Dr. Adam Cifu sits down with cardiologist Dr. Amber Johnson to peel back the curtain on what happens behind the clinic door. Dr. Johnson gets candid about her career evolution, from the reserved, impersonal style she once thought was required of a doctor to a physician who now shares personal experiences to build trust with patients. The two dive into the silent tug-of-war of shared decision making. They explore the challenge of patients who prefer not to choose their treatment path, a hurdle Dr. Johnson encountered firsthand with veterans who were more likely to ask her to simply tell them what to do. It is a raw look at the ego check required when a patient makes a choice the doctor disagrees with and why the most "difficult" cases often lead to the greatest professional joy.

Dr. Adam Cifu talks with Dr. Tom Yates, a general internist and assistant professor at the University of Chicago, about how a physician’s approach to care evolves during the early years of practice and how that shapes patient relationships and clinical decision making. Dr. Yates talks about resisting the urge to rush into problem lists and instead listening for what patients care about most. They discuss why preventive care conversations can be hard when patients are asked to weigh risks and benefits, especially when trust or health literacy is limited, and how building relationships connects to professional fulfillment.

Trauma surgery doesn’t end when the operation is over. Dr. Tanya Zakrison joins Dr. Adam Cifu to reflect on the patient-trauma surgeon relationship, and the frustration of caring deeply for patients while knowing you cannot fix everything that led them there. She discusses how trauma care exposes challenges rooted in patients’ living conditions and circumstances, why surgeons cannot ignore what happens outside the hospital, and how to stay present with patients and families without absorbing all of that pain. The conversation centers on the emotional weight of trauma work and how trauma surgeons learn to carry it without becoming detached or burned out.