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The Practice Rounds Podcast

The Practice Rounds Podcast

著者： Kate Boehm
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10月19日まで。※適用条件あり
You didn't survive residency to struggle in practice. Sunday night and you're on your EMR again, another female physician managing a practice and constantly sprinting, yet never feeling like you're doing enough. At work. At home. Much less yourself. This probably isn't the "better" you imagined. That's what The Practice Rounds Podcast is for: female physicians who want to get their time back, so they can show up as the doctor and the person that they want to be.

Kate Boehm, a reconstructive plastic surgeon (MD, MEd, FRCSC) based in Canada, hosts The Practice Rounds Podcast. One goal: get your time back, without cutting clinical volume. One small change that compounds at a time.

How you manage your practice is the real lever on getting your time back, so you can show up as the doctor and the person you want to be. Episodes cover the parts of practice that weren't part of the curriculum: staffing, overhead, mindsets and the small changes in how you do your job clinically that let you keep treating patients the way you want to, without the work eating your evenings and your weekends.

You don't need to overhaul your whole practice. Just a few minutes to make one small change, and those small changes compound into real differences.

Kate and both physician and non-physician guests bring their own expertise to conversations on work life balance for physicians, doctor finances, physician side business and leaving medicine, along with the realities of women in medicine and motherhood. Physician burnout, doctor mental health and female physician leadership get airtime too, always brought back to one change you can make tomorrow.

This isn't a wellness podcast, and it isn't a leadership seminar. It's not a mandatory online module. It's peer to peer, physician to physician, built on what works in practice, not theory from someone who's never survived a busy clinic.

Every episode ends with one takeaway you can use tomorrow.

New episodes weekly. Subscribe or follow wherever you listen. Grab your coffee or tea, and let’s chat.Copyright Kate Boehm 出世 就職活動 経済学 衛生・健康的な生活 身体的病い・疾患
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  • Your efficiency is self-sabotage

    Your efficiency is self-sabotage
    2026/09/22
    (00:00:00) Your efficiency is self-sabotage
    (00:00:40) Efficiency aka your superpower
    (00:05:26) The book and the question that changed the game
    (00:07:04) The new goalpost

    Raise your hand if efficiency has always been one of your favourite words. If it's up, this one is for you.

    Efficiency is what got you here. It's why you got into medical school, matched into residency and built a practice that works, mostly. But there's a version of you that has out-efficiencied yourself, and you might already be living in it.

    Here's the problem with efficiency: it doesn't shrink your workload, it multiplies it.

    Being efficient doesn't mean less to do. It means you keep saying yes, because you can do it well, and it feels easier and faster to just do it yourself. But every yes becomes one more thing you're now doing in less time than the last.

    Picture this: it's 3am and you're running through the charting that's still left to finishs, the supply order still waiting on you, the paperwork that's still yours to finish. That's not an efficiency problem. That's a sprint you've been running since residency, and a marathon (aka your career) doesn't work that way.

    "The goal isn't just to be more efficient. The goal is to figure out what you actually need to do."

    What you stop doing matters more than how fast you do it.

    Once efficiency stops being the goal, the question changes. Not "how can I do this faster", but "does this need me at all". That single question, deciding what doesn't need your expertise, can be worth 8+ hours back a week.

    When you're doing what actually needs you to do it, your efficiency superpower gets to work on what needs it.

    So, what is your efficiency actually costing you?

    Episode Takeaways
    The goalpost shouldn't be how efficient you can be, it's doing what actually needs your expertise.
    1. Efficiency has a ceiling. Doing everything faster still means YOU are doing everything.
    2. The question that changes the game: not "how do I be more efficient," but "does this need me at all."
    3. Figuring out what you actually needs you to do it, and what doesn't is where you get time back. Possibly upwards of 8+ hours/week.
    If You're Asking These Questions, This Is For You
    • How to be more efficient in clinic?
    • How to increase my clinical effiency?
    • How to get my charting done at work?
    • How to stop charting at night?
    • Ways to decrease physician burnout
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    10 分
  • How to Stop Doing Patient Paperwork at Night

    How to Stop Doing Patient Paperwork at Night
    2026/09/15
    (00:00:00) The envelope slides out and your energy sinks
    (00:03:20) Where time blocking actually comes from
    (00:05:58) Finding a block that actually works
    (00:07:08) Telling your team so patients hear it first
    (00:09:29) Using your schedule instead of reacting to it

    You're wrapping up a visit, already halfway out, when you see it: a bag opening, an envelope sliding out. You know before the patient says a word. Your energy plummets. More insurance paperwork. Another third party form to add to an already never ending task list.

    Then the mental math starts. Are you already behind? If you do this now, does the whole afternoon get further derailed? All while outwardly trying to keep your face neutral so the patient doesn't know your internal battle.

    "It has to get done, but when is it going to get done?"

    This interrupts your flow, causes you stress and takes more energy to figure out how the math will math.

    You already know before they open their mouth

    That moment repeats itself...a lot. The paperwork itself often doesn't take that long. But compound that by 3-5 patients with forms per clinic...and that's 15 more minutes. Because it doesn't have a fixed place to go, so it gets squeezed into clinic, or pushed to evenings, or weekends.

    Time block your third party paperwork: this is where it gets done

    The obvious block of time can look like tacking it at the end of the afternoon. But end of day time is never reliable. A late patient, a call to return, you're also just tired and the block gets bumped. And then you're right back to where you started.

    Find a time that (reliably) works for you and for your life

    What works is one consistent block of time, protected the same way you'd protect a procedure day. Once your team knows when it happens, they can tell a patient when their form comes back before you're ever asked. The clinic room envelope moment doesn't happen as often.

    Giving the third party paperwork a home: less interruptions and stress for you. Your team doesn't feel bad when they ask you about it...again. Patients know what to expect.

    Episode Takeaways

    That third party paperwork doesn't have to interrupt your clinic or take up your evenings. It just needs a home somewhere in your week.
    1. Pick a time block that consistently and reliably works for you and your life.
    2. Tell your team: all paperwork will be done by X time (ex., end of day Thursday) so they can tell patients before you're ever asked.
    3. Block more time than the paperwork usually needs. If a form takes 15-30 minutes, the extra 10-15 you don't use becomes time you can hand back to your team instead.

    If You're Asking These Questions, This Is For You
    • How do I stop dreading it when a patient hands me more insurance paperwork?
    • What is time blocking and how do I actually use it in a busy specialist practice?
    • How can my medical office assistant handle insurance forms without me chasing it every time?
    • Why do I keep doing patient paperwork on my evenings and weekends?
    • What's the best time of day to block off for third party medical forms?
    • How do Canadian physicians manage fee-for-service insurance paperwork without falling behind?
    • How do I get my clinic to stop piling up admin work?
    • How do I tell patients when their forms will actually be done?
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    12 分
  • You’re Too Interruptible. Cut down your common interruptions in clinic.

    You’re Too Interruptible. Cut down your common interruptions in clinic.
    2026/09/15
    (00:00:00) The cost of getting interrupted mid note
    (00:01:36) It's not just the question, it's the reserve it drains
    (00:03:24) Writing the rule down and handing over the permission
    (00:06:09) Changing the default from ask me to check first

    What question do you answer every week... repeat?

    You know the one. Mid note, mid patient, someone leans in with something you have already answered before. A patient showed up late, can she still be seen? Should this add on go here or there? What do we tell him about his work note? None of it is hard. It "only" takes a few seconds. All of it adds up.

    Answer before the question gets asked

    We know these questions are coming (because they always do). Which means we can answer them before they get asked by giving your team the answer and the permission to answer it without you. Write down the decision, the one already running in your head, and hand it over. Not a policy. A sentence.

    The math on a few less interruptions

    A few interruptions a day is 15 -20 less/week. Cut those down and the difference is not subtle. Less time explaining, less energy spent trying to control your face while internally containing frustration, more of your note finished before the next patient walks in.

    You are giving them the permission to do this without you because this is how you want it done and it's written down.

    Everybody wins when they know how you'd answer and they feel confident to make the call without involving youYour team does not want to interrupt you either. Give them the rule or guideline and their job gets easier, which means yours does too.

    Episode Takeaways

    What interrupts you 10 times/week doesn't have to stay that way. Give the answer to your team so they stop needing to ask you every time:
    1. Write down the decision you already make automatically, the real rule running in your head, not a policy document. One sentence is usually enough.
    2. Give permission for someone else to use it without checking with you first. That permission, not the information itself, is usually the missing piece.
    3. The same questions won't disappear completely, and it doesn't need to. Going from 8 or 10 repetitive questions a week down to 1-2 is still real time and energy back.

    If You're Asking These Questions, This Is For You
    • Why do I keep getting asked the same question by my staff every day?
    • How do I stop my team from interrupting me for decisions they could make without me?
    • What should I do about my front desk asking me the same thing every clinic?
    • How can I empower my clinic staff to make small decisions on their own?
    • Why am I so drained by tiny interruptions during my clinic day as a specialist?
    • How do I write a simple decision guide for common patient questions?
    • What's the best way to give my staff permission to act without asking me first?
    • How do I reduce daily interruptions in a fee-for-service Canadian practice without hiring more people?
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    9 分
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