Rx for Success Podcast

MD Coaches

The Rx for Success podcast spotlights physician leaders reflecting on the elements that made them successful. The podcast is hosted by Dr. Randy Cook, a well-regarded general and vascular surgeon, and former radio personality. Life-Changing Moments hosted by Dr. Dael Waxman is the Rx for Success companion podcast and focuses on the turning points in lives and careers that drive success

  1. 11h ago

    Rx for Success – Staying Well-Rounded: A Journey from Allergy to Advocacy with Dr. Basil Kawash

    What does it take to build a career that feels both successful and fulfilling—while staying true to yourself? In this engaging episode of Rx for Success, host Dr. Randy Cook sits down with Dr. Basil Kawash, an allergist and immunologist practicing in Columbus, Ohio, to explore a career shaped by family legacy, thoughtful choices, and a commitment to staying well-rounded. Dr. Kawash shares his journey as the son of Syrian immigrant physicians, his decision to attend a small liberal arts college, the gap year that shaped his maturity, and how mentors drew him to internal medicine and allergy/immunology. He also opens up about the difficult decision to leave academic medicine at Vanderbilt to return home to Columbus—and why it was the right move. Along the way, he offers four memorable prescriptions for success: stay well-rounded, seek advice from happy people, be an outlier, and don't take everything too seriously. Key Topics Discussed: Growing up in a family of physicians—both parents and several aunts and uncles. His parents' journey as Syrian immigrants navigating medical careers in the U.S. Choosing a small liberal arts college over a large university—and why it was the right fit. The gap year between college and medical school: maturity, experience, and a better application. Choosing internal medicine for breadth and mentorship. The 18 weeks of surgery that convinced him he wanted something else. Why allergy and immunology won him over—personal experience with asthma and eosinophilic esophagitis. The serendipitous path to Vanderbilt: a journal ad, a cold email, and a next-day phone call. Leaving academia for private practice in Columbus: family, familiarity, and a great group. Dr. Kawash's four prescriptions for success: Stay well-rounded. Seek advice from happy people. Be an outlier. Don't take everything too seriously. Guest Information: Dr. Basil Kawash, MD – Allergist and Immunologist, Columbus, Ohio Connect on LinkedIn: Basil Kawash Article co-authored with Dr. Graham Walker at offcall.com Relevant Links: MD Coaches: mymdcoaches.com Offcall: offcall.com Companion podcast: Life-Changing Moments with Dr. Dael Waxman

  2. Oct 5

    Life Changing Moments – Rethinking Autonomy: A New Framework for Physician Fulfillment with Dr. Mark Greenawald

    What do physicians really mean when they say, "I just don't have enough autonomy anymore"? Is autonomy something we either have or don't have? Is more always better? Or is the issue more complex than we've assumed? In this thought-provoking episode of Life Changing Moments, host Dr. Dael Waxman is joined by Dr. Mark Greenawald—professor, vice chair of Family and Community Medicine at Carilion Clinic, medical director of the Carilion Clinic Institute for Leadership Effectiveness, and a fellow coach and teacher at the Healthcare Coaching Institute. Together, they challenge one of medicine's most common assumptions and offer a richer, more nuanced framework for understanding autonomy. Drawing from their recent series of articles in Family Practice Management, Dale and Mark explore the six domains of autonomy—clinical, operational, ethical, economic, policy, and interpersonal—and explain why autonomy lives on a continuum, not a binary. They discuss how your "sweet spot" shifts across seasons of your career and life, why autonomy can become a "trigger word" for administrators, and the liberating paradox that by giving up some autonomy, you often gain more influence. Mark also shares his powerful coaching tool—pause, turn down the volume, and get curious—for anyone feeling their autonomy has been stripped away. Key Topics Discussed: Dael's personal story of being "shut down" after raising autonomy at a physician leadership retreat. Why autonomy has become a "buzzword" and a "trigger word" for administrators. The six domains of autonomy: Clinical – making clinical decisions in and beyond the exam room. Operational – influencing schedules, benefits, and workflow. Ethical – practicing in alignment with your values. Economic – controlling the business and compensation aspects. Policy – influencing organizational policies and procedures. Interpersonal – having a say in who you work with. Why autonomy lives on a continuum—and why more autonomy means more risk and responsibility. How your ideal spot on the continuum changes across seasons of life and career. The mismatch problem: when what you need economically conflicts with what you want operationally. Why the training model still primes physicians for independence, even as 90% of graduates enter employed practice. The developmental arc of residency: survival → identity → independence → interdependence. The paradox of autonomy: by being a team player and helping shape culture, you often gain more influence. Why operational autonomy is the most common source of frustration for employed physicians. "Treat me like an adult": the importance of sharing the why behind organizational decisions. Mark's three-part coaching tool: Pause, Turn Down the Volume, Get Curious. The difference between "What do you want?" and "What do you need?" Why physicians—who are trained as helpers—often struggle to acknowledge their own needs. Guest Information: Dr. Mark Greenawald, MD – Professor and Vice Chair, Department of Family and Community Medicine, Carilion Clinic; Medical Director, Carilion Clinic Institute for Leadership Effectiveness; Virginia Tech Carilion School of Medicine Articles in Family Practice Management: "How to Be Well Employed" (2022); Autonomy series (late 2025–2026) Dr. Dael Waxman, Physician Coach, MD Coaches – Host, Life Changing Moments Relevant Links: MD Coaches: mymdcoaches.com Family Practice Management – Articles by Dr. Mark Greenawald and Dr. Jason Marker Healthcare Coaching Institute Companion podcast: Rx for Success with Dr. Randy Cook

  3. Aug 31

    220. The Author: Dr. Stuart Slavin, MD, MEd

    What happens when the relentless pursuit of success becomes the very thing that undermines our well-being? In this profound episode of Rx for Success, host Dr. Randy Cook sits down with Dr. Stuart Slavin—pediatrician, educator, researcher, and author of the new book The Success Trap: How the Pressure to Stand Out is Fueling Anxiety, Depression, and Burnout in Teens. Dr. Slavin shares his remarkable journey from a shy college student who wasn't sure medicine was for him to a transformative leader in medical education and physician well-being. He recounts the pivotal moment when he discovered that medical school itself was causing profound harm to students—and how he and his colleagues at St. Louis University transformed their curriculum, reducing depression and anxiety rates by 80% while actually improving academic performance. He also discusses his groundbreaking research on adolescent mental health, revealing that school-related pressures—not social media—are the top drivers of stress for today's youth. This conversation is a must-listen for anyone concerned about the well-being of the next generation of physicians and the culture that shapes them. Key Topics Discussed: Growing up with a physician father and a consumer advocate mother who modeled making a difference. The surprising path to medicine: deciding to apply to medical school mid-fall of senior year. Choosing pediatrics because of "who are my people?" and finding joy in the community. Getting a master's in education—a rare and career-defining decision. The pivotal moment: surveying medical students and realizing "we're doing this to them." Transforming the St. Louis University medical school curriculum: reducing class time, pass-fail grading, and freeing up time for meaning. The stunning results: 80% reduction in depression and anxiety, improved academic performance, and halved failure rates. The "success trap": how relentless achievement pressure and extrinsic motivation are harming young people. Research in 18 high schools: top stressors are school-related, not social media. The importance of sleep: average high school students get only 6.5 hours (need 9-10). Dr. Slavin's new book: The Success Trap—a parenting guide and call to rethink education. The wisdom of Viktor Frankl: success cannot be pursued; it must ensue from dedication to a cause greater than oneself. Big M and little M meaning: finding purpose in everyday moments of connection. Guest Information: Dr. Stuart Slavin, MD, MEd – Pediatrician, Educator, Researcher, Author Website: drstuartslavin.com Book: The Success Trap: How the Pressure to Stand Out is Fueling Anxiety, Depression, and Burnout in Teens (Available at local booksellers, Amazon, Barnes & Noble) Relevant Links: MD Coaches: mymdcoaches.com Companion podcast: Life-Changing Moments with Dr. Dale Waxman Viktor Frankl's Man's Search for Meaning

    220. The Author: Dr. Stuart Slavin, MD, MEd
  4. Jul 13

    Life Changing Moments - Coaching Human Factors: Saving Cognitive Energy in Medicine with Dr. Sachiko Kaizuka

    Why do some physicians thrive when new workflow tools are introduced, while others continue to struggle despite having access to the same resources? In this insightful episode of Life Changing Moments, host Dr. Dael Waxman sits down with Dr. Sachiko Kaizuka—Associate Professor of Family Medicine at the University of Rochester School of Medicine—to explore the intersection of physician well-being, workflow design, and coaching. Dr. Kaizuka shares her journey from rural practice burnout to becoming an EMR "super user" and wellness advocate. She introduces the concept of human factors ergonomics—a framework used in aviation and aerospace to optimize human performance—and explains how it applies to healthcare. Her research demonstrates that combining human factors principles with personalized coaching helps physicians reduce cognitive load, improve note closure rates, decrease after-hours EMR work, and sustain improvements in well-being long after coaching ends. This conversation offers practical tools for any clinician feeling overwhelmed by documentation, inbox management, and the competing demands of modern medicine. Key Topics Discussed: Dr. Kaizuka's personal journey through burnout and recovery in rural practice. The concept of human factors ergonomics and its application to healthcare. Understanding cognitive energy as a finite resource that must be budgeted and replenished. Why resilience and mindfulness alone aren't enough to address physician burnout. The "missing link" between workflow tools and physician adoption: personalized coaching. How coaching helps clinicians identify and challenge beliefs about perfectionism and expectations. Practical examples: reframing note-writing, setting boundaries, and letting go of unnecessary tasks. The NASA Task Load Index and the emotional cost of frustration. Results from Dr. Kaizuka's pilot study: improved note closure rates, reduced after-hours EMR use, sustained well-being improvements. The power of shifting from "EMR hater" to curious learner. Future plans: scaling the coaching model and training peer coaches. Guest Information: Dr. Sachiko Kaizuka, MD – Associate Professor of Family Medicine, University of Rochester School of Medicine MD Coaches: mymdcoaches.com Relevant Links: MD Coaches: mymdcoaches.com Companion podcast: Rx for Success with Dr. Randy Cook Society of Teachers of Family Medicine (STFM)

    Life Changing Moments - Coaching Human Factors: Saving Cognitive Energy in Medicine with Dr. Sachiko Kaizuka
  5. Jun 8

    219. The OBGYN: George Nowacek, MD

    What happens when a physician faces a devastating obstetrical outcome, crushing malpractice premiums, and the realization that the career path they've chosen is no longer sustainable? In this deeply personal and insightful episode of Rx for Success, host Dr. Randy Cook sits down with Dr. George Nowacek—an OBGYN practicing in Chapel Hill, North Carolina, and the newest addition to the MD Coaches team. Dr. Nowacek shares his remarkable journey from growing up in Virginia, to an old-school residency (pre-duty hour restrictions), to private practice in Macon, Georgia, and eventually to a fulfilling academic career at UNC. He opens up about the difficult decision to stop practicing obstetrics after a traumatic outcome, the financial pressures that influenced that choice, and the unexpected joy of pivoting to a GYN-only practice and later to academic medicine. Along the way, he offers profound wisdom on defining success on your own terms, cultivating relationships across a lifetime, and prioritizing the activities that charge your battery. Key Topics Discussed: Growing up with parents in education and discovering medicine as an "assumption" rather than a dramatic calling. The challenge of choosing a specialty with limited information in medical school. Why OBGYN appealed to his personality: every day is different (medicine, primary care, procedures, surgery). The reality of residency in the pre-duty hour era: survival mode, doubt, and learning on the fly. Reflections on duty hour restrictions and the evolution of medical training. The transition from residency to private practice: the "quantum jump" from trainee to the person in charge. The emotional and practical impact of a bad obstetrical outcome. How malpractice premiums (pre-caps) made obstetrics financially unsustainable. The decision to leave obstetrics and pivot to a GYN-only private practice. Being recruited into academic medicine at UNC Chapel Hill. The rewards of teaching: watching trainees grow from interns to chiefs. Discovering coaching through a grand rounds presentation and pursuing training. The importance of peer support for physicians who have experienced bad outcomes. Dr. Nowacek's three prescriptions for success: define success for yourself, cultivate relationships, and find what charges your battery. Guest Information: Dr. George Nowacek, MD – OBGYN, UNC Chapel Hill, Physician Coach, MD Coaches MD Coaches: mymdcoaches.com Relevant Links: MD Coaches: mymdcoaches.com Companion podcast: Life-Changing Moments with Dr. Dale Waxman American College of OBGYN (ACOG) Peer Support Programs

    219. The OBGYN: George Nowacek, MD
  6. May 18

    Life Changing Moments – Coaching Physician Moms: Small Shifts, Big Impact with Dr. Cindy Van Praag

    Many physicians today carry a quiet but persistent tension—trying to meet the demands of medicine while also showing up for their lives outside of it. And often, it can feel like no matter how much they give, it's never quite enough. In this insightful episode of Life Changing Moments, host Dr. Dael Waxman sits down with Dr. Cindy Van Praag—anesthesiologist, integrative health and wellness coach, and the newest addition to the MD Coaches team. Cindy shares her personal journey from practicing anesthesiology to discovering coaching at exactly the right moment in her life. She explains what drew her to focus specifically on physician moms, the themes that show up again and again in her coaching work, and how small, intentional shifts can lead to profound change. Together, Dael and Cindy explore the difference between surface problems and underlying drivers, the power of neuroplasticity and small steps, and practical tools like breath work and the "dichotomy of control" that any physician can start using today. Key Topics Discussed: Cindy's pathway from anesthesiology to integrative medicine to health and wellness coaching. The serendipitous moment she agreed to "help a colleague with her coaching hours"—and ended up being transformed herself. What drew Cindy to focus specifically on physician moms as her coaching niche. The internal factors (sleep, exhaustion, feeling out of control) and external factors (work systems, relationships, schedules) that bring clients to coaching. The underlying drivers beneath the surface: self-criticism, fear, guilt, and the struggle for control. How inner conflicts show up in daily life: stopping activities you love, not recognizing yourself, constant doing for others. The power of neuroplasticity and the field of grass metaphor for laying down new neural pathways. Why small, achievable steps are the key to sustainable change. How to prioritize what matters most by connecting choices to your values and sense of purpose. Practical small shifts listeners can try today: breath work to activate the parasympathetic nervous system. The dichotomy of control: focusing energy on what you can control (thoughts, words, responses) and releasing what you cannot. What integrative health and wellness coaching actually means: a whole-person approach addressing relationships, environment, spirituality, purpose, and physical health. Cindy's powerful takeaway for physician moms: "You are enough." Guest Information: Dr. Cindy Van Praag, MD – Anesthesiologist, Integrative Health & Wellness Coach, MD Coaches Podcast: Inspired Mom MDs Website: inspiredmommds.com LinkedIn: Cindy Van Praag MD Coaches: mymdcoaches.com Relevant Links: MD Coaches: mymdcoaches.com Follow Life Changing Moments for more conversations on physician growth and transformation Companion podcast: Rx for Success with Dr. Randy Cook

    Life Changing Moments – Coaching Physician Moms: Small Shifts, Big Impact with Dr. Cindy Van Praag
  7. May 4

    The Anesthesiologist: Cindy Van Praag, MD

    What happens when a physician realizes she's running all her burners at 110% and something has to change? In this inspiring episode of Rx for Success, host Dr. Randy Cook sits down with Dr. Cindy Van Praag—a board-certified anesthesiologist, integrative medicine physician, health coach, and podcast host of Inspired Mom MDs. Cindy shares her remarkable journey from a childhood fascination with a book called Diseases to a successful career in anesthesia, through periods of burnout, and ultimately to a place of healing and intentional living. She opens up about her transformative experience in the Andrew Weil Center for Integrative Medicine fellowship, how meditation and self-care became non-negotiable, and why she co-founded a ketamine infusion center to help those with treatment-resistant depression and chronic pain. Along the way, she offers practical wisdom on setting boundaries, listening to your inner voice, and crafting a life that fits—not the other way around. Key Topics Discussed: Growing up moving across the country and how it shaped comfort with change. The book Diseases as a childhood treasure and early sign of a medical calling. The career counselor who said, "You absolutely should apply to medical school." Why anesthesia? Peeking over the surgical drape and finding the "cool, calm" people. The natural segue from anesthesia to integrative medicine and coaching. Cindy's personal journey through burnout: losing her mother, raising young kids, and pushing 110%. How the Andrew Weil fellowship taught self-care as part of the curriculum. The power of meditation and breath work—starting with just a few minutes. Learning to set boundaries with patients and saying no without guilt. Co-founding Spring Center of Hope: a ketamine infusion therapy center for depression, suicidal ideation, and chronic pain. Why low-dose ketamine is radically different from the doses used in operating rooms. Launching Inspired Mom MDs podcast and why the lessons apply to everyone, not just physician moms. Cindy's three prescriptions for success: focus on what matters, release what you can't control, and listen to your inner voice. Guest Information: Dr. Cindy Van Praag, MD – Anesthesiologist, Integrative Medicine Physician, Health & Wellness Coach Podcast: Inspired Mom MDs Website: inspiredmommds.com LinkedIn: Cindy Van Praag Relevant Links: MD Coaches: mymdcoaches.com Companion videocast: Life-Changing Moments with Dr. Dale Waxman Andrew Weil Center for Integrative Medicine     Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify --- There's more at https://mymdcoaches.com/podcast Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com Production assistance by Clawson Solutions Group, find them on the web at csolgroup.com

    The Anesthesiologist: Cindy Van Praag, MD
  8. Apr 20

    Beyond Burnout: Reclaiming Meaning, Agency & Yourself in Medicine

    If you're a physician and you've ever found yourself wondering, "Is it just me, or is something off?"—this conversation is for you. In this deeply reflective episode of Life Changing Moments, host Dr. Dael Waxman is joined by his colleague at MD Coaches, Dr. Carla Rotering—a pulmonologist, intensivist, former medical staff president, writer, poet, and musician with over 20 years of coaching experience. Together, they explore what lies beneath the familiar but often inadequate word "burnout." Carla shares her own powerful journey through depletion—including the moment she threatened God with a lawsuit for breach of contract—and how small, intentional shifts helped her reclaim her sense of self. They discuss the hidden costs of overgiving, the identity crisis that keeps physicians stuck, and the transformative power of curiosity, agency, and asking for what you need. This episode is not about quick fixes. It's an invitation to understand what may be happening beneath the surface and to begin considering what small shifts might open the door to more meaning, engagement, and gratification in your work. Key Topics Discussed: Why the word "burnout" underestimates the experience and can even be a turnoff for physicians. The subtle, slow erosion of self that happens as physicians adapt to the "machinery of medicine." How depletion manifests: cynicism, loss of caring, numbing behaviors, and distance from relationships. The cultural reinforcers that reward overgiving and make being "busy and tired" a badge of honor. What physicians may be protecting by staying in painful situations (identity, shame, fear of failure). The liberating realization: "I could quit" and "I am here by choice." Small, daily practices that can shift experience, including taking two breaths before entering a patient's room. Asking nurses to ask, "What color are your patient's eyes?" as a practice of connection. Practical exercises for listeners: "What expands me / what contracts me" and "What moments today did I feel most like myself?" The powerful shift from "I'm the only one who can" to "I work among people I can trust." The role of coaching: creating a container for discovery, asking powerful questions, and helping physicians reclaim agency. Guest Information: Dr. Carla Rotering, Physician Coach, MD Coaches – Pulmonologist, Intensivist, Writer, Poet, Musician Dr. Dael Waxman, Physician Coach, MD Coaches – Host, Life Changing Moments Website: mymdcoaches.com Join the MD Coaches community on Facebook Relevant Links: MD Coaches: mymdcoaches.com Follow Life Changing Moments for more conversations on physician growth and transformation MD Coaches Facebook Community

    Beyond Burnout: Reclaiming Meaning, Agency & Yourself in Medicine
4.9
out of 5
36 Ratings

About

The Rx for Success podcast spotlights physician leaders reflecting on the elements that made them successful. The podcast is hosted by Dr. Randy Cook, a well-regarded general and vascular surgeon, and former radio personality. Life-Changing Moments hosted by Dr. Dael Waxman is the Rx for Success companion podcast and focuses on the turning points in lives and careers that drive success

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