Licensed to Lead

Licensed to Lead

Join host Patty Fahy, MD as she shares the evidence for why physicians must lead healthcare and lead us out of the current healthcare system morass. Patty has twenty years of experience working with leaders in healthcare—as a member of an executive team, founder of a successful coaching and consulting firm, and as a committed physician advocate. This podcast is for you if you want expert physician leaders at the helm of U.S. healthcare systems and if you want practical advice and critical conversations about honing the leadership skills of physicians. The Licensed to Lead Podcast offers new angles on the neuroscience of leadership, challenges a “burnout industry” that is profiting from physician burnout, and offers a no-holds-barred investigation into the business school mindset that puts profits over patients. Patty and her guests provide provocative and clear recommendations for changing the business of medicine so that it fulfills the professional obligations of medicine. The physician identity is deeply rooted in doing the right thing for patients. It is time for the financial preoccupation that arises from a business school mindset to be subordinated to the professional obligations we have to patients. Find out more about Patty and Fahy Consulting at LicensedtoLeadPodcast.com.

Episodes

April 27, 2021 58 min
Niran Al-Agba, MD co-authored the book, Patients at Risk—The Rise of the Nurse Practitioner and Physician Assistant in Healthcare, which unearths the confluence of events allowing poorly trained practitioners to diagnose and treat patients. Dr. Al-Agba, who has a nurse practitioner in her own practice, believes NPs and PAs can provide high quality care. In her book she states, “The NP and PA roles were created to provide complemen...
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Jennifer McCabe Lentz, MD, and I talk about the Direct Primary Care (DPC) practice she built which transformed her professional life and home life. In 2017 she launched her DPC practice. Direct Primary Care means there is no middle-man between the physician and the patient—their relationship is direct. She takes no insurance. Her patients pay a monthly fee which covers most of the care she provides. Her patients can access her by e...
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March 30, 2021 52 min
In this episode, you’ll hear from three physicians who work with medical scribes. If you haven’t had experience with either in-person or virtual (remote) scribes, this episode will give you a pretty good picture. First, Dr. Christopher Obetz, CEO of Emergency Care Consultants (ECC) and featured guest in Episode 15, talks about launching their scribe program 15 years ago. Scribes work right alongside the physician, taking notes an...
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Is it possible to create an outstanding organizational culture in what is often a hellhole of anguished patients, staff dissatisfaction, and high physician turnover? Emergency Medicine, with its high stress, high stakes, and ever-diminishing autonomy, has been a burnout zone for decades. Except—for almost thirty years there’s been an Emergency Medicine oasis in the Twin Cities. (Maybe it’s the wrong latitude for an “oasis” metaphor...
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Dr. Jandel Allen-Davis is the CEO and President of Craig Hospital, a superb rehabilitation center for traumatic brain and spinal cord injuries. Dr. Allen-Davis, an obstetrician and gynecologist, spent 25 years caring for patients and honing her leadership skills in multiple organizational and community roles. In this episode, she describes “The Disappointment” when she was NOT selected for a CEO role, and she shares how she navig...
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Former AMA President Barbara McAneny is a relentless patient advocate who sees the harm done by the rapacious medical industrial complex. She spells out the toxicity caused by health system consolidation, purchase of physicians’ practices, and financial exploitation of government programs intended to serve the poor. Dr. McAneny, an oncologist, comes by her in-depth knowledge through her AMA role as well as through her own experien...
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Amanda Goodall, PhD, joins me in Part Two of our conversation discussing the advanced degree program for physician leaders that she founded. She talks about barriers to physician leadership development including political correctness, assumptions that physicians aren’t interested, and the daunting “re-entry” into entrenched cultures.

Dr. Goodall points to a central problem with business schools: the separation of business education...
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Amanda Goodall, PhD, a professor and leadership expert, joins Patty in an animated conversation about her theory of expert leadership. Dr. Goodall explains how her research revealed that top scholars, not general managers, make the best university CEOs and the most effective department leaders. This phenomenon doesn't just apply to the academic world; the same pattern holds true in sports. And important for the Licensed to Lead...
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Physicians’ level of autonomy and authority must be commensurate with their level of accountability for patient outcomes.
I lassoed neurologist and neurophysiologist Bruce Katuna, MD into a podcast conversation about the neuroscience of autonomy.
Autonomy is a basic human drive. When our autonomy is thwarted at work it creates a threat state that impairs our ability to think. The stakes are even higher in medicine because of the c...
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In this episode I spoke with Dr. Patty Gabow, a nephrologist and researcher who found the right match for her values at Denver Health, a city-center integrated health and hospital system. Dr. Gabow found her leadership chops early, and describes how her passion to care for the underserved fueled a twenty-year stint as CEO of the large, level-one trauma safety-net institution.
Dr. Gabow describes wrangling for four years with city ...
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Can a leader’s behavior predict healthy cultures and excellent outcomes? Yes indeed!
Listen in on my conversation with superb healthcare executive, Dr. Scott Smith.Dr. Smith’s leadership path is worth studying in order to see how relentless patient focus and a bias for action can result in terrific outcomes—for all the stakeholders. He is currently a vice president with the international healthcare system, CHRISTUS Health, where he...
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Are any of my colleagues flummoxed about the anemic response to physician burnout data? Even during the Covid19 crisis with the value of excellent doctors and healthcare personnel so high profile— the CEOs stumble when it’s time to support their people. The best physicians—those with the most options—defect, medical students veer away from primary care careers, and patients lose access to great care. The evidence about what’s wron...
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What harm is done when administrators are no more than bemused spectators in the arena of physician burnout? What harm is done when wellness researchers simply monitor the relentlessly high burnout rates, year after year? Devastating harm is experienced by medical students, physicians, their families and friends, and their patients. Our healthcare system financial woes and physician burnout have common parents: leaders with a “pro...
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Robyn Symon Interview: Physician Suicide & DO NO HARM

Robyn Symon, a two-time Emmy award-winning filmmaker, joined me for the Licensed to Lead podcast on April 30, 2020.

Robyn has written, directed, and produced films and television series—and she specializes in documentaries. We spoke about her acclaimed and riveting film that takes an unblinking look at the dark underbelly of medical training. Robyn is passionate about doing w...
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Physician Burnout: Definition, Controversies and Etiology

The last episode waded into the murky waters of graduate business education. Anyone listening to that podcast should have emerged with serious doubts about whether an MBA is a desirable credential for healthcare, much less for healthcare leadership.

This Licensed to Lead Podcast is the first of four episodes zeroing in on physician burnout. What is it? Why is it? And how is...
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The Licensed to Lead podcast is for physicians, physician leaders, or anyone who thinks healthcare needs a transformation. Licensed to Lead means that physicians must establish the vision, the standards, and the culture in healthcare systems so that excellent patient care is central.

The first two episodes of the LTL podcast spelled out why physicians are, well, LICENSED TO LEAD. What are the underlying issues, myths and evidence a...
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The Licensed to Lead podcast is for physicians, physician leaders, or anyone who thinks healthcare needs a transformation. Licensed to Lead means that physicians must establish the vision, the standards, and the culture in healthcare systems so that excellent patient care is central. 

In this episode, Patty Fahy, MD, the host of Licensed to Lead describes the myths and evidence about physician leadership and why physicians are uniqu...
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The Licensed to Lead podcast is for physicians, physician leaders, or anyone who thinks healthcare needs a transformation.

Licensed to Lead means that physicians  must establish the vision and the medical standards in our healthcare organizations so that excellent patient care is the central focus.

Currently, unlike other traditional professions, medicine is not led by members of the profession. Physicians pay a steep price for thi...
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