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Doctors Making A Difference

Doctors Making A Difference

De : Peter M. Crane MD
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Not every doctor dreams of climbing the traditional ladder. Some dream of building their own. Doctors Making a Difference, hosted by Dr. Peter Crane, tells the stories we rarely hear, of physicians who dared to ask, “Is this all there is?” and then changed their lives to answer it. These are the moments after burnout, after bureaucracy, after sacrifice. When purpose called louder than protocol. Each week, listeners meet doctors who stepped off the expected path—into roles as entrepreneurs, advocates, creatives, and leaders redefining what it means to heal. They didn’t just survive medicine. They made it theirs.Copyright 2025 Doctors Making A Difference Développement personnel Economie Finances privées Hygiène et vie saine Maladie et pathologies physiques Réussite personnelle
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    Épisodes
    • DMD # 72 | Continuing Education, Burnout Prevention, and Creative Pursuits in Medicine
      Feb 26 2026
      Dr. Dave Davis, the most cited primary care physician in Canada, joins Dr. Peter Crane to share his career journey from clinical practice to revolutionizing CME. With decades in family medicine, academia at McMaster and the University of Toronto, and innovative research, Dave discusses the inefficacy of traditional lectures, effective learning strategies like problem-based learning and point-of-care tools, and the importance of relationships in medicine. The conversation delves into avoiding burnout by listening to one's "gut," pivoting to meaningful roles like underserved community care during the AIDS epidemic, and exploring creativity through science fiction novels and historical fiction. Dave also highlights volunteer work in retirement as a source of fulfillment. This episode offers physicians insights on staying engaged, balancing professional demands, and embracing holistic personal growth for long-term career satisfaction. Episode Highlights Dave's early career spark in CME after attending ineffective lectures, leading to research and roles at McMaster and University of TorontoPublishing a provocative JAMA paper showing traditional CME lectures fail to change behavior, based on randomized trials and reviewsEffective CME alternatives: Daily journal reading, colleague discussions, small-group sharing, point-of-care lookups, and quality improvement with feedbackShift from pharmaceutical-sponsored CME to unbiased, embedded learning in practice, like electronic consultations and specialist inputPersonal strategies for staying current: Treating medicine as a "school without walls," using computers for quick answers, and daily patient-driven research Burnout onset after 10-12 years in routine practice; rediscovering joy through teaching doctor-patient relationships and pivoting during 1987 Ontario physician strikeTransformative move to urban community health center: Handling AIDS cases, collaborating with multidisciplinary team, and feeling "alive" in meaningful careBalancing academia: 60% clinical practice with 40% research at University of Toronto, allowing time for reflection and sharing experiencesWriting origins in high school science fiction ideas; completing novels like "Potter's Tale" (inspired by Da Vinci Code structure) and "The Last Immortal" on eternal lifeCurrent project: Historical fiction novel "Clandestine" based on secret Warsaw Ghetto medical school during WWII, involving research trips and interviews Writing process tips: Join critique groups for humility, take online courses (e.g., Dan Brown's MasterClass), start small with memoirs or local pieces, and allocate dedicated timeVolunteerism in retirement: Running church-based drop-in center for homeless and seniors, focusing on listening to personal stories for healing and connectionCore advice: Prioritize relationships with patients, family, and colleagues; listen to what energizes you to avoid becoming an "empty shell" post-career Top 3 Takeaways Rethink CME: Move beyond lectures to interactive, patient-centered strategies like point-of-care research and small-group discussions for better retention and application.Combat burnout: Listen to your "gut" by identifying what energizes you, whether teaching, community service, or creative hobbies and make time for it amid professional demands. Embrace wholeness: Cultivate relationships, volunteerism, and personal passions like writing to become a fuller person, ensuring long-term fulfillment in and beyond medicine. About Dr. Dave Davis Dr. Dave Davis is a retired family physician, educator, and author, renowned as Canada's most cited primary care physician for his influential research on continuing medical education (CME). With a career spanning clinical practice, academia at McMaster University and the University of Toronto, and roles in quality improvement, he pioneered evidence-based approaches to physician learning. Dave's work includes randomized trials challenging traditional CME methods and promoting embedded, systems-based strategies. In retirement, he authors science fiction and historical fiction novels, volunteers at a community drop-in center, and shares insights via TikTok and his website. His experiences—from underserved AIDS care to creative writing, emphasize holistic physician wellness. Website; https://drdavedavis.com LinkedIn: Dave Davis TikTok: Dave Davis About the Host: Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch. Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible. About the Show: Doctors Making a Difference is more than a podcast—it’s a movement to ...
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      36 min
    • DMD #71 | Donating a Year's Salary: Dr. Stuart Clive's Mission to Cure Blindness in Ghana
      Feb 19 2026
      Dr. Stuart Clive, MD, an emergency physician in Boise, Idaho, joins Dr. Peter Crane to discuss his path from undergrad at BYU and medical school at Emory to practicing in Western Idaho. He opens up about burnout in ER medicine, a pivotal documentary on curing blindness, and his decision to donate a year's salary to the Cure Blindness Project after achieving financial independence. The conversation covers the cost-effectiveness of cataract surgeries (as low as $100 in some regions), funding a new ophthalmology residency in Ghana to address 200,000 cases of curable blindness, and the broader impact on families and communities. Dr. Clive emphasizes balancing local and global giving, integrating service to combat burnout, and the excitement of tying shifts to a higher purpose. This episode inspires physicians to seek meaningful causes, dedicate portions of their work to charity, and prioritize financial security for outward-focused lives, while underscoring the soul-cleansing benefits of philanthropy.Episode HighlightsStuart's background: Undergrad at BYU, medical school at Emory, residency at UT Houston, and settling in Western Idaho for family reasons.Growth in Boise: Observations on population boom, mild weather, and changes over 20 years.ER career choice: Shift to supporting blindness cure despite not being an ophthalmologist.Inspiration: Documentary on North Korea outreaches, cost-effective surgeries ($100+ per cure), primarily cataracts with expanding procedures.Donation details: Funding completion of a Ghana hospital's residency offices after USAID shortfall, enabling full-spectrum eye care training.Impact amplification: Supporting education for surgeons to cure thousands over careers, plus family ripple effects.Burnout and perspective: Media focus on negatives vs. finding higher purpose; religious prompts to serve.Financial independence: Hitting retirement goals at 57, feeling healthy, and choosing to extend career for impact.Shift mindset: Excitement for work knowing earnings cure dozens per shift; reduced urgency to retire.Global vs. local: Bond with developing world from Ecuador mission; maximizing difference where needs are greatest.Advice: Find thrilling causes (e.g., hunger, wells); dedicate extra shifts to charity early to resolve burnout.Organization work: Outreaches, infrastructure building, addressing vitamin A deficiencies in 30M global cases.Personal benefits: Joy, legacy for family; wife’s support after hearing scale of need.Top 3 Takeaways· Achieving financial independence allows physicians to shift from necessity-driven work to purpose-driven service, reducing burnout and enabling impactful philanthropy like curing blindness.· Integrate giving throughout your career—dedicate shifts or earnings to causes that excite you—to maintain joy, combat drudgery, and create lasting global change.· Balance local and international aid by maximizing impact; curing one person's blindness in developing countries frees families and communities, amplifying effects beyond direct beneficiaries.About Dr. Stuart CliveDr. Stuart Clive is an MD and emergency physician with nearly 20 years of practice in Western Idaho, following training at Emory University and UT Houston. Inspired by global health needs, he is donating a full year's salary to the Cure Blindness Project to fund ophthalmology residencies and surgeries in Ghana. His work emphasizes cost-effective interventions for curable blindness, financial independence for service, and integrating philanthropy to overcome burnout. He draws from religious and humanitarian roots, including a mission in Ecuador.Cure Blindness Project Website: https://cureblindness.orgAbout the Host:Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch.Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible.About the Show:Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine.In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole.Visit: doctorsmakingadifference.comLMC Series Note:Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—through candid physician–patient conversations. The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or ...
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      32 min
    • DMD #70 | Overcoming Burnout: Dr. Amy Fogelman's Journey from Primary Care to Expert Witness and Physician Advocacy
      Feb 12 2026
      Dr. Amy Fogelman, MD, a former internal medicine physician from Boston, joins Dr. Peter Crane to discuss her career trajectory from a high-volume primary care practice at Mass General to founding High Rock Experts in 2018. With over a decade in clinical medicine, she opens up about burnout exacerbated by long commutes, administrative overload, and loss of joy in patient care. The conversation explores her decision to leave clinical practice after her husband's encouragement, her six-month break for self-reflection, and networking with non-clinical physicians. Dr. Fogelman highlights the value of expert witness work for leveraging medical expertise, the importance of ethical reviews in malpractice cases, and systemic issues in healthcare like prior authorizations and shrinking reimbursements. She offers practical advice on finding fulfillment, reclaiming autonomy, and addressing physician suicide risks. This episode equips physicians at all stages with strategies for navigating burnout, exploring alternative careers, and advocating for systemic change, while emphasizing the enduring empathy in the medical workforce.Episode HighlightsAmy's background: Growing up in Boston, training in internal medicine, and practicing primary care at Mass General for a decade before shifting to a smaller practice.Journey into burnout: Starting part-time with extra projects like opioid policies and teaching, but facing increasing administrative burdens, long commutes, and emotional strain at home.The turning point: A Boston Globe article on physicians quitting medicine, prompted by a former patient, leading Amy to share her hidden struggles publicly and resonate with many.Leaving clinical practice: Husband's intervention, a six-month break, coaching, and networking with non-clinical physicians like Graham Gardner, realizing no additional degrees were needed.Discovering expert witness work: Transitioning from ad-hoc reviews to founding High Rock Experts, connecting attorneys with medical professionals, and creating courses on ethical expert testimony.Challenges in medicine: Administrative overhead, insurance battles, short visit times, and loss of patient trust; the need for physicians to reclaim control from administrators.Systemic fixes: Eliminating prior authorizations (as in Massachusetts), transparent visit lengths for patients, avoiding incentive-based metrics that penalize complex cases, and exploring direct primary care.Advice for physicians: Recognize you're not stuck—seek non-clinical options, prioritize joy, and use broad medical training for entrepreneurship; permission to step back and pivot.Ethical expert work: Explaining medicine objectively to courts, preventing frivolous lawsuits, and ensuring credible experts review cases to protect both patients and providers.Hope for the future: Valuing empathetic physicians, reducing bureaucracy, and voting with feet through career shifts to force systemic improvements.Top 3 TakeawaysBurnout often stems from administrative burdens and loss of control; pivoting to non-clinical roles like expert witness work can restore joy and leverage medical expertise without additional degrees.Physicians aren't stuck—network, reflect on what brings fulfillment, and explore options like direct primary care or entrepreneurship; seek permission from loved ones or coaches to step back.Systemic change requires reclaiming physician autonomy, eliminating prior authorizations, and avoiding metrics that incentivize firing "noncompliant" patients; ethical expert work helps maintain integrity in malpractice cases.About Dr. Amy FogelmanDr. Amy Fogelman is an MD and former primary care physician with over a decade of experience at Mass General and a private practice in Chestnut Hill, Boston. After battling burnout, she founded High Rock Experts in 2018, a company that connects medical professionals with attorneys for expert witness roles and offers courses on ethical testimony. Her work focuses on empowering physicians through non-clinical careers, integrity in legal-medical intersections, and advocacy for better healthcare systems. She has been featured in the Boston Globe for her insights on physician burnout.LinkedIn: linkedin.com/in/amyfogelmanmd About the Host:Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch.Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible.About the Show:Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine.In every episode, Dr. Peter Crane interviews physicians whose stories defy the ...
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      39 min
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