Heartline: Changemaking in Healthcare

Andrea Austin, MD

Welcome to "Heartline," a podcast dedicated to exploring the inspiring journeys and impactful work of healthcare changemakers leading the charge in transforming healthcare. Despite the United States spending more on healthcare than any other developed nation, key quality outcomes like life expectancy and maternal mortality lag behind. With over half of American physicians experiencing burnout, the challenges within the system are clear. Join us as we delve into the stories of patients, medical professionals, and other experts who defy the status quo. We’ll uncover the unique characteristics and experiences that propel them to be effective changemakers and the organizational factors that support change.  Dr. Austin, host of the podcast, is an emergency physician with real-world experience with the dysfunction in the system. Along with working in the emergency department, she is a medical educator focusing on healthcare worker well-being and how innovative approaches like simulation can improve healthcare. In addition, she researches how we can accelerate changemakers in healthcare. Dr. Austin also uses coaching-informed thinking to unlock the potential of healthcare changemakers, and she will guide you through these narratives with insightful commentary and expert analyses.   Through in-depth interviews and real-world examples, this podcast aims to inspire and equip the next generation to drive meaningful change in healthcare. Whether you're a physician, a medical student, or simply passionate about the future of healthcare, "Heartline" will offer valuable perspectives and actionable ideas to help you thrive in a challenging environment and contribute to improving our healthcare system.   Seasons 1-4 focused on gender bias in the medical system and shared the uplifting stories of women and allies who stay true to their values, boundaries, and priorities, improving their career fulfillment and increasing their impact on healthcare. Season 5 will expand the guests beyond physicians and tackle issues beyond gender bias that impact healthcare.   Tune in to the "Hearline" for a deep dive into healthcare transformation and be inspired by the changemakers making a real difference.

  1. What Healthcare Leaders Miss About Culture, Complexity, and Change | John D'Alesandro

    1d ago

    What Healthcare Leaders Miss About Culture, Complexity, and Change | John D'Alesandro

    What happens when we stop treating hospitals like factories and start recognizing them as complex systems filled with uncertainty, competing priorities, and deeply human experiences? In this thought-provoking episode, Dr. Andrea Austin sits down with John D'Alesandro to discuss the realities of improving healthcare from an operational perspective. Drawing from decades of experience in manufacturing and healthcare systems, John shares why traditional dashboards often fail to predict problems, how organizations can learn to identify early warning signals, and why building a culture of action matters more than simply completing improvement projects. Together, they tackle some of healthcare's most pressing issues, including emergency department boarding, leadership versus management, technology adoption, and the disconnect between policy-level solutions and frontline realities. John also offers a powerful perspective as both an operations expert and a patient navigating a serious neurological condition, reminding listeners that healthcare ultimately succeeds or fails through the experiences of those who depend on it. This conversation invites listeners to think differently about accountability, agency, and the small cultural shifts that can make meaningful change possible. They discussed: Why hospitals function more like complex adaptive systems than factories The limitations of traditional dashboards and retrospective metrics Identifying early warning signals before crises develop Creating cultures that empower frontline staff to act Leadership versus management in healthcare settings The ongoing emergency department boarding crisis and throughput challenges Why local solutions often outperform one-size-fits-all mandates Lessons learned from navigating healthcare as a patient Building trust, agency, and accountability within healthcare teams How small actions shape organizational culture over time 🩺 About the Guest John D'Alesandro is a healthcare operations consultant, engineer, speaker, and thought leader who helps hospitals and health systems improve patient flow, operational performance, and organizational culture. Drawing on experience in manufacturing, logistics, and healthcare transformation, he works with frontline teams to identify emerging challenges, implement practical solutions, and foster cultures that proactively address problems before they escalate. John is also an advocate for understanding healthcare through both operational and patient perspectives, informed by his own experiences navigating a complex neurological condition. LinkedIn: John D'Alesandro 🔗 Resources Mentioned John D'Alesandro If I Betray These Words by Dr. Wendy Dean 🔑 Top 3 Key Takeaways Hospitals are complex systems, not factories: Healthcare cannot be optimized solely through standardization and retrospective metrics. Understanding local conditions and frontline realities is essential for meaningful improvement. Culture determines whether change lasts: Improvement efforts succeed when leaders create environments where staff feel safe identifying problems, speaking up, and taking action before crises occur. Patients experience the entire journey, not isolated moments: Excellent clinical care can be overshadowed by fragmented transitions, delays, and poor coordination. Designing systems around the patient experience remains one of healthcare's greatest opportunities. 🩺 About the Host:  Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out. With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart. 💫 About the Show: Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible. Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done. Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better. This isn’t about perfection. It’s about progress—with heart. Follow Your Heartline and transform healthcare today!     🎓 Upcoming Events & Opportunities 🔥 ⁠⁠⁠⁠Recalibrate: Group Coaching for Physicians⁠⁠ Starting  2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum myself—this program transformed my career. Learn more and enroll here, and please share with colleagues who may benefit.⁠⁠ Heart of Medicine in Uluru, Australia o   Join us for this incredible one of a one-of-a-kind event in the heart of Australia at one of our most spectacular locations—Voyagers Resort in Central Australia in 2026. o   Learn from some of the world's medical leaders in compassionate care, and how heart-centered healthcare can empower and heal healthcare workers and their patients.  o   For: Doctors, Nurses, Allied Health Clinicians, Healthcare Leaders, Coaches and Supervisors of Medics, Patient Advocates and all healthcare workers.   o   When: 29-31 July 2026 Where: Voyages Ayers Rock Resort, Central Australia Women in Medicine Summit | Chicago, Sept 24-26, 2026⁠⁠ —------------------------------- 🎧 Thanks for tuning into Heartline: Changemaking in Healthcare! 🌟 Learn more and book a free discovery call today at ⁠⁠andreaaustinmd.com/coaching⁠⁠. Stay connected and keep making a difference: ✅ Subscribe to the ⁠⁠Heartline newsletter⁠⁠ for insights into reclaiming your well-being as a healthcare professional, improving teams around you, and transforming the system. 📱 Follow us on social: ⁠⁠Instagram⁠⁠, ⁠⁠LinkedIn⁠⁠ & ⁠⁠YouTube⁠⁠ 📚Discover Dr. Austin’s book Revitalized: A Guidebook to Following Your Healing Heartline. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    42 min
  2. Medicine Got Harder:  Here’s How to Own Your Career and Stay Above the Line | Dr. Rob Orman (Part 2)

    Jun 30

    Medicine Got Harder: Here’s How to Own Your Career and Stay Above the Line | Dr. Rob Orman (Part 2)

    In Part 2 of a two-part episode, Dr. Rob Orman joins Dr. Andrea Austin to discuss the profound changes in emergency medicine, the importance of intentional joy, and powerful coaching frameworks that help physicians navigate reactivity and complexity. Rob shares a powerful passage from his book Supernormal about the Drama Triangle, discusses career ownership versus renting, and offers insights on redesigning medical education with mindfulness and awareness at the center. This episode is filled with immediately applicable tools for clinicians, leaders, and anyone seeking to create space in high-stakes moments. They discussed: How emergency medicine has changed profoundly since COVID Finding and creating joy in medicine through intentional practices Owning vs. renting your career The Drama Triangle and staying “above the line” Cognitive empathy and declining invitations to drama Powerful reset phrases: “Good.” and “I wish it wasn’t this way, but it is this way.” Redesigning medical education with meditation and listening skills Coaching tools that translate from one-on-one sessions to clinical practice 🩺 About the Guest Dr. Rob Orman is a physician coach, author, and former emergency physician with two decades of clinical experience. He is the author of Supranormal: A Field Guide for the Impossible Job, which helps physicians recover from burnout, navigate conflict, and build sustainable careers. He hosts the top-ranked podcast Stimulus, co-founded Guidewire Coaching, and previously hosted Essentials of Emergency Medicine. Rob also served as technical advisor on the Emmy-winning HBO series The Pit. 🔗 Resources Mentioned Supranormal: A Field Guide for the Impossible Job by Rob Orman Stimulus Podcast Guidewire Coaching Man’s Search for Meaning by Viktor Frankl Extreme Ownership by Jocko Willink 🔑 Top 3 Key Takeaways: Own your career, don’t rent it: Treat your professional life with the care and investment you’d give something you truly own. This mindset shift leads to greater fulfillment and intentional growth. Step outside the Drama Triangle: Awareness of victim, villain, and hero roles allows you to respond with discernment and compassion instead of reactivity, creating better outcomes for patients, teams, and yourself. Build awareness and the pause: Whether through meditation, simple phrases, or reflective practices, creating space between stimulus and response is one of the most powerful skills a physician can develop. 🩺 About the Host:  Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out. With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart. 💫 About the Show: Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible. Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done. Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better. This isn’t about perfection. It’s about progress—with heart. Follow Your Heartline and transform healthcare today!     🎓 Upcoming Events & Opportunities 🔥 ⁠⁠⁠⁠Recalibrate: Group Coaching for Physicians⁠⁠ Starting  2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum myself—this program transformed my career. Learn more and enroll here, and please share with colleagues who may benefit.⁠⁠ Heart of Medicine in Uluru, Australia o   Join us for this incredible one of a one-of-a-kind event in the heart of Australia at one of our most spectacular locations—Voyagers Resort in Central Australia in 2026. o   Learn from some of the world's medical leaders in compassionate care, and how heart-centered healthcare can empower and heal healthcare workers and their patients.  o   For: Doctors, Nurses, Allied Health Clinicians, Healthcare Leaders, Coaches and Supervisors of Medics, Patient Advocates and all healthcare workers.   o   When: 29-31 July 2026 Where: Voyages Ayers Rock Resort, Central Australia Women in Medicine Summit | Chicago, Sept 24-26, 2026⁠⁠ —------------------------------- 🎧 Thanks for tuning into Heartline: Changemaking in Healthcare! 🌟 Learn more and book a free discovery call today at ⁠⁠andreaaustinmd.com/coaching⁠⁠. Stay connected and keep making a difference: ✅ Subscribe to the ⁠⁠Heartline newsletter⁠⁠ for insights into reclaiming your well-being as a healthcare professional, improving teams around you, and transforming the system. 📱 Follow us on social: ⁠⁠Instagram⁠⁠, ⁠⁠LinkedIn⁠⁠ & ⁠⁠YouTube⁠⁠ 📚Discover Dr. Austin’s book Revitalized: A Guidebook to Following Your Healing Heartline. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    30 min
  3. Creating Space Between Stimulus and Response: How Physicians Can Change Their Impact | Dr. Rob Orman

    Jun 23

    Creating Space Between Stimulus and Response: How Physicians Can Change Their Impact | Dr. Rob Orman

    What happens when a lifelong emergency physician steps back from clinical practice and dedicates himself to helping other doctors navigate the impossible job of medicine?  In Part 1 of a two-part episode, Dr. Rob Orman joins Dr. Andrea Austin to share his remarkable path, from documenting mass casualty events to becoming a technical advisor for the hit HBO series The Pit, and ultimately building a coaching practice that helps physicians create meaningful change in their behavior and careers. Together they discuss the importance of awareness, the space between stimulus and response, cognitive empathy, and why art and storytelling may be powerful vehicles for transforming healthcare. Rob also opens up about his own career struggles and the deep fulfillment he finds in one-on-one behavioral coaching. They discussed: How documenting mass casualty events led to advising on The Pit The career shift from full-time clinician and educator to physician coach Why “not everyone thinks like you do”, and the power of cognitive empathy Building awareness and creating the pause between stimulus and response Behavioral coaching for physicians on performance plans or struggling with reactivity The role of storytelling and art in driving healthcare change Lessons from burnout, skill decay, and career transitions 🩺 About the Guest Dr. Rob Orman is a physician coach, author, and former emergency physician with two decades of clinical experience. He is the author of Supernormal: A Field Guide for the Impossible Job, which helps physicians recover from burnout, navigate conflict, and build sustainable careers. He hosts the top-ranked podcast Stimulus, co-founded Guidewire Coaching, and previously hosted Essentials of Emergency Medicine. Rob also served as technical advisor on the Emmy-winning HBO series The Pit. 🔗 Resources Mentioned Supranormal: A Field Guide for the Impossible Job by Rob Orman Stimulus Podcast Guidewire Coaching The Pit (HBO series) 🔑 Top 3 Key Takeaways: Awareness creates the pause: Real change begins with noticing your patterns and reactions in the moment. Building this awareness is the foundation of behavioral coaching and personal growth. Cognitive empathy changes everything: Not everyone thinks or processes the world the way you do. Learning to truly understand another person’s perspective reduces conflict and improves leadership and patient care. Storytelling and art can transform healthcare: Sharing authentic medical stories through podcasts, books, television, and other media has the power to build public understanding and drive systemic change. 🩺 About the Host:  Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out. With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart. 💫 About the Show: Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible. Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done. Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better. This isn’t about perfection. It’s about progress—with heart. Follow Your Heartline and transform healthcare today! 🎓 Upcoming Events & Opportunities 🔥 ⁠⁠⁠⁠Recalibrate: Group Coaching for Physicians⁠⁠ Starting  2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum myself—this program transformed my career. Learn more and enroll here, and please share with colleagues who may benefit.⁠⁠ Heart of Medicine in Uluru, Australia o   Join us for this incredible one of a one-of-a-kind event in the heart of Australia at one of our most spectacular locations—Voyagers Resort in Central Australia in 2026. o   Learn from some of the world's medical leaders in compassionate care, and how heart-centered healthcare can empower and heal healthcare workers and their patients.  o   For: Doctors, Nurses, Allied Health Clinicians, Healthcare Leaders, Coaches and Supervisors of Medics, Patient Advocates and all healthcare workers.   o   When: 29-31 July 2026 Where: Voyages Ayers Rock Resort, Central Australia Women in Medicine Summit | Chicago, Sept 24-26, 2026⁠⁠ —------------------------------- 🎧 Thanks for tuning into Heartline: Changemaking in Healthcare! 🌟 Learn more and book a free discovery call today at ⁠⁠andreaaustinmd.com/coaching⁠⁠. Stay connected and keep making a difference: ✅ Subscribe to the ⁠⁠Heartline newsletter⁠⁠ for insights into reclaiming your well-being as a healthcare professional, improving teams around you, and transforming the system. 📱 Follow us on social: ⁠⁠Instagram⁠⁠, ⁠⁠LinkedIn⁠⁠ & ⁠⁠YouTube⁠⁠ 📚Discover Dr. Austin’s book Revitalized: A Guidebook to Following Your Healing Heartline. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    37 min
  4. The Missing Link in Healthcare: Connecting Patients, Clinicians, and AI with Dale Ellicott

    Jun 16

    The Missing Link in Healthcare: Connecting Patients, Clinicians, and AI with Dale Ellicott

    Healthcare is filled with great ideas, promising technologies, and passionate clinicians, but why do so many innovation efforts fail? In this episode, Dale Ellicott joins Dr. Andrea Austin to explore what it really takes to create sustainable change in healthcare. From his early experiences introducing groundbreaking rehabilitation technologies to his current work at Rely Health, Dale shares lessons about resistance to change, organizational alignment, and the importance of putting patients first. Together, they discuss the realities of value-based care, the challenges clinicians face when navigating fragmented healthcare systems, and the growing role of AI in supporting, not replacing human connection. Dale explains how Rely Health combines agentic AI with human care navigators to help patients schedule appointments, access transportation, connect with primary care, and overcome barriers that often lead to poor outcomes and avoidable readmissions. The conversation offers practical guidance for clinicians, leaders, and innovators who want to move beyond pilot programs and build solutions that truly improve healthcare delivery. They discussed: How a values-based decision shaped Dale's career in healthcare innovation Why healthcare organizations struggle to adopt new technology The dangers of "pilotitis" and failed innovation projects How AI-powered care navigation improves patient follow-up Lessons for clinicians who want to become successful change-makers 🩺 About the Guest Dale Ellicott has built a career at the intersection of healthcare, technology, and patient-centered innovation. Beginning in athletic training before moving into rehabilitation, medical devices, telehealth, and digital health, he now works with Rely Health to help health systems connect patients to the right care at the right time through a combination of AI-powered solutions and human support. Website: relyhealth.care LinkedIn: Dale Ellicott 🔗 Resources Mentioned Rely Health – https://relyhealth.care It Takes 5 to Tango by Verena Volek 🔑 Top 3 Key Takeaways: Healthcare innovation succeeds when relationships come first: The best ideas often fail because organizations focus on technology before alignment. Successful change requires clinicians, operational leaders, financial decision-makers, and frontline staff working together from the beginning.  AI should reduce burden, not replace human connection: Technology is most effective when it removes administrative tasks that prevent clinicians from focusing on patients. By combining AI with human oversight, organizations can improve efficiency while preserving empathy, trust, and personalized support. The goal isn't to replace people, it's to free them to do what humans do best. Better care navigation improves outcomes for everyone: Many patients struggle not because they lack motivation, but because healthcare systems are difficult to navigate. Helping patients schedule appointments, arrange transportation, understand insurance, and connect with primary care can reduce readmissions, improve health outcomes, lower costs, and ease the moral burden clinicians often feel when patients fall through the cracks. 🩺 About the Host:  Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out. With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart. 💫 About the Show: Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible. Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done. Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better. This isn’t about perfection. It’s about progress—with heart. Follow Your Heartline and transform healthcare today!     🎓 Upcoming Events & Opportunities 🔥 ⁠⁠⁠⁠Recalibrate: Group Coaching for Physicians⁠⁠ Starting  2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum myself—this program transformed my career. Learn more and enroll here, and please share with colleagues who may benefit.⁠⁠ Heart of Medicine in Uluru, Australia o   Join us for this incredible one of a one-of-a-kind event in the heart of Australia at one of our most spectacular locations—Voyagers Resort in Central Australia in 2026. o   Learn from some of the world's medical leaders in compassionate care, and how heart-centered healthcare can empower and heal healthcare workers and their patients.  o   For: Doctors, Nurses, Allied Health Clinicians, Healthcare Leaders, Coaches and Supervisors of Medics, Patient Advocates and all healthcare workers.   o   When: 29-31 July 2026 Where: Voyages Ayers Rock Resort, Central Australia Women in Medicine Summit | Chicago, Sept 24-26, 2026⁠⁠ —------------------------------- 🎧 Thanks for tuning into Heartline: Changemaking in Healthcare! 🌟 Learn more and book a free discovery call today at ⁠⁠andreaaustinmd.com/coaching⁠⁠. Stay connected and keep making a difference: ✅ Subscribe to the ⁠⁠Heartline newsletter⁠⁠ for insights into reclaiming your well-being as a healthcare professional, improving teams around you, and transforming the system. 📱 Follow us on social: ⁠⁠Instagram⁠⁠, ⁠⁠LinkedIn⁠⁠ & ⁠⁠YouTube⁠⁠ 📚Discover Dr. Austin’s book Revitalized: A Guidebook to Following Your Healing Heartline. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    46 min
  5. Civil Discourse & Team Power: Transforming Healthcare from the Inside Out | Jessica Bunin

    Jun 9

    Civil Discourse & Team Power: Transforming Healthcare from the Inside Out | Jessica Bunin

    What does it take to drive meaningful change in healthcare when systems feel broken and institutional betrayal runs deep? Dr. Jessica Bunin, a retired Army Colonel with deployments to Iraq and Afghanistan, joins Dr. Andrea Austin to discuss her remarkable journey from psychiatrist to critical care physician and senior academic leader. Through compelling stories; including dramatically reducing ICU central line infections by empowering unexpected team members, Jessica reveals how shifting from “extreme ownership” to true team-building, practicing moral courage, and mastering civil discourse can rebuild trust and create healthier healthcare cultures. The conversation explores self-awareness as the foundation of effective leadership, the CLEAR framework for civil discourse, navigating institutional betrayal, and why leadership development must become central to medical education. You’ll hear how they: Address institutional betrayal and moral injury by focusing on micro-cultures and small-team empowerment Build high-impact teams by including unexpected voices and shifting from doing things to people to doing things with them Practice moral courage in everyday healthcare settings, from challenging hierarchy to protecting patient safety Use the CLEAR framework (Create safety, Listen actively, Establish common ground, Adjust thinking, Respond skillfully) for productive conversations across difference Develop self-aware leaders who build trust and drive system-level transformation About the Guests “Civil discourse is our way forward.” – Dr. Jessica Bunin Dr. Jessica Bunin is a retired Army Colonel, critical care physician, and former psychiatrist with 23 years of service including deployments to Iraq and Afghanistan. She has held numerous leadership roles in academic medicine including critical care program director, assistant dean of faculty development, associate dean of DEI and community, and professor of medicine and health professions education. She is the co-founder and Chief Architect of All Levels Leadership, an International Coaching Federation certified executive leadership coach, and the author of the upcoming book From the Inside Out: How Self-Aware Leaders Build Trust and Transform Healthcare. 📍 Connect with Jessica Website: www.allevelsleadership.com Email: jess@jessbuninmd.com LinkedIn: Jessica Bunin Instagram: @jess_bunin_all 📚 Resources + Mentions The Gifts of Imperfection by Brené Brown Dare to Lead by Brené Brown Simon Sinek leadership principles Ira Chaleff – Courageous Followership Rushworth Kidder – Moral Courage framework From the Inside Out: How Self-Aware Leaders Build Trust and Transform Healthcare by Jessica Bunin (coming Fall 2026) 🔑 Top 3 Key Takeaways Broaden your team: The most valuable solutions often come from unexpected people. Include all stakeholders who touch a process, especially those who are rarely asked. Self-awareness is the foundation: Great leadership starts with deep inner work; reflection, values clarity, bias awareness, and self-compassion, before trying to change systems. Master civil discourse: Use the CLEAR framework to have honest, respectful conversations across difference. Legitimize other perspectives without needing to agree, and respond with skill instead of defensiveness. 🩺 About the Host:  Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out. With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart. 💫 About the Show: Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible. Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done. Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better. This isn’t about perfection. It’s about progress—with heart. Follow Your Heartline and transform healthcare today!   🎓 Upcoming Events & Opportunities 🔥 ⁠⁠⁠⁠Recalibrate: Group Coaching for Physicians⁠⁠ Starting  2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum myself—this program transformed my career. Learn more and enroll here, and please share with colleagues who may benefit.⁠⁠ Heart of Medicine in Uluru, Australia o   Join us for this incredible one of a one-of-a-kind event in the heart of Australia at one of our most spectacular locations—Voyagers Resort in Central Australia in 2026. o   Learn from some of the world's medical leaders in compassionate care, and how heart-centered healthcare can empower and heal healthcare workers and their patients.  o   For: Doctors, Nurses, Allied Health Clinicians, Healthcare Leaders, Coaches and Supervisors of Medics, Patient Advocates and all healthcare workers.   o   When: 29-31 July 2026 Where: Voyages Ayers Rock Resort, Central Australia Women in Medicine Summit | Chicago, Sept 24-26, 2026⁠⁠ —------------------------------- 🎧 Thanks for tuning into Heartline: Changemaking in Healthcare! 🌟 Learn more and book a free discovery call today at ⁠⁠andreaaustinmd.com/coaching⁠⁠. Stay connected and keep making a difference: ✅ Subscribe to the ⁠⁠Heartline newsletter⁠⁠ for insights into reclaiming your well-being as a healthcare professional, improving teams around you, and transforming the system. 📱 Follow us on social: ⁠⁠Instagram⁠⁠, ⁠⁠LinkedIn⁠⁠ & ⁠⁠YouTube⁠⁠ 📚Discover Dr. Austin’s book Revitalized: A Guidebook to Following Your Healing Heartline.       Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    54 min
  6. The Burnout Trap: How Physicians Can Reclaim Time, Energy & Joy with Dr. Sarah Smith

    Jun 2

    The Burnout Trap: How Physicians Can Reclaim Time, Energy & Joy with Dr. Sarah Smith

    What if the biggest threat to healthcare isn’t just burnout, but the belief that suffering is simply part of the job? In this deeply validating and practical conversation, Dr. Andrea Austin welcomes Dr. Sarah Smith, to unpack the hidden habits and systemic pressures that keep clinicians trapped in unsustainable work patterns. Dr. Smith shares her personal journey of spending years staying late after clinic, working evenings and weekends, and feeling crushed by the endless demands of medicine. What began as frustration with change initiatives eventually became a transformative realization: sustainability in medicine required changing not just the system, but also the way clinicians interact with it. Together, Andrea and Sarah discuss the emotional burden of perfectionism, the trauma many physicians carry from training, and how documentation fears often stem from past criticism and adverse outcomes. They explore practical strategies for reducing interruptions, improving workflow, documenting in real time, and setting healthier boundaries with teams. The conversation also challenges the myth that changing healthcare systems or countries automatically solves burnout. Drawing from her experience practicing in both Australia and Canada, Dr. Smith explains why sustainability must ultimately come from developing new skills, new boundaries, and new ways of thinking. Most importantly, this episode offers hope: impossible things can become possible. Physicians can build careers that are meaningful, sustainable, and aligned with the lives they actually want to live. Inside This Episode: Why so many physicians stay hours after their shifts finish The hidden emotional impact of perfectionism in charting How medical training trauma shapes documentation habits Practical ways to reduce interruptions and cognitive overload Why real-time documentation improves efficiency and safety The importance of boundaries, teamwork, and shift huddles How healthcare systems can better support frontline clinicians Why changing countries or jobs doesn’t automatically fix burnout The role of coaching in building sustainable careers What sustainability in medicine truly looks like 🩺 About the Guest: Sarah Smith is a family physician, emergency physician, educator, and physician coach focused on helping clinicians create sustainable clinical practices. After years of struggling with overwhelming administrative burden and after-hours charting, she developed systems and coaching strategies that help physicians reclaim time, reduce stress, and complete their workday more efficiently. She is the creator of the Charting Champions program and host of the Sustainable Clinical Medicine podcast, where she teaches physicians practical skills for reducing burnout and building careers that support both professional fulfillment and personal wellbeing. Podcast : Sustainable Clinical Medicine Website: Charting Coach Instagram: @thechartingcoach  🔗 Resources Mentioned Charting Coach Sustainable Clinical Medicine  Podcast American Medical Association – Get Rid of Stupid Stuff Initiative Stanford WellMD Center 🔑 Top 3 Key Takeaways: Sustainability requires both system change and personal change: Healthcare systems are often inefficient and overwhelming, but clinicians can still develop skills, workflows, and boundaries that reduce suffering and create more sustainable careers. Perfectionism and training trauma often drive burnout: Many physicians carry fear-based charting habits learned during training. Letting go of perfectionism can dramatically improve efficiency and wellbeing. Small workflow changes create powerful results: Real-time documentation, reducing interruptions, team huddles, and clearer communication can significantly decrease after-hours work and cognitive overload. 🩺 About the Host:  Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out. With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart. 💫 About the Show: Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible. Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done. Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better. This isn’t about perfection. It’s about progress—with heart. Follow Your Heartline and transform healthcare today!     🎓 Upcoming Events & Opportunities 🔥 ⁠⁠⁠⁠Recalibrate: Group Coaching for Physicians⁠⁠ Starting  2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum myself—this program transformed my career. Learn more and enroll here, and please share with colleagues who may benefit.⁠⁠ Heart of Medicine in Uluru, Australia o   Join us for this incredible one of a one-of-a-kind event in the heart of Australia at one of our most spectacular locations—Voyagers Resort in Central Australia in 2026. o   Learn from some of the world's medical leaders in compassionate care, and how heart-centered healthcare can empower and heal healthcare workers and their patients.  o   For: Doctors, Nurses, Allied Health Clinicians, Healthcare Leaders, Coaches and Supervisors of Medics, Patient Advocates and all healthcare workers.   o   When: 29-31 July 2026 Where: Voyages Ayers Rock Resort, Central Australia Women in Medicine Summit | Chicago, Sept 24-26, 2026⁠⁠ —------------------------------- 🎧 Thanks for tuning into Heartline: Changemaking in Healthcare! 🌟 Learn more and book a free discovery call today at ⁠⁠andreaaustinmd.com/coaching⁠⁠. Stay connected and keep making a difference: ✅ Subscribe to the ⁠⁠Heartline newsletter⁠⁠ for insights into reclaiming your well-being as a healthcare professional, improving teams around you, and transforming the system. 📱 Follow us on social: ⁠⁠Instagram⁠⁠, ⁠⁠LinkedIn⁠⁠ & ⁠⁠YouTube⁠⁠ 📚Discover Dr. Austin’s book Revitalized: A Guidebook to Following Your Healing Heartline. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    47 min
  7. Tall Poppy Syndrome in Medicine: Why Healthcare Cuts Down Its Best Leaders

    May 26

    Tall Poppy Syndrome in Medicine: Why Healthcare Cuts Down Its Best Leaders

    What happens when excellence makes others uncomfortable? In this deeply personal solo episode, Dr. Andrea Austin introduces the concept of Tall Poppy Syndrome, the tendency for high achievers to be criticized, diminished, or excluded simply because they stand out. Drawing from her own experiences and the stories of coaching clients, she explores how this dynamic often shows up in healthcare organizations, leadership structures, and academic medicine. Dr. Austin unpacks the connection between tall poppy syndrome and gaslighting, the emotional impact of professional rejection, and the difficult process of discerning when to fight for accountability versus when to leave toxic environments behind. She also reflects on the importance of self-awareness, humility, healthy conflict, and community in sustaining meaningful growth. This episode is ultimately a reminder that being different, courageous, or innovative does not make you the problem. Sometimes it simply means you’ve outgrown the field you’re standing in, and it’s time to find one where you can thrive alongside other tall poppies. Inside This Episode: What Tall Poppy Syndrome is and why it shows up in medicine How gaslighting is often used to diminish high achievers Why professional rejection can feel devastating for physicians The importance of healthy conflict, coaching, and self-reflection Finding communities where growth and authenticity are celebrated 🔗 Resources Mentioned: Daring Greatly by Brené Brown Physician Coaching Collective Recalibrate Program with Sharee Johnson 🔑 Top 3 Key Takeaways: Excellence can trigger discomfort in dysfunctional systems: Tall Poppy Syndrome occurs when individuals who excel, innovate, or lead courageously are criticized or diminished instead of supported. In healthcare, this can show up through exclusion, professional rejection, or subtle attempts to make high achievers “fit back in” rather than helping the whole system grow. Growth requires both self-awareness and honest reflection: Being a tall poppy does not mean every criticism is unfair. Sustainable leadership requires humility, openness to feedback, and the willingness to examine personal blind spots while also recognizing when systems themselves are unhealthy, inequitable, or resistant to meaningful change and innovation. Community is essential for change-makers: Thriving as a physician leader or innovator often requires finding spaces where disagreement, vulnerability, and growth are encouraged. Coaching communities and supportive peer networks help high achievers stay grounded, connected, and resilient while navigating difficult seasons in medicine and life without feeling isolated or unseen. 🩺 About the Host Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out. With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart. 💫 About the Show Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible. Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done. Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better. This isn’t about perfection. It’s about progress—with heart. Follow Your Heartline and transform healthcare today!     🎓 Upcoming Events & Opportunities 🔥 ⁠⁠⁠⁠Recalibrate: Group Coaching for Physicians⁠⁠ Starting  2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum myself—this program transformed my career. Learn more and enroll here, and please share with colleagues who may benefit.⁠⁠ Heart of Medicine in Uluru, Australia o   Join us for this incredible one of a one-of-a-kind event in the heart of Australia at one of our most spectacular locations—Voyagers Resort in Central Australia in 2026. o   Learn from some of the world's medical leaders in compassionate care, and how heart-centered healthcare can empower and heal healthcare workers and their patients.  o   For: Doctors, Nurses, Allied Health Clinicians, Healthcare Leaders, Coaches and Supervisors of Medics, Patient Advocates and all healthcare workers.   o   When: 29-31 July 2026 Where: Voyages Ayers Rock Resort, Central Australia Women in Medicine Summit | Chicago, Sept 24-26, 2026⁠⁠ —------------------------------- 🎧 Thanks for tuning into Heartline: Changemaking in Healthcare! 🌟 Learn more and book a free discovery call today at ⁠⁠andreaaustinmd.com/coaching⁠⁠. Stay connected and keep making a difference: ✅ Subscribe to the ⁠⁠Heartline newsletter⁠⁠ for insights into reclaiming your well-being as a healthcare professional, improving teams around you, and transforming the system. 📱 Follow us on social: ⁠⁠Instagram⁠⁠, ⁠⁠LinkedIn⁠⁠ & ⁠⁠YouTube⁠⁠ 📚Discover Dr. Austin’s book Revitalized: A Guidebook to Following Your Healing Heartline. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    25 min
  8. The Fragile Lifeline: Inside Healthcare’s Broken Supply Chain with Tony Paquin

    May 19

    The Fragile Lifeline: Inside Healthcare’s Broken Supply Chain with Tony Paquin

    What happens when the medications and supplies clinicians rely on simply aren’t there, or worse, aren’t what they claim to be? In this eye-opening episode, Dr. Andrea Austin sits down with Tony Paquin as he shares his journey from technology entrepreneur to healthcare supply chain disruptor, revealing the complex and fragile systems behind the delivery of drugs and medical supplies. From saline shortages caused by hurricanes to the global dependence on manufacturing in China and India, Tony explains why the current system is more vulnerable than most clinicians realize. Dr. Austin and Tony explore the risks of single-source vendor agreements, the lack of transparency in drug manufacturing, and the surprising gaps in quality assurance for imported medications. They also discuss the role of policy, the potential for domestic manufacturing, and how artificial intelligence and innovation could reshape the future of healthcare logistics. Most importantly, this conversation challenges clinicians to expand their role, not just as caregivers, but as informed advocates who understand and engage with the systems that directly impact patient outcomes. Inside This Episode: Why drug shortages are increasing, and what’s driving the crisis The hidden risks of globalized pharmaceutical manufacturing How single-source supply contracts make healthcare systems vulnerable The truth about drug quality, regulation, and patient safety Practical ways clinicians can advocate for better supply chain systems If you’ve ever assumed the system “just works,” this episode will change the way you see healthcare forever. 🩺 About the Guest: Tony Paquin is a healthcare entrepreneur, technology innovator, and CEO of IREMEDY Healthcare. With over 30 years of experience, he has led transformative efforts in medical supply chain management, integrating technology and logistics to improve efficiency and resilience. He is also the author of The End of Us, a deep dive into the vulnerabilities of global healthcare supply systems. Website: https:/iremedy/.com Twitter: @Tonypaquin 🔗 Resources Mentioned Book: The End of Us: A Story of Death and Deception and China’s Deadly Grip on US Healthcare by Tony Paquin IREMEDY Healthcare – https:/iremedy/.com Tony Paquin on X: @Tonypaquin FDA Drug Shortage Database 🔑 Top 3 Key Takeaways: The supply chain is fragile and clinicians feel the impact first: Drug shortages and delays are not rare events anymore. Global dependency, limited inventory, and logistical complexity mean disruptions can directly affect patient care.  Quality and transparency are not guaranteed: Many medications are manufactured overseas with varying levels of oversight. Clinicians and patients often lack visibility into where drugs come from and how they’re made. Clinicians must expand their role beyond care delivery: Understanding supply chains, advocating for diversified sourcing, and collaborating with procurement teams are essential steps toward safer, more reliable healthcare systems. 🩺 About the Host:  Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out. With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart. 💫 About the Show: Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible. Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done. Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better. This isn’t about perfection. It’s about progress—with heart. Follow Your Heartline and transform healthcare today!     🎓 Upcoming Events & Opportunities 🔥 ⁠⁠⁠⁠Recalibrate: Group Coaching for Physicians⁠⁠ Starting  2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum myself—this program transformed my career. Learn more and enroll here, and please share with colleagues who may benefit.⁠⁠ Heart of Medicine in Uluru, Australia o   Join us for this incredible one of a one-of-a-kind event in the heart of Australia at one of our most spectacular locations—Voyagers Resort in Central Australia in 2026. o   Learn from some of the world's medical leaders in compassionate care, and how heart-centered healthcare can empower and heal healthcare workers and their patients.  o   For: Doctors, Nurses, Allied Health Clinicians, Healthcare Leaders, Coaches and Supervisors of Medics, Patient Advocates and all healthcare workers.   o   When: 29-31 July 2026 Where: Voyages Ayers Rock Resort, Central Australia Women in Medicine Summit | Chicago, Sept 24-26, 2026⁠⁠ —------------------------------- 🎧 Thanks for tuning into Heartline: Changemaking in Healthcare! 🌟 Learn more and book a free discovery call today at ⁠⁠andreaaustinmd.com/coaching⁠⁠. Stay connected and keep making a difference: ✅ Subscribe to the ⁠⁠Heartline newsletter⁠⁠ for insights into reclaiming your well-being as a healthcare professional, improving teams around you, and transforming the system. 📱 Follow us on social: ⁠⁠Instagram⁠⁠, ⁠⁠LinkedIn⁠⁠ & ⁠⁠YouTube⁠⁠ 📚Discover Dr. Austin’s book Revitalized: A Guidebook to Following Your Healing Heartline. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    48 min

Trailer

4.9
out of 5
13 Ratings

About

Welcome to "Heartline," a podcast dedicated to exploring the inspiring journeys and impactful work of healthcare changemakers leading the charge in transforming healthcare. Despite the United States spending more on healthcare than any other developed nation, key quality outcomes like life expectancy and maternal mortality lag behind. With over half of American physicians experiencing burnout, the challenges within the system are clear. Join us as we delve into the stories of patients, medical professionals, and other experts who defy the status quo. We’ll uncover the unique characteristics and experiences that propel them to be effective changemakers and the organizational factors that support change.  Dr. Austin, host of the podcast, is an emergency physician with real-world experience with the dysfunction in the system. Along with working in the emergency department, she is a medical educator focusing on healthcare worker well-being and how innovative approaches like simulation can improve healthcare. In addition, she researches how we can accelerate changemakers in healthcare. Dr. Austin also uses coaching-informed thinking to unlock the potential of healthcare changemakers, and she will guide you through these narratives with insightful commentary and expert analyses.   Through in-depth interviews and real-world examples, this podcast aims to inspire and equip the next generation to drive meaningful change in healthcare. Whether you're a physician, a medical student, or simply passionate about the future of healthcare, "Heartline" will offer valuable perspectives and actionable ideas to help you thrive in a challenging environment and contribute to improving our healthcare system.   Seasons 1-4 focused on gender bias in the medical system and shared the uplifting stories of women and allies who stay true to their values, boundaries, and priorities, improving their career fulfillment and increasing their impact on healthcare. Season 5 will expand the guests beyond physicians and tackle issues beyond gender bias that impact healthcare.   Tune in to the "Hearline" for a deep dive into healthcare transformation and be inspired by the changemakers making a real difference.

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