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. HACE 2 DÍAS

    #79 Courage to Climb the Second Mountain with Dr. Kat Hudon

    Dr. Kat Hudon shares her journey from enthusiastic learner to an employed physician slowly beaten down by a system designed to keep doctors exhausted, constrained, and disconnected from their creativity. In this convo, we explore how medicine places an impossible mantle of perfection on physicians, why resilience is a finite resource, and how the system punishes anything that falls outside the narrow definition of “excellence.” Dr. Hudon reflects on moral injury, middle management challenges, the growing administrative bloat in healthcare, and how she realized she always had a choice. This episode is about reclaiming agency through values, connection, collaboration, and the courage to design a life and practice that actually aligns with who you are. Key Themes:From Idealism to DisillusionmentKat describes the arc many physicians experience: entering medicine as a high-achieving, enthusiastic learner and slowly realizing, “I thought this was going to be better.”Residency forges some of her most meaningful, lifelong relationships—even as the system itself begins to erode joy and creativity.As leadership changes in employed medicine, conditions often worsen rather than improve. The Myth of Infinite ResilienceMedicine demands perfection while punishing anything less.Resilience is not endless—it’s a bucket that must be actively filled and resourced.The dream of post-training life rarely matches reality; the clinical work is often the easiest part of the job. Moral Injury and Systemic FailureFive years ago, Kat witnessed a dramatic rise in loneliness and anxiety among children without adequate training, resources, or systems to support them.The moral injury of feeling like she was causing harm simply by working within a broken system shook her willingness to participate in it.Healthcare has become an industry of industries, bloated by layers of administration and confusion designed to perpetuate itself. Insurance, Power, and AutonomyInsurance companies dictate care decisions, limiting physician autonomy and patient-centered care.If given a magic wand, Kat would eliminate the outsized power insurance holds over medical decision-makingThe growing number—and salaries—of administrators contrasts sharply with the lived experience of clinicians. Choosing a Different PathDisillusionment with healthcare helped catalyze Kat’s move toward building a direct care clinic focused on longevity and age management.Starting a business required clarity around core values and identity.Physicians have highly transferable skills and more freedom than they are often led to believe. Relationship Over...

    1 h y 10 min
  2. 22/12/2025

    #77 The Way of Excellence with Author Brad Stulberg

    In this conversation, I’m joined by author and human performance expert Brad Stulberg to explore identity diversity, mastery, and what it really means to build a sustainable, meaningful career. We discuss the concept of the identity house, what it means to feel one's way to skill attunement, core values, process vs product, and how presence and flow are at the heart of mastery. This episode is especially relevant for surgeons and high-achievers who have poured everything into one role and are wondering how to prevent burnout without giving up ambition. We Talk About:The Identity HouseThe idea that we all live in an identity house with multiple rooms (e.g., surgeon, parent, artist, athlete, writer)Why having multiple rooms matters: if one room floods or burns down, the entire house doesn’t collapseNot all identity rooms are the same size, and we don’t need to spend equal time in eachYou can spend most of your day in one “room”—the key is not letting the others get moldyThe concept of minimum effective dosing for neglected parts of identityWhy it’s never too late to renovate your identity home, even if you’ve lived only in the “surgeon room” for years Core Values as Burnout PreventionWhy defining core values is the first step in preventing burnout and moral injuryResearch-backed values associated with long-term well-being: Autonomy, mastery, belongingTwo distinct types of burnout: Career vs. Week ThinkingThe danger of optimizing for a “successful week” instead of a successful careerHow ego convinces us we’re more indispensable than we areThe liberating truth: the world keeps turning without us Mastery, Presence, and the Craft of Surgery“Feeling our way to excellence” and how it intersects with see one, do one, teach oneThe universal mastery trajectory: Simple → Complex → SimpleWhy what looks “simple” is actually hundreds of unconscious micro-stepsThe four stages of competence:: unconscious incompetence, conscious incompetence, conscious competence, unconscious competence (the apex of excellence)Why many high-achievers get stuck in conscious competence (or try to skip steps)Presence, intimacy with craft, and why the best moments (like a first kiss) are...

    50 min
  3. 08/12/2025

    #75 What is Coaching?

    Join Empowered Surgeons here. Book a free consult with me here. And if you're here for the free content, amazing! My next masterclass + open coaching is on December 14th at 10 am EST. Sign up for "5 Ways Surgeons Fail" here. In this episode, I break down what coaching is. Not the corporate wellness version, but the real, practical, life-changing version that surgeons and high-stakes professionals actually need. Coaching, as I define it, is choosing thoughts that generate feelings that empower you to create results you truly desire. It's the antidote to the soul-crushing grind of modern healthcare, moral injury, the day-to-day depletion, and the feeling that you’re running out of capacity while the system demands more. It’s also the only part of this profession that you can truly control. We start by identifying what you yearn for (your will), then reconnecting with your power, the internal clarity, agency, and authority that have been buried under years of training, cultural conditioning, and systemic pressure. Then we learn how to wield that power with intention and compassion. In this way, one moment at a time - little by little - your impact and your world expands. Instead of stagnating and staying small, you show up big. You create big things. I know it works because I've done it. If you’ve ever wondered what coaching actually is (and isn’t), why it works, or whether it’s worth your time, this episode is your starting point.

    31 min
  4. 01/12/2025

    #74 You're Just a Regular Human with Dr. Michelle Chestovich

    ⚠️ SENSITIVE CONTENT WARNING This episode discusses suicide, which may be distressing for some listeners. If this subject is triggering for you, please consider skipping this episode. If you choose to listen, do so gently and take good care of yourself. If you’re feeling hopeless or suicidal, please reach out for support. You can call the Suicide & Crisis Lifeline at 988 or click here for additional resources. Dr. Michelle Chestovich is a family medicine physician, physician coach, and the host of the Remind Yourself podcast—soon to be renamed Stress Rx. She is also the sister of Dr. Gretchen Butler, a brilliant, beloved human and radiologist who died by suicide on March 5, 2021. Michelle’s story mirrors the quiet struggle many physicians face. She found herself living a life she didn’t quite sign up for, balancing the demands of medicine with a shifting sense of identity after becoming a mother. Coaching became her pathway back to clarity, alignment, and truth. Her sister, Gretchen, faced the impossible convergence of pressures, expectations, and circumstances that contribute to the staggering statistic of 300–400 physician suicides each year. This episode is a tender, honest conversation about grief, the hidden burdens physicians carry, the systemic failures that harm our colleagues, and the transformative power of recognizing our own humanness. Get a lifetime of support in Empowered Surgeons Group here. Learn more about Dr. Michelle Chestovich and how she can help you here.

    59 min
  5. 24/11/2025

    #73 From Breakdown to Breakthrough with Dr. Courtney McKeown

    *********SENSITIVE TOPIC WARNING******************* This episode discusses substance abuse and suicide. Please listen carefully. In this powerful and deeply honest conversation, Dr. Courtney McKeown shares the story she was once told would be “career suicide”—a story of mental health crisis, addiction, recovery, and the hard-won journey back to her authentic self. She reflects on the research-year psychotic break that led to hospitalization, the healing support of an extraordinary program director, and her rise into a prestigious hepatobiliary fellowship at the Cleveland Clinic. But even at the top, her body kept signaling what she now sees clearly: her life was misaligned, fueled by external validation and hidden coping mechanisms. When routine monitoring uncovered her secret drinking, she was thrust into the harsh reality of how the medical system treats physicians in distress—often punitively, fearfully, and without nuance. She describes how the state of Ohio’s approach pushed her to rock bottom, how a trusted psychiatrist saved her life, and how the state of Massachusetts’ more compassionate physician health program ultimately helped her rebuild it. Courtney has been sober since March 2021. She chose to share her story publicly, despite warnings it would end her career. Instead, the opposite happened. A closed credentialing door redirected her to a new opportunity—now serving as Chief of Surgery in a community where she is supported, aligned, and deeply fulfilled. Her journey highlights both truths: yes, institutions can weaponize oversight against physicians who don’t “fit,” and our ultimate success cannot be dictated by anything outside of us. Alignment, authenticity, and courage are powerful forces. Today, she is living her best life: thriving in private practice, leading a department, and connecting with her patients more meaningfully than ever. Key TopicsThe research-year crisis: stimulants, psychosis, and hospitalizationThe power of a supportive program director and the road back to residencyThe dream fellowship that wasn’t aligned, and how her body told the truthAddiction, secrecy, and the moment she was “caught”How states differ dramatically in supporting (or punishing) physicians in distressThe paradox of safety expectations: punished for depression, allowed to operate without sleepThe credentialing roadblock that redirected her to the role she was meant forTwo truths: systemic weaponization and internal sovereigntySobriety since March 2021 and what real recovery looks likeLiving in alignment: joy, leadership, community practice, connection with patients Find Courtney on instagram here. Watch her story on CBS morning news here. Join Empowered Surgeons here.

    53 min

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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

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