109. Michael S. Chen, Interventional Cardiologist

Michael S. Chen graduated with a degree in investment banking. He worked at Hambrecht Quest, a smaller investment bank focusing on high tech and healthcare companies in New York City. After two years in investment banking, he decided to pursue medicine, inspired by his father's career as a cardiologist. He then went on to study internal medicine at UCSF, Cleveland Clinic, and then joined cardiac associates in Gaithersburg, Maryland. He has been with the practice for 18 years and is now the Chair of Cardiology at  Shady Grove Medical Center, and Medical Director of the Cardiac Catheterization Laboratory at White Oak Medical Center. Challenges Faced by Cardiac Catheterization Labs Michael discusses the challenges faced by cardiac catheterization labs in meeting performance measures and ensuring proper procedures. He highlights the need to balance equipment requests with limited budgets and prioritize patient care. He talks about the importance of cardiologist performance in heart attack patients, focusing on door to balloon time and other metrics like aspirin and blood thinners. He mentions the importance of assessing the overall performance of the hospital as a whole, focusing on reducing time spent on administrative tasks and ensuring patients are on the right medications.The conversation turns to steps patients can take to ensure they are prescribed the right medication. Interventional Cardiology Explained Michael goes on to explain what interventional cardiology is, what the new trends are, and he addresses common misconceptions. He discusses the learning process for new techniques and tools, such as fellowships and medical device reps. Michael notes that fellowships are the most effective method for learning new techniques, but it's important to stay updated and stay updated with medical device reps. Other methods include working with other doctors, attending training sessions, or learning online through YouTube videos. There are various ways to learn and improve in this field. Physicians and The Business of Healthcare Michael discusses the business of healthcare and the factors driving physicians to work with larger healthcare companies. He explains that larger practices have more bargaining power and can offer lower rates and financial security. However, there are drawbacks, such as the need to balance autonomy with financial security. Michael talks about the increasing trend of private equity investing in physician groups, such as anesthesia and cardiology. Private equity is seen as a way to ensure return on investment, which can sometimes be more expensive than providing the best care possible. Stressors for cardiologists include cash flow, meeting payroll, and meeting electronic medical records and government regulations. However, overall, the fit has been good and cardiologists have been happy with the situation.  Participating in the National Senior Games The conversation turns to fitness and sports. Michael keeps active in terms of exercise, running and working out. He recalls running a 5k five years ago and receiving a gift certificate from Panera for winning first place in his age division. He then qualified for the National Senior Games, (open to anybody 50 years and older) which features various events such as a 5k 10k, pickle ball, tennis, track and field, ping pong, basketball, and softball. Michael has competed in the National Senior Games in Fort Lauderdale and Pittsburgh. His mom competed in the 5K powerwalk and Michael competed in the 5K and 10 K road race. Michael came in 2nd in the 10K (and won a silver medal!) and 4th in the 5K in Pittsburgh in 2023, His mother placed 8th in the 5K Power walk in Fort Lauderdale in 2022. Michale mentions that he has a 5k coming up on Labor Day week, with his son running it with friends, and the National Senior Games.   Influential Harvard Professors and Courses Michael mentions Richard Taylor and TA Tom Roberts, and studying bipeds and quadruped to compare the energetics and mechanics. Part of the study included placing turkeys and chickens on a treadmill. They found that turkeys were quite stubborn and not smart, as they were not smart enough to run on a treadmill. They learned that turkeys were efficient at running and that their locomotion mechanics were efficient. They were fortunate to receive a Hoops Prize for their work, which ends up in the Lamont library. This experience was memorable, as the researchers' thesis is on display at the library.  Timestamps: 02:13: Transition to Medicine and Leadership Roles  07:56: Administrative Responsibilities and Performance Metrics  13:08 Advancements in Interventional Cardiology  20:56: Running a Medical Practice and Personal Interests  36:27: Connecting with Harvard Alumni and Future Plans  Links: Email: [email protected] Featured Non-profit: The featured non-profit of this episode is Cave Canem, recommended by Eisa Davis who reports: "Hi. I'm Eisa Davis, class of 1992 the featured nonprofit of this episode of The 92 report is Cave Canem. Cave Canem is an organization committed to the artistic and professional growth of black poets. And I have been a fellow and active member of the organization since 1999 Cave Canem is still going strong and has truly created the landscape in which poetry lives in the United States. You can learn more about their [email protected] that's spelled C, A, V, E, C, A, N, E, M, P, o, e, t, s.org, and now here is Will Bachmann with this week's episode. To learn more about their work visit: https://cavecanempoets.org/