How can physicians drive meaningful change in a dysfunctional healthcare system? In this episode of Scalpel and Sword, host Dr. Lee Sharma, welcomes Dr. Andrea Austin, to share findings from her qualitative research on 15 physician change makers, exploring how they navigate barriers to transform healthcare. From cultivating emotional resilience and listening to dissent to using storytelling and understanding organizational dynamics, Dr. Austin reveals the internal and systemic strategies that empower physicians to lead change. She emphasizes the power of reflection, or “metacognition,” and compassionate accountability as key tools for personal and professional growth. This episode offers practical advice for healthcare professionals eager to create a better system while managing conflict constructively.

Three Actionable Takeaways:

1. Practice Intentional Reflection – Carve out time daily to reflect on patient and colleague interactions, asking why conflicts arose and what personal or systemic factors influenced your response to foster growth.
2. Embrace Dissent and Conflict – Actively listen to dissenting voices and view conflict as a catalyst for change, using emotional agility to stay calm and productive in challenging situations.
3. Learn the System – Understand your organization’s policies, procedures, and key influencers to navigate change effectively, seeking historical context from past leaders to avoid repeating failed efforts.

About the Show:

Behind every procedure, every patient encounter, lies an untold story of conflict and negotiation. Scalpel and Sword, hosted by Dr. Lee Sharma—physician, mediator, and guide—invites listeners into the unseen battles and breakthroughs of modern medicine. With real conversations, human stories, and practical tools, this podcast empowers physicians to reclaim their voices, sharpen their skills, and wield their healing power with both precision and purpose.

About the Guest:

Dr. Andrea Austin is a board-certified emergency physician, Navy veteran, and simulation educator with over 12 years of experience. She served in Iraq, trained military personnel at a top U.S. trauma center, and holds a Certificate in Health Professions Education from Uniformed Services University. As Simulation Director for Southwest Healthcare and host of Heartline: Changemaking in Healthcare, she advocates for physician well-being. Her book, Revitalized, details her journey through burnout. Dr. Austin chairs the American Association of Women Emergency Physicians and is transitioning to Program Director at Sacred Heart, Pensacola.

Website: http://www.andreaaustinmd.com

LinkedIn: https://www.linkedin.com/in/andreaaustinmd

Instagram: https://www.instagram.com/andreaaustinmd

About the Host:
Dr. Lee Sharma is a gynecologist based in Auburn, AL, with over 30 years of clinical experience. She holds a Master’s in Conflict Resolution and is passionate about helping colleagues navigate workplace challenges and thrive through open conversations and practical tools.

• Connect with Dr. Lee Sharma:
  📧 Email: [email protected]
  🌐 Website: East Alabama Health - Dr. Sharma

The Scalpel and Sword Podcast is for informational purposes only and does not constitute medical, legal, or professional advice. Always consult a qualified professional regarding your specific situation.

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