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Welcome back to the Sustainable Clinical Medicine podcast! Dr. Dhaval Desai, an Atlanta-based internal medicine and pediatrics physician, shares his path from studying economics and Spanish and teaching high school Spanish to training in med-peds and becoming a hospitalist and hospitalist group director at Emory St. Joseph’s Hospital. He describes the demands of clinical and administrative leadership, COVID-era burnout and mental health treatment, and his advocacy work tied to the Dr. Lorna Breen Heroes Foundation and his memoir, "Burning Out on the COVID Front Lines." After being rejected for a chief wellbeing officer role and experiencing institutional limits on physician voice, he worked with an executive coach and resigned, recognizing physician replaceability and the “loyalty trap.” He explains his pivot into direct primary care by purchasing a retiring physician’s practice, how the model reduces bureaucracy and supports burnout prevention, and why independent coaching and physician mental health support matter. Connect with Dr. Dhaval Desai: 🌐 Website https://dhavaldesaimd.com/ Instagram / doctordesaimd -------------- **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support, and community you need to create time for your life outside of medicine. Learn more athttps://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don’t forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you. Timestamps: 00:00 Meet Dr Dhaval Desai 00:30 Early Life And Training 02:25 Hospitalist Leadership Role 03:39 Director Duties And Pressures 05:39 COVID Burnout Breaking Point 07:32 Wellness Mission And Advocacy 08:47 Chief Wellbeing Rejection 10:48 Executive Coach Wake Up 13:34 Replaceable Identity Shift 15:16 Op Ed And Institutional Pushback 18:26 Integrity Over Institutions 19:31 Pivot to Direct Primary Care 20:45 Buying a Practice and Noncompetes 22:57 Fulfillment Beyond the Ladder 23:40 Burnout Proofing the Schedule 25:17 Time Off in DPC 28:06 Leadership Training and Advocacy 31:04 Where to Connect Online 31:41 Executive Coaching Value 32:41 Physician Mental Health Matters 33:49 Book and Final Wrap