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Page de couverture de Heartline: Changemaking in Healthcare

Heartline: Changemaking in Healthcare

Heartline: Changemaking in Healthcare

Auteur(s): Andrea Austin MD
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 Welcome to "Heartline," a podcast dedicated to exploring the inspiring journeys and impactful work of healthcare changemakers leading the charge in transforming healthcare. Despite the United States spending more on healthcare than any other developed nation, key quality outcomes like life expectancy and maternal mortality lag behind. With over half of American physicians experiencing burnout, the challenges within the system are clear. Join us as we delve into the stories of patients, medical professionals, and other experts who defy the status quo. We’ll uncover the unique characteristics and experiences that propel them to be effective changemakers and the organizational factors that support change. Dr. Austin, host of the podcast, is an emergency physician with real-world experience with the dysfunction in the system. Along with working in the emergency department, she is a medical educator focusing on healthcare worker well-being and how innovative approaches like simulation can improve healthcare. In addition, she researches how we can accelerate changemakers in healthcare. Dr. Austin also uses coaching-informed thinking to unlock the potential of healthcare changemakers, and she will guide you through these narratives with insightful commentary and expert analyses. Through in-depth interviews and real-world examples, this podcast aims to inspire and equip the next generation to drive meaningful change in healthcare. Whether you're a physician, a medical student, or simply passionate about the future of healthcare, "Heartline" will offer valuable perspectives and actionable ideas to help you thrive in a challenging environment and contribute to improving our healthcare system. Seasons 1-4 focused on gender bias in the medical system and shared the uplifting stories of women and allies who stay true to their values, boundaries, and priorities, improving their career fulfillment and increasing their impact on healthcare. Season 5 will expand the guests beyond physicians and tackle issues beyond gender bias that impact healthcare. Tune in to the "Hearline" for a deep dive into healthcare transformation and be inspired by the changemakers making a real difference.© 2024 Heartline Développement personnel Hygiène et mode de vie sain Réussite Sciences sociales Troubles et maladies
Épisodes
  • Revolutionizing Obesity Care: From Myths to Medical Breakthroughs

    Revolutionizing Obesity Care: From Myths to Medical Breakthroughs
    Jan 20 2026
    Why do so many healthcare providers still view obesity as a lifestyle choice rather than a complex chronic disease—and how can we change that?In this Echo Episode, Dr. Andrea Austin interviews Dr. Katherine Saunders about her journey from pre-med influences to pioneering obesity medicine at Weill Cornell and co-founding FlyteHealth. They explore obesity's scientific underpinnings, the impact of weight bias, practical advice for EM physicians in brief encounters, common weight-promoting medications, the value of bariatric surgery, and emerging tools like genetic testing and AI-driven algorithms. Katherine emphasizes empathy, permission-based discussions, and multidisciplinary approaches to treat obesity as the root cause of over 200 comorbidities.You’ll hear how they:Debunk obesity myths perpetuated in medicine, framing it as a chronic disease requiring medical intervention beyond "eat less, exercise more"Provide strategies for EM docs to discuss weight compassionately in 5 minutes, including asking permission, using neutral language, and offering resources without judgmentDiscuss weight-promoting factors like medications (e.g., progesterone-focused birth control), stress, genetics, and sleep apnea, plus the role of bariatric surgery and anti-obesity medsHighlight innovative obesity care through FlyteHealth's telehealth platform, AI algorithms for personalized treatment, and collaborative post-surgical managementIf you're a physician encountering obesity-related issues in acute care or seeking better ways to support patients, this episode delivers empathetic insights and actionable tools for transformative care.About the Guest:"Obesity isn't just a lifestyle problem, it's a complex chronic disease we can now treat effectively." – Dr. Katherine SaundersDr. Katherine Saunders, MD, FTOS is a leading obesity medicine expert, co-founder and executive vice president of FlyteHealth, and clinical assistant professor at Weill Cornell Medicine. She received her undergraduate degree Phi Beta Kappa/Summa Cum Laude from Dartmouth College and her medical degree from Weill Cornell Medical College, where she became a member of the Alpha Omega Alpha Honor Medical Society. She completed her residency at New York-Presbyterian and was the first obesity medicine fellow at Weill Cornell's Comprehensive Weight Control Center. Board-certified in internal medicine and obesity medicine, she hosts the Weight Matters podcast, speaks internationally, and has been recognized as a top influencer in wellness.📍 Connect with KatherineLinkedIn: Katherine (Heyman) Saunders, MD, FTOS Flyte Health Website: https://www.flytehealth.comFlyte Medical (for patients): https://www.joinflyte.com📚 Resources + MentionsAmerican Board of Obesity MedicineWeight Matters Podcast (hosted by Dr. Katherine Saunders and Dr. Louis Aronne)Rhythm Pharmaceuticals (genetic testing and treatments for obesity mutations)Comprehensive Weight Control Center at Weill Cornell MedicineRevitalized: A Guidebook to Following Your Healing Heartline by Dr. Andrea Austin🔑 Top 3 Key TakeawaysTreat obesity as a disease: Shift from blaming lifestyle to recognizing biological factors like genetics, medications, and set points—use evidence-based interventions like anti-obesity meds and surgery for lasting results.Communicate with compassion: In acute settings, ask permission to discuss weight, use neutral terms like "excess weight," avoid assumptions, and gently offer resources to build trust and reduce stigma.Address multifaceted causes: Identify contributors like stress-induced cortisol issues, progesterone-heavy birth control, or sleep apnea; collaborate with specialists and leverage tools like AI algorithms for personalized, multidisciplinary care.🩺 About the Host:Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out.With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart.💫 About the Show:Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible.Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done.Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for ...
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    43 min
  • ER Exit to Empire: Building Wealth, Wellness, and Freedom Beyond Burnout

    ER Exit to Empire: Building Wealth, Wellness, and Freedom Beyond Burnout
    Jan 13 2026
    What happens when the adrenaline of emergency medicine meets the high personal cost of shift work and family demands?In this Echo Episode, Dr. Andrea Austin talks with Dr. Miranda Phillips about her transition from full-time trauma center EM to a life of financial freedom and wellness. Inspired by a mission trip to Guatemala at age 16, Miranda pursued medicine to make a profound impact. She reflects on loving EM's wide scope but leaving due to burnout, single parenthood challenges, and value misalignments. Discover how she built passive income surpassing her salary, healed through lifestyle medicine, and now helps physicians via investing education and holistic care.You'll hear how they:Address EM burnout from nights, weekends, and high emotional costs, and the courage to pivot when family needs come firstBuild financial security through passive investing in real estate syndications, creating a safety net without more time demandsIntegrate lifestyle medicine to reverse chronic conditions, optimize personal health, and reclaim joy through routines like exercise and sleepInspire hope by challenging regrets, seeking mentors, and living aligned with values for a fulfilling post-burnout lifeIf you're an EM physician facing burnout or seeking financial and health freedom, this episode offers practical insights and encouragement for change.About the Guest:“I love what I'm doing. I love being financially free.” – Dr. Miranda PhillipsDr. Miranda Phillips is an emergency medicine physician, entrepreneur, investor, philanthropist, and international speaker. Starting her career in 2009 after a transformative mission trip, she practiced full-time EM until 2020, when burnout and family priorities led her to pivot. Co-founder of Elite Wealth and Wellness, she educates physicians on passive investing for financial independence. Board-certified in lifestyle medicine, she practices telemedicine at Saha Vita Institute, helping patients optimize health and reverse conditions like diabetes and hypertension.📍 Connect with MirandaWebsite: https://elitewealthandwellness.comEmail: miranda@elitewealthandwellness.com📚 Resources + MentionsAmerican College of Lifestyle MedicineSaha Vida Institute (Sarasota-based lifestyle medicine clinic)The Top Five Regrets of the Dying by Bronnie WareRevitalized: Coaching for Physicians🔑 Top 3 Key TakeawaysAlign career with values: When EM's demands clash with family and well-being, recognize the high cost and pivot courageously, options like urgent care or telemedicine can maintain your passion without the burnout.Secure financial freedom passively: Invest in vetted opportunities like real estate syndications to build income streams that surpass your salary, providing a safety net for life changes without more work hours.Optimize health via lifestyle medicine: Prioritize sleep, nutrition, cardio, resistance training, and stretching to heal adrenal suppression and burnout—reverse chronic issues and live your best life.🩺 About the Host:Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out.With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart.💫 About the Show:Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible.Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done.Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better.This isn’t about perfection. It’s about progress—with heart. 🎓 Upcoming Events & Opportunities🔥 ⁠⁠⁠⁠Recalibrate: Group Coaching for Physicians⁠⁠Starting 2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum myself—this program transformed my career. Learn more and enroll here, and please share with colleagues who may benefit.⁠⁠⁠ ⁠⁠⁠AAWEP St. Lucia Retreat | March 5–8, 2026⁠⁠For women EM physicians. Sun, ...
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    45 min
  • Taming Burnout, Reclaiming Values: An EM Physician's Journey

    Taming Burnout, Reclaiming Values: An EM Physician's Journey
    Jan 6 2026
    What draws someone with a big heart and endless curiosity into the narrowing path of medicine, and how do they reclaim their multifaceted self amid burnout and systemic challenges?In this Echo Episode, Dr. Andrea Austin talks with Dr. Amanda River about her unconventional journey in emergency medicine, from medical school friendships to leading a cannabis clinic and pursuing lifestyle medicine. Amanda reflects on her sister's Ewing sarcoma diagnosis that sparked her interest in medicine, the sacrifices of medical training, and the pride and frustrations of EM practice. They discuss the pathology of long hours, sleep deprivation myths, understaffing, and metrics that prioritize billing over patient care, while exploring ways to align personal values with professional life.You'll hear how they:Unpack the roots of burnout in EM, from value misalignments to unsafe staffing ratiosChallenge limiting beliefs in medical training, like 80-hour weeks and "scut work" that wastes physician expertiseAdvocate for system redesigns that empower teams, respect boundaries, and integrate patient voices for better outcomesFind hope in diverse career paths, from rural locums to cannabis and lifestyle medicine, to sustain joy in healthcareIf you're an EM physician questioning the status quo or seeking ways to realign your practice, this honest conversation offers insights into building a more humane system.About the Guest:“Emergency medicine is a mindset, not a place.” – Dr. Amanda RiverDr. Amanda River is an emergency medicine physician credentialing at a critical access hospital in rural Iowa, with locums experience in Oregon and Guam's public hospital. A former owner and medical director of a private cannabis medicine clinic, she is also board-certified in lifestyle medicine and passionate about integrating holistic approaches into EM. Her journey reflects a commitment to values-driven care, from farm roots to global practice.📍 Connect with AmandaLinkedIn: Dr. Amanda River📚 Resources + MentionsEmergency Mind podcast episode with Vinny Aurora (on sleep deprivation myths)It Takes Five to TangoRevitalized by Dr. Andrea Austin American Board of Lifestyle Medicine🔑 Top 3 Key TakeawaysAlign values to combat burnout: Recognize when systems prioritize metrics like door-to-doc times over quality care, and seek roles that honor your priorities like patient experience and team collaboration.Challenge medical training myths: Question 80-hour weeks, sleep deprivation, and "scut work", advocate for safe ratios, expanded teams, and boundaries to protect physician well-being and patient safety.Embrace diverse paths in medicine: EM skills translate beyond the ED, explore locums, cannabis clinics, lifestyle medicine, or rural practice to reclaim curiosity, balance, and impact.🩺 About the Host:Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out.With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart.💫 About the Show:Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible.Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done.Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better.This isn’t about perfection. It’s about progress—with heart. 🎓 Upcoming Events & Opportunities🔥 ⁠⁠⁠⁠Recalibrate: Group Coaching for Physicians⁠⁠Starting 2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum myself—this program transformed my career. Learn more and enroll here, and please share with colleagues who may benefit.⁠⁠⁠ ⁠⁠⁠AAWEP St. Lucia Retreat | March 5–8, 2026⁠⁠For women EM physicians. Sun, connection, and reflection in a stunning setting.Heart of Medicine in Uluru, Australiao Join us for this incredible one of a one-of-a-kind event in the heart of Australia at one of our most ...
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    37 min
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