#70 - Why ER Doctors Are Ditching the ER for Telemedicine

In this episode of Telemedicine Talks, Dr. Steven McDade joins Leo Damasco and Phoebe Gutierrez to discuss his transition from full-time emergency medicine to a flexible, primarily telemedicine-based career. After 13 years in the ER, Dr. McDade sought more time at his mountain home in Colorado and discovered telemedicine as the solution. He opens up about overcoming skepticism and imposter syndrome, the massive reach and positive impact of virtual care, building a diverse portfolio that includes medical directorships, hormone replacement therapy (HRT), weight loss medications, men’s/women’s health, and unique collaborations (including with a boutique gym and a breastfeeding NP). Dr. McDade highlights the lifestyle benefits, no commute, working from anywhere (including Portugal), schedule flexibility, reduced burnout, and renewed excitement for medicine, while still practicing some ER shifts. The conversation also covers the expanding opportunities in telehealth, AI’s role, and advice for physicians considering the transition. Top 3 Takeaways: Lifestyle Freedom is Real: Telemedicine eliminates commutes, allows you to live where you want (mountains, travel), block time for the gym, and even work from vacation, dramatically improving work-life balance. Bigger Reach & More Positive Impact: One physician can see thousands more patients per month in telemedicine than in the ER, shifting from reactive crisis care to preventive, wellness-focused medicine that genuinely improves lives. Build a Diverse Portfolio: Don’t be a one-trick pony. Explore medical directorships, HRT/weight loss, niche collaborations, and entrepreneurial opportunities, telemedicine lets you learn new fields and create a fulfilling, resilient career. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Guest: Dr. Steven McDade is a board-certified Emergency Medicine physician with over 13 years of experience. After practicing in Colorado, he transitioned to primarily telemedicine (80/20 split) to gain flexibility and spend more time in the mountains. He serves as a medical director for a telehealth company handling 911 diversions, works in men’s/women’s health, HRT, weight loss, and various clinical collaborations. Connect with Dr. Steven McDade: You can reach out to  Dr. Steven McDade via the Telemedicine Talks team at [email protected] About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.   Connect with Phoebe Gutierrez:  https://www.linkedIn.com/in/pkgutierrez/   [email protected]   (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.