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Patty Fahy

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Lift-Off With Energizing ResultsLift-Off With Energizing Results170-Patty FahyWho’s your ideal client and what’s the biggest challenge they face?What are the common mistakes people make when trying to solve that problem?What is one valuable free action that our audience can implement that will help with that issue?What is one valuable free resource that you can direct people to that will help with that issue?What’s the one question I should have asked you that would be of great value to our audience?When was the last time you experienced Goosebumps with your family and why?Four Interpersonal Motivators: Reduce Threat and Suppor...2022-06-2817 minProfiles In EccentricityProfiles In EccentricityThe Life And Death Of Tania: The SLA and Patty HearstThis week Johnboy gets into the juicy, violent saga of the leftwing militant group that abducted a wealthy heiress that was groomed - or just convinced - to join their dysfunctional revolutionary struggle as the world watched, befuddled!2022-06-172h 02Licensed to LeadLicensed to Lead042 - Dr. Susan Rogers Tells Senate: Don’t Hand Medicare to the ProfiteersCommunity, connection, purpose: these values are almost palpable even in a virtual conversation with Dr. Susan Rogers. Dr. Rogers is an internist, educator, and activist on behalf of those who suffer when profit motives bulldoze the institutions that are meant to serve the public. A neon example of a public good which has been targeted by profiteers is traditional Medicare. As president of Physicians for a National Health Program, Dr. Rogers is fighting back against the shape-shifting strategies launched by insurance companies and private equity firms to cash in on Medicare. She fills us in on the importance of preserving...2022-06-0751 minLicensed to LeadLicensed to Lead041 - Mining Mintzberg for Management GoldMcGill Business Professor Henry Mintzberg is the author of 20 books on management, creator of two revolutionary international management programs, and the recipient of a mountain of accolades and honors for his thought leadership in the business world. Mintzberg minces no words in his pointed criticism of current approaches to management training and the behavior of those in management and leadership positions. In this interview, Professor Mintzberg comments on the value of an MBA in providing management skills:“Anybody who comes out of a business school should have a stamp on his or her forehead—like a skull and cros...2022-05-1754 minLicensed to LeadLicensed to Lead040 - Stanford Physician Writes the Book on WellbeingAuthor and certified lifestyle medicine physician, Iris Schrijver, MD, describes a fulfilling and fast-paced academic career at Stanford as a full professor of pathology and director of a molecular genetics research lab. A few years ago, in an unlikely turn of events, an opportunity to design a leadership project ignited her long simmering interest in wellbeing.That project culminated in a 2016 research article An Exploration of Key Issues and Potential Solutions that Impact Physician Wellbeing and Professional Fulfilment at an Academic Center. I give you the details here because this is the article that led me to reach...2022-04-2646 minLicensed to LeadLicensed to Lead039 - Attorney Drops Truth Bombs about Physician Employment ContractsAttorney and author Dennis Hursh helps physicians navigate their employment contracts. He describes his shock early on in his career when he saw the lopsided language in the contracts offered to his highly trained physician clients. He points out that no hospital executive would ever agree to such contractual language for themselves.A sampling of items Mr. Hursh considers “insane”:- 24 hour call shifts (and by the way, you will work the next day, too)- The employer will decide if you’re disabled and has the right to terminate you if you can’t do the job2022-04-151h 00Licensed to LeadLicensed to Lead038 - Physician Leaders Ask about Influence and IncentivesIn response to listener questions and comments, we dive into two topics in this episode. The first is influence, especially when managing “up” or when dealing with a high profile colleague. The second topic is incentives. Podcast episode #35 featured Alfie Kohn who surprised listeners when he described the negative impact of incentives on intrinsic motivation. We discuss a model of influence from the work of Jay Conger, who wrote extensively on the topic of influence including his bestselling book Winning ‘Em Over. Linked below is a worksheet that we use in our leadership programs. Conger describes four components of influe...2022-03-2216 minLicensed to LeadLicensed to Lead037 - Physician Ownership and Group Wisdom Prevail Through CrisesChristopher Obetz, MD, is the CEO of an organization which started with a handful of physicians 30 years ago, and now they have over 150 physicians and APPs. The group staffs nine emergency rooms in the Minneapolis St. Paul area. One year ago, Dr. Obetz was my guest on Episode #15 (Title: Emergency Care Consultants CEO: The Incalculable Value of Physician Careers). At the time, the ECC leader and his organization were faced with a trio of crises: •The Covid pandemic and sequelae in Emergency Medicine •Unexpected closure of a hospital with resultant overstaffing•The George Floyd murder devastated the commun...2022-03-0954 minLicensed to LeadLicensed to Lead036 - Physician-Owned Surgery Center Says “Goodbye Insurance…Hello EXCELLENCE!”Dr. Keith Smith cofounded the remarkably successful and wonderfully disruptive Surgery Center of Oklahoma. He and fellow anesthesiologist, Dr. Steven Lantier, left their hospital-based practices in 1997 to launch a physician-owned surgery center promising high quality care at a fair, transparent, and all-inclusive price. They had become fed up watching hospital administrators profit mightily while those who were actually caring for patients struggled. The inequitable and often outrageous billing practices of the hospital, the low Medicare reimbursement to physicians, and the cost-shifting to compensate for poor government reimbursement were all affronts to their values.Dr. Smith is clear on the...2022-02-1557 minLicensed to LeadLicensed to Lead035 - Incentives Serve the Powerful, Undermine Autonomy, and Gut CreativityAlfie Kohn is a prolific author and expert on the psychological and organizational effects of rewards, incentives and competition. As a longtime fan of his thinking and writing, it was a huge treat (no pun intended) for me to talk with him about the counterproductive impact of incentive systems in the workplace. In 2018, the 25th Anniversary Edition of Kohn’s superb book, Punished by Rewards—The Trouble with Gold Stars, Incentive Plans, A’s, Praise, and Other Bribes was released. In the years since the original publication, other experts piled on scholarly articles and best-selling books confirming the deleterious effects of fin...2022-01-3129 minLicensed to LeadLicensed to Lead034 - Value-Based Care: The Programs, the Problems and Why Physicians Must LeadMy guest is Dr. Roger Fowler, Vice President, and Chief Medical Director of Quality, Performance and Innovation with CHRISTUS Health in Irving, Texas.As an expert in population health, quality, and healthcare reform, Dr. Fowler offers a rich perspective on the historical events that underpin our current state of U.S. healthcare. His belief is that we must move away from payment systems that reward the quantity of procedures performed, and move toward those programs that reward excellent outcomes for patients and the community.Dr. Fowler describes how quality measures themselves have their origins in the way insurance...2022-01-211h 14Licensed to LeadLicensed to Lead033 - Physician Autonomy: A Legal Perspective and a Blockchain SolutionLeah Houston, MD is a serial entrepreneur, emergency medicine physician, and activist. She is the founder of: HPEC: Humanistic Physician Empowerment Community is a platform physicians can use to own and store their own digital identity and credentials. A secure, self-sovereign identity is the foundation for restoring physician autonomy. (Find out why!) EverCred: The system used by institutions to manage certification data and issue physician credentials that puts physicians in control of the primary source verification process. Dr. Houston joins me on the podcast with Florida attorney Abbigail Webb. Ms. Webb raises an alarm about the loss of...2021-12-2845 minLicensed to LeadLicensed to Lead032 - A Voice for Physician Leadership: Essential, Courageous and MagicalMy guest this week is national healthcare leader Dr. Jack Cochran. As CEO of the Permanente Federation, he was the top national leader for over 20,000 physicians who cared for more than 10 million people in their Kaiser Permanente medical practices. In this animated conversation, the inspiring and articulate Dr. Cochran describes his non-linear and unexpected path to executive leadership and international activism on behalf of excellent and accessible healthcare.In his early days as a practicing plastic surgeon, Jack encountered the healthcare system in a different way when his parents became ill. As he says, “four years of medical sc...2021-12-141h 00Licensed to LeadLicensed to Lead031 - Jung's Physician Archetypes and the Loss of Meaning in MedicineLisa Marchiano is a Jungian psychoanalyst and cohost of the marvelous “This Jungian Life” podcast. We discuss Swiss psychiatrist Carl Jung’s work and the implications for physicians and the ailing medical profession.Lisa explains that Jung believed: “We are all on a path toward wholeness. The goal of life is to become more whole—and when that path is blocked in some way, we get symptoms.” Unlike the so-called manualized therapies (following a manual with techniques outlined for various diagnoses) there are no prescribed “techniques” in psychoanalysis. The conversation and the relationship that is created between the analyst and pati...2021-11-3051 minLicensed to LeadLicensed to Lead030 - Monetization of the Physician ImaginationThis episode is a continuation of my animated conversation with Professor J.-C. Spender, a nuclear engineer-turned-business school professor, author, expert on the history of business education, and former executive and business school dean.At the onset of episode #30 I asked Dr. Spender if getting an MBA degree would provide what’s needed if someone wanted to efficiently manage a healthcare organization.His response was YES. But he added “that’s a kind of modified and slightly tangled yes.” What I heard was “No.” Take a listen and see what you think. Professor Spender’s contrarian penchant is de...2021-11-0938 minPhysician NonClinical Careers with John JuricaPhysician NonClinical Careers with John JuricaAre You Ready to Become a Certified Physician Executive?Today I thought I would discuss another topic related to the pursuit of a hospital management job. I read an article on KevinMD by Patty Fahy, MD recently that talked about BSM (Business School Mindset). The author gave examples of the BSM mindset: "...graduates are assured that an MBA degree has prepared them to manage in any industry: a tattoo parlor, a government entity, or a hospital system. "Managers are an elite caste, separate from those who are managed, monitored, and controlled. "Efficiencies gained by controlling the behavior of prof...2021-10-2624 minLicensed to LeadLicensed to Lead029 - Medicine and Managerialism: A Clash of ValuesJ.-C. Spender, PhD, is an engineer-turned-business school professor, an author, an expert on the history of business education, and he’s a former business executive and business school dean. These credentials equip him to have insight into the goings-on of business schools and real expertise in the practical challenges of graduate business education. Dr. Spender has a distinct philosophical bent which surfaces in this episode (and more so in Part 2 of this interview—Episode #30). He sports a professorial persona, likely honed with endless graduate students, which means a few pugilistic remarks punctuate our conversation even when we are in “violen...2021-10-1957 minLicensed to LeadLicensed to Lead028 - Corporate Practice of Medicine Laws: Employed Physician’s Remedy—or Nightmare?What is the Corporate Practice of Medicine? In this episode, Brad Adatto, a business law and healthcare attorney, takes us on a journey through the intent, implications, and risks associated with state laws that “ban” the corporate practice of medicine. He describes how these state laws arise from a variety of legal and regulatory sources, and prohibit corporations (or any “non-physicians”) from employing physicians or owning medical practices. The Corporate Practice of Medicine Doctrine (CPMD) originated in the early 1900s and sought to prevent: 1. Commercialization of medicine or lay people profiting from physician practice 2. Business...2021-10-0549 minLicensed to LeadLicensed to Lead027 - 13 Ways PBMs Profit Mightily and Hurt PeoplePharmacy benefit managers, or PBMs, are companies that manage prescription drug benefits for payers like insurance companies, government programs such as Medicare and Medicaid, and self-insured employers. They are the middlemen and money handlers who negotiate with pharmaceutical manufacturers to determine drug prices and drug placement on formularies. Considering the costly and far-reaching impact of their negotiations, they have been allowed an inexplicable level of unchallenged secrecy in all of their transactions. Their work determines the total cost the payer will spend on prescription medications, the patients’ access to medications, and how much pharmacies are paid.  While their role, ostensibly, is t...2021-09-2339 minLicensed to LeadLicensed to Lead026 - Five Myths that Sabotage Physician LeadershipIn today’s encore episode, I am sharing an excerpt from an earlier episode discussing mythsabout physician leadership and dispelling those myths with evidence. MYTH:  a widely held but false belief or idea Time to bust some of the myths and stereotypes about physicians being arrogant, un-herdablecats and lone wolves who don't understand teamwork, business or finances.Stereotype… #1  Doctors are lone wolves or cowboys who can’t get along on a team  #2  Physicians have a command and control decision-making style  #3  Physicians are lousy at managing their money #4  Docs are greedy...2021-09-0728 minLicensed to LeadLicensed to Lead025 - Don’t Throw Away The Physician CareerFor today’s episode, I asked Dr. Barbara McAneny about her upcoming talk: Stop Blaming the Doctors!  My main intention in asking Barbara to come back on the podcast (she was a guest on Episode #13) was to have her guide me through the malodorous sewer where Pharmacy Benefits Managers live.  But since I had her corralled on Zoom I suggested we both give a preview of our Global Summit presentations.  As an oncologist, the founder and CEO of a large, multi-specialty practice, and former AMA president, Dr. McAneny knows her stuff.  Enjoy this short Espresso Shot and don’t miss the upco...2021-08-2419 minLicensed to LeadLicensed to Lead024 - Burnout and Moral Injury: Products of a Business School MindsetIn this encore episode, I’m touching on some of the enormous quantity of research that has been directed at physician burnout. We have clear and convincing descriptions of the causes of physician burnout. What we don’t have, is a lot of action directly tackling those causes. How is it that healthcare leadership has had a lackluster response to the crumbling careers of those whose credentials are required to open a hospital? Whether it’s the head honchos of healthcare systems, advocacy organizations, or hospitals -- the response to physician disaffection has been anemic. In many cases, disingenuous.

 A cas...2021-08-1021 minLicensed to LeadLicensed to Lead023 - To Be a Physician Is To Be a LeaderIn this encore episode I highlight a portion of my conversation with Dr. Patty Gabow, former CEO at Denver Health. During this 15 minute segment, Patty reacts to my question about the value of physicians’ tacit knowledge and the built-in leadership qualities physicians develop in their training. Listen in as Dr. Gabow weighs in on why physicians must lead, how values must drive healthcare strategy, and why her latest book Time’s Now for Women Healthcare Leaders is focused on doing what it takes to get women into leadership positions. And if you want to hear more about Patty’s interesting li...2021-07-2916 minLicensed to LeadLicensed to Lead022 - Provocative Questions and Leadership ChallengesIn this episode, my longtime colleague and friend Lynn Elliott joins me to take a look at the arc of the Licensed to Lead Podcast’s first season. The first three episodes launched the podcast with data dives to support my foundational beliefs about physician leadership, then we turned to interviews with physician leaders and others who shed light on the “whys” and “hows” of expert leadership, and finally wrapped up the season with my “Mother’s Day” podcasts. Lynn shares some of the email and voicemail feedback we got from listeners and we both muster up our best responses to cha...2021-06-2955 minLicensed to LeadLicensed to Lead021 - If You're Not Happy - You're Not HelpingIn this first Licensed to Lead “Espresso Shot” podcast—designed to be short but potent— the topic is the unhealthy underbelly of “helping” professions. Cory Katuna and Patty spin-off from their Episode #20 conversation when they talked about Levels of Energy or “mindsets.” They dive into a discussion of the connection between Level Four energy (a mindset of compassion and generosity) and the implications if our “helping” is tainted by obligation and resentment. When Cory says “If you’re not happy, you’re not helping” she means that our interpersonal interactions have many more implications than what is apparent. We talk about the immediate and the...2021-06-0413 minLicensed to LeadLicensed to Lead020 - Culture, Levels of Energy, and “Leading A Deathbed Life"Cory Katuna is a professional coach, writer, graphic artist and social influencer. She joins Patty in this episode to talk about the ways her work and Patty’s work intersect, ultimately creating excellent organizational culture that truly brings out the best in each person.She takes the conversation through the seven levels of energy, a model developed by Bruce D. Schneider, founder of iPEC Coaching. Patty and Cory go back and forth with examples to illustrate this leadership mindset model. The Leadership Energy framework describes seven levels of energetic awareness, starting at level one – virtually no awareness, a state of v...2021-05-2758 minLicensed to LeadLicensed to Lead019 - Mother-Daughter Discussion on Physician LeadershipIn the first of two special Mother’s Day podcasts, I’m in the guest chair along with my daughter, Jamie Katuna. Podcaster Keith Carlson, RN, (aka “Nurse Keith”) starts this interview by asking how we influenced and inspired each other as mom and daughter, in medicine and in leadership roles. I talk about my admiration for Jamie’s intellectual curiosity and her willingness to take risks. Nurse Keith corroborates this by describing how he discovered Jamie on her aptly-named “Speak Out Medicine” Instagram account. As a medical student, she used her social media platforms to both speak out and to be vulnerab...2021-05-1137 minLicensed to LeadLicensed to Lead018 - Physician Leader and Author Warns the Public of a Dangerous TrendNiran Al-Agba, MD co-authored the book, Patients at Risk—The Rise of the Nurse Practitioner and Physician Assistant in Healthcare, which unearths the confluence of events allowing poorly trained practitioners to diagnose and treat patients. Dr. Al-Agba, who has a nurse practitioner in her own practice, believes NPs and PAs can provide high quality care. In her book she states, “The NP and PA roles were created to provide complementary care with a physician carefully supervising and collaborating on complex patients. This model works well.”The death of straight-A student and college athlete, Alexus Ochoa-Dockins, motivated Dr. Al-Agba. The health...2021-04-2758 minLicensed to LeadLicensed to Lead017 - What is Direct Primary Care? BEAUTIFUL!Jennifer McCabe Lentz, MD, and I talk about the Direct Primary Care (DPC) practice she built which transformed her professional life and home life. In 2017 she launched her DPC practice. Direct Primary Care means there is no middle-man between the physician and the patient—their relationship is direct. She takes no insurance. Her patients pay a monthly fee which covers most of the care she provides. Her patients can access her by email, text, phone, and with in-person visits—of whatever length of time is needed. When blood tests, biopsies, or imaging studies are needed, she helps her patients find the...2021-04-1351 minLicensed to LeadLicensed to Lead016 - Save a Doctor – Hire a ScribeIn this episode, you’ll hear from three physicians who work with medical scribes. If you haven’t had experience with either in-person or virtual (remote) scribes, this episode will give you a pretty good picture. First, Dr. Christopher Obetz, CEO of Emergency Care Consultants (ECC) and featured guest in Episode 15, talks about launching their scribe program 15 years ago. Scribes work right alongside the physician, taking notes and doing data entry in the electronic medical record. Dr. Obetz describes how the scribe program and the resulting “very robust, descriptive and helpful notes” were a big part of turning the Emergency Departme...2021-03-3052 minLicensed to LeadLicensed to Lead015 - Emergency Care Consultants CEO: The Incalculable Value of Physician CareersIs it possible to create an outstanding organizational culture in what is often a hellhole of anguished patients, staff dissatisfaction, and high physician turnover? Emergency Medicine, with its high stress, high stakes, and ever-diminishing autonomy, has been a burnout zone for decades. Except—for almost thirty years there’s been an Emergency Medicine oasis in the Twin Cities. (Maybe it’s the wrong latitude for an “oasis” metaphor—perhaps an idyllic ice-fishing camp?) Anyway, Emergency Care Consultants (ECC) has consistently achieved excellent patient care, superb hospital relationships, high engagement, innovation, growth and nearly non-existent physician turnover.What’s the deal?Dr...2021-03-1648 minLicensed to LeadLicensed to Lead014 - A Warrior Spirit For The Vulnerable with Jandel Allen-Davis, MD, President & CEODr. Jandel Allen-Davis is the CEO and President of Craig Hospital, a superb rehabilitation center for traumatic brain and spinal cord injuries. Dr. Allen-Davis, an obstetrician and gynecologist, spent 25 years caring for patients and honing her leadership skills in multiple organizational and community roles. In this episode, she describes “The Disappointment” when she was NOT selected for a CEO role, and she shares how she navigated that pain. Dr. Allen-Davis’s subsequent selection as the Craig Hospital CEO in 2018 was her arrival “home.” The Craig Hospital community welcomed the authentic expression of who Jandel is and what she believes.So wh...2021-02-2347 minHigh Impact PhysicianHigh Impact PhysicianThe Business Case for Autonomy and Authority (Dr. Patty Fahy)Dr. Patty Fahy's role as a clinician, a member of an executive team, and a leadership consultant has been focused on supporting people to make important and often difficult changes. She is the host of Licensed To Lead Podcast and a Keynote Speaker. Dr. Patty Fahy and Sandy dig into:- What to do when administrators don’t give you the full truth- The power of a physician with a Business School Mindset- Who are the masters of healthcare?- Why you don’t need an MBA- Questioning the dyad...2021-02-1546 minLicensed to LeadLicensed to Lead013 - A National Leader with Tenacity and CompassionFormer AMA President Barbara McAneny is a relentless patient advocate who sees the harm done by the rapacious medical industrial complex. She spells out the toxicity caused by health system consolidation, purchase of physicians’ practices, and financial exploitation of government programs intended to serve the poor. Dr. McAneny, an oncologist, comes by her in-depth knowledge through her AMA role as well as through her own experience battling a large healthcare system in order to save the multi-specialty cancer center she co-founded in 1987. She does not want to see physician-owned practices (the “high quality, lower cost alternative”) succumb to takeover strategies by the...2021-02-091h 05Licensed to LeadLicensed to Lead012 - Physician Leader Development: What Works?Amanda Goodall, PhD, joins me in Part Two of our conversation discussing the advanced degree program for physician leaders that she founded. She talks about barriers to physician leadership development including political correctness, assumptions that physicians aren’t interested, and the daunting “re-entry” into entrenched cultures. Dr. Goodall points to a central problem with business schools: the separation of business education from any actual workplace, profession, or culture. This echoes Henry Mintzberg’s concerns cited in Licensed to Lead podcast episode #3 (“Who are the Masters in Healthcare?”).Dr. Goodall draws a comparison between the challenges of increasing p...2021-01-2642 minLicensed to LeadLicensed to Lead011 - THE RESEARCH: Physicians and the Theory of Expert LeadershipAmanda Goodall, PhD, a professor and leadership expert, joins Patty in an animated conversation about her theory of expert leadership. Dr. Goodall explains how her research revealed that top scholars, not general managers, make the best university CEOs and the most effective department leaders. This phenomenon doesn’t just apply to the academic world; the same pattern holds true in sports. And important for the Licensed to Lead audience, her studies point to superior outcomes when healthcare institutions are led by those with the most expertise in the core business, physicians. Tune in as we talk about the technical expertise an...2021-01-1244 minSoundPracticeSoundPracticeIdentifying, Hiring, and Retaining Exceptional Physicians: Improve Workplace Culture and Avoid Hiring a NarcissistPatty Fahy, MD is an Internist with an expertise in physician leadership and a mission of creating strong cultures for healthcare organizations. Patty is the host of “Licensed to Lead” podcast.  In this fascinating episode, Dr. Patty Fahy offers ideas for identifying, hiring, and retaining exceptional physicians. Dr. Fahy also offers advice on improving healthcare entities’ corporate cultures. She provides very specific information around hiring physicians, the critical process of checking references, improving workplace culture, and working (or not working) with narcissists.  Patty Fahy, MDFahy Consulting www.fahyconsulting.com http://www.physicianleaders.org/articles/how-avoid-hiring-narcissist-toxic-hire-will-hurt-your-team-and-your-leadership-credibility2020-12-3143 minThe Nurse Keith ShowThe Nurse Keith ShowWhen a Mother and Daughter are Both Physicians and Thought LeadersOn episode 295 of The Nurse Keith Show career and healthcare podcast, Keith interviews Jamie Katuna, a 4th-year medical student and medical social media influencer, and her mother, Dr. Patty Fahy, MD, a physician leader, podcaster, and leadership consultant. What is it like to have two dynamic women and physicians in the same family? This brilliant duo will inspire you to think critically, challenge the status quo, and be your best.  Nurse Keith is a holistic career coach for nurses, as well as a professional podcaster, published author, inspiring speaker, and successful nurse entrepreneur.  This episode is...2020-11-061h 03Licensed to LeadLicensed to Lead010 - AUTONOMY: with guest Bruce Katuna, MDIn this conversation about the neuroscience of autonomy, I roped neurologist and neurophysiologist Bruce Katuna into joining me. It wasn’t a tough sell since he’d already joined me in holy matrimony a few decades ago. My colleague, Lynn Elliott, agreed to facilitate the conversation and help us bring to life the importance and the nature of our primitive human drive for autonomy. The headline for this podcast is the central role of autonomy in the profession of medicine. We dive into the neuroscience of autonomy and the effect on the prefrontal cortex (PFC) when autonomy is threatened. 2020-10-061h 03Licensed to LeadLicensed to Lead009 - Patty Gabow, MD—How a Values-Driven CEO Transformed Denver HealthIn this episode I spoke with Dr. Patty Gabow, a nephrologist and researcher who found the right match for her values at Denver Health, a city-center integrated health and hospital system. Dr. Gabow found her leadership chops early, and describes how her passion to care for the underserved fueled a twenty-year stint as CEO of the large, level-one trauma safety-net institution. Dr. Gabow describes wrangling for four years with city officials to allow the struggling hospital system to become independent from the Denver city bureaucracy. Once it became an independent government entity, she was able to leverage all the...2020-09-2859 minLicensed to LeadLicensed to Lead008 - A conversation with Scott Smith, MD “A Bias for Action”This is the first of many conversations with remarkable, consistent, and accomplished leaders in order to put a spotlight on the behaviors that contribute to their leadership effectiveness. In this episode, I talk with Scott Smith, MD, a healthcare leader, and physician. His journey wends its way from his role as chief of cardiopulmonary medicine at the Kirtland Air Force Base; through his role on the executive team at Kaiser Permanente in Colorado; to his current local, system-level and international roles with CHRISTUS Health. In this episode, you’ll hear how attention to clarity, respectful behavior, and an ability to ho...2020-08-1137 minLicensed to LeadLicensed to Lead007 - Why We're Not Fixing Physician BurnoutIn this episode I’m offering my take on why we haven’t budged the needle on physician burnout.We have clear evidence of the causes of burnout—but we don’t have effective action. Why are we so stuck?My observations fall into 4 areas:1. Weak, bureaucratic language that fails to put a spotlight on the problem of burnout:People who have the podium, the authority, and the data are using their indoor voices— when what’s called for is a bullhorn! Why is undue restraint and bureaucratic gobbledygook the preferred language when talking about crumbl...2020-06-2952 minLicensed to LeadLicensed to Lead006 - Physician Burnout: The ImpactThis episode moves beyond the definition and underlying causes of burnout to focus on the impact on physicians, medical students, patients, and healthcare systems. Patty Fahy interviews a neurologist who retired in his 40’s and then five years later dusted off his medical license and launched a national company. She also interviews a medical student who provides a counterpoint to the documentary profiled in Licensed to Lead Episode #005.1. PhysiciansWhen physicians are affected by burnout it leaves no stone unturned as far as the pervasive impact on career, colleagues, psyche, and relationships. The physician is even at in...2020-06-0254 minLicensed to LeadLicensed to Lead005 - Robyn Symon Interview: Physician Suicide & DO NO HARMRobyn Symon Interview: Physician Suicide & DO NO HARMRobyn Symon, a two-time Emmy award-winning filmmaker, joined me for the Licensed to Lead podcast on April 30, 2020.Robyn has written, directed, and produced films and television series—and she specializes in documentaries. We spoke about her acclaimed and riveting film that takes an unblinking look at the dark underbelly of medical training. Robyn is passionate about doing what she can to highlight and address the inhumanity of medical training—inhumanity which unfortunately can also be found in healthcare organizations. She’s currently on an international film tour with her do...2020-05-051h 00The Dream JobThe Dream Job035 - #MEDsession - Taking Back Medicine with Dr. Patty FahyDr. Patty Fahy MD is a physician and leading executive in a consulting firm known as Fahy Consulting. Here, she focuses her efforts on transforming the healthcare profession through leadership, knowledge, and communication. It is imperative that physicians and other healthcare workers take a lead in our current healthcare industry, leading to its renovation.To learn more about Dr. Fahy and her consulting firm, please visit: https://fahyconsulting.com2020-04-291h 10Licensed to LeadLicensed to Lead004 - Physician Burnout: Definition, Controversies and EtiologyPhysician Burnout: Definition, Controversies and Etiology The last episode waded into the murky waters of graduate business education. Anyone listening to that podcast should have emerged with serious doubts about whether an MBA is a desirable credential for healthcare, much less for healthcare leadership. This Licensed to Lead Podcast is the first of four episodes zeroing in on physician burnout. What is it? Why is it? And how is it that the word “burnout” has become radioactive? This episode defines the terms, takes a look at the assessments used to determine the presence of burnout, and fles...2020-04-2157 minLicensed to LeadLicensed to Lead003 - Who Are The Masters Of Healthcare?The Licensed to Lead podcast is for physicians, physician leaders, or anyone who thinks healthcare needs a transformation. Licensed to Lead means that physicians must establish the vision, the standards, and the culture in healthcare systems so that excellent patient care is central. The first two episodes of the LTL podcast spelled out why physicians are, well, LICENSED TO LEAD. What are the underlying issues, myths and evidence about physician leaders in healthcare? In this episode, it’s time to zero in on who is at the helm: if not physicians, who? This is a close look at grad...2020-04-0656 minLicensed to LeadLicensed to Lead002 - Physician Leadership: the Myths and the EvidenceThe Licensed to Lead podcast is for physicians, physician leaders, or anyone who thinks healthcare needs a transformation. Licensed to Lead means that physicians must establish the vision, the standards, and the culture in healthcare systems so that excellent patient care is central. In this episode, Patty Fahy, MD, the host of Licensed to Lead describes the myths and evidence about physician leadership and why physicians are uniquely equipped to pick up the reins and lead our medical groups, hospitals, and healthcare systems. OVERVIEW PHYSICIAN CHARACTERISTICS= LEADERSHIP CHARACTERISTICS  MYTHS:Physicians are arrogant,un-herdab...2020-03-301h 03Licensed to LeadLicensed to Lead001 - Physician Leadership: The FoundationThe Licensed to Lead podcast is for physicians, physician leaders, or anyone who thinks healthcare needs a transformation. Licensed to Lead means that physicians  must establish the vision and the medical standards in our healthcare organizations so that excellent patient care is the central focus. Currently, unlike other traditional professions, medicine is not led by members of the profession. Physicians pay a steep price for this fact with a dramatic loss of professional autonomy, a financial mindset imported from business schools, and a focus on command and control by people who don’t fully understand the fiel...2020-03-2251 minBoss Free Society Podcast | Entrepreneur Mindset, Skills and Tools HacksBoss Free Society Podcast | Entrepreneur Mindset, Skills and Tools HacksBFS 128: Bonnie Fahy | Outsourcing Dirty Little Secrets128:  Today's guest is Bonnie Fahy. Bonnie is the creator of Source it!, which was just featured in Forbes as the "world's premiere education in online hiring and outsourcing for entrepreneurs". Bonnie started outsourcing 5 years and developed a system that enabled her to resell her work to multimillion dollar companies and consult with some of the top names in the internet marketing industry.  She now helps people get out of overwhelm and get super high quality work - including graphic design, video editing and virtual assistants - for a fraction of the cost. Bonnie believes firmly that outsourcing is the key to...2016-03-1630 min