The Podcast For Doctors (By Doctors)

Dr. Michael Jerkins and Dr. Ned Palmer

Join Dr. Michael Jerkins and Dr. Ned Palmer, practicing physicians and co-founders of Panacea Financial, a national financial platform for doctors, as they have real talk on what matters to doctors and their lives.

  1. 2d ago

    Gerald Cox, MD – Engineered to Crave: How Big Food Hijacked the American Plate

    Dr. Gerald Cox joins Dr. Palmer for a revealing conversation about a shift most clinicians were never trained to see—how the food on our shelves stopped being food and became a product, deliberately designed to be difficult to stop eating. As a preventive medicine specialist focused on reversing cardiometabolic disease, with roots in obesity, lifestyle, and internal medicine, Dr. Cox brings both the science and a personal story: his own adolescence as an overweight kid who thought he was simply making bad choices, before realizing the choices themselves had been engineered.  Dr. Cox walks through the machinery hiding behind familiar labels. He explains how "flavor engineering" blends taste, aroma, color, and texture to defeat moderation, and why a "healthy" protein bar can carry a paragraph of unfamiliar ingredients. He traces how tobacco companies—under public-health pressure in the 1980s—bought their way into the food supply, bringing Oreos, Kool-Aid, Lunchables, and their marketing playbooks with them. And he connects high-fat, high-salt, low-fiber formulations to the brain's dopamine and reward pathways, explaining why "bet you can't have just one" was never a joke.  The episode also takes on the harder questions underneath the trend lines. When food behavior is shaped by biochemistry and industry design, how should clinicians respond—with blame, or with grace and tools like the Yale Food Addiction Scale? What does the latest research from the Lancet and the American Journal of Public Health reveal about engineering techniques and their public-health cost? And with "Make America Healthy Again" messaging, the FDA's "natural" loophole, and food dyes all moving into the political mainstream, could this be a once-in-a-generation opening for real reform?  Throughout, one truth anchors the discussion: this isn't a story about willpower—it's about environment. Understanding how the modern food supply was built is the first step toward meeting patients with compassion, and toward giving them back some control over what ends up on their plate.

    Gerald Cox, MD – Engineered to Crave: How Big Food Hijacked the American Plate
  2. Jun 17

    Christopher Garofalo, MD – Walking Away from Employment: A Practice Owner's Playbook

    Dr. Christopher Garofalo joins Dr. Michael Jerkins for a wide-ranging conversation about a transformation few in medicine are tracking closely—the slow disappearance of the physician-owned practices, and what it means for the doctors and patients left in its wake. As a family physician, longtime private practice owner, and advocate inside organized medicine, Dr. Garofalo has watched the ownership model erode from the inside, and has a clear-eyed view of how policy, private equity, and the insurance industry have reshaped what it means to practice independently.  Dr. Garofalo walks through the levers physicians rarely realize they can pull: how simply showing up in advocacy circles translates into tangible wins like prior authorization reform, why direct primary care is quietly rebuilding a relationship between doctor and patient that insurance long ago broke, and how policies restricting physician ownership of hospitals and surgery centers have quietly tilted the field toward consolidation.  The episode also takes on the harder structural questions underneath the trend lines: What happens to access and cost when monopolies and vertical integration replace independent practices? Why has the dental profession protected ownership while medicine surrendered it? And could AI tools and new financing models finally make private practice viable again for the next generation of doctors?  Throughout the conversation, one truth anchors the discussion: practice ownership is not nostalgia—it is infrastructure. Restoring it is how physicians regain autonomy, how patients regain access, and how medicine regains the room to be practiced the way it was always meant to be practiced.

    Christopher Garofalo, MD – Walking Away from Employment: A Practice Owner's Playbook
  3. May 20

    Dr. Josh Daily, MD – The Financial Blind Spot in Medicine

    Dr. Josh Daily joins Dr. Michael Jerkins for a candid conversation about a quiet crisis in medicine—one hiding in plain sight on every trainee's loan statement and every attending's pay stub. As a pediatric cardiologist, program director, and co-director of a medical student course on financial essentials for physicians, Dr. Daily has a clear view of why only 9% of doctors say they feel extremely confident managing their finances—and why that number, troubling as it is, makes complete sense given how little financial training physicians actually receive.  Dr. Daily walks through the tools doctors are rarely given but desperately need: how to think about net present value when your debt looks bigger than your starting salary, why the timing of promotion can shape lifetime earnings more than the specialty you choose, and how recent federal loan caps of $200,000 could quietly reshape who gets to become a doctor in the first place.  The episode also takes on the harder cultural questions underneath the numbers: What happens when "medicine as a calling" becomes the language used to justify being underpaid and overworked? Why is the pay gap between pediatric and adult subspecialties widening at exactly the level where trainees decide their futures? And when does additional training actually pay off—financially and otherwise?  Throughout the conversation, one truth anchors the discussion: financial literacy is not the opposite of a meaningful medical career—it is what protects it. Understanding the math is how physicians stay in medicine, stay whole, and stay free to practice the way they always intended.

    Dr. Josh Daily, MD – The Financial Blind Spot in Medicine
  4. Feb 4

    Miechia Esco, MD, PhD, MBA, RPVI, FACS – Locum Tenens Explained: Flexibility, Physician Shortages, & the Future of Healthcare

    Board-certified vascular surgeon and chief medical resource advisor at Locum Tenens Dr. Miechia Esco joins Dr. Michael Jerkins for an in-depth conversation on the realities—and misconceptions—of locum tenens medicine. Drawing from a career that spans academia, military medicine, private practice, and locum work, Dr. Esco offers a firsthand look at how locum physicians adapt across diverse clinical environments and why experience, not transience, defines the field.  The discussion highlights the critical role locum physicians play in underserved rural and urban communities, helping to bridge gaps created by physician shortages and hospital closures. Dr. Esco and Dr. Jerkins explore the growing demand for locum physicians across all specialties, the flexibility and autonomy locum work can provide, and how it compares to traditional employment in today’s evolving healthcare landscape. They also touch on the influence of technology and AI while reinforcing why human judgment, compassion, and trust remain irreplaceable in patient care.  What does it really take to succeed as a locum physician? And how can mission, ethics, and culture shape a more sustainable future for healthcare?  Dr. Esco closes with advice for physicians considering locum work, reflections on legacy and leadership, and a reminder that meaningful impact in medicine often comes from meeting communities where they need you most.

    Miechia Esco, MD, PhD, MBA, RPVI, FACS – Locum Tenens Explained: Flexibility, Physician Shortages, & the Future of Healthcare

Ratings & Reviews

4.7
out of 5
15 Ratings

About

Join Dr. Michael Jerkins and Dr. Ned Palmer, practicing physicians and co-founders of Panacea Financial, a national financial platform for doctors, as they have real talk on what matters to doctors and their lives.

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