The Entrepreneur: Brian Cohen, MD.

[0:32] Music.

[0:38] Paging dr. cook paging dr. cook dr. cook you’re wanted in the o.r. dr. cook.

[0:46] Music.

[1:11] Hello everyone and welcome to prescription for Success I’m dr. Randy cook your host for the podcast which is a production of MD coaches providing leadership and Executive coaching for Physicians by physicians.
To overcome burnout transition your career.
Develop as a leader or whatever your goal might be visit MD coaches on the web at my MD coaches.com because you’re not in this alone.
So what if I told you that you could get CME credit just by listening to this podcast.

[1:48] My guest today is not only a busy anesthesiologist he’s also a very successful entrepreneur.
And he’s bringing some remarkably creative ideas to continuing medical education and I think we can all agree that that’s a subject.
That could really use some creative ideas so let’s hear my conversation with dr. Brian Cohen.

[2:11] I want to welcome everybody to prescription for success and I’m really looking forward to my conversation today with dr. Brian Cohen.

[2:23] Who is an anesthesiologist among other things down in South Florida Brian thanks so much for joining us today I’m looking forward to the conversation,
thank you Randy same here as is always our practice Bryan we like to get a little bit of your origin story before we get into what you occupy yourself with right now so,
very interested in,
finding out about how you got into medicine was this a childhood dream or was there some particular influencer a friend or a family or how did that come about,
I can’t remember ever wanting to be anything other than a doctor,
so it did start at a young age I wasn’t quite sure how it was in a get there the exact path but you know the desire was there
I’m not sure I knew exactly what it meant either I had some family members in medicine and Uncle who’s a cardiologist,
my father is a dentist another Uncle who’s a surgeon so I had the Intrigue but the path was yet to be discovered and you never had any interest in dentistry,
I did until I saw my dad was we was coming home kind of tired of the drill and fill routine.
And you know it just was a little bit of a warning sign of.

[3:42] You know maybe that wasn’t for me now he actually was able to sort of pivot into some other,
things with the rest of his career from the business side and dental insurance aspect but,
yeah that was happening right around the time where I had to make a decision and I say had to because I actually ended up at a.
It’s a six-year program it was a be a MD combined program so out of high school I really was deciding whether to be a physician or not,
did you feel really confident about it if the time I did I think I felt confident about being a physician I felt.
Confident that there were benefits to this combined program but.

[4:25] I think the best way to describe my my questions or my hesitancies was I remember the first week of,
college and I call it College it was it really was integrated over six years your undergrad in medical school was was scattered throughout a six-year period,
so my first week up there you know I met this in the dorm and,
called my good friend from from growing up me and my closest buddy in high school and he was up at University of Pennsylvania,
it was both of our first weeks and I’m like oh man this is pretty cool you know we’re got Papa John’s force in a DJ down in the courtyard in the dorm.
And he’s like he’s like yeah mine’s pretty cool to run-dmc’s playing right outside my window that’s what I realized my college experience may be a little different than my friends and my friends,
well you know I was kind of wondering about that you know you’re you’re starting as a freshman College freshman you’ve already decided what you’re,
career is going to be and I have to say that in spite of the fact
that you know my undergraduate curriculum was designed to be pre-med,
but there was no question about the fact that this was something entirely separate you know the college experience for me sounds like it was.

[5:46] Maybe less intense it can be a little bit counterintuitive you know and especially as an 18 19 20 year old going into it.

[5:54] In especially if you’re somebody.
Fairly dead set on becoming a physician you know and so it’s either you go into college and you have an insane amount of pressure on you to perform at the highest level for the next four years so then you can embed School med school residency and blah blah blah.

[6:10] For or you’re already in and now you now the pressure is just too to learn and to do what you’re you know there to do,
and by the end of it looking back we were very glad we were both very glad we did it going through it it was many moments of like the Run DMC conversation where you’re constantly questioning your life decisions,
but I think it was a balance of you know a little bit less pressure but also just you knew you were handed an opportunity you know don’t mess it up,
yeah that’s that’s really really really interesting and the other thing that I’m interested that I’m interested in knowing is at the time that you started that program did you.

[6:52] I know that it was going to be anesthesia from the start or did that,
that had to evolve later yes I I knew nothing about anesthesia and really I found the hole.
Process of deciding what specialty you are going to enter into.
Really bizarre because if you look at Medical School you’re not you’re not exposed to everything right you’re exposed to Medicine surgery Psychiatry OB-GYN and Pediatrics those are your core rotations.
We had what I don’t know two or three electives,
will you sure as hell better hope that one of those two or three electives that you chose is actually something you like otherwise you’re at the end of your last year and it’s time to apply for residency you know I knew I loved being in the operating room but I,
didn’t want to choose the path.

[7:45] Of a surgeon and and I think I mean part of that came from again watching other family members who led more demanding
you know I’ll say Cardiology is a highly demanding especially from a lifestyle point of view who was also married to another physician and I saw now my wife and I were not married at the time but,
we had been together for a number of years and I said if I’m going to marry another physician and I’m I want to try to find this balance in life and.
You know all the other the other Specialties I hate to say it but I started checking them all I said I can’t do this I can’t do that but I love being the or I had a couple friends the year above me and above them,
who were going into anesthesia they said you may want to try this out and thank God man I enjoyed that rotation I’m not gonna lie though I still had no idea what was happening during the rotation I didn’t know what,
turning the dial this way or that way meant I don’t know how people went to sleep but I thought it was cool I think that’s true for all of us at that stage and you really don’t know what you’ve bought until you’re all you’re already the owner.
And you actually sort of do a little traveling around with respect to postgraduate training to Missouri you want to tell us that story yeah I mean it’s a fairly standard from a.

[9:04] From anesthesia just as in radiology and some of the other Specialties where you have your intern year and then you have your three years of core residency so for my intern year,
you know I was looking to go up to Chicago had a again most people’s Engineers are like the most miserable year of their life.
Mine was amazing but then I returned to st. Louis I did anesthesia at at Washington University in St Louis which was again back home for me where I grew up,
you know I decided to try to separate myself a little bit from feeling where I grew up I got a got a loft downtown st. Louis and right by the right by the hospitals and.
And went to work every day there and again that was the opposite experience of my my intern year it was it was intense and it was.

[9:49] My first real exposure to how do I say well yeah I mean he goes it was just.
It was just this you know ivy league mentality of Egos and I’m like what what the hell is wrong with everybody like.

[10:04] It wasn’t what I had pictured this well-oiled machine of an operating room being to a point where.
When I was in my you know halfway through and I knew that my wife was now down in Houston for her residency and I would have one year,
before she finishes when I’m already done.
I said this isn’t this isn’t really what I want to spend my life doing getting yelled at by surgeons and competing with the guy next door and all this other stuff I said I’m going to apply for a pain Fellowship.
And get out of the operating room you know as I started filling out that application I started reading you know these are the these what you’re going to be doing over the next year and I’m like man this is an entirely new.
Field of medicine and I re I feel like I haven’t even come close to mastering the field of anesthesia how do I give up on this.
And then just start another one and I put that application away I didn’t come back to it I applied for a job.
In Houston with a Private Practice Group and and again these guys changed my perspective on what it meant to be an anesthesiologist what it meant to be part of a team,
just very collaborative very.
Welcoming into what we were they’re supposed to be doing which is taking care of the patients in each other but and that’s not to say that.

[11:21] You know the training at Washington University was amazing the attendings were amazing the egos were amazing it was it was all one big package.
You know that’s a very interesting phenomenon and I think it’s something that a prospective residency applicant.

[11:41] Really doesn’t know how to search it out but I actually went to medical school in a very highly competitive.
Program and I could see what was happening.

[11:54] To those people you know the surgery residency had a steep pyramid
and there were some people that were going to put in three years and find out they didn’t have a job and all those kind of things and I didn’t even put in an application there because of the exactly what you’re talking about you know I didn’t want to live in that kind of pressure
and you know what I picked another spot which turned out to be perfect.

[12:16] Hit Medical College of Georgia had none of those hot well there was some there was pressure but there was not the.
Day-to-day are you going to have a job you’ve pointed out something that I think is very important that you know I don’t know if we have any.
A potential medical students listening but those are the things that you just don’t hear about right you don’t you don’t have any way of knowing what’s ahead of you unless you ask the right questions and you don’t even know what to ask at that.
When you say even if you did know to ask that our system is set up in a way that when you ask that question it comes across in a certain manner right so,
does that mean you’re not here to work hard you’re not here to,
understand hierarchy and kind of the old school mentality of a military mentality of how Healthcare is set up,
it doesn’t necessarily mean that you know again the reality is going into residencies we don’t always have that luxury to to pick out that perfect Club res every time well let’s talk about the transition into private practice
sounds like you moved along to Houston and and your.
When you went to Houston was that to sign up with a well-established group or what was the situation your early experience in private practice Yeah it was so this was around the year of.

[13:40] 2007 and it was an interesting time in anesthesia and I think this can be sort of extrapolated out over a lot of different Specialties because we all seem to go through these you know 10 to 20-year waves of.
Employed models partnership models independent models wherever we go through you know the Peaks and the valleys and so coming out of residency.
The norm was every anesthesiologist who’s graduating is going in and is going to be a partner in a group if they want to that was the opportunity.

[14:13] I went in knowing that I was going to be there for a one-year period and being very honest with that group saying you know I would love to,
come in and work as you mentioned with the well-established group because almost that that’s a fellowship in private practice in a way right I’m my goal is to learn more there than I than I did in the past three years so I can go out and,
and take a piece of these 26 anesthesia partners and put together my own sort of.
Recipe for my practice there’s a ton of learning and being surrounded by supportive people rather than competitive people allows for that learning to happen I can’t tell you how many times I called for Airway help or for hey,
what do you typically do for this case or that case huge benefit of being around people that are supportive and,
I that group was incredible I was part of a used to be greater Houston anesthesiology they were one of the first Acquisitions of a large company called you sap who s anesthesia partners.

[15:08] And that gave me again the first taste of what,
May lie ahead in a partnership opportunity what good medicine means what collaborative medicine means but again being a little bit naive I assumed.
That was just private practice that was my first job I assumed they were all like that right academics was The Residency life oh man that was terrible you know but this practice thing this is great you know everybody’s friends this is wonderful this is the way it’s always going to be and then,
and then South Florida happened which you know which taught me another lesson,
there was that was actually going to be my next question you you mentioned that you realized that that first experience in private practice was not going to be permanent for you where you already.

[15:52] You already had your eyes set on South Florida,
we did Loosely you know again both my wife and I grew up in the midwest she was from Kansas City I was from st. Louis and and you know the Midwest is in a wonderful way it’s,
usually when you’re there you’re there forever and when you settle in it’s very hard to leave you know generation upon generation stays in the same city.
And it was the conversation was either we go back to the Midwest you know forever or we try something new and something new was.
You know we wanted to be by the water we also wanted to be somewhere near family and I did have some family that was in the south Florida area so,
you know that allowed us to say it’s now or never you know is nothing is permanent but if we don’t do this now is very unlikely that we’re going to try this later.
So you set up the plan and,
major move to South Florida and did it turn out to be precisely what you expected or were there challenges now it was it was curve while after curveball and,
you know I can I’ll tell you a little bit about it and again would I change any of it probably not it was going from that.

[17:03] Scenario in Houston into South Florida where it was very kind of every man for himself or herself mentality,
I joined a group that had been established within a hospital in theory for almost 40 years however,
kind of eat what you kill every man for himself and finally becoming an actual group but that culture,
never really evolved with it it was all it was still sort of you know taking care of myself and everybody else takes care of their self and that was new to me you know it was also.
The presentation of come join our group we’d like to have you we’re not guaranteeing that there’s ever going to be another partner again but there could be,
and you could be that partner and so they put out just enough hope for me to say I’m determined to do this and I’m going to make them,
convince themselves that they made the right decision and you know I’m deserving of what they have one thing I learned through this is that the culture.

[18:01] That’s been ingrained over years is very very hard to change and that was a pain point you know that I didn’t know.
What to do with but it bothered me because I felt I knew just from one year in Houston I knew it could be better,
I knew the medicine we were practicing could be better I knew the collaborations we better the teamwork the everything about what it meant to have a group could be better and it just wasn’t there but there weren’t any options if you if you look at the history of anesthesia.
We’re in the belly of the Beast down here in in South Florida where the birthplace of Sheridan which is now Envision and been necks and you sap and all these major companies of the employed model or all based out of South Florida,
so there weren’t any options at the time and I was there to make the best of it you know you know I got a a.

[18:54] Text message from somebody that I didn’t know he had got my name from another individual.
In the anesthesia group they had done residents it together years before and he said you know hey do you want to start an anesthesia group
for a new hospital in Miami and I said absolutely not I said no way I said you lost me at Miami but he said just
let’s just talk we did and we set up we set up a phone call I spent you know about two and a half hours on the phone with with Shane.
Getting to know him and.
He had worked at another large anesthesia company hospital-based practiced in South Florida for about the same amount of time as I had been here at my group about eight years at that time.
We started sharing everything we didn’t like about what was happening in anesthesia but the conversation about this opportunity and he said when are you ever going to have another chance to,
start something from scratch and create it exactly how you want.
And at that time my answer him was never you know who knew that that there was something called being an entrepreneur in medicine and no one had heard of it then so.

[20:05] You know I remember very clearly I walked upstairs I told my wife hey I’m going to quit my job and start a company in Miami she goes okay.

[20:14] I’m like damn it you weren’t supposed to say that like you were supposed to say what are you crazy Ryan you can’t do that but she said okay,
because we are a very good match because she’s everything I’m not ready cheese so calm and and confident and and her response allowed me to be a risk taker.
Hi I’m Rhonda Crow founder and CEO Forum D coaches here on our X for Success we interview a lot of great medical professionals on how they grew their careers
how they overcame challenges and how they handle day-to-day work,
I really hope you’re getting a lot of great information but if you’re looking for an answer to a specific problem management or Administration challenge,
or if you’re feeling just a bit burnt out like maybe you chose the wrong career well then there’s a faster way to get the help you need now it’s not counseling it’s coaching,
RX for success is produced by MD coaches a team of Physicians who have been where you are,
I know you’re used to going it alone but you don’t have to get the support you need today visit us at my MD coaches.com to schedule your complimentary consultation.

[21:39] Again that’s my MD coaches.com because you’re not in this alone.

[21:47] We’ll get back to our interview in just a moment but right now I want to tell you a little bit about physician Outlook
if you haven’t discovered this remarkable magazine please do so very soon it was created by physicians for Physicians to showcase the intersection between clinical and non-clinical interests whether it’s writing
painting cooking politics and dozens of other topics physician Outlook gives a physician perspective it’s available online and in print,
it’s really unique among physician lifestyle magazines and like the prescription for Success podcast
physician Outlook amplifies the voice of any physician who has something to say it also engages patients who still believe in physician-led
team-based care.
And prescription for Success listeners can get 3 months free when you enter our promo code RX for success and select the monthly option at checkout that’s a really great deal on this stunning publication.

[22:51] And now let’s get back to today’s interview the the hospital lasted twenty months
now our group is still going strong seven years later but the hospital lasted 20 months yes,
there were there’s so many Lessons Learned first of all the Miami is the wild west of Medicine,
you know you have you have a major health system there that really controls a lot of the payers managed care companies that are these Medicare Advantage Programs that all sort of run.
On their own rules it’s it’s very complicated system but the thought was,
this is a physician-owned hospital partnering with Miami Children’s Hospital the largest MSO in Florida and a company out of Kansas called called knew Tara and that was what got me Randy because I’m a Midwest guy,
and I when I said I don’t want to do anything in Miami cuz you know it’s it’s a sunny City with with Shady people.
Is always what we say down here I said this is going to be balanced out because we got a good Midwest company coming in.
You know to take control and print and bring some some some rational thought to this craziness and in the reality was it was just a very very different landscape for for that type of management company and.
All those factors together you know there were a lot of delays in opening I had quit my job.

[24:18] I’ve given notice my 90 day notice and about two weeks after that the hospital announced a 4-month delay and then another two months DeLay So I had no job so I said well I might as well get this hospital opened because that’s the only way that I’m going to get,
you know a case to do to get paid so I drove to Miami every day and which is about an hour and a half drive from where I am.
Inset with the CEO the CNO the co and said that’s open this damn thing and I and really got to see kind of the inner workings of what,
is involved in doing that again.

[24:53] It was an education it was free education and and.

[25:02] It is ingrained us as a company.

[25:06] Into every piece of the hospital yeah from wall to wall and floor to ceiling we knew.

[25:12] Everything about why and what we were going to do what we’re going to do and in the in the the premise behind this hospital is very culture based meaning.
This was supposed to be a level of care that just didn’t exist in Miami and it because we had physician ownership in it,
every single person who stepped to the doors had a reason for it to be something special.
And I mean it worked man it worked from quality of healthcare we had we were doing you know up to 400 surgical cases a month and these patients relieving online reviews like they just left the Four Seasons for a week I mean it was,
and down the street you have these one and a half and two star reviews going at every hospital so something was right but.
They couldn’t collect the money they were losing one and a half million dollars a month,
the real estate you know lease was high the collections were low it was just these factors and.
As much as we thought we were embedded in the fabric of the hospital you know we had about a one-day notice before it closed you know it was.

[26:17] It was the launch of really what we became as an anesthesia company but we wouldn’t have gotten there without those 20 months.
Bringing the people together that really believed in doing that same Mission we interviewed 43 crnas before we hired our first one because we were we were so,
really just dead set on following through with what we said of you have one chance to create,
something from the ground up you got to do it right with the right people Brian I really appreciate you sharing that with us but it is just an incredible story of.
Success and belief in what you’ve got to work with and the kind of thing where you really
if you have any kind of a soul you love to see somebody
succeed and those kinds of circumstances and my hat is off to you and I suspect that you’re rather proud of what you’ve accomplished and
rightly so but you didn’t stop there
and this is going to this is gonna be my segue into what I think is one of the most brilliant things that’s come a long in the way of
dealing with continuing medical education and.

[27:41] If I’ve got this right it actually began with adapt track but if I’ve got that wrong you can correct me but tell us the story tell us how it started.

[27:51] So in parallel to the start of Miami anesthesia services in our group I also began working with the medical liability company so that was back in 2015.
As especially medical director that gave me you know a little bit of another perspective of again risk in in medicine but also sort of the business entrepreneurial life of healthcare,
that can interweave with clinical life so it didn’t have to be all or nothing,
but you could use one aspect of doing a job over here with with the other and work together to make everything better and through my through the world in the medical liability space,
again had the lock-in pleasure of crossing paths with a couple new partners,
one of which was working with a large managed care company for a number of years and just a super business mind in the other,
is just This brilliant Tech and he we call human capital.
Individual and in together it was really taking some of the things that Niraj from the tech side had already been working on as far as using technology to improve human behavior.

[29:10] And throwing it into Healthcare and the first Lane we really wanted to focus on was was risk in healthcare but the.

[29:18] The theme across all of this had to put the clinician in the middle and that’s really what adapt track became was you know with a risk focused.
How can we use all the data and knowledge that we have the medical liability space for the past 20-30 years in the trends that exist and.
Put them in a manner in front of clinicians that they can engage with it learn from it change their behavior from it.

[29:49] But do it without interrupting their day and and that became very important because the last thing we want to do is give somebody.
Who’s working so hard one more thing to do and that’s.
Again the behavioral economics of this from from Niraj has background really kicks in with with the introduction of micro learnings and really kind of figure out how do we think as clinicians and Physicians I don’t want,
three hour lectures I want three sentences tell me what what should I or shouldn’t I do to get sued,
what should I or should I do to improve documentation so that I’m not inefficient with you know within my team model what should I or shouldn’t I do,
to decrease moral injury and burnout but tell it to me fast succinctly and hey maybe throw a little reward out there for me because I’m engaging with it and I’m learning and I’m reflecting on it and that reward for us became continuing medical education credits,
and that’s really the learning Loop that sits behind adapt track and why we built it it’s brilliant.

[30:53] Music.

[31:03] That is the prior design.
You got to travel somewhere in here lectures that go on for hours and they have one little bit of one little nugget in there that really means something to you or either get online and experience the same thing.
But you guys really.
Reinvented this thing did you not adapter I gave us a taste of what clinicians really wanted right now when it came to Medical Education now clinicians were starting to learn with each other in ways.
That we hadn’t even imagined before it wasn’t just the sitting in a lecture hall or grand rounds on Wednesday afternoon at noon it wasn’t just attending a four-day conference in the Bahamas.
You know it wasn’t just relying on that one expert source to tell me what the gold standard has to be.
It was experiential it was in the moment it was with peers it was across different mediums and it was happening,
I mean like crazy especially in 2020 2021 and as we as we moved into this year with siema Fi what we built was essentially a technology platform that’s that’s transactional it you have a host and you have learners,
that host has the ability.

[32:20] To create links for learning moments that are happening around them and if the Learners that are learning with them or from them,
reflect on those links on how that learning applies to themselves and their practice their ask two questions what did you learn and what are you going to do with it so internal and external.
How are you going to apply this learning those reflections with the technology that we’ve built generates a half a credit for each reflection,
so you leave two Reflections that’s a that’s one CME credit and that that does a couple things it rewards.
The hosts who are you know they can be a clinician or not a clinician but you’re catalyzing these learning moments you’re putting your voice out there you’re putting your knowledge out there you’re putting your time out there and now you have the ability.

[33:07] To essentially capture these moments that you’re stimulating and and reward your learner’s for learning with you now from the learner side.
It accomplishes you know much of what you mentioned it’s it’s taking these learning moments that were already having so now it’s not one more thing for me to do it’s things that I’m already doing,
and now I’m going to be rewarded for it and I’m going to be rewarded for it not by attending something or Not by listening to something or Not by sitting through something for x amount of minutes,
I’m rewarded by reflecting on it and telling.
Telling you how it applies to me and what I’m going to do with that at the end of the day it’s a digital platform that allows you to exchange knowledge and be rewarded for it and it’s built again with the clinician in the middle,
that’s getting the reward for what they’re doing Brown It’s really interesting.

[33:59] It has been said trial only though it may be that there’s nothing new.
Under the Sun but I practiced medicine for 44 years before I retired and in the beginning there was much more of that change of in.
Information between medical professionals on a day-to-day basis because we saw much more of each other eye-to-eye,
back in those early days of my practice and then as as the system evolved seems to me that we became more and more isolated.

[34:40] See you later became a business and usually required that you travels from here and saving money for.
Lengthy discussions that.
You go away and you don’t really feel like your meaning anything you don’t fuss feel like you’re learning anything but as you say Along Came the pandemic and everybody was up to their neck and alligators trying to figure out you know.

[35:06] How we going to get this swamp drained.
And they had to talk to each other you want to tell the audience a little bit more of the details about how cmf I works and how they can,
take advantage of it what can separate into two different personas as far as the users and that’s the individual clinicians,
and more of the groups are Enterprises or companies from an individual clinician side.

[35:32] You literally log on you get started as low as $9 a month and you can start creating links within about 20 seconds.

[35:41] From the organization and Company side again there’s a little bit of a different log on because we always validate who’s coming in when you be very careful about.
Any kind of bias around the learning scenarios.

[35:57] But once you’re through the process again within about two minutes of logging on you’re creating your creating links for,
we’ve seen that you know now really not replace traditional CME departments but it can even.
Be an addition to for Health Systems as chief medical officers take this into their health systems.
Large organizations you know you’re looking at as low as 499 dollars a month,
to create unlimited links and have unlimited Learners you know CME has put,
a lot of the costs have trickled down to the Learners you know we’ve sort of flipped that model again learning learning is free you have as soon as you sign up you have a learning Journal,
that learning Journal is where you claim all your credits you print your certificates you have you can look back as to all of your Reflections you’ve made over time and what you were reflecting on.
It’s really kind of a One-Stop shops that you’re organized with all your learnings there.
And it also takes the responsibility of managing that side of the CME World off of the host whether that host is again a physician or a health system you know learning.

[37:14] But just to underscore,
although it is available for big groups it can be accessed by individuals as well for a very reasonable cost and we are very excited at RX for success and I are
Mothership MD coaches and that we’re going to be partners.
In this and this is really new stuff maybe you’d like to tell our audience about your conversations with Rhonda Crow and where we’re going to take this thing because you got you probably know more about it than I do at this point.

[37:53] Yeah I mean the the beautiful thing about conversations with Rhonda and groups like yourself reindeer.
You know we create the tools but we just hand you guys the keys to the car and and watch you do what you do.
You guys are the ones parking these these learning moments you guys are the ones having conversations that make other clinicians think about how to take that information and use it use it themselves,
they don’t have to agree with it you know they could listen this podcast and say this is I don’t agree that’s good that’s fine but because you’re reflecting on it and you’re thinking about it you just learn something so you know what,
it’s in credit for that and you know we have some other exciting things in the pipeline as well right now this has been,
I am a PR a category 1 credits which apply mostly to MD Studios NPS Pas and aa’s.
We are this summer launching the same product but out and available for nurses pharmacists dentists and a couple other Specialties so.
There’s lots more to come.

[38:59] Well Brian this is very very exciting and I can’t tell you how I’m looking forward to being a part of this entire project it sounds like it’s really going to be not only.
Education and a chance for improvement but I think it’s going to be fun and I’m really looking forward to it having come to that point it’s time for me to.
Get out of the way here and let you be in the spotlight all alone so I’m going to close my mic and we’ll do what we always do here dr. Brian Cohen is going to share his personal prescriptions for success
thank you Randy well my personal subscription prescription for Success we touched on a little bit throughout the conversation but I’m going to try to summarize it here,
the definition of success is very personal it can change every year week or day and that’s okay.
As long as you don’t sacrifice your standards the recipe and the end product is fluid and in my opinion the prescriptions for success is having the maturity to change with it.
In the partners to weave through the Journey with you.
Because what happens when you reach your goal then what a success become or what happens if you get halfway there and you realize well this kind of sucks I think success for me maybe like over here instead.

[40:20] You know it in med school my version of success was settling into a little Beachside practice and enjoying a stress free life in residency my version of success was becoming a partner in anesthesia practice.
And then I was offered the opportunity to redefine my success and receive my own pen to create the path towards it.
Help start the anesthesia company and help start a hospital when my three new partners and I sat down to figure what that actually meant we literally sat down with a pen and paper and rewrote our.

[40:49] Our definition of success was to create a culture a culture provider is that existed within a group that respected each other relied on each other took care of each other and all the rest would follow.
And you know anesthesia is a unique field in medicine it’s a specialty that exists in a group form with tens or even hundreds of providers that you know quote rely on each other,
but we really work with each other,
so many of our interactions are in parallel rooms in the operating room or in different shifts and we kind of said screw that we’re a team we’re a family if you want to join it let’s go.
In 20 minutes after this amazing physician-owned concierge surgical hospital opened its doors in the heart of Miami and twenty months after we started Miami anesthesia services.

[41:33] The hospital closed so now what success.
Now I felt this bizarre sense of caring not just my own success with the 35 individuals and their families that depend on us and I hadn’t felt that before and honestly it was completely overwhelming.

[41:49] Those emotions those days they honestly suck so much of the life out of me that I wasn’t quite sure I was able to set another goal because I felt like if I put that much into this.
In this is the end result then what else do I have to do to reach success and not failure.

[42:07] I told my partner’s I couldn’t do it again they told me come back the next day we sat in that empty hospital we chatted and we sat there and reminisced about what we had been through.
We also realized that we had not failed we had actually succeeded.
We had actually created a culture Within These Walls that did not exist anywhere else in which we became family and worked beautifully together to achieve the goals in which we set out.

[42:30] Well turns out that effort and The Sweat Equity that we all put into creating this success was appreciated by the surgeons that we worked with and they began reaching out to us to come to their other centers the management company started to hear that there was this alternative to Big Box anesthesia in South Florida,
and meetings are happening almost every day and now five years after the closure of that hospital we’re providing anesthesia at nine centers from Palm Beach to Miami and created an MS o that provides the anesthesia Services throughout the rest of the state of.
We redefined our success and we also recognized our failures so for me personally this journey has allowed me to bucket success in a few different angles.

[43:07] I found a passion for other more widespread ways to drive impact to my peers and colleagues through technology and other Partnerships and again by finding the right Partners I’ve had the opportunity to co-create two more companies,
Saturday driving value back to clinicians adapt track and see mfi I’ve lived a professional roller covert roller coaster over the last 78 years.
And it’s forced me to appreciate so many other pieces of this Healthcare puzzle and medicine is all about learning from others to better yourself.
The same mistake should not happen twice when a patient’s well-being is at stake.

[43:43] The same goes for ourselves in my mission is still about creating environments in which culture of caring exists as we collaborate together.
That could be a new ASC that my group is writing in a seizure at for a crow learning moment in which see mfi is allowing clinicians to knowledge share and be rewarded.
So for now that in balance with my family at home is my current prescription for success.
At least for today hope Brian thank you very much I thank you are definitely in a position to.
To give some advice on how to be successful because you fought some battles and no doubt you have some scars but
what you have to show for it is very very impressive for you go I want to give you an opportunity to let our audience know where they can find you and where they can find CM if
sure everything’s at the you know the website cmf i.com you also have adapt track.com.
And Miami anesthesia services.com.
We’ve kept it pretty simple feel free to reach out to me on LinkedIn as well Brian D Cohen MD on LinkedIn I love to connect with everybody and,
I hear your stories well thank you again for being with us it’s been a fascinating story and I am really grateful that you.
The time to be with us it’s been a lot of fun thank you so much Randy I appreciate it.

[45:06] Thank you all so much for joining us today as always we really appreciate a review from you and a five-star rating helps us a lot,
these ratings give our show much more visibility,
and they help us reach more listeners if you’d like access to exclusive content please head on over to our patreon page where you can see membership-only material including personal rapid fire Q&A sessions with our guests and more,
to be sure you never miss an episode visit our website at RX for success podcast.com to subscribe.
And while you’re there you can offer your very own prescription for Success on.
Special thanks to Ryan Jones who created and performs our theme music for the show and remember.
Be sure to fill your prescription for success with my next episode.