Shows
Dirty White CoatHealthcare's Frontline Heroes Need Help TooSend us a textThis is a reproduction of the Caring Greatly Podcast. The 100th episode and the interviewer Liz Boehm.Dr. Mel Herbert, emergency physician, educator and medical consultant for the hit TV drama "The Pit," shares how the show portrays the realities of emergency medicine and healthcare's biggest challenges. The conversation reveals how healthcare professionals are pushing for system-wide change, especially in addressing clinician mental health needs.• Emergency departments serve as society's 24/7 safety net but are facing unprecedented staffing and capacity challenges• Wait times at prestigious hosp...2025-07-2129 minDirty White CoatUnfunded Mandates: How ER Docs Bear the Cost of America's Healthcare CrisisSend us a textDr Gillian Schmitz former ACEP president and current vice chair of education at Naval Medical Center San Diego, examines emergency medicine's financial crisis and its consequences. She identifies the fundamental contradiction in how America treats emergency care as a universal right while funding it as a privilege, creating an unsustainable system where nearly 70% of ED patients don't cover their care costs.• Former ACEP president with extensive experience in civilian and military emergency medicine• Healthcare in America faces a fundamental conflict between right vs privilege approaches• Nearly 70% of emergency department patien...2025-06-2319 minDirty White CoatThe Real Crisis in the ER: Systemic Dysfunction vs Financial ConcernsSend us a textThe ACEP and RAND StudyInterview with David Schriger, Peter Viccellio, and Al Sacchetti, MD'sFour decades of emergency medicine experience reveals how the specialty continues to normalize dysfunction while failing to articulate what emergency care should look like. Veterans explore solutions to the systemic problems that have kept emergency departments "at the breaking point" for over 30 years.• Emergency physician compensation ranks around 16th among medical specialties—not the financial crisis some portray• Working conditions, not compensation, represent the true crisis in emergency medicine today• Emergenc...2025-06-0238 minDirty White CoatPhysician, Heal Thyself (Without Losing Your License)Send us a textThe Dr. Lorna Breen Heroes Foundation works to eliminate barriers to mental health access and improve work environments for healthcare workers, following the tragic suicide of Dr. Lorna Breen during the first COVID wave.A interview with CEO Stephanie SimmonsLinks:ALL IN for Mental Health: https://drlornabreen.org/allinformentalhealth/Specifically the ALL IN for Mental Health resource page: https://drlornabreen.org/allinformentalhealth/six-actions/accessible-affordable-mental-health-care/ACEP wellbeing resource page: https://www.acep.org/life-as-a-physician/wellnessDr. Lorna...2025-05-0522 min
Dirty White CoatThe Nocturnists Present: Inside 'The Pit': Medicine's Most Authentic TV DramaSend us a textThe Nocturnists Podcast with Emily Silverman, MDThe HBO Max series "The Pit" has struck a chord with healthcare professionals unlike any medical drama before it. What makes this show so different? Why are doctors and nurses messaging each other saying, "You have to watch this—they finally got it right"?In this special bonus episode, I sit down with the brilliant creative team behind the show that's capturing the true essence of emergency medicine: R. Scott Gemmel (creator and showrunner), Joe Sachs (emergency physician and writer), and Mel He...2025-04-2153 minDirty White CoatBurnout and Coaching with Scott WeingartSend us a textLink to scott course: https://guidewirecoaching.com/unburnable/Scott Weingart shares his experiences developing physician executive coaching to help emergency physicians find meaning and purpose despite a broken healthcare system.• Burnout often stems from negative inner voice rather than external circumstances• Cognitive distancing helps physicians separate themselves from unhelpful thoughts• Stoic acceptance allows doctors to focus energy on what they can control• Nonviolent communication techniques transform interactions with difficult consultants• Maintaining fundamentals during shifts (eating, drinking, bathroom breaks) is essential• Optimal performance pace prioritizes patient safet...2025-04-1435 minDirty White CoatThe Dangers and Delights of AI search and "The Pitt"Send us a textWe're exploring the integration of AI search within Corpendium and discussing the delicate balance between powerful search capabilities and maintaining medical accuracy. Our team dives deep into the technical challenges and ethical considerations of implementing AI in a trusted medical reference platform.• AI search struggles with staying confined to just Corpendium's content despite explicit instructions• RAG (Retrieval Augmented Generation) allows AI to search internal databases while maintaining natural language understanding• The tension between sensitivity and specificity mirrors clinical decision-making in emergency medicine• Vector space embeddings help AI understand semantic...2025-03-3129 minDirty White CoatTravel PauseSend us a textMel will be on a trip to Kenya doing some teaching. Show will reboot in mid March. Lts of great interviews coming up!Support the show2025-02-2402 minDirty White CoatAI vs. Doctors: Navigating Medicine's Future with ChatGPT and Human ExpertiseSend us a textMel interviews Graham Walk of "MD Calc" fame. This episode explores the evolving role of AI in healthcare, focusing on a study that compares ChatGPT's performance to that of human doctors in managing complex medical cases. We discuss the implications of these findings, the potential for misinformation, and the future of AI integration in clinical practice.• Examination of the BMJ study on AI vs. doctors • Real-world application of AI in patient care • Concerns around AI misdiagnosis and misinformation • Future prospects of AI in healthcare settings • Impacts of AI integratio...2025-02-1728 minDirty White CoatGLP-1 Agonists: Transforming Weight Management and Understanding Diabetes with Dr. Anne PetersSend us a textThis episode unravels the complexities of using Ozempic, a GLP-1 receptor agonist, for weight loss—especially among people without diabetes. Dr. Anne Peters highlights the health implications, individual responses to the drug, and the broader context of weight management.• Examination of Ozempic’s functions and benefits • Discussion on who should consider using Ozempic • Clarifying misconceptions about weight loss and obesity • Insight into the body’s set point and its impact on weight • Risks associated with using medications for non-diabetic individuals • Emphasizing the need for a multifaceted approach to health 2025-02-0342 minDirty White CoatER Doctor Transitions to Ketamine Therapy: Founding a Clinic and Transforming Mental HealthSend us a textMel Interviews Sam Ko for an enlightening episode where we explore the extraordinary journey of an ER doctor who switched gears from the chaotic world of emergency medicine to the innovative realm of ketamine therapy. Gain insights into how medical podcasts influenced his path, ultimately leading to the first ER doctor-led ketamine clinic in California. This episode promises a deep dive into the transformative impact of ketamine clinics, the challenges of leaving traditional ER careers, and the successful expansion across the nation through online education.Our guest shares the meticulous approach...2025-01-2040 minDirty White CoatPsychedelics in Medicine the History and Science and the RisksSend us a textMel interviews Karina Sergi, MS, MFT Director, Psychedelic Therapy Training; Director, Diversity, Equity & Inclusion and Keith Heinzerling, MD Director, Treatment & Research In Psychedelics (TRIP) Center; Addiction Medicine.We discuss psychedelic associated therapy, ketamine, DMT, Psilocybin, Hallucinogen persisting perception disorder (HPPD, Ontological shock, Psychnaughts and so much more as we continue our series on mental health treatment optionsThe Treatment and Research in Psychedelics clinic (TRIP) located at Pacific Neuroscience Institute. Their website: https://www.pacificneuroscienceinstitute.org/treatment-research-in-psychedelics/Support the show2025-01-061h 11Dirty White CoatKetamine in Mental Health Disorders, the how and why. Part 1.Send us a textMel interviews and is himself interviewed by Sandy Newes, PhD who co-founded the Living Medicine Institute, an online community offering content and training for clinical and medical professionals interested in the legal use of ketamine to address mental health issues. She can be found on LinkedIn here.Together they discuss Ketamine for depression and PTSD, dosing, Mels personal experience and how to get trained to safely and ethically provide and use this type of treatment. There is discussion of mental health diseases and suicidality so please be aware of t...2024-12-2759 minDirty White CoatGPT Vs. Human ResidentsSend us a textMel interviews the author's of the GPT Vs. Residents NEJM study. How did they do it, why did they do the study and what does it all mean for the future of medical education. Support the show2024-12-2029 minDirty White CoatPatient Centered AISend us a textMel interviews ER doc and AI expert Justin Schrager whose company vital.io makes patient facing AI for Emergency medicine and inpatient departments. We talk models, hallucinations, the singularity and more. Support the show2024-12-1049 minDirty White CoatIntroduction to the showSend us a textMel Herbert, MD, and the creators of EM:RAP, UCMAX, CorePendium, and many of the most influential medical education series present a new free podcast: “Dirty White Coat.” Join us twice a month as we dive into all things medicine—from AI to venture capital, long COVID to ketamine, RFK Jr. to Ozempic, and so much more. Created by doctors for clinicians of all levels and anyone interested in medicine, this show delivers expert insights, engaging discussions, and the humor we all desperately need more of!Support the show2024-12-0302 min
This Won't Hurt A BitCOVID-19In this episode, Dr. Jessica Mason, Dr. Mel Herbert, and, well, just Dave, cut through the Corona craziness and bring you the latest in COVID-19 news, medical science, and cocktail recipes. Wash your hands, grab your headphones, and enjoy.2020-03-241h 12
TALKING TESLAEp 113 - Semi vs. RoadsterTHE SEMI EVENT! Tom and Robert have so much to report this week...and they have a special guest in the studio: Dr Mel Herbert! The team are back together and they are talking Trucks and fast cars. 2017-11-211h 56
TALKING TESLAEp 113 - Semi vs. RoadsterTHE SEMI EVENT! Tom and Robert have so much to report this week...and they have a special guest in the studio: Dr Mel Herbert! The team are back together and they are talking Trucks and fast cars. Support the show2017-11-211h 56
Talking TeslaEp 113 - Semi vs. RoadsterTHE SEMI EVENT! Tom and Robert have so much to report this week...and they have a special guest in the studio: Dr Mel Herbert! The team are back together and they are talking trucks and fast cars.2017-11-211h 56
This Won't Hurt A Bit14 - MOVIE MEDICINE - Part 1First up we dissect Pulp Fiction, and the classic Mia Wallace overdose scene. Then we move onto the post-apocalyptic hit Mad Max:Fury Road. Dr Mel Herbert & Dr Jess Mason discuss Furiosa's tension pneumothorax and the blood-transfusion between Max and Furiosa.2016-02-2931 min
This Won't Hurt A Bit14 - MOVIE MEDICINE: Part 1Medicine in the Movies! This week we examine medical procedures in cinema. First up we dissect Pulp Fiction, and the classic Mia Wallace overdose scene. Then, we move onto the post-apocalyptic hit Mad Max:Fury Road. Dr Mel Herbert, Dr Jess Mason & Dave Mason discuss Furiosa's tension pneumothorax and the blood-transfusion between Max and Furiosa.2016-02-2931 min
Shabam!Season 1 TeaserWe’ll follow three kids separated from their families during a zombie apocalypse. Throughout the journey, hosts and creators Josh Kurz, Wendy Roderweiss, and Dr. Mel Herbert weave in jokes, science, historical factoids, and interviews with leading experts. Season 1 starts with the reason we do science in the first place and then tackles topics ranging from digital communication, the power grid, and the immune system, to Polynesian voyagers, and the Underground Railroad.2016-02-2201 min
This Won't Hurt A Bit12 - SPECIAL REPORT: ZIKA VIRUSProf. Mel Herbert and Prof. Stuart Swadron discuss Zika Virus. Where did it come from? What disease does it cause? What is microcephaly? And is it really an STD, as well? All this and more on our special report.2016-02-0411 minThis Won't Hurt A Bit11 - EXTREME HEATThis week we explore the science and physiology of how extreme heat effects our bodies. Our intrepid field reporter/co-host, Dave Mason, "visits" Death Valley to see just how hot a person can get. Dr Mel Herbert & Dr Jess Mason talk to experts about heat index and humidity, and all things hotness!2016-02-0226 min
This Won't Hurt A Bit11 - EXTREME HEATCan you drink your own urine? Run yourself to death? This week we explore the science and physiology of how extreme heat effects our bodies. Our intrepid field reporter/co-host, Dave Mason, "visits" Death Valley to see just how hot a person can get. Dr Mel Herbert & Dr Jess Mason talk to experts about heat index and humidity, and all things hotness!2016-02-0226 minThis Won't Hurt A Bit1 - THE BIG CRASHMel Herbert, ER doc wakes up in the middle of the night to the harrowing sounds of a massive crash on his street. This is the story of what happens next.2015-10-1226 min
This Won't Hurt A Bit1 - THE BIG CRASHWelcome to the first episode of This Won't Hurt A Bit. Mel Herbert, ER doc wakes up in the middle of the night to the harrowing sounds of a massive crash on his street. This is the story of what happens next.2015-10-1226 min
Talking TeslaEp 3 - What's all the hype about hyperloop?Mel Herbert and Tom Wolfson talk all things Tesla.2015-06-2526 min