Épisodes

  • Episode 108: Building Better Patient Systems Exploring Quality Improvement in Medicine
    Feb 10 2025

    Welcome to the Sustainable Clinical Medicine Podcast!

    In Episode 108, host Dr. Sarah Smith is joined by Dr. Sarah Dalton, a pediatric emergency medicine specialist from Sydney, Australia. Together, they explore the challenges and innovations in creating sustainable career paths for clinicians within complex healthcare systems.

    Dr. Dalton shares her unique journey through medicine, likening herself to a 'platypus' with diverse interests that have led her to integrate pediatrics, acute care, and quality improvement. Listeners will gain insights into her work in clinical leadership, her focus on patient experience and quality improvement in emergency settings, and her role in implementing electronic medical records across New South Wales.

    Dr. Dalton also discusses balancing clinical and nonclinical roles, the significance of self-care, and the value of coaching for medical professionals. Join us as we delve into practical approaches and systemic solutions aimed at enhancing the sustainability of medical careers.

    Here are 3 key takeaways from this episode:

    1. Quality Improvement in Healthcare: Dalton emphasized the importance of quality improvement as a structured approach to solving healthcare system issues. By leveraging PDSA cycles, clinicians can effectively enhance patient experiences and streamline processes.
    2. System-Level Change and Leadership: Leading large-scale healthcare initiatives, such as implementing electronic medical records across hospitals, requires authentic engagement and a clear vision of benefits for clinicians and patients alike.
    3. Balancing Work and Wellness: Dalton shared her strategy for maintaining a sustainable work-life balance, highlighting the importance of setting boundaries and incorporating regular breaks to recharge.

    Dr. Sarah Dalton Bio:

    Dr Sarah Dalton has a clinical background as a Paediatric Emergency Physician, and a long history of medical leadership roles including previous President of the Paediatric and Child Health Division of the Royal Australasian College of Physicians. Sarah has worked in different clinical and managerial roles across NSW over the last 25 years, including several executive leadership roles within NSW Health. Sarah has completed a Fulbright Scholarship in Clinical Leadership and is an experienced executive coach and facilitator who primarily works with healthcare leaders.

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    Would you like to view a transcript of this episode? Click here

    **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine.

    Learn more at https://www.chartingcoach.ca

    **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released.

    **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.

    **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

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    38 min
  • Episode 107: Surviving Healthcare Systems and Sustainable Practices in Modern Healthcare
    Feb 3 2025
    Welcome to the Sustainable Clinical Medicine Podcast! In Episode 107, Dr. Sarah Smith welcomes Dr. Simon Mittal and Ms. Maren Mittal to discuss the intricate dynamics of the health care system and how clinicians can survive and thrive within it. Dr. Simon Mittal, a physician with 30 years of experience and a background in both clinical and administrative roles, shares his journey of transitioning from working within a large health system to founding a consulting company aimed at making health care sustainable for both providers and patients. Ms. Maren Mittal, a licensed clinical social worker with expertise in mental health therapy, offers insights from her experience supporting medical professionals and families impacted by the demands of the medical field. Together, they delve into topics such as navigating health care leadership roles, balancing personal and professional responsibilities, and the importance of emotional intelligence in creating effective teams. Join us for a compelling conversation about redesigning clinical days, fostering relationships, and building sustainable health care models. Here are 3 key takeaways from this episode: Embrace Vulnerability and Curiosity in Change Management: It’s essential for healthcare providers to feel empowered to voice potential improvements and to approach organizational changes with a mindset of curiosity, engaging with stakeholders to collaboratively bring ideas to life.Prioritize Emotional Intelligence and Relationship Building: Successful leadership and team collaboration in healthcare heavily rely on cultivating trust and fostering emotional safety within teams. This ensures that everyone feels seen, heard, and valued, which is a cornerstone for high-functioning healthcare systems.Recognize the Importance of Individual Resilience: Providers must acknowledge personal boundaries and self-care to maintain their passion and effectiveness in their roles. Resiliency isn’t just about enduring challenges but thriving amidst them by aligning work with personal values and finding joy in the practice. Dr. Simon Mittal and Maren Mittal Bio: Simon Mittal is a seasoned healthcare professional, leader, and entrepreneur with 30 years of diverse experience in the industry. His background includes military service and roles in large healthcare organizations, complemented by a Master's in Medical Management. Throughout his career, Simon has coached numerous physicians and executives, understanding the challenges of inadequate support and eroding trust in healthcare organizations and experiencing the limitations of hierarchical systems that hinder individual growth and innovation. Through healthcare leadership and organizational alignment coaching, Simon's mission is to catalyze this transformation, creating healthcare environments where professionals feel valued, supported, and empowered to drive innovation and deliver exceptional care within organizations. Maren Mittal is a dedicated and compassionate licensed clinical social worker, LICSW, and healthcare professional with over 10 years of experience and holds a Master's degree in Social Work from the University of Houston and is licensed in Minnesota and Wisconsin. She is the founder of Revealing Life, a holistic Coaching and Psychotherapy practice. Maren is known for her empathetic and empowering approach and strong communication skills, which allow her to foster a safe and trusting environment and collaborate effectively with leaders. She stays current with best practices in the mental health arena and holds certifications in Brainspotting, Safe ConversationsTM and The Daring WayTM by Brene Brown. Now, she comes alongside individuals, including healthcare workers and students, to equip them to care for their own heart and soul. -------------- Would you like to view a transcript of this episode? Click here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.
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    52 min
  • Episode 106: Unveiling Tools for Thriving Physicians
    Jan 27 2025

    Welcome to the Sustainable Clinical Medicine Podcast!

    In this episode of the Sustainable Clinical Medicine Podcast, host Dr. Sarah Smith welcomes LynAnn Weaver, CEO and founder of Healthcare Elevation Partners, to discuss the dynamics of high performance in clinical settings and how physicians can lead sustainable and fulfilling professional lives.

    With a background in healthcare administration and now as an executive coach, LynAnn shares her insights and experiences from working with physicians and clinical teams. She reveals the common challenges faced by different groups within medical environments and delves into the tools and strategies that can transform frustration and burnout into thriving, effective practice.

    Listeners will gain valuable knowledge on managing energy levels, enhancing communication skills, and fostering leadership to create a supportive and successful clinical day. Join us as we explore how clinicians can achieve their dream lives and practices with clarity, performance habits, and effective team dynamics.

    Here are 3 key takeaways from this episode:

    1. Understanding Different Team Dynamics: Explore the behavioral patterns of three distinct groups of healthcare professionals and the tools that can transform struggling teams into high-performing ones.
    2. Tools for High Performance: Discover learnable and teachable habits that promote higher levels of sustained success without sacrificing well-being, inspired by the High Performance Institute's study on global high performers.
    3. Importance of Effective Communication: Learn how clarity in communication and expectation-setting can resolve conflicts and foster better relationships within healthcare settings.

    LynAnn Weaver Bio:

    LynAnn Weaver is a trailblazer in the fusion of leadership, business growth, and high-performance coaching, and she’s on a mission to transform healthcare. As the founder of Healthcare Elevation Partners, LynAnn combines her extensive experience and passion for elevating physician and healthcare leader performance with a powerful message that healthcare professionals can’t afford to miss.

    As a Certified High Performance Coach certified through the High Performance Institute, holding an MBA with a specialization in healthcare administration, from the University of Colorado - Denver, and as a former neurosciences service line director, LynAnn has led her teams to national recognition in stroke care, earning a first-in-the-nation designation and making a significant impact on patient outcomes, financial growth, and team cohesion. She’s a powerhouse speaker who recently became a semi-finalist in the Great American Speak Off, captivating audiences with her unique blend of expertise and inspiration. LynAnn’s journey isn’t just about professional achievements; it’s a testament to resilience.

    After surviving a devastating car accident that left her unable to walk, LynAnn defied the odds and made a full recovery, emerging stronger and more determined to make a positive impact than ever. Her story and leadership philosophy resonate deeply with healthcare professionals facing burnout, staffing shortages, and overwhelming demands. In her podcast interviews, LynAnn delivers actionable, evidence-based strategies that healthcare leaders can implement immediately. From driving patient referrals to boosting efficiency and influence to fostering positive team dynamics and preventing burnout, LynAnn provides the roadmap for sustainable, high-performance success in healthcare.

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    Would you like to view a transcript of this episode? Click here

    **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine.

    Learn more at https://www.chartingcoach.ca

    **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released.

    **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.

    **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

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    40 min
  • Episode 105: System Solutions for Physician Burnout & Micro Changes for Maximum Impact
    Jan 20 2025

    Welcome to the Sustainable Clinical Medicine Podcast!

    In today's episode, we dive into a compelling discussion with Dr. Diane Shannon, an expert who transitioned from internal medicine to becoming an author and coach with a significant focus on addressing physician burnout. Dr. Shannon shares her personal journey through burnout during her medical residency and early career, highlighting the lack of support systems available at the time. She delves into her work as a writer exploring the systemic issues contributing to physician burnout and how she eventually became a coach to help physicians build the bandwidth to not only manage personal well-being but also to advocate for meaningful changes within healthcare systems.

    Join us as we explore the intricate details of burnout, the crucial role of system-level changes, and the power of micro changes to enhance the work-life balance for clinicians.

    Here are 3 key takeaways from this episode:

    • Understanding Burnout Beyond the Individual: Physician burnout is often a symptom of systemic stress and not solely individual weaknesses. Recognizing this helps in addressing root causes rather than just symptoms.
    • The Power of Micro Changes: Even small, incremental changes can significantly improve physicians’ work and life balance. These micro adjustments might be the key to transitioning from overwhelm to a more sustainable practice.
    • Leadership and Systemic Change: Organizational change is essential in tackling burnout. Effective leadership that is visibly engaged and responsive to feedback can create a more supportive environment for clinicians.

    Dr. Diane Shannon Bio:

    After experiencing burnout as a young primary care physician, Dr. Diane Shannon made the difficult decision to leave practice and pursue a career in writing. Her focus for many years was drawing attention to ways to address communication gaps, system inefficiency, and patient safety problems. Eventually, Dr. Shannon’s personal experience with burnout led her to focus on calling attention to the epidemic of physician burnout. She subsequently co-authored Preventing Physician Burnout: Curing the Chaos and Returning Joy to the Practice of Medicine.

    Today, as a professional coach, she helps physicians improve work-life harmony and build careers that are satisfying and sustainable. In addition, she continues to advocate for healthcare system change through speaking engagements, her podcast Vital Signs: Thriving as a Woman in Medicine, and her blog.

    In her spare time, she enjoys conversing with her three young adult children, traveling with her architect husband, and learning how to surf.

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    Would you like to view a transcript of this episode? Click here

    **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine.

    Learn more at https://www.chartingcoach.ca

    **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released.

    **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.

    **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

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    38 min
  • Episode 104: Managing Emotions & Achieving Career Satisfaction in Medicine
    Jan 13 2025

    Welcome to the Sustainable Clinical Medicine Podcast!

    In this episode, host Dr. Sarah Smith engages with the insightful Dr. Arpita Gupta DePalma—a retired pediatrician and certified mindset coach with a trauma-informed background. Join us as Dr. DePalma recounts her journey from working in acute care in the early 2000s to balancing her career with family life, and the various roles she's embraced along the way, including administrative challenges in her husband's practice. Together, they explore the intricacies of maintaining a fulfilling work-life balance, managing emotions within clinical settings, and challenging perfectionism.

    Here are 3 key takeaways from this episode:

    1. Efficient Practice Management: Dr. DePalma emphasized the importance of working efficiently within set hours, ensuring charting and patient management are completed promptly. This practice not only enhances professional performance but also opens up time for life outside of medicine.
    2. Mindset Shifts for Personal Growth: Discover the power of mindset shifts and the journey of overcoming perfectionism and anger, leading to a more fulfilling and intentional life. Embracing self-acceptance and learning to delegate tasks were pivotal steps.
    3. Community and Support: It's crucial for physicians to have access to tools and supportive communities. Dr. Sarah Smith highlights the Charting Champions Program at chartingcoach.ca, providing resources that streamline work processes, fostering time for personal growth and family.

    Dr. Arpita Gupta DePalma Bio:

    Arpita Gupta DePalma, MD, TIPC founded Thought Work, MD to help physicians and professional women learn how to identify, manage, and then let go of what is not serving them through transformational mindset coaching. She is a retired pediatrician and the co-founder of Virginia iSpine Physicians, a medical practice she opened with her husband. After completing her coach certification with The Life Coach School in 2021, she went on to become certified as a Trauma Informed Professional Coach (TIPC) with Lodestar, and then earn her certification as an Advanced Deep Dive Coach with Bev Aron. She shares nuggets of wisdom with her audience on her podcasts, From Pissed Off to Poised and Doctors Living Deliberately, while reminding others to live intentionally while remembering their “Why”.

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    Would you like to view a transcript of this episode? Click here

    **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine.

    Learn more at https://www.chartingcoach.ca

    **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released.

    **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.

    **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

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    40 min
  • Episode 103: Redefining Professional Identity
    Jan 6 2025

    Welcome to the Sustainable Clinical Medicine Podcast!

    In today's episode, we're thrilled to have Dr. Wendy Schofer join us. As a pediatrician and lifestyle physician, Dr. Schofer's diverse career journey offers a wealth of insights into creating a sustainable practice. From her time in the Navy, balancing the demands of family and career, to exploring new facets of herself through improv and coaching, Wendy's story is one of growth, challenge, and transformation.

    Today's discussion will delve into her sabbatical experience, the transition from military to civilian life, and her innovative approach to medicine, focusing on building meaningful relationships and acknowledging personal limits.

    Join us as Wendy shares her strategies for finding fulfillment and balance both in and out of the clinical setting. Whether you're a physician seeking inspiration or simply interested in the journey of sustainable medical practice, this episode promises to be a compelling listen packed with practical wisdom and heartfelt reflections.

    Here are 3 key takeaways from this episode:

    1. Embrace Experimentation: My sabbatical taught me to explore beyond traditional medical roles, integrating yoga, CrossFit, and improv into my professional life. This journey led to coaching parents and physicians, emphasizing the importance of personal and professional growth through diverse experiences.
    2. Redefine Your Role: In my transition from active duty to civilian practice, I focused on building a specialty clinic around long-term relationships and open emotional discussions with families. By recognizing my limitations and outsourcing certain tasks, I've started creating a fulfilling practice that aligns with my passions.
    3. Prioritize Self-Care: Managing exhaustion and burnout taught me the necessity of addressing my own needs, such as adequate sleep and downtime. I advocate for balancing clinical practice with personal well-being to sustain a rewarding career in medicine.

    Dr. Wendy Schofer Bio:

    Wendy Schofer, MD is a board-certified pediatrician and lifestyle physician, improv comedian and founder of Family in Focus®. She specializes in engaging with emotions in the community, on stage and in her clinical practice. In fact, understanding her emotions helped her heal from personal burnout and now leads the way to creating a practice and life she loves.

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    Would you like to view a transcript of this episode? Click here

    **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine.

    Learn more at https://www.chartingcoach.ca

    **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released.

    **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.

    **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

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    52 min
  • Replay Dr. Adam Stewart - One of Our Top 2 Episodes of 2024
    Dec 30 2024

    Please enjoy this replay of one of our top two episodes of 2024.

    In this episode, we have the pleasure of hosting Dr. Adam Stewart, a comprehensive family doctor known for his passion and expertise in efficiency and self-management materials for patients.

    Dr. Stewart shares valuable insights on delegation, empowering staff, optimizing patient visits, and the use of technology to streamline healthcare workflows. Join us as we delve into the strategies and techniques that Dr. Stewart has developed over his nearly 15 years of practice in a small rural town in Ontario, and gain inspiration for redesigning your own clinical day for sustainability and efficiency.

    Here are 3 key takeaways from this episode:

    1️⃣ Delegation Maximizes Potential: Dr. Stewart emphasizes the significance of delegating tasks according to staff members' value of time and training them to work to their maximum potential, thus optimizing clinic workflow and efficiency.

    2️⃣ Empowering Autonomy Boosts Morale: Giving staff autonomy, mastery, and purpose in their roles can lead to increased job satisfaction and clinic morale, ultimately contributing to sustainable and enjoyable clinical practice.

    3️⃣ Evaluating Time and Tasks: Tracking time in patient appointments, assessing staff roles, and comparing time tracking against revenue can help healthcare professionals understand the value of time and optimize workflows for greater efficiency.

    Dr. Adam Stewart Bio

    Dr. Adam Stewart is a rural family physician who offers comprehensive primary care. He is part of the Central Hastings Family Health Team (CHFHT). He received his Bachelor of Science (Hon.) in Physiology from the University of Western Ontario where he also completed his medical degree and family medicine residency. Dr. Stewart joined the CHFHT in July of 2009. He was the Lead Physician at CHFHT from 2010-2012 and he resumed that role from September 2018 to October 2021

    Dr. Stewart is passionate about EMR and digital health. He has presented at several conferences over the years regarding his innovative and advanced use of EMR technology.

    For the first seven years of his career, Dr. Stewart also worked shifts in the Emergency Departments of local hospitals. In more recent years, Dr. Stewart has been developing his interests in EMR technology and practice efficiency, all the while maintaining a full time family medicine practice.

    Dr. Stewart was a dedicated OMA Council Member via his role as an Executive of the Section of General and Family Practice from March 2017 until December 2020. He has served on other committees within the OMA. In 2021, Dr. Stewart was awarded the OMA’s “Section Service Award” in recognition of significant service to his specialty, medical profession, and the public.

    Dr. Stewart was an OntarioMD Peer Leader from 2015 to 2020

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    Would you like to view a transcript of this episode? Click here

    **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine.

    Learn more at https://www.chartingcoach.ca

    **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released.


    **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.


    **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

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    51 min
  • Replay Dr. Tena Frizzle - One Of Our Top 2 Episodes of 2024
    Dec 23 2024

    Happy Holidays. Please enjoy this replay of one of our top two episodes of 2024.

    In today's episode, titled "Finding Sustainable Solutions for Overwork and Burnout," your host, Dr. Sarah Smith, is joined by Dr. Tena Frizzle, a family doctor with 23 years of experience in rural Nova Scotia.

    Dr. Frizzle bravely shares her personal struggle with burnout, detailing the overwhelming backlog of paperwork and the emotional toll it took on her professional and personal life.

    Together, Dr. Smith and Dr. Frizzle provide insight into the challenges and complexities of practicing medicine, as well as strategies for finding sustainable solutions to combat burnout and improve work-life balance.

    Here are 3 key takeaways from this episode:

    1️⃣ Addressing Burnout: Dr. Frizzle and Dr. Smith discuss the emotional burden of practicing medicine, the need to be kind to oneself, and strategies for managing burnout without drastic lifestyle changes.

    2️⃣ Time Management Strategies: The episode explores the importance of better time management, avoiding interruptions, and dealing with decision fatigue to achieve a sustainable work-life balance.

    3️⃣ Embracing New Approaches: Dr. Frizzle's experience with using artificial intelligence for note-taking and the discussion of the need for curiosity and bravery in trying new approaches to address ongoing issues and burnout in the medical profession.

    Dr. Tena Frizzle Bio:

    Dr. Tena Frizzle is a rural Family Physician caring for families for over 20 years in a border town of Nova Scotia, Canada. Tena shares a love of perinatal, mental health and comprehensive care with residents, medical students & colleagues.

    Join us as we delve into Dr. Frizzle's journey and explore ideas for change in the pursuit of a more sustainable and fulfilling clinical practice.

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    Would you like to view a transcript of this episode? Click here

    **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine.

    Learn more at https://www.chartingcoach.ca

    **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released.


    **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life.


    **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

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    54 min