Surgeons with Purpose

Hippocratic Collective

A podcast for surgeons who feel like they are languishing in a career that didn't turn out to be as fulfilling or as prestigious as they expected. Dr. Mel Thacker, an ENT surgeon and coach, takes you on a journey to help you understand why you are feeling dissatisfied, burnt out, and stuck. With this newfound insight, you'll be able to reframe how you see your experience, rediscover who you are underneath your surgeon identity, and create a life that aligns with your authentic self. Find more info about Surgeons with Purpose and other shows on the Hippocratic Collective at hippocratic-collective.com

  1. Sep 7

    #114 Swarm Leadership with Dr. Erik Pearson

    Join us inside Empowered Surgeons Group here. Interested in the Women Surgeons' Cabo retreat Jan 6-10, 2027? Get on my calendar here. Dr. Erik Pearson grew up the son of an X-ray tech, trained in Dublin, and matched in Utah, where watching the pediatric surgeons at work made the decision for him. It wasn't only the operations. It was the weight of being trusted with someone's child. After fetal intervention research at Children's Hospital of Philadelphia and pediatric surgery training at Emory, he found a growing practice in Las Vegas looking to build out its ECMO program. Ten years later, he joins us to talk about what that work actually asks of a person. We get into the parts of pediatric surgery that don't make it into the training curriculum: the driveway moments after a hard case and learning to compartmentalize without going numb. Erik describes the mental shift that let him keep doing this work: I get to be there to help. Not so much be the hero. The second half of the conversation turns to October 1, 2017. Erik was on call at Sunrise Hospital when victims of the Las Vegas mass shooting began arriving. He walks us through the organized chaos of the ER, the improvised triage bay in the ambulance parking lot, the color category the team invented on the spot because the standard system didn't fit, and the five hours he spent with a single gunshot patient alongside a scrub tech he had never met. He also describes the leadership he saw that night: a CEO in a purple polo whose entire job became removing barriers so clinicians could work. It's a conversation about competence, grief, transparency with families, and what every hospital and every physician should be asking themselves before the worst night of their career arrives. The numbers Erik shares from that night124 patients with gunshot wounds requiring treatment129 patients admitted that night16 mortalities, 14 of them dead on arrival58 surgeries in the first 24 hours516 blood products used Swarm leadership: the five principlesA model first identified in the response to the Boston Marathon bombing (observed in flocking birds) that Erik saw play out in real time: Unity of missionGenerosity of spirit in actionStaying in your laneNo ego, no blameTrust-based relationships Dr. Erik Pearson is a pediatric surgeon in Las Vegas, where he has practiced for the past ten years as part of a physician-owned group. He is known as Citizen Surgeon on Instagram. Follow him here. Check out his website here.

  2. Aug 31

    #113 Becoming a Trauma-Informed Surgeon with Sacha McBain, PhD

    Interested in the Cabo retreat? Click here to schedule a 15-min interview. Learn more about the powerful coaching community & mindset course, Empowered Surgeons Group, here. Decades of research point to the same conclusion: social support is one of the strongest protective factors in the face of trauma. But what happens when the way we've learned to relate to others gets in the way of that connection, especially in a profession where repeated trauma exposure is routine? In this episode, Dr. Sacha McBain joins me to talk about the intersection of attachment, community, and trauma-informed care in medical settings. We start with the research: Australian psychologist Richard Bryant's work following the Black Saturday bushfires showed that it wasn't just individual relationships that predicted recovery; it was the shape of a person's whole social network. People who were diversely connected, and whose connections were also connected to each other, fared better. The overlapping network itself served as a buffer. From there we turn to what happens inside hospitals. Sacha describes sitting in on resident onboarding and hearing the scare tactics used to keep new physicians in line: it's not if you'll be sued, it's when. Patients will find you in parking garages. Never admit you were wrong. The message underneath is essentially "be perfect, or a patient could destroy you.” And it makes co-regulation almost impossible with the very person you've been taught to fear. What shifts when you see a distressed patient as a frightened, vulnerable human rather than a threat to your livelihood? What do you do when you can't find any empathy left and you're already overwhelmed? Sacha shares a piece of advice from a mentor that reframes curiosity as the thing you reach for when compassion isn't available. And we close on trauma-informed care as something fundamentally pragmatic, not a soft add-on, but a working set of practices around safety, transparency, power, collaboration, and cultural humility. Sacha McBain, PhD, is a clinical psychologist and associate professor at Rush University System for Health in Chicago. A national leader in medical traumatic stress, she has published peer-reviewed research on the conceptualization and treatment of medical trauma, led national clinical trainings, and helped shape best practices for mental health screening and intervention after traumatic injury. Previously at the University of Arkansas for Medical Sciences, she developed and led the Trauma Surgery Psychology Consult Service at Arkansas's only Level 1 Trauma Center and served as associate director of the Center for Trauma Prevention, Recovery, and Innovation. She contributed to the American College of Surgeons Mental Health and Substance Use Disorder Best Practice Guidelines Work Group and is an active member of the International Society for Traumatic Stress Studies. Learn more about Sacha here.

  3. Aug 17

    #111 Vaibhav's Story

    *************SENSITIVE CONTENT WARNING******************* This episode discusses a recent suicide. Please listen carefully, or if this is particularly triggering for you, forgo listening completely. ”If we could save one student, one kid, one life, we are spreading his shine,” Neeru Duggal. On July 23, 2025, Vaibhav Duggal turned 24. He spent the morning of his birthday in a women's health clinic in El Paso, on his OB/GYN rotation as a third-year medical student at Texas Tech University Health Sciences Center. Six days later he was dead. In this episode, I sit down with Vaibhav's parents, Vivek and Neeru Duggal, who are passionate about spreading the truth about what happened to Vaibhav with hopes to prevent this from happening to anyone else. We talk about who Vaibhav was, why he became a physician, his dreams for the future, and the events that ultimately crushed those dreams. We also reconstruct those six days, hour by hour, email by email. Vivek and Neeru hope to turn this needless tragedy into a campaign for reform. The burning question: when a university opens a disciplinary process against a student, what does it owe that student while the process is underway? As Vivek puts it: nothing can bring their son back, but if another family is spared this, they will be able to look themselves in the mirror. Neeru and Vivek describe a son who had wanted one thing since childhood: to be a doctor. By every measure available before that week, he was on his way. He graduated summa cum laude from Texas A&M with a 4.0 in biology, finished a semester early, volunteered at a medical center through COVID, and came to Texas Tech El Paso on a scholarship. He had no prior professionalism concerns anywhere on his record. The clinical encounter at the center of this story lasted a few minutes. The nurse practitioner conducting the exam and asked whether the patient was comfortable having a student present; the patient consented. On her way out, according to Vaibhav's account, the patient invited him to follow her on Instagram. At 10:34 a.m. he did. About an hour later he unfollowed and blocked her, telling the dean days afterward that he'd realized it crossed a professional line. That afternoon, the patient filed a complaint. The same day, the nurse practitioner who had been in the room the entire time completed Vaibhav's clerkship evaluation. She marked him as exceeding expectations in every single domain, including medical knowledge, patient care, communication, professionalism, all of it. Under "opportunities for improvement," she wrote nothing. Two days later, a faculty physician emailed the clinic director and the dean describing the incident as an egregious breach of professionalism. The clerkship director wrote that she believed Vaibhav should be pulled from clinical duties. On July 28, at 10:26 a.m., she submitted a formal referral to the Grading and Promotions Committee, and in that same referral, wrote that she had not yet had the opportunity to speak with the student because of clinical obligations. Vaibhav was, at that hour, sitting for his OB/GYN shelf exam, which he passed. That afternoon he met with the dean. He gave his account and was told he was removed from all patient contact, placed on a temporary leave of absence, and would appear before the GPC on August 15, eighteen days out. The family's account notes that the instruction not to contact patients was repeated eight separate times in that meeting. He was referred to counseling. He went to the counseling office at 3:30 p.m. that same day; the director spoke with him briefly, did not see him for a session, and directed him to intake paperwork. Vaibhav emailed that evening asking for the paperwork. The reply came back at 6:01 p.m.: the intake forms were only accessible weekdays between 8:15 a.m. and 3:45 p.m. He would have to try again tomorrow. He spent that evening with his girlfriend, called his parents, and made weekend plans. At 11 p.m. they went to bed. At 11:36 p.m. his phone lit up with an email from the dean's office. Attached were the meeting notes and the GPC presentation instructions: the document telling him to prepare a PowerPoint, explain to the committee why he was there, be convincing that he was sorry, and humbly request permission to resume clinical work. Attached beneath that was the policy excerpt listing what the committee could recommend: individual remediation, delayed progression to Year 4, repeat of Year 3, delay of graduation, or dismissal. A second provision noted the committee could place a permanent professionalism notation on his MSPE (the dean's letter that follows a physician into every residency application). He died the next day, July 29. He was 24 years old. Three days later, the family says the president of the university called them and made a claim about physical contact that appears nowhere in the complaint, the evaluation, or the referral. The Duggals dispute it, and it is one of the central grievances in the litigation they have since filed. If parts of that timeline sound familiar, it is because a version of it happened three years earlier and 1,200 miles away. Katie Meyer was a Stanford goalkeeper (the one who captained the team to the 2019 NCAA championship), a resident advisor, and an aspiring lawyer awaiting word on her Stanford Law application. In late February 2022, four months before graduation, she received a lengthy email informing her she faced disciplinary action that put her degree at risk. She had thrown coffee on a football player who had allegedly assaulted a teammate. Her parents did not know the process was happening. She died by suicide on March 1, 2022. Gina and Steve Meyer built the rest of their lives around a single, narrow, achievable reform: no student should have to navigate a disciplinary process alone. Their advocacy produced California Assembly Bill 1575 — Katie Meyer's Law — authored by Assemblymember Jacqui Irwin, passed unanimously through both chambers, and signed by Governor Newsom on September 28, 2024. The law gives students at UC, CSU, and community college campuses the right to select an adviser of their choosing — a parent, a coach, a professor, a peer — to accompany them through a disciplinary proceeding. Critically, the institution must train that adviser on its own procedures. The adviser is looped in from day one and, with the student's permission, receives regular updates. The Meyers call it a front-end safety net: someone in the room who knows how the machine works, so the student isn't facing career-ending stakes alone against a panel of professionals. On September 23, 2025 — almost a year to the day after the California signing — Representative Julia Brownley introduced a federal version in the U.S. House. It would extend the adviser right to students at any institution receiving federal funds, and would additionally require colleges to disclose student suicides in their Annual Security Report, a transparency measure with no current federal analogue. The Meyers have said plainly that they believe this law could have saved Katie's life. They also founded Katie's Save, a nonprofit focused on student mental health and suicide prevention. The overlap with Vaibhav's case is hard to miss. A student with no disciplinary history. A serious allegation. A process that moved before anyone had spoken with him. A high-stakes hearing scheduled weeks out. A counseling door that was closed by the time he reached it. And an eighteen-day wait to be alone with. In February 2026, the Duggal family filed suit in El Paso County District Court against TTUHSC and several administrators, seeking more than $30 million and alleging gross negligence, wrongful death, and denial of due process. Since going public, Vivek Duggal says other students from the same institution have come forward with their own accounts. Texas State Representative Cody Vasut, who has been working directly with Vivek and Neeru, has committed to introducing legislation when the Texas House reconvenes in January 2027 that would require universities to provide advocates to students in disciplinary proceedings: the Texas answer to what California has already passed. We close the interview by asking the Duggals what they want listeners in medical education to do differently. Their answer is not complicated, and it does not require a bill to pass: treat students like the human beings they are. Links & ResourcesJustice for Vaibhav — memorial and advocacy:Katie's Save — katiessave.orgCalifornia AB 1575 (Katie Meyer's Law), signed September 28, 2024Katie Meyer's Law (federal), introduced in the U.S. House, September 23, 2025 If you or someone you know is struggling, the 988 Suicide & Crisis Lifeline is available 24/7 by call or text in the U.S. Medical students and physicians can also reach the Physician Support Line at 1-888-409-0141, staffed by volunteer psychiatrists.

  4. Aug 10

    #110 From Hiding to Highly Visible on LinkedIn with Sheikh C. Ali

    Sheikh C. Ali dreamed of becoming a private practice surgeon from age seven. Then, when COVID hit between his third and fourth year of medical school, he noticed the landscape shifting. The pathway he'd spent his life walking toward no longer seemed viable, so he built a new path. He became the strategist healthcare leaders now hire to turn their expertise into visibility, authority, and opportunity on LinkedIn. This conversation is the playbook. Sheikh makes the case for why LinkedIn beats every other platform for clinicians. It is the one platform where you have direct access to 1.3 billion users and key decision-makers. He defines personal branding as what people say about you when you are not in the room, built from three components: core values, applicable expertise, and personality. Then he walks you through his 4 P's framework (Position, Polish, Publish, Pursue), reveals the gold mine hiding in plain sight, and gets tactical about writing a headline that works ("I help X do Y in Z"). You'll learn about the two audiences your content must speak to, why commenting is a superpower, what it takes to move someone from "I know you" to "I want to work with you." Underneath it all runs the mindset that makes the tactics work: network from abundance, choose done over perfect, and let confidence compound through action. Sheikh C. Ali helps clinical leaders and healthcare executives become the leading voice in their niche. Connect with him (where else??) on LinkedIn or his website here. Join us inside Empowered Surgeons Group here.

  5. Aug 3

    #109 PE Sharks in the Water with Dr. Adrienne Towsen

    For 19 years, Dr. Adrienne Towsen practiced in the kind of orthopedic group most surgeons dream of: five partners, employees who'd been there forever, a 30-year reputation, a family feel. Then came the supergroup. Then came private equity. The pitch: liquidity events, surgery centers, top-dog status. The math: one year's salary upfront, paid back over five years through a 25% management "scrape." The reality: 12-to-14-hour days, a salary cut in half, a practice that couldn't pay for gauze pads, and a call center in another location that didn't even know she was a doctor there. Her breaking point came after a weekend of hip fracture call, when she did the math and realized she'd essentially volunteered her time. She sent her resignation the next morning. With no plan. Just the certainty that there had to be another way. Five months ago, she opened The Towsen Clinic: a concierge direct-care practice built entirely on her own terms, where visits last 60 to 90 minutes and patients finally get what they're starved for: a human partner in their health. In this episode: The seductive pitch PE makes to physician groups and the math hiding underneath itWhat "we're employed now. This is no longer our practice" feels like from the insideThe moment a 20-year patient left because he couldn't get through the phone treeWhy she resigned without a plan, and what the sadness-plus-relief told herWalking away from the OR after 21 years and making peace with itThe surprising bridge from hip fractures to hormone health and women's medicineHer advice if work is murdering your soul: don't stay stuck "I couldn't have been more miserable." -Dr. Towsen then. "This is the beginning of my next chapter." -Dr. Towsen now. Dr. Adrienne Towsen is an orthopedic surgeon and founder of The Towsen Clinic, a concierge preventive-care practice in West Chester, PA. Check out her clinic here. Follow her on LinkedIn here. 🎧 If this episode resonated, share it with a colleague weighing their own next chapter, and leave a review so more surgeons find the show. Join us inside Empowered Surgeons Group here. Take the Trainee to Attending Masterclass here.

4.9
out of 5
23 Ratings

About

A podcast for surgeons who feel like they are languishing in a career that didn't turn out to be as fulfilling or as prestigious as they expected. Dr. Mel Thacker, an ENT surgeon and coach, takes you on a journey to help you understand why you are feeling dissatisfied, burnt out, and stuck. With this newfound insight, you'll be able to reframe how you see your experience, rediscover who you are underneath your surgeon identity, and create a life that aligns with your authentic self. Find more info about Surgeons with Purpose and other shows on the Hippocratic Collective at hippocratic-collective.com