In this episode of Ripples: Physician Well-Being, Ajeya P. Joshi, MD, orthopedic spine surgeon and lifestyle medicine specialist, shares a powerful perspective on navigating the constant currents of medicine and life. Drawing on the concept of salutogenesis, Dr. Joshi reframes well-being not as reaching a place of calm, but as learning to thrive within ongoing change—reminding us that we are always “in the river,” and the goal is to learn to swim better.

Through reflections on his parents’ legacy, his journey into lifestyle medicine, and his work with patients and trainees, Dr. Joshi explores how connection, self-care and purpose can anchor physicians during times of transition. He also offers a practical “pebble” for listeners: to define internal measures of success, give and receive grace, and approach each day with intention.

"Just as ripples spread out when a single pebble is dropped into water, the actions of individuals can have far-reaching effects."

This past year, our "Ripples" podcast has focused on life beyond medicine, which helps our physicians to better themselves and, most importantly, take care of themselves. Each guest has left a pebble for the listener to cast into the water of their own lives, actions that can be taken to improve their wellbeing and the wellbeing of those around them. As a gift this holiday season, we've wrapped all of those pebbles into one episode; take these pebbles and cast ripples into your world.

Texas Medical Association President Jayesh Shah, MD, joins the Ripples: Physician Well-Being podcast to share his perspective on advocacy for patients, for ourselves as physicians, and for a greater sense of purpose. He talks balance, leadership and how advocacy can shape well-being.

Season 4 of "Ripples" focuses on life beyond medicine, which helps our physicians to better themselves, and, most importantly, take care of themselves.

When medicine gets tough, some turn to running, others to painting… but for Paulette Osamer, MD, and Arati Kamat, MD, the answer was writing.

In this week’s Ripples: Physician Well-Being podcast, they open up about how creative writing helped them navigate emotional challenges, build resilience, and reconnect with the joy that first brought them to medicine.

Their conversation might change the way you see self-care.

Have you heard the one about the three doctors who walked into a podcast studio? Don't worry, they only had minor bruising. 🥁

If laughter is the best medicine, what can comedy do for our mental health? Nishan Gajjar, DO, MPH, joins the Ripples: Physician Well-Being podcast to explore how to find humor when things get difficult.

Season 4 of "Ripples" focuses on life beyond medicine, which helps our physicians to better themselves -- and, most importantly, take care of themselves.

Brian Ferguson, CEO and Founder of Arena Labs, joins the Ripples: Physician Well-Being podcast to talk performance, purpose and burnout. He challenges us to consider: What’s your restorative outlet, something outside of work and family that fills your cup, anchors you and helps you stay focused to deliver world-class care? Listen now and explore how reclaiming this space can improve your sleep, energy, and well-being.

Season 4 of "Ripples" focuses on life beyond medicine, which helps our physicians to better themselves -- and, most importantly, take care of themselves.

In this episode of Ripples: Physician Well-Being, Cersten Bradley, MD, a former Dallas Cowboys cheerleader, joins Rajam Ramamurthy, MD, to share how creative expression through dance has shaped their personal and professional journeys. They discuss how making time for creativity supports balance and renewal in the medical field.

Season 4 of "Ripples" focuses on life beyond medicine, which helps our physicians to better themselves -- and, most importantly, take care of themselves

What's the key to avoiding burnout? In the latest episode, Ripples: Physician Well-Being explores how Dudley Harris, MD, refreshes the mind using free thinking to fuel creativity. Listen now to find out ways to adapt his techniques to your life. Season 4 of "Ripples" focuses on life beyond medicine, which helps our physicians to better themselves -- and, most importantly, take care of themselves.