UpMed: The Journal of Healthcare's Race To The Bottom

About UpMed: The Journal of Healthcare's Race To The Bottom

Dr. Erica Urquhart, our host, is an orthopedic surgeon with over 20 years of practice. Join Dr. Erica as she gives our listeners a behind the scenes look at the healthcare industry, from both the medical and financial perspectives. She and her guests will provide a unique lens on the problems and solutions required for better healthcare in the United States.

Publisher

Dr. Erica Urquhart

Category

health & fitness · health & fitness

Language

en

Explicit

No

First episode

2 May 2024

Latest episode

29 Dec 2024

Latest episodes

15 episodes in the feed.

1. 

   29 Dec 2024

   CHAPTER 8: Ethos. Pathos. Logos

   In the final episode of Season 2 of UpMed: The Journal of Healthcare’s Race To The Bottom, Dr. Erica Rowe Urquhart discusses the complex landscape of the current healthcare system. She likens the healthcare crisis to a David and Goliath situation, emphasizing the need for proactive solutions and policy reforms to tackle detrimental practices. The episode explores the ‘ethos', ‘pathos’, and 'logos’ of our current healthcare system, highlighting the diverse stakeholders including large, medium, and small healthcare systems and providers. Dr. Urquhart dives into the financial dynamics involving insurance companies, stressing the significance of understanding insurance benefits and advocating for legislative changes. This episode concludes with a call to action for listeners to become informed and engaged in seeking improvements in healthcare. Season 3 promises to explore solutions to these pressing issues. EPISODE HIGHLIGHTS: 00:00 Welcome to UpMed Season Finale 00:36 The State of Healthcare Today 01:41 David and Goliath: A Healthcare Analogy 04:13 Understanding Healthcare Stakeholders 05:54 The Financial Dynamics of Healthcare 07:41 Patient Care and Insurance Challenges 09:25 The Legal Landscape of Healthcare 12:58 Call to Action and Season 3 Preview Website: https://www.upmed.us/ YouTube: https://www.youtube.com/@theupwardly Linkedin: https://www.linkedin.com/in/erica-roweurquhart/

2. 

   23 Dec 2024

   CHAPTER 7: The Burdens of Prior Authorization in Healthcare

   In this episode of UpMed: The Journal of Healthcare’s Race To The Bottom, Dr. Erica Rowe Urquhart shares an insightful anecdote regarding the implications and inefficiencies of prior authorization in healthcare. Dr. Urquhart narrates the case of a patient with a knee injury, whose surgery was compromised and modified due to insurance authorization issues. She explores the broader impact of prior authorization on patient care, supported by research articles, one authored by Dr's. Eugene and Shushan Yang, highlighting the administrative burdens and adverse outcomes. The episode critiques the motivations behind utilization management, calling for urgent reform to prioritize patient well-being over cost-cutting measures. Dr. Urquhart concludes with a poignant story about the detrimental effects of delayed authorization on a young patient requiring urgent surgery. EPISODE HIGHLIGHTS: 00:00 Welcome to UpMed 00:26 A Troubling Case of ACL Tear 04:37 The Prior Authorization Dilemma 05:14 The Burden of Prior Authorization 07:53 Impact on Patient Care 13:46 Legislative Efforts and Reforms 17:44 A Heartbreaking Story of Delay 21:18 Conclusion and Final Thoughts Website: https://www.upmed.us/ YouTube: https://www.youtube.com/@theupwardly Linkedin: https://www.linkedin.com/in/erica-roweurquhart/

3. 

   16 Dec 2024

   Chapter 6: Exploring Burnout and Healthcare Education: An Interview with Dr. Courtney Reinisch

   Dr. Courtney Reinisch shares her expertise on the critical issue of burnout in nursing, highlighting the need for a cultural shift to better support healthcare providers.

4. 

   9 Dec 2024

   Chapter 5: The Economics of Mutuality

   Dr. Erica Rowe Urquhart explores the Economics of Mutuality in healthcare, shedding light on the detrimental effects of current policies on community healthcare and the importance of mutuality in private medical practices.

5. 

   2 Dec 2024

   Chapter 4: Navigating the Business Side Of A Private Practice

   Dr. Brian Sims shares insights on navigating the business side of a private orthopedic practice, emphasizing the importance of business knowledge and maintaining patient trust in a rapidly changing healthcare landscape.

6. 

   25 Nov 2024

   Chapter 3: Identifying the Adversary in Healthcare

   Dr. Erica Rowe Urquhart exposes the adversarial role of insurance companies in healthcare, highlighting their strategies against providers and the devastating impact on patient care and community doctors.

7. 

   18 Nov 2024

   Chapter 2: The Evolution and Future of Physical Therapy: A Conversation with Dr. Carl Gargiulo

   In this episode of UpMed, Dr. Erica Rowe Urquhart interviews Dr. Carl Gargiulo, a distinguished physical therapist with a career spanning over four decades. They discuss Dr. Gargiulo's journey from his private practice to his role as Regional Director at Twin Borough Physical Therapy during the onset of the COVID-19 pandemic. The episode explores the differences between private and corporate physical therapy practices, the integration of technology like MedBridge for patient education and adherence, and the challenges posed by limitations of insurance coverage. They also touch on the psychological aspects of patient compliance, the impact of early discharge from hospitals, and the potential future of mobile physical therapy services. Dr. Gargiulo shares his insights on maintaining patient independence and mobility, reflecting on the evolution of the physical therapy profession. EPISODE HIGHLIGHTS: Dr. Gargiulo's discusses his career journey Dr. Erica & Dr. Gargiulo discuss Private Practice vs. Corporate Practice Dr. Gargiulo explains the evoution of technology in Physical Therapy Both Drs discuss Insurance Provision vs Direct Patient Costs Dr. Gargiulo explains his vision for the future of Physical Therapy Dr. Gargiulo discusses patient psychology when it comes to patient compliance Final thoughts and conclusion

8. 

   11 Nov 2024

   Chapter 1: Public/Private Partnerships In Healthcare

   Welcome to Season 2 of UPMED: The Journal of Healthcare's Race To The Bottom with your host, Dr. Erica Rowe Urquhart.  We kick off Season 2 with a thought-provoking episode.  In this episode, your host, Dr. Erica Rowe Urquhart sits down with the incredibly accomplished Dr. Kecia Ford. Dr. Ford is an internist with multiple high-risk clinics in New York. They discuss Dr. Ford's unique journey from biomedical engineering to internal medicine, and delve into the challenges of providing quality healthcare in underserved communities. Learn about the innovative use of wearable medical technology in treating high-risk diabetes patients and the crucial role of public-private partnerships. Dr. Ford shares insightful stories of patient success, highlighting the indispensable value of education, private funding and advocacy in medicine. EPISODE HIGHLIGHTS: Dr. Ford explains her journey into medicine. What is a FQHC (Federally Qualified Health Center)? Dr. Ford explains how recent technology helps her treat diabetic patients. Dr. Ford discusses the population dynamics in the communities surrounding her health center. Dr. Erica and Dr. Ford discuss how public/private partnerships help Dr. Ford provide quality care to their patients. 3 Challenges FQHC’s Face: 1. Environmental Challenges (access to better food sources) 2. Patient Financial and Health Challenges 3. Insurance Provider Formulary Challenges

9. 

   24 Jun 2024

   Chapter 7: Exposing The “Fix”

   In this episode, Dr. Erica Urquhart delves into the intricate dynamics of healthcare economics and the role of insurance companies in the industry. She raises concerns about transparency, conflicts of interest, data privacy, and market control within the healthcare system. Dr. Urquhart shares a powerful New York Times article exposing instances where insurance company practices lead to disparities in payments, emphasizing the need for reform in the healthcare payment structure. EPISOSDE HIGHLIGHTS: Dr. Urquhart gives examples of healthcare monetary values. Dr. Urquhart explains how the insurance payment system works. Dr. Urquhart shares the revelations cited in the New York Times article involving the disparity of the distribution of healthcare payments to healthcare providers. Dr. Urquhart shares her three takeaways from the New York Times Article: a. Are we hearing anything about this issue from our legislators? b. Are we seeing more articles giving us the numbers? c. Can we ensure data privacy and security? Dr. Urquhart issues a call for change in the insurance payment system. To continue the conversation, Follow Dr. Erica Rowe Urquhart on her YouTube Channel @ https://www.youtube.com/@theupwardly

10. 

    17 Jun 2024

    Chapter 6: Urban Healthcare In A Diverse Environment

    Cardiologist, Raashan Williams, MD joins UpMed. In this episode, the interventional cardiologist who trained at Cornell discusses his first impression of the white coat as a toddler in Brooklyn, NY.  Dr. Williams has a unique background and perspective on urban healthcare in a diverse environment. He candidly gives us an insider view as he shares his insights on the roles and responsibilities of clinical practitioners. EPISODE HIGHLIGHTS: Dr. Williams explains what drew him to interventional cardiology. Dr. Williams and Dr. Urquhart discuss the advantages and disadvantages of private practice. Dr. Williams highlights the success he has had in his private practice: a. The personality of the practice. b. The patient doctor interaction which requires nurturing to be successful. Dr. Urquhart and Dr. Williams explain the disconnect between doctors, insurance providers, and patients when it comes to providing quality care. It is important to stay focused on what got you into medicine instead of being distracted by what is happening around you. To continue the conversation, Follow Dr. Erica Rowe Urquhart on her YouTube Channel @ https://www.youtube.com/@theupwardly

11. 

    10 Jun 2024

    Chapter 5: Managing a Healthy Work-Life Balance as a Physician

    This week Dr. Urquhart has a conversation with Dr. Monique King. Monique King MD serves as the anesthesiologist director of a hospital-affiliated outpatient surgery center in Southern California.  A graduate of the University of Southern California School of Medicine, Dr. King shares her unique experiences in surgery center management and gives us tremendous perspective on hospital affiliated outpatient management, as she reflects on the need for work-life balance. EPISODE HIGHLIGHTS: Dr. King explains what drew her to the medical field and shares the journey she took in gaining leadership experience working with patients in an outpatient setting. Dr. King and Dr. Urquhart discuss the pros and cons of free standing surgical centers vs HOPD’s (Hospital Outpatient Departments). Honest and open communication with everyone involved in the care of a patient is very important. Dr. Urquhart and Dr. King discuss the importance of time management and how that has affected their practices. Dr. Urquhart and Dr. King share the struggles and frustrations they face as women of color in providing quality patient care. Dr. King shares her aspirations for the future in her practice. To continue the conversation, Follow Dr. Erica Rowe Urquhart on her YouTube Channel @ https://www.youtube.com/@theupwardly

12. 

    3 Jun 2024

    Chapter 4: Maintaining Personal Care In An Academic Environment

    Social justice trailblazer, Damali Campbell, MD joins UpMed. A busy obstetrician and gynecologist, she is also an Associate Professor.  With a practice in an urban Northern New Jersey environment, she has the opportunity to treat a diverse population of patients that include under served residents of her community as well as regional high risk pregnancies. She is the director of state-wide initiatives where she studies socioeconomic factors that influence maternal health. The focus of our conversation is the personal evolution that is required to maintain a dynamic practice in an academic environment. EPISODE HIGHLIGHTS: Everybody deserves quality care. Dr. Campbell discusses the dichotomy of prenatal care in black women. Dr. Campbell shares the balance between the administrative side versus the personal side of healthcare. Both Drs. discuss how COVID 19 changed the way they practice medicine. Dr. Campbell shares the transformations she has seen in over 20 years as a practicing physician. Dr. Urquhart and Dr. Campbell discuss the future of AI in the field of medicine. Taking time to listen to one another can bring so much healing. To continue the conversation, Follow Dr. Erica Rowe Urquhart on her YouTube Channel @ https://www.youtube.com/@theupwardly

13. 

    27 May 2024

    Chapter 3: "I Don't Like Doctors"

    In this episode, Dr. Erica Urquhart discusses the challenges of toxic work environments in healthcare through the lens of a medical student's experiences and the impact toxic environments have on healthcare providers. EPISODE HIGHLIGHTS Dr. Urquhart defines What is a Toxic Work Environment? Dr. Urquhart explains the impact toxic environments have on healthcare professionals. Examples of challenges physicians faced during the COVID -19 Pandemic. Dr. Urquhart discusses the financial and psychological pressures healthcare providers face. To continue the conversation, Follow Dr. Erica Rowe Urquhart on her YouTube Channel @ https://www.youtube.com/@theupwardly

14. 

    20 May 2024

    Chapter 2: Managing Care in a Stand Alone Surgical Center

    In this Episode Dr. Erica Urquhart interviews Dr. Richard Stillman. Richard Stillman, MD is a Massachusetts General Hospital trained anesthesiologist with certification in pediatrics, cardiology, pain management and acupuncture. A former hospital anesthesia group chairperson, he currently serves as the director of anesthesia services at a stand-alone surgery center.  In this episode, Dr. Stillman reflects on the benefits and challenges of stand-alone anesthesia services in outpatient surgery centers. EPISODE HIGHLIGHTS: Dr. Stillman explains his role as an anesthesiologist and discusses the differences between a regional anesthesiologist vs a general anesthesiologist. Dr. Stillman discusses his role as director of anesthesiology services. Dr. Stillman explains the advice he would give his younger self if he had to do it all over again. Dr. Stillman shares the reasons he went into medicinal practice. Dr. Stillman shares the highs and lows he has experienced as an anesthesiologist. Dr. Urquhart and Dr. Stillman discuss the importance of surgical centers and the role these centers play in the healthcare industry. To continue the conversation, Follow Dr. Erica Rowe Urquhart on her YouTube Channel @ https://www.youtube.com/@theupwardly

15. 

    2 May 2024

    Chapter 1: Welcome To UpMed

    Welcome to UpMed: A Journal Of Healthcare’s Race To The Bottom. Meet Dr. Erica Rowe Urquhart. Dr. Urquhart is an orthopedic surgeon with over 20 years of experience practicing medicine. In this first episode, Dr. Urquhart introduces herself and discusses the challenges in the healthcare system, focusing on the lack of patient-centric care and the influence of insurance companies. She shares her journey into medicine, reflecting on the evolving roles and responsibilities of healthcare providers from entering medical school to practicing in a toxic environment. Dr. Urquhart highlights the impact of insurance companies on healthcare delivery, emphasizing the need for dialogue and change in the healthcare system. EPISODE HIGHLIGHTS: Dr. Urquhart explains the purpose and motivation behind the UpMed Podcast. Dr. Urquhart shares her educational background and what motivated her to enter into practicing medicine. Dr. Urquhart shares her White Coat Ceremony experience and the challenges that come with wearing the white coat. Dr. Urquhart discusses the challenges doctors face in the healthcare system. Dr. Urquhart outlines what we can expect from Season 1 of UpMed. To continue the conversation, Follow Dr. Erica Rowe Urquhart on her YouTube Channel @ https://www.youtube.com/@theupwardly

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