founder of The White Coast Investor, a trusted destination for personal finance guidance for physicians. Jim provides clear, actionable advice about dealing with debt, building wealth, and other aspects of money management. Since launching his blog in 2011, Jim has expanded the White Coat Investor brand to include books, a podcast, conferences and online communities — all centered around the financial lives of doctors.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker talks with Jim about starting the White Coat Investor, protecting doctors from scammers, the three types of physician investors, choosing the right specialty, and more. Throughout the conversation, Jim shares tips and common money mistakes, geared toward early-career doctors.

🩺 Offcall is more than a platform — it’s a community. Join today

https://www.offcall.com/sign-up

For a full transcript of this episode click HERE

https://www.offcall.com/learn/podcast/7-important-financial-tips-for-early-career-physicians-with-white-coat-investor-jim-dahle

Find all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.

In this episode, Graham and Jim discuss:

04:14 Early Career Income and Debt Struggles

08:19 Navigating Student Loans

13:37 Common Financial Difficulties

16:43 Success Starts with Goals

22:55 The Power of Communities

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Thu, 30 Jan 2025 - 28min

13 - Stop Calling It Physician “Burnout” With Oncologist Hardeep Phull

Dr. Hardeep Phull is an oncologist at the Palomar Health Medical Group and an alumni specialty director at the Cleveland Clinic. Known for his outspoken views on physician burnout, particularly in oncology, Hardeep is a forceful advocate for doctors getting what they’re worth. He’s a leading physician voice on LinkedIn, where his honest insights about the good and bad of practicing medicine reliably spark conversation.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker talks with Hardeep about his journey in medicine, why burnout should be reframed as moral injury, and why this is such an exciting time in oncology.Hardeep also shares advice for how physicians can maintain their purpose while also making money.

🩺 Offcall is more than a platform — it’s a community. Join today

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For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/solving-burnout-and-finding-purpose-in-medicine-with-dr-hardeep-phull

Find all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.

In this episode, Graham and Hardeep discuss:

04:38 Maximizing your income and net worth

07:34 The problem with medical notes

9:08 The most rewarding parts of oncology

11:15 Why oncologists burn out

15:55 Finding new purpose during COVID

20:16 The explosion of targeted cancer drugs

25:07 Financial tips for physicians

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker:

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Bluesky https://bsky.app/profile/drgrahamwalker.com

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Thu, 23 Jan 2025 - 27min

12 - Landing Your First Non-Clinical Job with Dr. Phil DiGiacomo

Dr. Phil DiGiacomo is an emergency physician who made the tough choice to leave clinical practice a few years ago. Today, he’s the National Medicare Medical Director at the health insurance company Humana, as well as an advocate for physicians in search of non-clinical roles. He created an online course to help doctors make career transitions, which is available on his website.

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker talks with Phil about why Phil decided to change jobs, how he found a new career three years ago, and the tradeoffs of leaving clinical medicine for a remote desk job. Phil also offers tactical advice about different aspects of the non-clinical job hunt, including getting past AI resume screenings and emphasizing “soft skills.”

For a full transcript of this episode click here

https://www.offcall.com/learn/podcast/former-emergency-physician-dr-phil-digiacomo-is-helping-burnt-out-doctors-get-new-jobs

Find all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.

In this episode, Graham and Phil discuss:

00:58: Phil’s journey from the ER to the corporate world

13:15: The challenges doctors face in changing careers

28:40: Exploring part-time non-clinical jobs

33:51: Advice for physician job-seekers

44:17: What Phil actually does (and makes) in his non-clinical job

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

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Thu, 16 Jan 2025 - 33min

11 - Charting Your Own Career Path in Academic Medicine with Dr. Resa Lewiss

Dr. Resa Lewiss is an emergency physician, academic leader, and pioneer in point-of-care ultrasound (POCUS), with an impressive career spanning traditional academic roles and innovative ventures.

In this episode of How I Doctor, Resa joins Offcall co-founder Dr. Graham Walker to discuss how she’s managed to enjoy a fulfilling and non-traditional career in academic medicine and her advice to other physicians about breaking the standard mold and charting your own path. Resa shares her most important lessons learned:

The Power of MentorshipBeing Willing to Change Institutions to Get PromotedEmbracing Publishing in Non-Traditional Outlets

For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/emergency-physician-dr-resa-lewiss-is-using-mentorship-and-innovation-to-transform-academic

In this episode, Graham and Resa discuss:

03:19 Advocating for self-care in academic medicine

06:44 Ultrasound’s growth and the use of nerve blocks to replace sedation

14:42 Hunger for hard work

18:54 Becoming an author

20:06 The challenges of an ER doctor

🩺 Offcall is more than a platform — it’s a movement! Join today:

https://www.offcall.com/

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker:

LinkedIn https://www.linkedin.com/in/graham-walker-md/

Bluesky https://bsky.app/profile/drgrahamwalker.com

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Thu, 09 Jan 2025 - 23min

10 - Advance Your Career with Dr. Glenn Loomis - Part 3 Interviews

Dr. Glenn Loomis is a seasoned healthcare leader with decades of experience as a physician, residency director, medical group president, and health system executive.

In this special three-part series of How I Doctor, Offcall co-founder Dr. Graham Walker and Glenn discuss the ways physicians can maximize their earnings and start getting paid fairly. This third and final episode provides a four-step roadmap to ensure physicians make informed and confident decisions about their next role.

Carefully Evaluate If the Job Fits Your CriteriaBe Strategic and Consistent in the Questions You AskDo Your Due DiligenceTrust Your Gut

For a full transcript of this episode click here.

https://www.offcall.com/learn/podcast/evaluating-potential-employers-dr-glenn-loomis-on-what-physicians-need-to-know-to-find-the-best

Find all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.

In this episode, Graham and Glenn discuss:

03:49 Key Questions to Ask During Interviews

06:33 Leveraging Resources for Job Research

08:55 Trusting Your Instincts

🩺 Offcall is more than a platform — it’s a movement! Join today:

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Sat, 04 Jan 2025 - 13min

9 - Negotiation Tips with Dr. Glenn Loomis - Part 2 Contracts

Dr. Glenn Loomis is a seasoned healthcare leader with decades of experience as a physician, residency director, medical group president, and health system executive.

In this special three-part series of How I Doctor, Offcall co-founder Dr. Graham Walker and Glenn discuss the ways physicians can maximize their earnings and start getting paid fairly. This second episode digs deeper into employment contracts and the critical role they play in defining a physician’s career path, compensation, and working conditions. This episode outlines the four things every physician should know when evaluating or renegotiating a contract:

The Purpose of ContractsWhat’s NegotiableNon-Compete ClausesRenegotiation Opportunities

For a full transcript of this episode click here.

https://www.offcall.com/learn/podcast/what-every-doctor-needs-to-know-about-hospital-employment-contracts-insights-from-dr-glenn

Find all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.

In this episode, Graham and Glenn discuss:

04:31 Contract Negotiation Realities

07:36 Non-Compete Clauses and Challenges

09:54 Renegotiating Physician Contracts

🩺 Offcall is more than a platform — it’s a movement! Join today:

https://www.offcall.com/

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