Épisodes

  • DMD # 72 | Continuing Education, Burnout Prevention, and Creative Pursuits in Medicine

    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

    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

    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
  • DMD #69 | Wealth in Wellness: Physician's Real Estate Escape with Dr. Alexander Schloe

    DMD #69 | Wealth in Wellness: Physician's Real Estate Escape with Dr. Alexander Schloe
    Feb 5 2026
    Dr. Alexander Schloe, MD, a family medicine physician and Air Force veteran, joins Dr. Peter Crane to discuss his multifaceted career blending clinical practice, military service, family life, and real estate entrepreneurship. With over a decade in medicine, Dr. Schloe recounts his early exposure to assisted living at age 15 and a pivotal residency experience witnessing substandard care in a facility, prompting his shift toward boutique residential assisted living homes that prioritize dignity, consistent staffing, and personalized care. He explains the financial and ethical advantages of investing in these small, home-like facilities (6–16 residents), which yield higher returns (20–30% cash-on-cash) than traditional rentals while addressing senior care gaps amid staffing shortages and Medicaid cuts. Dr. Schloe emphasizes physician financial literacy starting with emergency funds, debt reduction, and house hacking, before scaling to passive income streams like assisted living. He shares how achieving financial independence in four years allowed him to practice part-time (two days/week), travel with family, and host the Physicians and Properties podcast. The conversation highlights avoiding lifestyle inflation, diversifying investments (e.g., Roth IRA, TSP alongside real estate), and using real estate for tax benefits and legacy building. This episode inspires physicians to pursue side ventures that align purpose with profit, fostering better work-life balance and patient care.Episode Highlights Alex's introduction: Christian, husband, father, family physician, Air Force veteran, real estate investor, and podcast host focused on financial freedom without losing one's soulMission: Help physicians achieve freedom at home and hospital through financial independence and dignified senior care via boutique assisted livingEarly exposure: First job at 15 in assisted living, residency horror story of poor care inspiring a better modelAssisted living realities: Staffing shortages, Medicaid cuts, and the need for small homes with 1:6 ratios for better dignity and outcomesFinancial perks: 20–30% cash-on-cash returns, tax advantages (depreciation, 1031 exchanges), and scalability from owning to investing passivelyPhysician pitfalls: Lifestyle inflation post-residency; advice to delay big purchases and build foundational financial habitsDiversification: Blend real estate with stocks, Roth IRA, TSP; start with house hacking for low-risk entryPersonal wins: Financial freedom in 4 years enabling part-time practice, family travel (e.g., month-long Europe camping), and improved doctoringResources: Physicians and Properties podcast, ralroom.com for assisted living guides and webinarsClosing advice: Get financial literacy (e.g., White Coat Investor, Rich Dad Poor Dad), invest wisely, and don't quit medicine—be better at itTop 3 Takeaways Boutique assisted living offers physicians high returns (20–30% cash-on-cash) and purpose by fixing broken senior care—start with education via webinars or guides to own or invest passively.Build financial independence by prioritizing emergency funds, debt payoff, and house hacking before scaling; avoid lifestyle inflation to accelerate freedom in 4–5 years.Diversify investments (real estate + stocks/IRAs) for tax benefits and legacy; financial freedom enhances work-life balance, making you a better doctor, spouse, and parent.About Dr. Alexander SchloeDr. Alexander Schloe is a board-certified family physician, Air Force veteran, real estate investor, and host of the Physicians and Properties podcast. With years in military medicine and clinical practice, he focuses on helping physicians achieve financial freedom through real estate, particularly boutique residential assisted living homes that provide dignified senior care. His mission blends purpose and profit, enabling doctors to work on their terms while building wealth and legacy. He practices part-time, invests in assisted living, and shares strategies for burnout prevention and entrepreneurship.Website: https://physiciansandproperties.comPodcast: Physicians and Properties PodcastAssisted Living: https://theralroom.com (RAL Room)LinkedIn: linkedin.com/in/alexander-schloe-mdAbout 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. ...
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    41 min
  • LMC #68 | Solitary Fibrous Tumors: Research Advances, Treatment Strategies, and Hope for Sarcoma Patients

    LMC #68 | Solitary Fibrous Tumors: Research Advances, Treatment Strategies, and Hope for Sarcoma Patients
    Jan 29 2026
    Dr. Javier Martin-Broto, MD, PhD, a medical oncologist at Fundacion Jimenez Diaz University Hospital in Madrid, joins Dr. Peter Crane to discuss his extensive career in sarcoma care and research. With over 30 years of experience, Dr. Martin-Broto shares how he entered oncology, emphasizing its innovative and research-driven nature. The conversation focuses on solitary fibrous tumors (SFT), including diagnostic shifts from "malignant" to risk-based classifications, the efficacy of anti-angiogenic agents like pazopanib over chemotherapy, and promising preclinical research on BET inhibition and alternative splicing inhibitors like tepotinib. He highlights clinical trial results showing tumor shrinkage, the role of microenvironment in immunotherapy challenges, and strategies like trabectedin plus radiation for bulky tumors. Dr. Martin-Broto stresses multidisciplinary teams, patient advocacy, and access to innovative trials for better outcomes. This episode provides physicians and patients with actionable insights on rare sarcomas, fostering hope through ongoing research.Episode HighlightsJavier's journey into medical oncology: From residency in 1994 to leading sarcoma research and founding the Spanish Sarcoma GroupWhy oncology? Balancing broad medical knowledge with innovation, research, and patient careSolitary fibrous tumors (SFT): Shift from malignant/benign to low/high-risk classifications and metastatic behaviorKey trial insights: Pazopanib's superior efficacy (10+ months PFS in low-risk, 5 months in high-risk) over chemotherapyAnti-angiogenics and rotation strategies: Benefits for metastatic SFT and microenvironment targetingImmunotherapy challenges: Limited PD-1 efficacy but potential in immune modulation via cytokinesPromising research: BET inhibition and alternative splicing inhibitors (e.g., tepotinib) showing tumor shrinkage in trialsCombined therapies: Trabectedin + radiation for bulky or brain SFT, achieving up to 80% reductionPreclinical models: Testing new compounds and organoids for personalized treatmentAdvice for patients: Seek expert multidisciplinary teams, join advocacy groups, and access innovative trialsTop 3 TakeawaysSFT prognosis depends on initial risk level; anti-angiogenics like pazopanib offer better control than chemo, with potential for drug rotation.Emerging therapies like tepotinib (alternative splicing inhibition) show promising tumor shrinkage in ongoing phase II trials.Patients should engage sarcoma experts, multidisciplinary teams, and advocacy groups for access to innovative research and hope.About Dr. Javier Martin-Broto Dr. Javier Martin-Broto is an MD, PhD, and medical oncologist at Fundacion Jimenez Diaz University Hospital in Madrid, specializing in sarcoma care and research for over 30 years. He founded the Spanish Sarcoma Group in 1994 and leads a preclinical team with 40+ projects. His work includes designing 30+ clinical trials, pioneering anti-angiogenic treatments for SFT, and advancing therapies like BET and splicing inhibitors. Dedicated to translational research, he focuses on improving outcomes for rare sarcomas through innovation and patient-centered care.LinkedIn: linkedin.com/in/javiermartinbrotoAbout 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 professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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    37 min
  • DMD #67 | International Service: Connecting Physicians Through Global Volunteerism

    DMD #67 | International Service: Connecting Physicians Through Global Volunteerism
    Jan 22 2026

    Kimberly Haley-Coleman is the Executive Director of Globe Aware, a nonprofit offering short-term (6-7 day) volunteer service trips in 26 countries, focusing on community partnerships for projects like medical clinics, wheelchair distribution, and infrastructure builds. With a family full of physicians, Kimberly shares her journey founding Globe Aware to bridge the gap between willingness to serve and limited time, emphasizing human connections over heroism. The discussion explores the transformative power of cultural immersion, misconceptions about efficiency and structure in global service, benefits for volunteers, including burnout recovery, and practical details like costs, $1,500/week average, tax-deductible, and inclusivity for non-medical participants.

    Dr. Crane reflects on his own life-changing trips, highlighting trust-building and global unity.

    Episode Highlights

    • Globe Aware's origins: Bridging time gaps for volunteers inspired by Peace Corps and Doctors Without Borders
    • Short-term projects: 30 hours/week of service with cultural learning in 26 countries
    • Medical and non-medical roles: From clinics to building stoves and distributing wheelchairs
    • Cultural exchange: Challenging assumptions and fostering soft power through human connections
    • Misconceptions: Efficiency abroad vs. home; embracing flexibility in community settings
    • Inclusivity: Opportunities for families, EMTs, and non-clinicians
    • Practical considerations: Safety, meals, and adapting to local structures
    • Costs and accessibility: $1,500/week average, tax-deductible, with employer matching
    • Personal impact: Reigniting joy, combating burnout, and building lifelong friendships
    • Getting involved: Contact Globe Aware for tailored trips

    Top 3 Takeaways

    • Service abroad is a mutual exchange. Volunteers gain as much in perspective and joy as communities receive in aid.
    • Short-term trips fit busy schedules; focus on partnerships and flexibility over rigid efficiency.
    • Non-medical skills are valuable; everyone contributes, from families to paramedics, in holistic community projects. About Kimberly Haley-Coleman

    About Kimberly Haley-Coleman

    Kimberly Haley-Coleman is the Executive Director of Globe Aware, a U.S./Canadian nonprofit with 25 years of experience running short-term volunteer service trips in 26 countries. Founded to address the time constraints of professionals eager to serve, Globe Aware emphasizes cultural partnerships and transformative experiences. Kimberly's background in international volunteering led her to create accessible programs blending service, learning, and connection. Surrounded by a family of physicians, she has collaborated extensively with medical professionals on global projects.

    LinkedIn: linkedin.com/in/kimberlyglobeaware

    Website: https://www.globeaware.org

    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 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.com

    LMC 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 professional advice. Always consult appropriate experts regarding your unique circumstances.


    Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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    39 min
  • DMD #66 | Real Estate Investing for Physicians & Financial Strategies

    DMD #66 | Real Estate Investing for Physicians & Financial Strategies
    Jan 15 2026
    This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.—-----Jonathan Spitz, Head of Capital Formation at Lightstone Direct, joins Dr. Peter Crane to discuss real estate investing tailored for busy physicians. With over a decade in the industry, Jonathan shares his path from commercial brokerage to capital raising, emphasizing passive strategies over active management. The conversation covers REITs vs. private investments, liquidity considerations, target returns (14-16% IRR), tax efficiency, and risk management. Jonathan highlights Lightstone's conservative approach, including 20% co-investment and wealth preservation focus, while advising on common pitfalls like excessive leverage. Practical tips include due diligence on managers, diversification, and when to start (around $2-3M net worth). This episode equips physicians at all career stages with tools for long-term financial independence.Episode HighlightsJonathan's career journey from public equities to real estate brokerage and capital formationActive vs. passive real estate: Managing properties yourself or investing with professionalsREITs explained: Public vs. private, dividends, and volatility differencesPrivate real estate strategies: Value-add deals with 3-5 year horizonsLiquidity trade-offs: Illiquid investments for higher potential returns (14-16% IRR)Tax efficiency and cash flow benefits for high-income physiciansRisk management: Conservative leverage (e.g., 54% LTV) and scenario stress-testingLightstone's differentiators: 40-year history, 20% co-investment, and multi-sector agilityCommon mistakes: Over-focusing on high IRRs without checking debt or manager track recordsAdvice for physicians: Join investor groups, seek references, and diversify portfoliosTop 3 TakeawaysPrioritize manager due diligence—check track records, co-investment, and strategy execution over flashy returns.Balance liquidity and upside: Allocate 5-20% to illiquid private real estate for tax-efficient growth.Start diversifying at $2-3M net worth, focusing on wealth preservation and conservative leverage. About Jonathan SpitzAbout Jonathan Spitz Jonathan Spitz is Head of Capital Formation at Lightstone Direct, overseeing business development and investor education for a $12B AUM real estate institution. With over a decade in real estate, he has experience in commercial brokerage, single-family REITs, community banking, and private equity. Jonathan focuses on educating investors—from residents to retirees—on passive real estate strategies, emphasizing risk management and alignment through Lightstone's 20% co-investment policy. Based in Tampa, he enjoys guiding physicians through diversified portfolios.LinkedIn: Jonathan Spitz 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 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 professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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    37 min
  • DMD #65 | Medical Education, Student Loans & Work-Life Integration

    DMD #65 | Medical Education, Student Loans & Work-Life Integration
    Jan 8 2026
    This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.—--Dr. Suzanne Allen is a family physician and Vice Dean for Academic, Rural and Regional Affairs at the University of Washington School of Medicine, overseeing education across the five-state WWAMI region (Washington, Wyoming, Alaska, Montana, Idaho).With a background in military service, public health, and residency training, Dr. Allen shares her unexpected path into medical education, the joys of teaching, and strategies for work-life integration through supportive teams. The conversation delves into the history and future of student loans, including the impacts of HR1 (passed in July 2025), which eliminates Grad PLUS loans, adjusts federal loan limits, and introduces new repayment options like the Repayment Assistance Program (RAP). Dr. Allen offers practical advice for aspiring physicians navigating these changes and emphasizes advocacy to ensure diverse access to medical careers.Episode HighlightsFrom military service to academic leadership: Dr. Allen's career journeyDiscovering a passion for teaching during residencyOpportunities in medical education amid expanding programsThe importance of precepting and mentoring future physiciansWork-life integration over balance: Insights from UW's Chief Wellness OfficerBuilding supportive teams to handle life's challengesHistory of federal student loans from the GI Bill to modern reformsKey changes in HR1: Elimination of Grad PLUS loans and new limitsRepayment options: Standard plans and the Repayment Assistance ProgramPublic Service Loan Forgiveness and other forgiveness programsPrivate loans as a gap-filler and the need for advocacyEncouraging diverse backgrounds in medicineTop 3 TakeawaysPassion for teaching is key to a fulfilling academic career.Work-life integration thrives on supportive colleagues and flexibility.Advocate for policy changes to keep medical education accessible.About Dr. Suzanne AllenDr. Suzanne Allen was appointed to the position of Vice Dean for Academic, Rural and Regional Affairs for the University of Washington School of Medicine in February 2015. Prior to that, Dr. Allen was the Vice Dean for Regional Affairs for the University of Washington School of Medicine for five year and Idaho WWAMI Assistant Clinical Dean for four years. As the Vice Dean for Academic, Rural and Regional Affairs, Dr. Allen is responsible for the WWAMI program across the five states of Washington, Wyoming, Alaska, Montana and Idaho. Dr. Allen is originally from Bremerton, Washington and attended the University of Washington receiving her B.S. in Biology. She then attended George Washington University where she received her M.D. and M.P.H. degrees. Following her family medicine residency training at Malcolm Grow Medical Center, Andrews Air Force Base and four years of active duty practicing as a family physician at Ellsworth Air Force Base and Andrews Air Force Base, Dr. Allen joined the physician faculty at the Family Medicine Residency of Idaho in Boise, Idaho in 1999. Before joining the Idaho WWAMI office, she was the Assistant Director and Medical Student Clerkship Coordinator at the Family Medicine Residency of Idaho. Dr. Allen holds a Clinical Professor faculty position within the Department of Family Medicine at the University of Washington School of Medicine and continues to see her patients at Full Circle Health, Family Medicine Residency, Boise. Dr. Allen is committed to medical education and rural and underserved healthcare in the Northwest and enjoys working across the WWAMI region to help train the next generation of physicians. LinkedIn: https://www.linkedin.com/in/suzanne-allen-4253013About 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: ...
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    44 min