You've heard about AI nonstop. Maybe you're dabbling, maybe you're all in, maybe you've quietly decided to wait it out...either way, the tools you tested twelve months ago barely resemble what's available now.

Paul and Zed sit down with Joe Goldstein of OCSIT, recorded alongside his AI bootcamp at the ASCENT Conference, to sort out what's changed and what it means for a practice.

Joe explains why free and paid models produce dramatically different results, how plugins now build spreadsheets, decks, and documents inside the apps your team already uses, and where administrators are seeing real returns: on-call schedules built in minutes, denial rebuttals drafted fast, ambient documentation, and AI phone coverage.

He's also direct about the risk, forcing every patient through a bot isn't an AI failure, it's a leadership one.

If your AI plan is still all-or-nothing, this conversation gives you a place to start.

If you haven't registered for the ASCENT annual meeting yet, it's probably for one of three reasons:

• Too busy
• Nervous about asking for the investment
• You doubt you'll actually implement anything you learn.

This episode takes each of those head-on.

Zed and Paul sit down with Drew Franklin, Ascent's president-elect and chief strategy officer for Albany ENT, along with a candid perspective from Dr. Gavin Setzen, to make the honest case for what a practice administrator really walks away with.

Paul shares the jarring realization from his first meeting, that he didn't have to do the job alone, and how a single decision reshaped his career.

Dr. Setzen speaks directly to the administrator who's afraid to ask for the budget, explaining why the dyad leadership structure of physician and administrator makes this kind of investment essential, and why the ROI shows up in not only in dollars but better decisions.

When every day feels like scrambling from one task to the next, it's easy to shut your door, put your head down, and forget the people the work is actually for. This episode is a reminder that busyness and people aren't a binary choice, and that even when you're busy, you're busy for someone.

In this episode, Zed and Paul sit down with Lieutenant Colonel Bo "Guvna" McGowan, fighter pilot and keynote speaker for the upcoming Ascent Conference, to talk about why people really matter and how that conviction holds up under pressure.

Bo shares the defining moment that made it visceral for him, ejecting from an F-16 over the Okefenokee Swamp in 1991.

From there he offers practical, grounded tools for leaders drowning in the daily grind: starting each day in stillness before your feet hit the floor, pausing to ask "whom am I doing this for," and recognizing that when everything feels urgent, you may have a little mission drift.

If you've been running so hard you've lost the connection to the people around you, this conversation will help you slow down and lead like a champion.

Bo McGowan is delivering the keynote at the upcoming Ascent Conference