iiinova — where your digital self keeps evolving

Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 6h

Radiology is consolidating. Bigger groups. Hospital employment. Private equity. Shrinking reimbursement. AI. Is scale the threat…or the survival strategy? 🎙️ NEW Contrast & Clarity with Andy Moriarity, MD, MBA & David Rosman, MD, MBA. And yes—CME available. 🎧 shorturl.at/ETUgc

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 23/09/2026

Dr. Matt Davenport raises 3 questions we still can’t adequately answer: 🔹 What are the benefits? 🔹 What are the harms? 🔹 Why should society foot the bill for downstream workups from a cash-pay screening test with unproven benefit? 🎧 Watch the clip, then listen to the full episode!

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 21/09/2026

We can scan the whole body with MRI. But should we? Whole-body MRI is booming—and Dr. Matt Davenport joins us to ask whether the evidence has caught up with the hype. 🎧 Listen to the new Contrast & Clarity with the JACR and get your FREE CME now! shorturl.at/09xp4

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 16/09/2026

4 days vs. 4 minutes? Of course turnaround time matters. ⏱️ But the problem starts when “an important metric” becomes “THE quality metric.” 🎙️ Anand Singh, MD on why speed belongs in the conversation—but alongside accuracy, communication, safety, and the other things that define great radiology.

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 14/09/2026

Can you really benchmark speed when no two radiology practices look the same? Case complexity. Staffing. Teaching. Workflow. Patient population. 🎙️ Nadja Kadom, MD explains why a single national turnaround-time benchmark may create a deceptively simple answer to a very complicated question.

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 09/09/2026

Something has to give. If radiologists are expected to hit ever-faster turnaround times while volumes and complexity keep rising...what are we sacrificing to get there? 🎙️ Nadja Kadom, MD on the unintended consequences of making speed the target.

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 07/09/2026

🚨 Are we measuring radiology quality… or just measuring speed? 🎙️ Drs. Nadja Kadom & Anand Singh talk about The Turnaround Time Trap—and ask what we should be measuring instead? 🎧 Listen now 👉 shorturl.at/sqlV9

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 24/08/2026

🚨 Radiology may have officially run out of slack. For years, we handled more imaging by working harder and reading faster. Now? The data suggest we have hit maximum capacity. Listen to the new episode now! 👉 shorturl.at/kPDCt

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 16/08/2026

The August Issue TLDR is officially live 🎙️ 🩻 Are we training enough radiologists? 🧠 How should we teach radiologists to work with AI? 📣 Why does young physician advocacy matter? A whole JACR issue. One podcast episode. 🎧 Listen now! shorturl.at/ZxyB9 #Radiology #Radtwitter #Medtwitter #Radres

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 10/08/2026

🚨 NEW EPISODE What if one of the biggest changes to the radiology Match...didn't actually solve the problem? Dr. Christopher Keshishian joins us as we discuss: ✅ If signals have become a screening tool ✅ What happens next as radiology increases to 15 signals 🎧Listen now: shorturl.at/LUfNA

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 30/07/2026

Hot topics in the July JACR issue: 📈 Turnaround times are skyrocketing. 🤖 Radiologists are becoming software developers. 🧲 MRI has a helium problem. 📚 And the future of academic radiology. Listen to everything in the time it takes for your commute! 🍏Listen now: shorturl.at/OcZRX

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 26/07/2026

🚨The Radiology Match has changed. Are you still playing by the old rules? In the newest episode of ✨Contrast & Clarity✨, Jeff and Maddi break down the gamesmanship every medical student applying to radiology needs to know. It’s your scouting report for the Match. 🎧 Listen now: shorturl.at/bRg6o

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 12/07/2026

🚨 The biggest BI-RADS update in over a decade is here. 🎙️ Fatima Elahi, DO joined me to sit down with Dr. Stamatia Destounis and Dr. Georgia Spear to go beyond the new lexicon and explore personalized screening, breast density, advocacy, and what’s coming next. 🎧 Listen now ⬇️ shorturl.at/oZi4S

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48. Beyond Density: BI-RADS v2025, Advocacy, and the Road Ahead *CME*

Podcast Episode · Contrast and Clarity with the JACR · July 11 · 51m

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 07/07/2026

Think healthcare legislation is boring? We promise… it’s less boring than prior authorization😅 In our latest episode we break down the 6 legislative issues that every radiologist should know with @robopticanmd.bsky.social 🎧 Bonus: You can even earn FREE CME while you’re at it.

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 06/07/2026

CMS looked at AI tools in radiology and essentially said: "You're more efficient now. So we're cutting your pay." 🤯 The Efficiency Adjustment Delay Act would block that 2.5% reduction until 2030 — and require actual evidence before future AI-based cuts. Get your FREE CME: shorturl.at/RFm04

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 29/06/2026

Radiology didn't sign up to be America's healthcare guinea pig. And yet...here we are. @robopticanmd.bsky.social joins us to unpack the 6 legislative and regulatory issues that could shape the future of radiology. FREE CME!! 🎧Listen now: shorturl.at/lAy15

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47. The Government Has Entered the Chat *CME*

Podcast Episode · Contrast and Clarity with the JACR · June 28 · 44m

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 21/06/2026

Not enough time? We've got you covered. Listen to the June TLDR episode to get caught up! 🎯 Lung cancer screening myths 🤖 AI that helps—and where it doesn't 📈 Workforce and turnover trends 🏥 Patient access to results 💰 Venture capital in radiology 🎧 Listen now: shorturl.at/d6Mwr

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46. TLDR June 2026 Issue

Podcast Episode · Contrast and Clarity with the JACR · June 21 · 53m

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 14/06/2026

The privilege of good work...is more good work. Congrats. And for many physicians, that's exactly how burnout begins. In this episode, we explore why high-achieving physicians struggle to say no. A conversation every early-career physician needs to hear! 🎙️Listen now: shorturl.at/XhNL4

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 07/06/2026

Not enough time. That’s why we created TLDR. This month we’re tackling: 🤖 Clinical AI implementation 🎓 Residency workforce challenges 🏥 Medicare Advantage ❌ The skill of saying “no” We read the May issue to get you the take-home points in under an hour. Listen now: shorturl.at/J9Mjy

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 01/06/2026

For years we have been asking the wrong question about AI in radiology. This week, Tessa Cook MD, PhD joined us to ask a better question: 👀 Who watches the algorithms? Listen to the newest episode of ✨Contrast & Clarity✨ now 👉 shorturl.at/e38ZC @jacrjournal.bsky.social

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 28/05/2026

What does emotional intelligence have to do with imposter syndrome? Turns out, a lot 😂 @furtherfaster.bsky.social breaks it down for us! Listen to this episode of ✨Contrast & Clarity with the @jacrjournal.bsky.social ✨ wherever you get your podcasts!

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 28/05/2026

Radiology education is fine…right? 😅 Jeff and I will be at the Georgia & SC Rad Society Meeting at Hilton Head! Come for the education. Stay for the collective therapy session 🤣 #RadTwitter #Radiology #MedEd #Radres

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 21/05/2026

🩻Radiology is basically the perfect breeding ground for imposter syndrome. Listen to the most recent episode of ✨Contrast & Clarity✨ with the @jacrjournal.bsky.social now! 🍏https://shorturl.at/oWsF8

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Reposted by Maddi Wulfeck, MD, MBA

Jeff Frey @furtherfaster.bsky.social · 18/05/2026

#Impostersyndrome in medicine is real, and it was an honor to dig into it with Maddi and the Contrast & Clarity team. We talked #EI, #perfectionism, and why high performers are often the worst at giving themselves grace. If you work in healthcare (or know someone who does), this one's for you.

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 18/05/2026

🏇 🏁 To make it across the finish line of the Artifacts of the Mind series, we called in reinforcements 💪 And this time, we finally got concrete. ✅ Real strategies. ✅ Real reframing. ✅ Real ways to stop letting anxiety hold that dictaphone. 🎧 The final installment is out now. 👉 shorturl.at/AILM0

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 03/05/2026

😇Radiology culture: “Don’t miss anything ever.” 😡Also radiology: *learns entirely from misses* Part 3 is here and we’re finally saying the quiet part out loud🔊: failure might be the whole point. 🎙️ Artifacts of the Mind — The F-Word Listen now 👉 shorturl.at/xfgsq

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 27/04/2026

👍We read the entire @jacrjournal.bsky.social focus issue so you don’t have to. 🥁Introducing TLDR ⚡ — fast, sharp, slightly unhinged summaries of what actually matters ✨April TLDR✨ Sustainability in Radiology 🤝 which is not exactly carbon-neutral... 🎧 Listen now: shorturl.at/LpaBO #Radiology

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 23/04/2026

🥼In medicine, we’re trained to be perfect. But growth doesn’t happen in perfection—it happens in reflection. 🎙️ Hanna Zafar, MD MHS on why imposter syndrome thrives in silence—and what healthcare can learn from aviation’s culture of openly dissecting errors without ego ✈️ #radiology #radres

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 22/04/2026

🌿 This month's @jacrjournal.bsky.social issue is all about #Radiology sustainability 💪 Stay tuned for a BONUS ✨ Contrast & Clarity✨ podcast episode dropping this weekend! Check out all of the April articles now 👉 jacr.org/current

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 20/04/2026

😮‍💨Imposter syndrome might be the price of caring about doing medicine well. 🎙️ New ✨Contrast & Clarity✨ with the @jacrjournal.bsky.social episode with Hanna Zafar, MD MHS on turning imposter syndrome into a growth mindset 🌿 Does this resonate with you? 👉Listen here: 🍏https://shorturl.at/MmbBB

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 13/04/2026

Ever get a call and think… “oh no what did I get wrong now”? 👀 Imposter Syndrome is real. It’s not just self-doubt. It’s how we’re trained, how we’re wired, and how medicine quietly reinforces it🎯 🎧 Listen now — and brace yourself… Part 2 drops this weekend! @jacrjournal.bsky.social

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 09/04/2026

👀Imposter Syndrome isn't a weakness. It's a pattern. 👏Dr. Sherry Wang just said the quiet part out loud. And it hits a little too close to home 🏡 Take a listen to the first part of the ✨Artifacts of the Mind✨ series now 👉 🍏https://shorturl.at/K0JYK @jacrjournal.bsky.social

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 06/04/2026

😟Miss one finding ➡️ think about it for 3 days. 😁Read 200 cases perfectly ➡️ forget instantly. Make it make sense 😱 New ✨Contrast & Clarity✨ with the JACR just dropped with Sherry Wang, MBBS on imposter syndrome and why your brain refuses to chill. Listen now 👉 🍏https://shorturl.at/6H8vC

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 02/04/2026

🚨 Paging Dr. Imposter… New ✨ Contrast & Clarity ✨ series: Artifacts of the Mind 🧠 🔹 Radiologists spiraling (professionally) 🔹 The science of feeling like a fraud 🔹 How to shut it down Turns out it’s not just you. 🎧 Drops this weekend. shorturl.at/fOSA6

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 30/03/2026

🦠Med school still teaching disease like it’s 1950: microscope first, imaging later. 🥼We’re training doctors to recognize 🔬pathology slides they’ll never see—and undertraining them in the images they’ll use every single day. 🎧Listen now! 🍏https://shorturl.at/3N3BT @jacrjournal.bsky.social

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 26/03/2026

🩻Imaging = diagnosis 🩻Imaging = workflow 🩻Imaging = everything Catch the newest episode now🎙️ shorturl.at/NI4sG Radiology isn’t a rotation. It’s infrastructure. 💪

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 23/03/2026

🌶️Hot take: You can’t expect interns to “know imaging” if you teach it like an elective. New ✨Contrast & Clarity✨ with the JACR episode just dropped 🔥 Radiology isn’t missing from med ed— it’s just in the wrong place. Let’s fix that. 👇 🎧Listen now wherever you get your podcasts: shorturl.at/39Tn4

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 12/03/2026

📣Radiology residency shouldn’t be assembly-line education. 🦚Personalized training—targeted to each resident’s skills, gaps, and career path—should be the new standard. 🎯 Listen to the most recent episode of ✨Contrast & Clarity✨ with the @jacrjournal.bsky.social now! 🎧https://shorturl.at/IJyhO

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 09/03/2026

Radiology education is under pressure♨️. So why are we still teaching like it’s 2010? In the latest episode of ✨Contrast & Clarity✨, we break down AI tools, outsourced didactics, flipped classrooms — and ask: is the traditional education model sustainable? 🎧Listen now: shorturl.at/dFRcF

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 02/03/2026

Don't miss the latest episode of ✨Contrast & Clarity with the JACR✨ where Tina Shiang, MD provided receipts about the growing complexity of inpatient medical imaging! Listen here 🎧 shorturl.at/XCOf6 #Radtwitter #Radres #radiology

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 22/02/2026

🚨 New Episode Drop 🚨 📉Imaging per patient is down. 📈Radiologist workload is UP. Way up. ‼️CT + MRI utilization climbed — but professional RVUs exploded 🔥 (CT +80%, MRI +90%) 🤔So… are we doing less imaging — or just way more complex imaging? And at what cost? 🎙️Listen now 🍏➡️ shorturl.at/rgkZU

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 17/02/2026

💣 Truth bombs incoming. Our latest guest, Ken Davis (Senior Counsel, KattenLaw), doesn't sugarcoat it when it comes to cutting through the black box nature of AI. 🎥 Clip from our newest episode of Contrast & Clarity 👇 #RadTwitter #RadiologyAI #MedLegal #AI #HealthcareAI #Radres

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 09/02/2026

Your AI vendor isn't signing the report. You are. And that's the problem. In our newest episode on ✨Contrast & Clarity✨, we sat down with Ken Davis (Senior Counsel, @KattenLaw) to talk AI + liability + contracts + what rads must know before implementation. 🎧 🍏Listen here: shorturl.at/64LGb

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 29/01/2026

🦉Some words of wisdom from our most recent episode on ✨Contrast & Clarity✨ ❗️Radiologists have the opportunity to play a huge role when it comes to the evolving legal landscape of AI. Take a listen for more pearls 🦪 🍏https://shorturl.at/lTOEW

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 26/01/2026

Radiology AI promise: efficiency 🚀 The reality: legal ambiguity ⚖️ 🎙️ We go deep on AI, liability, and risk with Tanya Karwaki, JD, PhD. New ✨Contrast & Clarity✨ with the @jacrjournal.bsky.social episode out now. 🔥 Worth the listen. 🍏➡️https://shorturl.at/lTOEW

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 19/01/2026

🎥We’ve seen this movie before. 🏥EHRs didn’t adapt to clinicians 🩺—clinicians adapted to EHRs. 😬 If we don’t get ahead of AI now, we’re about to repeat history. 🎙️ Contrast & Clarity ➡️ shorturl.at/ngI5g #radiology #radres #medtwitter

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 12/01/2026

🤖 AI was supposed to revolutionize radiology. So why does it mostly feel...underwhelming? 🎙️This week on ✨Contrast & Clarity✨, we talk with Michael Bruno MD about AI hype vs. reality and why adoption has been way slower than promised. 🎧 Listen now wherever you get your podcasts ➡️ shorturl.at/2T9Uy

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 08/01/2026

🎉Celebrating the winners of the 2025 JACR Award in Training and Education! Although there is an expanding pool of teaching radiologists, the increasing work volume has diluted teaching positions to more closely resemble radiologists in community practice 🤓 Listen now! 🍏 shorturl.at/HfHI5

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 07/01/2026

🥳Congratulations to the winners of the 2025 JACR Award in Health Services Research and Policy! 👀 This was a complex and eye-opening topic. 🎧 Listen now to the three-part series on ✨Contrast & Clarity with the @jacrjournal.bsky.social ✨ 🍏https://shorturl.at/KiCvH

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Maddi Wulfeck, MD, MBA @maddiwulfeckmd.bsky.social · 06/01/2026

🎉Congratulations to the 2025 @jacrjournal.bsky.social award winners! Take a listen to ✨Contrast & Clarity ✨ episode 28 to get the highlights on the leadership award winner about the leaky pipeline and practical ways we can start to fix it 💪 🍏Listen now ➡️ shorturl.at/xAWjh

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