Starting your first attending job means more than just showing up on day one. It means building an entire practice from the ground up.

In this episode of Cut & Tell, I take you behind the scenes of what it actually takes to launch a career as a plastic surgeon, from spending nearly $10,000 in a single day on essential equipment to building my website, planning patient workflows, setting up my office, and figuring out how to create a practice that reflects my values.

We talk about:

• The expensive equipment every plastic surgeon needs (and what's actually worth buying)

• Why I invested in a professional camera system and surgical headlight

• Building my surgeon website and optimizing it for SEO

• Creating a patient experience from the very first visit

• Marketing yourself as a new attending physician

• Preparing for board certification and practice ownership

• The transition from residency to real-world practice

Whether you're a medical student, resident, early-career physician, or just curious about what happens after surgical training, this episode offers an honest look at one of the biggest transitions in a surgeon's career.

Subscribe for more conversations about medicine, surgery, physician life, and building a career beyond residency.

Host: Liz Malphrus, MD

Connect with Liz: https://www.hippocratic-collective.com/members/liz-malphrus-md

IG: @dr.malphrus

Produced By: The Hippocratic Collective

Subscribe to @hippocraticcollective on Youtube for all of the other shows and content the Hippocratic Collective has to offer.

No one teaches physicians how to find their first job.

After years of medical school and residency, new attendings are suddenly expected to navigate networking, interviews, contracts, compensation, and career decisions, often with little guidance.

In this episode of Cut & Tell, newly graduated plastic surgeon Dr. Liz Malphrus shares everything she learned during her own physician job search. From building a professional online presence and expanding your network to evaluating job offers, negotiating contracts, and avoiding common mistakes, this is the practical guide she wishes she'd had before starting the process.

Whether you're entering residency, fellowship, or preparing for your first attending position, these lessons can help you approach the job search with confidence.

Topics discussed:

• When to start looking for your first physician job
• Why networking matters more than job boards
• Building your professional online presence
• Cold emailing and reaching out to practices
• Questions to ask during physician interviews
• Understanding compensation and partnership tracks
• Why every physician needs a contract attorney
• Evaluating practice culture and red flags
• How Dr. Malphrus found her first attending position
• Making the transition from resident to attending

Cut & Tell explores the realities of surgical training, career transitions, and building a meaningful life in medicine.

Host: Liz Malphrus, MD

Connect with Liz: https://www.hippocratic-collective.com/members/liz-malphrus-md

IG: @dr.malphrus

Produced By: The Hippocratic Collective

Subscribe to @hippocraticcollective on Youtube for all of the other shows and content the Hippocratic Collective has to offer.

After six years of surgical residency, I expected to leave with better technical skills. I didn't expect to leave without one of my defining personality traits.

In this episode of Cut & Tell, I share the story of how a formal complaint from a senior resident completely changed how I saw myself, and ultimately forced me to stop trying to make everyone happy.

We talk about:

• Why medicine attracts people pleasers
• How hierarchy can shape your identity
• Learning to have difficult conversations with patients
• The emotional toll of residency politics
• Why not everyone has to like you
• How losing my reputation helped me find my voice

If you're a resident, medical student, physician, or anyone who's struggled with conflict, perfectionism, or the need for approval, I hope this episode reminds you that sometimes the strongest version of yourself only emerges after disappointing someone else.

🎧 Subscribe for honest conversations about life after residency, surgery, identity, and building a career on your own terms.

Host: Liz Malphrus, MD

Connect with Liz: https://www.hippocratic-collective.com/members/liz-malphrus-md

IG: @dr.malphrus

Produced By: The Hippocratic Collective

Subscribe to @hippocraticcollective on Youtube for all of the other shows and content the Hippocratic Collective has to offer.

What actually makes a great chief resident?

After finishing plastic surgery residency, Dr. Liz Malphrus reflects on one of the most important leadership roles in medical training, and the lessons no one formally teaches. From setting expectations and managing team dynamics to giving meaningful feedback and building trust, this episode is a practical guide for anyone preparing to lead in residency.

Dr. Malphrus shares the communication strategies that transformed her approach as chief resident, why vague feedback hurts more than it helps, and how supporting curiosity can create stronger teams and better physicians. Whether you're an intern, senior resident, future chief, or attending looking to mentor trainees, these leadership principles extend far beyond medicine.

In this episode:

• How to develop your own leadership style
• Why communication is the foundation of great teams
• Setting expectations from day one
• Giving feedback that's immediate, specific, and actionable
• Avoiding the biggest mistakes chief residents make
• Building team morale while maintaining accountability
• Why curiosity is one of the most important leadership skills

If you're navigating residency, preparing for chief year, or interested in leadership in healthcare, this episode offers practical advice you can apply immediately.

Subscribe for more honest conversations about residency, surgical training, physician life, and the realities of modern medicine.

Host: Liz Malphrus, MD

Connect with Liz: https://www.hippocratic-collective.com/members/liz-malphrus-md

IG: @dr.malphrus

Produced By: The Hippocratic Collective

Subscribe to @hippocraticcollective on Youtube for all of the other shows and content the Hippocratic Collective has to offer.

Starting residency can feel overwhelming. New city, new hospital, new responsibilities, and suddenly everyone expects you to know what you're doing.

In this episode of Cut & Tell, graduating plastic surgery resident Dr. Liz Malphrus shares her most requested advice for incoming interns. Drawing on six years of residency experience, she breaks down the physical, cognitive, and psychological strategies that helped her survive, and ultimately thrive, during training.

From building sustainable study habits and protecting your sleep to finding community, seeking therapy, and learning how to navigate the constant feeling of not knowing enough, this episode is a practical guide for anyone beginning residency.

Topics discussed:

• Intern year survival tips
• Physical readiness: sleep, food, movement, and gear
• Building effective study habits during residency
• Learning from your patients
• How to study when you have no free time
• Finding community in a new city
• Managing stress, anxiety, and burnout
• Why therapy can be an important part of residency
• Personal mantras that helped through training
• What every new intern should know

Whether you're starting residency this summer or simply remember what it felt like to be an intern, this episode is a reminder that you don't have to figure everything out on day one.

Host: Liz Malphrus, MD

Connect with Liz: https://www.hippocratic-collective.com/members/liz-malphrus-md

IG: @dr.malphrus

Produced By: The Hippocratic Collective

Subscribe to @hippocraticcollective on Youtube for all of the other shows and content the Hippocratic Collective has to offer.

Residents today earn roughly the same inflation-adjusted salary as residents did decades ago. So why does training feel so much more financially difficult?

In this episode of Cut & Tell, plastic surgery resident Dr. Liz Malphrus explores the economic realities facing modern trainees—from exploding medical school debt and rising housing costs to childcare expenses, delayed financial independence, and the growing gap between resident compensation and the true cost of becoming a physician.

This is the second installment in the "Back in My Day" series, examining how residency has changed over time. Rather than debating which generation had it harder, Dr. Malphrus argues that the conditions surrounding medical training have fundamentally changed—and that understanding those changes is essential if we want to improve graduate medical education.

Topics discussed:

• Resident salaries then vs. now
• Medical school debt and rising education costs
• GME funding and resident compensation
• Housing, childcare, and cost-of-living pressures
• Why many residents struggle financially despite being physicians
• The changing demographics of residency training
• Single-parent households and residency
• Why "back in my day" misses the bigger picture
• Moving beyond the suffering Olympics in medicine

Cut & Tell explores the realities of surgical training, medicine, and the systems shaping physician life today.

Subscribe for new episodes and visit the Hippocratic Collective for more conversations about the future of medicine.

Attendings often tell stories about residency "back in the day" - more autonomy, more responsibility, more independence. But was training really better, or has the entire system changed?

In this episode of Cut & Tell, plastic surgery resident Dr. Liz Malphrus explores why modern residents often report feeling less prepared for independent practice despite performing similar case volumes to previous generations. From duty-hour debates and supervision requirements to RVU-based compensation and the growing pressure for clinical productivity, she examines the structural forces reshaping surgical education.

This isn't a conversation about whether residency is easier or harder. It's about understanding how the training environment has changed, and what that means for autonomy, burnout, and the future of medical education.

Topics discussed:

• Why case numbers don't tell the whole story
• Resident autonomy and surgical confidence
• The impact of RVU-based compensation on teaching
• Academic medicine's productivity pressures
• Why more residents pursue fellowship training
• The relationship between autonomy and burnout
• How surgical education has evolved over the past two decades
• What attendings and residents can learn from each other

Cut & Tell is a podcast exploring the realities of surgical training, medicine, and life beyond the operating room.

Subscribe for new episodes and visit the Hippocratic Collective for more conversations about the culture of medicine.

What if the most important lessons of residency aren't found in a textbook?

With graduation just days away, Liz shares the three pieces of writing that most shaped her understanding of medicine, residency, and life beyond training. From the realities of surgical culture and physician burnout to the hidden history of American healthcare and the power of personal agency, these recommendations offer a framework for understanding not just residency, but your place within the system.

In this episode, Liz discusses:

- Why Surgeon on the Edge by Frances Mei Hardin is the residency memoir she recommends over The House of God

- What The Social Transformation of American Medicine reveals about the forces shaping modern healthcare

- Why the essay How to Be More Agentic by Kate Hall may be the most important 10-minute read for physicians

- How understanding systems can make you a more effective doctor

- The mindset shifts Liz wishes she had before starting residency

Whether you're a medical student, resident, attending physician, or simply interested in the realities of modern medicine, this episode offers a practical reading list for anyone trying to make sense of the profession, and build a career with intention.

🎧 New episodes of Cut & Tell every Thursday.