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Explorez tous les épisodes du podcast How I Doctor with Dr. Graham Walker

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TitreDateDurée
Mark Cuban: How I’d Reform Healthcare If I Were in Charge03 Apr 202500:59:55

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. 

🩺 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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It’s Time for Physicians To Fight Back Against Insurance Companies To Save Our Practice With Dr. Elisabeth Potter27 Mar 202500:37:04

Dr. Elisabeth Potter is a plastic surgeon and practice owner in Austin, Texas, who specializes in post-mastectomy breast reconstruction. In January, Elisabeth made waves on social media when she posted a video about UnitedHealthcare calling her during surgery, pulling her out of the OR to explain why her patient — who was already under anesthesia — needed to stay in the hospital overnight. 

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.

🩺 Offcall is more than a platform — it’s a community. Join today!

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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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Stop Calling It Physician “Burnout” With Oncologist Hardeep Phull23 Jan 202500:27:39

Dr. Hardeep Phull is an oncologist at the Palomar Health Medical Group and an alumni specialty director at the Cleveland Clinic. Known for his outspoken views on physician burnout, particularly in oncology, Hardeep is a forceful advocate for doctors getting what they’re worth. He’s a leading physician voice on LinkedIn, where his honest insights about the good and bad of practicing medicine reliably spark conversation. 

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. 

🩺 Offcall is more than a platform — it’s a community. Join today

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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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Landing Your First Non-Clinical Job with Dr. Phil DiGiacomo16 Jan 202500:33:02

Dr. Phil DiGiacomo is an emergency physician who made the tough choice to leave clinical practice a few years ago. Today, he’s the National Medicare Medical Director at the health insurance company Humana, as well as an advocate for physicians in search of non-clinical roles. He created an online course to help doctors make career transitions, which is available on his website.

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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IG https://www.instagram.com/ubergraham/ 

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Charting Your Own Career Path in Academic Medicine with Dr. Resa Lewiss09 Jan 202500:23:35

Dr. Resa Lewiss is an emergency physician, academic leader, and pioneer in point-of-care ultrasound (POCUS), with an impressive career spanning traditional academic roles and innovative ventures.

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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IG https://www.instagram.com/ubergraham/ 

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Advance Your Career with Dr. Glenn Loomis - Part 3 Interviews04 Jan 202500:13:20

Dr. Glenn Loomis is a seasoned healthcare leader with decades of experience as a physician, residency director, medical group president, and health system executive.

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

🩺 Offcall is more than a platform — it’s a movement! Join today:

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IG https://www.instagram.com/ubergraham/ 

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Negotiation Tips with Dr. Glenn Loomis - Part 2 Contracts03 Jan 202500:15:49

Dr. Glenn Loomis is a seasoned healthcare leader with decades of experience as a physician, residency director, medical group president, and health system executive.

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

🩺 Offcall is more than a platform — it’s a movement! Join today:

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IG https://www.instagram.com/ubergraham/ 

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Getting Paid Fairly with Dr. Glenn Loomis - Part 1 RVUs02 Jan 202500:17:46

Dr. Glenn Loomis is a seasoned healthcare leader with decades of experience as a physician, residency director, medical group president, and health system executive.

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

🩺 Offcall is more than a platform — it’s a movement! Join today:

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👨‍⚕️Follow Dr. Graham Walker:

LinkedIn https://www.linkedin.com/in/graham-walker-md/ 

IG https://www.instagram.com/ubergraham/ 

Bluesky https://bsky.app/profile/drgrahamwalker.com

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Achieving Prior Auth Reform in NJ with Dr. Tina Shah26 Dec 202400:16:29

Dr. Tina Shah is an intensivist based in New Jersey and a formidable expert in workforce wellbeing, digital health, and healthcare policy. By mobilizing a coalition of physicians, patients, and allies, she successfully led an effort to enact new legislation in New Jersey that promises to streamline the prior authorization process in 2025, potentially saving countless hours and improving patient care.

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

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 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

🩺 Offcall is more than a platform — it’s a movement! Join today:

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🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker:

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IG https://www.instagram.com/ubergraham/ 

Bluesky https://bsky.app/profile/drgrahamwalker.com

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Dr. Glaucomflecken Is on a Mission to Restore Power to Physicians19 Dec 202400:34:14

Dr. Will Flanary, better known by his online persona Dr. Glaucomflecken, is an ophthalmologist, comedian, and one of the most prominent social media voices in medicine today. His experience as both a patient and a physician has given him a unique lens on what’s broken in our healthcare system, and now he’s using his gift of humor to help advocate for powerful changes.

In this episode of How I Doctor, Dr. Graham Walker, co-founder of Offcall and an emergency physician in San Francisco, speaks with Will about his dual career as a content creator and a private practice physician, and about the key changes he’d like to see in our healthcare system to better support physicians and patients. Will believes that every single physician – no matter how big of a social media platform you might have – has an important role to play in order to help get there. 

For a full transcript of this episode click:

https://www.offcall.com/learn/podcast/how-dr-glaucomflecken-aka-will-flanary-is-using-humor-to-advocate-for-healthcare-change

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 Will discuss:

08:11 Humor humanizes professionals through self-reflection.

11:44 Misinformation thrives through charismatic social media influencers.

13:15 Med students unprepared for complex healthcare system.

18:30 Redistribute healthcare power to physician owners.

25:22 Unionization grows due to unfair treatment concerns.

27:46 Physicians should pursue non-medical hobbies for balance.

30:07 Managing people is crucial for an employer.

🩺 Offcall is more than a platform — it’s a movement! Join today:

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👨‍⚕️Follow Dr. Graham Walker:

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IG https://www.instagram.com/ubergraham/ 

Bluesky https://bsky.app/profile/drgrahamwalker.com

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Make more money as a physician with Dr. Eric Bricker12 Dec 202400:23:12

Dr. Eric Bricker is the founder of the popular YouTube channel AHealthcareZ, where he breaks down complex healthcare and financial topics using his signature whiteboard style. In 2018, he sold his business and started making videos to provide straight talk to fellow physicians on healthcare and financial issues.  

In this episode of How I Doctor, Dr. Graham Walker, Co-founder of Offcall, talks with Eric about how physicians can better navigate the complex world of healthcare finance. They discuss some practical tips for physicians, from boosting their income by switching jobs to advocating for themselves and even unionizing, and also explore the critical role of financial literacy in enhancing patient care. 

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 Eric discuss:

04:29 Financial understanding enhances physicians' ability to treat patients.

09:17 Doctors being exploited for unpaid medical work.

10:20 Reimbursement issues.

15:00 Physician-focused healthcare improvements must start locally.

19:12 Prioritize saving tips.

🩺 Offcall is more than a platform — it’s a movement! Join today:

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🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker:

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IG https://www.instagram.com/ubergraham/ 

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Tackling Physician Burnout with Dr. Tina Shah05 Dec 202400:22:38

Dr. Tina Shah is an intensivist based in New Jersey and a formidable expert in workforce wellbeing, digital health, and healthcare policy. Tina served in pivotal roles across two White House administrations where her deep understanding of physician burnout and relentless advocacy for clinician wellbeing made her a leading voice in this critical conversation.

In this new episode of How I Doctor, Dr. Graham Walker, Offcall co-founder, speaks with Tina about the high expectations placed on healthcare professionals, the systemic issues contributing to burnout, and the practical solutions that exist, including the revolutionary potential of AI.

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 Tina discuss:

04:54 Overwhelming pressures from multiple healthcare system levels.

08:18 Lowering the cognitive loaded aids in medical practice.

09:28 A deplete brain battery hinders decisions.

12:48 Expressing gratitude to other physicians.

16:25 AI soliution and ambient scribes

17:20 On the Clock Questions

🩺 Offcall is more than a platform — it’s a movement! Join today:

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🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker:

LinkedIn https://www.linkedin.com/in/graham-walker-md/ 

IG https://www.instagram.com/ubergraham/ 

Bluesky https://bsky.app/profile/drgrahamwalker.com

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Banks Rejected Me in Residency - So I Started My Own Bank for Doctors with Dr. Michael Jerkins20 Mar 202500:30:41

Dr. Michael Jerkins is a meds-peds physician and the co-founder of Panacea Financial, a financial services company for doctors. After being rejected for multiple loans during residency, Michael realized that traditional banks were failing doctors as customers. So, he created a bank that understands the unique financial struggles and goals of the medical community. 

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.

🩺 Offcall is more than a platform — it’s a community. Join today!

https://www.offcall.com/

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

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker:

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IG https://www.instagram.com/ubergraham/ 

Bluesky https://bsky.app/profile/drgrahamwalker.com

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Maximizing Physician Wealth with the Founder of Hippocratic Financial05 Dec 202400:28:38

Ravi Davis is the Founder and CEO of Hippocratic Financial, a full-service financial firm that specializes in providing comprehensive financial care for doctors. 

In this new episode of How I Doctor, Dr. Graham Walker, Offcall co-founder, and Ravi discuss the importance of physicians managing their finances effectively. They include some key tips for doctors to apply early in their career to set them up for success, along with a few common investment mistakes that you should avoid. 

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 Ravi discuss:

05:09 Simple financial advice for physicians.

07:10 Delayed financial gratification for doctors.

11:40 Career options and financial awareness in medicine.

19:20 Long-term investment for financial security.

21:24 The importance of an umbrella policy.

25:33 Compound interest is crucial

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Build a Profitable Newsletter Business with Dr Jared Deshevsky05 Dec 202400:23:08

Dr. Jared Dashevsky started Healthcare Huddle in medical school when he realized that many of his classmates didn’t understand important concepts like insurance reimbursement and PBMs.

In this episode of How I Doctor, Dr. Graham Walker, Offcall co-founder, and Jared discuss the growth of Healthcare Huddle, a newsletter that reaches over 20,000 healthcare professionals. Jared shares his journey as a physician-entrepreneur and breaks down three keys to building a profitable newsletter business:

1. Lean into your clinical skills as a competitive advantage

2. Pursue partnerships that complement your skills

3. Think deeply about how to serve your audience

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 Jared discuss:

04:01 An iterative content process.

08:24 Planning ahead enables well-organized content creation.

10:59 Planning for the future of "Healthcare Huddle”.

13:23 Physician reimbursement amongst consolidation.

17:14 Balancing clinical work with creative activities.

21:26 Mentorship advice

🩺 Offcall is more than a platform — it’s a movement! Join today:

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How I Doctor with Dr. Graham Walker Trailer07 Nov 202400:01:08

Our first 3 episodes featuring Dr. Jared Dashevsky, Ravi Davis, and Dr. Tina Shah launch on December 5 with new episodes publishing every Thursday.

Follow now to never miss an episode.

Welcome to How I Doctor, where we’re bringing joy back to medicine.

Join emergency medicine physician and Offcall co-founder Dr. Graham Walker as he connects with fellow physicians across the country to educate, elevate, and empower fellow doctors by sharing inspiring stories of how to live a fulfilling career.

Each episode highlights a physician guest’s unique journey, providing lessons learned from their experience and offering tips & techniques for other physicians to elevate their own careers.

Visit https://www.offcall.com/ to sign up for Offcall and also subscribe to our newsletter.

Physician CEO: PBMs Are Ruining Healthcare! I Quit Full-Time Medicine to Start a Company ... So I Could Fight the Drug Industry Head-On!13 Mar 202500:20:40

Dr. Simon Chang is a hospitalist and the CEO and co-founder of eNavvi, an online pharmacy platform. Since finishing his residency in 2022, Simon has been a part-time physician, splitting his time between clinical care and entrepreneurship. 

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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I Made Myself Sick Working Back-to-Back 20-Hour Shifts in Residency. How Burned-Out Doctors Can Find Our Creativity Again with The Nocsturnist’s Dr. Emily Silverman06 Mar 202500:30:02

Dr. Emily Silverman is a practicing internist and the founder of The Nocturnists, a groundbreaking podcast that amplifies the raw, deeply human stories of healthcare workers. 

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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AI Tools for Doctors: Fact vs. Fiction with Dr. Spencer Dorn27 Feb 202500:25:52

Dr. Spencer Dorn, a gastroenterologist, informatics physician, and professor at UNC, is passionate about the intersection of technology and healthcare. Spencer, who frequently writes about AI for Forbes, is helping to shape the conversation around real-world applications of AI in medicine, and how AI can complement (rather than replace) physicians.

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

🩺 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/the-evolving-role-of-ai-agents-in-healthcare-with-dr-spencer-dorn

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Why I Chose Direct Primary Care with Dr. Kenneth Qiu20 Feb 202500:14:57

Dr. Kenneth Qiu is a family medicine physician and the founder of EuDoc, a direct primary care practice in Virginia. Kenneth brings a fresh perspective, having taken the bold step of starting his own practice right out of residency. 

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.         

🩺 Offcall is more than a platform — it’s a community. Join today!

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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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Finding Your Physician Voice With Dr. Darien Sutton13 Feb 202500:22:25

Dr. Darien Sutton is an emergency physician, correspondent for ABC News, and doctor-influencer with over 2 million followers on TikTok. Darien uses his platforms to educate the public, combat misinformation, and advocate for a more equitable healthcare system.

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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Finding Your Calling with Dr. Kai Romero06 Feb 202500:19:55

Dr. Kai Romero is an emergency and palliative care physician who recently became the head of clinical success at Evidently, a cognitive AI platform powered by clinical data. Previously, Kai worked at By the Bay Health, where she began as a hospice physician before moving into a leadership role as chief medical officer. 

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.    

🩺 Offcall is more than a platform — it’s a community. Join today!

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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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Dodge Financial Predators With White Coat Investor Founder Jim Dahle30 Jan 202500:28:18

Jim Dahle is an emergency medicine doctor in Utah — but you probably know him as the founder of The White Coast Investor, a trusted destination for personal finance guidance for physicians. Jim provides clear, actionable advice about dealing with debt, building wealth, and other aspects of money management. Since launching his blog in 2011, Jim has expanded the White Coat Investor brand to include books, a podcast, conferences and online communities — all centered around the financial lives of doctors.  

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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Most Shared Episodes: These 4 Physicians Are Fighting to Save Medicine and Give Doctors Their Power Back! -- Dr. Glaucomflecken, Dr. Eric Bricker, Dr. Elisabeth Potter, Dr. Jim Dahle10 Apr 202500:43:19

Last week’s interview with Mark Cuban generated a huge response — thank you to everyone who listened, commented on, or shared the episode. 

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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We're Sharing AI Secrets for Clinicians12 Jun 202500:37:26

The world of medicine is entering a new era. One where AI isn’t just a buzzword, but a daily presence in the lives of physicians. That’s why Offcall recently hosted a live webinar We're Sharing AI Secrets for Clinicians, featuring Dr. Graham Walker, ER physician and co-founder of Offcall, and Dr. Sarah Gebauer, anesthesiologist and founder of Valara Health. Longtime friends and Stanford med classmates.

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

🩺 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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Nurses Know How to Fix Healthcare, So Why Are They Left Out of the Room? with Shawna Butler, RN05 Jun 202500:34:26

Shawna Butler is a nurse, economist, and creator of the EntrepreNURSE movement — but above all, she’s a force for rethinking how healthcare systems are built and who gets a say.

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.


🩺 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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This 2x Founder Did Something Radical: He Listened to Doctors Before Building Anything With Aniq Rahman29 May 202500:39:48

Aniq Rahman is a two-time tech founder, but when he turned his attention to healthcare he did something most disruptors don’t - he shut up and listened. Aniq embedded himself in hospitals, shadowed physicians, and absorbed the daily frustrations that don’t show up in EMR logs or admin dashboards.

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/


🩺 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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Confessions from a Mid-Career Physician: Why It’s Okay to Want More Than Medicine with Dr. Kaveh Hoda22 May 202500:31:42

Dr. Kaveh Hoda is a practicing gastroenterologist and longtime podcaster. He’s part of a cohort of doctors who trained on paper charts, watched the rise of EHRs, and now find themselves navigating mid-career questions that older generations rarely asked. Questions about purpose, burnout, and identity beyond the white coat.

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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📝 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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The Future of Primary Care Is Independence And It’s More Lucrative Than You Think with Dr. Farzad Mostashari15 May 202500:40:07

Dr. Farzad Mostashari is the former National Coordinator for Health IT, the CEO and co-founder of Aledade, and a longtime champion for independent primary care. He’s spent his career trying to answer one question: how do we fix American healthcare by paying doctors to prevent illness—not just treat it? In this episode of How I Doctor, Dr. Graham Walker sits down with Farzad to unpack the financial forces behind physician burnout, the byzantine mess of incentives driving consolidation, and why empowering small, independent practices could be the key to turning it all around.

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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TikTok

How Medicine Is Failing Women Doctors, And What We Can Do to Fight Back with Dr. Tiffany Moon05 May 202500:39:46

Dr. Tiffany Moon is a board-certified anesthesiologist, entrepreneur, mother of twins, and former cast member on The Real Housewives of Dallas. She is a deeply thoughtful physician who is working to reclaim joy in a system that often seems designed to extinguish it.

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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Harvard Cardiologist Reveals What Doctors Never Learn in Training About Careers, Contracts, and Building a Life Outside Medicine with Dr. Sanjay Divakaran01 May 202500:36:46

Dr. Sanjay Divakaran is a cardiologist, educator, and Associate Chief at Brigham and Women’s Hospital. He’s also one of the most thoughtful voices when it comes to guiding the next generation of physicians. Not just in clinical medicine, but in career strategy, mentorship, and personal growth.

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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Former Epic Doctor Says the System Is Designed to Fail Physicians24 Apr 202500:32:32

Dr. Craig Joseph is a pediatrician, informaticist, and the Chief Medical Officer at Nordic Global. He’s also the author of Designing for Health and a former Epic employee, with decades of experience at the intersection of clinical care and health IT.

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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Physician Contract Lawyer: No Other Profession Has It As Bad As Doctors! Here Are the Most Insane Clauses In Doctors’ Contracts and Why Every Physician Needs to Renegotiate Them!17 Apr 202500:43:51

Michael Johnson is an attorney and the founder of Michael Johnson Legal, a firm that works exclusively with physicians and physician groups to review contracts, negotiate fair compensation, and protect career freedom.

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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Mark Cuban: How I’d Reform Healthcare If I Were in Charge (Re-Release)25 Dec 202501:03:29

Merry Christmas! Today we are re-releasing one of our favorite episode of the year. We'll be back next week with a brand new interview to kickoff 2026.

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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Eric Topol on Why Doctors Shouldn’t Fear AI — And How It Could Finally Fix Our Broken System18 Dec 202500:43:40

Dr. Eric Topol is one of the most influential voices in modern medicine. Founder of the Scripps Research Translational Institute and author of Deep Medicine and Super Agers, Eric has spent decades interrogating medical dogma, calling out hype, and pushing the profession toward evidence, prevention, and humanity.

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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📝 For a full transcript of this episode click HERE


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Breaking Free from W-2 Medicine: The Physician’s Guide to Locum Tenens with Dr. Ali Chaudhary16 Oct 202500:39:47

Dr. Ali Chaudhary is an emergency physician, entrepreneur, and one of the leading voices helping doctors reclaim control over their careers. After leaving a traditional W-2 job, he built Locums United and LocumOS - two platforms designed to bring transparency, fairness, and autonomy to how physicians are staffed and compensated. Having lived both sides of medicine, Ali shares how locum tenens work can transform burnout into balance and turn short-term contracts into long-term career freedom.

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.

🩺 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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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

The Future of Emergency Medicine: Dr. Alison Haddock on Physician Empowerment, Unionization, and Survival in the ED09 Oct 202500:29:29

Dr. Alison Haddock is an emergency physician, educator, and past president of the American College of Emergency Physicians (ACEP). She’s spent her career fighting for physician autonomy and building a sustainable future for emergency medicine. One where doctors aren’t just surviving shift to shift, but leading the systems that shape their work. A national voice on policy and workforce reform, Dr. Haddock has seen firsthand how crowding, violence, and financial pressure are pushing ER physicians to their breaking point and what it will take to bring them back.

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.

🩺 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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Escaping Physician Exploitation: Private Practice, Pay Transparency, and Entrepreneurship with Dr. Brian Dixon02 Oct 202500:41:20

Dr. Brian Dixon is a psychiatrist, entrepreneur, and one of the boldest physician voices pushing for salary transparency and fairness in medicine. He’s the founder of Simply Psych and Mindful, and he’s built his career by pulling back the curtain on contracts, compensation, and the hidden math of how health systems profit off physicians. With radical honesty, he shares not just his wins but also his mistakes—showing doctors the real trade-offs between employment, private practice, and entrepreneurship.

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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How Two ER Doctors Created the Top Clinical Tool for Physicians: The Origins of MDCalc with Dr. Joe Habboushe25 Sep 202500:36:30

This episode is sponsored by Abridge - the leading AI platform that drafts structured, clinically useful notes at the point of conversation.

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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From Hospital Insider to Physician Advocate: How Ethan Nkana Switched Sides to Champion Doctors’ Voices18 Sep 202500:40:11

Ethan Nkana spent over a decade as a hospital executive negotiating contracts on behalf of health systems. He knew the inside playbook: how administrators calculated physician value, what mantras they used behind closed doors, and the quiet ways hospitals exploited physician professionalism. Then he switched sides. 

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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📝 For a full transcript of this episode click HERE

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Medicine’s Broken Promises: Dr. Danielle Ofri on Greed, Trust, and Why the System Survives on Exploiting Clinicians11 Sep 202500:38:43

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. Through her books, essays, and New York Times op-eds, she has given voice to the emotional realities of medical work and exposed the ways the business of healthcare exploits the professionalism of doctors and nurses. Her clarity and candor have made her a trusted guide for physicians who feel the weight of a system that too often prioritizes profit over patient care.

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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Longevity Doctor Reveals The Truth About Supplements, Multivitamins, Biohacking, And More with Dr. Hillary Lin04 Sep 202500:36:12

Dr. Hillary Lin is a Stanford-trained internist and longevity entrepreneur who is cutting through the hype to bring evidence-based clarity to one of medicine’s buzziest frontiers. As co-founder and CEO of Carecore and host of The Longevity Show, she’s built her career at the intersection of clinical skepticism and innovation, challenging what’s real and what physicians need to know about this fast-growing space.

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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Surviving Medicine’s Hidden Trauma: How Dr. Gita Pensa’s Malpractice Lawsuit Became a Blueprint for Helping Other Doctors28 Aug 202500:36:51

Dr. Gita Pensa is an emergency physician and nationally recognized advocate who knows firsthand the toll malpractice takes on doctors. After enduring a 12-year legal battle that included two jury trials, she emerged determined to break the silence around litigation and its hidden impact on physicians’ identity, mental health, and careers. Today, she uses her story to teach colleagues how to survive what she calls medicine’s “second trauma.”

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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No Insurance Needed! Same Day Appointments! Unlimited Visits! Pay Whatever You Can! How Dr. Paulius Mui Is Reinventing Primary Care to Put Patients First21 Aug 202500:37:24

Dr. Paulius Mui is a family physician, technologist, and community builder who refuses to fit into a single box. Instead of choosing between clinic shifts and tech projects, he’s built a portfolio career that blends patient care, experimentation, and creativity. Most recently, Paulius is reimagining what primary care looks like by launching a direct primary care practice that lets patients pay what they can.

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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What Happens When a Pediatrician Takes On Congress - Dr. Annie Andrews on Turning Clinical Advocacy into Political Action14 Aug 202500:30:43

Dr. Annie Andrews is a pediatric hospitalist, public health advocate, and U.S. Senate candidate in South Carolina taking on incumbent Lindsey Graham. Known for her unapologetic advocacy for children’s health, Annie has spent over 15 years caring for sick and injured kids, only to realize that many of their challenges stemmed from broken policies far upstream of the hospital. From gun violence prevention to protecting Medicaid, she’s made it her mission to bring a physician’s voice into the rooms where decisions are made and to speak with a candor rarely heard in politics.

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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What Doctors Really Think About AI: Here Are the Surprising Findings From Offcall’s 2025 Physicians AI Report11 Dec 202500:44:16

AI is already shaping how physicians practice. And for the release of The 2025 Physicians AI Report, Graham is taking a different kind of episode: a deep-dive mailbag where he answers the questions doctors are actually asking about AI, grounded in one of the largest physician surveys of its kind.

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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📝 For a full transcript of this episode click HERE


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Doctors Can’t Stay Silent Anymore: Why Shoshana Ungerleider Is Calling on Clinicians to Speak Out07 Aug 202500:31:33

Dr. Shoshana Ungerleider is an internal medicine physician, a public health advocate, and one of the most trusted voices translating science for the real world. Whether she’s hosting th TED Health podcast, advising Netflix on end-of-life storytelling, or calling out hype and misinformation in the media, her work is reshaping how clinicians show up at the bedside and in the public square.

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

From Rural ER Doc to the Governor’s Mansion: How Hawaii Gov. Josh Green Is Rewriting the Rules of Public Health31 Jul 202500:41:14

Dr. Josh Green is an emergency physician who’s done what many doctors only talk about. He’s taken a seat at the table and turned it into a platform for real change. After two decades practicing rural medicine in Hawaii and witnessing firsthand the systemic failures that lead to poor outcomes, he ran for office in his scrubs - and won. Today, as Governor of Hawaii, he’s applying the triage mindset of emergency medicine to some of the most complex public health and policy problems of our time, from homelessness and housing to climate change, Medicaid reform, and AI in healthcare.

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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Why Health Tech Needs More Clinicians at the Table, And on the Cap Table! With Scrub Capital's Rebecca Mitchell24 Jul 202500:35:14

Rebecca Mitchell is a physician, product strategist, and founding partner at Scrub Capital - a new kind of venture fund built from first principles to fix what’s broken in health tech investing. Alongside her co-founders, Rebecca is working to make sure that healthcare startups aren’t just built for clinicians, they’re built with them.

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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The RVU Trap: How Hospitals Use Productivity Metrics to Keep Physicians in the Dark, with Contract Attorney Dennis Hursh17 Jul 202500:44:10

Attorney Dennis Hursh has reviewed more than 3,500 physician contracts and has seen the same patterns again and again - doctors being underpaid, overworked, and legally trapped by language they didn’t know to question. 

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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