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UpMed: The Journal of Healthcare's Race To The BottomCHAPTER 8: Ethos. Pathos. Logos In the final episode of Season 2 of UpMed: The Journal of Healthcare’s Race To The Bottom, Dr. Erica Rowe Urquhart discusses the complex landscape of the current healthcare system. She likens the healthcare crisis to a David and Goliath situation, emphasizing the need for proactive solutions and policy reforms to tackle detrimental practices. The episode explores the ‘ethos', ‘pathos’, and 'logos’ of our current healthcare system, highlighting the diverse stakeholders including large, medium, and small healthcare systems and providers. Dr. Urquhart dives into the financial dynamics involving insurance companies, stressing the significance of understanding insurance benefits and advocating for legisl...2024-12-2916 minUpMed: The Journal of Healthcare's Race To The BottomCHAPTER 7: The Burdens of Prior Authorization in Healthcare In this episode of UpMed: The Journal of Healthcare’s Race To The Bottom, Dr. Erica Rowe Urquhart shares an insightful anecdote regarding the implications and inefficiencies of prior authorization in healthcare. Dr. Urquhart narrates the case of a patient with a knee injury, whose surgery was compromised and modified due to insurance authorization issues. She explores the broader impact of prior authorization on patient care, supported by research articles, one authored by Dr's. Eugene and Shushan Yang, highlighting the administrative burdens and adverse outcomes. The episode critiques the motivations behind utilization management, calling for urgent reform to prioritize pa...2024-12-2323 minUpMed: The Journal of Healthcare's Race To The BottomChapter 6: Exploring Burnout and Healthcare Education: An Interview with Dr. Courtney ReinischIn this episode of UpMed: The Journal of Healthcare’s Race To The Bottom, hosted by Dr. Erika Rowe Urquhart, the discussion centers around the critical issue of burnout in nursing and the healthcare industry, a topic that has gained prominence especially during the COVID-19 pandemic. Dr. Erika welcomes Dr. Courtney Reinisch, a professor at Montclair State University and a part-time employee in public health, who shares her extensive background in nursing and her experiences during the pandemic. They delve into the challenges of nurse burnout, the impact of COVID-19 on healthcare education and practice, and the evolving role of...2024-12-1638 minUpMed: The Journal of Healthcare's Race To The BottomChapter 5: The Economics of MutualityIn this thought provoking episode of UpMed: The Journal of Healthcare’s Race To The Bottom, Dr. Erica Rowe Urquhart discusses the concept of Economics of Mutuality as it pertains to healthcare. She shares her experiences from studying at Oxford and discusses the concept of mutuality. Dr. Urquhart highlights the critical role of mutuality in private medical practices, recounting her journey in healthcare from Johns Hopkins, and addresses the challenges posed by third-party payers like insurance companies. She sheds light on the detrimental effects of current policies on community healthcare, especially in under-resourced areas, and the disincentives for providers to...2024-12-0919 minUpMed: The Journal of Healthcare's Race To The BottomChapter 4: Navigating the Business Side Of A Private PracticeIn this episode, host Dr. Erica Rowe Urquhart speaks with Dr. Brian Sims, an orthopedic surgeon with extensive education and experience, about the challenges and nuances of running a private orthopedic practice. Dr. Sims shares his journey from medical school through obtaining an MBA to better manage the business side of medical practice. The discussion covers topics such as the complexities of insurance contracts, the necessity of business knowledge for private practitioners, the structure and operation of his multi-specialty practice in Amarillo Texas, and the broader healthcare landscape. Dr. Sims also reflects on his passion for surgery and the...2024-12-0224 minUpMed: The Journal of Healthcare's Race To The BottomChapter 3: Identifying the Adversary in HealthcareIn this episode of UpMed, Dr. Erica Rowe Urquhart explores the challenges faced by private practice doctors in local communities, highlighting the adversarial role of insurance companies. Through a reflection on increasing patient costs, the concept of the 'other,' and administrative hurdles such as downcoding, prior authorizations, and retrospective audits, Dr. Urquhart reveals how insurance companies avoid paying providers and add to the administrative burden. This episode delves into the complex dynamics of the patient-provider-insurer triangle, examining how insurance practices impact patient care and the sustainability of community healthcare providers. EPISODE HIGHLIGHTS: ...2024-11-2521 minUpMed: The Journal of Healthcare's Race To The BottomChapter 2: The Evolution and Future of Physical Therapy: A Conversation with Dr. Carl GargiuloIn this episode of UpMed, Dr. Erica Rowe Urquhart interviews Dr. Carl Gargiulo, a distinguished physical therapist with a career spanning over four decades. They discuss Dr. Gargiulo's journey from his private practice to his role as Regional Director at Twin Borough Physical Therapy during the onset of the COVID-19 pandemic. The episode explores the differences between private and corporate physical therapy practices, the integration of technology like MedBridge for patient education and adherence, and the challenges posed by limitations of insurance coverage. They also touch on the psychological aspects of patient compliance, the impact of early discharge from...2024-11-1834 minUpMed: The Journal of Healthcare's Race To The BottomChapter 1: Public/Private Partnerships In HealthcareWelcome to Season 2 of UPMED: The Journal of Healthcare's Race To The Bottom with your host, Dr. Erica Rowe Urquhart. We kick off Season 2 with a thought-provoking episode. In this episode, your host, Dr. Erica Rowe Urquhart sits down with the incredibly accomplished Dr. Kecia Ford. Dr. Ford is an internist with multiple high-risk clinics in New York. They discuss Dr. Ford's unique journey from biomedical engineering to internal medicine, and delve into the challenges of providing quality healthcare in underserved communities. Learn about the innovative use of wearable medical technology in treating high-risk diabetes patients and the crucial ro...2024-11-1135 minUpMed: The Journal of Healthcare's Race To The BottomChapter 7: Exposing The “Fix”In this episode, Dr. Erica Urquhart delves into the intricate dynamics of healthcare economics and the role of insurance companies in the industry. She raises concerns about transparency, conflicts of interest, data privacy, and market control within the healthcare system. Dr. Urquhart shares a powerful New York Times article exposing instances where insurance company practices lead to disparities in payments, emphasizing the need for reform in the healthcare payment structure. EPISOSDE HIGHLIGHTS: Dr. Urquhart gives examples of healthcare monetary values. Dr. Urquhart explains how the insurance payment system works. Dr. Urquhart...2024-06-2415 minUpMed: The Journal of Healthcare's Race To The BottomChapter 6: Urban Healthcare In A Diverse EnvironmentCardiologist, Raashan Williams, MD joins UpMed. In this episode, the interventional cardiologist who trained at Cornell discusses his first impression of the white coat as a toddler in Brooklyn, NY. Dr. Williams has a unique background and perspective on urban healthcare in a diverse environment. He candidly gives us an insider view as he shares his insights on the roles and responsibilities of clinical practitioners. EPISODE HIGHLIGHTS: Dr. Williams explains what drew him to interventional cardiology. Dr. Williams and Dr. Urquhart discuss the advantages and disadvantages of private practice. Dr. Williams hi...2024-06-1744 minUpMed: The Journal of Healthcare's Race To The BottomChapter 5: Managing a Healthy Work-Life Balance as a PhysicianThis week Dr. Urquhart has a conversation with Dr. Monique King. Monique King MD serves as the anesthesiologist director of a hospital-affiliated outpatient surgery center in Southern California. A graduate of the University of Southern California School of Medicine, Dr. King shares her unique experiences in surgery center management and gives us tremendous perspective on hospital affiliated outpatient management, as she reflects on the need for work-life balance. EPISODE HIGHLIGHTS: Dr. King explains what drew her to the medical field and shares the journey she took in gaining leadership experience working with patients in a...2024-06-1051 minUpMed: The Journal of Healthcare's Race To The BottomChapter 4: Maintaining Personal Care In An Academic EnvironmentSocial justice trailblazer, Damali Campbell, MD joins UpMed. A busy obstetrician and gynecologist, she is also an Associate Professor. With a practice in an urban Northern New Jersey environment, she has the opportunity to treat a diverse population of patients that include under served residents of her community as well as regional high risk pregnancies. She is the director of state-wide initiatives where she studies socioeconomic factors that influence maternal health. The focus of our conversation is the personal evolution that is required to maintain a dynamic practice in an academic environment. EPISODE HIGHLIGHTS: Everybody de...2024-06-0351 minUpMed: The Journal of Healthcare's Race To The BottomChapter 3: "I Don't Like Doctors"In this episode, Dr. Erica Urquhart discusses the challenges of toxic work environments in healthcare through the lens of a medical student's experiences and the impact toxic environments have on healthcare providers. EPISODE HIGHLIGHTS Dr. Urquhart defines What is a Toxic Work Environment? Dr. Urquhart explains the impact toxic environments have on healthcare professionals. Examples of challenges physicians faced during the COVID -19 Pandemic. Dr. Urquhart discusses the financial and psychological pressures healthcare providers face. To continue the conversation, Follow Dr. Erica Rowe Urquhart on he...2024-05-2713 minUpMed: The Journal of Healthcare's Race To The BottomChapter 2: Managing Care in a Stand Alone Surgical CenterIn this Episode Dr. Erica Urquhart interviews Dr. Richard Stillman. Richard Stillman, MD is a Massachusetts General Hospital trained anesthesiologist with certification in pediatrics, cardiology, pain management and acupuncture. A former hospital anesthesia group chairperson, he currently serves as the director of anesthesia services at a stand-alone surgery center. In this episode, Dr. Stillman reflects on the benefits and challenges of stand-alone anesthesia services in outpatient surgery centers. EPISODE HIGHLIGHTS: Dr. Stillman explains his role as an anesthesiologist and discusses the differences between a regional anesthesiologist vs a general anesthesiologist. Dr. Stillman discusses hi...2024-05-2043 minUpMed: The Journal of Healthcare's Race To The BottomChapter 1: Welcome To UpMedWelcome to UpMed: A Journal Of Healthcare’s Race To The Bottom. Meet Dr. Erica Rowe Urquhart. Dr. Urquhart is an orthopedic surgeon with over 20 years of experience practicing medicine. In this first episode, Dr. Urquhart introduces herself and discusses the challenges in the healthcare system, focusing on the lack of patient-centric care and the influence of insurance companies. She shares her journey into medicine, reflecting on the evolving roles and responsibilities of healthcare providers from entering medical school to practicing in a toxic environment. Dr. Urquhart highlights the impact of insurance companies on healthcare delivery, emphasizing the need fo...2024-05-0218 min
The Niche Finder PodcastEpisode#35 w/ Dr. Erica Urquhart MD, PHD,MBT, MBA, sharing how various circumstances in her journey to unlocking her ”God given” abilities helped to shape her secrets to being purposefully relentless"Dr. Erica Rowe Urquhart is a San Diego native. Dr. Erica Urquhart was selected for orthopedic surgery residency at the Cornell University-affiliated Hospital for Special Surgery, an all-orthopedic hospital on Manhattan’s upper East side. While in her internship year, Dr. Urquhart receive a national research fellowship. And as a chief resident, Dr. Urquhart had her son, Amari while concurrently completing the requirements for graduation from residency. Additionally, she was recognized by the Orthopedic Research and Education Foundation for her developmental biology research performed at Cornell University.
In addition to her roles as wife, mother and practicing or...2021-10-2937 min