When Coping Stops Working

Clinicians are trained to keep going, even when the demands of medicine begin to take a toll. In this episode of Rounds with SCP, Dr. David Schillinger and SCP Health Chief Wellness Officer Dr. Bentley Tate speak with Robin F. McCown, Executive Director and CEO of Georgia PHP, about clinician stress, substance use, mental health concerns, and the role professional health programs can play in providing confidential support. The conversation explores how challenges can build over time, why clinicians may hesitate to seek help, and how early evaluation, treatment, monitoring, and support can help clinicians protect their wellbeing and return safely to practice.

Medicine has changed dramatically over the past four decades. From the days of handwritten charts, doorbell-operated emergency departments, and mobile CT scanners to today's AI-assisted documentation, advanced imaging, telemedicine, and multidisciplinary care teams, this podcast highlights how clinical practice has transformed over time. Whether you're early in your career or have witnessed many of these changes firsthand, this episode offers valuable insights into where medicine has been, how it arrived where it is today, and what the future may hold for clinical practice.   This podcast was originally released on August 24, 2026 By accessing this podcast, you acknowledge that SCP Health makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this podcast. The information, opinions, and recommendations presented in this podcast are for general information only and you should not rely on it to make clinical decisions. 

What started as science fiction is now reshaping modern medicine. In this episode, Dr. David Schillinger sits down with Dr. Josh Elder, Vice President of E-Health Clinical Operations at SCP Health, to explore the evolution of telehealth—from its earliest pop-culture roots to today’s real-world applications across emergency medicine, hospital medicine, tele-ICU, and specialty care. The conversation breaks down e-health vs. telehealth, lessons learned from military medicine, how COVID accelerated adoption, and what’s next for virtual care delivery. A practical, forward-looking discussion on how technology is transforming how—and where—we practice medicine. CME available.   This podcast was originally released on January 22, 2026 By accessing this podcast, you acknowledge that SCP Health makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this podcast. The information, opinions, and recommendations presented in this podcast are for general information only and you should not rely on it to make clinical decisions. 

How much pain is too much? This episode dives into the ALTO approach — a “back to basics” look at pain management that swaps narcotics for evidence-based alternatives like Toradol, lidocaine, and ketamine. Tune in to rethink pain, improve outcomes, and earn CME while you listen.   This podcast was originally released on November 11, 2025 By accessing this podcast, you acknowledge that SCP Health makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this podcast. The information, opinions, and recommendations presented in this podcast are for general information only and you should not rely on it to make clinical decisions. 

In this episode “The Weight of the Matter - Bariatric Surgery and Beyond” — Join guest expert Dr. Arsalla Islam, a dual-trained general and vascular surgeon, as we explore the evolving landscape of obesity treatment and the clinician’s role in delivering evidence-based, patient-centered care. This episode breaks down surgical options, such as gastric sleeve and gastric bypass, the growing use of GLP-1 medications, and the importance of managing complications across emergency and hospital settings. Learn how to identify candidates for bariatric surgery, differentiate between procedures, and improve continuity of care across diverse clinical environments.   This podcast was originally released on July 22, 2025 By accessing this podcast, you acknowledge that SCP Health makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this podcast. The information, opinions, and recommendations presented in this podcast are for general information only and you should not rely on it to make clinical decisions. 

Disaster Response in Rural Medicine How do you evacuate a hospital when floodwaters are rising faster than you can think, and help is miles away? In this episode, Dr. Schillinger and Dr. Hoskins are joined by Dr. Sean Ochsenbein, Ballad Health's Regional Chief Medical Officer, who recounts the real-time decisions and coordinated actions that saved lives during a catastrophic flood at Unicoi County Hospital in rural Erwin, Tennessee. The team faced the unimaginable: 70 patients and staff trapped inside, waters rising by the minute, and no clear way out. From deploying swift water rescue teams to triaging patients under intense pressure, their clinical expertise and calm leadership turned chaos into action, culminating in a dramatic evacuation involving Black Hawk helicopters. This is more than a story of disaster response. It's a real-time masterclass in crisis leadership, medical decision-making, and staying calm when everything is on the line. When every second counts, what does it take to lead? Tune in to hear how these clinicians rose to the moment. This podcast was originally released on May 15, 2025 By accessing this podcast, you acknowledge that SCP Health makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this podcast. The information, opinions, and recommendations presented in this podcast are for general information only and you should not rely on it to make clinical decisions. 

Wellness for Female Clinicians  In this latest episode of Rounds with SCP, delve into the unique wellness challenges faced by female clinicians. Dr. Dawn Sears, a gastroenterologist turned executive leadership coach and founder of GutGirl Consulting, shares insights from her experience and her work with the empowerHER series.  She highlights the different pressures women in medicine face, such as higher expectations, mental load, and burnout. Dr. Sears emphasizes the importance of self-care with the powerful advice to "put your own oxygen mask on first." This episode offers a refreshing perspective on how acknowledging and addressing these unique challenges can lead to better long-term wellness for women in healthcare. This podcast was originally released on January 24, 2025 By accessing this podcast, you acknowledge that SCP Health makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this podcast. The information, opinions, and recommendations presented in this podcast are for general information only and you should not rely on it to make clinical decisions. 

“Medically Assisted Treatment for Opioid Use Disorder”  Learn more about the complexities of opioid use disorder (OUD) and the clinician’s role in managing this public health crisis. This episode breaks down the stigma surrounding medication-assisted treatment (MAT), clarifies the distinction between dependence and addiction, and highlights evidence-based approaches to care. Listen now for insights on balancing empathy with accountability, supporting patients on their recovery journey, and navigating the evolving field of opioid management in emergency and hospital settings.  This podcast was originally released on November 27, 2024 By accessing this podcast, you acknowledge that SCP Health makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this podcast. The information, opinions, and recommendations presented in this podcast are for general information only and you should not rely on it to make clinical decisions. 

The Hidden Dangers of Traumatic Brain Injuries  Traumatic brain injuries (TBIs) present significant challenges in clinical management, with various types of bleeding and hemodynamic factors affecting patient outcomes. In this podcast, Dr. Jack Obeid delves into the complexities of TBIs, exploring their clinical signs, the implications of different hemorrhagic events, and the latest management strategies. Tune in to enhance your understanding and improve your clinical practice regarding this critical topic. This podcast was originally released on October 21, 2024. By accessing this podcast, you acknowledge that SCP Health makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this podcast. The information, opinions, and recommendations presented in this podcast are for general information only and you should not rely on it to make clinical decisions.

“Navigating GLP-1 Agonists” — Discover the profound impact of GLP-1s with special guest Dr. Inbar Kirson as she unpacks the complex world of GLP-1 agonists in our latest episode, "What You Should Know about GLP-1 Medications.” In the world of health breakthroughs, GLP-1 agonists are gaining attention for more than just weight loss—they're reshaping metabolic health. As obesity rates soar, these medications offer a potential solution, wielding effects that go beyond simple appetite control, potentially even extending to addiction management. But amid the excitement, safety concerns loom large, from thyroid complications to pancreatitis risks, necessitating meticulous attention. Don’t miss out—hit play and find out why GLP-1s popularity has a price. This podcast was originally released on April 26, 2024. By accessing this podcast, you acknowledge that SCP Health makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this podcast. The information, opinions, and recommendations presented in this podcast are for general information only and you should not rely on it to make clinical decisions.