Electronic Medical Records have transformed the way we practice health care, making patient data readily accessible to health care providers, facilitating collaboration within and across large medical teams, increasing transparency, and drastically improving the legibility of patient charts and prescriptions. But despite these benefits, many physicians cite the electronic medical record as a primary driver of burnout, pointing to the overwhelming volume of documentation it requires. In this episode, we explore how the launch of EMRs within the context of America’s predominantly fee-for-service health care system led to the technology falling short of its promise — and how transitioning to value-based care models might redeem the technology, revitalize physicians, and recenter public health.

Our guest on this episode is Farzad Mostashari, MD. After completing a degree in public health at Harvard, medical school at Yale, and residency at Massachusetts General Hospital, Dr. Mostashari spent over a decade working in public health: first for the CDC’s Epidemic Intelligence Service and then for the New York City Department of Health. From 2009 to 2011, he served as the National Coordinator for Health IT at the Department of Health and Human Services where he helped oversee the nationwide transition from paper to electronic medical records. In 2014, he founded Aledade, a company that helps primary care physicians form value-based care networks in the US.

Over the course of our conversation, Dr. Mostashari shares how his childhood in Iran pushed him towards public health, how his experience watching his father being cared for in the hospital drove him towards medicine, and how he has spent his career in the liminal space between public health and medicine. We discuss the rollout of EMRs, and how fee-for-service payment models led to EMRs being optimized for documentation rather than patient care. We explore how value-based care not only solves the problem of over-documentation, but also better aligns the goals of patients, physicians, and even insurance companies. Dr. Mostashari maps out the progress we have made toward this kind of model and the hurdles we have to clear before we have a system that incentivizes preventing stroke as much as treating stroke.

In this episode, you’ll hear about:

3:35 - How Dr. Mostashari became drawn to the intersection between the intimate work of doctoring and the wide lens work of public health.

12:12 - Dr. Mostashari’s experiences modernizing health IT systems and learning to optimize for the number of lives saved rather than the number of technological solutions implemented.

16:05 - Dr. Mostashari’s assessment of the rollout of the electronic medical record in the US.

25:09 - How Aledade frees primary care physicians to prioritize patient outcomes and reduces the burden of EMR documentation.

38:57 - What the US can learn from international health care systems.

41:00 - Challenges in transitioning to outcome-based models of primary care.

50:30 - How Dr. Mostashari’s medical training has shaped his career in public health.

If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.

Copyright The Doctor’s Art Podcast 2026

Over the past 160 episodes, two themes that have appeared repeatedly feel as relevant and urgent as ever are 1) the pros and dehumanizing cons of technology and 2) approaching suffering in the human experience. In this episode, we are excited to bring back a panel of notable past guests to discuss the interplay between medicine, suffering, technology, and the human experience.

We are joined by historian Christine Rosen, PhD, philosopher Mikolaj Slawkowski-Rode, PhD, and palliative care physician Sunita Puri, MD. Rosen is a senior fellow at the American Enterprise Institute whose work is focused on American history, society and culture, technology and culture, and feminism. Slawkowski-Rode is an assistant professor of philosophy at the University of Warsaw and research fellow at the University of Oxford with a current emphasis on the philosophy of science and religion. Dr. Puri is a palliative care physician, associate professor at the University of California, Irvine School of Medicine, and author of the critically acclaimed book That Good Night (2019).

As a panel, we consider a prominent aspect of the unwritten curriculum of medicine: how medicine often considers suffering and sorrow to be fixable and their eradication to be a metric of medical success. We explore ways digital technology can make our lives easier without making them better, and the pressing need to define and defend the (non-digital) human experience. We propose that the goal is not to eradicate all suffering, but to reduce needless suffering without denying the forms that accompany love, growth, and moral responsibility. When suffering is treated as an intolerable defect, we can become preoccupied with self-protection and less available to one another. The first and most important gift a caregiver can give is their undivided attention and the biggest mistake we can make in medicine is turning away from suffering. Finally, we ponder if for both patients and physicians, life, in the end, is meant to be a mystery.

In this episode, you’ll hear about:

6:37 – Unlearning preconceived perspectives on suffering, technology, and human experience.

13:08 – Engaging with digital technology critically instead of presuming that technological progress is inherently good.

19:28 – Suffering as an irradicable and sometimes necessary element of the human condition.

27:50 – Helping young terminal patients grapple with their diagnosis as a palliative care doctor.

36:36 – How the pursuit of immortality can lead to moral sickness.

47:08 – How digital technologies are inciting a collective disembodiment from reality.

53:15 – Practices that will positively impact the modern lived experience.

Explore our guests’ past episodes on The Doctor’s Art:

Human Experience in A Digital World | Christine Rosen, PhD

A Philosophy of Grief | Mikolaj Slawkowski-Rode, PhD

The Beauty of Impermanence | Sunita Puri, MD

If you enjoyed this episode, please subscribe, rate, and review our show wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, send an email to info@thedoctorsart.com.

Copyright The Doctor’s Art Podcast 2026

Most medical encounters are structured as transactions. The patient comes in with a specific complaint, the medical expert identifies a discrete problem, and a specific intervention is prescribed.

But at the heart of a medical encounter is a story. When a patient comes in with a medical problem, the problem cannot be disentangled from their life’s narrative — doing so risks hollowing out the essence of what it means to care for another person.

Our guest on this episode is award-winning author, and primary care physician Suzanne Koven, MD. Following the completion of her residency at Johns Hopkins Hospital, Dr. Koven joined the faculty at Harvard Medical School and practiced primary care medicine at Massachusetts General for 32 years. In 2019, she became the inaugural Writer in Residence at Mass General. Her writings have been published broadly—including in The Boston Globe, The New England Journal of Medicine, The Lancet, and The New Yorker. As a teacher and public speaker, she highlights the relationship between literature and medicine, and is a powerful advocate for female medical trainees.

In this episode, Dr. Koven shares her journey to medicine at a time when few women were represented in the field and why she finds her undergraduate English classes to be more relevant to her clinical work than her science classes. We discuss narrative medicine, its value to patients and physicians alike, and how the modern healthcare system struggles to value the patient story. Finally, Dr. Koven leaves us with her advice for up-and-coming trainees: find a place in medicine where you can be yourself – for your own good and for your patients’.

In this episode, you’ll hear about:

3:00 - Dr. Koven’s motivations for going into primary care medicine

15:49 - The impact that Dr. Koven’s English degree has had on her approach to medicine

19:36 - What narrative medicine is

24:34 - What is lost when human connection and human story are deprioritized within the practice of medicine

31:15 - The benefits doctors experience when cultivating an appreciation for the arts

37:21 - How gender representation in medicine has shaped Dr. Koven’s experience as a physician

42:54 - The need for the culture of medicine to adapt to changing demographics in the medical workforce

If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.

Copyright The Doctor’s Art Podcast 2026