Tony Reina MD is the Artificial Intelligence (AI) Architect for Health and Life Sciences at Intel Corporation. In his day-to-day work, Dr. Reina is part of a team is discovering new ways of implementing the emerging technology of AI to patient care. Interestingly, Dr. Reina’s path to healthcare technology has not been straightforward and included a 12 year break from medicine as a stay at home dad.
When Tony Reina was an undergraduate biomedical engineering major at Boston University, he worked on neuroscience research at the NIH during the summers. He enjoyed the research, which was focused on building a visual prosthetic system.
After completing medical school at The University of Maryland, he began an internal medicine residency at Mercy Hospital in San Diego. Within just a few months, Dr. Reina realized that patient care was not right for him. He recalls rushing through his patient log and documentation to get through the tasks assigned to him each day. After admitting to himself and to his program director that a future in patient care was not a good fit for him, he reconnected with his mentor from the NIH, who helped point him to a post doctorate fellowship in San Diego. A few years into his post doc, when the lead researcher of the lab accepted another job at the University of Pittsburgh, Tony Reina moved to Pittsburgh.
Once Dr. Reina completed his post doc fellowship, his wife, a navy physician, was stationed in Sicily, Italy. Shortly after Dr. Reina and his wife, a psychiatrist, moved to Italy, their two young sons were born and he became a stay at home dad. While in Italy, he taught undergraduate science courses at the University of Maryland extension college part time and co-edited a book about C++. After four years in Italy, when the family came home to the US, Dr. Reina continued as a stay at home dad.
The family moved back to San Diego a few years later, and Dr. Reina started to think about working in the field of healthcare technology. He explains that a physician trying to find a way into industry can be seen as a square peg in a round hole. Because industry internships are generally available to full time students, he enrolled in a masters program in data science. After an internship at Intel, he was offered a job at the company and has been there in his current role for almost three years. Dr. Reina explains that he learned a lot about AI on the job as well as on his own. He says that the application of AI in industry is currently ahead of academia, and that much of it has to be self taught.
He advises doctors to think about where they are now and whether the path they are heading down seems like where they would like to be in three years. He says that if staying where you are will not lead to something better in three years, that it is time to pivot.
Tony Reina MD explains that the tuition cost of a master’s degree pays off because it can help you get your foot in the door. And if a doctor who wants to transition into the field of technology isn’t offered a job right out of internship, Tony Reina advises to do another internship and keep trying. “Eventually you will get an offer,” he says. And in the areas of technology and AI, Dr. Reina says that it isn’t necessarily the degree that sets you apart as an expert. Instead, he’s explains that leadership and expertise are built from the drive, ability, and courage to find out how to do things you don’t know how to do.
You have probably seen Dr. Jennifer Caudle in television or come across her articles on major media outlets. A health expert who has become a popular on-air presence, Dr. Caudle didn’t always know that she wanted to become a doctor or that she wanted to be in the media.
As a serious young student, Jennifer was devoted to playing cello and also had a strong interest in science. When she was accepted to music conservatory and to Princeton University, she chose to go to Princeton and to study both music and science. During college, she decided to become a doctor, and after finishing all of her undergraduate pre-med requirements, she took some time off after college, in large part to seek funding for medical school. She won scholarships through the Miss America organization as Miss Iowa 1999 and competed in the 1999 Miss America Pageant. She reflects on her year of competing and traveling in the pageant world, explaining that she developed speaking skills and media experience through her appearances as Miss Iowa.
Shortly afterwards, Jennifer returned to her plan to become a physician, took her MCAT, applied to medical school and went to UMDMJ School of Osteopathic Medicine with the idea that she might become a dermatologist. She loved all of her rotations and really enjoyed becoming a part of patient’s lives, ultimately deciding that family medicine would be the right specialty for her. During her last years of medical school, a senior student mentioned a medical broadcasting elective. Intrigued by the idea, Jennifer called the television station to arrange for an elective. During that rotation, she realized that there was such an important need for medical communication. Later, during family medicine residency, she did a month long internship at ABC news, with the support and encouragement of her faculty.
Now, Dr. Caudle has taken her media experience to another level. With regular appearances on CNN/ HLN, Fox News, The Dr. Oz Show and others, she also has been featured on radio shows, writes for The Daily Beast, Huff Post and CNN, among others. In fact, she had just finished taping a segment at Time Warner Center when we spoke for this interview. She is an Assistant Professor in the department of Family Medicine at Rowan University School of Osteopathic Medicine where she is the clerkship director for the 3rd year Family Medicine clerkship, she teaches residents and she sees patients. In addition, she frequently travels for her media appearances.
Dr. Caudle has some very down to earth advice for those aspiring to work in media. She says that she looked for people who were doing what she wanted to do and learned their path by watching them, even contacting them for advice and mentorship if they were reachable. She says that she has had many mentors- some who were not directly doing media work, but who gave her good advice and encouragement her along her path. She also suggests to look for opportunities in media and to consider healthcare communications fellowships, which are emerging through non-profit organizations and universities. Dr. Caudle shares more details about her journey here in this video.
Dr Caudel's website is www.drjencaudle.com
Follow or contact Dr. Caudle on twitter at @DrJenCaudle, or on Instagram drjencaudle or follow on her Facebook page
Emman Hussny MD is a primary care physician who incorporates wellness coaching into her practice. Dr. Hussny knew that she wanted to be a doctor since she was in high school. She grew up with the example set by her father, a hard working and well-respected immigrant obstetrician and gynecologist, who was happy in his busy career of taking care of patients.
A competitive student, she graduated from Cornell University before going to Case Western Reserve University School of Medicine. After completing her family practice residency, she joined a group practice in Virginia. Over the years, as an employed physician, she saw her allotted time with patients shrink. But she was also convinced that patients needed more than 15 minutes of her time, and that a number of their medical problems were related to lifestyle habits and diet. She knew that many of her patients would be in better health if she took the time to counsel them on how to improve their health rather than quickly writing a prescription.
When she finally decided that she had to practice medicine in the way that was best for her and her patients, she took a huge leap and opened her own solo practice in Virginia. With two young kids and a supportive husband, she worked hard to find office space, buy equipment, and hire staff.
Dr. Hussny remained driven to educate herself about the latest developments in medicine. She attended a conference called ‘Food is Medicine,’ which detailed the evidence-based impact of diet on health, and increased her motivation to teach her patients how to prevent illness through healthy living. In her new practice, she gave herself the time to schedule patients so that she could listen to their concerns, talk to them about their daily lives, and help them with dietary strategies to improve their health.
In 2015, she was invited to an Arbonne party. Although skincare and makeup were not her thing, she was intrigued. She had been looking for a program to help support her patients outside the office, but she was having a hard time finding the right program. It seemed like a good fit. With her rigorous academic background, she carefully studied the ingredients of the products and examined the research studies. Once she was convinced of the products’ safety and efficacy, she decided to try the program herself.
Dr. Hussny was drawn to the program because the philosophy was based on the same functional and integrative principals she was teaching her patients in the office. She says that it is based on an elimination diet and clean eating, gut and liver healing-focused, and that all of the supplements are plant based. She had a strong feeling that she had found something valuable that she could offer her patients.
She also felt that it was a good business opportunity for her. With worsening insurance reimbursements and an environment not very supportive of solo practitioners, Dr. Hussny had been looking for a plan B that would allow her to continue to provide her patients adequate time during office visits; she did not want to reduce the time patients received during office visits to increase patient volume and generate more money, nor did she want to sell her practice because no one will provide her patients the same level of care.
Dr. Hussny was already very busy with her practice and her plate was very full at the time with a litigation attorney husband and two boys playing travel soccer. However, she explains that the assistance she received from Arbonne was amazing. She explains that because her initial investment was minimal, she felt comfortable knowing that it was not going to cost her much financially if it did not work out. Her investment was less than $100; she did not need to keep inventory, it’s all internet-based. As she explains, this initial investment included her own virtual store, where she can send your clients to purchase products they are already buying at other retailers. “All of Arbonne’s products are formulated in Switzerland, and thus abide by the European Union’s strict ingredient policy, plus they are third party certified gluten free, vegan, Non-GMO, Lowglycemic index, and PETA friendly just to name a few,” she says.
Currently Dr. Hussny has a thriving and busy practice and enjoys her time with her husband and two growing boys. She herself uses the products and creates wellness videos to teach patients and friends about clean eating, balance in their diets and ways to avoid lifelong illness caused by nutritional problems. And she is seeing that many of her patients have had great success with weight loss, lowered blood sugar, cholesterol, health improvement, and an overall sense of well being. Dr. Hussney says that she is "building an asset, something that will generate money even when I'm not working." She says that the website was already built for her when she started and that Arbonne gave her a ".com" to ship from. She adds that "each consultant may create their own business page in Facebook."
She considers this aspect of her practice an extension of her vision of teaching people about a healthier lifestyle through nutrition and products that people are already using. She loves that she can help others outside her office live a fuller life, because they are in better health and have the energy to be limitless. Dr. Hussny feels that she is building a business that will allow her the time and financial freedom to participate in her other passions, like providing health care and coaching healthy living to people who cannot afford medical care. Dr. Hussny says that it will be so rewarding to her to have that kind of positive impact on society.
You can contact Dr. Hussney at Emmanhussny@comcast.net
Nora Hanna MD knew that she wanted to be a doctor and an artist ever since she can remember. A high achiever from a young age, she was admitted to a 6-year medical program right out of high school. It was a busy and intense program of study, leaving her little free time to pursue her interest in art. But throughout her college and medical school years Nora Hanna dabbled in crafting, always with a focus on acquiring new techniques. She made homemade birthday cards for her friends and family and learned how to work on cross-stitch. She remembers that each project took her a long time to finish, but it was the process that was the most interesting part for her. She learned how to make jewelry, and while she always tried to explore different methods in her creative endeavors, she humbly says that she “wasn’t extremely good at any specific type of art.”
After medical school, Dr. Hanna specialized in pediatric psychiatry, worked full time, and was busy with her young and growing family. Over the years, she always found ways to incorporate her love of art into her life and work. When she ran group therapy for children, she used crafting as a way to help kids cope with their difficulties and express themselves.
Then, when her own life became stressful, she leaned on art as a type of self-therapy. Her husband was diagnosed with acute lymphocytic leukemia, and she explains that art was an escape from the anxiety and uncertainty that she was facing at the time. She carved out a studio for herself in her home and immersed herself in projects for brief periods of respite from her many responsibilities. Now, three and a half years after his diagnoses, her husband is doing well. And she has made some changes in her own work schedule. She went from working full time in an employed position to running an independent part time child psychiatry practice.
Dr. Hanna continues to dive into different types of art, always open to using new medium and materials. She started painting and has explored a variety of types of paint. She recently discovered alcohol ink and the material fascinated her. “You can’t control where the ink goes or how much it will spread. It has a mind of its own,” she says. Using alcohol ink, she explains that she doesn’t use a brush to spread the colors, instead using gravity or straws. After she completed one of her paintings, she casually posted a photo of her work on a social media page. She was astounded at the number of comments it received—over a thousand—within just a few days. Dr. Hanna explains that she never thought that her art was exceptional. But after so many people she didn’t even know encouraged her to sell her work and go into business as an artist, she started thinking about the idea.
She is now working with a vendor to get started on the process of listing her paintings and selling them. After all of these years, Dr. Nora Hanna is thrilled that she achieved her dreams of being both a doctor and an artist. Dr. Hanna still loves the process of working with different styles, textures and materials. She has noticed that artists tend to be very critical of their own work. But she encourages other aspiring artists to pursue their interests and dreams. “If an artist enjoys the time spent working on a piece, that in itself is worthwhile,” she says.
You can see more of Nora Hanna's work by following @NoraHannaFineArt or visiting her Facebook page Nora Hanna Fine Art
Shaun McKee MD is a Neuroradiologist and athlete who has found a unique way to combine medicine, a busy family life, and her passion for wellness and helping others. Dr. McKee has always sought ways to be as healthy as possible and to help others achieve their optimal vitality. From an early age, she has been on the cutting edge of performance and wellness. She ran her first full marathon as a high school student, and while her classmates were working at fast food restaurants, Shaun’s earliest part-time job was working as a wellness instructor at a health club. In college she supported herself by teaching fitness classes at multiple wellness facilities and college campuses, continued running marathons, and was a consistent age group winner in triathlons well before “aero bars and clipless pedals”.
She has always encouraged others to join her in her quest for optimal wellness, and this passion for health and helping others naturally led her to a career in medicine. Her fascination with finding the root cause of her patients’ symptoms was what drew her to the field of diagnostic radiology. During her residency, she became interested in the intricacies of the human brain and this led to her advanced fellowship training in Neuroradiology at Boston’s Tufts University (New England Medical Center), where she performed complex and life-saving intravascular brain interventions.
While serving in the Air Force as Chief of Neuroradiology, Dr. McKee completed two full 140.6 mile Ironman Triathlons, qualifying in 2002 for the ITU World Championships in Ibiza, Spain. She has also competed in dozens of marathons and several Ultra-Marathons throughout her medical career. Needless to say, doing so while working full time, and being a wife and mom required Dr. McKee to be at her best.
This interest in optimal health and wellness sparked her to seek advice in 2012 from an anti-aging physician about what else she could do to “biohack” her body and slow the “rusting” that comes with age. Her doctor offered her a natural supplement to reduce “cellular rusting,” and Dr. McKee explains that it could cut her aging by almost half in just 30 days. She learned all she could about the oxidative stress and mitochondrial dysfunction that come with age, and she explains that flipping certain epigenetic switches can mitigate these effects. In 2016, she read a National Institute on Aging report, which included results of a federally funded study on the product she had been using, and it convinced her that this intervention could extend the healthy lifespan of mammals.
Dr. McKee states, "This was a problem in search of a solution, and I’d found it. This is quite simply something people need to know about”. Fast forward almost 7 years from her first introduction to supplements, and she says that she has worked with nearly 10,000 families by guiding them through the use of the product. She reports that her clients have experienced improvements in focus, vitality, energy and recovery. After years of hard work, Dr. McKee has become a sought-after expert in nutrigenomics as The Vitality MD.
Although Dr. McKee’s side-venture has thus far been a part time adjunct to her practice, in less than 7 years, she’s built her side income stream to a high six figure level and is considering announcing her retirement from the practice of medicine.
You can follow Dr. McKee at The Vitality MD facebook page here: https://www.facebook.com/theVitalityMD/ or connect with Shaun personally on her facebook profile, https://www.facebook.com/shaun.w.mckee or reach out to her via messenger at https://m.me/shaun.w.mckee or text message at 228-424-3935. More info: www.NowAgeless.info
Susan Summerton MD is a radiologist who has seen her hobby of artwork grow into a business. Dr. Summerton is a general diagnostic radiologist who has always loved her work as a physician. She lives in Philadelphia and works both in Philadelphia and in Scranton in the Poconos.
Her journey to becoming a working artist began slowly. She recalls that when she was raising her children, she had a poster at home on which the entire alphabet was made from photographs of colorful butterfly wing patterns. At work, she started noticing the letters of the alphabet in some of the diagnostic images that she read. She thought it might be fun to collect all of the letters of the alphabet found on imaging studies and started to collect them.
After almost 20 years, she found that she had collected all of the letters of the alphabet and made her first piece as an entry to a contest for radiologists sponsored by the Radiologic society of North America on the occasion of their hundredth anniversary. The piece was entitled “LETTERS TO THE RSNA” and spelled out “RSNA 100, a century of transforming medicine”. Her entry didn’t win first place but did receive honorable mention, and as a result was displayed in Chicago at their annual meeting where over 50,000 attendants congregate from around the world.
After the meeting, friends and colleagues saw this first piece, they asked her to spell names of friends, colleagues and family members to give as gifts. She began to receive more requests, and decided to form an LLC called Xray Artistry. She attended Wharton School of Business’s Small Business Development City where she learned the basics of running a business. Soon after, she hired a web designer, a marketing specialist and a graphic designer to build a web site to feature her projects.
As her requests increased and the pieces became more popular, she wasn’t sure if she needed to get formal consent from patients to use their imaging studies. After consulting with the legal team at the hospital, she realized that, while it is a grey zone, she probably could not use patients’ images. Her solution was to recreate the images instead. She hired a graphic artist to draw the letters using photoshop.
She has been building a library of letters for different medical specialties. For orthopedics, for example, she has an entire alphabet created from images of bones, muscles and joint, while she uses images of the heart and blood vessels for her cardiovascular alphabet. With this personalized collection for each specialty, she is expanding to medical office art and interior design, often creating custom designs for medical centers and private offices.
Currently, Dr. Summerton has no plans of quitting radiology, but her art business is booming. She has a staff for graphic design, web design, marketing, and accounting. She goes to art shows and medical conferences to display her work and to network and share ideas with other artists.
To see more of Dr. Summerton’s work, you can visit her website http://xrayartistry.com/
Kate Tulenko MD, founder of Corvus Health, has had an interesting road on the path to entrepreneurship. She definitely is proud of the company she has built, but she doesn’t sugar coat anything about the hard work that it took to get there.
As a college student, she was strong in the sciences, and also had an interest in Global Health. She received her MD and MPH from Johns Hopkins. During her medical school years, her interest in public health continued, and she decided to pursue pediatrics. She focused on a future in public health by applying to pediatrics residency programs that were attached to public health programs. During her last year of residency, she spent time at the World Bank, where she ended up staying on for a job.
Dr. Tulenko spent 10 years at the World Bank, and for 3 of those years she was coordinator at the World Bank Africa health workforce program. Even with her busy position she did not want to completely let go of patient care. So she kept her clinical skills up to date by doing locums work. After 10 years at the World Bank, she left for a position at IntraHealth International, where she led the US Agency for International Development’s global health workforce project, a $60 million project focused on improving healthcare labor markets and healthcare workforce in developing countries. During that time, she noticed that the private sector was a growing area that could provide even more opportunity to make a difference in emerging markets. And that is where the idea for starting her own business was born.
When Dr. Tulenko left IntraHealth International to start her own company, she says that her networking and contacts throughout the world helped her find clients in need, but that she still needed to continue to do locums and chart review work to pay the bills as she was building the business from the ground up. Corvus Health is a global health workforce company, which helps healthcare facilities, such as clinics, hospitals and pharmacies plan and build their workforce.
Almost all Corvus Health clients are located internationally, in developing nations. A recent project involves setting up the first locums service in Kenya. Dr. Tulenko explains that developing nations have a great need for this service, and she feels good knowing that her company makes a huge difference in the lives of patients who need high quality healthcare. Her company is also beginning to partner with agencies that improve quality of care, such as surgical care.
Another interesting aspect of working with developing nations can be working through the regulations- which often differ from country to country. She has clients in areas as widespread as Latin America, Asia and Africa. Overall, Dr. Tulenko explains, there tends to be less regulation in developing countries than there is the US or in Western Europe when it comes to staffing healthcare systems. For example, medical malpractice expenditures are lower or even non-existent in some countries, which makes hiring doctors and nurses much less costly for healthcare systems.
Currently, Corvus Health has about 20 employees, including doctors, professionals with public health degrees and human resource specialists. Dr. Tulenko explains that, for practical reasons, staff is located all over the world to facilitate relationships with clients.
Kate Tulenko has some advice for entrepreneurial doctors. She says that because physicians are perfectionists who are used to being at the top of their classes, the uncertainty of starting a business can make it seem intimidating. She says that she felt intimidated when she started out as well, but that her confidence grew largely out of knowing that there was such a need. She also says that the time between pitching a service to a client and receiving payment can take months. And, while some business owners take out loans to get their business of the ground, she dealt with the financial risk by continuing to take locums work, despite her busy schedule. Overall, Dr. Tulenko says that it takes patience to build and grow a company, but she feels that the process is well worth it.
Michael Wolfe M.D., a busy orthopedic surgeon at New York City’s Mt. Sinai Beth Israel Hospital, finds time to apply his meticulous hands-on skills to one of his favorite hobbies, which is baking. One of 10 contestants competing on the 2016 season of the Great American Baking Show, Dr. Wolfe shares interesting behind-the-scenes facts about his journey to becoming a television show contestant and the exciting and exhausting experience of filming the show’s episodes.
Michael Wolfe grew up assisting his mother, who ran a wedding cake business in the small town of St. Mary’s, Ohio. When his mother passed away a few years ago, he got back into baking. As he grieved the loss of his mother, he discovered the Thomas Keller Bouchon Bakery Cookbook, which inspired him when it came to French pastries.
Dr. Wolfe explains that a few years ago, he came across a show called The American Baking Competition, which featured professionals who loved baking and who baked amazing creations. He followed the show and was disappointed to see it cancelled due to low ratings. Dr. Wolfe looked deeper to learn about the show, and found out that it came from an extremely popular British show called The Great British Bake-Off, which is the highest rated show in UK history.
When Dr. Wolfe found out that ABC was reviving the American version as the Great American Baking Show, he started subscribing to a casting agency service online. When The Great American Baking Show was looking for contestants, he got information about how to apply. In February, he applied, providing the required bio and photos of items he had baked. Then ABC called him back to chat, and it turned out that the ‘chat’ was actually an over the phone 30 minute exam on baking. Dr. Wolfe aced the exam and was invited for auditions. ABC held auditions across the country and he went to 2 auditions. Auditions attended by executive producers included tasks such as baking sweet and savory dishes that were often tasted and judged by professional pastry chefs. A screen test and an on camera interview were sent to ABC. For one audition, he was given ingredients for a cake, timed and interviewed on camera. Dr. Wolfe describes the audition process itself as enjoyable, but also grueling when combined with his life as a surgeon back in New York City. He says that he explained his work demands to the shows’ producers and that they were completely understanding and supportive throughout the whole process.
In July, Dr. Wolfe was told that he was selected as a contestant on the show. And, it turns out that the hard work was about to begin. He had 6 weeks to provide the show with a detailed list of requested ingredients and equipment he would need to use at the filming location, which is a tent at England’s famed Pinewood Studio. Filming was scheduled for 2 separate 2-week 4 episode shoots with a 10-day break back in the United States in between. The contestants flew to England for the first 4 episode shoot with days starting at 6am in the morning, just as early as Dr. Wolfe’s usual early morning surgery start times. Dr. Wolfe explains that the first two-week run of filming was fun and stressful at the same time. With hot temperatures outside and even hotter temperatures inside the tent, many carefully constructed cakes started to melt. Baking while being filmed adds to the stress. And since the tent is not a ‘real kitchen,’ he says he didn’t always have all of the cooking tools he was used to, and that sometimes, ‘the surgeon in me came out.’ Nevertheless, he says that the production crew was great throughout all of it, putting everyone at ease.
Unfortunately, he became ill before the filming of the season ended, and was not able to compete in all episodes, leaving the show before the season ended.
When it came to working with the other contestants, Dr. Wolfe truly enjoyed working with the crew and with the other contestants, who he describes as outstanding bakers and great people. He loved baking alongside people who all took baking seriously and took such pride in what they did. The group quickly became friendly with each other and remain in contact. In addition to gaining 9 new friends, Dr. Wolfe feels that being on the show was a wonderful way to honor his late mother, who would have been so proud of him.
By Sanjana Vig MD/MBA
As a newly minted attending physician, I decided to start a blog. This past year I’ve realized how many voices are out there on the Internet. However in regards to physicians, most of the content I noticed was from men and related solely to financial independence, paying off loans, and of course medicine. All of those topics are amazing and you should definitely read those blogs, however, I felt that a woman’s voice was lacking. Especially one that addressed LIFE, in general.
Yes our careers are multi faceted and blogging about that alone will supply you with enough content. However, our lives and experiences are just as important. Especially as a female, and a minority, I feel that my experiences and my perspective is one that many others share. Yet, there’s no one out there to express this point of view, and I believe many women feel alone in their situations. So that’s where my decision to start a blog came from. I wanted to provide a point of gathering for single, female physicians (or professionals) to share stories and experiences, and essentially a sense of support for each other.
As a result, my blog doesn’t have any one particular focus. I write about all kinds of topics, from my travel adventures, to struggles as a female leader, to dating and just life events in general. As an example, one of my first posts, BeThree, discussed moving to a new place and having to start over. Excerpt below:
“When you're unhappy, you have a tendency to make all kinds of stupid decisions. Date the wrong person just because you are lonely; work too much because you feel like you have to as the new guy; force yourself into situations for the sake of "putting yourself out there". For anyone currently in this boat, DONT DO IT. As miserable as this time period is, it will pass. I think the biggest thing people forget, is to just enjoy BEING.
Be you--figure yourself out. Likes/dislikes, focus on whatever you feel like. Trust your gut. If you want to go somewhere: GO. If you don't want to hang out with people: DONT. If you can't stand the guy you're on a date with : GO HOME.
Be alone (its ok).--I've gone through multiple periods of loneliness where I was starting over, struggling to make new friends. Each time I learned new things about myself that I wouldn't have if I hadn't been alone.”
How did I do it?
Google search. You’ll find plenty of sources out there for starting and creating a blog. I chose Wordpress as my site builder. Through them you can choose to do it for free, with limited options, or pay a yearly fee, which gives you access to more privacy, spam filters, and templates for building and protecting your site. I’m completely website illiterate and I was able to put together my website in one evening. Very easy to use.
A few things I’ve learned from building my own blog:
1. Let the words come naturally
When I have to force myself to think of the words, it ends up coming out all wrong. Let the topics come to you naturally and then sit down and write what you’re thinking. Let it flow. The result will be a blog post that sounds like you and is true to your thoughts.
2. Be authentic
This relates to #1. As long as you sound like yourself, you’ll be more likely to attract those that truly feel the same way and are more likely to be loyal followers.
3. Trust your gut
Don’t question what you write about. Sometimes a topic may seem really personal, or controversial, however don’t let that stop you from putting it out there. We need more serious conversations to happen and once one person speaks up its much easier for others to do so. Plus, letting people in to your more personal stories will only help them connect with you better.
4. Use visuals
Pictures, pictures, pictures. Words will start to blur on the page after a while, but pictures will stand out and grab your crowd.
5. Figure out your theme
For me it was life in general; for others its only about travel, or work, or a hobby. It doesn’t matter what you choose, but you need to choose. Your theme for your blog will help guide what your posts are about and give it some consistency.
6. Don’t forget to have fun
I’ve spoken to some people who’ve tried to blog and just found it stressful. However, for me, having a blog not only serves as an outlet for my thoughts, but also provides me with a way to express myself in a way that I don’t feel I can always do in everyday life. And I thoroughly enjoy that. My focus isn’t to gain the most followers, it’s just to be me and to see what happens.
Leslie Latterman MD is an entrepreneur, a mom, and a busy hospitalist. When Dr. Latterman came home after a long shift at the hospital with neck pain, she looked for solutions. After a while, she started noticing that her white coat wasn’t as functional as it could be, and realized that solving that problem could make a big difference in terms of comfort and practicality.
She decided to talk to other doctors about it. As it turned out, the women physicians she spoke with agreed that their white coats weren’t utilitarian or comfortable. The coats weren’t equipped to carry all of the items needed for patient care. She was even surprised to learn that some white coat details- such as the holes on the sides that seemed to her like they led to nowhere- are actually positioned so that men can reach items that are placed in their pant pockets.
With no background in design or business at all, Dr. Latterman began considering the idea of crafting a white coat to make women physicians’ lives’ easier. She started the process by searching for fabrics. By chance, she found a winter jacket made of a fabric that seemed perfect. She purchased the jacket and studied every detail of the fabric. She discovered that the luxurious fabric was quite pricey and could only be sourced in Italy.
She then visited Cotton Incorporated in in North Carolina, a site that is dedicated to cotton and fabric research. There, she was given a free consultation and learned more than she had ever known about fabrics. She made another trip, this time to The Fabric Institute of Technology in New York, where a scientist helped her identify the properties of the fabric she wanted.
Ultimately, she selected a fabric that was antimicrobial, anti wrinkle, stain resistant and enzyme treated for softness. She made sure that the fabric could stretch to accommodate the physical demands of patient care. She eventually met with a designer and a pattern maker. She selected buttons and created her own logo. And, after carefully adding special features such as a zippered pockets a functional shoulder epaulette attached with Velcro to hold a stethoscope. She sourced the fabric in China because it was not available elsewhere.
Finally, Dr. Latterman was able to make the coats available - and quickly received orders, depleting her supply. The next time around, she made sure to order a bigger supply. She explains that most of her customers order coats with a touch of pink under the collar
The self taught designer, who started in the clothing industry from the ground up, explains that as a mom with a full time job, the project took her 4 years to get from idea to reality. After several surprises and a few bumps along the way, the admitted perfectionist is proud of the final product.
Find the coats at designerlabcoats.com or follow designsbydrleslie on Facebook or Instagram
Deborah Hughes Nowak MD is a surgeon who has filled a missing gap in patient care. She has created a new company that provides outpatient surgery kits for patients who are discharged from the hospital after surgery. During the postoperative recovery, there are special medical and practical needs that can’t be met with items that are routinely found at home or even with a short trip to the neighborhood store. Her kits include necessities such a toiletries, cleanup materials and a few commonly desired medical items.
But this knack for helping recovering patients didn’t always come naturally for Dr. Nowak. She went to medical school because she wanted to do something with her life that had a greater purpose. Drawn to the pace of surgery and the satisfaction of doing lifesaving procedures with her hands, she thought the practical ‘lifestyle’ issues associated with a career in surgery would eventually work themselves out.
Yet, after 7 years training and 9 years of practice as a busy general surgeon with a husband and children, she began to feel like a cog in the wheel. She spent years feeling that she should be able to handle anything, not really feeling entitled to getting out of her unsustainable situation. Eventually, she ceased to feel that she was contributing to the greater good anymore, and burned out. Unable to find more balanced work options as a general surgeon, she finally left practice completely, without a definite plan in place.
She used her time off to reconnect with herself, her marriage and her kids. Shortly afterwards, Deborah’s sister-in-law was diagnosed with breast cancer. Having always been interested in putting together crafts, and having worked as a surgeon for years, Dr. Nowak had the creative and the practical know-how to put together a care package that she felt could make her sister in law’s recovery a little easier. She used her common sense to put together a collection of items such as adhesive remover and ‘good tape.’ Her sister-in-law absolutely loved the care package, and Dr. Nowak realized that there is not enough care for outpatients during the surgery recovery phase. Even when recovering patients are physically able to leave the hospital, Dr. Nowak still sees that they have medical and practical and comfort needs that are not currently being met.
So she felt that there had to be a way to make postoperative patients feel more cared for to decrease their stress during recovery. When she couldn’t find post-op care packages on the market, she started shopping, calling medical supplies and honing her list. She found boxes, set up accounts and launched her company, Post-Op Provisions in July 2016. Currently, she has put together an outpatient surgery kit with necessities that include toiletries, bathing supplies, and help in dealing with problems such as lack of sleep and narcotic induced constipation. She also has a compartment that can include procedure specific postoperative needs, such as drains. The items in the gift pack last for up to a year, which is convenient for patients who might not use everything right away. She also has started offering gift cards and added wish-list capability so that patients can tell their loved ones what they would like.
And, she offers maternity packages too.
Dr. Deborah Hughes Nowak explains that once patients become medically stable after surgery, they still need a type of care that is not easily accessible in the community. And she is doing her part to bridge that gap.
More information about Post-Op Provisions can be found here.
Michael LeWitt MD practiced as an ER physician and helped set up two Emergency Medicine residency programs during his years of patient care. He has now replaced the fast pace of emergency medicine with a woodworking craft that has grown into a business that he takes pride in.
Dr. LeWitt had been collecting kaleidoscopes for years. His wife and daughter were on a vacation in Arizona when they visited a small shop looking for a souvenir kaleidoscope to buy for him. They were directed to another store, about an hour away. It turns out that the other shop is the largest kaleidoscope retailer in the US. They bought a few souvenir kaleidoscopes and also learned of an event sponsored by the shop, Nellie Bly week. This event, held with a different theme each year, allows amateurs to build kaleidoscopes along with skilled artisans. Dr. LeWitt had no experience in woodworking, but was intrigued by the idea. He attended the event a few years in a row, and then decided to attempt to work on his own.
Back home in Philadelphia he discovered an open woodshop that holds classes. He joined and took about 15 courses in woodworking. Over time, Dr. LeWitt worked on learning how to craft a variety of pieces, most of which he would give to family and friends as gifts.
Eventually, he started selling a few of his hand made designs. He began by directly pitching to retailers that carried high quality, unique handmade items. He started taking orders for pieces and has expanded the number of shops that he works with. Dr. LeWitt explains that, while he works at a fairly leisurely pace and does not produce in high volume, his profits have netted enough to cover the cost of the woodworking courses he took and all of the materials that he purchases.
Dr. LeWitt now has an Etsy page, and he is truly having fun in his retirement. This work is a complete change of pace, and he says that the challenge of his artwork has replaced medicine for him. Some photos below and Etsy page is MikeLWoodcrafts, FWIW
Mary Claire Haver MD is an OBGYN whose passion for taking care of patients has led her into the world of aesthetic skin care. She didn’t initially know that she would consider work outside of medicine, but unexpected events have helped her think outside the box.
After graduating from residency in 2002, Dr. Haver stayed in Houston and joined a busy private practice. Covering more than one hospital and driving all over Houston, she was exhausted. After three years, she left her position and went back to work at the hospital where she had trained. She explains that academics was a better fit and that her work life was saner.
But, soon a hurricane hit, destroying her family’s home and literally putting the hospital under water. After she and her husband and children moved three times in one year, her husband was offered a position in South America. Dr. Haver enjoyed her time as a stay at home mom during their stint in Venezuela, where she also did some work as a tutor.
When the family moved back home to the United States, she felt ready to go back to working as an OBGYN in the academic world. While she loves her practice, she explains that, between electronic medical records, call, and other hassles, sometimes it feels like, “the magic is gone.”
It wasn’t long before Dr. Haver discovered another opportunity. Her best friend had been selling Stella and Dot, and doing very well. But, Dr. Haver says, “I didn’t know she was doing as well as she was because it isn’t polite to talk about money.” Dr. Haver liked the jewelry, and when she learned that the company was launching a skin care line called EVER, she was interested in becoming part of it.
Having previously been involved in launching the aesthetic center at the hospital where she worked, she already understood some aspects of the aesthetic business. She explains that she jumped on the skincare line and says that she is matching her salary as an OBGYN. She loves the flexibility of her skincare business, enjoys the work, has made friends, has built up a health and wellness page with thousands of followers and she offers group coaching online.
Dr. Haver still enjoys her work as an OBGYN, however, and explains that she tells her residents, some of whom are hundreds of thousands of dollars in debt, that they also need to think about finding a side gig besides medicine in order to stay afloat financially.
When Dr. Jennifer Bickel talks about her creative approaches to taking care of headache patients, her humble nature is refreshing, particularly in light of the fact that that what she has built in terms of pediatric headache resources is truly unique and valuable.
Dr. Bickel is a neurologist who specializes in headaches. She noticed gaps in awareness of pediatric headaches, and realized that taking good care of children with headaches goes beyond the clinic. She is generous with her advice, sharing her successes and failures, and often attributing her accomplishments to collaborations and strong networking connections.
Dr. Bickel realized that good headache care for children required her to reach into and connect with 2 places, one being the school and the other being the Internet. She initially did not have a way into the school system to connect with the school nurses, who are ultimately the first health care providers that most children with headaches encounter. But then when Dr. Bickel started talking with the mother of one of her patients, she learned that not only that the patient’s mother was president of the school board, but that she was enthusiastic about connecting Dr. Bickel to legislators -who eventually wrote letters of support to the school board, which convinced the district to adopt new approaches to dealing with headaches during the school day.
And as her outreach in regard to headaches grew, Dr. Bickel was encouraged to apply for a grant designed to improve headache care and awareness. She won the grant and used it to build a website and to create videos geared towards helping pediatric headache patients. Dr. Bickel explains that the name she initially used for the website, pediatricmigraine.com did not show up as a top search result for patients, who are her target audience. As she re-evaluated her audience, she realized that the name of the website was not patient friendly, and sounded more like a website geared for professional education. Changing gears to headachereliefguide.com was a move that she says solved that problem because it was more in line with what patients are looking for.
Dr. Bickel explains that the site was built to be an online destination where people could feel comfortable and could stay engaged. She has built a series of videos, fun quizzes and questionnaires to help young migraine patients prepare for their doctor's visits and assess lifestyle habits that impact headaches- like exercise and proper hydration. She explains that the website was modeled after consumer lifestyle and fashion magazines that people enjoy looking at, so that patients can feel a sense of comfort and even enjoyment as they learn how to optimize life with headaches.
Eventually, Dr. Bickel did end up adding some resources for doctors, and these resources, like the rest of the website, are practical tools, such as patient hand outs and customized school letters.
When it comes to a daunting project like building a patient focused website, Dr. Bickel has been happy to share her advice and tips. She advises doctors who want to start a project to develop a specific area and prepare statistics in advance if seeking funding for the project. And while she didn't search for a grant, but was directed to a grant by others who know about her interests through her networking, she explains that there are many grants out there to support advances in health care and that if you look, you can find them. And of course, her own networking successes happened not through asking for anything, but simply by building strong relationships with people who saw her genuine sincerity about reaching headache patients outside the clinic.
Dr. Jennifer Bickel is a Neurologist and medical director of the headache program at Children's Mercy Hospital and Clinics in Kansas City, MO. Her patient-centered website is headachereliefguide.com
Chetna Singh MD is a physician who clearly has a gift for art. She has taken her talent and love of painting into the world of fashion. As a physician, a wife and a mother, she runs a growing fashion business that is profitable and that she also hopes to use to help others someday. This sounds like a lot for one person to handle, but Dr. Singh has taken the time to research every step along the way.
When Chetna Singh was growing up in India, she had an aptitude for art, as well as the acumen required for hard core sciences, which qualified her for medical school. She explains that she was debating between art and medicine, but she jokes that good sense prevailed and she went to medical school. When she came to the US in the mid 1990’s and started working as a medical resident, she did not have time for art during those years of hard work.
Both Dr Singh and her husband are Emergency Medicine physicians and parents to 3 children. As her children grew older and more independent, Dr. Singh found that she had more time to revive her interest in art. She began paining for enjoyment and almost 4 years ago she thought about the idea of wearing her art. She used the Internet to learn about fabrics and printing. She experimented with materials and designs until she created something that she liked.
While she initially thought that she would personally do the job of printing her paintings onto fabric to create scarves, she ultimately decided to go with a low cost fabric printer in her native India. She also built a website by herself to showcase her scarves. In the beginning things weren’t perfect. She says that the printers weren’t high quality, there were some issues with orders and, overall, there was a huge learning curve. She even looks back at her first collection and isn’t thrilled with it.
But, she kept working and improving her business. She hired a better printing shop- at a higher cost that she says is well worth the quality. She hired someone to take care of the website, but she doesn’t regret having initially built a website by herself because now she knows how to manage the back end whenever she needs to.
Now in her fourth season, she has even decided to add new material to her upcoming line. She has only worked with silk so far, and this season she is adding cotton modal mix. She has noticed that some customers prefer cotton, while others prefer silk. Dr. Singh still always uses oil paint, acrylics or mixed media on canvas to create the designs for her scarves.
She has marketed her designs through pop up shows, which are organized to include several designers at events. And she was even selected to participate in a Henri Bedel trunk show a few years ago for 3 days.
Dr. Singh still works part time as an Emergency Medicine physician. She is happy that she chose art over medicine years ago because it allows to her enjoy the creative process without financial pressure. In the future, she would like to be able to donate some of her work to non-profit as away to raise money for worthy causes that can help people around the world.
A few of her designs are seen below.
To see more of Chetna Singh's designs, you can visit her website chetnasingh.com
The one word that perfectly describes Dr. Priya Banerjee and her approach to work and life is ethics. Dr. Banerjee, a forensic pathologist, who works on complex cases within the inherently grey area of the criminal justice system, works for the state of Rhode Island while also running her own international consulting forensic pathology business.
Her job as a medical examiner for the state keeps her busy, but she also noticed a huge demand as well as a major shortage of forensic pathologists across the country. And when she decided to start her own private business, the combination itself was not easy, requiring an arduous 1-½ year to 2-year process during which she ensured that she had dotted her i’s and crossed her t’s from the Department of Health and The Rhode Island Ethics Commission regarding every issue from conflict of interest to properly allotting time and resources.
Dr. Banerjee started her path to medicine at The University of Pennsylvania School of Medicine, where she was headed towards a career in gastroenterology. Yet, when during her pathology rotation she felt, ‘This is me.’ In fact, as an undergraduate molecular biology major, she minored in criminal justice, which in many ways set the stage for her current work. Right before her pathology residency she spent what she describes as a rigorous year in preliminary medicine at The University of Pennsylvania, which she says was a good foundation for a career in pathology, a career that she noticed does indeed require a strong understanding of hands-on medical issues.
Dr. Banerjee set up her own LLC in Rhode Island less than a year ago, and due to high demand for forensic pathology expertise, has already become quiet busy. She marketed her business by building a fairly low cost website and advertising on the SEAK website, and found that she was getting clients through Internet searches almost right away. She has done work for plaintiff clients and for defense clients and she has traveled for her private work- across the United States and even outside the country. An interesting difference between Dr. Banerjee and many other private consultants is that she posts her fee structure on her website. She says that this has saved time, as potential clients already know her rates up front - and the rates haven’t seemed to keep them away.
As a businesswoman, Priya Banerjee MD says that she is just getting started. But she doesn’t see leaving her job with the Department of Health in her future. She believes that it is this combination that allows her to fully enjoy her work and to be more selective when it comes to accepting cases. While the cases that she is asked to do are medically complex and ethically charged, she is adamant about only taking on cases that she can approach honestly, regardless of any financial reward. Dr. Banerjee says that her most important criteria is being able to sleep at night, and she does not hesitate to turn away work if she doesn’t feel that it fits her area of expertise or that integrity could be compromised in any way.
A mom and a wife, Dr. Priya Banerjee wear many hats, and meticulously manages the details of the many goals she strives to accomplish.
Dr. Banerjee’s website is anchorforensicpathology.com
Arlen Meyers MD, MBA is an academic surgeon who practiced as an Ear, Nose and Throat surgeon at the University of Colorado School of Medicine before creating a new career path as a leader filling a void in world of bio-entrepreneurship.
Dr. Meyers’ combination of academics and entrepreneurship a natural fit, given that he grew up in Philadelphia around academics and business, as his father was a professor who also owned a pharmacy. After he completed medical school and ENT residency, Dr. Meyers was recruited to work at The University of Colorado, where he has remained for his whole career.
Interestingly, it was his academic research that led to his acquiring a deep understanding of entrepreneurship, and ultimately to his current status at the forefront of entrepreneurship education. Dr. Meyers had a research interest in biophotomics, which involves the science behind the intersection of light and human tissue. As a surgeon who has a practice involving head and neck tumors, he was specifically interested in the use of biophotonics as a solution to head and neck disease. He went to business school and it was there that he collaborated with colleagues to create a gadget designed to detect tumors. This process taught him a great deal about business and entrepreneurship. His medical experience, business school, his own product development hits and misses, along with years of experience after his initial entry into the business world, have all combined to give him a formal and informal expertise in the world of bio entrepreneurship.
Arlen Meyers says that almost every doctor has a great idea - but he explains that ideas are extremely difficult to commercialize. And this is where he works to fill the gap. He has developed an entrepreneurship program at The University of Colorado that has been growing for the past six years. He also works as a consultant in the medical product development industry, guiding and advising companies and individuals as they take concepts in healthcare innovation from idea to commercially available products. And he even started a non-profit organization, SOPE (The Society of Physician Entrepreneurs,) the largest organization of its kind in the world.
He has advice for aspiring entrepreneurs based on years of experience in helping doctors get their businesses started. Overall, he says that being an entrepreneur means creating your own job. But, he explains that it is unrealistic to expect to earn a high salary immediately. He explains that when a physician moves into a new field, there has to be a transition period. When doctors leave clinical practice, the new role requires a different skill set and it takes time to demonstrate value in the new workplace- which is an opportunity cost. He estimates that the transition from practicing physician to entrepreneur takes about 3-5 years and requires introspection, commitment and acceptance of delayed gratification.
And, while he got his MBA years before the MD/MBA became a ‘thing,’ he does not believe that an MBA is necessary for physicians who are making a transition. Dr. Meyers explains that MBA programs for physicians are built for administration and policy, not for entrepreneurship. He does say that the benefits of an MBA include connectedness, credibility, credentials and content- in that order. And in his own experience, collaboration was indeed valuable. He advises to take a close look at the cost/benefit before jumping into an MBA program. Dr. Meyers himself has noticed a gap in medical education and he has worked hard to fill that gap in his dedication to provide physicians with the tools they need to become successful entrepreneurs.
Dr. Arlen Meyers can be contacted through SOPE or by email at firstname.lastname@example.org
Katrina Ubell is a doctor turned independent businesswoman who has taken on new challenges in her professional life. But, despite her impressive resume, Dr. Ubell is also a very ‘real’ and down to earth person whose success lies in her ability to connect with people on a personal level.
As early as her college years, it is apparent that Katrina didn’t shy away from challenges. As an undergraduate engineering major already taking an intense course load, she had an experience working in orthopedics research and decided to become a doctor. After taking the required pre-med courses, she was accepted to medical school with the plan of becoming an orthopedic surgeon. But during her clinical rotations, pediatrics was the specialty that felt most right to her.
She worked as a pediatrician for ten years, enjoying the interaction with children and parents. And while she loved her work as a physician, after ten years she started to feel that she wanted to achieve something different professionally.
During a relatively stressful time of home renovation, she casually decided to use the professional services of a friend who was training as a life coach. Dr. Ubell says that the coaching was transformative. She decided to train as a life coach so that she could integrate the skills into her pediatrics practice. She looked into training as a life coach, but, as a busy mom and physician, she didn’t have the time.
And then systematic issues at work became more bothersome. She thought about finding another practice set up. And then she decided that she would continue working as a pediatrician for ten years and then become a life coach. Within a fairly short amount of time, she decided not to wait ten years to become a life coach, and to do it sooner. She gave her job a generous 6 months notice, and then she left to start on the next chapter in her professional life.
Dr. Ubell began her life coach training. Coursework included life coaching skills as well as business coaching, and she says that the tuition was definitely cost effective. She still remains in touch with her graduating class, and they bounce ideas off each other in an online forum.
As a life coach, Dr. Ubell is an independent businesswoman. She describes her coaching as algorithmic and logical- although she explains that not all life coaches approach it that way. Her work is challenging in a number of ways. She explains that she went from the highly regulated field of medicine to a significantly less regulated field. Women physicians are her niche client group, but she has other clients as well. She runs her own business and takes care of online marketing and PR. Her business set up includes an introductory call with potential clients, followed by a sales call describing services and payment, and then a coaching schedule. Overall, she knows the value that she provides to her clients and she has been gratified because her clients recognize her value as a coach, which has led to a growth of her business through word of mouth.
Dr. Ubell discusses her personal experience with coaching here.
You can contact Dr. Katrina Ubell on her website katrinaubellmd.com
Mark Binstock MD is the Associate Medical Information Officer for Mercy Health Systems. Dr. Binstock is a doctor with so many degrees and certifications that his work in the challenging area of Medical Informatics- an area that bridges clinical medicine with population health and payer-focused documentation- seems a natural fit. Even before specializing in OB/GYN, Dr. Binstock received a master’s degree in Public Health while obtaining his MD degree. Two years ago, he also became board certified in Medical Informatics, a specialty that entails its own course work, training and certification, including requirements for MOC.
A board-certified OB/GYN who was a department chair with a busy clinical schedule, Mark Binstock started to take on more responsibility in the emerging area of Medical Informatics. Initially working on the EPIC platform, he wanted to look at electronic medical records in a more academic way and to be able to incorporate his interest in population health. He completed a fellowship and took online courses for over 3 years, taking only 1 course per quarter because he was still running a department and taking care of patients as an OB/GYN. As he found his level of responsibility in the area of electronic medical records increasing, he decided that the pace of dividing his time and energy between clinical practice and Medical Informatics was not the right long term plan.
Now he has a full time position as the Associate Medical Information Officer with Mercy Health. He is certified as a builder in EPIC, but explains that a clinician’s time is better utilized in areas outside of coding. He specifically works with functionality, decision-making and population health as well as teaching clinical practices to optimize newly implemented EMR.
Medical Informatics is a subspecialty that requires course work and certification, as well as a prerequisite board certification in a specialty recognized by the American Board of Medical Specialties. Dr. Binstock views EMR as enabling organizations to close gaps in deficiencies in public health. He describes the data that is made available through EMR as a ‘bonanza.’
But, he definitely recognizes that clinicians have been largely ignored in the EMR experience- and not just because he was a busy clinician himself. His wife is a practicing internist, and therefore, she is the end user of everything he does. Dr. Binstock says that his wife has an ability to spot flaws in the system and is the ultimate user acceptance tester. He understands that the system was built to for payers, for the government, for meaningful use, for ICD-10, and for payment reform as well as to serve the many other hands in the pie of healthcare. He points out that the clinician is notably missing on that list of valued clients of EMR, and now there is a backlash. When asked his opinion about whether flaws in the EMR doctor experience will improve, he doesn’t pretend that it is easy or that it will happen overnight. He predicts that change in the area of Medical Informatics is most likely in the areas of bundled payments and commercial exchanges that will alter the premise of the billing side. He describes fixing flaws in the system as a huge undertaking largely due to the complexities of coding and the variation in medical specialties and he does not anticipate an ‘wow’ to the user experience. Perhaps because he is a physician himself and because he is married to a practicing physician, he is especially discerning and insightful about the nuances of the demands of EMR and how complex it is to resolve the varied demands.
Often traveling throughout Ohio and Kentucky for his work, Dr. Binstock believes that Medical Informatics has the potential to alter the future of population health through the data obtained. He explains that the effects of EMR could be significant in terms of the early detection of disease trends and overall disease prevention, an outcome that ultimately helps large groups of people.
Marjorie Stiegler MD is a physician who has managed to become successful with some unexpected and diverse projects. When she notices that a need is unfilled, she often jumps in to fill that unique gap in the market. An anesthesiologist herself, she and her husband started a thriving maternity active wear company with very little experience in fashion and almost no initial investment. Her social media experience gained through marketing her active wear line has helped her become an expert in social media, and she has taken that know-how to teach physicians how to use social media. Dr. Stiegler is regularly invited to speak and give workshops, and, always looking to explore the latest trends in social media, she has launched a course on the new platform Facebook Live.
Dr. Stieger’s initial leap into active wear began when she was pregnant with her first child in 2009. She explains that had been a fitness instructor prior to medical school. Unable to find maternity active wear, and encouraged by her husband who was getting an MBA at the time, they decided to create their own products. Since they lived in Los Angeles, which had a fashion-manufacturing infrastructure, they drove 20 minutes to the fabric district, and began selecting materials and designs. She herself wore the first prototypes and was inundated with people who wanted to know where they could buy the styles.
The couple created a website to feature their products and launched a purely ecommerce maternity active wear business, fortwofitness.com. And this is how Dr. Stiegler learned about social media. It turned out that whenever a mommy blogger or a fitness blogger commented about the items, traffic and sales went up. At a time when there were few bloggers, she began reaching out to brand influencers and offered them the products as a marketing strategy. Now, when there are thousands of bloggers, fortwofitness.com receives requests from bloggers, rather than searching for the brand influences. Dr. Stiegler’s company can select bloggers based on whether their sites are the right fit for the target audience. Fortwofitness.com has customers in over 300 countries and the products are available on Amazon.com, Zulily.com and other sites. In the meantime, she and her husband are still able to maintain their full time jobs and they hire professionals to help with the marketing process. She credits the initial impetus that led them to create the company with the fact that they were surrounded by an entrepreneurial attitude that was prevalent in her husband’s MBA program and that they were so close to LA’s manufacturing center.
And all of the social media experience led to yet another venture for Marjorie Stiegler. Active on social media since 2010, she gained early experience before most physicians adopted it. She began to notice that doctors were not using social media to their advantage, along with the fact that there are inherent risks involved with physician use of social media. Because of her experience with several social media platforms, she was invited to speak and present at conferences. Never satisfied with the status quo, she recently decided to explore the newest platform on Facebook, which is Facebook Live. She created a physician social media course composed of 30 mini modules that are easily accessible onlinehere. She is presenting an intensive social media course to a physician audience next month. And, if that wasn’t enough, Dr. Stiegler also co-edited a textbook, Quality and Safety in Anesthesia and Perioperative Care.
Christina Johns MD has built a career that many doctors only dream of- as a spokesperson and Senior Medical Advisor for a major health care organization, PM Pediatrics. Dr. Johns path to a career in healthcare media started while she was still in her pediatrics training, but media work did not initially take her away from her pursuit of becoming a good clinician.
While she was on duty as a resident at Johns Hopkins, she was interviewed on the spot for a story. After watching her, the news director for the local ABC affiliate was impressed with her professionalism and her comfort level in speaking to the media. He suggested that she move towards media work as a job. From there she started by appearing in local health and medical pieces.
As she moved on to a pediatric emergency medicine fellowship, she continued to do interviews. The hospital media team got to know her, and when a member of the hospital media team heard that ABC was looking for a medical correspondent, the hospital championed her by helping her make a demo reel of her interviews. From there she was hired by ABC news and she chose to stay on in pediatrics emergency medicine as a full time faculty. She divided her time between clinical work and live news reports for a number if years, eventually becoming assistant division chief of pediatric emergency medicine. Soon enough, she was called by CNN for interviews and commentary about medical topics.
She decided to remain in academic medicine until a company called PM Pediatrics, which had heard about her through her work in media, called her and asked her to be their spokesperson and medical advisor. She accepted the offer and is now the Senior Medical Advisor for PM Pediatrics. She is part of the executive leadership for the company in charge of medical content and strategy and her role is a full time non-clinical role. By choice, Dr. Johns still sees patients about once or twice per month in urgent care and still keeps a PRN clinical appointment at Children's National Medical center, the regional academic trauma center, because she does love seeing patients and because she wants to maintain her clinical skills.
Christina Johns describes her job as a busy and challenging one. She says that she stays on top of the most updated medical research and developments, because an inherent component of media involves staying ahead of the news and reporting everything in timely manner.
Dr. Johns is generous in sharing her advice with other physicians who have an interest in working in the media. She says that it is important to reach out to your own hospital PR and marketing department by showing your interest and letting the media team get to know you. She advises doctors to make pitches to the media team, keeping in mind that some stories are seasonal, some are breaking, and some are evergreen. She also suggests getting involved in your national medical society and getting to know the committee that manages communications for your medical specialty organization. She says that taking initiative by constructing a social media identity and tweeting or posting or sharing stories is a good way to build a following and to get experience in media.
Interestingly, Dr. Johns points out that typically, it is not trainees who are sought after for medial expertise and media interviews, but rather, more experienced physicians. She explains that clinical experience is an important part of building credibility and she also emphasizes that it is important to stay current on clinical procedures in order to avoid becoming outdated.
You can follow Dr. Christina:
Facebook: Dr. Christina Johns
Rebecca Elia MD, CPCC was interested in wellness and self-care before it became trendy. Initially drawn to medical school because she saw it as a way to help people create healthy lives, she felt that medicine was designed around more of a disease-based model of care, than the holistic model she felt was her calling. Dr. Elia chose the specialty of obstetrics and gynecology because it gave her the opportunity to work in an environment with healthy women.
She combines her unique background, which consists of a psychology degree from UC Berkeley, her medical school education, her obstetrical specialty training and experience living in Greece with her additional qualification as a Certified Professional Co-Active Coach to guide her physician and executive clients and give talks and seminars in the US and abroad to help women along their path to wellness. Here Dr. Elia shares her insight about coaching highly motivated professional women who often find themselves working in a system that does not support them.
What made you think about pursuing work outside of traditional medicine?
I was always interested in helping women create healthier lives. Nothing about my interest in medicine has been conventional.
I was in conventional medicine for the two years it took for me to pass my board exams, pay back my student loans, and become a partner at Kaiser. Two months after making partner, I moved across the country to practice with Dr. Christiane Northrup in her holistic gynecology practice. She was the only person I knew at the time practicing the way I always envisioned practicing. So, in this practice, I was able to do what I do best--helping women create health in their lives.
I also became acutely aware of how the transitions that occur naturally in a woman's body connect to other aspects of their lives. Our menstrual cycles are set up in a way that naturally protects us--half of the cycle geared toward getting us pregnant, things that propel us forward in the external world--productivity, speed, etc, and the other half is really about preparing for a pregnancy--more rest, more heightened emotions, energy directed toward our inner world and needs.
I have always come from this perspective. I have actually been coaching for a very long time. So, when I realized that a coaching certification program existed that was consistent with what I was already doing, that I could become certified and create a career that allowed me to help women identify what they truly want and value and give them the tools to get there, I was thrilled. You see, my whole life has been about this. It just took years of experience and the rest of the world to catch up with me.
Now I work with physician moms who are so busy they are worried about their health and wellbeing and how this affects their children. I help them live vibrantly so that they can have extraordinary lives with their loved ones.
How do clients find you?
Most of my clients have come through referrals. I also connect with women physicians through various groups. I give talks and presentations that are highly experiential--filled with coaching exercises. I even have an experiential webinar through Kaiser Health Talks, called Finding Fulfillment that is available to anyone in the United States.
Right now I'm mostly doing one-on-one coaching, but this means I do not take on many clients as I wish to devote my full attention to those I work with.
I do give presentations and plan to create workshops and seminars for women physicians and professional women leaders, because I want to be able to provide support for more women.
What advice do you have for other doctors?
I direct this to women physicians.
Be true to yourself. You cannot fool yourself. If the situation you are currently in is not consistent with what you value, what you want in your life, then you are going to be miserable.
Practice kindness and compassion toward yourself.
Practice self-care--and by that I mean physical, emotional, and spiritual
Ask for help--this is actually a sign of strength, not weakness, as so many of us have been incorrectly taught. My motto as a physician has always been that my patients will be the safest if I know what I don't know. This is also true for ourselves and our own well-being.
Be courageous in blazing your own trail.
Seek a fulfilling life. Be willing to make changes. Believe in yourself. Change your perspective. Because, look, if you cannot visualize what you truly want, you have zero chance of getting there.
The most important: never give up on yourself and the vision you have for your life.
Rebecca’s webinar, Finding Fulfillment on KB Health Talk
Creating a Residency Journal, Why and How?
By Abdelrahman Abdelaziz PGY-2 Delaware Psychiatric Residency Program, Tanvir Iqbal Child and Adolescent Psychiatry Fellow, Westchester Medical Center
As medical students, we spend years learning medicine and enhancing our knowledge with practice to become capable physicians. As young physicians it became conspicuous that health is not just determined by an individual’s genes or traits, but also by many social and political contributing factors that can affect patient lives. Examples of medical problems involving socioeconomic factors directly impacting health are tobacco, substance abuse, obesity, behavioral health, and nutrition. Political and governmental regulations on literacy, unemployment, pollution, immunization, and medical accessibility are definite influences on patient’s health and wellbeing. To what extent should they be civic-minded? Do physicians have a responsibility to advocate for public health problems and actively contribute to fixing loopholes in the society?
In this era, doctors need to participate in public roles, provide expertise to community organizations (e.g., school boards, hospital boards, and local media) and be politically involved in suggesting new healthcare laws.
In beginning to approach this, we have created our Residency Journal to publish all concerns highlighted previously and as a degree of social responsibility to get our voices heard. The opportunity to create a journal during residency is a great one!
You first need to have a chief editor and choose board members to determine the message of the journal, whether it is scientific, or a mix of science and public topics related to medicine.
Approval from your program director is mandatory and provides strength to the journal. We are very fortunate to have a very supportive Program Director. We have invited physician leaders, social commentators, and professional organizations for interviews as an attempt to start participating in medical, community, or advocacy activities. We interviewed the President of the ABPN, Dr. Larry Faulkner, who provided information about the future of maintenance of certification, residency training and funding for GME spots. We have also interviewed the President of the APA.
Creating a Residency Journal is a head start for all of the young physicians to express their opinions, problems they face, suggest solutions, and taking feedback from fellow physicians aiming to advance the services we provide.
Nerissa Kreher MD, MBA has always been true to herself, and that has kept her focused when it comes to career decisions. Her patience, and a restraint that has kept her from jumping at every job offer she has received over the years, has certainly paid off. She loves her position as Global Head of Clinical and Medical Affairs at Zafgen, a biopharmaceutical company. When doctors find out what she does for a living, she is typically flooded with requests for information about how she got her job. Dr. Kreher generously shares her experiences as well as her tips and advice for other doctors who want to work in the pharmaceutical industry.
Even when she was still a resident in Pediatrics, Nerissa Kreher knew that she wanted to focus on clinical research. She completed a Master’s Degree in clinical research as part of an NIH grant during her pediatric endocrinology fellowship. Then, she stayed on as junior faculty for one year, while also interviewing for jobs because her husband, who was finishing up his residency, was in the process of interviewing for a fellowship position.
But finding what she wanted- a clinical research job- was not easy. And this is where her perseverance and dedication to clinical research came in to play. As many doctors know, clinical research positions are few and far between in comparison to full time patient care positions. Things were falling into place and Dr. Kreher was set to move for her husband’s fellowship, pleased that she received an offer for a clinical research position in the same city. Until it fell through. She was offered an alternative position at the same hospital with 80% clinical time. This would give her no funding or time for research, which was what she really wanted. She was disappointed, and continued looking for the right fit, applying at another local hospital. She was offered a position there too, but again, not for the type of work she wanted to do.
At this point, networking and friendships served her well. A pharmaceutical representative, who was also a friend, encouraged her to send a resume to Serono, a pharmaceutical company. This time, the job worked out. She explains that she felt lucky to receive an offer for a position that was in line with what she had in mind all along. The position was Medical Director in Medical Affairs for the company’s recombinant human growth hormone product. She has worked in industry for over ten years now, having worked at several companies, both small and larger biotech, focusing on rare diseases and endocrinology. She also managed to get an MBA along the way, which was supported by one of the companies.
One of the approaches that Dr. Kreher has taken throughout her industry career is to concentrate on both medical affairs and clinical development, areas that are sometimes separated in the pharmaceutical industry. She explains that combining the two has been a good move for her, helping her to advance and to keep her options broad.
She encourages doctors who are interested in working in the pharmaceutical industry to network and to be creative with networking, She suggests connecting with people who have business experience and with medical directors and recruiters as a way to learn about the industry and as a way to build relationships and to make your name known, which can put you one step ahead. She explains that there are positions for doctors in several facets of industry. Medical Science Liason (MSL) positions usually require travel, but make it possible to live anywhere. Office based roles are more likely to be on-site, and are more available in major pharma and biotech regions such as New York City, New Jersey, Boston, Philadelphia, San Francisco, San Diego and North Carolina. And there are contracting roles from home, which can expand potential options.
Dr. Kreher has been happy with her industry career, loves her job and describes her day-to-day work as intellectually challenging in a different way every day.
Nerissa Kreher MD, MBA is a pediatric endocrinologist and Global Head of Clinical and Medical Affairs at Zafgen. You may direct questions for Dr. Kreher here.
Gladstone Sellers MD, an Internist in Atlanta, Georgia, has been running a concierge practice since 2008. Prior to his current practice model, Dr. Sellers built a practice from the ground up. Noticing that more intrusion from third parties was forcing patient visits to get shorter and shorter, he wanted to spend more time with his patients to ensure the best care possible.
After a transition that took about 18 months, the concierge model was up and running. Dr. Sellers says that there are several ways to build a concierge practice, and he describes the mechanics behind the path that he and his partners took. First they looked at their patients who they had seen over the 18 months prior to starting the concierge model. They decided how many patients they could allow into their concierge practice based on the amount of time they estimated spending with each patient per year. With at least one annual physical examination per patient per year and a calculation that included the number of yearly office visits expected per year by patient age, they came up with an upper limit of patients they could enroll into the practice. Then, they sent their patients a letter describing the new practice model, and explaining what the reasoning behind it was, inviting patients to sign up. After information sessions and a FAQ page for patients, patients began signing up for the concierge practice. The group communicated with their patients' health insurance companies, and they were able to build an agreement with all but one health company. About 9 months of the transition were nerve-wracking, with the doctors wondering if it would work, but realizing that they did not want to go on practicing with the more prevalent care model that they found inconsistent with how they wanted to take care of their patients.
The system works like this: patients pay an annual fee, which includes access to their doctors. Dr. Sellers says that he gives his patients his phone number and email address. This allows him to determine whether a patient question or problem is best handled through an in office visit (with a billing code that is paid for by the patient’s insurance) or through a phone call, email or text (which do not have a billing code.) There is no incentive to bring patients in unnecessarily in this patient-centered practice. The most common question he gets from other doctors is, “how can you give patients your phone number?” His answer is simple. He says that using the typical healthcare model, patients treat their doctors offices like a rental car, without thought for taking care of it for the long-term. Yet, when patients use the concierge model, they treat the doctor’s office like their own care, taking good care of it. The practice grows through personal patients referrals, and that, he says, is his ideal way of meeting new patients, because they know exactly what they are signing up for.
Dr. Sellers and his partners tell their staff to treat patients, “like the family you like.” He explains that the office staff doesn’t just send patients with a referral for a lab test or a consultation, but, instead, help patients make appointments and follow through with continuity of care to ensure that the details are well taken care of.
Concierge care was still relatively new when a large national boutique medical care company, MDVIP, approached Dr. Sellers and his physician partners with a proposal to help them transition to a concierge practice model around 2004. The agreement would have entailed that the group of physicians would be employed by MDVIP for a period of 5 years, during which MDVIP would collect 1/3 of the gross collections. The time was not right for the group, but a few years later, they hired a consulting group from Chicago to help them with the transition into concierge care, with Dr. Sellers and his partners maintaining primary control of the process and paying the consultants a fee. The transition took about 18 months, after which Dr. Sellers and his partners decided to retain the Chicago company, SpecialDocs Consultants, Inc as consultants. He says that they found the consulting group through a recommendation from another physician practice. But now Dr. Sellers explains that there are many models of transitioning into concierge care and a number of consultants on the market. While Dr. Sellers explains that it is not impossible for physicians to make the transition to concierge care independently, he does recommend hiring a professional with experience in the process. The reason, he explains, is that physicians moving into concierge care need to know how to do it and to have a plan all set out, including marketing, the financial calculations, printed materials for patients, and an understanding of how to inform patients’ insurance plans and how to continue to work with those plans. He says that concierge care may not be right for every practice. For example, he explains that if most of the patients in your practice do not place strong value on seeing the same doctor over the long haul, then concierge care would not be a good fit for the practice.
After years in the concierge practice that he built, Dr. Sellers is sure he did the right thing. He believes that concierge practices maintain value after retirement, as physicians who are starting out are likely to want to buy into successful concierge practices because it is a good health care model that maintains doctor and patient satisfaction while providing good care.
Physician Success Stories