Dr. Ami DeWaters is a hospitalist, medical educator, and one of the leading voices reimagining how we prepare residents for the realities of modern medicine. She’s an associate professor at Penn State College of Medicine that’s known for her sharp insights and deep commitment to building physicians who are not just clinically excellent, but also financially, professionally, and systemically fluent.

In this episode of How I Doctor, Dr. Graham Walker talks with Ami about the disconnect between what doctors are taught and what they actually need to succeed. From FTEs and RVUs to PSLF and prior auths, they unpack the hidden curriculum of becoming a practicing physician - and why not understanding how the system works is no longer an option. If you’ve ever felt like medicine handed you the keys without teaching you to drive, this episode will tell you how to take back control.

What You’ll Learn in This Episode:

• Why understanding FTEs is essential for your contract, your income, and your loan forgiveness
• How to negotiate your first job like a pro and the surprising reason your desk might be the first red flag
• The hidden power of residents to drive change and how one radiology resident helped redesign their entire overnight workflow
• Why every doctor needs to speak the language of RVUs, billing, and insurance regulation if they want to lead and not just survive
• The one lesson every intern should learn by the end of their first year

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

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Dr. Greg Murphy is a practicing urologist and four-term Republican Congressman representing North Carolina’s third district—and the only physician in Congress who still actively sees patients, entirely pro bono. Before entering politics, he served as an affiliate professor, urology group president, and chief of staff at a Level 1 trauma center in Greenville, NC. These days, he’s sounding the alarm about what he sees as a crisis in the medical profession: a generation of young doctors who, in his view, are losing their sense of calling.

In this episode of How I Doctor, Dr. Graham Walker talks with Congressman Murphy about the tweet that sparked backlash from younger physicians and the deeper frustrations behind it. Together, they explore the erosion of autonomy, the death of private practice, and what Murphy calls “the ultimate sacrifice” that medicine requires. It’s a fiery, honest, and civil conversation that cuts across generations, full of tough questions, uncomfortable truths, and a shared commitment to fighting for the future of patient care.

What You’ll Learn in This Episode:

• Why Congressman Murphy believes too many doctors are using the system as an excuse to stop doing what’s right for the patient.
• What he means when he says medicine is “a field of sacrifice”—and why he thinks too many young physicians are prioritizing lifestyle over service.
• His critique of how medical schools admit, train, and prepare students—and what needs to change now.
• Why he thinks physicians need to give more than just their time to advocacy—and why money matters in politics.
• How doctors can get more engaged, whether it’s through policy, protest, or running for office themselves.

If you’re a doctor questioning the future of medicine or just looking for a straight-talking take on what it means to stay in the fight this episode’s for you.

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

IG https://www.instagram.com/ubergraham/

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Dr. Paul Tran is a pediatric gastroenterologist, award-winning medical educator, and the creator behind Alimentary School — an online platform using storytelling, mentorship, and dad jokes to make medicine more human. He’s on a mission to break down outdated hierarchies and rebuild medical education around trust, real-time feedback, and genuine connection.

In this episode of How I Doctor, Dr. Graham Walker talks with Paul about what’s broken in medical training and how we can actually fix it. With warmth and wit, Paul explains why seeing students as “just students” undermines patient care, how virtual interviews and pass/fail boards have reshaped the residency match, and why the way we give feedback needs to change yesterday. He also shares the killer interview question every applicant should ask, and how social media can help bridge gaps traditional training leaves wide open. If you’ve ever wondered what it would look like to blow up med ed and start fresh, this is the conversation for you.

What You’ll Learn in This Episode:

• Why medical training still relies on outdated hierarchies — and how that hurts future doctors and patients alike.
• How the move to pass/fail Step 1 and virtual interviews is reshaping residency applications (and adding new pressures).
• The big flaws with “Feedback Fridays” — and Paul’s practical advice for giving and getting better feedback every day.
• The exact two-part question every med student should ask to uncover a residency program’s real culture.
• How Paul uses humor and short-form videos to make medical education more accessible, honest, and fun.

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/

IG https://www.instagram.com/ubergraham/

Bluesky https://bsky.app/profile/drgrahamwalker.com

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