Welcome to The Curbsiders step by step guide on how to create a medical podcast. @doctorwatto and @paulnwilliamz walk you through how to conceptualize your podcast, build your team, choose your equipment and the basics of how to setup hardware and software recording. Be sure to browse the accompanying show notes for a true step-by-step guide complete with links to videos, web pages, and blog posts that we found helpful when starting our show. If it’s not in this document, then it can easily be found on YouTube, or via a Google search.
Written and produced by: Matthew Watto MD
Cover art and Infographic by Matthew Watto MD
Hosts: Matthew Watto MD and Paul Williams MD
Editor: Clair Morgan of Nodderly.com

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E.g. “Supercharge your learning and enhance your practice with this Internal Medicine Podcast featuring board certified Internists as they interview the experts to bring you clinical pearls, practice changing knowledge and bad puns. Doctors Matthew Watto, Stuart Brigham, Paul Williams and friends (a national network of students, residents and clinician educators) deliver a little knowledge food for your brain hole. Yummy! No boring lectures here, just high value content and a healthy dose of humor. Fantastic for Internal Medicine, Family Medicine, Primary Care, and Hospital Medicine.”
The screenshot above is an example of Canva.com’s homepage where you can choose templates and create images using their stock photos and cartoon images.
It takes 10-20 hours per episode between booking guests, topic research, recording, editing, show notes, fact checking and posting. Disclaimer: We are crazy and hold ourselves to very high standards so you might be more efficient.
Kashlak Pearl: You can hire an audio editor for $5-25 per 15 minutes of audio. Websites like Fiverr.com or Taskrabbit.com are potential places to look.
Search within and leverage your network. Who is creative, fun, funny, knowledgeable, hardworking, tech savvy, and embodies the values that you want represented by your show.
Kashlak Pearl: We have a volunteer team of medical trainees and other healthcare professionals (see image above) who devote time to the show on a volunteer basis. You can do this too!
Who will do the writing, editing, website maintenance, marketing, and technical duties. Leverage your network. Assess people’s time commitments and availability.
We record weeknights after 8:00 pm ET because most people are free at this hour. Always account for TIME ZONE when booking guests! We record 1-2 times weekly since we release 1-2 shows every week.
Kashlak Pearl: We recommend recording a batch of shows initially (3-4 episodes) to “have a few in the can” and give yourself a buffer in case of cancelations.
You can create an LLC or S-corp if your show is for-profit or go the non-profit route (see legalese below). A podcast is like a small business. It has expenses and the ability to generate revenue and often employs a small production team. It is very wise to figure out shares and ownership BEFORE you make it, that way the stakes are low and negotiation is much more straight forward. Podcasts are supposed to be a fun hobby and things get messy once there’s money involved.
The paperwork for filing an LLC is relatively easy and costs ~$125 to $250 for the application process. You can ask an attorney or accountant with business experience to help if you prefer. There are also 3rd party sites like LegalZoom that will help.
Kashlak Pearl: The initial equipment purchase (usually $500 or so), domain purchase and subscription to a web hosting platform and media hosting platform is relatively cheap ($500-1000 per year in total expenses). We usually have another $1,000-3,000 per year in accountant and attorney fees.
I recommend speaking to an accountant before deciding to make an S-corp, LLC or non-profit. Ask family and friends to recommend someone. Choosing between these is outside the scope of this workshop.
You can initially keep track of your expenses in a spreadsheet, but eventually you might want to purchase a software like QuickBooks or FreshBooks.
Most academic institutions claim intellectual property (IP) rights to anything that you create while working there. You need to find out the IP rules at your institution from the in-house counsel. I recommend having an attorney draw up contracts (usually about $1500) when setting up your company that ensure you retain IP rights to your podcast. This will allow you to take the podcast with you if you leave your current institution. There are many horror stories about people who didn’t take these precautions and lost their shows.
*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.
There are a million options. I recommend one of these two mics when starting.
Kashlak pearl: Keep your mic cord away from laptop power adapters because they cause an electronic whining noise.
Kashlak Pearl: Even if you hire an audio editor, we recommend that you develop a comfort with basic editing. This will help you when collaborating with your paid (or volunteer) audio editor. We link to our editing tutorials below.
Kashlak Pearl: Make sure to include a brief description of your show that includes lots of keywords. This helps people find your show in search engines.
NOTE: We still use Libsyn and have been very happy with their customer service, but many new sites have since emerged. Refer to this blogpost by The PODCAST Host for a more nuanced look.
Make yourself a podcast fort!


Below are some examples of how to record yourself, your cohosts and your guests.

This setup is for one person recording with remote participants (see images below). Note: The XLR cable sends your local audio to the Zoom recorder. The 1/8” TRS to 1/4” TS cable (plugged into your computer’s headphone jack) sends the incoming audio (your guest’s or your remote cohost’s audio) directly into the Zoom recorder to be saved in perfect sync with your locally recorded ATR track!!! NOTE: You will also have a high quality “software backup” from the Ecamm call recorder or from the Zoom meeting software.
Kashlak Pearl: We highly recommend this setup because it creates a “software backup” (via Ecamm or Zoom meeting software) and a “hardware copy” (recorded directly into the Zoom H4 recorder). This redundancy saves us in case someone forgets to record themselves or if there is a hardware or software failure during the recording.
Pros: The Zoom recorder will create one track for me and one track for all remote participants. These two tracks are perfectly in sync. Kashlak Pearl: We also run the Zoom software during our interviews as a backup which records everyone on separate tracks and in sync.
Cons: This setup only works if you have a Zoom (or Tascam) recorder and an ATR Mic, which is unique for having both a USB and XLR connection.
This setup is for two people (four people if using H6) recording together in person +/- a remote participant(s) i.e. guests or cohosts joining via Skype.
Note: Each SHURE SM58 XLR mic sends it’s own audio to a .wav file in the Zoom recorder. The 1/8” TRS to 1/4” TS cable sends the incoming audio from a guest or remote cohost directly into the Zoom recorder to be saved in perfect sync with your locally recorded SHURE SM58 tracks!!!
Note: If there are no remote participants then there is no need for a laptop or the 1/8” TRS to 1/4” TS Cable!
IMPORTANT!!!: If using this Zoom H4 (or H6) setup for Skype or Zoom to connect to a remote participant, then they will only be able to hear one of your local mics. Therefore, set your Skype (or Zoom meeting) MICROPHONE selection to “Built-In” and your guest will hear everyone via the laptop’s built-in mic.
This setup is for one or two people recording together in person +/- a remote participant(s) i.e. guests or cohosts joining via Skype.
IMPORTANT!!!: If using this setup for Skype or Zoom to connect to a remote participant then they will only be able to hear one of your local mics. Therefore, set your Skype MICROPHONE selection to “Built-In” and your remote participant will hear both local parties via the laptop’s internal mic. NOTE: If you’re by yourself with a remote guest then they will hear your mic and there’s no need to change to “built-in”.
Pros: Your SHURE XLR mics can be recorded directly into Audacity or GarageBand (see tutorials below) in perfect sync.
Cons: Remote participants cannot hear both microphones and you’ll have to send the “built-in” laptop audio out to them. This means that the “software back” of both local parties will be of poor quality.
Below are a few potential setups. We have tried them all and currently utilize setup #1 for most episodes due to convenience and logistics (see diagram above).
Kashlak Pearl: We always ask all guests and cohosts to record themselves locally for redundancy in case of software or recorder failure. The local audio is often of better quality since the internet connection sometimes loses connectivity and causes some words to sound slow/robotic or to be dropped altogether.
Meet up via Zoom meetings (or Skype) and each participant records themself (i.e. Stuart, Paul, our guest, and I are each at our own houses and we each record ourselves locally). After the recording, all files are uploaded to a shared folder on Dropbox or Google Drive. Files are then imported into the editing software (e.g. Garageband or Audacity) for editing and mixing..
Pros: In the example provided, we end up with 4 separate audio tracks (Watto, Paul, Stuart, Guest) and can easily edit out unwanted comments or noises made while the guest is talking.
Cons: Many guests have trouble recording themselves (or successfully uploading their files). Each person’s audio track will start and end at different points in the conversation and must be synched. Otherwise, the timing of responses is way off. Workaround = Paul, Stuart, myself and the guest do a 5 second countdown at the start of each show and then CLAP in unison. All I have to do is find the countdown/clap on all four tracks and synching them becomes easy!
Kashlak Pearl: Use the master track from Zoom meeting software or Ecamm to line up everyone’s audio when editing. Alternatively, you can use the tracks from your Zoom H4 recorder to line things up
Meet up and record in one location (e.g. Stuart, and Paul come to my house).
Pros: Record each mic on it’s own track directly into your recording software (e.g. Garageband Audacity) or into your Zoom H4 recorder. All tracks will be perfectly in sync. The Zoom H4 recorder can record 2-4 tracks and the Zoom H6 can record 4-6 tracks. NOTE: You will have to purchase an attachment for either recorder to gain the additional two tracks.
Cons:
Meet up via Zoom and utilize the built-in recording feature. Go to File > Preferences > Recording and check the box “Record a separate audio file for each participant” (see image below). During the recording click record and choose “Record to on this computer” (see image below). This will save video, a master audio track and separate audio files for all participants to your harddrive (It costs about $40 per month to purchase 100GB in Zoom’s cloud storage).
NOTE: The Zoom meeting audio files are small and a bit lower quality than a locally recorded .wav or .aiff file, but they provide great backup tracks.
NOTE: Zoom is free for 40 minute meetings. If recording longer than you will need to purchase a Pro account or higher (~$150/year for Pro account; FREE for basic account).
Meet up via Skype) and one person records everyone via Ecamm Call Recorder (~$40; Mac users only), or Pamela (use to be available to Windows users, but is no longer supported).
NOTE: Ecamm Call Recorder records everyone to one track. Later, you have the option to split the recording into the outgoing track (i.e. my voice as heard by my cohosts and guests), and incoming track (i.e. my cohosts and the guest’s voice as heard by me).
Pros: With Ecamm all parties are recorded to a single track that is perfectly in sync. This can be edited directly and posted.
Cons: Ecamm offers less flexibility compared to recording all parties on their own separate tracks as offered via Zoom software (or when each participant records themself locally).
Check out this tutorial for more details.
Kashlak Pearl: Be consistent with your release date e.g. every Monday or every other Monday, etc.
Kashlak Pearl: Email friends and family and ask them to subscribe, rate and review the show. This will boost your ratings and help people find your show in the search.
Below are a few additional KASHLAK PEARLS for those looking to start a podcast and grow an audience/community.
Here are some resources that leaned on heavily when starting my podcast.
The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.
Listeners will develop a framework for how to create a medical podcast from the original idea to software, equipment, recording and a bit about editing.
After listening to this episode listeners will…
Watto MF, Williams PN. “#207 How to create a medical podcast: Tales from The Curbside”. The Curbsiders Internal Medicine Podcast http://thecurbsiders.com/episode-list. Air date April 16, 2020.
The Curbsiders are partnering with VCU Health Continuing Education to offer continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
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Comments
Just wow!
I know a lot of work went in to creating this detailed list and i thank u for your efforts, but i find it a little disappointing you didnt address specifics to medical podcasting over starting a podcast for any topic. (Like disclaimers for medical advice, or how to attract viewers in such a specific niche, topic development, etc)- maybe next time?