This podcast episode, recorded at the 2024 ACGME conference in Orlando, Florida, features Dr. Kathryn Hughes, a Pulmonology and Critical Care Fellow for the Naval Medical Center San Diego. The discussion revolves around Dr. Hughes's ACGME presentation on 'leading from the middle,' a concept focused on how resident physicians and fellows can effectively lead and initiate change within their organizations despite needing to be in top executive positions. Dr. Hughes shares her journey from an internal medicine resident to chief resident, highlighting the mentorship she received and how it shaped her confidence in making a difference from a mid-level position. She introduces a practical framework for effective leadership from the middle. Dr. Hughes's insights guide medical professionals to influence positive change in their environments and to contribute meaningfully to medical education and patient care. This discussion underscores the significance of engagement, asking the right questions, and proactively addressing and solving problems to combat burnout and promote a fulfilling medical career.

TIME STAMPS:

00:00 Opening Remarks at the ACGME Conference

00:26 Introducing Dr. Kathryn Hughes: A Journey to Leadership

02:31 The Framework for Leading from the Middle

03:17 Understanding Organizational Needs: The First Step

09:45 The Power of Asking 'Why?' and Aligning Visions

23:37 Communicating Effectively for Change

24:54 Navigating New Ideas and Leadership Challenges

26:27 Empowering Others Through Delegation and Teamwork

26:54 A Real-World Example of Empowerment and Initiative

29:35 Leadership and Management: Understanding the Balance

31:34 Personal Growth and Mentorship in Leadership

33:56 Engaging and Influencing Across the Organization

38:48 Practical Advice for Implementing Change and Avoiding Burnout

41:43 Looking Ahead: Continuing to Drive Change

44:04 Reflecting on the Patient-Physician

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In this episode of The Patient Physician podcast, we share some of the voices of doctors and medical professionals we met at the recent ACGME annual educational conference in Orlando, FL. Those who weren't afraid to jump on the mic shared what they think to be the future of medicine, what "the patient physician" means to them, and how they're creating meaning in medicine.

For three days, more than 4,400 attendees came together at the largest graduate medical education (GME) gathering in the world to create, innovate, and engage. The conference theme, Meaning in Medicine, underscores the need for sustaining purpose and joy in the work of health care professionals.

TIME STAMPS:

00:00 Welcome to The Patient Physician: A Wellness Journey

00:32 Dr. Tim Laird on the Bright Future of Medicine

01:56 Seema Bajaj on Maternal Mental Health and Trust in Medicine

03:39 John Casey on Finding Meaning in Medicine Through Teaching

06:23 Dr. Amy Matecki's Integrative Approach to Oncology and Wellness

10:05 Louise Tetro and Dr. Wendy Shevar on Personalized Patient Care

11:51 Candyann Humphreys on Wellness Activities for Medical Professionals

13:55 Closing Remarks and Contact Information

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On this episode of The Patient Physician podcast, Dr. Lexie Wang shares her inspiring journey from patient to passionate physician. Initially planning a political or legal career before a sudden illness steered her towards medicine, Dr. Wang shares insights into her medical journey, her holistic approach to patient care, and her strong mental health advocacy for both patients and physicians. We discuss the value in developing soft skills and the importance of building trust with patients and maintaining transparency. We also explore some of the current challenges faced by physicians and the importance of clearly documenting patient encounters to protect against malpractice claims, and how AI might streamline the documentation process. Dr. Wang’s dog makes a cameo appearance and opens up a discussion on the power of pets for supporting mental wellness.

MEET OUR GUEST: Lexie Wang, MD

Dr. Lexie Wang is a board-certified surgeon who specializes in cosmetic and reconstructive procedures of the face and neck region. Dr. Wang was one of two surgeons accepted to train at the highly prestigious American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) accredited fellowship in Beverly Hills with the world-renowned surgeon, Dr. Paul Nassif (star of "Botched”), Dr. Babak Azizzadeh (founder of the Facial Paralysis Institute and the Center for Advanced Facial Plastic Surgery), and Dr. Grace Lee Peng. During her tenure, Dr. Wang treated patients from all over the world, learning the nuances of challenging primary and revision facial aesthetic surgery. Dr. Wang was selected as a Castle Connolly Rising Star for 2023. This recognition puts her among only 7% of all U.S. board-certified physicians!

Born and raised in Fairfax, Virginia, Dr. Wang attended Thomas Jefferson High School for Science and Technology where her passion for medicine developed. She went on to complete her undergraduate education at the University of California, San Diego (UCSD) in three years, graduating with cum laude honors. After spending a year working in the UCSD Department of Psychiatry, where she studied the physiology of circadian rhythms, she returned to Virginia to attend the University of Virginia School of Medicine.

Following medical school, Dr. Wang entered a highly competitive 5-year Otolaryngology Head and Neck Surgery residency at the Virginia Commonwealth University in Richmond. During this time, she was able to develop an expertise in the complex and intricate anatomy of the head and neck region. In her final year of residency, she served as Chief Resident in her department.

TIME STAMPS:

00:00 Introduction and Guest Background

02:11 Dr. Lexi Wang's Journey into Medicine

06:35 Choosing a Specialty and the Impact of Personal Experience

09:52 The Intersection of Physical Appearance and Mental Health

16:38 The Role of Transparency and Soft Skills in Patient Care

25:23 Experiences from a Fellowship: Hiring, Firing, and Networking

26:07 Behind the Scenes of Building a Skincare Brand

26:40 Learning about Business Finances and Malpractice

30:04 The Importance of Documentation in Medical Practice

35:51 Mental Health Advocacy and the Role of Therapy

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