AI Can Run Protocols, But Only Clinicians Create Healing | Dr. Chris Seitz, MD의 전체 녹취록

personalized care, and they are not the same. 00:04:06.080 --> 00:04:11.280 And if you're on TikTok or Instagram, that the traditional way is bad and the new way is good. 00:04:11.280 --> 00:04:18.480 Um and I just have such a different and unique perspective as I was learning about functional medicine myself and wellness and preventative care. 00:04:18.480 --> 00:04:22.800 I went into it thinking this is gonna be completely different than what I learned. 00:04:22.800 --> 00:04:32.240 And what I actually instead realized is that I had probably been practicing emergency medicine with a functional medicine mindset the whole time. 00:04:32.240 --> 00:04:33.680 Because it's really what it is. 00:04:33.680 --> 00:04:34.639 It's a mindset. 00:04:34.639 --> 00:04:43.600 It's resin, but the medicine is the medicine, how you approach that medicine really dictates what quote unquote type of medicine you're actually practicing. 00:04:43.600 --> 00:04:50.319 Um so you think emergency medicine, you think algorithms, you think you know, you're watching the show The Pit, which actually is a great show. 00:04:50.319 --> 00:04:52.560 You've learned it, it's great, very exciting. 00:04:52.560 --> 00:04:53.680 Give me a little PTSD. 00:04:53.680 --> 00:04:56.399 I thought I was working to shift the first episode, but that's okay. 00:04:56.399 --> 00:05:04.879 Um but like, you know, like you look at it, it's very algorithm-driven, protocol driven, like you know what to do next, or you know, or you're trying to trouble chew. 00:05:04.879 --> 00:05:16.319 But but how you show up in that as the healer, as the clinician, really is either that functional medicine personalized approach, or it's not whether you're using an algorithm or not. 00:05:16.319 --> 00:05:20.240 Even functional medicine, if you if you look at it, I mean there are algorithms that you can follow. 00:05:20.240 --> 00:05:24.480 So I think that there is this misconception that the two are upset. 00:05:24.959 --> 00:05:27.759 This is a great time to pause for quality questions. 00:05:27.759 --> 00:05:33.839 This is a segment on the show where we talk about an interview question that you might hear on your own pre-health interview. 00:05:33.839 --> 00:05:46.000 So, what I want to talk about right now is how the science of medicine is algorithms, ACLS, stroke pathways, antibiotic order, and how AI will likely handle more of that in the future. 00:05:46.000 --> 00:05:48.879 So here's the question I want you to wrestle with. 00:05:48.879 --> 00:05:55.120 If AI can run the protocols, what will define your value as a clinician? 00:05:55.120 --> 00:05:57.600 Is it your ability to memorize pathways? 00:05:57.600 --> 00:06:00.800 Is it your ability to create environments for healing? 00:06:00.800 --> 00:06:02.160 To read a room? 00:06:02.160 --> 00:06:04.399 To notice what's being not said? 00:06:04.399 --> 00:06:11.199 If you're preparing for professional school, this is the identity work no one is assigning you. 00:06:11.199 --> 00:06:13.439 Here's your action step for this week. 00:06:13.439 --> 00:06:19.920 When you shadow, notice one moment where the clinician's value has nothing to do with the protocol. 00:06:19.920 --> 00:06:24.240 Write it down because that is the art of medicine. 00:06:24.240 --> 00:06:27.199 And it doesn't just stop at quality questions. 00:06:27.199 --> 00:06:36.399 There are more resources for you as a pre-health student on Shadowme Next.com to include our newly released application readiness course. 00:06:36.399 --> 00:06:40.639 So head on over to courses.shadowmext.com and check it out. 00:06:40.879 --> 00:06:51.759 There's algorithm-based, research-driven medicine, and then there's this personalized, explorative, you know, like you know, science, being a pioneer. 00:06:51.759 --> 00:06:53.199 And it's always the same. 00:06:53.199 --> 00:06:55.680 We've always said it's the science and art of medicine. 00:06:55.680 --> 00:06:56.959 I was talking about those two things. 00:06:56.959 --> 00:06:58.240 Like that is what we're talking about. 00:06:58.240 --> 00:06:59.360 Those are the different things, right? 00:06:59.600 --> 00:07:00.000 Absolutely. 00:07:00.000 --> 00:07:02.079 That's a fantastic misconception, actually. 00:07:02.079 --> 00:07:06.160 And it brings me to another question, and that is well, I guess the statement. 00:07:06.160 --> 00:07:20.959 So there is a role for functional medicine in the ED, then, because in my brain, I'm thinking of the ER, like someplace you go acutely for emergent pro emergency room, emergent problems, not your toenail that's you know, hurting you or sniffles. 00:07:20.959 --> 00:07:32.560 Yeah, ideally, it's these acute issues, but you've seen discussions and focus on functional medicine really improving even those patients in those acute settings too, then. 00:07:33.360 --> 00:07:50.639 Yeah, and and even the even the toenails, I'll say um, you know, even the even the toenail patients, even the patient, I mean, emergency the emergency department has become very much um everyone's entryway to medicine in general. 00:07:50.639 --> 00:07:51.759 Better or for worse. 00:07:51.759 --> 00:07:51.920 Right. 00:07:51.920 --> 00:07:52.959 Supposed to be. 00:07:52.959 --> 00:07:59.199 I always say, like, man, emergency medicine would be really cool if you only ever saw emergencies, but that's just not the case, right? 00:07:59.199 --> 00:08:09.839 90% of what I would see in a day was but but as a part of, and this is this is where I think the functional medicine piece comes in, is that what that all boils down to is education. 00:08:09.839 --> 00:08:11.600 That's what drew me to medicine. 00:08:11.600 --> 00:08:14.000 I I'm a I'm a lifelong learner myself. 00:08:14.000 --> 00:08:15.360 I love to educate. 00:08:15.360 --> 00:08:18.079 Um, but before you can educate, you have to learn it yourself. 00:08:18.079 --> 00:08:25.279 So, you know, medicine is about coming alongside people and educating

them, whether it's about their body or about their own misconceptions about what's going on. 00:08:25.279 --> 00:08:33.759 Um, and the emergency department, I mean, I'd have three, four, five patients an hour where I'd have an opportunity to educate them or guide them in something. 00:08:33.759 --> 00:08:42.480 And we used to tell our residents when I was an attendee, think about if you were on the street today, does that person look normal or healthy to you? 00:08:42.480 --> 00:08:46.000 Because what happens when you're in the ER all day, you're like, that guy looks fine. 00:08:46.000 --> 00:08:51.840 But if you saw that guy in the street, you'd be like, oh, whoa, that's that's not a normal looking person, right? 00:08:51.840 --> 00:08:57.919 You you have a you kind of had to learn to remember what normal people, because you you you switch, you switch a switch, right? 00:08:57.919 --> 00:09:06.159 You you turn on, you put on your scrubs, you put on your ER badge, and all of a sudden you're you're that clinician and people look different to you because you're looking at them through the new lens. 00:09:06.159 --> 00:09:08.080 So you had to continuously practice this. 00:09:08.080 --> 00:09:13.519 Hey, if I saw this person in my living room where they walked through my door, like, would I say that looks normal? 00:09:13.519 --> 00:09:16.080 But I feel like this person is healthy or not healthy. 00:09:16.080 --> 00:09:22.080 And maybe it's not an acute emergency, but I'm the I'm the entryway, I'm the person they're coming to to help figure this out. 00:09:22.080 --> 00:09:27.840 So here's my opportunity to educate, to give a little knowledge, to give some resources, to point them in the right direction. 00:09:27.840 --> 00:09:30.879 And again, I'll go back to like that that that's functional medicine, right? 00:09:30.879 --> 00:09:33.360 I mean, that is that is personalized care, that's functional medicine. 00:09:33.360 --> 00:09:35.679 Maybe I only get to play a small piece of that, right? 00:09:35.679 --> 00:09:43.840 I don't get to follow them, you know, a ton further, but even finding my space to hold with them and to take that next step with them. 00:09:44.080 --> 00:09:47.759 And interestingly enough, I would imagine, and I don't work in the ER. 00:09:47.759 --> 00:09:54.000 Um, you said something a second ago that made me giggle, and that was how you enjoyed not knowing what's coming next in life generally. 00:09:54.000 --> 00:10:01.919 And I think that probably contributed to your enjoyment of the ER, which is why I would not enjoy the ER, especially if you're not thinking about, you know, I like my little clinic schedule of 30 patients. 00:10:01.919 --> 00:10:13.200 That I would imagine as an ER physician, ER clinician, um, that would really help prevent burnout, is realizing that it's not every, it's not just the acute patients that need your care, right? 00:10:13.200 --> 00:10:17.519 It's even the patients that come in with maybe a chronic thing that they're just frustrated with today. 00:10:17.519 --> 00:10:20.159 Um, you can still provide them with that education. 00:10:20.159 --> 00:10:29.120 You can still surf them as a clinician, um, you know, even if it's not something where you have to begin chest compressions immediately or starting them on all these acute medications. 00:10:29.120 --> 00:10:31.200 Um, that's a really interesting point. 00:10:31.200 --> 00:10:33.679 And I love your idea about perspective too. 00:10:33.679 --> 00:10:43.440 Um, you have to take off your ER glasses sometimes and see people just as, you know, as regular with your regular eyeballs, which it's amazing. 00:10:43.440 --> 00:10:47.120 If for our non-clinicians who are listening to this, it's the hats. 00:10:47.120 --> 00:10:48.720 You know, we always talk about the hats that we wear. 00:10:48.720 --> 00:11:02.240 It's like the brains we put in our head, you know, everything is intertwined at some point, but we definitely we definitely have different roles that we play, which you have a whole nother role, which is entrepreneurship in medicine, which of course we're gonna actually let's talk about that right now. 00:11:02.240 --> 00:11:04.720 When did you realize you you work in the ER? 00:11:04.720 --> 00:11:06.639 This is an incredible career. 00:11:06.639 --> 00:11:17.279 When did you realize or start thinking about shifting and maybe moving into entrepreneurship or even even you know, a new, a new leadership role, really, which is what which is that we have? 00:11:17.600 --> 00:11:27.200 Yeah, I think um it's one of those things that you know you every entrepreneur who's done it and done it successfully, you know, you're here to be like, Oh, I was I think I was always an entrepreneur. 00:11:27.200 --> 00:11:31.279 It's like it's because when you look back, it's easy to you know to pull that thread through. 00:11:31.279 --> 00:11:39.600 Um for me, like I don't I wouldn't say I was always an entrepreneur, like I was not that kid who was like, you know, putting up lemonade stands, doing that. 00:11:39.600 --> 00:11:48.960 Like I I really like I, you know, I I did my chores, I had I had jobs, but it was not really again for me, it it goes back to, and again, this is in hindsight, right? 00:11:48.960 --> 00:11:51.360 I looked to see where the where those threads were. 00:11:51.360 --> 00:11:56.080 Um leadership for me was always educating. 00:11:56.080 --> 00:12:03.039 I always had felt that the best leaders or the leaders that I respected the most knew how to educate really well and were passionate about that, right? 00:12:03.039 --> 00:12:04.159 Whatever, whatever it was. 00:12:04.159 --> 00:12:11.600 Um, I'm someone who like you start talking to me about something random, like your your your marketing career, and I've got tons of questions. 00:12:11.600 --> 00:12:12.559 I I want to know everything. 00:12:12.559 --> 00:12:16.879 I think it I think it makes me a good CEO because I'm I'm

interested in in that. 00:12:16.879 --> 00:12:27.440 Um so it's really that learning and that education I think drew me to at some point entrepreneurship in the sense that um I've just I've always been very curious. 00:12:27.440 --> 00:12:32.320 So as I was my my path in the emergency department was interesting. 00:12:32.320 --> 00:12:37.279 So I I worked uh I did my residency in Detroit area, level one trauma center. 00:12:37.279 --> 00:12:44.159 I then went and worked at a local community hospital here in the Detroit area um for two years as an attending. 00:12:44.159 --> 00:12:50.879 That contract got bought out by Team Health, so it got bought out by kind of corporate America, which is not necessarily a bad thing. 00:12:50.879 --> 00:12:52.000 A lot of people hated that right away. 00:12:52.000 --> 00:12:52.879 It didn't really bother me. 00:12:52.879 --> 00:12:54.399 It was again, I was curious about it. 00:12:54.399 --> 00:12:56.399 I learned a lot about how billing works. 00:12:56.399 --> 00:12:58.000 I mean, doctors aren't dumb. 00:12:58.000 --> 00:13:02.559 Like we know that healthcare is a business in the United States, so tell us how to help optimize that. 00:13:02.559 --> 00:13:04.960 We're happy to, as long as you let us take care of our patients. 00:13:04.960 --> 00:13:08.320 So I didn't really have an issue with that until it became an issue, right? 00:13:08.320 --> 00:13:15.919 All of a sudden, efficiency was being put probably before patient care in a lot of cases, and we didn't have quite the voice that we should have. 00:13:15.919 --> 00:13:22.480 Uh so you know, when it came to re-op the contract for a couple years, I said, Yeah, you know, let me try something different. 00:13:22.480 --> 00:13:24.159 So I went to travel medicine. 00:13:24.159 --> 00:13:28.320 Um I was licensed in a couple of licensed in a couple states and I started doing travel medicine. 00:13:28.320 --> 00:13:32.080 Um, travel medicine now is a very like robust. 00:13:32.080 --> 00:13:34.960 I mean, this is like a career path that you can start deciding you're gonna take early. 00:13:34.960 --> 00:13:37.840 When I first did travel medicine, it was the beginning of that. 00:13:37.840 --> 00:13:49.840 Like we were like probably the first group of physicians like leaving saying, hey, like we're legitimate board certified emergency physicians and we want to try travel medicine, versus like, hey, I lost my license in California and I can only work now in this. 00:13:49.840 --> 00:13:53.120 That was kind of the doctor persona at the Luddy's. 00:13:53.120 --> 00:13:58.799 So I would go into these ERs and people would be like very appreciative that I actually knew what I was doing, uh, which was fun. 00:13:58.799 --> 00:14:10.960 But I but what was cool about that is I got to learn that like the medicine didn't change, but how you delivered the medicine changed based on your resources, based on what you know, what they had or didn't have, you know, who who you had available to you. 00:14:10.960 --> 00:14:23.279 I worked in emergency departments where I had nurse practitioners that worked under me, and we had level one, you know, we had surgeons and we had vascular surgeons, and then I worked in emergency departments where I was the only doctor in the hospital, like in the whole hospital. 00:14:23.279 --> 00:14:33.919 There's one point I was working in a rural community up in upper peninsula of Michigan where we had a trauma coming in and a lady was giving, was like gonna give birth upstairs, and they're like, Dr. 00:14:33.919 --> 00:14:35.759 Sites, like which one do you want? 00:14:35.759 --> 00:14:37.200 Because you can't do both. 00:14:37.200 --> 00:14:42.879 Um, but what was cool about that is that you like really learn to to rely on your team, right? 00:14:42.879 --> 00:14:44.799 I there's just there's you know, people ask me, like, oh, Dr. 00:14:44.799 --> 00:14:48.559 Sites, like if you were out in the wilderness, you know, like what would you do? 00:14:48.559 --> 00:14:49.840 Like a CPR? 00:14:49.840 --> 00:14:50.240 I don't know. 00:14:50.240 --> 00:14:53.679 I don't have a CT scan, five nurses, and a bunch of other things. 00:14:53.679 --> 00:14:55.039 I can't really do my job, right? 00:14:55.039 --> 00:14:56.159 You have to admit that. 00:14:56.159 --> 00:15:04.559 So um I think that gave me a real great appreciation of the of the team of the health practitioners that I was working with. 00:15:04.559 --> 00:15:08.559 Um, and then what started happening is that we COVID happened, right? 00:15:08.559 --> 00:15:13.200 So all of a sudden I was like one of the only doctors working all the time during COVID, going everywhere to help. 00:15:13.200 --> 00:15:18.559 Um, and that's when we saw this mass exodus of clinicians leaving kind of medicine. 00:15:18.559 --> 00:15:25.759 Um, we saw advances in telemedicine and technology that allowed for us to do remote, you know, Zoom type of visits. 00:15:25.759 --> 00:15:29.679 All of a sudden, this this whole digital health thing blew up, and people started asking me, hey Dr. 00:15:29.679 --> 00:15:31.600 Sice, can you be my medical director for this thing? 00:15:31.600 --> 00:15:32.159 Could you help me? 00:15:32.159 --> 00:15:33.360 Could you oversee me here? 00:15:33.360 --> 00:15:34.720 Could you be my partner with this? 00:15:34.720 --> 00:15:37.440 Nurse practitioners, PAs, nurses. 00:15:37.440 --> 00:15:38.799 And I was like, Yeah, I'd love to. 00:15:38.799 --> 00:15:39.519 This would be awesome, right? 00:15:39.519 --> 00:15:40.480 First, it was selfishly. 00:15:40.480 --> 00:15:43.360 I don't have to work as many shifts if I if you pay me to help with that. 00:15:43.360 --> 00:15:46.480 But uh, but then I realized there was no good resources for that either. 00:15:46.480 --> 00:15:50.559 There was no, this was a new way of doing medicine that we weren't prepared for. 00:15:50.559 --> 00:16:08.399 And of course, you know, I was one of the physicians,

first physicians coming out during the time where like this focused on the physician shortage has been huge, and you just realized being a practitioner in that ecosystem that man, like this system is broken, and we have to turn to another pool of providers. 00:16:08.399 --> 00:16:10.480 We have to, it's an inevitability. 00:16:10.480 --> 00:16:16.320 Unless we empower nurses, nurse practitioners, PAs to pick up a baton and see patients, patients just won't be seen. 00:16:16.320 --> 00:16:18.080 I can't see more patients in my unit. 00:16:18.080 --> 00:16:32.399 So that kind of all culminated into well, what if we built a platform to help non-physicians get the oversight that they need, have the compliance tools that they can use to make sure that they're protecting their license, but can deliver care within their scope of practice. 00:16:32.399 --> 00:16:41.200 And then Guardian Medical Direction was born and kind of took off, and I kept being curious and learning more and found myself in a CEO C one day. 00:16:41.200 --> 00:16:43.840 So uh that's kind of kind of how that happened. 00:16:43.919 --> 00:16:45.200 But it's incredible. 00:16:45.200 --> 00:16:45.840 It's incredible. 00:16:45.840 --> 00:16:53.600 Say let's talk a little bit about medical oversight because that's something that you mentioned that I think people have heard, but they might they might not understand what that is. 00:16:53.600 --> 00:16:57.840 Why is it why is it such a barrier for us in healthcare right now? 00:16:57.840 --> 00:16:58.879 What well first what is it? 00:16:58.879 --> 00:17:00.559 And then why is it a barrier? 00:17:00.879 --> 00:17:01.120 Yeah. 00:17:01.120 --> 00:17:09.839 So I mean, again, when you think about traditional medicine, when you're when you're a nurse working in a hospital, you just naturally have physicians who are putting your orders in. 00:17:09.839 --> 00:17:17.599 You have, you know, you have this hierarchy of oversight um that just this just kind of naturally happens. 00:17:17.599 --> 00:17:21.519 That disappears when you go out into the outpatient world. 00:17:21.519 --> 00:17:34.880 So when we saw these advances in telemedicine, you know, ability to do telemedicine stuff, um, with doctors not being very accessible, all of a sudden become, okay, well, I'm a nurse, maybe I want to start my own ID hydration clinic. 00:17:34.880 --> 00:17:37.920 Maybe I want to do aesthetics, you know, do some med spot stuff. 00:17:37.920 --> 00:17:42.319 Maybe I'm a nurse practitioner and I'm I'm gonna start my own telemedicine practice. 00:17:42.319 --> 00:17:48.000 But how do you do that without the right medical oversight in place that mimics that hierarchy in the hospital? 00:17:48.000 --> 00:17:49.920 And there, and there really has not been a way to do it. 00:17:49.920 --> 00:18:00.559 So, what happened was that practitioners would have to find a doctor like myself who was curious and somewhat familiar with these things and say, hey, can can you help

me figure out what forms I gotta file with the state board? 00:18:00.559 --> 00:18:03.759 Can you help me figure out how to register this business even? 00:18:03.759 --> 00:18:05.039 Can I can I do this? 00:18:05.039 --> 00:18:06.640 Is it am I allowed to do this? 00:18:06.640 --> 00:18:08.480 The boards are very silent sometimes. 00:18:08.480 --> 00:18:13.759 They they expect us to interpret what the rules are and they just hold us accountable if we get it wrong. 00:18:13.759 --> 00:18:15.920 Um, so it can be very scary. 00:18:15.920 --> 00:18:32.720 And I think especially in in the the booming digital health medical entrepreneurship world that kind of came out of COVID, unfortunately, but not surprisingly, like protecting the clinicians is kind of the last thing on the list, right? 00:18:32.720 --> 00:18:36.640 It's first like let's make money, then let's figure out how to show outcomes. 00:18:36.640 --> 00:18:38.240 So I'm businesses die right there, right? 00:18:38.240 --> 00:18:42.240 I've made a lot of money with this new thing, but it doesn't actually help people in the end of the research. 00:18:42.240 --> 00:18:53.200 And then if you can get to the point where it actually does help people and I can prove that concept that I'm making money, then and only then do they worry about like, well, how do I make sure my physicians and my nurses and my nurse practitioners are satisfied? 00:18:53.200 --> 00:18:55.039 And a lot of people feel they're too. 00:18:55.039 --> 00:18:57.519 I think I felt that it needed to be done differently, right? 00:18:57.519 --> 00:18:59.279 How do we protect the clinicians first? 00:18:59.279 --> 00:19:05.599 If you protect protect clinicians first and give them the tools, they will do what they do best, which is drive outcomes. 00:19:05.599 --> 00:19:09.200 And if you drive outcomes, you can make money in medicine. 00:19:09.200 --> 00:19:13.519 The problem is that the money came in the third step in my scenario, not the first. 00:19:13.519 --> 00:19:16.240 So it's uh not something that everybody follows. 00:19:16.240 --> 00:19:23.839 But um, but yeah, so so what we do is that we have nurses, nurse practitioners, PAs that come to us and say, Hey, I want to start my own medical business. 00:19:23.839 --> 00:19:24.799 How do I do that? 00:19:24.799 --> 00:19:27.119 How do I do it the right way, where I protect my license? 00:19:27.119 --> 00:19:28.799 How do I who do I need to partner with? 00:19:28.799 --> 00:19:29.920 How do I structure this? 00:19:29.920 --> 00:19:32.079 And we kind of help them from A to Z do that. 00:19:32.079 --> 00:19:38.319 So we we have a platform that provides uh the other side of that equation, like physicians to do that oversight. 00:19:38.319 --> 00:19:45.920 Uh, we help them draft their protocols and procedures that qualify for state board to approve so that they can legally do it. 00:19:45.920 --> 00:19:47.599 We help them structure the business. 00:19:47.599 --> 00:19:54.240 Uh certain

things that people don't realize we're like certain states, a nurse can't own the practice of medicine, only a physician can. 00:19:54.240 --> 00:19:59.359 So we'll help establish that relationship with the right contracts to again protect both sides of that. 00:19:59.359 --> 00:20:09.680 We always say, like, let us help you kind of structure it the right way, get it done in a way that you are safe and can go to sleep and I know your license is protected, then go scale your business, right? 00:20:09.680 --> 00:20:11.039 And if we do it that way, I think. 00:20:11.039 --> 00:20:15.599 And it it's it's still a model that like people are uncomfortable with sometimes. 00:20:15.599 --> 00:20:25.599 The boards are still trying to figure out how do we do this where we're like, we really as a company have partnered with these boards to say, hey, let us help you show you how to do it the right way so that these clinicians can do it. 00:20:25.599 --> 00:20:27.039 But there is no other choice. 00:20:27.039 --> 00:20:39.119 And I think that's what we're coming coming to find year over year that we have to adopt and change and figure out how to do this because otherwise we just have to admit that patients won't have access, which I don't think is an option anybody wants. 00:20:39.359 --> 00:20:40.319 No, it's not an option. 00:20:40.319 --> 00:20:40.960 You're absolutely right. 00:20:40.960 --> 00:20:42.559 And you, gosh, that was incredible. 00:20:42.559 --> 00:20:43.759 Thank you for explaining all of that. 00:20:43.759 --> 00:20:47.279 And that is there's three different points that I want to touch on first. 00:20:47.279 --> 00:20:52.960 And the the first one is um I know we mentioned we were gonna come back to the fact that you're licensed in all 50 states. 00:20:52.960 --> 00:20:54.960 First of all, is that unusual? 00:20:54.960 --> 00:20:56.319 That's unusual, right? 00:20:56.319 --> 00:20:59.119 Not not every physician is licensed in all 50 states. 00:20:59.359 --> 00:21:00.240 No, that is unusual. 00:21:00.240 --> 00:21:04.559 So that's one of the actually kind of cool things that again that came out of COVID and telemedicine. 00:21:04.559 --> 00:21:06.480 It's called the IMLCC. 00:21:06.480 --> 00:21:08.000 IMLCC. 00:21:08.000 --> 00:21:13.039 It's a way that I as a doctor can get like one license and then quickly get licensed in a bunch of other states. 00:21:13.039 --> 00:21:14.319 That didn't exist before. 00:21:14.319 --> 00:21:15.680 Like that's kind of an unheard of thing. 00:21:15.680 --> 00:21:23.759 Even when I was first coming up in telemedicine and and travel medicine, was how do you get a license in multiple spots that you have the ability to help more? 00:21:23.759 --> 00:21:26.400 Um, now that's it's much more doable. 00:21:26.400 --> 00:21:29.279 We're speaking nurse compact licenses in the same way, right? 00:21:29.279 --> 00:21:39.680 But the problem with that is that as you the way I practice what I'm allowed to do through the state

of Ohio's Board of Medicine is not exactly the same as the state of Michigan. 00:21:39.680 --> 00:21:41.519 And that's something that people don't really understand. 00:21:41.519 --> 00:21:45.039 Your scope of practice is different per state. 00:21:45.039 --> 00:21:55.279 Um again, that's another thing that these entrepreneurs have to navigate as they're starting their medical businesses, especially if you're gonna like open up multiple locations or do telemedicine across state lines. 00:21:55.279 --> 00:21:58.240 The different compliance components are different in every state. 00:21:59.359 --> 00:21:59.759 Well, thank you. 00:21:59.759 --> 00:22:00.640 For explaining that. 00:22:00.640 --> 00:22:12.400 And that was actually the question I was going to ask you is that number one, I would imagine being licensed in all 50 states makes you beautifully positioned to counsel people, of course, medical professionals in all 50 states. 00:22:12.400 --> 00:22:27.359 But it's also a really great point to make for the student who might, or even the patient who might not realize that just because I'm board certified and licensed in Florida doesn't mean that while I'm on vacation in California, I could just work for a couple of weeks. 00:22:27.359 --> 00:22:33.759 You know, it's just that's not how medicine is currently positioned, which is interesting to see. 00:22:33.759 --> 00:22:49.359 And I think something to keep our eye on, and maybe you can speak to this too, over the next maybe decade in medicine, is really seeing those lines blurred, especially as we run into more issues with um, you know, a limited number of clinicians, specifically medical doctors. 00:22:49.359 --> 00:22:51.039 Um that'll be quite interesting. 00:22:51.039 --> 00:22:51.599 So thank you. 00:22:51.599 --> 00:22:53.279 Thank you for explaining that so well. 00:22:53.279 --> 00:22:56.160 That's such an important point that we don't bring up very often. 00:22:56.160 --> 00:23:00.799 And then something else that I wanted to mention is um, you know, this entrepreneurship in medicine. 00:23:00.799 --> 00:23:04.079 I think a lot of people think about it as doctors, MDs, or DOs. 00:23:04.079 --> 00:23:08.720 What I'm hearing you say is that entrepreneurs is not limited to medical doctors. 00:23:08.720 --> 00:23:11.519 It is for nurses, for PAs, for NPs. 00:23:11.519 --> 00:23:13.039 Is that this is true? 00:23:13.039 --> 00:23:14.160 This is news. 00:23:14.480 --> 00:23:15.039 Yeah, yeah. 00:23:15.039 --> 00:23:18.720 Our whole business, we so we don't support physician practices. 00:23:18.720 --> 00:23:22.240 We support nurse-run businesses and PAs as well. 00:23:22.240 --> 00:23:40.720 Um, so these are nurses, nurse practitioners, you know, RNs, nurse practitioners, PAs, um, even just medical entrepreneurs who are gonna hire those types of people to deliver care who have a good business idea on how to deliver care in a unique way, they come to us and we help them build it the right way.

00:23:40.720 --> 00:23:42.480 Now you need physician oversight in there. 00:23:42.480 --> 00:23:44.240 That's that's why our model exists. 00:23:44.240 --> 00:23:46.480 You need to structure the business in the correct way. 00:23:46.480 --> 00:23:49.279 You have to have the right policies, procedures, protocols. 00:23:49.279 --> 00:23:54.240 There are certain things you can do that if you hire these kind of practitioners, there are certain things you can't. 00:23:54.240 --> 00:23:56.400 And that might be different in what state you're in. 00:23:56.400 --> 00:24:06.000 I mean, to your point, it's it's something that people don't realize is that if I'm a doctor on vacation in Florida and I respond to a medical emergency, I'm responding as a layperson. 00:24:06.000 --> 00:24:09.119 I don't have a license there to actually practice. 00:24:09.119 --> 00:24:10.559 You have to be very careful. 00:24:10.559 --> 00:24:28.000 Versus if I'm at, you know, the store and someone goes down, you hear these stories of, you know, especially ER doctors, we like to be, I don't know, we like to get on the news apparently, but um, we're like, you know, someone, you know, we're working out of the gym and someone goes down and like some rant, and again, whoever this guy is, right? 00:24:28.000 --> 00:24:33.839 You've heard this story, but whoever this guy who's who's like carrying his medical bag and like who is that guy on scene? 00:24:33.839 --> 00:24:36.880 Like, first of all, dude, why I mean come on, you were looking for that to happen. 00:24:36.880 --> 00:24:38.079 Whatever, that's fine. 00:24:38.079 --> 00:24:40.559 Uh, you know, you deal with your own ego at home, I guess. 00:24:40.559 --> 00:24:43.599 But uh anyway, elancipate the guy, they'll get him and they'll save his life. 00:24:43.599 --> 00:24:44.720 That's awesome. 00:24:44.720 --> 00:24:53.440 If they're licensed in that state, if you were like on vacation and did that as an year doctor, you were licensed, like you get sued pretty severely. 00:24:53.440 --> 00:24:57.920 Like, you don't have and people don't know that they think one's a doctor, always a doctor, which is true. 00:24:57.920 --> 00:25:01.279 But I'm certified, I'm licensed in a specific state. 00:25:01.279 --> 00:25:03.279 So, yeah, I got licensed in all 50 states. 00:25:03.279 --> 00:25:11.200 It took a long time, it cost a lot of money, but uh, like I said, I I can kind of do what I want a little bit uh in that way, but that's not the norm. 00:25:11.200 --> 00:25:12.960 And a lot of people don't don't realize that. 00:25:12.960 --> 00:25:19.039 But yeah, going back to your initial question, yes, I mean, so this is all nurse entrepreneurship, PA entrepreneurship. 00:25:19.039 --> 00:25:23.440 Like we and this is again, this is what I think is an inevitability in healthcare. 00:25:23.440 --> 00:25:27.359 The act, you know, my emergency department used to be everyone's access point. 00:25:27.359 --> 00:25:32.720 Now people are accessing medicine at their gym, at their pharmacy, at their medical spa. 00:25:32.720 --> 00:25:33.839 I think that's awesome. 00:25:33.839 --> 00:25:35.119 I think a lot of people are afraid of that. 00:25:35.119 --> 00:25:37.680 And I think the regulatory environment is like, oh my gosh, how do we do that? 00:25:37.680 --> 00:25:40.079 How do we make sure because you hear all the bad stories? 00:25:40.079 --> 00:25:45.680 But to me, like I built a business to help support that the right way because to me that's very exciting. 00:25:45.680 --> 00:25:50.799 I'd really love patients to be able to get care wherever makes the most sense for them. 00:25:50.799 --> 00:25:54.240 I think we'll see people take care of themselves better that way. 00:25:54.240 --> 00:25:59.839 I think we will be able to take that burden off of the current healthcare system if we can do it right. 00:26:00.559 --> 00:26:15.759 I just I want to repeat this because I think that this is such a novel idea to hear a medical doctor saying, and that is get your medical care from what's accessible to you and what and what feels comfortable to you. 00:26:15.759 --> 00:26:22.960 But at the same time, coming from someone who's founded Guardian Medical Direction, find out what is backing them. 00:26:22.960 --> 00:26:26.799 Find out where they're getting their opinions from, where they're getting their advice from. 00:26:26.799 --> 00:26:28.480 You still have to do your research. 00:26:28.480 --> 00:26:33.359 Like, you know, you still have to know about this person or this company. 00:26:33.359 --> 00:26:47.039 And that's where this is so incredible that you have offered an amazing resource to these clinicians, these nurses, PAs, and Ps who are who really desperately want to offer care, but maybe need some support there, right? 00:26:47.200 --> 00:26:47.440 Yeah. 00:26:47.440 --> 00:26:50.799 I think clinicians too, I mean, we talk a lot about burnout. 00:26:50.799 --> 00:26:56.799 Um, I think clinicians are burnt out, not because they're seeing too many patients. 00:26:56.799 --> 00:26:57.680 I really don't. 00:26:57.680 --> 00:27:01.200 I don't think I wasn't burnt out in the emergency department because of all the patients I was seeing. 00:27:01.200 --> 00:27:06.400 I got burnt out in the emergency department because I couldn't deliver care the way I knew I wanted to deliver care. 00:27:06.640 --> 00:27:06.799 Right. 00:27:07.039 --> 00:27:07.200 Right. 00:27:07.200 --> 00:27:19.039 So, like that's the other thing that I think that I hope that we empower at Guardian is that again, like if you got a business idea, like you got a way you want to deliver care to your group of patients or your community, man, I want to help you do that. 00:27:19.039 --> 00:27:24.880 Because, like, one, you're going to be able to give so much more and you're not going to burn out because you get to do it your way. 00:27:24.880 --> 00:27:29.279 Again, let's just make sure it's in the confines of the right compliance

safety network to do it, you know. 00:27:29.279 --> 00:27:33.519 But um, but that's it's it's it's it's it's less hard than people realize. 00:27:33.519 --> 00:27:36.079 You know, so it's like you just have to understand it. 00:27:36.079 --> 00:27:42.079 Um, but yeah, I I think that I really bullish on all the new advances in medicine. 00:27:42.079 --> 00:27:44.880 I think there's a I think there's doctors out there that are getting worried. 00:27:44.880 --> 00:27:46.079 I feel the opposite way. 00:27:46.079 --> 00:27:58.400 I really think we're entering a time where, you know, for physicians who are worried about, you know, losing some of the control, I think that we as doctors finally get back to being true scientists and pioneers and thought leaders. 00:27:58.400 --> 00:28:04.400 We can empower more people that actually deliver care in the way that best suits them and best suits their community. 00:28:04.400 --> 00:28:06.799 We talk about personalized care all the time, right? 00:28:06.799 --> 00:28:12.720 Um, so why would we not want to help people figure out what, again, to your point, what works best for them, right? 00:28:14.079 --> 00:28:14.559 Absolutely. 00:28:14.559 --> 00:28:15.680 And you know, here's a question. 00:28:15.680 --> 00:28:19.279 We've been dancing around this question the whole time, and I'm just gonna ask it directly. 00:28:19.279 --> 00:28:25.680 Where do you see healthcare heading in the next well, I pick it pick a number, 10, 20 years? 00:28:25.680 --> 00:28:26.880 What is it gonna look like? 00:28:26.880 --> 00:28:31.839 How is it gonna look different than what we are poorly sometimes doing right now? 00:28:32.880 --> 00:28:38.240 So I think, I mean, we gotta start talking, we gotta start talking about AI. 00:28:38.240 --> 00:28:39.759 We talk about feature of healthcare here. 00:28:39.759 --> 00:28:46.799 I think that AI is going to do a really good job of taking over all the algorithm-based. 00:28:46.799 --> 00:28:49.839 It's gonna have to be done with the right oversight in place, right? 00:28:49.839 --> 00:28:53.680 It we can't just rely on, you know, uh just the technology, right? 00:28:53.680 --> 00:28:59.519 There needs to be the checks and balances, which I think we as physicians are gonna continue to move into more oversight roles. 00:28:59.519 --> 00:29:01.680 We're gonna continue to move into more kind of guidance. 00:29:01.680 --> 00:29:05.279 You know, they say 30% of physicians today have a non-traditional role. 00:29:05.279 --> 00:29:06.000 It's awesome. 00:29:06.000 --> 00:29:10.000 And that's because a lot of them are entering into chief medical officer, medical director. 00:29:10.000 --> 00:29:14.960 Like, we kind of have to elevate up and empower the you know, the other practitioners to do some of that work. 00:29:14.960 --> 00:29:20.720 I think AI starts to really help take care of a lot of the easy, quick things. 00:29:20.720 --> 00:29:22.559 And to me, that's not scary. 00:29:22.559 --> 00:29:24.240 That doesn't take jobs away. 00:29:24.240 --> 00:29:28.319 That actually allows us as clinicians to get back to being healers. 00:29:28.319 --> 00:29:32.720 I don't have to be the guy checking all the boxes, making sure the stroke protocol. 00:29:32.720 --> 00:29:38.960 I can be the guy who sits with you, who holds your hand and says, Man, I get why this isn't exactly right for you. 00:29:38.960 --> 00:29:41.039 Let's work together to figure out what that is. 00:29:41.039 --> 00:29:42.559 That's to me super exciting. 00:29:42.559 --> 00:29:44.960 I think I we talk about the science of medicine. 00:29:44.960 --> 00:29:47.200 The science of medicine is those algorithms, right? 00:29:47.200 --> 00:29:53.279 It's the ACLS protocol, it's your stroke protocols, it's it's you know, make sure you give this antibiotic before this antibiotic. 00:29:53.279 --> 00:29:55.119 And that science changes based on research. 00:29:55.119 --> 00:30:01.680 And as we the art of medicine to me is the environments that we create for healing. 00:30:01.680 --> 00:30:09.680 And that can be an environment that I create with you right here, where we're just speaking on a phone and I and I sit with you as a healer and like make that space for you. 00:30:09.680 --> 00:30:12.880 It can be the environment I create in my medical spa, right? 00:30:12.880 --> 00:30:20.880 When you come in and you feel a certain way when you get that experience with like I think the the experiences, that's the art of medicine to me. 00:30:20.880 --> 00:30:24.480 I think that's where we're gonna be able to, as clinicians, get back to a lot of that. 00:30:24.480 --> 00:30:29.599 And I think we're gonna see massive leaps in people's health because of that, though. 00:30:29.599 --> 00:30:35.440 Not because the science is gonna get better or faster or quicker, like the strep throat's gonna be strep throat, it's gonna be strep throat. 00:30:35.440 --> 00:30:36.640 Hey, I can handle that. 00:30:36.640 --> 00:30:36.880 Right. 00:30:36.880 --> 00:30:44.480 We're gonna start to be able to create environments again for healing, and that was where we're gonna see this kind of revolution of health advancements. 00:30:44.480 --> 00:30:47.519 Um that's my that's my prediction. 00:30:47.519 --> 00:30:48.079 That's my hope. 00:30:48.319 --> 00:30:48.559 I love it. 00:30:48.559 --> 00:30:56.640 What a fantastic, fantastic idea too, would be to you know, get take, put the healer back in the healing, right? 00:30:56.640 --> 00:30:58.079 I I I I love that. 00:30:58.079 --> 00:31:02.000 And it does feel more, um, it feels more collaborative with the patient as well. 00:31:02.000 --> 00:31:06.880 And I think that we have so often just spoken to the patient instead of spoken with the patient. 00:31:06.880 --> 00:31:09.200 And I think that's also part of the art of medicine, right? 00:31:09.200 --> 00:31:10.880 Um, oh my gosh, incredible. 00:31:10.880 --> 00:31:12.400 Okay, last question as we wrap up.

00:31:12.400 --> 00:31:14.240 I'm just taking up so much of your time. 00:31:14.240 --> 00:31:17.440 Um let's talk to our let's talk to our student right now. 00:31:17.440 --> 00:31:22.000 How should students begin thinking about the business side of medicine? 00:31:22.000 --> 00:31:26.720 And should they be thinking about the business side of medicine before they even go into it, right? 00:31:26.720 --> 00:31:30.480 They're they're they're thinking right now, well, Ash, I'm not even not even there yet. 00:31:30.480 --> 00:31:31.119 Yeah, yeah, yeah. 00:31:31.119 --> 00:31:35.599 Um, is this a good time to start considering it in the current climate? 00:31:36.400 --> 00:31:39.200 I think so obviously, I think yes, right. 00:31:39.200 --> 00:31:46.400 I think that every clinician should be thinking, and but when I say business, I guess I go back to entrepreneurship. 00:31:46.400 --> 00:31:49.519 And we throw that term around very loosely nowadays. 00:31:49.519 --> 00:31:50.960 Everyone's an entrepreneur, right? 00:31:50.960 --> 00:31:54.319 You sell pottery out of your garage, you're an entrepreneur, and that's fine. 00:31:54.319 --> 00:31:59.279 The term entrepreneur, though, like really came from this like creating something from nothing, though. 00:31:59.279 --> 00:32:05.680 Like an entrepreneur back in the day was someone who like created something that didn't exist before. 00:32:05.680 --> 00:32:18.880 And that's because it's interpersonal and it's interrelational, right? 00:32:18.880 --> 00:32:33.200 So I guess when I say yes, I think what I'm saying is I'm gonna encourage whether you're pre-med or pre-nursing or in these different environments, is to just don't get concerned that you're not gonna be able to do it your way. 00:32:33.200 --> 00:32:41.359 And obviously, like I said, your way needs to drive value, but it will because you wouldn't be in it if you weren't caring, you didn't want to care for people if that wasn't just a natural thing. 00:32:41.359 --> 00:32:50.000 So just stay curious around like, hey, I really like that path over there, but I would want to do it a little different, or man, I it'd be really cool if you did. 00:32:50.000 --> 00:32:51.920 Like, those are all options. 00:32:51.920 --> 00:32:56.480 And like when I went through medical school and I went through like people didn't tell you that, right? 00:32:56.480 --> 00:33:00.960 You can be an air doctor, you can be an OBGYN, you can feel like that's a doctor, and that's it. 00:33:00.960 --> 00:33:04.960 You better pick the right one because heaven forbid it's really hard to switch, you can't do another residency. 00:33:04.960 --> 00:33:07.920 Like that was kind of the what we were taught. 00:33:07.920 --> 00:33:10.160 I have not found that to be true at all. 00:33:10.160 --> 00:33:27.359 I I think what one of the best you know things about the career that I chose is that I get to make it up every I can I can make up every day a different way of doing what I'm trained to do and find new passion or new excitement or uh just get creative anytime. 00:33:27.359 --> 00:33:32.480 And if I want to go sit and just see patients all day in telemedicine, I can pick up the phone, I can get that job tomorrow as well. 00:33:32.480 --> 00:33:42.880 I mean, it's really such a blessing to have that the skill set to really just, you know, they say that they say the true marker of success is waking up and getting to choose your own problems. 00:33:42.880 --> 00:33:45.039 I get to choose my own problems, right? 00:33:45.039 --> 00:33:47.599 What I want to struggle with is what I get to struggle with. 00:33:47.599 --> 00:33:48.960 And that is the most freeing thing. 00:33:48.960 --> 00:33:54.960 I think clinicians are very uniquely positioned for that in what we do, and especially with what's coming in the future. 00:33:54.960 --> 00:33:58.160 Like, I I would just encourage people, like, just keep being curious about it. 00:33:58.160 --> 00:34:00.640 Don't get overwhelmed by it, don't worry about it. 00:34:00.640 --> 00:34:02.880 Like, it's all on the table for you. 00:34:02.880 --> 00:34:06.400 And that's I think just absolutely incredible. 00:34:06.559 --> 00:34:06.799 Dr. 00:34:06.799 --> 00:34:08.079 Seites, thank you so much. 00:34:08.079 --> 00:34:14.159 Listen, if you guys are interested in learning more about um about Guardian Medical Direction, check it out. 00:34:14.159 --> 00:34:17.039 It's guardianmedicaldirection.com. 00:34:17.039 --> 00:34:17.440 Dr. 00:34:17.440 --> 00:34:19.840 Sites, it has been absolutely incredible. 00:34:19.840 --> 00:34:28.239 I am so full of hope, really, about medicine, about the trajectory of medicine, and um and very, very grateful for what you have offered. 00:34:28.480 --> 00:34:29.519 Oh, thank you so much for having me. 00:34:29.519 --> 00:34:30.480 I really enjoyed it. 00:34:30.719 --> 00:34:34.880 Thank you so very much for listening to this episode of Shadow Me Next. 00:34:34.880 --> 00:34:41.840 If you liked this episode, or if you think it could be useful for a friend, please subscribe and invite them to join us next Monday. 00:34:41.840 --> 00:34:45.760 As always, if you have any questions, let me know on Facebook or Instagram. 00:34:45.760 --> 00:34:50.480 Access you want, stories you need, you're always invited to Shadow Me Next. 00:34:50.480 --> 00:35:02.000 Please keep in mind that the content of this podcast is intended for informational and entertainment purposes only, and should not be considered as professional medical advice. 00:35:02.000 --> 00:35:14.800 The views and opinions expressed in this podcast are those of the host and guests, and do not necessarily reflect the official policy or position of any other agency, organization, employer, or company.