『Heartline: Changemaking in Healthcare』のカバーアート

Heartline: Changemaking in Healthcare

Heartline: Changemaking in Healthcare

著者： Andrea Austin MD
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 Welcome to "Heartline," a podcast dedicated to exploring the inspiring journeys and impactful work of healthcare changemakers leading the charge in transforming healthcare. Despite the United States spending more on healthcare than any other developed nation, key quality outcomes like life expectancy and maternal mortality lag behind. With over half of American physicians experiencing burnout, the challenges within the system are clear. Join us as we delve into the stories of patients, medical professionals, and other experts who defy the status quo. We’ll uncover the unique characteristics and experiences that propel them to be effective changemakers and the organizational factors that support change. Dr. Austin, host of the podcast, is an emergency physician with real-world experience with the dysfunction in the system. Along with working in the emergency department, she is a medical educator focusing on healthcare worker well-being and how innovative approaches like simulation can improve healthcare. In addition, she researches how we can accelerate changemakers in healthcare. Dr. Austin also uses coaching-informed thinking to unlock the potential of healthcare changemakers, and she will guide you through these narratives with insightful commentary and expert analyses. Through in-depth interviews and real-world examples, this podcast aims to inspire and equip the next generation to drive meaningful change in healthcare. Whether you're a physician, a medical student, or simply passionate about the future of healthcare, "Heartline" will offer valuable perspectives and actionable ideas to help you thrive in a challenging environment and contribute to improving our healthcare system. Seasons 1-4 focused on gender bias in the medical system and shared the uplifting stories of women and allies who stay true to their values, boundaries, and priorities, improving their career fulfillment and increasing their impact on healthcare. Season 5 will expand the guests beyond physicians and tackle issues beyond gender bias that impact healthcare. Tune in to the "Hearline" for a deep dive into healthcare transformation and be inspired by the changemakers making a real difference.© 2024 Heartline 個人的成功 社会科学 自己啓発 衛生・健康的な生活 身体的病い・疾患
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  • Dr. Gillian Schmitz Part 2: Fighting for Doctors

    Dr. Gillian Schmitz Part 2: Fighting for Doctors
    2025/09/09
    What happens when insurance companies and emergency physicians clash over fair payment, leaving patients caught in the middle? In this Echo Episode, part two of a two-part series, Dr. Andrea Austin talks with Dr. Jillian Schmitz about the pressing challenges in emergency medicine today.Dr. Schmitz explains the intricacies of surprise billing, where out-of-network emergency care leads to unexpected patient costs, and the No Surprises Act’s intent to protect patients by removing them from billing disputes. She highlights the implementation challenges, including insurance companies’ failure to follow regulations, skyrocketing arbitration fees, and delays in payments that threaten small practices. The conversation also explores ACEP’s advocacy efforts, the power of collective action, and an exciting initiative to accredit emergency departments to set standards for resources, staffing, and transparency.You’ll hear how they:Break down surprise billing and its impact on patients and emergency physiciansExpose flaws in the No Surprises Act’s implementation, including insurance companies’ manipulation of dispute processesAdvocate for collective action through ACEP membership, Political Action Committee (PAC) contributions, and sharing real-world storiesPropose accrediting emergency departments to ensure proper resources and fair practice environmentsChallenge misconceptions about ACEP’s ties to corporate medicine and emphasize its physician-led advocacyIf you’re an emergency physician feeling the weight of systemic challenges or seeking ways to drive change, this episode offers practical insights, advocacy strategies, and a hopeful vision for the future of emergency medicine.About the Guest:“Emergency physicians are resilient—we adapt to challenging situations with little information and make the best of it.” – Dr. Gillian SchmitzDr. Gillian Schmitz is a professor at the Uniformed Services University and an emergency physician at Brooke Army Medical Center in San Antonio, Texas. As the past president and a member of the Board of Directors of the American College of Emergency Physicians (ACEP), she has been a leading voice in addressing workforce challenges, burnout, and policy reform in emergency medicine. A civilian working in military medicine, Gillian’s career blends clinical practice, academic teaching, and advocacy, inspired by her commitment to serving those who serve the country. Her work focuses on fostering resilience, improving team dynamics, and advocating for systemic changes to support emergency physicians.📍 Connect with GillianLinkedIn: https://www.linkedin.com/in/gillian-schmitz-b88794302/Email: jillianmd@gmail.com📚 Resources + Mentions🔗 No Surprises Act🔗 ACEP Workforce Report🔗 ACEP Advocacy Resources🔗 Dare to Lead by Brené Brown🔗 The Gifts of Imperfection by Brené Brown🔗 Recalibrate: Group Coaching for Physicians🔑 Top 3 Key TakeawaysUnderstand and fight surprise billing: The No Surprises Act aims to protect patients, but enforcement gaps allow insurance companies to delay payments and manipulate disputes, threatening small practices. Share your stories to fuel advocacy.Join the collective: Support ACEP through membership or PAC contributions to amplify emergency physicians’ voices in Congress and drive policy changes like fair reimbursement and accreditation standards.Envision a better future: ACEP’s push to accredit emergency departments could set standards for resources, staffing, and transparency, improving practice environments and patient care nationwide.🩺 About the HostDr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out.With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart.💫 About the ShowHeartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible.Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done.Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better.This isn’t about ...
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    29 分
  • Leading Through Uncertainty: Unpacking EM’s Future with Dr. Gillian Schmitz

    Leading Through Uncertainty: Unpacking EM’s Future with Dr. Gillian Schmitz
    2025/09/02
    What does it take to lead emergency medicine through unprecedented challenges like workforce shortages and systemic burnout?In this Heartline Echo Episode, Dr. Andrea Austin sits down with Dr. Gillian Schmitz to explore her career trajectory, from civilian roles in military medicine to becoming ACEP's past president. Gillian reflects on her path, inspired by her father's military service, and how she balanced family life with a demanding career. They discuss the hidden opportunities in government jobs like those at the VA or Uniformed Services University, the resilience of EM physicians, and the impact of events like the FM talk that reshaped her focus on advocacy.You’ll hear how they:Navigate civilian careers in military and VA settings, highlighting opportunities for academic and clinical rolesAddress burnout and moral injury in EM, emphasizing resilience, teamwork, and the need for systemic supportExplore leadership in organized medicine, from grassroots involvement to national policy influenceDiscuss evolving reimbursement models, like the shift to thought-process-based documentation for better compensationIf you’re an EM physician facing burnout or seeking ways to amplify your voice in healthcare policy, this episode offers inspiration, practical advice, and a call to action for involvement in organized medicine.About the Guests“Emergency physicians are resilient—we adapt to challenging situations with little information and make the best of it.” – Dr. Gillian SchmitzDr. Gillian Schmitz is a professor at the Uniformed Services University and an emergency physician at Brooke Army Medical Center in San Antonio, Texas. As the past president and a member of the Board of Directors of the American College of Emergency Physicians (ACEP), she has been a leading voice in addressing workforce challenges, burnout, and policy reform in emergency medicine. A civilian working in military medicine, Gillian’s career blends clinical practice, academic teaching, and advocacy, inspired by her commitment to serving those who serve the country. Her work focuses on fostering resilience, improving team dynamics, and advocating for systemic changes to support emergency physicians.📍 Connect with GillianLinkedIn: https://www.linkedin.com/in/gillian-schmitz-b88794302/📚 Resources + Mentions· 🔗 American College of Emergency Physicians (ACEP)· 🔗 Uniformed Services University Job Opportunities· 🔗 FM Talk by Dr. Gillian Schmitz· 🔗 Recalibrate: Group Coaching for Physicians🔑 Top 3 Key TakeawaysExplore Civilian Roles in Military Medicine: As a civilian, you can work in VA or military settings like the Uniformed Services University—ask around for openings and leverage networks for academic and clinical opportunities.Combat Burnout with Resilience and Teamwork: EM physicians thrive by adapting to challenges; focus on teamwork, advocacy, and organized medicine to address moral injury and systemic issues like workforce shortages.Embrace New Reimbursement Models: Shift to documenting thought processes and differentials for better compensation under updated guidelines, reducing unnecessary tests while improving patient care and practice sustainability.🩺 About the Host:Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out.With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart.💫 About the Show:Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible.Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done.Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better.This isn’t about perfection. It’s about progress—with heart. 🎓 Upcoming Events & Opportunities🔥 ⁠⁠Recalibrate: Group Coaching for Physicians⁠⁠Starting 2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum ...
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    33 分
  • Taming Complexity, Healing Moral Injury: The EM Mindset Shift

    Taming Complexity, Healing Moral Injury: The EM Mindset Shift
    2025/08/26
    What happens when the demands of academic emergency medicine collide with personal health and family priorities? In this Heartline Echo Episode, Dr. Andrea Austin speaks with Dr. Shannon McNamara about her transition from simulation director and ED physician to urgent care provider amid burnout, moral injury, and the pandemic.Shannon recounts her nomadic upbringing, love for emergency medicine's complexity, and challenges in dysfunctional systems—including chronic illness, night shifts, and institutional politics. She discusses stepping away from academics, embracing urgent care for autonomy and balance, and applying simulation principles like huddles and debriefs to real-world teams. The conversation explores dehumanizing healthcare conditions, the need for career mobility in EM, and redefining emergency medicine as a mindset, not a location.You’ll hear how they:Address moral injury from boarding, resource shortages, and systemic inequitiesUse complexity science to foster team communication and adaptability in high-pressure environmentsAdvocate for off-ramps in EM careers, from telemedicine to specialized outpatient practicesInspire hope through personal routines, boundaries, and upstream solutions for patient care.If you’re grappling with burnout or envisioning new paths in medicine, this episode provides honest insights and practical strategies for change.About the Guests“Emergency medicine is a mindset, not a place.” – Dr. Shannon McNamaraDr. Shannon McNamara is an emergency medicine physician, simulation educator, and writer with experience in academic centers across Philadelphia and New York. After facing burnout and long COVID, she transitioned to urgent care while maintaining her passion for humanizing healthcare through complexity principles and team dynamics. She runs the Plus Delta newsletter and speaks on resilience, career transitions, and innovative medical education.📍 Connect with ShannonNewsletter: https://www.getrevue.co/profile/shannonomac Twitter: @ShannonMc 🔑 Top 3 Key TakeawaysEmbrace complexity in healthcare: Use simple tools like team huddles, pre-briefs, and debriefs to adapt to constant change and reduce moral injury.Redefine your career: Emergency medicine is a versatile mindset—explore off-ramps like urgent care, telemedicine, or specialized practices for better balance and impact.Prioritize personal boundaries: Amid turmoil, ground yourself with routines like nature walks, honest family communication, and mindful media consumption to sustain joy and resilience.🩺 About the Host:Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out.With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart.💫 About the Show:Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible.Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done.Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better.This isn’t about perfection. It’s about progress—with heart.🎓 Upcoming Events & Opportunities🔥 ⁠⁠Recalibrate: Group Coaching for Physicians⁠⁠Starting in 2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum myself—this program transformed my career. Learn more and enroll here, and please share with colleagues who may benefit.•⁠ ⁠⁠⁠Women in Medicine Summit | Chicago, Sept 18–20, 2025⁠⁠FemInEM is leading a full day on Women’s Health. The Gala will be a can't-miss celebration of leadership and community.•⁠ ⁠⁠⁠AAWEP St. Lucia Retreat | March 5–8, 2026⁠⁠For women EM physicians. Sun, connection, and reflection in a stunning setting. Details coming soon via AAWEP.•⁠ ⁠⁠⁠Women Physicians European River Cruise | May 18–25, 2026⁠⁠A scenic and soulful journey from Amsterdam to Basel with an inspiring community.—--------...
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    49 分
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