Podcast thumbnail for Get a Shift On

Get a Shift On

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by David Birchmore

5.0(2 reviews)
50 episodes
Updated Daily
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Podcast Overview

Real stories of career change, life after redundancy, and starting a business. No hype. No jargon. Just real talk and practical steps you can use now. I'm David Birchmore. I spent over 25 years in healthcare before I left to build my own businesses. Now I help other healthcare professionals do the same. If you're a clinical healthcare professional who's burned out or thinking about leaving, this show is for you. Each week you'll hear from people who made the jump: how they decided, what they did next, and what it takes to leave and start over. New episodes every week.

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Publishing Since

2/5/2025

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Recent Episodes

Episode thumbnail for S1:E50 | Moe Choice: Independent Thinking, Solopreneurship and Why Most People Stay Stuck

June 25, 2026

S1:E50 | Moe Choice: Independent Thinking, Solopreneurship and Why Most People Stay Stuck

<p><strong>What if the life you want has nothing to do with building a bigger business and everything to do with thinking differently?</strong></p><p>In this episode of <strong>Get A Shift On</strong>, David Birchmore speaks with entrepreneur and solopreneur mentor <strong>Moe Choice</strong>, who has built 12 businesses and now helps people create genuine independence through business ownership.</p><p>Together they explore why so many people stay stuck, how fear shapes our decisions, why changing your narrative changes your future, and the three reasons most entrepreneurs fail.</p><p>Expect an honest conversation about independent thinking, communication, sales, leadership, personal growth, mindset and building a business that supports the life you actually want.</p><p>If you're considering career change, starting a business or becoming self-employed, this episode is packed with practical insight and refreshing honesty. </p><p><br /></p><p>Connect with David:</p><ul><li><a href="https://www.linkedin.com/in/davidbirchmore/" target="_blank" rel="ugc noopener noreferrer">LinkedIn</a></li></ul><p>Connect with Moe:</p><ul><li><a href="https://www.linkedin.com/in/moechoice/" target="_blank" rel="ugc noopener noreferrer">LinkedIn</a></li><li><a href="https://mochoice.com/" target="_blank" rel="ugc noopener noreferrer">Website</a></li><li><a href="https://moechoice.net/podcast/" target="_blank" rel="ugc noopener noreferrer">Join Moe's Masterclass</a></li></ul><p><br /></p><p><strong>Chapters</strong></p><p>00:00 Introduction</p><p>01:00 Why Moe decided to create his own path</p><p>04:00 The real meaning of being a solopreneur</p><p>06:00 Building 12 businesses and what they taught him</p><p>08:20 Why talent isn't the secret to success</p><p>11:30 Learning to separate people from their actions</p><p>14:40 Why young people should be taught to question everything</p><p>18:30 Social media, changing your mind and new information</p><p>20:45 Understanding your personal strategies</p><p>23:30 Labels, personality and self-awareness</p><p>26:00 Nature vs nurture and where our behaviours come from</p><p>29:20 Can people really change?</p><p>34:30 The three reasons most entrepreneurs fail</p><p>43:20 Why committing fully changes everything</p><p>49:20 Selling without feeling "slimy"</p><p>53:30 How to sell with integrity</p><p>57:20 Why your offer matters more than your process</p>

Episode thumbnail for S1:E49 | Intimacy, Mental Health and Why Communication Is the Foundation of Everything | Gemma Nice, Sex and Relationship Coach

May 13, 2026

S1:E49 | Intimacy, Mental Health and Why Communication Is the Foundation of Everything | Gemma Nice, Sex and Relationship Coach

<p><strong>It&#39;s Mental Health Awareness Week. And one of the most under talked tools for managing stress, anxiety and mental well-being isn&#39;t medication, therapy or a morning routine. According to sex and relationship coach Gemma Nice, it starts a lot closer to home.</strong></p><p>Gemma Nice is back for part two. Multi-award-winning founder of The Relationship Coach, former veterinary nurse of 19 years, and someone who rebuilt her own 26-year relationship from the ground up using breath work, yoga and some very honest conversations.</p><p>This episode goes deeper. If part one was about communication breaking down, this one is about what it actually takes to rebuild it — and what your body is doing while you ignore it. For healthcare professionals who&#39;ve spent years being the strong one, the capable one, the one who holds everyone else together, this conversation will land differently than most.</p><p>Topics covered:</p><ul><li>Why orgasms are a legitimate mental health tool — the science of cortisol, dopamine and stress release</li><li>The real reason intimacy disappears in high-achieving relationships — and why it&#39;s rarely about attraction</li><li>What perimenopause actually does to a relationship when communication isn&#39;t already there</li><li>Why men are still left out of miscarriage, menopause and emotional health conversations</li><li>The traffic light system for exploring new things together without pressure or blame</li><li>How to use I statements at work — not just at home — to feel seen and heard</li><li>What erectile dysfunction and loss of arousal actually signal about the nervous system</li><li>Why the taboo around self-pleasure is a Victorian hangover that&#39;s still costing people their mental health</li><li>Monogamy, open relationships and how communication is the only way through any of it</li><li>Why body shame starts young, why parents carry it forward, and how to break the cycle</li></ul><p><br></p><p><strong>Follow Gemma Nice:</strong>Website: <a href="https://www.gemmanice.com">https://www.gemmanice.com</a>LinkedIn: <a href="https://www.linkedin.com/in/gemmanicerelationshipcoach">https://www.linkedin.com/in/gemmanicerelationshipcoach</a>YouTube: <a href="https://www.youtube.com/@gemmanicerelationshipcoach">https://www.youtube.com/@gemmanicerelationshipcoach</a>Pinterest: <a href="https://www.pinterest.co.uk/GemmaHayleyNice/">https://www.pinterest.co.uk/GemmaHayleyNice/</a>Twitter: <a href="https://twitter.com/GemmaHayleyNice">https://twitter.com/GemmaHayleyNice</a>Insight Timer: <a href="https://insighttimer.com/yogigemma">https://insighttimer.com/yogigemma</a>Book a call: <a href="https://calendly.com/gemmahayleynice">https://calendly.com/gemmahayleynice</a><strong></strong></p><p><br></p><p><strong>Follow David :</strong>David&#39;s LinkedIn: <a href="https://www.linkedin.com/in/davidbirchmore/">https://www.linkedin.com/in/davidbirchmore/</a></p><p><br></p><p>Are you ready to leave healthcare? Still in a role you&#39;ve mentally already left?</p><p>Answer 15 questions and find out exactly where you stand, and what to do first.</p><p>Take the free 2 min quiz here: <a href="https://david-a0a3cnqe.scoreapp.com">https://david-a0a3cnqe.scoreapp.com</a></p><p><br></p><p><strong>Chapters</strong></p><p>00:00 Introduction to Gemma&#39;s Journey</p><p>01:02 From Veterinary Nurse to Intimacy Coach</p><p>04:03 The Impact of Travel on Relationships</p><p>10:11 Navigating Arguments and Disagreements</p><p>13:33 The Power of &#39;I&#39; Statements in Communication</p><p>18:07 Authenticity in Conversations</p><p>21:51 Breaking Taboos Around Sex and Relationships</p><p>26:06 Men&#39;s Emotional Health and Communication</p><p>33:52 Sexuality and Pleasure at Any Age</p><p>35:53 Navigating Relationships Through Menopause</p><p>39:05 The Importance of Communication in Intimacy</p><p>42:54 Understanding Orgasms and Mental Health</p><p>45:58 Breaking Taboos: Masturbation and Self-Exploration</p><p>48:54 Exploring Kinks and Fetishes in Relationships</p><p>52:58 Monogamy vs. Open Relationships: A Modern Perspective</p><p>58:03 Cultural Perspectives on Sexuality and Nudity</p><p><br></p>

Episode thumbnail for S1:E48 | From Radiation Therapy to Running a Global Health Tech Startup | Matt Vigar, AyniHealth

April 30, 2026

S1:E48 | From Radiation Therapy to Running a Global Health Tech Startup | Matt Vigar, AyniHealth

<p><strong>Most healthcare professionals assume the skills they built in clinical practice are only useful in clinical practice. Matt Vigar spent 18 years at Elekta, went from therapy radiographer to Vice President, and is now building his own health tech startup from Seoul. His story is proof that what you learn at the bedside, in the planning room, and on the treatment machine travels a very long way.</strong></p><p>Matt Vigar is a radiation therapist turned global business leader. He started his career in Sydney, came to the UK on what was supposed to be a two-year working holiday, and never went back. He worked his way through applications training, sales, business development and senior leadership across the UK, Australia, Hong Kong and South Korea, before being made redundant during an Elekta global restructure. He's now co-founder of AyniHealth, a health tech platform focused on clinical education, credentialing and community of practice.</p><p>This conversation is honest about what it actually feels like to reach the role you set out to get and realise it isn't what you expected. Matt talks about redundancy, rebuilding, and why having a purpose before the call comes makes all the difference. For any healthcare professional wondering whether their skills travel, this is worth your time.</p><p>Topics covered:</p><ul><li>How a chance conversation in a hospital corridor led to an entirely different career</li><li>The clinical skills Matt took directly into his first applications role at Elekta</li><li>18 years across the UK, Australia, Hong Kong and South Korea — and what each move taught him</li><li>Getting promoted to VP and feeling flat when he got there</li><li>Why setting systems rather than goals changes how you work</li><li>How a mentorship programme helped him find his purpose before redundancy landed</li><li>The financial reality of going from VP salary to startup founder</li><li>How AyniHealth was built around the same problem Matt watched healthcare teams struggle with for two decades</li><li>Why healthcare professionals make unusually good business founders</li><li>What to do when redundancy hits and the "why me" feeling takes over</li><li>The value of finding stillness — and why Matt meditates for 30 minutes before he touches his phone</li></ul><p>Listen to the full episode now.</p><p>Follow Matt Vigar:Website: <a href="https://www.ayni.health/en" rel="ugc noopener noreferrer" target="_blank">https://www.ayni.health/en</a>LinkedIn: </p><p><strong>Follow David / Via Nova here:</strong></p><p><a href="https://www.linkedin.com/in/davidbirchmore/" rel="ugc noopener noreferrer" target="_blank">⁠⁠David's LinkedIn⁠⁠</a></p><p><strong>If you’re done pretending you’re fine… start here.</strong></p><p>Your Final Shift is a straight-talking exit guide for healthcare professionals who can’t do another 20 years of this. <a href="https://stan.store/vianovalife/p/your-final-shift-healthcare-exit-guide" rel="ugc noopener noreferrer" target="_blank">Get your copy here</a></p><p>Are you ready to leave healthcare? Still in a role you've mentally already left?</p><p>Answer 15 questions and find out exactly where you stand, and what to do first</p><p><br /><a href="https://david-a0a3cnqe.scoreapp.com" rel="ugc noopener noreferrer" target="_blank">Take the free 2 min quiz here</a> <strong>Chapters</strong>00:00 - Introducing Matt Vigar and his journey from radiation therapy to healthcare leadership<br />02:05 - Early career in Sydney and decision to explore global opportunities<br />04:34 - Moving into industry at Elekta and international travel experiences<br />08:00 - Lessons from working abroad in Europe and Russia<br />12:15 - Applying clinical skills to industry roles and teaching experiences<br />15:43 - Notable cultural moments and social traditions in healthcare settings<br />21:04 - Experiences in Asia: South Korea, Hong Kong, and the region's healthcare landscape<br />27:35 - Transitioning from regional management to founding AyniHealth<br />32:00 - Building a healthcare community platform and solving education challenges<br />36:50 - Navigating corporate restructuring and making career shifts<br />42:56 - The significance of community, support, and mental well-being during change<br />48:46 - The role of teamwork and collaboration in healthcare and startups<br />55:35 - Prioritizing purpose, reflection, and mental clarity during career decisions<br />60:10 - Practical tips for embracing change and pursuing passions<br />64:18 - Personal achievements and re-evaluating success beyond titles<br />65:00 - Final thoughts and future plans for AyniHealth and community impact</p>

50 total episodes available

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Oli Russell-Cowan

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Christi Urman

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Dale Triffitt

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Chris Fleet

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Tracey Clay

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Sarah Ariaudo

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What is Get a Shift On?

Real stories of career change, life after redundancy, and starting a business. No hype. No jargon. Just real talk and practical steps you can use now.

I'm David Birchmore. I spent over 25 years in healthcare before I left to build my own businesses. Now I help other healthcare professionals do the same.

If you're a clinical healthcare professional who's burned out or thinking about leaving, this show is for you.

Each week you'll hear from people who made the jump: how they decided, what they did next, and what it takes to leave and start over.

New episodes every week.

How often does this podcast release new episodes?

This podcast updates daily.

Where can I listen to this podcast?

This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.

Does this podcast accept guests?

Yes, this podcast regularly features guests.

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