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Mike Sacopulos speaks with Jordan Grumet, MD, associate medical director of Unity Hospice, podcaster, and author of The Purpose Code. Grumet shares his deeply personal journey from burning out as an internal medicine physician to finding fulfillment in hospice care, and explains how his work with dying patients has revealed profound lessons about living with purpose. Most people get purpose wrong, Grumet argues. Rather than being your "why" in life — some grand, audacious mission — purpose is simply the actions you take in the present and future that light you up. This reframe makes purpose abundant rather than anxiety-inducing. Working with dying patients has taught Grumet that the key question to ask yourself is: "If I were on my deathbed tomorrow, what would I regret never having the energy, courage, or time to do?" The answers reveal your true purpose anchors. "You don't find your purpose. You build or create it." Looking ahead, Grumet previews his upcoming AAPL book, The Healthcare Heist, which examines how third parties have leveraged the healthcare system and explores potential solutions. Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

In this enlightening episode, Mike Sacopulos sits down with three visionary leaders from the American Association for Physician Leadership (AAPL) — Peter Angood, MD, president and CEO, Joe LiVigni, senior vice president of education, and Devin Glasgo, director of consumer experience and development — to discuss the groundbreaking launch of AAPL Helix. AAPL Helix is a comprehensive learning ecosystem designed to redefine how physician leaders develop their skills throughout their careers. From AI-powered personalized learning to seamless community integration, this platform is more than just a tool — it’s a transformational approach to professional development that transcends traditional CME credit tracking. In this episode, you will explore: - The "Leadership is Learned" Philosophy - Beyond Transactional CME: A Transformational Ecosystem - AI-Powered Personalization - Competency-Based Learning Journeys - Streamlined User Experience - Community Integration - The Vision Forward Dr. Angood envisions Helix as the core of AAPL's evolution — supporting not only individual physician development but also institutional clients and expanding into inter-professional leadership development. With a legacy spanning 50 years, AAPL is positioned to lead healthcare transformation by strengthening the patient-physician relationship and empowering physicians as natural stewards of industry improvement. Don’t miss this fascinating conversation about how innovative technology is reshaping leadership in healthcare. Learn more about AAPL Helix at www.physicianleaders.org

In this insightful episode of SoundPractice, host Mike Sacopulos sits down with Vivek Iyer, an internationally recognized executive coach and principal of Swanvesha Executive Coaching. The Significance of Swanvesha: Derived from Sanskrit, "Swanvesha" means "self-enquiry," embodying the fundamental principle of coaching — that true, lasting solutions arise from introspection and focusing on what lies within one's control. Vivek shares his journey from corporate strategist to certified coach, offering valuable perspectives on how coaching can transform physician leaders facing the unique challenges of healthcare leadership. With extensive experience in strategic planning and process improvement at firms such as PricewaterhouseCoopers, Ernst & Young, and A.C. Nielsen, Vivek offers a unique global perspective, shaped by his experiences living in four countries and fluency in six languages. Whether you are considering working with a coach, curious about its transformative impact, or seeking to understand how strategic planning and facilitation can strengthen healthcare organizations, this episode delivers practical wisdom and actionable strategies for leaders at every stage of their journey. Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

In this episode of SoundPractice, Matthew Mazurek, MD, assistant professor of anesthesiology at Yale School of Medicine discusses his new book, Sexual Misconduct, Harassment, and Discrimination in Healthcare by the AAPL. Mazurek reveals sexual misconduct in healthcare occurs on multiple levels: - Confidential surveys show the problem remains significantly underreported. - Social media has created new avenues for inappropriate behavior, particularly among younger staff members. - Healthcare workers face harassment from patients more frequently than in other STEM fields due to physical touching and power dynamics. For healthcare leaders conducting investigations, Mazurek recommends: - Use two-person interview teams to avoid "he said, she said" situations while preventing respondents from feeling ganged up on. - Strip away who is telling the story and focus objectively on what happened. - Involve risk management early in high-stakes cases. - Maintain consistency in questioning and look for corroboration. Reality check: Lack of standardization across 50 state medical boards contributes to delays in addressing misconduct, with some physicians maintaining long histories of violations before consequences. Mazurek emphasizes prevention over investigation expertise: - Leadership must model appropriate behavior — executives engaging in misconduct set a tone of tolerance. - Training programs should use case studies in small groups to help staff feel the emotional impact, not just understand it intellectually. - Address microaggressions through comprehensive education on bias and stereotypes. - Create policies expressly covering social media interactions with colleagues as part of the work environment. The bottom line: Healthcare organizations must balance their duty to provide safe environments for staff with their obligation to care for patients, even when patient behavior crosses lines. Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

In this episode of SoundPractice, host Mike Sacopulos explores the critical skill of strategic thinking with Michael Gardner, MD, vice president and administrator of Women's and Children's Hospital at University Health in San Antonio, Texas. Gardner shares his extensive journey through physician leadership and breaks down why strategic thinking is essential for physicians who want to shape the future of healthcare. Michael Gardner is board certified in obstetrics and gynecology as well as maternal fetal medicine. He is a certified physician executive (CPE) and in 2025 became a fellow of the American Association for Physician Leadership. Why strategic thinking matters for physicians: Physicians bring a unique perspective that is essential for improving American healthcare. With healthcare consuming roughly 20% of GDP and outcomes that lag behind other developed nations, physician leaders must actively participate in strategic decision-making rather than exclude themselves from these conversations. Strategic vs. clinical thinking: While clinical thinking focuses on immediate patient care with narrow attention to detail, strategic thinking requires a broader view of internal and external environments, long-term organizational goals, and the ability to embrace foresight and ambiguity. The key difference lies in scope and timeline — strategic thinking means planning months and years ahead. Strategic thinking can be learned: Though some physicians may naturally gravitate toward systems-level thinking, strategic thinking is a skill that can be developed through mentorship, education, practice, and progressive leadership experiences. Starting with smaller leadership roles and building confidence prepares physicians for larger strategic challenges. Physician leaders as translators: Successful physician leaders must learn to speak both clinical and business languages. While they don't need to match their CFO's financial expertise or their COO's operational knowledge, they must understand enough to communicate effectively with administrative colleagues and translate strategic concepts back to medical staff. Gardner and his colleague Mark Guadagnoli, PhD, are developing a strategic thinking and planning course series for AAPL, including: - An online strategic thinking course - "The Who, What, Where, and When of Strategic Planning" course - A hybrid strategic planning workshop in 2026 where participants will create actual strategic plans with ongoing guidance and feedback. Learn more about the American Association for Physician Leadership at www.physicianleaders.org

Media relations is more than press releases — it's a strategic tool for driving hospital goals like patient acquisition, physician recruitment, and employee retention. Key Insights - Media vs. PR: Public relations is the tree; media relations is its largest branch. Both must align with organizational priorities, not executive egos. - Platform Strategy: Tailor content for each platform. Facebook, LinkedIn, TikTok. Know your audience and demographic. - Crisis Management: Handle negative social media comments strategically —hide misinformation, engage critics through patient advocates, and turn them into ambassadors. - Staffing Impact: Media relations enhance recruitment by showcasing employee recognition stories, cultivating a positive workplace narrative that attracts top talent. Episode Overview In this episode of SoundPractice, Mike Sacopulos interviews Dan Collins, senior director of media relations at Mercy Medical Center in Baltimore. With nearly three decades of experience at Mercy and a journalism background with the Washington Times and Baltimore Examiner, Collins offers expert insights into how strategic media relations can transform healthcare organizations. Mercy Medical Center's success story is remarkable: the urban community hospital grew from seventh to first in Baltimore's women's health market share, thanks to their "magnet doc" philosophy — recruiting top-tier physicians whose reputations attract patients and peers. Collins explains the hospital’s innovative partnership with NBC affiliate WBAL for "The Woman's Doctor," a weekly TV segment running for over 30 years (likely the longest-running hospital media campaign in the U.S.). The conversation explores tailoring content for different platforms, avoiding TikTok because of demographic mismatches, and managing social media crises by addressing misinformation while engaging critics directly. Collins emphasizes the importance of collaborating with hospital executives, ensuring media relations teams are part of strategic planning. The episode concludes with how media relations support staffing challenges by creating recognition stories for nurses and other healthcare workers, demonstrating organizational values that aid in recruitment and retention. Why It Matters Patients choose doctors, not hospitals. Strategic media relations ensure the right physicians reach the right audiences at the right time. Contact Dan Collins at [email protected] Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

In this episode of SoundPractice, host Mike Sacopulos sits down with John Sawyer, PhD, ABPP-CN, a neuropsychologist and medical director of professional staff experience at Ochsner Medical Center in New Orleans, Louisiana, who leads initiatives to address physician burnout and improve well-being across Ochsner's 40,000 employees. With healthcare facing a workforce crisis — an aging population requiring more care, fewer physicians entering the field, and reduced discretionary time among practitioners — Sawyer shares Ochsner’s innovative approach to tackling burnout. Since 2017, Ochsner has focused on three pillars: building individual resilience, improving ease of practice by reducing administrative burdens, and fostering team and culture development. Sawyer also introduces his framework of four archetypes of burned-out physicians: - Over-Engaged: Taking on too much, with unclear priorities. - People-Pleaser: Struggling with boundaries and delegation. - Perfectionist: Over-documenting and micromanaging. - Cynic: Problem-focused and rejecting solutions. He emphasizes the importance of creating psychological safety, where physicians can openly discuss challenges without fear of career repercussions. Effective well-being programs should address the entire healthcare team, as physicians rely on engaged support staff to function effectively. Also, Sawyer encourages organizations to start well-being initiatives now, view them as investments in retention and recruitment, and commit financial resources to wellness efforts — even those not tied directly to RVU generation. Whether you are a healthcare leader or practitioner, this episode provides actionable insights into combating burnout and making your organization "irresistible." Connect with Dr. John Sawyer on LinkedIn. http://linkedin.com/in/john-sawyer-phd-abpp-cn-a1b842156 Learn more about the American Association for Physician Leadership at www.physicianleaders.org

In this episode join healthcare executive and patient experience expert Susan Baker as she uncovers actionable strategies to increase patient loyalty and recommendations. From mastering respect-driven behaviors to leveraging social media testimonials, Susan shares insights that can transform your patient experience and drive revenue growth. Discover how to: - Define and demonstrate respect in every interaction. - Empower patients by offering choices, not commands. - Build trust by acknowledging preferences — even when compromises are needed. - Nail the basics: introductions, empathy, wait-time acknowledgment, and clear communication. Plus, learn how to strategically request feedback, optimize HCAHPS scores, and turn social media reviews into powerful marketing tools. Whether you're a physician leader or healthcare administrator, this episode is packed with practical tips to elevate your patient care approach. Connect: Visit https://susanbaker.com/ to connect with Susan Baker Learn more about the American Association for Physician Leadership at www.physicianleaders.org

In this compelling episode, we sit down with Mohamad Saad, MD, MBA, CPE, an internal medicine physician, healthcare leader, and certified coach, to explore solutions for two of healthcare's most pressing challenges: workforce disengagement and physician burnout. With 70% of employees disengaged and burnout at crisis levels, Saad presents a data-driven approach to organizational alignment and coaching that can revolutionize healthcare leadership. Why it matters: Burnout and disengagement don’t just affect morale — they impact outcomes. Engaged employees are 1.5x more productive, and inspired employees are 2.25x more productive. Saad’s alignment framework connects organizational vision and goals to frontline work, creating purpose-driven teams that thrive. Key Insights: - The alignment triangle: How cascading vision → mission → goals → SMART objectives → projects, drives measurable improvements. - Three types of alignment: Vertical (vision to frontline), horizontal (cross-departmental), and diagonal (interdisciplinary connections). - Coaching vs. directing: Why empathetic listening and powerful questions unlock potential better than traditional leadership. - AI’s role in healthcare: How artificial intelligence will amplify emotionally intelligent physicians while challenging those still developing intrinsic skills. Real-world results: As a residency program director, Saad aligned resident quality improvement projects with hospital operational goals, significantly reducing length-of-stay for heart failure, pneumonia, and COPD patients. Bottom line: Healthcare leaders need tools like organizational alignment and coaching to combat burnout, inspire teams, and prepare for the future. Saad’s insights offer actionable strategies for creating engaged, purpose-driven organizations. Connect with Mohamad Saad, MD, MBA, CPE, http://linkedin.com/in/mohamad-s-saad-md-mba-cpe-dipablm-icf-coach-b80533371 Learn more about the American Association for Physician Leadership.

Healthcare is changing faster than ever, but it is not just about new technology. It is about patients becoming active, equal partners in their own care. In this episode, Mike Sacopulos sits down with Bertalan Mesko, PhD, director of The Medical Futurist Institute and author of The Guide to the Future of Medicine, Technology, and the Human Touch, to explore how patient empowerment is reshaping the future of medicine. Mesko explains why the biggest shift in modern healthcare is not AI or digital tools — it is the idea of patients becoming “members of their own medical team” and working side-by-side with their doctors. He shares practical advice for policymakers, healthcare professionals, and patients on how to navigate this new era, from mastering AI tools to building stronger doctor-patient relationships. Key topics include: - Why patients are the most underutilized resource in healthcare - The importance of starting with partnerships, not technology - Predictions for remote care and the challenges ahead - Surprising insights into skills doctors will need in the future (hint: it involves AI prompts!) This episode is packed with thought-provoking ideas about the evolving doctor-patient relationship and what it means for the future of primary care. Tune in to hear Mesko’s vision for a healthcare system that puts patients at the center, and why he believes medical future studies should become a scientific discipline. Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

In this episode of SoundPractice, host Mike Sacopulos sits down with Peter Hotez, MD, PhD, professor of pediatrics and molecular virology, Baylor College of Medicine and the co-author of the new book (with Michael Mann) Science Under Siege: How to Fight the Five Most Powerful Forces that Threaten Our World. Hotez pulls back the curtain on the alarming rise of anti-science movements that are costing lives and threatening public health. From vaccine misinformation that led to 200,000 preventable COVID deaths in America to a tragic measles outbreak fueled by unvaccinated populations, he reveals the five powerful forces driving the war on science: - Plutocrats: Wealthy donors funding anti-science think tanks. - Petro-states: Governments opposing climate and health science for profit. - Pros: Credentialed experts pushing contrarian agendas. - Propagandists: Media amplifying misinformation. - Press: Outlets promoting false "both sides" narratives. Hotez also traces the evolution of the anti-vaccine movement, from debunked autism claims to today’s wellness influencers profiting off pseudoscience. He challenges medical professionals to embrace the "art" of medicine and step up as defenders of scientific truth. His call to action is clear: silence and invisibility allow bad actors to win. Physicians remain heroes on the frontlines, but they must help turn the tide against misinformation. This must-listen episode is for anyone passionate about science, medicine, and the fight for public health. Tune in to learn how we can push back against disinformation and secure a healthier future for all. Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

Physician leadership is evolving from informal, "oldest doctor gets the job" to rigorous, accredited training programs that could reshape healthcare administration. Mike Sacopulos interviews Daniel A. Handel, MD, MBA, MPH, CPE, chief medical officer at Atrium Health, to discuss the basics of the new Healthcare Administration, Leadership, and Management (HALM) fellowship. The exam, first held in November 2024, will now be offered annually because of increased physician demand; it was previously biennial. Handel is the editor of the new textbook, Healthcare Administration, Leadership and Management: The Essentials, First Edition, with 44 expert contributors covering finance, compliance, HR, among other executive topics. He is also a contributor to a board review course that AAPL is developing for HALM. Handel’s overarching advice for physician leaders: “Stay focused on your why — the purpose that drove you to leadership in the first place.” Resources: - Healthcare Administration, Leadership and Management: The Essentials, First Edition - Connect with Dan Handel, MD Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

In this expanded episode of SoundPractice, host Mike Sacopulos sits down with Jerome Adams, MD, MPH, the 20th Surgeon General of the United States, to discuss his remarkable journey from a rural community in Maryland to becoming the nation's top doctor. Adams shares personal anecdotes, professional insights, and the challenges he faced while serving as Surgeon General. This episode covers the nuances of the role of the Surgeon General and is a must-listen for anyone interested in public health, physician leadership, and the evolving role of physicians in society. Tune in to this insightful conversation that sheds light on the critical issues facing our healthcare system today. Episode Highlights - Path to Leadership: Explore Adams’ unexpected journey into medicine, including parental influence, personal health challenges, role models, and the impact of professional organizations. - Role and Responsibilities of the Surgeon General: Understand the historical and modern roles of the Surgeon General and key initiatives during Adams’ tenure, such as promoting Naloxone to combat the opioid crisis. - Trust in Physicians and Institutions: Learn strategies to rebuild trust in healthcare through personalized care and patient concern. - Balancing Individual Freedom and Public Health: Examine the balance between individual freedom and public health, emphasizing empathy and communication in addressing issues like vaccine hesitancy and chronic diseases. - The Importance of Public Service: Recognize the value of public service in enhancing the skills and character of physicians. Resource: Book by Jerome Adams, MD, MPH: Crisis and Chaos Learn more about the American Association for Physician Leadership at www.physicianleaders.org

Host Mike Sacopulos interviews Jennifer O’Brien, a healthcare expert and author, to discuss her book, Care Boss: Leadership Strategies and Resources for Family Caregivers. They delve into the growing demographic of family caregivers, address the challenges they face, and the perspective of caregiving as a leadership role. Don’t miss this insightful discussion where Jennifer shares actionable advice, strategies, and resources to help caregivers manage their responsibilities effectively. Episode Highlights - Growing Demographics: Discover the rise in family caregivers in the United States, with 53 million Americans currently serving in this role and the expectation of continued growth because of an aging population. - Caregiving as Leadership: Recognize caregiving as a leadership role that can provide clarity and direction in managing care responsibilities and apply leadership strategies to effectively handle the emotional and logistical challenges associated with caregiving. - Early Preparation: Learn the importance of planning and preparing for caregiving duties before illness strikes, and explore the benefits of early considerations, such as home modifications and end-of-life conversations. - Support Systems: Identify and use available support systems, including professional caregivers, to enhance caregiving effectiveness, engage family and friends in specific caregiving tasks to distribute responsibilities and lighten the caregiver's load, and understand the role of healthcare professionals in involving and supporting family caregivers as vital members of the care team. - Emotional Resilience: Acknowledge the isolation and emotional strain that caregivers often experience and use leadership tools to manage stress and maintain perspective. Resource - Book by Jennifer O’Brien: Care Boss: Leadership Strategies & Resources for Family Caregivers offers practical tools, from creating a go-bag to comprehensive medical records and is an essential resource for caregivers, providing both strategic guidance and heartfelt support. Learn more about the American Association for Physician Leadership at www.physicianleaders.org

In this episode of SoundPractice, Ron Howrigon, president and CEO of Fulcrum Strategies, brings his extensive experience in the healthcare industry to the forefront. Having worked as a senior executive with major managed care companies like Cigna, Kaiser Permanente, and Blue Cross Blue Shield, Howrigon shares his journey. From negotiating contracts to founding Fulcrum Strategies, his consulting firm helps doctors and hospitals navigate the complex world of managed care agreements so they can focus more on patient care. With a keen eye on the flaws of a profit-driven healthcare system, join us as we delve into the complexities of the healthcare system and discuss innovative solutions for a better future. Key Takeaways: - Navigating Capitalistic Healthcare: Uncover the inherent problems of a for-profit healthcare system where insurers often prioritize shareholder profits over patient care. Howrigon also discusses Medicare reimbursement cuts and provides a balanced view on private equity in healthcare, highlighting both potential benefits and risks. - Changing Patient Experience: Over the last 30-40 years, increasing bureaucracy and challenges in accessing necessary care have dramatically altered the patient experience, leading to poor health outcomes and a more critical patient perspective on the industry. - Solutions and Reforms: Howrigon suggests vital reforms to ensure medical directors for third-party payers adhere to medical practice standards when approving or denying claims, aiming to enhance patient care. - Impact of Physician Employment: Explore how the shift from self-employed physicians to those employed by non-physician-controlled organizations affects relationships at every level of healthcare. Howrigon predicts significant access issues and reimbursement changes because of the worsening physician shortage. - Learn more and Connect: -- Gain more insights in Howrigon’s books, CLEAR! Reforming Healthcare to Save the U.S. Economy and FLATLINING: How Healthcare Could Kill the U.S. Economy. -- Visit fsdoc.com to connect with Ron Howrigon. Learn more about the American Association for Physician Leadership at https://www.physicianleaders.org/.