What does it mean to stay grounded in your identity and your humanity inside a system that often asks you to override both?

In this episode, orthopedic surgeon, Dr. Brian Nwannunu, shares his journey from being the son of Nigerian immigrants to building a career in surgery rooted in purpose, faith, and service. Brian knew from a young age that he was called to medicine, but his path wasn’t linear. After not getting into medical school on his first attempt, he pursued a master’s in physiology, eventually gaining admission and thriving - reinforcing a powerful truth: test scores don’t define clinical excellence or future success.

We talk about the realities of surgical training, where Brian faced criticism, microaggressions, and the pressure of being one of the only Black residents in his program. Despite external narratives that questioned his performance, he had objective evidence of his excellence and mentors who helped him stay grounded. His story highlights the disconnect that can exist between perception and reality in training environments, and the lasting impact of bias, labeling, and unequal protection among trainees.

Brian shares how these experiences shaped the way he practices today. As an attending, he’s intentional about bringing humanity back into orthopedic surgery: slowing down, listening deeply, and recognizing that every surgery affects not just a patient, but an entire life system. We also explore the difference between operating from service versus ego, and how that distinction changes both outcomes and fulfillment.

The conversation expands into the broader realities of modern medicine: insurance barriers, loss of autonomy, and the growing influence of private equity. Brian explains why he chose private practice, why physicians need an exit strategy, and how models like direct care may shape the future of certain specialties.

Finally, we talk about identity beyond medicine. Brian shares how he’s diversified his life through teaching, speaking, and financial literacy, which all creates a sense of purpose and stability that extends beyond the OR.

This is a conversation about resilience, integrity, and choosing how you want to practice, both as a surgeon and as a human being.

Follow Dr. Brian Nwannunu on instagram here.

Join us inside Empowered Surgeons Group here.

What do physicians actually need when they find themselves on the receiving end of a malpractice lawsuit?

In this episode, I have a conversation with emergency physician, educator, speaker, coach, advocate and legal expert Dr. Gita Pensa about the reality of medical malpractice from the physician defendant’s perspective. We explore why getting sued can feel like being dropped onto another planet. Also why shame, fear, and avoidance often keep doctors from learning how the system actually works.

Gita explains how the malpractice landscape has shifted dramatically in recent years. Public trust in medicine has eroded since COVID, nuclear verdicts are increasing, and third-party investors are now funding lawsuits in pursuit of massive payouts. Meanwhile, physicians often stay silent, leaving the narrative about medicine to be shaped by media outlets, documentaries, and plaintiff attorneys who are highly organized and strategic about influencing public perception.

We also unpack a crucial misconception: a verdict or settlement does not necessarily mean bad care. Medicine operates in a world of uncertainty, yet the public expectation of perfection has never been higher. Complications, missed expectations, and true mistakes are very different things, but in courtrooms and headlines, they’re often treated as the same.

Gita shares practical insights into the litigation process, including why the deposition is one of the most important moments for a physician defendant. She also discusses the work she does helping physicians prepare for these high-stakes conversations so they can show up with clarity instead of fear.

Finally, we zoom out to the bigger picture. From legislative advocacy to improving how medicine talks publicly about risk and error, physicians need to become more informed, more strategic, and more willing to speak openly about malpractice and its consequences.

Because the truth is: if we want the system to change, we have to be willing to understand it and talk about it out loud.

Learn more about Dr. Pensa's LEAP course here.

Listen to Doctors and Litigation: The L Word podcast here. Season 3 episode 4 features Dr. Nirav Patel, the radiologist who is an example of what is possible.

Join Empowered Surgeons Group here.

In 2019, two patients complained to the Board of Registration in Medicine about me.

At the time, it felt deeply unfair. I felt hate. I felt indignation. I felt like a victim. I even fantasized about horrible things happening to the people who complained about me. They were my villains.

But, through my own coaching journey, I began to understand that pain is not individual; it is inherited, relational, generational, and cultural. These two complaints were sources of clean pain, but they were not the source of my suffering; my decision to indulge in drama was the real cause of my suffering.

In this episode, I'll teach you the important lessons I learned from that year.

I now feel immense gratitude for experiencing what it's like to be investigated by the Board, and I'm so happy I can bring these lessons to all of you.

If you want to take this work deeper and master the lessons I now teach, you're going to want to join us inside Empowered Surgeons Group here.

Not ready yet? Definitely get on my email list here so as not to miss any free or paid offerings.

Sign up for the webinar, "Mistakes, Complications and Missed Expectations" on March 26th at 5 pm EST here.