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Medical Economics Editorial Director Chris Mazzolini and Eve Cunningham, MD, chief of virtual health and digital care at Providence and founder of MedPearl, discuss challenges with patient management and workflow.


Music Credits: POSITIVE HAPPY RNB (FUNK NATION) NO MEL by Yummy Tunes - stock.adobe.com
Relaxing Lounge by Classy Call me Man - stock.adobe.com
COCKTAIL by Mythical Audio - stock.adobe.com



Editor's note: Episode timestamps and transcript produced using AI tools.

Access Challenges in Healthcare (00:00:00)


Discussion on the growing access challenges in healthcare if not addressed.




Keith Reynolds introduces the podcast and its focus on healthcare challenges.




Dr. Eve Cunningham is welcomed to discuss patient management and workflow challenges.



Challenges in Patient Management (00:01:23)


Dr. Cunningham outlines the complexities of patient management and referral decisions for primary care physicians.



Overwhelming Medical Knowledge (00:01:27)


Discussion on the rapid increase of medical knowledge and its impact on clinicians.




Exploration of common referral dysfunctions and the need for optimized transitions.




Real-life examples illustrating the frequent misdirection in patient referrals.




Highlighting the shortage of doctors and its effect on access to care and clinician burnout.




Overview of MedPearl as a solution to the challenges faced by doctors.




Dr. Cunningham shares the story behind the development of MedPearl.



Communication Gaps in Healthcare (00:07:13)


Discussion on the knowledge-sharing gap between primary care and specialists.



Need for Clinician-Centric Technology (00:08:13)


Emphasis on creating technology that supports primary care clinicians effectively.




Description of MedPearl's capabilities and how it aids clinicians at the point of care.




Discussion on a case study highlighting the impact of MedPearl in clinical settings.




Review of pilot results demonstrating Med Pearl's effectiveness in referrals and patient care.




Description of MedPearl's scaling process and its growing user base.

I


Discussion on enhancing referral quality and outcomes through MedPearl.



Burnout and Clinician Efficiency (00:15:10)


Exploration of how MedPearl addresses clinician burnout and improves efficiency.



Importance of Clinician Involvement (00:17:02)


Discussion on why clinician input is essential in developing effective healthcare solutions.




Dr. Cunningham shares upcoming implementations and goals for MedPearl.

Podcasts

The discussion centers on the challenges in patient management and workflow, emphasizing the growing access issues in healthcare. Dr. Eve Cunningham highlights the complexities faced by primary care physicians, including referral dysfunctions and the overwhelming increase in medical knowledge. MedPearl is introduced as a solution to these challenges, offering features that enhance clinician efficiency and improve referral quality. The conversation also addresses the importance of clinician-centric technology and the need for clinician involvement in developing effective healthcare solutions. Future plans for MedPearl's expansion and implementation are also discussed.

Eve Cunningham, MD, chief of virtual health and digital care at Providence and founder of MedPearl, joins the podcast to discuss challenges with patient management and workflow.

Ep 42: Patient management challenges with Eve Cunningham, MD, of Providence

Medical Economics Managing Editor Todd Shryock sits down with Roger Kapoor, MD, author of "Work Happy" to discuss the causes of the scourge of burnout and how to counteract it.


Music Credits: Burned Out by Stefan Kartenberg - stock.adobe.com
Relaxing Lounge by Classy Call me Man - stock.adobe.com
COCKTAIL by Mythical Audio - stock.adobe.com



Discussion on the nature of stress, highlighting that not all stress is detrimental.




Keith Reynolds introduces the podcast and its focus on physician burnout.




Kapoor explains burnout as a syndrome recognized by WHO, emphasizing its chronic nature.




Exploration of workplace factors contributing to burnout, such as administrative tasks and lack of control.




The impact of personal lifestyle choices on burnout, including sleep deprivation and work-life balance.



Differentiating Burnout from Stress (00:04:38)


Key signs of burnout versus normal work stress, including emotional exhaustion and depersonalization.




Discussion on how stress can be both beneficial and harmful, depending on its management.




Kapoor discusses the importance of aligning career with personal purpose and the concept of ikigai.




Introduction to ikigai, a Japanese concept for finding one's life purpose through self-reflection.




Story of Joe Addis, illustrating how passion and purpose can lead to success.



The Importance of Nurturing Skills (00:11:14)


Metaphor of apple picking to emphasize the need to nurture personal skills and competencies.




Encouragement to explore personal passions and competencies to discover true purpose.




Discussion on the emotional struggle of leaving a job and the importance of prioritizing well-being.




Practical advice for physicians experiencing burnout, including self-reflection and job satisfaction.




Emphasis on the critical role of sleep in preventing burnout and maintaining well-being.



Understanding Emotions and the Brain (00:24:31)


Overview of brain layers and their role in processing emotions, relevant to managing burnout.



Understanding Emotions and Burnout (00:27:11)


Discusses how emotions influence responses and the importance of pausing before reacting to avoid burnout.




Explores how unresolved emotions can build up, leading to cynicism and burnout.




Recommends keeping a daily journal to process emotions and allow rational thought to catch up.



Proactive Leadership to Prevent Burnout (00:30:14)


Highlights the need for leaders to recognize burnout signs in their staff and take proactive measures.




Compares employee burnout to Stockholm syndrome, emphasizing the difficulty in recognizing toxic environments.




Stresses the importance of acknowledging team contributions to boost morale and prevent burnout.




Discusses how micromanagement can drain energy and creativity from employees.




Emphasizes the need for clear, constructive feedback to reduce anxiety and burnout among teams.




Warns against setting unrealistic goals, advocating for achievable objectives to foster long-term success.




Advises on hiring practices focused on insight and decisively addressing underperformance to maintain a healthy environment.



Burnout Awareness in Leadership (00:34:55)


Notes that if leaders feel burned out, their employees are likely experiencing it even more.




Kapoor discusses his book "Working Happy," born from experiences during the COVID-19 pandemic.



Burnout among physicians is a chronic syndrome recognized by the WHO, often exacerbated by workplace factors like administrative burdens and lack of control. Differentiating burnout from stress is crucial, as burnout involves emotional exhaustion and depersonalization. Addressing burnout requires aligning career with personal purpose, as illustrated by the concept of ikigai. Practical steps include prioritizing sleep, self-reflection, and understanding emotions. Leadership plays a vital role in recognizing burnout signs, providing constructive feedback, and fostering a supportive environment to prevent burnout and promote well-being.

Roger Kapoor, MD, author of "Work Happy," joins the podcast to discuss what causes burnout and how to counteract it.

Ep 41: Burnout with Roger Kapoor, MD

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401 primary care physicians share their grievances with the state of health care in the 2025 Physician Health Survey from MDVIP and Ipsos. 

Physicians are concerned with the current state of primary care

Burnout and consolidation: an introduction 

Burnout and consolidation: ‘The environment physicians are practicing in has changed dramatically’

Burnout and consolidation: Preserving physician autonomy

Burnout and consolidation: Incentives for health systems to grow

Physician burnout remains a significant issue in the U.S. healthcare system, exacerbated by the expansion of hospitals into larger corporate entities. The changing business climate has profound implications for both physicians and patients, as highlighted by The Physicians Foundation 2024 survey. Foundation President Gary Price emphasizes that the workplace has already transformed, impacting healthcare delivery. The survey findings and discussions explore the business environment's role in physician burnout and propose potential solutions to improve the American healthcare system in the future.

Physicians Foundation examined how doctors feel about business environment in health care.

Burnout

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