January 2023

Episode #424: Interview with Dr. Jay Baruch, The Tornado of Life

Ed and Ron were honored to host Dr. Jay Baruch, author of Tornado of Life: A Doctor’s Journey through Constraints and Creativity in the ER. When a patient comes into the hospital with cardiac arrest or a compound fracture, doctors know what to do. The problem is evident, and the solution is practically algorithmic. Dr. Baruch contends that the biggest challenge and the biggest part of an ER doctor’s work is often caring for people who come in with not just problems with their body, but also social issues, emotional issues, and substance use issues—and oftentimes all of them at once. In Tornado of Life, we come to see that the toughest part of an emergency physician’s work isn’t the high-wattage drama, the mayhem and the blood, that is portrayed on television, but rather the actual getting to the heart of the patient’s story—and figuring out how to address it. Because they’re real, these stories often end without closure or solutions. Sometimes underlying causes aren’t found. Sometimes serious problems are missed. Some patients leave against doctor’s orders. Some are simply discharged into the night. A profoundly human book, Tornado of Life is poised to change the way we view doctors, illness, and the “emotional and moral contact sport” that is emergency medicine. Join us for what was a profoundly human discussion.

About Dr. Jay Baruch

Jay Baruch, a practicing emergency room physician, is Professor of Emergency Medicine at Brown University’s Alpert Medical School and the author of two award-winning short fiction collections, What's Left Out and Fourteen Stories: Doctors, Patients, and Other Strangers. He lives in Providence, Rhode Island. His recent book, and the topic of today’s show, Tornado of Life: A Doctor’s Journey through Constraints and Creativity in the ER. It is poised to change the way we view doctors, illness, and the “emotional and moral contact sport” that is emergency medicine.

Use these show notes to follow along with the audio:

Segment one:

  • When did Jay know he wanted to be a doctor? He went to college to be a writer and then took a course that involved hospital visits. The privilege of taking to patients and hearing their stories changed the course of his career.

  • Specifically, why the emergency room for Dr. Jay? Being in an ER, Dr. Jay was both terrified and invigorated at the same time. “It felt like home” is the way he described it today on the show. 

  • We are going to speak mostly about Dr. Jay’s book today. It is called “Tornado of Life: A Doctor’s Journey through Constraints and Creativity in the ER” and there is more info at this link https://www.jaybaruch.com/ 

  • In chapter 3, Dr. Jay tells the story of Cheryl and reveals the impetus behind the title of his new book, Tornado of Life. Here is the Amazon link https://www.amazon.com/Tornado-Life-Doctors-Constraints-Creativity/dp/0262046970 

Segment two:

  • “More data doesn’t mean more certainty if it’s in the service of the wrong questions.” —Jay Baruch from his book Tornado of Life. More at this link https://www.jaybaruch.com/ 

  • Regarding the curiosity of children, “Sometimes we should just give kids answers and ask them to name five questions that this could be the answer to.” —a brilliant quote from Dr. Jay Baruch

  • “A convincing story is oftentimes believed on the virtue of it being a good story. Sometimes we do not ask ‘is this true?’ We don’t examine the power of stories the same way we examine the power of data.” —Dr. Jay Baruch

  • “The crisis of the ER department crowding...forces physicians like me to allocate compassion.” —Dr. Jay Baruch

Segment three:

  • Regarding the M&M (an acronym specific to the medical space): “The root of the problem isn’t a lack of knowledge but smart physicians who just go the story wrong.” Storytelling is the most common theme in Dr. Jay’s book. More here: https://www.jaybaruch.com/ 

  • “Think about the stories that you enjoy. You bring something to it. Your own experiences. The most enduring stories are the ones that leave a place for the reader or viewer to bring themselves into it.” —Dr. Jay Baruch

  • “It takes some work to embrace complexity.” —Dr. Jay Baruch. Read that again. Short and couldn’t be more true

  • Dr. Jay Baruch describes “the pause” in a trauma center as a moment in our day that is actually a profound human experience. Listen to his words as he describes the pause in segment three of our show today. Subscribe here https://link.chtbl.com/TSOE 

Segment four:

  • “We never went back to normal. There is no normal.” —Dr. Jay Baruch regarding the emergency room

  • Dr. Jay thinks about medical progress on the show today and wonders, “Are we pulling everyone forward or are we creating a widening disparity gap?”

  • A big THANK YOU to Dr. Jay Baruch for joining us today. This was an amazing show about his book, Tornado of Life. It is available at this link https://www.jaybaruch.com/  

Bonus Content is Available As Well

Did you know that each week after our live show, Ron and Ed take to the microphone for a bonus show? Typically, this bonus show is an extension of the live show topic (sometimes even with the same guest) and a few other pieces of news, current events, or things that have caught our attention.

Click the “FANATIC” image to learn more about pricing and member benefits. 

Episode #423: Interview with Chris Vanover

Chris Vanover is a founder of AuditClub, a group of former audit partners with a unique and valuable mix of Big 4, regional, and local firm experience. AuditClub provides flexible access to a seasoned team of Chief Auditors and specialists who bring more than 100 years of combined professional experience to their CPA Firm members, helping each of them succeed through better focus, better quality, and better results. They have a unique set of elements in their subscription pricing model.

About Chris Vanover

Chris is a Certified Public Accountant with over two decades of unique public accounting experiences, including distinctive auditing, regulatory, and educational roles with international and regional firms, the Public Company Accounting Oversight Board (“PCAOB”), and multiple universities. Chris currently serves on the leadership team and as a Chief Auditor for AuditClub, the Audit Service Center for CPA Firms (www.auditclub.cpa). With a mission to make public accounting better, AuditClub provides fractional chief auditors and audit specialists for on-demand AICPA & PCAOB support to Top 10, regional, and local CPA firms throughout the United States. By offering instant talent, deep expertise, and the power of collaborative consumption, AuditClub’s innovative membership model and passes are transforming how CPA firms deliver audits and simply how they get stuff done.

Use these show notes to follow along with the audio:

Segment one:

  • So what exactly is the AuditClub of which our guest, Chris Vanover, is a co-founder? It’s an audit service center for CPA firms.

  • Initially, the go to market strategy for AuditClub.cpa was to establish relationships with auditing partners at different firms. Eventually, those partners started to ask, “What type of work do you do?” and AuditClub became a fractional audit service.

  • They started out with a subscription model in the early days but the market wasn’t quite ready yet. Chris acquiesced and, unfortunately, started selling buckets of hours. That didn’t last long :)

  • Points of inspiration for Chris and his business model were the experiences with his family. Places like Disneyland and how they handle large groups helped shape his thoughts. 

  • The AuditClub.cpa model is so attractive that Chris and his team are NOT having a hard time finding more team members. This seems to be the exact opposite of every other CPA firm today.

Segment two:

  • What was attractive about the subscription model to Chris? It frees his team up to focus on solutions instead of tracking hours and trying to fill out time sheets.

  • “You can have access to our team and as long as we have the knowledge and competency, we will do it for you guys. It is all part of the contract.” —Chris Vanover, co-founder AuditClub.cpa 

  • Look for a big announcement from Audit Club next week regarding their WEEKLY SUBSCRIPTION PASSES for audit services. You heard it here first on The Soul of Enterprise.

  • What kind of KPIs do they use at AuditClub.cpa? Many of them are focused on staff betterment. What is the team doing to better themselves is one of the biggest questions they ask internally.

  • “CPA firm clients don’t understand the role they have in creating a successful outcome. Too often the CPA firm ends up being the victim of that.” —Chris Vanover, co-founder AuditClub.cpa

Segment three:

  • Chris Vanover of Audit Club has a GREAT article up on @cpapracadvisor called “The Parallel Problems of Public Accounting & Major League Baseball”. We are 25 days away from players reporting so here’s the link! https://www.cpapracticeadvisor.com/2023/01/18/the-parallel-problems-of-public-accounting-major-league-baseball/75940/ 

  • The baseball/accounting comparisons continue for Chris Vanover on the show today, “There’s so much data in baseball and there’s so much data in accounting but you don’t see the same level of analysis in accounting and that’s an important distinction.”

Segment four:

  • The incentive structure at a lot of the Big 4 firms stifles innovation. There is lots of innovation at lower levels but if you follow the incentives you will see why innovation seems to be stifled at the top.

  • Younger business generations understand subscription and they understand that businesses can be run in fundamentally different ways.

  • We talked baseball today on the live show and Ed was REALLY EXCITED about the fact that Sage is now an official partner of Major League Baseball! More info here https://www.mlb.com/press-release/press-release-sage-becomes-official-partner-of-mlb-in-tech-brand-s-first-north-a @SageUSAmerica

  • That’s a wrap! A big THANK YOU to Chris Vanover of AuditClub.cpa for joining us today! Did you miss us live? Subscribe here https://link.chtbl.com/TSOE 

Bonus Content is Available As Well

Did you know that each week after our live show, Ron and Ed take to the microphone for a bonus show? Typically, this bonus show is an extension of the live show topic (sometimes even with the same guest) and a few other pieces of news, current events, or things that have caught our attention.

Click the “FANATIC” image to learn more about pricing and member benefits. 

Episode #422: Best books of 2022

An annual favorite going back to 2015, Ron and Ed talk about the best books they read each year. Sometimes there is overlap, other times none. (I suspect overlap this year!) Let’s start with a quote: “One must always be careful of books," said Tessa, "and what is inside them, for words have the power to change us.” —Cassandra Clare, Clockwork Angel

Use these show notes to follow along with the audio:

Segment one:

Segment two:

  • Here are the show notes from episode number 395 featuring Father Robert Sirico: https://www.thesoulofenterprise.com/395

  • Number 4 on Ron’s list AND number 3 on Ed’s list is Wild Problems by Russ Roberts! https://amzn.to/3vZ9ktB (Folks….this is a surprise to both Ron and Ed each year as they do not share lists until the show goes live)

  • Number 3 from from Ron is called Fossil Future and has a great subtitle, “Why Global Human Flourishing Requires More Oil, Coal, and Natural Gas--Not Less” https://amzn.to/3QGOV5R 

  • Our Patreon channel is at Patreon.com/TSOE where you will find commercial free and bonus episodes. It is sponsored by @90Minds. Need a mind? Find one at mind at 90Minds.com

Segment three:

  • Ron’s number 2 pick for best books of 2022 was a very close number 2. It is deeply uncomfortable and absolutely profound. It is “From Strength to Strength: Finding Success, Happiness, and Deep Purpose in the Second Half of Life” https://amzn.to/3H3xdq4 

  • Why is this book deeply uncomfortable? Ron talks about it during segment three of the show today and it has a lot to do with the FACT that we all face cognitive decline later in life. It’s one of those books Ron wishes he read in his 20’s.

  • Ed’s number 2 pick for best books of 2022 is by two guys you’ve probably never heard of, Ron Baker and Paul Dunn. It’s Time’s Up! https://www.amazon.com/dp/1119893526?tag=verainst-20&linkCode=osi&th=1&psc=1 

  • Chapter 5 is Ed’s favorite chapter. It’s called, “This could be the most important business question ever”

  • Ed’s favorite quote from Chapter 5 of Time’s Up is, “Questions can change the future before the answers even arrive.”

Segment four:

  • It a rare turn of events, both Ron and Ed picked the SAME BOOK as number 1 in their best books of 2022 list. It is Superabundance: The Story of Population Growth, Innovation, and Human Flourishing on an Infinitely Bountiful Planet https://amzn.to/3ZwKPRT

  • Marian Tupy’s second appearance on The Soul of Enterprise was focused on Superabundance. Here are the show notes: https://www.thesoulofenterprise.com/409 

  • Gale Pooley also joined us in 2022 to talk about Superabunance. Here are the show notes: https://www.thesoulofenterprise.com/418 

  • That’s a wrap! Next week is Chris Vanover, CPA from AuditClub to talk about his subscription business. See you in 167 hours!

Bonus Content is Available As Well

Did you know that each week after our live show, Ron and Ed take to the microphone for a bonus show? Typically, this bonus show is an extension of the live show topic (sometimes even with the same guest) and a few other pieces of news, current events, or things that have caught our attention.

Click the “FANATIC” image to learn more about pricing and member benefits. 

Episode #421: 2022 - The Year in Review

One of two recap shows we do each year (the other will be next week's Best Books of 2022), Ron and Ed take a look back at trends (business and otherwise), highlights, and lowlights from the year just past. We review our favorite shows as well as the fan favorites and pay homage (or disparage when appropriate) those who crossed to the other side of the river in 2022.

Use these show notes to follow along with the audio:

Segment one:

Segment two:

Segment three:

Segment four:

Here is a quick list of The Soul of Enterprise “best of” for 2022 based on various data points:

Listened to episodes

  1. #61 - Pricing on Purpose: Price Sensitivity Factors

  2. #393 - Interview with Brian Terrell

  3. #64 - Famous Last Words

  4. #217 - The Subscription Business Model

  5. #175 - The Laws of Systems Thinking

Released in 2022 - SquareSpace

  1. #393 - Interview with Brian Terrell

  2. #400 - Tackling Objections to the Subscription Pricing Model

  3. #381 - On David Maister's book - True Professionalism

  4. #378 - Subscription Economy Update - February 2022

  5. #418 - Interview with Gale Pooley - Superabundance

Released in 2022 - Chartable

  1. #395 - Fifth interview with Fr. Sirico

  2. #381 - On David Maister's book - True Professionalism

  3. #378 - Subscription Economy Update - February 2022

  4. #373 - Best Books of 2021

  5. #388 - The Problem with CPE

Bonus Content is Available As Well

Did you know that each week after our live show, Ron and Ed take to the microphone for a bonus show? Typically, this bonus show is an extension of the live show topic (sometimes even with the same guest) and a few other pieces of news, current events, or things that have caught our attention.

Click the “FANATIC” image to learn more about pricing and member benefits.