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Health & Fitness

Cut & Tell

by Hippocratic Collective
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About the show

Cut & Tell is a real-time account of becoming a surgeon—at the exact moment the training wheels come off. Hosted by plastic surgery chief resident Elizabeth Malphrus, this show follows the transition from residency to “year one”: the first, most disorienting, and most defining stretch of a surgical career. It’s where the identity you’ve spent a decade building is suddenly tested—clinically, professionally, and personally. This is not a retrospective. It’s happening now. Through solo episodes, unfiltered conversations, and stories from inside the operating room and beyond, Cut & Tell explores what it actually takes to become a surgeon: the structure of training, the emotional cost, the invisible curriculum, and the tension between perfection and reality in a high-stakes field. It also asks harder questions—about trust in medicine, the role of physicians in a changing cultural landscape, and what it means to step into authority when you’re not sure you’re ready.

Latest episodes

  • Coaching, panic, and the arrival fallacy: a surgery chat with Mel Thacker, MD

    October 8, 2026 · 35 min

    What happens when you become the surgeon, pay off the loans, and still feel empty? On Cut & Tell’s first guest episode, Dr. Mel Thacker (ENT, surgeon coach, and host of Surgeons with Purpose) joins me to talk about her new memoir…

  • Financialization of Healthcare: How Money Became the Mission

    October 1, 2026 · 36 min

    Administrative bloat, skyrocketing CEO pay, hospital mergers, rural closures. These aren't separate problems. They're symptoms of one syndrome: financialization. In this episode, Liz breaks down how hospitals and practices went from places…

  • Healthcare's Obsession with Metrics, and Why it keeps Backfiring

    September 24, 2026 · 33 min

    What happens when a well-intentioned healthcare metric gets turned into a target? Nothing good — and Liz has the receipts. Before medical school, she spent two and a half years as study director for a major National Academies report on…

  • Private equity is eating healthcare alive

    September 17, 2026 · 28 min

    Would you send someone you love to a hospital owned by private equity? Dr. Liz Malphrus breaks down exactly how private equity works, why it's poured billions into healthcare since 2018, and what the data says about the cost, safety, and…

  • Prior auths, step therapy, and AI: how doctors lose their professional sovreignty

    September 10, 2026 · 42 min

    Every week, doctors spend 13 hours fighting insurance companies just for permission to treat their patients — and now, under a new Medicare pilot, some of those decisions are being handed to AI. In this episode, Liz digs into prior…

  • CPT codes in the news: everything you need to know

    September 3, 2026 · 27 min

    CMS is proposing a rule that could cut your pay in half just for treating more than one problem per visit — and the comment period closes September 14th. Liz breaks down the proposed change to the 25 modifier, why the "help primary care"…

  • How Do Doctors ACTUALLY Get Paid? What Doctors and Residents Need to Know

    August 27, 2026 · 37 min

    How does a doctor's visit actually turn into a paycheck? It's more convoluted than how a bill becomes a law — and almost nobody, including most doctors, understands it. In this episode of Cut and Tell, Dr. Liz Malphrus (plastic surgeon…

  • A Noble Profession Tries to Get Paid: The Historical Roots of a Modern Healthcare Crisis

    August 20, 2026 · 27 min

    This is Episode 2 of our series on health policy and economics for doctors! This episode is about laying the historical groundwork for the rest of this season, because so many of our modern healthcare problems can be traced back to…