The Intentional Surgeon with Sharon L. Stein, MD

Sharon L. Stein, MD
  • 5.0 (7)
  • MEDICINE
  • UPDATED BIWEEKLY

Welcome to The Intentional Surgeon, where we dive deep into the people, institutions, and ideas reshaping the culture of surgery. Hosted by Dr. Sharon Stein, an internationally recognized colorectal surgeon, professor, and change agent, this podcast explores the challenges and opportunities transforming the surgical world. Each episode features inspiring guests who are pioneering new ways to practice surgery, educate future surgeons, and redefine patient care and the surgical workforce. Join Dr. Stein on this thought-provoking journey to discover how innovation is driving change and improving the future of surgery.

  1. S03EP05: Wellness in Surgery with Dr. Mary Brandt

    2D AGO

    S03EP05: Wellness in Surgery with Dr. Mary Brandt

    In a medical culture that often views vulnerability as a deficit and burnout as a personal failure, Dr. Mary Brandt has spent decades advocating for a different path. A retired pediatric surgeon, ordained minister, and professor of medical ethics, Mary was talking about "wellness" long before it became a buzzword in surgical training. In this episode, Dr. Sharon Stein and Dr. Brandt explore the injuries sustained in the pursuit of surgical "success" and how a return to compassion, truth-telling, and intentionality can not only save individual careers but transform an entire profession. In This Episode, We Discuss: The Evolution of Suffering: Why 50% or more of surgical residents are burned out and why this as a systemic crisis rather than a personal weakness.Humility vs. Vulnerability: Mary challenges the idea that great surgeons must be infallible. In fact, she argues it is impossible to be a great surgeon without the humility to know (and grow) when you come up short.Practicing GRACE: Mary breaks down a powerful mnemonic for focusing one patient and interaction at a time:Gathering AttentionRecalling IntentionAttuning to Self and OthersConsidering what will serveEngaging and EndingThe "Imposter Syndrome" Reframe: Why Mary believes that what we call "imposter syndrome" is actually just a healthy level of humility medicalized into a deficit.The Three Tasks of the Revolution: Mary invites every listener to join a grassroots effort to change medical culture through three simple (but not easy) tasks:Practice Compassion.Tell the Truth (Saying out loud, "That's not normal").Decide Who You Work For (Hint: It’s not the C-Suite).Featured Guest: Mary L. Brandt, MD, MDiv is a distinguished Professor Emeritus at Baylor College of Medicine and a graduate of the Iliff School of Theology. She is a world-renowned pediatric surgeon and an ordained minister dedicated to healing the healers. Learn more here: wellnessrounds.org Key Takeaway for Listeners: "If you frame this as a medical condition [imposter syndrome] by studying it that way, that’s what it becomes—a deficit. What if we just reframe it as what it actually is: humility?" — Dr. Mary Brandt Connect with Dr. Sharon Stein: Website: www.intentionalsurgeon.com

    38 min
  2. S03EP04: Rethinking Traditional Organization with Dr. Vikram Kashyap

    MAR 2

    S03EP04: Rethinking Traditional Organization with Dr. Vikram Kashyap

    We often think that our traditional model of specialty-based hierarchy is the most effective - for our patients and us... but what happens when we rethink that model, and create more patient- centric models of care. It is one of many topics we cover in this episode, as Dr. Sharon Stein sits down with Dr. Vikram (Vik) Kashyap, Chair of the Meijer Heart and Vascular Institute and Vice President of Cardiovascular Health at Corewell Health. In this episode, they discuss the "reverse migration" from established academic centers to innovative integrated models, the shift away from traditional departmental silos, and why the future of medicine relies on "operational brilliance" and collaborative compensation. Featured in This Episode: The "Out of the Blue" Opportunity: Sometimes your next step is one that takes you away from your own expectations. Why exploring this opportunity may be your next great growth opportunity.The Integrated Service Line Model: Moving beyond the "Venn diagram of control" where departments of surgery and medicine compete. Vik explains the benefits of having over 1,000 people and an eight-story heart hospital all under one strategic umbrella and one profit-and-loss (P&L) statement - to serve their patientsThe Four Strategic Pillars: How Vik aligns a massive team around Clinical Excellence, Operational Brilliance, Research & Education, and Strategic Growth.Ending Turf Battles: How the institute model reduces friction between interventional radiology, cardiology, and vascular surgery by putting everyone on the same team. About the Guest: Vikram S. Kashyap, MD, is a nationally recognized leader in vascular surgery and cardiovascular health. Prior to his current role at Corewell Health, he served as the Chief of Vascular Surgery at University Hospitals Cleveland Medical Center and held leadership positions at the Cleveland Clinic. Key Takeaway for Surgeons: "The Institute model is the future because it all comes down to the patient. If you can tell a person they have a heart or vascular problem and they only have to call one number to be appropriately triaged, you’ve removed the biggest barrier to care." — Dr. Vik Kashyap Join the Conversation: How is your institution handling the "turf" between specialties? Could a shared compensation model work in your department? Connect with Sharon L. Stein, MD: Website: www.intentionalsurgeon.comLinkedIn: Share your thoughts on this episode's leadership strategies on our social media channels @theintentionalsurgeon

    29 min
  3. S03EP03: Physicians in Politics with Dr. Bryan & Dr. Jana Hambley

    FEB 17

    S03EP03: Physicians in Politics with Dr. Bryan & Dr. Jana Hambley

    What happens when a surgeon and a hematologist-oncologist decide to take their commitment to public health from the bedside to the ballot box? In this episode, Dr. Sharon Stein is joined by trauma surgeon Jana Hambley, MD, and her husband, Bryan Hambley, MD, a leukemia specialist currently running for Secretary of State of Ohio. From their early days meeting in freshman chemistry at Notre Dame to navigating residency as a married couple, the Hambleys share how a shared passion for community service evolved into a statewide political campaign. This isn't a conversation about politics—it's about the unique perspective physicians bring to leadership, the challenges of raising a family while one parent is on the road, and why "intentionality" is the secret weapon for successfully managing it all. In This Episode, We Discuss: The "Doctor-Politician" Trend: Why more physicians are running for office (including recent guests like Dr. Brian Williams) and how seeing systemic flaws like medical bankruptcy and gun violence up close drives the desire for legislative change.The Secretary of State’s Role: Demystifying a powerful office. Bryan explains how this position influences everything from independent redistricting commissions to the "intentional confusion" found in ballot language.The "Village" Model: Jana opens up about the logistical "dance" of being a surgical mom while her husband travels 4-5 nights a week. They discuss the power of community, from live-in help to local volunteers who open their homes on the campaign trail.The Anatomy of a Ballot: Why medical consent forms are written at a 5th-grade reading level, but ballot initiatives are often written in complex legalese designed to discourage voters.Life Lessons for the Kids: What the Hambley children are learning about ambition, service, and the fact that "fighting for what you love" sometimes means sacrifice.A Bipartisan Hope: Bryan shares his reflections from 13 months on the road, staying in farmhouses across Ohio, and why he firmly believes that—despite national headlines—the American people are better than the current political climate suggests.About the Guests: Bryan Hambley, MD is a hematologist-oncologist at the University of Cincinnati and a 2026 candidate for Ohio Secretary of State. Jana Hambley, MD is a surgeon on faculty at the University of Cincinnati and a former resident of Dr. Stein’s. Key Takeaway for Listeners: "Ambition needs to be married to a vision that’s more than someone’s personal ambition. It has to be ambition for a system, a hospital, or a state." — Dr. Bryan Hambley Connect with the Hambleys: Social Media:@hambleyforohioJoin the Conversation: Are you a physician considering a move into advocacy? Reach out on LinkedIn and share your story.

    30 min
  4. S03EP02: Gender, Economics, & the Future of Surgical Equity with Dr. Tanaz Ferzandi

    FEB 2

    S03EP02: Gender, Economics, & the Future of Surgical Equity with Dr. Tanaz Ferzandi

    In this episode of the Intentional Surgeon, Dr. Sharon Stein welcomes her longtime colleague and friend, Dr. Tanaz Ferzandi, Director of Urogynecology at Keck Hospital of USC and Past President of the American Urogynecologic Society (AUGS). Drs. Stein and Ferzandi dive into the power of "cross-pollination" between surgical specialties, the systemic gender inequities built into healthcare reimbursement models, and why surgeons must move from being "cogs in the wheel" to empowered leaders at the decision-making table. What You'll Learn The Power of Cross-Pollination: Stepping outside your surgical "silo" is essential. Dr. Ferzandi explains how collaborating with other specialties (like colorectal and urology) offers fresh perspectives on surgical planes and techniques that improve patient outcomes. The same is equally true outside of the OR, where research projects and quality initiatives can be strengthened through multi-specialty collaboration. Finding Your Tribe: The importance of choosing mentors and allies intentionally. Dr. Ferzandi discusses navigating "girl-on-girl crime" in medicine and the value of both male and female sponsors who champion your growth without feeling threatened.The "Feminization" of Healthcare Economics: A stark look at how fields dominated by women often see a flattening of hierarchy and a subsequent drop in salary and reimbursement. This affects not only the providers, but our patients as well, as care for women is often reimbursed less generously. Dr. Ferzandi shares a powerful example of systemic bias: a mid-urethral sling procedure for a woman vs. a man. While the surgical steps are nearly identical, the hospital reimbursement for the male procedure can be 2.5 times higher than for the female procedure."If You're Not at the Table, You're on the Menu": A call to action for surgeons to educate themselves on the business side of medicine. Dr. Ferzandi emphasizes that "best care" cannot be delivered without the proper resources, which requires advocacy at the administrative level. This is why surgeons need to understand the "tributaries" of revenue they create—from radiology and lab work to physical therapy—to gain leverage during negotiations with hospital leadership.Ready to invest in yourself? If you’re ready to move from "cog in the wheel" to empowered leader, visit intentionalsurgeon.com to learn more about career coaching for surgeons.

    35 min
  5. S03EP01: How Ego Hurts & Helps Us As Surgeons with Dr. Sharon L. Stein

    JAN 20

    S03EP01: How Ego Hurts & Helps Us As Surgeons with Dr. Sharon L. Stein

    Welcome to 2026! In this solo episode, Dr. Sharon Stein kicks off the year by exploring a topic that defines—and often derails—surgical careers: The Surgical Ego. We all know the TV stereotype of the arrogant surgeon. But Sharon dives into a more subtle version: the ego that hides behind the mask of the "humble, meticulous surgeon." Whether you walk into a room saying "I’ve got this" or rack yourself over the coals after a complication, both extremes stem from the same risky belief: that we have total control over every outcome. What You'll Learn The Summit of Ego: A residency story about a surgeon who believed the worst thing that could happen to a patient was something happening to him.The "Humble" Trap: Sharon shares how her own guilt over an anastomotic leak revealed a hidden ego—the belief that being "careful enough" could prevent all complications.Ego as a Distraction: Why questioning your skill mid-case directs focus away from the patient and toward your own self-doubt.Suffering as "Payment": The common but illogical feeling that if we suffer enough along with the patient, we can "pay" for a bad outcome.The Learning Cycle: Why our "precious surgical ego" makes us want to hide mistakes rather than being curious about how to improve.Finding Balance: How to maintain the confidence required to operate while accepting that some factors remain beyond our control.Key Takeaways for 2026 Notice the Shift: Watch for when your ego—through overconfidence or shame—takes the driver's seat.Focus on the Patient: In difficult moments, move from "Am I good enough?" to "What does this patient need right now?"Ditch Perfection: Meticulousness is a goal, not a guarantee. Even the best surgeons have complications.Join the Conversation: How has ego helped or hurt your practice? Sharon wants to hear your stories at www.intentionalsurgeon.com. Ready to be intentional about your surgical career? Visit intentionalsurgeon.com/launchpad to learn about securing the right surgical position for you.

    13 min
  6. S02EP26: End-of-Year Reflection, Identity & The Power of Creation with Dr. Mel Thacker

    12/22/2025

    S02EP26: End-of-Year Reflection, Identity & The Power of Creation with Dr. Mel Thacker

    In the final episode of the year, Dr. Sharon Stein sits down with Dr. Mel Thacker, an otolaryngologist and master certified coach, to discuss how surgeons can design success on their own terms. Obligation vs. Creation Energy Dr. Thacker explores the shift from "obligation energy"—performing tasks out of a sense of "should"—to "creation energy." By approaching surgery and clinic as a creative act, physicians can rediscover presence and joy. This mindset shift transforms work from a heavy burden into a deliberate choice. The Identity House A core concept discussed is the Identity House. If your identity consists of only one room—"Surgeon"—and that room burns down due to burnout or injury, you lose everything. Dr. Thacker emphasizes the need to "diversify your identity" by building other rooms for hobbies, family, and creative outlets. This diversification provides the resilience needed to survive demanding professional landscapes. Goal Setting and Essentialism Rather than overwhelming New Year’s resolutions, Dr. Thacker recommends Essentialism: Pick Three: Identify three essential goals (e.g., a new skill, a leadership role, or better boundaries).Reverse Engineer: Determine the exact steps and mindset needed to achieve those results.Hold Goals Loosely: Recognize that while a "mountaintop" provides direction, the process and internal motivation are what truly matter.Moving from Victim to Creator Many surgeons feel stuck in the "dream" of an older version of themselves or their parents. Dr. Thacker encourages listeners to let those old versions go. By reclaiming their power and setting firm boundaries, surgeons can move from feeling like victims of the system to creators of their own lives. Resources: The Hippocratic CollectiveHow to save lives with two minutes of listening, Dr. Mel Thacker on TEDxSouthLakeTahoeParting Words: "Design your life however you want it to look, and then make it happen."

    41 min
  7. S02EP25: Surgery with Soul: Finding Purpose & Fighting Stigma with Dr. Monique Hassan

    12/08/2025

    S02EP25: Surgery with Soul: Finding Purpose & Fighting Stigma with Dr. Monique Hassan

    Dr. Monique Hassan, a fellowship-trained bariatric surgeon and former Army surgeon, joins the podcast to share the philosophy behind her brand, "Surgery with Soul: Rooted in Purpose, Powered by Compassion." Dr. Hassan details her circuitous path to general surgery, motivated by a dramatic life-saving trauma case that cemented her commitment to becoming comfortable with the uncomfortable. She discusses how this led her to bariatrics, a specialty where she sees immediate, profound transformations. Fighting Stigma and Finding Connection Dr. Hassan emphasizes that obesity is the only major medical problem carried externally, leading to constant judgment and systemic barriers in healthcare. Patients often take three to five years to seek help. She believes that for success in bariatrics, surgeons must go beyond technical skill and address the social issues that surround a patient's health, offering genuine empathy and support. Leveraging Social Media for Change Dr. Hassan uses her professional social media to combat the pervasive misinformation about bariatric surgery. She finds that posts that are supportive, speak from the heart, and validate the patient's struggles ("Obesity is a disease; it's not your fault") resonate most strongly, helping patients feel seen and connected. The Power of Intentionality To build a reputation outside a major academic center, Dr. Hassan adopted a "Year of Yes" strategy, saying yes to every speaking opportunity to build a quality portfolio. Ultimately, Dr. Hassan would like to see more genuine diversity in surgical culture—in terms of race, ethnicity, and background—to ensure the profession reflects and better serves the patients it treats. Resources: ASMBS (American Society for Metabolic and Bariatric Surgery): Dr. Hassan is involved in the executive council of this national society.

    29 min
  8. S02EP24: Discrimination, Bullying, and Harassment with Dr. Lisa Cannada

    11/24/2025

    S02EP24: Discrimination, Bullying, and Harassment with Dr. Lisa Cannada

    Orthopedic trauma surgeon Dr. Lisa Canada joins the podcast to discuss her pioneering work in reforming surgical culture. Dr. Canada, who recently made history at UNC by being the first orthopedic surgeon to win both the Faculty Teaching Award and the UNC Mentorship Award, is a co-founder of Speak Up Ortho. Speak Up Ortho was born from an overwhelming collection of anonymous stories revealing the pervasive culture of harassment, bullying, discrimination, and retaliation (HBDR) experienced by women in orthopedic surgery. Dr. Canada shares how this organization is fighting to create a workplace where speaking up is not only safe but encouraged, and offers concrete tools for confronting bad behavior at every level of the surgical hierarchy. Featured The Birth of Speak Up Ortho: The pivotal Facebook group post in 2021 that generated over 355 egregious stories of sexism and harassment in under 24 hours. This demonstrated that these problems were happening now, not just in the past, leading to the creation to foster diversity and inclusivity.Major Themes of Abuse: Stories revealed a profound sense of hopelessness and helplessness among medical students and residents due to fear of retaliation. Examples ranged from overt sexual harassment to subtle, pervasive bullying.The Power of Bystander Intervention: Learn the Five D's of bystander intervention that anyone—from scrub tech to medical student—can use to stop the cycle of abuse:Direct: Step in and speak up.Distract: Change the mood (e.g., "What time is it?" or drop something).Delegate: Find a senior person or authority figure to intervene.Delay: Check in with the person afterward ("I witnessed this. Are you okay?").Document: Offer to put the incident in writing for the victim.The Problem of Isolation and Bullying: She discusses how the fear of retaliation leads to a cycle of isolation and bullying—including covert behavior and "death by a thousand cuts"—which ultimately contributes to physician depression and suicide.Setting a New Standard: She explains the critical need to change the culture so that it is okay to speak up without fear of being ostracized. The goal is to set an example that bad behavior is not acceptable and to provide alternative forms of teaching to replace bullying as a form of learning.How Leaders Should Respond: For those receiving reports of HBDR, She advises leaders to:Investigate Deeply: Go beyond the two individuals to include witnesses and look for patterns (it's rarely a single event).Analyze Data: Review case logs and opportunities to ensure fair treatment.Find a Solution: Focus on restorative action like implicit bias training or anger management, while also recognizing that sexual harassment is a crime that requires mandatory reporting.Other Resources Royal Australian College of Surgeons (RACS) Survey: Comprehensive bullying and harassment study that served as a model for raising awareness globally.

    26 min
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About

Welcome to The Intentional Surgeon, where we dive deep into the people, institutions, and ideas reshaping the culture of surgery. Hosted by Dr. Sharon Stein, an internationally recognized colorectal surgeon, professor, and change agent, this podcast explores the challenges and opportunities transforming the surgical world. Each episode features inspiring guests who are pioneering new ways to practice surgery, educate future surgeons, and redefine patient care and the surgical workforce. Join Dr. Stein on this thought-provoking journey to discover how innovation is driving change and improving the future of surgery.

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