Most physicians follow or supplement their clinical practice with physician leadership roles, and wind down their careers by scaling back to part time executives or clinical consultants before official retirement. Richard Afable, MD, MPH, FACP, suggests an alternative. After retiring from CEO and executive roles at several large health systems, Dr. Afable now advocates for community wellbeing and the development of others as the President and Board Chair of BeWellOC in Orange County. In this episode, we interview Dr. Afable about how physicians can (and should) plan for a type of “third career” - one that focuses on significance and service. He also shares concepts that physicians can consider as they work towards a retirement plan. 
 
Richard Afable, MD, MPH, FACP
President and Board Chair, Be Well Orange County, www.bewelloc.org
https://www.linkedin.com/in/richard-afable-m-d-mph-84722b162/
 

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An Alternative to Traditional Retirement: Considerations for Physicians

Richard Afable, MD, MPH, FACP

Self-Management

Self-Awareness

Motivations and Thinking Style

Adaptability

Episode Overview: Host Mike Sacopulos interviews Megan Ranney, MD, MPH, FACEP, exploring her career journey and impactful work at the intersection of clinical medicine, public health, and advocacy. Ranney shares insights and actionable steps to address systemic healthcare issues and gun violence.
Key Topics:
Career Journey: From Peace Corps volunteer in West Africa during the AIDS crisis to Dean of Yale School of Public Health, Ranney offers a diverse perspective.
Clinical Medicine and Public Health: Leverage insights from her work as an emergency physician and public health expert.
System-Level Change: Ranney is passionate about driving systemic improvements in healthcare and public health.
Firearm Harm: Learn from her brave stance on gun violence and evidence-based strategies for future change.
Physician Action: Ranney outlines practical steps for physicians to make a difference.

About the Expert: Megan L. Ranney, MD, MPH, FACEP, is the Dean of Yale School of Public Health; the C.-E. A. Winslow Professor of Public Health for Yale School of Public Health; and a Professor of Emergency Medicine at Yale School of Medicine.
Background
Emergency physician, researcher, and national public health advocate
Focuses on digital health interventions for violence prevention and COVID risk reduction
Co-founder of GetUsPPE, Senior Strategic Advisor to AFFIRM at the Aspen Institute
Held significant roles at Brown University, including Deputy Dean and Founding Director of the Brown-Lifespan Center for Digital Health
Elected member of the National Academy of Medicine


Listen Now: Gain valuable insights on addressing gun violence and driving systemic change in healthcare from Megan Ranney, MD, MPH, FACEP.
Learn more about the American Association for Physician Leadership.


Gun Violence, Physician Leadership, and a Public Health Perspective with Dr. Megan Ranney

Megan L. Ranney, MD, MPH, FACEP

Professional Capabilities

Influence

Quality and Risk

Quality Improvement

Motivate Others

Episode Overview: Host Mike Sacopulos interviews Stefanie Green, MD, a leading expert in Medical Assistance in Dying (MAiD) and author of the bestselling memoir This is Assisted Dying: A Doctor’s Story of Empowering Patients at the End of Life. This insightful discussion covers:
•	Scope of practice;
•	Patient eligibility;
•	Clinical availability;
•	Differences between Canadian and U.S. systems;
•	Role of End of Life (EOL) Doulas; and
•	Step-by-step process from patient request to provision.
Hear how physicians can address MAiD requests with professionalism, compassion, and informed conversation.
About the Expert: Stefanie Green, MD, has extensive experience in general practice, maternity, and newborn care. Since 2016, she has focused on MAiD. Key roles include:
•	Founding President, Canadian Association of MAiD Assessors and Providers (CAMAP)
•	Co-Lead, Canadian MAiD Curriculum Project
•	Medical Advisor, BC Ministry of Health MAiD oversight committee
•	Moderator, CAMAP’s national online community of practice
•	Speaker on MAiD locally, nationally, and internationally, including a TEDx talk
•	Clinical faculty member at the University of British Columbia and the University of Victoria
Listen Now: Gain valuable insights from Stefanie Green, MD, on what every physician needs to know about MAiD. Ensure you are well-equipped to handle patient requests with professionalism and compassion.
Learn more about the American Association for Physician Leadership.


Dr. Stefanie Green and What Physicians Need to Know about MAiD (Medical Assistance in Dying)

Stefanie Green, MD

Episode Overview: Are you a Chief Medical Officer or an aspiring physician leader looking to develop a foundational understanding of healthcare economics? In this episode, host Mike Sacopulos is joined by Lee Scheinbart, MD, CPE, author of The Chief Medical Officer’s Financial Primer, to delve into the financial intricacies of healthcare.
Key Takeaways:
•	Financial Flow: Insight into how money moves from payers to providers in the U.S. healthcare system.
•	Leadership Skills: Importance of financial literacy for effective healthcare leadership.
•	Future Models: Preparation for evolving financial structures in healthcare.
About Lee Scheinbart, MD, CPE:
•	Current Role: Chief Health Affairs Officer, Burrell College of Osteopathic Medicine.
•	Education: BS in Biology from the University of Michigan, MD from Ohio State University.
•	Training: Internal Medicine residency and Hematology/Oncology fellowship at the University of Florida Shands Hospital.
•	Experience: Over 20 years in Hematology/Oncology practice, leadership roles at Melbourne Internal Medicine Associates and Health First.
•	Contributions: Founding of the William Childs Hospice House, Medical Director for the Health First Cancer Institute.
•	Leadership: Certified Physician Executive (CPE), former Vice President for Medical Affairs and Chief Medical Officer at HF Hospitals.
•	Involvement: Active in the American Association of Physician Leadership, volunteer, mentor, curriculum advisor, and panel speaker.
About the Book: Using illustrative stories, Scheinbart makes the text engaging while fostering critical thinking at every stage of an aspiring medical officer’s career growth. The book will equip physician leaders with essential financial knowledge to navigate and influence the healthcare system while providing an understanding of the historical flow of capital in U.S. healthcare and preparing for future financial models.
Learn more about the American Association for Physician Leadership.

How Money and Finances Work in Healthcare with Lee Scheinbart

Lee Scheinbart, MD, CPE

Finance

Financial Management

Strategy and Innovation

Environmental Influences

Payment Models

Episode Overview: Are you looking to eliminate waste, enhance efficiency, and elevate patient satisfaction in your practice? In this episode, host Mike Sacopulos and Owen J. Dahl, MBA, LFACHE, CHBC, LSSMBB, discuss how streamlining healthcare can help you achieve your goals. Dahl is a nationally recognized expert in healthcare management with nearly 40 years of specialization in lean management, revenue cycle, and practice operations.
The Big Picture: Leverage Dahl’s expertise to revolutionize your healthcare practice by gaining actionable insights to boost efficiency and quality. Implementing lean Six Sigma strategies can enhance experiences for providers and patients, leading to a more effective and rewarding practice.
Key Points:
Philosophy of Workflow: Discover how Dahl's approach optimizes healthcare workflows, focusing on enhancing experiences for both patients and providers.
Quality Improvement: Explore successful real-world examples that underscore the crucial role systematic processes in driving quality improvements.
Systems Awareness: Gain a comprehensive understanding of the entire healthcare system to identify and eliminate inefficiencies.
Economic Benefits: Learn how streamlined processes like Lean Management and Six Sigma can bolster the financial health of healthcare practices.
Historical Insight: Apply John Wanamaker’s principle to modern healthcare to identify and reduce wasted resources.
Practical Implementation: Find out how physician leaders can drive positive change by implementing lean processes.

Resources:
Books by Owen Dahl:
The High-Performing Medical Practice: Workflow, Practice Finances, and Patient-Centric Care
Think Business! Medical Practice Quality, Efficiency, Profits (2nd Edition)

Owen Dahl Consulting:
Visit owendahlconsulting.com for more information.


Learn more about the American Association for Physician Leadership.


Lean Six Sigma and Process Improvement in Healthcare with Owen J. Dahl

Owen J. Dahl, MBA, FACHE, LSSMBB

Systems Awareness

Economics

Episode Overview: Are you interested in taking a road less traveled in healthcare? This episode is for you.  Host Mike Sacopulos talks with physician leader, author, and advocate for alternative medical careers, Sylvie Stacy, MD, MPH. Stacy shares her journey through unconventional clinical career paths, highlighting her impactful work in prison medicine.
Episode Highlights:
•	Finding a “Happy Medium”: Many doctors experience burnout and feel undervalued in traditional roles. Stacy discusses unique clinical careers that allow you to stay in patient care while offering new challenges and rewards.
•	Combatting Burnout: Learn how stepping off the beaten path can reignite your passion for medicine and help you prioritize self-care.
•	Find Opportunities: Discover and secure roles in unconventional careers like prison medicine, telemedicine, and medical consulting. 
Things to Consider: 
•	Side Gigs: Explore part-time jobs to gain experience or supplemental income.
•	Networking: Leverage job boards and professional organizations to explore new opportunities.
•	Peer Advice: Hear how other experienced physicians have navigated their career shifts.
The Big Picture: Non-traditional medical careers can empower physicians to find renewed purpose and satisfaction in their professional lives.
About the Book: Stacy’s newest book 50 Unconventional Clinical Careers for Physicians: Unique Ways to Use Your Medical Degree Without Leaving Patient Care is an accessible and engaging guide to finding satisfaction in medicine without leaving clinical practice. Gain real-world insights from interviews with physicians in unconventional clinical careers. This book is essential for any physician feeling unfulfilled, frustrated, or burned out.
Learn more about the American Association for Physician Leadership.


Exploring Unconventional Medical Careers with Dr. Sylvie Stacy

Sylvie Stacy, MD, MPH

Episode Overview: The integration of augmented intelligence (AI) in clinical settings is revolutionizing healthcare, but it also brings its own set of challenges. In this episode, Maria Granzotti, MD, MBA, CPE, CHCQM, FABQAURP, FACHE, dives into the current landscape of clinical augmented intelligence (CAI).  She defines CAI, discusses its primary purposes and benefits, and examines its potential to reduce healthcare costs.
Key Questions:
•	How is CAI different from traditional AI?
•	What does "human in the loop" mean in the context of CAI?
•	Is now the right time for CAI?
Episode Highlights:
•	Technology Integration: Discover how CAI seamlessly integrates into existing clinical workflows, enhancing the tools physicians already use.
•	Quality Improvement: Learn from real-world examples about how CAI supports quality and safety initiatives in healthcare.
•	Healthcare Delivery: Explore how CAI can revolutionize healthcare delivery by reducing administrative burdens and shifting the focus back to patient care.
About the Expert: Maria Granzotti, MD, MBA, CPE, CHCQM, FABQAURP, FACHE, is the chief medical advisor and clinical strategist for Digital Strategies Group, LLC.  With 15 years of experience in healthcare executive leadership and 20 years in emergency medicine, she has a proven track record of delivering value and prioritizing patient safety.  Granzotti has led quality and safety initiatives at a multihospital system in Texas and has played a pivotal role in shaping strategies for over 150 hospitals across the country.
The Big Picture: CAI is creating new possibilities for patients and physicians, driving advancements in technology and quality in healthcare.
Learn more about the American Association for Physician Leadership.


Using AI to Enhance Clinical Decision-Making with Dr. Maria Granzotti

Maria T. Granzotti, MD, MBA, CPE, CHCQM, FABQAURP, FACHE

Operations and Policy

Technology Integration

An Alternative to Traditional Retirement: Considerations for Physicians

RECENT EPISODES

Gun Violence, Physician Leadership, and a Public Health Perspective with Dr. Megan Ranney

Dr. Stefanie Green and What Physicians Need to Know about MAiD (Medical Assistance in Dying)

How Money and Finances Work in Healthcare with Lee Scheinbart

Lean Six Sigma and Process Improvement in Healthcare with Owen J. Dahl

Exploring Unconventional Medical Careers with Dr. Sylvie Stacy

Using AI to Enhance Clinical Decision-Making with Dr. Maria Granzotti

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