#20 Prison Doctor Interview - Lifestyle, Leadership, and Crazy Pathology

Dr. Lalitha Trivikram is a board-certified Internal Medicine physician who graduated from Penn State College of  Medicine and completed her post-graduate training at the University of Michigan and New York Hospital - Cornell. She has over 20 years of experience in outpatient, inpatient, and congregate care settings, including skilled nursing, acute rehabilitation, and correctional facilities.  Currently,  she serves as a medical director in the Philadelphia Department of Prisons, the jail for the City of Philadelphia, which has a daily census of around 4,500 citizens and a patient population numbering nearly 18,000 individuals annually.  In the spring of 2020, she stepped into public health when asked to be the lead physician in the COVID-19 response at the PDP.   Under her leadership, the mortality rate from Covid has been one-tenth that of other regional jurisdictions. She is a family friend, and I had the luxury of shadowing her as an undergrad. Lalitha is a stunningly good diagnostician and a fantastic person all around.

Aug 28th
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0:00 - Intro
1:21 - Statistics About Internal Medicine
2:49 - Why is Internal Medicine?
3:41 - Why Internal Medicine?
10:32 - What was IM Residency Like?
15:05 - Differences in the Residency years
17:07 - inpatient vs outpatient
20:16 - Working as the Medical Director in the Philadelphia Jail
23:54 - An Average Day as the Medical Director
26:25 - Difference diseases/injuries found in a jail setting
32:41 - If I Give You $100 Million, What Would You Do?
34:14 - Memorable Experiences at the prison
38:37 - Thoughts about working in a prison
39:57 - prison life during COVID-19
50:06 - Best Thing About Internal Medicine
51:01 - Worst Thing About Internal Medicine
52:12 - Burning out
54:01 -Choosing between the clinic and industry
55:55 - Common myth about IM doctors
57:57 - What makes the best IM student?
1:04:40 - Characteristics of an IM student
1:05:36 - Advice to students looking into a specialty
1:06:44 - Future of Internal Medicine
1:12:31 - Any Mistakes That You Made Throughout Your Career?
1:16:16 - Closing Message
1:17:35 - Outro
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Resources
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View the Show Notes Page for This Episode for a transcript and more information: zhighley.com/podcast
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Welcome to the Zach Highley Show, where we discuss personal growth and medicine to figure out how to improve our lives. My name is Zach a Resident Physician in Boston. Throughout these episodes, I’ll interview top performers from around the world in business, life, and medicine in hopes of extracting the resources and techniques they use to get to the top.

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