Preview Mode Links will not work in preview mode

Physician's Guide to Doctoring with Bradley B. Block, MD

This is a podcast that answers the question, "what should we have been learning while we were memorizing Kreb's cycle?" This is a practical guide for practicing physicians and other healthcare practitioners looking to improve in any and all aspects of our lives and practices. Physician and non-physician experts are interviewed on a wide range of topics to help us with personal and professional development.
If you want to share you expertise on the podcast, please email me at or @physiciansguide on Twitter.

Jun 6, 2023

This episode is sponsored by Charm Economics– data-driven solutions for digital health & MedTech businesses.

Dr. Block and Dr. Kara Hartl delve into the concept of fractional doctors, a well-known practice in the medical world. 

The episode highlights the benefits of telehealth, including the ability to work from anywhere and the opportunity to take on interesting cases. It can also help alleviate burnout among doctors, who can work for a few hours a week and augment their income. Patients in remote areas benefit from the expertise of these doctors, particularly for chronic long-term management and subspecialty care. Telehealth offers a flexible and rewarding alternative to traditional medical practice.

The ultimate goal of medicine is to improve people’s lives, and doctors involved in telemedicine, such as those at Troy Medical, find it fulfilling to see the positive impact of their expertise on patients. They take ownership of their patients and manage their diseases, helping them navigate the complex medical infrastructure. Patients with chronic diseases, such as lupus, are grateful for the care they receive from doctors who manage their long-term conditions. 

The doctors at Troy Medical believe that the reward of helping people cannot be measured in monetary value and that, overall, telemedicine offers a fulfilling way to help people and make a positive impact on their lives.

Looking for something specific within the show? Here you go!

[00:02:07] Rural medicine in Alaska. 

[00:05:30] Building a medical practice. 

[00:07:39] Fighting for Scope of Practice. 

[00:12:57] Hybrid telehealth for rural medicine. 

[00:15:03] Fractional doctor concept. 

[00:19:59] Quality of life for doctors. 

[00:21:31] Telemedicine vs. Troy Medical. 

[00:23:57] Rural healthcare technology challenges. 

[00:27:11] Fractional surgeons 

[00:30:21] Rural healthcare shortage. 

[00:33:19] Outpatient telehealth surgeries. 

[00:36:49] Flexible doctor lifestyle.

Guest bio:

Dr. Kara Hartl is a physician, philanthropist, Harvard graduate and the founder and CEO of Troy Medical, an innovative approach to telemedicine that uses technology to bring high-quality medical specialists to remote and medically underserved communities.

Dr. Hartl was inspired to start Troy Medical after witnessing one of her own patients become overwhelmed by a debilitating medical condition. Unable to find a medical specialist in his region, his condition had progressed to the point where even walking was a challenge. Dr. Hartl recognized the potential of telemedicine to bring life-changing care to remote areas, so she reached out to specialists across the country to

organize a team of doctors who can provide world-class, personalized medical care to patients anywhere. She chose to name this project after her patient, Troy.

Connect with Dr. Hartl on LinkedIn

Did ya know… 

You can also be a guest on our show? Please email me at to connect. 


@physiciansguidetodoctoring on FB 

@physicianguidetodoctoring on YouTube