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EPISODE · Dec 27, 2025 · 18 MIN

How doctors can reclaim control in a corporate system

from The Podcast by KevinMD

Palliative care physician and certified physician development coach Christie Mulholland discusses her article, "Reclaiming physician agency in a broken system." She shares her personal story of leaving a prestigious academic position after realizing that "being a good doctor" was impossible within the constraints of corporate health care. Christie explains how for-profit entities now control seventy-eight percent of hospices, leading to worse patient care and deep moral injury for clinicians. The discussion explores the four paths physicians can take to reclaim agency: working within the system with boundaries, building alternatives like direct primary care, organizing through unions, or planning a strategic exit. Christie emphasizes that while the system is broken, physicians still have the power to make conscious choices about how they engage with it. Learn how to move from passive demoralization to active, values-driven leadership in your medical career. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

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How doctors can reclaim control in a corporate system

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This episode was published on December 27, 2025.

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Palliative care physician and certified physician development coach Christie Mulholland discusses her article, "Reclaiming physician agency in a broken system." She shares her personal story of leaving a prestigious academic position after realizing...

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