Shows
Physician Interrupted Podcast[PI Podcast] PHPs: Critical Look – The Full Kebob of TakeawaysIn this episode, we discuss the remaining key takeaways from our 2 part presentation last month “Physician Health Programs (PHPs): A Critical Look.” For the full article, along with pithy footnotes, jump on over to the written article of the same title.Convenient links:Here’s a link to the replay of Part 1 of the webinar. (We’re redoing Part 2 as there was such a plethora of technological snafus that it can turn you into a conspiracy theorist.)And, here’s the link to the May 3rd Town Hall I mention in the episod...
2023-04-2328 min
Physician Interrupted PodcastNCMB Blocked Audit - Part 2This is Part 2 of a series on the state auditor’s blocked performance audit of the NC Medical Board (NCMB). The fact of a state professional licensing agency actually BLOCKING the elected state auditor from evaluating their investigations department and its internal protocols and assurances of compliance with state and federal laws has profound implications for all professionals who require some form of state licensure. Because without assurance that a state agency (or an organization that’s been given a state function) is performing in a fully fair, accountable, and non-self-serving manner, there is no guarantee that that agency has...
2023-02-0843 min
Physician Interrupted PodcastNCMB Audit - Part 1 - NC Medical Board Completely Thwarted Authorized State Performance AuditThis podcast is the first of a series (subsequent to the Overview episode) exploring the NCMB Performance Audit. I initially podcasted what I thought would be a single episode on the topic and was preparing to publish the written version. However, as I reviewed the material, I thought it best to dig deeper into the array of issues that I believe need to be explored. So that initial podcast has been re-titled as an Overview. There is no accompanying written article to it. Starting here with episode 1, I’ll post a series of ar...
2023-01-3141 min
Physician Interrupted PodcastNC Medical Board Thwarts State Audit - Overview[This podcast provides the overview of the NCMB Performance Audit. Since publishing it, and as it was so well received, I decided to go deeper into each of the topics covered here. Consequently, I’ve decided to post a series of articles and podcast episodes of the same name; to make it easy to distinguish, they’ll be named NCMB Performance Audit Part 1 [2, 3 …] and continue through the full sequence. As this is so timely, I thought it best to post several a week to cover all the interwoven aspects. Each of the articles has an array of footnotes that offer...
2023-01-2734 min
Physician Interrupted PodcastCan "Getting Help" Hurt?This is the podcast of the article by the same name on Substack. The article may contain some additional material in the form of footnotes, links to other materials etc. Be sure to check it out.In this podcast, we continue a series that began with a look at an emerging bevy of state laws proposing to create a sort of “mental health safe harbor” for physicians to get mental health care. We saw that while termed a “safe harbor,” it was anything but. In this podcast, we explore the broader concept of confidentiality in mental h...
2022-09-0127 min
Physician Interrupted PodcastIN Board of Nursing and ISNAP Studying 'The Big Book;' Really Struggling with Step 1In this episode, we do a deeper dive into the significance of US DOJ’s Letter of Finding regarding its investigation of a nurse’s complaint regarding the Indiana Board of Nursing IN BON and its professional assistance/rehabilitation program “ISNAP” violation of the Americans with Disabilities Act. The violation specifically pertained to IN BON’s and ISNAP’s refusal to allow participation in the program – necessary for removal of licensure restrictions – of any nurse who had a diagnosis of an opioid use disorder and who was currently on a medication-assisted treatment for it. As significant as the findings and...
2022-06-1140 min
Physician Interrupted PodcastUS Justice Dept Puts Indiana Nursing Board on a Monitoring ProgramWelcome to the Physician Interrupted podcast. Here’s the link to the transcript/post of this podcast. There’s a trove of footnotes and resources there. And of course, I’d love to hear your comments and your sharing this podcast and article with others, especially those whose ADA rights to MAT and preservation of their career has been wrongfully obstructed. Sharing helps a wider network of physicians and leaders become more informed of challenges to physicians’ rights so that they can take action to protect those rights.If you’d like to le...
2022-05-0839 min
Physician Interrupted PodcastPI Podcast – Each Healthcare Clinician's Burnout Is UniqueIn this episode, we examine the array of causality of clinician burnout and why it’s so important to drill down. Like a bacterial infection, if you don’t know the bug that’s causing it, then all you’re left with is throwing non-targeted killer drugs at it, none of which might be the anti-bug you need. And we also look at some overarching principles in approaching and remedying burnout. I’d love to hear your thoughts and would be delighted if you’d take a moment to share the podcast.And … if y...
2022-02-0114 min
Physician Interrupted PodcastPI Podcast – Is It Okay For Clinicians To Feel Anger At Newly Ill Anti-VaxxersWelcome to the Physician Interrupted Podcast. In this piece, Kernan reflects on an OpEd posted on Medscape by medical ethicist Art Caplan exploring clinician anger while treating anti-vax patients. It’s a privilege to have you as a listener. I’d love to hear your reactions as well as any feedback you have on the podcast itself. It’s still a work in progress. Got a topic consistent with our focus that you’d like us to do a podcast on? Lemme know! Want to be my guest to dialog about burning topics in medic...
2022-01-1431 min
Physician Interrupted PodcastPI Podcast - Matrix of Clinician Distress Part 7 ConclusionThe amorphous matrix of clinician distress.Here is Part 7, the last of our series exploring the Matrix of Clinician Distress.We offer a somewhat expanded representative scenario and can more clearly discern its individual components. Lumping all of these component syndromes together under the designation “burnout” as has been routinely done through the present is obviously problematic. By not naming and addressing the component elements of a clinician’s distress and enabling appropriate approaches, these syndromes have been ignored. In essence, they’ve been painted over by the broad brush of “burnout.” The Matrix...
2021-11-1640 min
Physician Interrupted PodcastPI Podcast - Matrix of Clinician Distress Part 6B The Bullying Culture of MedicineThe prevailing culture of medicine has been rooted in a bullying mindset. The bullying mindset seems to operate under the belief that only the tough can survive, so bullying is an accepted tactic to reach that end.In this episode, Part 6B, we explore some of the elements of that bullying culture. And we call attention to the multiple components of the clinician distress matrix which, in any combination, add significant burden to a clinician’s achievement of wellbeing, independently of any consideration of burnout. Thanks again for listening. Your comments and your sharing this bl...
2021-11-0128 min
Physician Interrupted PodcastPI Podcast - Matrix of Clinician Distress Part 6A - Discrimination & Sexual HarassmentThough Part 6 was written as a single article, we thought it best for the podcast to break it up into 2 different segments.This segment, Part 6A explores discrimination in its various forms and sexual harassment as significant contributors to some clinicians’ distress matrix. We’d love your comments on the piece. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit physicianinterrupted.substack.com
2021-11-0150 min
Physician Interrupted PodcastPI Podcast - Matrix of Clinician Distress - Part 5 Medico-Legal-Regulatory StressIn this episode, we explore two major stress clusters which can independently contribute to clinician distress. Being a defendant in malpractice litigation causes off-the-scale stress over a prolonged period. So too does dealing with entities in the MRTC - the Medical Regulatory Therapeutic Complex (see our article exploring this in the footnote below). Additionally, see a short video done by investigative journalist PJ Randhawa concisely relating the concerns about one PHP. And the piece “To Heal or Not To Heal, Physician, That Is The Question”. Would love to hear your comments below. And if y...
2021-10-3024 min
Physician Interrupted PodcastPI Podcast - Matrix of Clinician Distress - Part 4(The entire Matrix of Clinician Distress series is available in article and podcast format - see footnote for more explanation on how to find.)This is Part 4 of a 7 part series exploring the matrix of clinician distress. Here, we cover the two primary mood syndromes that, when they meet certain symptom criteria, i.e. enough of the symptom array, and exist for a certain duration and adversely impact your personal or work life, are considered “disorders.” Once they reach this level, then professional help is advisable. ...
2021-09-2845 min
Physician Interrupted PodcastPI Podcast - Matrix of Clinician Distress - Part 3(The entire Matrix of Clinician Distress series is available in article and podcast format - see footnote for more explanation on how to find.)Turns out, what started as a three-article series expanded by necessity to become a 7 part series. This podcast and article explore the syndrome of grief (the emotion accompanying the process of bereavement), and the stress syndromes pertaining to psychological trauma.Grief and Trauma – Exploring the Fuller Clinician Distress Map This is a public episode. If you would like to discuss this with other subscribers or get ac...
2021-09-2746 min
Physician Interrupted PodcastPI Podcast - Matrix of Clinician Distress - Part 2CTurns out this is a 5 part series. And for easier listening, I broke up Part 2 into three sections. This is Part 2 C. Here we recap Burnout, Compassion Fatigue and Moral Injury and consider approaches to their resolution. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit physicianinterrupted.substack.com
2021-09-1214 min
Physician Interrupted PodcastPI Podcast - Matrix of Clinician Distress - Part 2BTurns out this is a 5 part series. And for easier listening, I broke up Part 2 into three sections. This is Part 2 B. Here we focus on Moral Injury. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit physicianinterrupted.substack.com
2021-09-1222 min
Physician Interrupted PodcastPI Podcast - Matrix of Clinician Distress - Part 2A(The entire Matrix of Clinician Distress series is available in article and podcast format - see footnote for more explanation on how to find.)Turns out this is a 7 part series. And for easier listening, I broke up Part 2 into three sections. This is Part 2 A. Here we delve into Burnout and its close cousin Compassion Fatigue.Burnout DefinedDefined according to criteria progressively established by Christina Maslach and Richard Leiter, the essence of the burnout syndrome is this: it’s an occupational stress syndrome characterized by fatigue, detachment, and a reduced sense of...
2021-09-1235 min
Physician Interrupted PodcastPI Podcast - The Matrix of Clinician Distress - Part 1(The entire Matrix of Clinician Distress series is available in article and podcast format - see footnote for more explanation on how to find.)Burnout, compassion fatigue, and moral injury are not interchangeable terms. They are distinctly different phenomena in the matrix of clinician distress. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit physicianinterrupted.substack.com
2021-09-0930 min
Physician Interrupted PodcastPODCAST to Accompany: "New Safe Harbor 'Wellness Programs' Being Instituted by State Legislatures To Protect Physicians in Getting Help (FULL-LENGTH Version) This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit physicianinterrupted.substack.com
2021-05-301h 08
2020-09-2800 min
Physician InterruptedSexual Harassment in HealthcareSexual harassment is a very significant problem in healthcare.
My guest is Animah Kosai, a lawyer by training who has extensive experience in organizational ethics and compliance.
Seeing the need to help individuals in organizations victimized by sexual harassment or punished for their whistleblowing, Animah was inspired to start Speak Up At Work to empower employees to understand the processes and develop the skills to come forward to uphold their rights and hold wrongdoers accountable. As former general counsel for a large multinational oil and gas firm, she also recognized the need that organizations...
2020-03-1444 min
Physician Interrupted Podcast"I’m Sorry, I’m Leaving Medicine"There was a piece posted in the popular physician-oriented website KevinMD.com by an anonymous physician entitled "I’m sorry: Why I lost my love for medicine.” Understandably, it generated a significant amount of comments and shares. But, as is the way with so much on the web, it’s very easy to miss some really important essays. And I didn’t see it until someone shared it with me only a month ago on the heels of a discussion we’d had about burnout, one of my key areas of interest. As I read it, I identified...
2020-02-2312 minPhysician Interrupted"I’m Sorry, I’m Leaving Medicine" – Burnout in HealthcareThere was a piece posted in the popular physician-oriented website KevinMD.com by an anonymous physician entitled "I’m sorry: Why I lost my love for medicine.” Understandably, it generated a significant amount of comments and shares. But, as is the way with so much on the web, it’s very easy to miss some really important essays. And I didn’t see it until someone shared it with me only a month ago on the heels of a discussion we’d had about burnout, one of my key areas of interest.
As I read it, I iden...
2020-02-2312 minPhysician InterruptedConfronting Questionable Drug Testing in US Physician Health Programs (part 2)In Part 2 of Questionable Drug Testing, host Dr. Kernan Manion continues an amazing conversation with Dr. Michael Langan, author of the blog DisruptedPhysician.com. Michael has intensively studied the PHP (physician health program) movement and its 47 state programs’ use of inappropriate alcohol biomarker drug testing in assessing physicians referred for the question of substance abuse-related occupational impairment. The EtG urine test as well as others routinely used by PHPs are known to produce false positive results. Use of these tests in such a forensic environment was strongly advised against by SAMHSA, the US Substance Abuse Mental Health Services Administration, sp...
2020-02-0539 min
Physician Interrupted PodcastConfronting Questionable Drug Testing in US Physician Health Programs (part 2)In Part 2 of Questionable Drug Testing, host Dr. Kernan Manion continues an amazing conversation with Dr. Michael Langan, author of the blog DisruptedPhysician.com. Michael has intensively studied the PHP (physician health program) movement and its 47 state programs’ use of inappropriate alcohol biomarker drug testing in assessing physicians referred for the question of substance abuse-related occupational impairment. The EtG urine test as well as others routinely used by PHPs are known to produce false positive results. Use of these tests in such a forensic environment was strongly advised against by SAMHSA, the US Substance Abuse Mental Health Services Administration, sp...
2020-02-0539 minPhysician InterruptedConfronting Questionable Drug Testing in US Physician Health Programs (part 1)Host Dr. Kernan Manion talks with Dr. Michael Langan, an internist / geriatrician formerly with Mass General Hospital and now a consultant, researcher and author of the blog DisruptedPhysician.com. Michael has intensively studied the PHP (physician health program) movement and its state programs’ use of highly questionable drug testing in assessing physicians referred for the presence of substance abuse related impairment. He reveals that one or more of the urine tests routinely used by PHPs are known to produce false positive results. Further, use of these tests in a forensic environment was strongly advised against by SAMHSA, the US Su...
2020-02-0426 min
Physician Interrupted PodcastConfronting Questionable Drug Testing in US Physician Health Programs (part 1)Host Dr. Kernan Manion talks with Dr. Michael Langan, an internist / geriatrician formerly with Mass General Hospital and now a consultant, researcher and author of the blog DisruptedPhysician.com. Michael has intensively studied the PHP (physician health program) movement and its state programs’ use of highly questionable drug testing in assessing physicians referred for the presence of substance abuse related impairment. He reveals that one or more of the urine tests routinely used by PHPs are known to produce false positive results. Further, use of these tests in a forensic environment was strongly advised against by SAMHSA, the US Su...
2020-02-0426 minPhysician InterruptedConfronting Questionable Drug Testing in Physician Health ProgramsExcited to give you a heads up about an upcoming podcast on Physician Interrupted.
Confronting Questionable Drug Testing in PHPs.
Very pleased to have as my guest expert Dr. Michael Langan who’s extensively studied the use of highly suspect alcohol biomarkers in PHPs. What he reveals is that not only are there very serious questions about the appropriateness of these tests for PHP intake screening purposes, their false positive rate may be wrongfully sending physicians to costly in-network evaluation and treatment centers. Worse, it appears the PHPs and the medical boards know th...
2020-02-0202 min
Physician Interrupted PodcastConfronting Questionable Drug Testing in Physician Health ProgramsExcited to give you a heads up about an upcoming podcast on Physician Interrupted. Confronting Questionable Drug Testing in PHPs. Very pleased to have as my guest expert Dr. Michael Langan who’s extensively studied the use of highly suspect alcohol biomarkers in PHPs. What he reveals is that not only are there very serious questions about the appropriateness of these tests for PHP intake screening purposes, their false positive rate may be wrongfully sending physicians to costly in-network evaluation and treatment centers. Worse, it appears the PHPs and the medical boards know thes...
2020-02-0202 minPhysician InterruptedThe 10 Commandments for Surviving a Career RiptideVarious forces can adversely impact a physician's career. However, that unseen entity - the Medical Regulatory Therapeutic Complex (MRTC) consisting of the regulatory entities that hold life-and-death power over a physician’s career - is one that is both the least understood but the most potentially dangerous riptide that can literally end one’s career with no recourse. Few are aware of its pervasive presence, much less of its potential career lethality. And that’s why it’s vital for physicians to understand what it is, how it works and what you can do to navigate this perilous...
2020-01-3023 min
Physician Interrupted PodcastThe 10 Commandments for Surviving a Career RiptideVarious forces can adversely impact a physician's career. However, that unseen entity - the Medical Regulatory Therapeutic Complex (MRTC) consisting of the regulatory entities that hold life-and-death power over a physician’s career - is one that is both the least understood but the most potentially dangerous riptide that can literally end one’s career with no recourse. Few are aware of its pervasive presence, much less of its potential career lethality. And that’s why it’s vital for physicians to understand what it is, how it works and what you can do to navigate this perilous territory....
2020-01-3023 minPhysician InterruptedPhysician Beware: Career Riptide AheadThis episode of "Physician, Interrupted” examines the “career riptide” phenomenon that occurs via unfair use of licensing, credentialing and "clinical privileges" power that can abuse physicians’ rights with impunity. We begin to explore what you can - and must - do to protect your rights as a physician against unwarranted career disruption.
Imagine that you're walking along the beach enjoying yourself calmly strolling and you see a little puddle and you step in the puddle not aware that it's actually part of a receding tidal pool. And that tidal pool suddenly pulls your feet out from under yo...
2020-01-2818 min
Physician Interrupted PodcastPhysician Beware: Career Riptide AheadThis episode of "Physician, Interrupted” examines the “career riptide” phenomenon that occurs via unfair use of licensing, credentialing and "clinical privileges" power that can abuse physicians’ rights with impunity. We begin to explore what you can - and must - do to protect your rights as a physician against unwarranted career disruption.Imagine that you're walking along the beach enjoying yourself calmly strolling and you see a little puddle and you step in the puddle not aware that it's actually part of a receding tidal pool. And that tidal pool suddenly pulls your feet out from under you...
2020-01-2818 minPhysician InterruptedWelcome to “Physician, Interrupted”"Physician, Interrupted” is a weekly podcast hosted by Dr. Kernan Manion, an MD physician and psychiatrist by specialty who retired from clinical practice about 7 years ago to devote full-time to consulting, coaching, writing and speaking.
"Physician, Interrupted” focuses on the burning issues facing physicians today and the challenges they face in their careers as clinicians and healers, indeed challenges to their physicianhood itself.
Physicians are under incredible stress today from a tsunami of forces. And that stress is taking a toll. Burnout is reported as high as 50% of practicing clinicians. Physicians are facing imme...
2020-01-2415 min
Physician Interrupted PodcastWelcome to “Physician, Interrupted”"Physician, Interrupted” is a weekly podcast hosted by Dr. Kernan Manion, an MD physician and psychiatrist by specialty who retired from clinical practice about 7 years ago to devote full-time to consulting, coaching, writing and speaking."Physician, Interrupted” focuses on the burning issues facing physicians today and the challenges they face in their careers as clinicians and healers, indeed challenges to their physicianhood itself.Physicians are under incredible stress today from a tsunami of forces. And that stress is taking a toll. Burnout is reported as high as 50% of practicing clinicians. Physicians are facing immens...
2020-01-2415 min
Physician NonClinical Careers with John JuricaBurnout and Career Transition - Interview with Kernan Manion - 007In this episode, John interviews psychiatrist, coach and consultant Dr. Kernan Manion. Dr. Manion provides a deep dive into physician burnout and its impact on the growing phenomenon of physician career change. He also describes factors influencing Career Transition.
2017-10-301h 06