Dr. Rhian Davies shares her journey from cardiology fellowship to becoming an interventionist specializing in complex high-risk PCIs and CTOs while balancing her passion for competitive horseback jumping.• Meeting Dr. Lombardi at a fellows course in 2018 despite initial intimidation• Transitioning from fellowship to practice and dealing with being the first female interventionist in her practice• Finding balance between professional responsibilities and personal passions • Mental and physical parallels between competitive jumping and performing complex interventions• Navigating a devastating elbow injury that threatened both career and personal identity• Learning to communicate honestly about struggles rather than suppressing emotions• Building genuine relationships with colleagues and creating community support systems• Developing mental preparation techniques for both riding competitions and complex cardiac cases• Recognizing the importance of maintaining passions outside of medicine for mental well-being"To truly enjoy this career, you have to be ready for not every case going as planned. This field is unbelievably rewarding, and the cases that go amazing and save lives are wonderful, but there are those that don't, and being prepared for that is important."Send us a text
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Dr. Jesse Kane - Courage to Evolve
Dr. Jesse Kane shares his journey from interventional cardiology fellow to attending physician at the University of Vermont, exploring how his diverse training experiences shaped his approach to medicine and patient care.• Moving between different institutions exposes physicians to varying approaches and helps identify best practices• Redefining success means focusing on helping patients and being a good teacher rather than case volumes or technical metrics• Physical manifestations of stress during complex procedures can include tension headaches and pain• Building a supportive community of colleagues is essential for managing the psychological challenges of high-risk interventions• Creating clear boundaries between work and home life becomes increasingly important, especially when starting a family• Cultivating a team-oriented culture in medicine promotes innovation and growth• Simple strategies like keeping your phone out of reach at home can improve presence with loved ones• Medicine needs to preserve space for innovation and pushing boundaries, even when success isn't guaranteedIf you're interested in joining this conversation or sharing your own journey, please subscribe to the podcast and share it with others who might benefit.Send us a text
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Dr. Amy Cheney - Life After Training
After cardiology fellowship, physicians face critical career decisions balancing technical skills, personal fulfillment, and family demands that shape their professional trajectories. Dr. Amy Cheney shares her journey from UW fellowship to community practice, revealing insights about transitioning from academic to private practice settings.• COVID disruptions during fellowship created uncertainty but built valuable adaptability skills• First job after training wasn't the right fit despite appearing aligned with career goals• Finding practice partners with shared clinical philosophy proved essential for professional satisfaction• Working with another high-risk PCI operator provides both technical collaboration and emotional support• Learning to establish boundaries between work and home life requires intentional practice• Two-physician marriages need structured communication about schedules and childcare responsibilities• Women in interventional cardiology face unique challenges requiring confidence and resilience• Personal tragedy can ultimately enhance professional empathy and perspective• Finding mentors who share similar life circumstances provides crucial guidance• Academic concepts translate differently to community practice but remain valuable foundationsWe need to maintain work sustainability through proper boundaries and prioritizing family time. The culture of medicine is changing to value physician wellbeing alongside technical excellence.Send us a text
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Dr. Gabe Charbonneau - Medicine Forward
Physicians aren't broken - the healthcare system is. Dr. Gabe Charbonneau joins Bill to discuss physician burnout and the hopeful path forward through solidarity, boundaries, and reclaiming joy in medicine.• Dr. Charbonneau shares his journey from rural Idaho inspiration to experiencing severe burnout in his first post-residency position• Medicine Forward was born from collaboration with Dr. Eric Topol to create a physician organization focused on the doctor-patient relationship and humanity in medicine• Two essential paths exist for tackling burnout: the inner path (personal boundaries and wellness) and system advocacy (changing the broken structures)• Perfectionism in medicine creates isolation and "terminal uniqueness" where physicians suffer alone rather than supporting each other• Physicians must learn to care for each other and model the compassionate behavior they want to see in healthcare• Current Medicine Forward initiatives include a documentary, coaching programs, and building communities of support for physicians• True leadership requires caring about people rather than just managing them - a critical missing element in healthcare systemsTo learn more or join the movement, visit medicineforward.org where you can become a member for $5 per year and connect with others working to fight burnout and reclaim the joy in medicine.https://x.com/gabrieldanehttps://www.linkedin.com/in/gabe-charbonneau-md-66978449/Send us a text
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100th Perspective - Dr. Aaron Grantham and Dr. Jarrod Frizzell
Dr. Bill Lombardi celebrates his 100th podcast episode by reversing roles, allowing his early guests Dr. Aaron Grantham and Dr. Jared Frizzell to interview him about his personal transformation and journey to better.• Discussing the "two steps forward, one step back" reality of personal growth and how to prevent falling all the way back• Recognizing physiological triggers when slipping into old patterns and using mantras like "I'm a good and worthy man" to reset• Moving from external validation to intrinsic worth by developing radical acceptance and forgiveness• Confronting past trauma, particularly from his relationship with his perfectionist father• Changing his approach to parenting by no longer defining success through academic achievement and finances• Evolution of the CTO space in interventional cardiology and recognizing the importance of psychological well-being• Finding purpose in serving others rather than in technical achievements• The importance of vulnerability and having supportive relationships when facing life's challenges• Recognizing that worthiness comes from within rather than external achievementsI hope this episode helps you get a little bit better and I look forward to seeing you for episode 101. Good luck this week on your journey to better.Send us a text
Dr. Bill Lombardi has been one of the highest-volume complex PCI and chronic total occlusion (CTO) operators in the world for over a decade. He's always striving to improve his skills and methods to perform safer and more efficient procedures. It's a journey to better that extends beyond technical and into mental and emotional health. Bill will discuss topics, ideas, and examples with special guests and live audience questions to navigate his journey to better.
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