In this conversation, Dr. Graham Walker discusses with Host Dr Saba Fatima the evolving role of AI in healthcare, addressing both its potential benefits and concerns. He emphasizes the importance of clinical judgment, the impact of AI on job security, and the need for regulation and standards. Dr. Walker also highlights the biases inherent in AI systems and the ethical considerations surrounding their use in medical education and patient care. He expresses cautious optimism about the future of AI in medicine, advocating for a balanced approach that prioritizes patient safety and clinician engagement.

Graham Walker, MD is an emergency physician and health tech leader based in San Francisco. He serves as Co-Director of Advanced Development at The Permanente Medical Group, where he drives innovation and digital transformation for Kaiser Permanente’s 4 million Northern California members. As a clinical informaticist, he leads emergency and urgent care strategy for KP’s electronic health record.
Graham is also a software developer and entrepreneur. He founded MDCalc, the leading evidence-based medical calculator platform, and Offcall, a new digital hub supporting the physician workforce. His work bridges clinical practice and systems-level innovation, with a focus on reducing friction and burnout across care delivery.
He writes frequently on AI, tech, and the future of medicine, and authored The Physicians’ Charter for Responsible AI — a framework to guide safe, fair, and clinically sound AI adoption.

takeaways
AI in healthcare brings both promise and concerns.
Generative AI is often misunderstood as the entirety of AI.
AI can replace busy work but not clinical judgment.
Job security in emergency medicine is less threatened by AI.
AI's role in specialties like radiology may evolve.
Patients must be cautious when using AI for healthcare advice.
AI can assist in medical education by generating realistic scenarios.
Bias in AI reflects human biases and can impact healthcare disparities.
The ethical use of AI in medicine is still being defined.
Future AI tools must prioritize patient safety and clinician engagement.

keywords
#ai #healthcare #generativeAI, clinical judgment, job security, medical education, patient privacy, healthcare disparities, bias in AI, ethical use of AI, future of medicine #aihealthcare #chatgpt #openevidence

Chapters
00:00
Introduction to AI in Healthcare
03:48
The Promise and Concerns of AI
06:53
AI's Role in Clinical Work
09:51
The Future of AI in Specialties
12:47
Pitfalls of AI in Patient Care
15:58
AI in Medical Education and Practice
18:43
Regulations and Standards for AI
21:46
Bias in AI and Healthcare Disparities
24:47
Understanding AI's Role in Predictive Medicine
26:45
The Evolution of AI in Healthcare
28:43
Ethical Considerations in Medical AI
30:42
The Impact of AI on Medical Education
32:58
Future Prospects of AI in Medicine
34:45
Challenges and Risks of AI Adoption
36:49
The Human Element in AI-Driven Care
38:36
Navigating AI's Limitations and Misconceptions
40:48
The Balance of Compassion and Efficiency in AI
42:40
Final Thoughts on AI's Role in Healthcare
49:21
Conclusion

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Dr Jared Rubenstein discusses with host Dr Saba Fatima, the importance of palliative care, the emotional challenges faced by healthcare professionals, and the need for open conversations about death and dying. He emphasizes the role of teamwork in providing care, the misconceptions surrounding palliative care, and the necessity of addressing cultural attitudes towards death. The discussion also highlights the importance of communication with families, coping strategies for healthcare workers, and the need for improved medical training on these topics.

Jared Rubenstein is a pediatric palliative care doctor and medical educator at Baylor College of Medicine and Texas Children’s Hospital in Houston, TX, USA. As a fellowship program director he works to train the next generation of healthcare workers in providing person-centered care. His academic interests include serious illness communication, biases around palliative care, and antiracism training. He is passionate about helping people talk about difficult things and believes that the use of satire,
animation, and humor can facilitate these conversations. His Youtube channel contains original animated videos utilizing these principles and addresses topics including serious illness, mental health, gender equity, and racism in medicine. The videos have been viewed over 150,000 times and are used nationally and internationally as teaching tools.
When he’s not talking about palliative care, he loves traveling and spending time in nature with his wonderful wife and two hilarious kids.

https://youtu.be/BbNi_-wYXJE?si=A39z5krdg951e15t

Takeaways
Palliative care is a team sport, essential for patient support.
Conversations about death are often avoided in medical training.
Coping strategies are vital for healthcare professionals dealing with death.
Cultural attitudes towards death vary significantly.
Palliative care should be introduced early in the treatment process.
Communication with families about death is crucial but often lacking.
Empathy and compassion are different but both are necessary in care.
Misconceptions about palliative care can hinder patient support.
A good death is defined by the individual and their family.
Healthcare workers need to support each other emotionally.


#palliativecare, #death , #dying , #healthcare , communication, #empathy , #compassion , #medicaltraining, emotional challenges, cultural attitudes #endoflifecare #hospicecare #endwell

Chapters
00:00
Introduction to Palliative Care and Death
02:03
The Journey to Palliative Care
04:39
Challenges in Discussing Death
06:34
Cultural Attitudes Towards Death
10:52
Finding Peace with Death
16:56
Understanding Palliative Care Misconceptions
24:27
The Importance of Early Palliative Care
26:06
Emotional Challenges in Palliative Care
27:30
Reforming Medical Education for Death Conversations
30:05
Navigating Conversations About Death
33:18
Defining a Good Death
36:06
Cultural Perspectives on Death and Honesty
40:33
Communicating with Children About Death
42:11
Burnout in Palliative Care
43:48
Final Thoughts and Resources for Healthcare Workers
51:17
Conclusion

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Dr. Jennifer Bacani McKenney shares her journey with Host Dr Saba Fatima, as a rural health advocate and physician in Fredonia, Kansas. She discusses the challenges and rewards of practicing in a rural setting, including the importance of community relationships, the impact of healthcare policies, and the need for innovative solutions to improve access to care. Dr. McKenney emphasizes the significance of building trust with patients, navigating emergency situations, and the unique experiences that come with rural medicine. She also highlights the importance of community engagement and leadership in fostering a healthier environment for all.

Jennifer Bacani McKenney, MD, FAAFP, is a family physician in her hometown of Fredonia, Kansas, a community of approximately 2,200 people. She has owned and managed her practice Fredonia Family Care alongside her father and other great colleagues since 2009. Dr. McKenney was named the “2021 Rural Health Practitioner of the Year” by the National Rural Health Association and received the “Early Career Achievement Award” by the University of Kansas School of Medicine in 2021. She serves as the Wilson County health officer as well as the Fredonia city health officer. She is the Associate Dean of the Office of Rural Medical Education at the KU Medical Center where she focuses on rural health issues and rural workforce. She served as the President of the KAAFP and serves on the board of directors and as the Vice-Chair for the Kansas Health Foundation. She is a member of the Kansas Patients and Providers Engaged in Prevention Research (KPPEPR) board and participates in practice-based research. Contributing to the rural health pipeline, Dr. McKenney created the Fredonia Medical Academy, a two-week program for high school students to gain valuable exposure to medicine. She also established the Fredonia Area Community Foundation and Cultivate Fredonia, a community-wide growth initiative, and she serves on the board of directors for both. Dr. McKenney provides outpatient, inpatient, emergency department, surgical, and endoscopic services to her community. She is also the medical director of the local home health and hospice agency. She has made numerous recent appearances on national news and television programs covering COVID-19 and rural health, including CNN, CNBC, CBS, MSNBC, the New York Times, Washington Post, the Today Show, and NPR.

takeaways
Rural medicine presents unique challenges, including access to specialists.
Emergency situations can be particularly daunting in rural settings.
Building trust with patients is crucial for effective care.
Healthcare policies significantly impact rural communities.
Innovations like telemedicine can help bridge gaps in care.
Combating isolation and burnout is essential for rural physicians.

Chapters
00:00
Introduction to Rural Healthcare Challenges
02:18
Dr. McKenney's Journey to Rural Medicine
06:23
The Landscape of Rural Healthcare
09:12
Navigating Specialty Care in Rural Settings
12:32
The Role of Community in Healthcare
15:29
The Personal Touch in Patient Relationships
18:02
Challenges of Misinformation and Public Health
21:07
Impact of Policy Changes on Rural Health
23:55
Innovations and Future of Rural Healthcare
27:15
Staffing Challenges in Rural Medic

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Aashi Arora shares with Host Dr Saba Fatima,her journey from a healthcare executive to a coach for healthcare professionals, focusing on the challenges of impostor syndrome and burnout in the medical field. She discusses the importance of self-awareness, cultural influences, and practical strategies to combat impostor syndrome, emphasizing the need for supportive environments in healthcare. Aashi also highlights transformative coaching experiences that empower individuals to find joy and satisfaction in their careers.

Aashi is a seasoned executive leader with over 20 years of experience in healthcare administration and leadership, spanning both public and private sectors. As the Founder and Principal of iRISE Executive Coaching, she specializes in helping healthcare professionals and leaders enhance their management acumen, emotional intelligence, and resilience through her proprietary iRISE model. A sought-after speaker, Aashi has been invited to present on imposter syndrome and other leadership topics at various institutions. Her work empowers physicians and healthcare leaders to navigate self-doubt, build confidence, and achieve sustainable success in their careers.

takeaways
Impostor syndrome is prevalent among healthcare professionals.
Cultural factors influence feelings of impostor syndrome.
Self-awareness is key to overcoming impostor syndrome.
Brag booking helps combat feelings of inadequacy.
Healthcare environments need to support physicians better.
Coaching can transform careers and personal lives.
Recognition and praise are crucial for engagement.
Aashi emphasizes the importance of sharing experiences.

00:00
Introduction to Imposter Syndrome in Healthcare
10:51
Aashi Arora's Journey and Coaching Philosophy
18:03
Understanding Imposter Syndrome: Feelings and Triggers
24:12
The Role of High Achievement and Perfectionism
26:30
The Burden of Perfectionism in Medicine
28:15
The Cycle of Validation and Imposter Syndrome
31:06
Gender and Racial Dynamics in Imposter Syndrome
32:09
Strategies to Combat Imposter Syndrome
38:24
The Importance of Self-Recognition
42:56
Mindfulness and Presence in Clinical Practice
44:45
Institutional Support for Physicians
46:41
Changing the Narrative Around Healthcare Professionals
47:50
Transformative Coaching Experiences
52:08
Conclusion

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Dr Alyssa Burgart shares her journey with Dr Saba Fatima into the field of bioethics, discussing the importance of understanding medically ineffective treatment and the ethical dilemmas faced by healthcare professionals. She emphasizes the need for compassionate communication with families, the impact of cultural beliefs on medical decisions, and the significance of patient autonomy. The discussion also touches on the intersection of law and ethics, the challenges of moral distress and burnout in healthcare, and the importance of continuous learning in the medical field.

Dr Alyssa Burgart is an anesthesiologist and ethicist at Stanford University. She writes about ethics and culture in the house of medicine on her newsletter Poppies and Propofol

takeaways
Finding joy in medicine often comes from teaching and mentoring others.
Bioethics provides a framework for navigating complex moral dilemmas in healthcare.
Medically ineffective treatment is a nuanced concept that requires careful consideration.
Compassionate communication is essential when discussing difficult decisions with families.
Cultural sensitivity plays a crucial role in understanding patient and family perspectives.
Patient autonomy is paramount in making healthcare decisions.
Healthcare professionals often face moral distress and burnout due to ethical dilemmas.
Language used in medical conversations can significantly impact understanding and trust.
The law and ethics intersect in complex ways that can challenge healthcare providers.
Continuous learning is vital for healthcare professionals to navigate evolving ethical landscapes.

#medicine, #ethics, #bioethics, medically ineffective treatment, #patientcare #autonomy, #moral distress, #healthcare #communication, cultural sensitivity, #decisionmaking, #compassion

Chapters
00:00
Introduction to Medically Ineffective Treatment
02:29
Understanding Medically Ineffective Treatment
04:46
The Role of Ethics in Decision Making
07:27
Navigating Family and Clinician Conflicts
10:27
Cultural and Religious Influences on Decisions
13:16
Compassionate Communication with Families
16:09
The Burden of Decision Making
18:53
Challenges with Misinformation in Treatment Requests
26:52
The Complexity of Cancer Treatment
27:56
Communication in Healthcare
33:21
Cultural Sensitivity in Patient Care
35:53
Legal and Ethical Considerations in Medicine
38:20
Moral Distress and Burnout in Healthcare
46:14
Navigating Medically Ineffective Treatments
50:54
Conclusion

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Dr Nusheen Ameenuddin discusses with host Dr Saba Fatima her journey into advocacy for children's health, the challenges of vaccine hesitancy, and the importance of engaging with families. She emphasizes the impact of misinformation and the need for pediatricians to advocate for healthcare equity, especially in light of Medicaid cuts. The discussion highlights the role of empathy and community support in addressing these issues, while also offering hope for the future of healthcare through the engagement of young people and the importance of persistence in advocacy efforts.

Dr. Nusheen Ameenuddin is an Assistant Professor of Pediatrics in the Division of Community Pediatric and Adolescent Medicine, Department of Pediatrics, at the Mayo Clinic, Rochester, MN. She previously served as Chair of the American Academy of Pediatrics Council on Communications and Media, in addition to Chair of Equity, Inclusion and Diversity of the Mayo Clinic Health System.
She is most passionate about advocating for underresourced populations who face barriers to healthcare. Dr. Ameenuddin has participated in vaccine education outreach with the Minnesota Department of Health, partnering with leaders in the Somali community and visiting mosques throughout the state.
Dr. Ameenuddin also has a strong interest in health equity and the effects of media on children. She helped spearhead a video campaign using social media as part of the AAP’s #KeepKidsCovered initiative. • Pediatricians Speak Up to Protect Medicaid...
She testified before the US House of Representatives Committee on Energy and Commerce about children’s media use during the COVID-19 pandemic.

Dr. Ameenuddin attended Kansas State University where she completed a BS in biology, cum laude, and a minor in Spanish. She received her MD and MPH degrees from the University of Kansas Medical Center. She completed a pediatrics residency at Mayo School of Graduate Medical Education. She was selected as a Commonwealth Fund Fellow in Minority Health Policy at Harvard Medical School where she also completed a Master of Public Administration (MPA) degree at the Harvard Kennedy School of Government.

takeaways
Advocacy can occur in both clinical and legislative settings.
Seeing children thrive brings joy to pediatricians.
Health equity is a personal mission for many healthcare providers.
Vaccine hesitancy has evolved, especially during the COVID-19 pandemic.
Listening to families' concerns is crucial in addressing vaccine hesitancy.
Misinformation campaigns significantly impact public health.
Pediatricians must engage with local legislators to advocate for children's health.
Medicaid cuts can severely affect children's access to healthcare.
Building trust with families is essential for effective communication.
Young people today are more connected and savvy about health issues.
titles


#advocacy, #vaccine hesitancy, #healthcare #pediatricians

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Dr. Gwendolyn Williams and Host, Dr. Saba Fatima discuss the challenges and triumphs of women in leadership roles, particularly in healthcare. They explore the importance of allyship, mentorship, and the need for systemic change to support women in leadership positions. The dialogue emphasizes the significance of self-advocacy, the power of influence over traditional notions of power, and the necessity of creating inclusive environments that celebrate diversity and promote equity.

Dr. Gwendolyn Rowena Williams is a first-generation American of Indo-Caribbean heritage whose lived experience has fueled a lifelong commitment to health equity, belonging, and inclusive leadership in medicine. A Hospital Medicine Physician and Associate Professor of
Medicine at Virginia Commonwealth University Health, she has built her career advocating for historically marginalized voices—particularly women in medicine. During her nine-year tenure at Sentara Health, she made history as the first female President of the Medical Executive
Committee at Sentara CarePlex Hospital and led the impactful “Celebrating Women in Medicine” campaign. She also championed the implementation of paid parental leave for physicians, addressing systemic barriers faced by women in healthcare. She was instrumental in leading physician wellness initiatives during the COVID-19 pandemic,
focusing on vaccine equity, access, and combating misinformation in underserved communities. Her leadership has earned her the 2023 Society of Hospital Medicine Unsung Hero Award, the 2024 Virginia Center for Inclusive Communities Humanitarian Award, and recognition as one of
Hunter College’s Top 40 Under 40. Dr. Williams continues to shape a more equitable healthcare landscape—one where inclusion, dignity, and compassion are foundational for all who give and receive care. She will be presenting at the Women in Medicine Power Summit in Chicago this September: The Courage to Lead: Overcoming Fear and Embracing Your Leadership Potential Friday September 19 2025 ( Time 1.00-1.40PM)


takeaways
Leadership qualities can stem from family upbringing.
Women face unique challenges in leadership roles.
The motherhood tax impacts women's careers in medicine.
It's important to challenge gender biases in the workplace.
Women have historically fought for recognition and value.
Innovation should be celebrated in healthcare settings.
Support from family can empower women in their careers. Women must uplift themselves and recognize their worth.
Allyship is crucial for women in leadership roles.
Navigating gender dynamics requires confidence and support..
Mentorship and sponsorship are vital for career advancement.
Institutions need to create clear pathways for women leaders.
Diversity enhances excellence in leadership.
Women should advocate for their own needs and aspirations.
True leadership is about influence, not just power.

keywords
#leadership, #genderbias, #healthcare, #womeninmedicine, #motherhood,

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Dr. Robert R. Wittler shares with host Dr Saba Fatima his insights on the joys and challenges of practicing medicine, reflecting on his experiences as a pediatric infectious disease physician. He discusses the importance of teaching, the evolving landscape of medicine, and the impact of burnout. Dr. Wittler emphasizes the significance of building relationships with patients, navigating the complexities of electronic medical records, and the ongoing issue of vaccine skepticism. He offers advice for younger physicians and expresses hope for the future of medicine, highlighting the importance of resilience and connection in the medical field.

Dr. Robert Wittler is a Professor of Pediatrics and Infectious Disease at the University of Kansas School of Medicine, Wichita. Dr. Wittler brings a remarkable depth of experience, not only as a physician, but as a leader, teacher, and mentor. He served in the US Army for 13 years, completing his pediatric residency at Letterman Army Medical Center in San Francisco, followed by a fellowship in pediatric infectious disease at Tripler Army Medical Center in Honolulu, and a research fellowship at Walter Reed Army Research Institute in Washington, DC.

Since 1995, Dr. Wittler has been on faculty at KU School of Medicine, Wichita as the only pediatric infectious disease physician in Kansas. He's published widely in peer-reviewed journals and is a beloved educator, honored with numerous teaching awards, including the Chancellor's Distinguished Teaching Award and the Ruth Bohan Teaching Professorship. .He brings both the wisdom of experience and a thoughtful curiosity about where we've been and where we're headed.


takeaways
Joy in medicine comes from teaching and patient interactions.
Thriving means enjoying work and feeling energized by it.
The amount of information in medicine has increased significantly.
Electronic medical records can create more work for physicians.
Burnout can stem from a focus on financial metrics over teaching.
Asking for help is crucial for physicians facing challenges.
Building relationships with patients is essential for effective care.
Vaccine skepticism has increased, especially post-COVID.
Success in medicine evolves from diagnosis to patient impact.


Chapters
00:00
Introduction to the Challenges in Medicine
04:12
Defining Thriving in a Medical Career
07:10
Experiencing Burnout and Disconnection
11:54
Comparing Past and Present Residency Experiences
15:52
Reflections on Duty Hours and Work-Life Balance
17:56
The Role of Electronic Medical Records
19:04
Balancing Relational and Transactional Medicine
20:30
Time Management and Patient Interaction
22:17
Staying Grounded in a Medical Career
23:59
Evolving Definitions of Success in Medicine
24:52
The Importance of Academic Progression
25:06
Navigating Mistrust in Medicine
31:02
The Balance of Physician Wellness and Efficiency
32:00
Advice for Overwhelmed Physicians
33:04
Wisdom from 'The Boy, The Mole, The Fox and The Hound'
35:16
Life-Changing Moments in Medicine
36:40
Improving Physician-Administration Relationships
38:28
Reflections on Career and Commitment
41:08
Hope for the Future of Medicine
44:26
The Strength in Stru

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com