Surgeons with Purpose

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 yearsCore 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 usMastery, 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...

Trauma is more common than we think, especially in high-stakes professions like surgery. In this episode, I define trauma, PTSD, and post-traumatic growth and explore how these experiences can show up in the body, the nervous system, and everyday life.Drawing from my own experience with complex PTSD and panic attacks, I walk you through a practical, humane process for moving through trauma rather than around it. This isn’t about fixing yourself or returning to who you were before. It’s about learning how to metabolize difficult experiences and create something meaningful from them.If you need support, you can get on my calendar for a free consult here.Join us in Empowered Surgeons Group here.

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.

⚠️ SENSITIVE CONTENT WARNINGThis 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.

*********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 patientsFind Courtney on instagram here.Watch her story on CBS morning news here.Join Empowered Surgeons here.