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 intentional
• How two candid conversations with colleagues changed her financial trajectory permanently
• What to say, what to ask, and what to refuse when you're sitting across from someone offering you a contract
• How racism shows up on shift — not occasionally, but every single day — and what it costs to absorb it alone
• What Melanated Medicine is, why Pamela built it, and what happens when Black women physicians finally find each other
• Why asking for help — professional, domestic, emotional — is not weakness but math

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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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In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Geeta Nayyar a 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

1. Why medical misinformation has moved from the fringes to the mainstream and what changed to make it this dangerous
2. How hospitals' culture of social media silence created the exact vacuum that wellness influencers now own
3. What the business case for physician content actually looks like and why Cleveland Clinic and Kaiser figured it out before everyone else
4. Why confidence is not accuracy, and how to help patients tell the difference
5. The practical playbook for physicians who want to build a public presence with their hospital's support, not in spite of it

Resources & Where to Find Dr. Geeta Nayyar

Website

Dead Wrong

LinkedIn

Instagram

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

1. What "AI-native care" actually means and why Byron argues it's a fundamentally new care model — not just a faster version of telehealth
2. How Doctronic's graduated autonomy model works in Utah, from full physician review of every refill to eventual full autonomy with retrospective oversight
3. Why Byron believes not a single doctor will lose their job to AI — and what "doctor reassignment" actually looks like in practice
4. What "careworthiness" means as a moral standard, and why Byron thinks it matters more than any technical benchmark
5. Why most health AI companies make the same fatal mistake when entering clinical medicine — and how Doctronic is trying to avoid it
6. Where Byron draws the hard line on AI autonomy — and the one place he says AI should never act alone

Resources & Where to Find Byron

Byron's LinkedIn

Byron's Substack: Always On Call

Doctronic

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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

1. Why ER physicians remember their lost patients more vividly than their greatest saves — and what that means for how we process the emotional weight of the work
2. How Ashlely thinks about the gap between helping people live longer versus helping them live better, and why the ER is the hardest place to close it
3. Why storytelling is a clinical skill, and how physicians who don't engage with public communication cede the conversation to people with no training
4. What writing a book about death taught Ashely about being a better doctor and a more intentional human being

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

LinkedIn

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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

1. Where your HEDIS scores actually come from and the two-year pipeline behind every measure that lands in your workflow
2. Why the data feeding your quality scores is often incomplete, lagged, and missing critical parts of your patient's clinical picture
3. How Goodhart's Law plays out in real clinical practice — and why even well-designed measures can distort the behavior they're trying to assess
4. Why independent and small practices carry the same reporting burden as large health systems with entire quality departments

In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. 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

1. Why patients are turning to TikTok for medical advice and how 15-minute visits contribute to the problem
2. 
   
3. What it means for medicine when a practicing OB-GYN earns more correcting misinformation than delivering babies
4. 
   
5. How religion and politics uniquely fuel misinformation in women’s health
6. 
   
7. Practical ways any physician can participate in the digital information ecosystem
8. 
   

Resources & Where to Find Dr. Fran

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

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

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

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

1. How predicting the next word isn’t the same as clinical reasoning and where LLMs fall short in medicine.
2. What “world models” are and how they differ fundamentally from today’s large language models.
3. Why 80% accuracy isn’t acceptable in healthcare and what reliability really means in clinical AI.
4. Why medical coding may be one of the next frontiers for AI in clinical workflows.
5. How AI assistants could amplify doctors the way a research lab amplifies a professor, by making clinicians smarter, not obsolete.

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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:

1. Why is the specialty that knows patients best paid and respected the least?
2. How did “referral culture” replace continuity?
3. And what happens to trust between doctors, and between doctors and patients when no one is clearly responsible anymore?

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

1. Why the crisis in primary care is fundamentally about respect and ownership, not technology
2. How modern systems discourage physicians from fully “owning” their patients
3. The hidden costs of referral culture and fragmented responsibility
4. Why restoring autonomy may be essential to saving primary care
5. What gives Lisa hope—and why cultural change is still possible in medicine

Resources & Where to Find Lisa

1. Lisa Rosenbaum, MD – National Correspondent, New England Journal of Medicine
2. Not Otherwise Specified (NEJM Podcast)

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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

1. Why AI can both improve clinical judgment and quietly erode core physician skills at the same time.
2. What AI means for medical education, training, and the future of clinical reasoning.
3. Why trust in AI systems may arrive sooner than we expect, and why that’s both rational and risky.
4. How health systems should think about regulation, guardrails, and local accountability.

🔗 Resources & Further Reading

1. A Giant Leap: How AI Is Transforming Healthcare and What It Means for Our Future
2. Robert Wachter on Substack
3. Robert Wachter, MD – UCSF Faculty Page
4. Previous Book: The Digital Doctor

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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

1. Why physician burnout is a structural failure, not a personal one
2. How RVU-based compensation undervalues real clinical and cognitive work
3. The hidden, uncompensated labor disproportionately carried by women physicians
4. Practical ways physicians and allies can drive meaningful change

Learn More About Shikha & Women in Medicine

1. Dr. Shikha Jain: https://shikhajainmd.com
2. Women in Medicine: https://www.wimedicine.org
3. Women in Medicine Summit September 24-26, 2026: https://www.wimedicine.org/summit
4. Oncology Overdrive Podcast: https://oncologyoverdrive.com

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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

1. Why emergency medicine is one of the most effective forms of leadership training
2. What changes when doctors see patients earlier instead of downstream in crisis
3. How rural healthcare deserts form—and what they look like in real time
4. Why nursing homes and opioid care expose the deepest system failures
5. How payment models shape clinical behavior more than most physicians realize

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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

1. Why episodic, visit-based medicine is structurally incapable of managing chronic disease
2. What early remote patient monitoring efforts got wrong and what has finally made them work
3. How change management and incentives matter more than technology alone
4. Why health systems struggle to act on data, even when the answers are obvious
5. What proactive, upstream care looks like when someone is actually accountable

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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:

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

What You’ll Learn

1. Why the biggest failure of healthcare AI isn’t the technology itself, but how it’s measured, implemented, and governed
2. How agentic AI with multiple models working together on discrete tasks can outperform single “super models” in complex clinical problems
3. Why ambient documentation succeeded by addressing burnout and patient experience, not productivity metrics
4. How AI-enabled screening and risk stratification can identify high-risk patients long before symptoms appear
5. What skills physicians will need in the next decade to apply AI responsibly without losing clinical judgment

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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

Abridge Sponsor

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:

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

What You’ll Learn

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

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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

Abridge Sponsor

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 now Two-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 physicians From 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 loss Physicians overwhelmingly worry about AI falling under payer and administrative control. Graham breaks down the incentives behind that fear.
• What physicians want from AI companies A 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 institutions Graham 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 Report Download the full report, charts, and analysis at  https://2025-physicians-ai-report.offcall.com/

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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

Abridge Sponsor

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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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

Abridge Sponsor

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 of Abridge, the physician-founded AI company transforming how clinical conversations become care.

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

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 to Medicine’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 to Mark 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 to Why 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 to Breaking 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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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

Abridge Sponsor

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 on offcall.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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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

Abridge Sponsor

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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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

Abridge Sponsor

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

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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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

Abridge Sponsor

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

Abridge Sponsor

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

Abridge Sponsor

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

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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

Abridge Sponsor

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 tool
• The product philosophy behind MDCalc: safe, fast, trusted—and why “don’t break things” works in medicine
• Why decision tools must partner with clinical judgment and not compete with “gestalt vs. calculator” false choices
• How MDCalc’s contributor model and society partnerships improved evidence quality and bedside usability
• MDCalc + AI: where responsible, physician-led guardrails can make tools powerful and safe
• Practical 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

Abridge Sponsor

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 care
• The 3 contract buckets that matter most: life balance, practice support, and compensation
• What hospital executives really say behind closed doors about new physician hires
• Why the best physicians don’t always get paid the most—and who does
• Simple, 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 scores
• Evidence of non-revenue work (committees, teaching, outreach)
• Market data for your specialty and region
• A 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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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 resource
• How nursing shortages directly affect patient safety and mortality rates
• The ethical and personal toll of 20-minute visits for medically complex patients
• The hidden disconnect between nonprofit hospital profits and patient care
• Strategies 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

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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 Healthspan
• Supplements And Multivitamins: What’s Worth It (And What’s Not)
• The Most Overhyped Longevity Trends—Debunked
• Why Longevity Medicine Isn’t A Real Specialty
• The 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

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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 them
• How litigation drives defensive medicine and impacts the way we practice
• What every physician should know about malpractice coverage including state-by-state differences
• Reforms that could make the system more fair for patients and doctors
• Why finding support and breaking the silence is critical for surviving litigation
• Watch A World of Hurt: How Medical Malpractice Fails Everyone

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📝 For a full transcript of this episode click HERE

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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 challenging
• How Direct Primary Care offers a path forward for doctors who prioritize mission over money
• How 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

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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 leadership
• How to fight misinformation without sounding like you’re in an ivory tower
• Why gender inequities in medicine persist even in female-dominated specialties
• The role of storytelling in rebuilding public trust in physicians
• What 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 

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📝 For a full transcript of this episode click HERE

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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 patients
• How media, film, and storytelling can shift culture around end-of-life care
• How unconscious bias shows up in clinical care, and what to do about it
• Why misinformation spreads faster than facts and how physicians can fight back without losing trust
• Why 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 

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📝 For a full transcript of this episode click HERE

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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/ 

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📝 For a full transcript of this episode click HERE

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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 care
• How Scrub Capital is building a community of over 800 clinicians to co-create the next generation of health tech
• What Rebecca looks for in a founder and why “missionary, not mercenary” is her #1 investing filter
• Why many health systems fail at innovation and how digital health can succeed where they don’t
• Which 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 innovation
• Why 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

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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 a Contract Negotiation Guide featuring 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 at https://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 earnings
• How malpractice tail coverage can destroy your savings if you’re not careful
• The truth about RVU compensation and why most physicians never get the full picture
• How locums companies profit on your labor — and how to negotiate like a free agent
• The 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 consultation here, and be sure to mention “Offcall” during your appointment to claim your 10% discount!

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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

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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 forgiveness
• How to negotiate your first job like a pro and the surprising reason your desk might be the first red flag
• The hidden power of residents to drive change and how one radiology resident helped redesign their entire overnight workflow
• Why every doctor needs to speak the language of RVUs, billing, and insurance regulation if they want to lead and not just survive
• The 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

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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.

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📝 For a full transcript of this episode click HERE

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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.

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📝 For a full transcript of this episode click HERE

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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 It
• Know Your AI Types: Generative vs. Deterministic
• Use Cases Are Expanding Rapidly
• Ask the Hard Questions Before You Adopt
• Bias and Hallucinations Are Real Risks
• Overreliance Can Weaken Clinical Judgment
• Legal and Ethical Guardrails Are Still Being Built
• Clinicians Need to Lead the Conversation

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📝 For a full transcript of this episode click HERE

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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.
• 
  

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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/

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📝 For a full transcript of this episode click HERE

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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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https://www.offcall.com/

📝 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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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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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?

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📝 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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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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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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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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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 Doctor and 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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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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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.

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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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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.

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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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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.

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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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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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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 medicine
• How ambient scribes are changing note-taking
• How AI medical summarization can revolutionize patient care
• What AI literacy means for physicians
• How AI will affect medical training
• Ethical and regulatory challenges that will emerge with increased AI reliance

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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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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.         

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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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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. 

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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

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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.    

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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/podcast or 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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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.

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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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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. 

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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

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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

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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 Mentorship
• Being Willing to Change Institutions to Get Promoted
• Embracing 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

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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.

1. Carefully Evaluate If the Job Fits Your Criteria
2. Be Strategic and Consistent in the Questions You Ask
3. Do Your Due Diligence
4. Trust 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

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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 Contracts
• What’s Negotiable
• Non-Compete Clauses
• Renegotiation 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

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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 first episode examines the Relative Value Unit (RVU) system and details the four things every physician needs to understand about RVUs:

• Why RVUs Exist
• How RVUs Differ from Other Compensation Models
• How to Ensure Fair Pay with RVUs
• Understanding Conversion Factors in RVU-Based Pay

How I Doctor is a podcast from Offcall, a physician-only platform dedicated to improving their wealth and wellbeing.

For a full transcript of this episode click here.

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:

01:26 Dr. Glenn Loomis’ Fascinating Career in Medicine and Innovation

04:23 The Evolution and Implementation of RVUs in Healthcare Compensation

09:13 Understanding RVU Values in Medical Practice

11:04 How Physicians Can Negotiate Conversion Factors 

13:05 Financial Literacy for Physicians

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Physicians often find themselves caught in a cycle of endless paperwork and administrative tasks, leaving little time for advocacy. But what if they could channel that frustration into meaningful change? 

In this new episode of How I Doctor, Offcall co-founder Dr. Graham Walker and Tina discuss how a group of determined physicians led a groundbreaking victory for healthcare in New Jersey. Tina outlines her blueprint for change with 5 simple steps:

• Make Time For Advocacy
• Build a Diverse Coalition of Allies
• Grow Your Coalition Through a Smart Ground Game
• Leverage Social Media
• Always Be Strategic

How I Doctor is a podcast from Offcall, a physician-only platform dedicated to improving their wealth and wellbeing.

For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/how-physicians-led-the-fight-for-prior-authorization-reform-in-new-jersey

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In this episode, Graham and Tina discuss:

01:50 The Journey to Prior Authorization Reform in New Jersey

10:25 Strategies for Effective Healthcare Advocacy

13:10 Combining Medicine with Policy

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