In this lively episode of Unfiltered, cohosts Dr. Robert Pearl and Jeremy Corr are joined once again by cardiologist and physician wellness advocate Dr. Jonathan Fisher. The trio takes an unexpected but fascinating journey into the symbolism, psychology and culture of physician attire—and what shifting trends reveal about the status of American medicine.

What starts as an observation about the absence of neckties at a medical conference quickly unspools a broader discussion about generational shifts, burnout, respect, identity and power within the profession. The conversation weaves together personal stories, data, sociological insights and policy-level implications, ultimately questioning whether the erosion of formality is a symptom—or potentially a cause—of deeper challenges facing clinicians today.

Key topics discussed in this episode include:

• How physician attire reflects broader cultural and generational trends
• The changing public perception of medical expertise and authority
• Why younger patients prefer informality, and what it signals about healthcare relationships
• The power dynamics behind the residency match system and physician pay
• How primary care continues to be devalued in rhetoric, reimbursement and recruitment
• Strategies to reclaim pride, purpose and influence in a system that too often sidelines physicians

As always, the episode ends with a thoughtful patient-perspective question from Jeremy, diving into the nuances of patient comfort, demographics and the enduring importance of trust.

For more raw, unfiltered commentary, listen to the full episode and check out these helpful links:

‘Just One Heart’ (Jonathan Fisher’s newest book)

‘ChatGPT, MD’ (Robert Pearl’s newest book)

Monthly Musings on American Healthcare (Robert Pearl’s newsletter)

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Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple Podcasts or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.

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