Massachusetts Medical Society: Episode 20: MedPEP Season Finale

Episode 20: MedPEP Season Finale

MedPEP Season Finale

Course Overview

This is the 20th and final episode of the first season of MedPEP. Along with the first and eighth episodes, this is one of three episodes in which Marie and Les engage in a two-way conversation without a guest expert. Their two-way exchanges, relative to the more didactic three-way conversations, are particularly personal and heartfelt. In this final episode, they review Marie’s MedPEP journey, which commenced with a focus on the “self” and ended with a broader focus that encompassed teamwork, conflict management, and career development. Marie reveals that the abrupt departure of a valued colleague and mentor from her practice is what prompted her to participate in the MedPEP project. It was professional burnout that led her colleague to leave the clinic, and Marie decided to become proactive so as to avoid succumbing to the same stresses and strains that befell her friend and colleague. In this final episode, Marie and Les take stock of her struggles, her learning, and the mentorship and coaching she received from the MedPEP experts and, most importantly, from her MedPEP guide, Dr. Schwab. In the first MedPEP session she spoke rather poignantly about NOT wanting her children to become physicians. Now, in the last session, she explores with Les the possibility of having her children join her on home visits. She has gone from having a beleaguered and overwhelmed attitude to being more of a “can-do problem solver.” Both she and Les attribute this shift to what they learned on the MedPEP journey, and she expresses a great deal of gratitude to him for his skill, compassion, and support. Their positive connection exemplifies what often happens when a struggling physician is coached by a trained colleague, and the series ends on a hopeful and positive note, with them agreeing to stay in touch.

Learning Objectives

  • Review the totality of the protagonist’s MedPEP experience, address the learning and changes you observed, and speculate as to how the path forward may have been influenced by her engagement with this process.
  • Thinking ahead about one’s own career, begin to formulate a plan that incorporates the most relevant MedPEP learning.  Compare and contrast the path forward to the MedPEP protagonist’s journey.


Les Schwab, MD
I’m a primary care physician with more than 35 years of experience in medical practice and health care organizational leadership. In these roles I’ve been responsible for clinical operations, quality and safety, practice design, leadership training, and building the quality of the physician workforce.
I’ve practiced and managed in the public sector, private practice, and multispecialty group practice environments. Most recently, I served as the chief medical officer at Harvard Vanguard Medical Associates, a 600-physician multispecialty practice in eastern Massachusetts.

I studied biology at Harvard as an undergraduate, completed medical school at Stanford, and returned to Harvard Medical School for my internal medicine training. Since becoming a trained and certified coach, I have launched a coaching and consulting practice that focuses on performance improvement and leadership development.

As a Harnisch Scholar at the Institute of Coaching in Boston, I am the principal investigator of a grant to improve primary care physician morale and engagement through coaching interventions.  I am also a core faculty member of the Managing Workplace Conflict: Improving Leadership and Personal Effectiveness course of Physician Health Services, Inc.

Course Fees

Massachusetts Medical Society (MMS) Member: Free       
Non-MMS Member: Free       
Allied Health Professionals: Free



CME Credit

1.00 AMA PRA Category 1 Credit™

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Massachusetts Medical Society and Physician Health Services, Inc. The Massachusetts Medical Society is accredited by the ACCME to provide continuing medical education for physicians. 

AMA Credit Designation Statement

The Massachusetts Medical Society designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk management study.

National Commission on Certification of Physician Assistants (NCCPA).
Physician Assistants may claim a maximum of 1.00 Category 1 credit for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

Exam/Assessment: Please respond to the reflective statement at the end of the course to receive AMA PRA Category 1 Credits.

 MOC Approval Statement
Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory , this activity  has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:

Allergy and Immunology
Family Medicine
Medical Genetics and Genomics
Nuclear Medicine
Physical Medicine and Rehabilitation
Plastic Surgery
Preventive Medicine
Psychiatry & Neurology
Thoracic Surgery

Activity Term

Original Release Date: January 24, 2019        
Review Date: January 24, 2021           
Termination Date: January 24, 2022

System Requirements

Windows, XP, Vista, 7, 8  
Mac OSX 10.6 higher

Most modern browsers including:   
Firefox 18.0+  
Chrome 26+  
Safari 5+  
Flash player is required for some Online CME courses.
iOS devices beginning with OS version 5 or higher (includes, iPhone, iPad and iTouch devices)  
Android devices including tablets and phones.  
Windows RT and tablets on Windows 8 are also supported. 

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