Heart of Medicine

Dr. Payal Kohli
Heart of Medicine

Join Dr. Payal Kohli to hear frank, authentic and sincere “real-world” conversations that give you a true glimpse into practice of medicine, unveiled! Beyond understanding anatomy and how the body works, medicine at its core is an art. Physicians live within that fine line between art and anatomy, finding their own way as they help their patients. And this cardiologist opens her own heart to take you into the true HeART of Medicine. Join her on this incredible journey every other week… Supported by multiple sponsors, does not imply endorsement.

  1. 07/18/2024

    Episode 17 - Should All Doctors Be Required To Do Cognitive Testing?

    The whole world has an opinion on whether President Biden (or any older Presidential candidate) should be required to have mandatory cognitive testing… what’s yours? In this episode of HeART of Medicine, Dr. Payal Kohli and special guest Dr. Scott Humphreys, who is a psychiatrist and a medical director at Colorado Physician Health Program, debate whether doctors should have mandatory, scheduled cognitive testing to be allowed to practice medicine. After all, being a doctor is also a profession where (literally) another person’s life is in your hands! They also debate the pros and the cons of mandatory retirement, “quitting while you’re up” and whether doctors should be held to a different standard than other professions. For example, it may be ok for someone who works at a desk job, but would it ok for a surgeon to have “normal” age-related left-right confusion? Or slower response times? They discuss the challenges (and the hefty price tag) of comprehensive cognitive testing and implementation in medicine and how medicine creates an environment where cognitive issues are exacerbated. Finally, they touch on what happens when someone fails the cognitive test - how do you take away their ability to practice medicine while still preserving their identity as a doctor? This episode humanizes the figure in the white coat and asks “Is Mandatory Retirement Just What The Doctor Ordered?”

    22 min
  2. 05/02/2024

    Episode 15 - Is “Practice Creep” allowing Physicians and PAs/NPs to Practice Beyond the Scope of Training?

    The last time you went to the emergency room or to a doctor’s office, were you surprised to be seen by a Nurse Practitioner or Physician Assistants/Associate only rather than a physician or a team of people? Does it seem like there are more and more of these types of encounters in medicine, where the doctor isn’t even part of the visit? Historically, the role of a NP and PA had been developed to improve access to healthcare and offload physicians from more of the straightforward patient care tasks in medicine. However, more recently the role of these types of providers, called APPs, has evolved into becoming specialists, addressing new problems independently, managing complex patients and even performing complicated surgical procedures. The APPs can even switch specialities without having to train the way a physician would to switch and in many states, don’t need physician supervision to practice. So where does this leave us… Has this has impacted the care of patients? The trust patients have in the medical system? The cost of care? The access to care? And, is this “fair” to our APPs to expect them to take on so much more their training allowed for - to literally, throw them in the deep end with a “sink or swim” mentality? In this episode, Dr. Kohli and Dr. Jazaeri tackle these difficult question and many more. And… spoiler alert… they even discuss the question at the end of “Why would anyone want to be a physician rather than an NP or PA?”  This is HeART of Medicine episode you won’t want to miss!

    28 min
4.8
out of 5
36 Ratings

About

Join Dr. Payal Kohli to hear frank, authentic and sincere “real-world” conversations that give you a true glimpse into practice of medicine, unveiled! Beyond understanding anatomy and how the body works, medicine at its core is an art. Physicians live within that fine line between art and anatomy, finding their own way as they help their patients. And this cardiologist opens her own heart to take you into the true HeART of Medicine. Join her on this incredible journey every other week… Supported by multiple sponsors, does not imply endorsement.

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