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Medicine · Hippocratic Collective

Cut & Tell

by Hippocratic Collective

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

Showing 20 · updated from the feed

Residency Interview Advice: Mind Games, Board Games, and Managing the Vibes

What do interviewers actually remember about you? It isn’t your answers. In this episode, plastic surgeon Dr. Liz Malphrus goes past the standard “be yourself” advice and

Oct 22
33 min

You can sue your doctor, but not your insurer?

What if doctors ran medicine the way lawyers run law? Lawyers, accountants and dentists have kept control of their professions, while physicians have lost control of both

Oct 15
32 min

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

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

Oct 8
35 min

Financialization of Healthcare: How Money Became the Mission

Administrative bloat, skyrocketing CEO pay, hospital mergers, rural closures. These aren't separate problems. They're symptoms of one syndrome: financialization. In this

Oct 1
35 min

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

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

Sep 24
33 min

Private equity is eating healthcare alive

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 health

Sep 17
27 min

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

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

Sep 10
42 min

CPT codes in the news: everything you need to know

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

Sep 3
27 min

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

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.

Aug 27
36 min

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

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

Aug 20
26 min

Doctors Don't Know How Healthcare Works. Here's Why.

What if doctors understood how the healthcare system actually works? In the first episode of Season 2 of Cut & Tell, Dr. Liz Malphrus kicks off a new series designed to

Aug 13
15 min

How to Choose the Right Medical Specialty | My Journey to Plastic Surgery

Choosing a medical specialty is one of the biggest and most stressful decisions in medicine. In this season finale of Cut & Tell, newly graduated plastic surgeon Dr. Liz

Aug 6
25 min

My First Day as an Attending Plastic Surgeon | Life After Residency

What does the first day as an attending surgeon actually look like? After years of medical school and plastic surgery residency, Dr. Liz Malphrus officially begins her c

Jul 30
13 min

Starting My First Job as a Plastic Surgeon (What I Had to Buy)

Starting your first attending job means more than just showing up on day one. It means building an entire practice from the ground up. In this episode of Cut & Tell, I t

Jul 23
21 min

How to Find Your First Doctor Job (What Nobody Teaches You)

No one teaches physicians how to find their first job. After years of medical school and residency, new attendings are suddenly expected to navigate networking, intervie

Jul 16
34 min

Confessions of a Former People-Pleasing Plastic Surgeon | Cut & Tell

After six years of surgical residency, I expected to leave with better technical skills. I didn't expect to leave without one of my defining personality traits. In this

Jul 9
21 min

Chief Resident Advice No One Teaches You | How to Lead a Residency Team

What actually makes a great chief resident? After finishing plastic surgery residency, Dr. Liz Malphrus reflects on one of the most important leadership roles in medical

Jul 2
29 min

How to Survive (and Thrive) During Intern Year | Advice From a Graduating Resident

Starting residency can feel overwhelming. New city, new hospital, new responsibilities, and suddenly everyone expects you to know what you're doing. In this episode of C

Jun 25
26 min

Why Residency Feels Financially Impossible Today | "Back in My Day", Part 2 | Cut & Tell

Residents today earn roughly the same inflation-adjusted salary as residents did decades ago. So why does training feel so much more financially difficult? In this episo

Jun 18
11 min

"Back In My Day" - Why Today’s Residents Feel Less Prepared Than Ever | Cut & Tell

Attendings often tell stories about residency "back in the day" - more autonomy, more responsibility, more independence. But was training really better, or has the entire

Jun 11
15 min

What listeners say

A curated, balanced selection of Apple Podcasts reviews.

I am starting my final year of a veterinary zoological medicine residency. In vet med, I completed my DVM, did multiple internships, and matched to a residency at the point of having been a doctor for three years (also will be 6 years out when I finish). My job involves training to practice all kinds of medicine (general preventative medicine, internal med, surgery, approximating and consulting with any specialty you can think of, the “ultimate generalist” we often say) for zoo species housed in AZA-accredited institutions. Fortunately and unfortunately, so many of the things you talk about overlap, and I know this to be the case across many types of veterinary residencies. The podcast is so relatable and a lot of the themes speak to me. Thank you for using your platform to advocate, empower, and encourage residents to find strength in their position. I look forward to listening to more about your journey as a new attending - it is inspiring to hear more about the light at the end of the journey!

zoovetdvm · Jul 2026

I am currently finishing up a surgical fellowship, and I have listened to every single episode. From the very first one, I felt as though someone had taken the words I’d been meaning to say for years, and had the courage to spell them out loud-elegantly, genuinely, and without holding back. Thank you, Liz for touching on topics that so many in the surgical community still treat as taboo. I only wish I’d had this resource during my own residency. But I will absolutely be passing it on to current trainees and anyone considering to enter the world of surgery. Looking forward to more!

Adool82 · May 2026

I’m a rising pgy3 in neurosurgery and I can’t say enough good things about all of Dr. Malphrus’ content. She gives such incredible insight and articulates it with poise. I feel so seen every time she shares a “hot take”. An essential podcast for residents as well as their loved ones. I love listening post call - Good luck with your next chapter :)

AleRigaNSG · May 2026

Liz is articulate, humorous and insightful. The fresh air and true to life exposure she brings will help future docs, patients and even older established docs!

ScopeMaster51 · May 2026

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