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Doctors Making A Difference

Doctors Making A Difference

著者: Peter M. Crane MD
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概要

Not every doctor dreams of climbing the traditional ladder. Some dream of building their own. Doctors Making a Difference, hosted by Dr. Peter Crane, tells the stories we rarely hear, of physicians who dared to ask, “Is this all there is?” and then changed their lives to answer it. These are the moments after burnout, after bureaucracy, after sacrifice. When purpose called louder than protocol. Each week, listeners meet doctors who stepped off the expected path—into roles as entrepreneurs, advocates, creatives, and leaders redefining what it means to heal. They didn’t just survive medicine. They made it theirs.Copyright 2025 Doctors Making A Difference 個人ファイナンス 個人的成功 経済学 自己啓発 衛生・健康的な生活 身体的病い・疾患
エピソード
  • DMD #70 | Overcoming Burnout: Dr. Amy Fogelman's Journey from Primary Care to Expert Witness and Physician Advocacy
    2026/02/12
    Dr. Amy Fogelman, MD, a former internal medicine physician from Boston, joins Dr. Peter Crane to discuss her career trajectory from a high-volume primary care practice at Mass General to founding High Rock Experts in 2018. With over a decade in clinical medicine, she opens up about burnout exacerbated by long commutes, administrative overload, and loss of joy in patient care. The conversation explores her decision to leave clinical practice after her husband's encouragement, her six-month break for self-reflection, and networking with non-clinical physicians. Dr. Fogelman highlights the value of expert witness work for leveraging medical expertise, the importance of ethical reviews in malpractice cases, and systemic issues in healthcare like prior authorizations and shrinking reimbursements. She offers practical advice on finding fulfillment, reclaiming autonomy, and addressing physician suicide risks. This episode equips physicians at all stages with strategies for navigating burnout, exploring alternative careers, and advocating for systemic change, while emphasizing the enduring empathy in the medical workforce.Episode HighlightsAmy's background: Growing up in Boston, training in internal medicine, and practicing primary care at Mass General for a decade before shifting to a smaller practice.Journey into burnout: Starting part-time with extra projects like opioid policies and teaching, but facing increasing administrative burdens, long commutes, and emotional strain at home.The turning point: A Boston Globe article on physicians quitting medicine, prompted by a former patient, leading Amy to share her hidden struggles publicly and resonate with many.Leaving clinical practice: Husband's intervention, a six-month break, coaching, and networking with non-clinical physicians like Graham Gardner, realizing no additional degrees were needed.Discovering expert witness work: Transitioning from ad-hoc reviews to founding High Rock Experts, connecting attorneys with medical professionals, and creating courses on ethical expert testimony.Challenges in medicine: Administrative overhead, insurance battles, short visit times, and loss of patient trust; the need for physicians to reclaim control from administrators.Systemic fixes: Eliminating prior authorizations (as in Massachusetts), transparent visit lengths for patients, avoiding incentive-based metrics that penalize complex cases, and exploring direct primary care.Advice for physicians: Recognize you're not stuck—seek non-clinical options, prioritize joy, and use broad medical training for entrepreneurship; permission to step back and pivot.Ethical expert work: Explaining medicine objectively to courts, preventing frivolous lawsuits, and ensuring credible experts review cases to protect both patients and providers.Hope for the future: Valuing empathetic physicians, reducing bureaucracy, and voting with feet through career shifts to force systemic improvements.Top 3 TakeawaysBurnout often stems from administrative burdens and loss of control; pivoting to non-clinical roles like expert witness work can restore joy and leverage medical expertise without additional degrees.Physicians aren't stuck—network, reflect on what brings fulfillment, and explore options like direct primary care or entrepreneurship; seek permission from loved ones or coaches to step back.Systemic change requires reclaiming physician autonomy, eliminating prior authorizations, and avoiding metrics that incentivize firing "noncompliant" patients; ethical expert work helps maintain integrity in malpractice cases.About Dr. Amy FogelmanDr. Amy Fogelman is an MD and former primary care physician with over a decade of experience at Mass General and a private practice in Chestnut Hill, Boston. After battling burnout, she founded High Rock Experts in 2018, a company that connects medical professionals with attorneys for expert witness roles and offers courses on ethical testimony. Her work focuses on empowering physicians through non-clinical careers, integrity in legal-medical intersections, and advocacy for better healthcare systems. She has been featured in the Boston Globe for her insights on physician burnout.LinkedIn: linkedin.com/in/amyfogelmanmd About the Host:Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch.Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible.About the Show:Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine.In every episode, Dr. Peter Crane interviews physicians whose stories defy the ...
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    39 分
  • DMD #69 | Wealth in Wellness: Physician's Real Estate Escape with Dr. Alexander Schloe
    2026/02/05
    Dr. Alexander Schloe, MD, a family medicine physician and Air Force veteran, joins Dr. Peter Crane to discuss his multifaceted career blending clinical practice, military service, family life, and real estate entrepreneurship. With over a decade in medicine, Dr. Schloe recounts his early exposure to assisted living at age 15 and a pivotal residency experience witnessing substandard care in a facility, prompting his shift toward boutique residential assisted living homes that prioritize dignity, consistent staffing, and personalized care. He explains the financial and ethical advantages of investing in these small, home-like facilities (6–16 residents), which yield higher returns (20–30% cash-on-cash) than traditional rentals while addressing senior care gaps amid staffing shortages and Medicaid cuts. Dr. Schloe emphasizes physician financial literacy starting with emergency funds, debt reduction, and house hacking, before scaling to passive income streams like assisted living. He shares how achieving financial independence in four years allowed him to practice part-time (two days/week), travel with family, and host the Physicians and Properties podcast. The conversation highlights avoiding lifestyle inflation, diversifying investments (e.g., Roth IRA, TSP alongside real estate), and using real estate for tax benefits and legacy building. This episode inspires physicians to pursue side ventures that align purpose with profit, fostering better work-life balance and patient care.Episode Highlights Alex's introduction: Christian, husband, father, family physician, Air Force veteran, real estate investor, and podcast host focused on financial freedom without losing one's soulMission: Help physicians achieve freedom at home and hospital through financial independence and dignified senior care via boutique assisted livingEarly exposure: First job at 15 in assisted living, residency horror story of poor care inspiring a better modelAssisted living realities: Staffing shortages, Medicaid cuts, and the need for small homes with 1:6 ratios for better dignity and outcomesFinancial perks: 20–30% cash-on-cash returns, tax advantages (depreciation, 1031 exchanges), and scalability from owning to investing passivelyPhysician pitfalls: Lifestyle inflation post-residency; advice to delay big purchases and build foundational financial habitsDiversification: Blend real estate with stocks, Roth IRA, TSP; start with house hacking for low-risk entryPersonal wins: Financial freedom in 4 years enabling part-time practice, family travel (e.g., month-long Europe camping), and improved doctoringResources: Physicians and Properties podcast, ralroom.com for assisted living guides and webinarsClosing advice: Get financial literacy (e.g., White Coat Investor, Rich Dad Poor Dad), invest wisely, and don't quit medicine—be better at itTop 3 Takeaways Boutique assisted living offers physicians high returns (20–30% cash-on-cash) and purpose by fixing broken senior care—start with education via webinars or guides to own or invest passively.Build financial independence by prioritizing emergency funds, debt payoff, and house hacking before scaling; avoid lifestyle inflation to accelerate freedom in 4–5 years.Diversify investments (real estate + stocks/IRAs) for tax benefits and legacy; financial freedom enhances work-life balance, making you a better doctor, spouse, and parent.About Dr. Alexander SchloeDr. Alexander Schloe is a board-certified family physician, Air Force veteran, real estate investor, and host of the Physicians and Properties podcast. With years in military medicine and clinical practice, he focuses on helping physicians achieve financial freedom through real estate, particularly boutique residential assisted living homes that provide dignified senior care. His mission blends purpose and profit, enabling doctors to work on their terms while building wealth and legacy. He practices part-time, invests in assisted living, and shares strategies for burnout prevention and entrepreneurship.Website: https://physiciansandproperties.comPodcast: Physicians and Properties PodcastAssisted Living: https://theralroom.com (RAL Room)LinkedIn: linkedin.com/in/alexander-schloe-mdAbout the Host:Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch.Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible.About the Show:Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine.In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. ...
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    41 分
  • LMC #68 | Solitary Fibrous Tumors: Research Advances, Treatment Strategies, and Hope for Sarcoma Patients
    2026/01/29
    Dr. Javier Martin-Broto, MD, PhD, a medical oncologist at Fundacion Jimenez Diaz University Hospital in Madrid, joins Dr. Peter Crane to discuss his extensive career in sarcoma care and research. With over 30 years of experience, Dr. Martin-Broto shares how he entered oncology, emphasizing its innovative and research-driven nature. The conversation focuses on solitary fibrous tumors (SFT), including diagnostic shifts from "malignant" to risk-based classifications, the efficacy of anti-angiogenic agents like pazopanib over chemotherapy, and promising preclinical research on BET inhibition and alternative splicing inhibitors like tepotinib. He highlights clinical trial results showing tumor shrinkage, the role of microenvironment in immunotherapy challenges, and strategies like trabectedin plus radiation for bulky tumors. Dr. Martin-Broto stresses multidisciplinary teams, patient advocacy, and access to innovative trials for better outcomes. This episode provides physicians and patients with actionable insights on rare sarcomas, fostering hope through ongoing research.Episode HighlightsJavier's journey into medical oncology: From residency in 1994 to leading sarcoma research and founding the Spanish Sarcoma GroupWhy oncology? Balancing broad medical knowledge with innovation, research, and patient careSolitary fibrous tumors (SFT): Shift from malignant/benign to low/high-risk classifications and metastatic behaviorKey trial insights: Pazopanib's superior efficacy (10+ months PFS in low-risk, 5 months in high-risk) over chemotherapyAnti-angiogenics and rotation strategies: Benefits for metastatic SFT and microenvironment targetingImmunotherapy challenges: Limited PD-1 efficacy but potential in immune modulation via cytokinesPromising research: BET inhibition and alternative splicing inhibitors (e.g., tepotinib) showing tumor shrinkage in trialsCombined therapies: Trabectedin + radiation for bulky or brain SFT, achieving up to 80% reductionPreclinical models: Testing new compounds and organoids for personalized treatmentAdvice for patients: Seek expert multidisciplinary teams, join advocacy groups, and access innovative trialsTop 3 TakeawaysSFT prognosis depends on initial risk level; anti-angiogenics like pazopanib offer better control than chemo, with potential for drug rotation.Emerging therapies like tepotinib (alternative splicing inhibition) show promising tumor shrinkage in ongoing phase II trials.Patients should engage sarcoma experts, multidisciplinary teams, and advocacy groups for access to innovative research and hope.About Dr. Javier Martin-Broto Dr. Javier Martin-Broto is an MD, PhD, and medical oncologist at Fundacion Jimenez Diaz University Hospital in Madrid, specializing in sarcoma care and research for over 30 years. He founded the Spanish Sarcoma Group in 1994 and leads a preclinical team with 40+ projects. His work includes designing 30+ clinical trials, pioneering anti-angiogenic treatments for SFT, and advancing therapies like BET and splicing inhibitors. Dedicated to translational research, he focuses on improving outcomes for rare sarcomas through innovation and patient-centered care.LinkedIn: linkedin.com/in/javiermartinbrotoAbout the Host:Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch.Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible.About the Show:Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine.In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole.Visit: doctorsmakingadifference.comLMC Series Note:Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—through candid physician–patient conversations. The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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    37 分
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