The Physician's Pulse

Incite Media
  • 5.0 (2)
  • Medicine
  • Updated Biweekly

Medicine is broken. But you don’t have to be. Welcome to Physician's Pulse, a podcast hosted by me, Ramin Manshadi, a seasoned cardiologist and physician advocate who knows exactly what it feels like to navigate the modern healthcare machine. This channel will share real experiences from real practitioners without sugar coating. I am dedicated to having honest, unflinching conversations about the real issues driving physicians out of the field: burnout, moral injury, and systemic failure.

Episodes

  1. Sep 3

    The Line Doctors Shouldn’t Cross | Dr. Joseph Marine

    On The Physician’s Pulse, Dr. Ramin Manshadi interviews Johns Hopkins cardiac electrophysiologist Dr. Joseph Marine about lifelong learning, the Hippocratic tradition, and how modern medicine can fray ethically under corporatization, productivity pressures, and moral relativism. They discuss trust as the foundation of the physician–patient relationship, concerns about euthanasia’s expansion (citing Oregon and Canada) and challenges to the dead donor rule in transplantation, and why ethics should not shift with changing context. Dr. Maureen reframes “burnout” as demoralization and suggests reducing burdens like prior authorization and non-competes while restoring medicine’s moral purpose. The conversation covers AI’s likely upside as decision support, key electrophysiology breakthroughs (pacing/defibrillation, catheter ablation), evolving AFib management toward earlier rhythm control and ablation, the importance of lifestyle change, benefits and limits of wearables, caffeine and alcohol guidance, leadership lessons, the role of listening (including through music), mentorship, and reflections on how Hippocrates might view modern medicine.00:00 Introduction02:08 Lifelong Learning03:06 Medicine as a Moral Profession09:15 Ethical Drift and Euthanasia15:38 The Dead Donor Rule17:07 Physician Burnout and Demoralization20:27 AI in Medicine25:05 Breakthroughs in Electrophysiology26:19 Atrial Fibrillation: Rate vs. Rhythm29:32 Lifestyle and AFib31:58 Wearables and Monitoring34:42 The Future of Electrophysiology39:41 Music and Medicine41:44 Caffeine, Alcohol, and Daily Habits46:09 Advice for Trainees and Mentorship48:17 If Hippocrates Walked Through Hopkins49:57 Closing Thoughts

  2. Aug 20

    Fixing Healthcare Incentives | Dr. Richard Pan

    Dr. Ramin Manshadi interviews pediatrician and former California State Senator Dr. Richard Pan, now a U.S. Congress candidate, about his shift from clinical medicine to health policy driven by community health and social determinants. Dr. Pan highlights legislative achievements including expanding coverage to 4 million Californians, enabling an $11 generic insulin, and strengthening vaccination laws after the 2015 Disneyland measles outbreak.  He discusses rebuilding public trust amid vaccine disinformation, protecting the doctor–patient relationship through access to care, and addressing burnout by reducing administrative burden and prior authorization, noting outpatient physicians spend only about 28% of their time with patients.  The conversation covers sustaining independent practices, aligning incentives to better manage chronic disease, establishing AI safety guardrails, social media’s role in amplifying outrage and misinformation, and his top federal priorities: expanding healthcare access, restoring public health infrastructure, and reducing wasteful administrative spending. 00:00 Doctors vs Paperwork 00:30 Meet Dr Richard Pan 02:49 From Micro to Macro 06:30 Why Run for Congress 09:36 Rebuilding Trust in Medicine 12:34 Burnout and Prior Auth 17:53 Saving Independent Practices 23:03 AI Promise and Guardrails 26:58 Social Media and Youth 29:56 Top Healthcare Priorities 35:46 Closing Advice for Trainees

  3. Aug 7

    Unpacking the Future of Medical Education| Christopher Callahan

    Christopher Callahan, the 26th President of the University of the Pacific discusses launching a new School of Medicine to address severe physician shortages across 20 underserved Central Valley counties.  Callahan explains why Pacific is positioned to take on the long, resource-intensive accreditation process, targeting a first class by fall 2030, and how building from scratch enables a future-focused, patient-centered curriculum emphasizing early clinical experiences, teamwork, communication, and student well-being.  They discuss using AI ethically to enhance care, recruiting “homegrown” students who will train and stay locally, and Pacific’s history of innovation, including its original 1858 medical school that became Stanford’s. Callahan highlights the essential partnership with Dignity Health, aligned with St. Joseph’s major expansion to support rotations and residencies. 00:00 Future Legacy Vision 00:30 Meet President Callahan 01:46 Why Central Valley Needs Doctors 04:54 Why Pacific Why Now 07:56 Building From Scratch 10:08 Mission Homegrown Physicians 12:06 Fast Track Possibilities 14:26 Pacific Medical School Roots 15:34 Innovation And AI 17:33 Advice For Future Doctors 26:11 Wellness And Whole Person 29:44 Pacific Campus On Screen 32:26 One Sentence Success Metric 32:59 Serving Diverse Communities 34:41 Partnerships And Next Steps 37:50 Closing Thanks

  4. Jul 23

    Adding Life to Years: Dr. Kim Williams on Healthspan

    In this episode of Physician’s Pulse, Ramin speaks with the famed cardiologist and former American College of Cardiology president Dr. Kim Allan Williams Sr., now chair of Medicine at the University of Louisville, about increasing healthspan, health equity, and physician leadership. Dr. Williams shares his upbringing on Chicago’s South Side with housing and food insecurity, how repeated childhood pneumonia and self-advocacy in an underfunded hospital inspired his medical career, and how tennis helped him excel academically. He recounts building programs in nuclear cardiology and inner-city care, leaving the University of Chicago after restrictions on caring for uninsured/Medicaid patients, and later leading at Wayne State and Rush. He defines longevity as “area under the living curve,” emphasizes the six Lifestyle Medicine pillars, critiques unproven longevity interventions via risk-benefit and evidence, discusses plant-based approaches to plaque stabilization/regression (Ornish/Esselstyn), and outlines burnout solutions like listening systems, a “pebble box,” and confidential support. 00:00 Midcareer Longevity Advice 00:33 Welcome and Guest Intro 03:39 South Side Origins 05:08 Tennis and Medical Path 06:53 Cardiology and Nuclear Lab 09:31 Fighting for Equity 12:47 Louisville Prevention Work 15:45 Defining True Longevity 17:50 Hype vs Evidence 20:07 Reversing CAD with Lifestyle 24:46 Going Vegan and Guidelines 30:06 Why Tennis Extends Life 32:18 Leadership and Burnout Fixes 38:00 Training Pipeline Rethink 40:32 Closing Thanks and Wrap

  5. Jun 29

    Dean of Chicago Medical School Shares What Med Schools Want

    Physician's Pulse welcomes Dr. Archana Chatterjee, Dean of the Chicago Medical School and SVP for Medical Affairs at Rosalind Franklin University. Dr. Chatterjee discusses her insight in admissions profiles and what elements go into accepting applicants. They discuss holistic admissions values centered on service, the benefits of gap years, generational changes in students, and the need to normalize self-care as essential to caring for others. Additionally, they explore how burnout pressures begin before medical school, noting published data on mental health issues among pre-med students and the intense competitiveness and rigor of medical training, including USMLE exams and residency applications. Dr. Chatterjee describes Chicago Medical School’s system-based curriculum, early clinical exposure, robust wellness and counseling resources, and student opportunities such as professionalism and health equity coursework and a student-run interprofessional community clinic. 01:15 Dr Chatterjee Journey 03:13 Burnout Starts Early 06:06 Wellness Support Programs 07:38 Ideal Medical Student 09:31 Gap Years Explained 12:09 Holistic Admissions Process 14:15 New Student Trends 15:59 Preparing for Real Practice 18:50 Life Balance and Reflection 24:07 Training Length Rethink 26:26 Self Care Takeaways

  6. Jun 12

    Dr. Shannon Udovic-Constant: Why do women physicians burnout more?

    Dr. Ramin Manshadi hosts board-certified pediatrician and physician advocate Dr. Shannon Udovic-Constant, a longtime Kaiser Permanente clinician, UCSF clinical professor, founder of Physician Women Rising, and 2024 California Medical Association president representing 50,000+ physicians. Dr. Udovic-Constant describes how a patient’s comment about not being able to drink water at school led her to champion California Senate Bill 1413 requiring potable drinking water in every school, shaping her commitment to advocacy and leadership. The conversation addresses higher burnout rates among women physicians, driven by disproportionate EHR time, uncompensated tasks, mentoring, and family responsibilities, framing burnout as structural rather than personal failure. They discuss solutions including structural workload recognition, institutional measurement of invisible labor, physician-led implementation of AI, and leadership development through applying before feeling “ready,” plus the difference between mentorship and sponsorship. She outlines a 10-year vision emphasizing systemic wellbeing supports, boundaries, and women in real authority, and calls for reduced administrative burden through collective physician action. Learn more about Shannon's work at:https://drshannonudovicconstant.com/ https://physicianwomenrising.substack.com/ www.LinkedIn.com/in/shannon-udovic-constant. 00:00 Welcome and Guest Intro 02:09 Safe Water Advocacy Spark 04:15 Why Women Burn Out 05:47 Structural Fixes and Support0 7:30 AI in Clinical Practice 09:16 Step Into Leadership Now 10:36 Mentors vs Sponsors 11:42 Physician Women Rising Mission 14:13 Building Leadership Early 16:23 Overlooked and Double Bind 19:37 Ten Year Vision for Wellbeing 21:29 One Change to Reduce Burnout 25:35 Closing Thanks and Farewell

  7. May 29

    Unpacking The Future of Medical School

    In this Episode, host Dr. Ramin Manshadi speaks with Dr. Susan Murin, Dean of the UC Davis School of Medicine, about medical education, physician wellbeing, and leadership. Dr. Murin shares what the reality of medical school looks like today for students. She talks about the stressors contributing to burnout, including the medical school admissions “lottery" driven by applicants applying to more schools and the rise of student-driven gap years to improve competitiveness and preparedness. She describes holistic admissions, advice on choosing a rewarding specialty and practice setting aligned with desired autonomy, and the value of academic medicine’s mix of clinical care, teaching, and research. She outlines UC Davis wellbeing resources, notes decreasing stigma around mental health support, reviews curriculum changes emphasizing early clinical exposure and self-directed learning, and reflects on AI’s emerging impact. 00:00 Welcome and Guest Intro01:13 Mission and Vision02:11 Admissions Pressure and Burnout04:35 Gap Years and Holistic Review07:20 Building a Sustainable Career11:06 Wellbeing Programs and Support14:31 Curriculum Redesign16:45 AI and the Future Doctor19:59 Overextension and Lessons Learned22:01 Women in Medicine and Balance23:39 Final Thanks and Wrap Up

  8. May 14

    Solving the Culture Crisis in Healthcare - Dr. Eldrin Lewis

    Dr. Ramin Manshadi interviews Dr. Eldrin Lewis, Chief of Cardiovascular Medicine at Stanford, about physician wellbeing and cardiology burnout. Dr. Lewis highlights major drivers of burnout and potential solutions. He discusses how AI can help solve many issues faced by modern physicians, and highlights some of the risks.Dr. Lewis brings his personal experiences to the table and he advises trainees to align passion, technical fit, future job landscape, and lifestyle to reduce misalignment and burnout.Its an incredibly useful conversation for both future medical professionals and practicing physicians alike.00:00 – Introduction to Physicians’ Pulse & Guest Bio (Dr. Eldrin Lewis)01:44 – Biggest contributors to cardiologist burnout today04:00 – Data deluge, critical results, and fear of missing something06:36 – How AI can help reduce burnout and improve patient care08:30 – Patient trust, privacy, and keeping AI within the health system firewall09:24 – Advice to trainees choosing a cardiology career path16:00 – Team culture, coverage, and making room for real life events17:32 – Do we need such a long training pathway in cardiology?18:00 – Piloting shorter, focused subspecialty pathways (e.g., ACHD 2+2)28:00 – Stanford’s vision: from basic science to implementation and health span

  9. Apr 10

    Dr. Ramin Manshadi: A Cardiologist Becomes the Patient

    After experiencing sudden chest discomfort and using his Apple Watch to identify atrial fibrillation at a heart rate of 171, cardiologist Dr. Ramin Manshadi is wheeled to the ER as a patient—an experience that prompts him to ask what is happening to those who dedicate their lives to healing others. He reflects on the pressures of pre-med, medical school, residency, and private practice, including long hours, stress, emergencies, administrative burdens, and running a business, while also acknowledging the deep rewards of saving lives. Citing historically high physician burnout, he introduces Physicians Pulse as a podcast exploring the human side of medicine through conversations across training and leadership to improve physician training, reduce burnout, modernize board certification, and build a healthcare system where physicians can thrive. 00:00 A Doctor Becomes Patient 00:58 Denial and ER Reality 01:39 Why This Podcast Exists 02:09 The Training Gauntlet 03:37 Private Practice Pressures 05:23 Why Medicine Matters 07:00 Burnout and the Mission 08:04 Questions We Will Tackle 08:54 A Call to Heal Together 09:51 Closing Thanks

  10. Mar 20

    Welcome To The Physician's Pulse

    Join me bi-weekly to learn what it takes to survive the medical profession. You'll hear stories on how to succeed in every stage of your professional life as a practitioner, from pre-med to opening your own practice.

  • 10 Episodes

Ratings & Reviews

5
out of 5
2 Ratings

About

Medicine is broken. But you don’t have to be. Welcome to Physician's Pulse, a podcast hosted by me, Ramin Manshadi, a seasoned cardiologist and physician advocate who knows exactly what it feels like to navigate the modern healthcare machine. This channel will share real experiences from real practitioners without sugar coating. I am dedicated to having honest, unflinching conversations about the real issues driving physicians out of the field: burnout, moral injury, and systemic failure.

Information

  • Creator
    Incite Media
  • Years Active
    2026
  • Episodes
    10
  • Rating
    Clean
  • Copyright
    © Incite Media
  • Show Website
    The Physician's Pulse