Shows
Stimulus - Learn Tools to Crush It in Your Medical CareerDo You Know the Difference Between Competence and Capacity?How can a person who’s clearly lucid still be deemed incapable of making their own medical decisions? The answer lies in the misunderstood yet critical distinction between competence and decision-making capacity. While these terms are often used interchangeably in clinical settings, they carry vastly different meanings in law and medicine—differences that can determine whether a patient is treated, restrained, or left alone. In this episode, we explore how doctors can (and should) assess capacity, the legal boundaries of competence, and how not to get destroyed on the witness stand. Finally, we unpack a story involving a dog, a sc...
2025-09-2232 min
ניהול מלר"ד - האיגוד הישראלי לרפואה דחופהPODCAST: Strategies for Keeping Trauma at Bay with Rob Orman, MDIn this episode, Sam Ashoo, MD interviews Rob Orman, MD about ways to manage the trauma inflicted by the ER.
Discussing Trauma in Emergency Medicine
Personal Experiences with Trauma
The Impact of Suppression
Defining Trauma and Its Effects
Integration vs. Disintegration
Debriefing and Coping Mechanisms
The Driveway Debrief
Nurse and Physician Dynamics
Reflective Solitude vs. Isolation
Creating Narratives During Trauma
Dropping Anchor Technique
Body-Oriented Resets
Post-Incident Rituals
Addressing Lowercase t Traumas
Therapy and Trauma Pathways
For more about Rob Orman and physician coaching: https://roborman.com/
Sam Ashoo, MD
Sam Ashoo, MD, FACEP, is bo...
2025-05-2050 minsummary - האיגוד הישראלי לרפואה דחופהPODCAST: Strategies for Keeping Trauma at Bay with Rob Orman, MDIn this episode, Sam Ashoo, MD interviews Rob Orman, MD about ways to manage the trauma inflicted by the ER.
Discussing Trauma in Emergency Medicine
Personal Experiences with Trauma
The Impact of Suppression
Defining Trauma and Its Effects
Integration vs. Disintegration
Debriefing and Coping Mechanisms
The Driveway Debrief
Nurse and Physician Dynamics
Reflective Solitude vs. Isolation
Creating Narratives During Trauma
Dropping Anchor Technique
Body-Oriented Resets
Post-Incident Rituals
Addressing Lowercase t Traumas
Therapy and Trauma Pathways
For more about Rob Orman and physician coaching: https://roborman.com/
Sam Ashoo, MD
Sam Ashoo, MD, FACEP, is bo...
2025-05-2050 min
Healthcare Leadership ExcellenceEpisode 134: What Great Healthcare and Trader Joe’s Have in Common with Dr. Rob OrmanDr. Rob Orman is back, and we’re talking about something most of us notice but rarely talk about in healthcare: customer service. Or, as Rob reframes it, the “patient experience”. We swap stories, both stellar and frustrating, and dig into why simple things like eye contact, clear communication, and listening can make or break trust.Rob explains the difference between giving people what they want versus what they need, and how great care requires both compassion and clarity. He shares what it takes to lead tough conversations, especially during end-of-life care, and how to stay grounded, even w...
2025-05-0534 min
EMplify by EB MedicineStrategies for Keeping Trauma at Bay with Rob Orman, MDIn this episode, Sam Ashoo, MD interviews Rob Orman, MD about ways to manage the trauma inflicted by the ER.Discussing Trauma in Emergency MedicinePersonal Experiences with TraumaThe Impact of SuppressionDefining Trauma and Its EffectsIntegration vs. DisintegrationDebriefing and Coping MechanismsThe Driveway DebriefNurse and Physician DynamicsReflective Solitude vs. IsolationCreating Narratives During TraumaDropping Anchor TechniqueBody-Oriented ResetsPost-Incident RitualsAddressing Lowercase t TraumasTherapy and Trauma PathwaysFor more about Rob Orman and physician coaching: https://roborman.com/
2025-05-0225 min
The Visible VoicesThe Coaching Cure: Rob Orman on Recalibrating Careers and Confronting Incivility in HealthcareIn this minicast (short + focused podcast) episode on coaches, I speak with Dr. Rob Orman, emergency physician turned physician coach, about the urgent challenges many clinicians face—including burnout, incivility, and a lack of sustainability in traditional healthcare roles.
Rob is the creator and host of The Stimulus Podcast and leads Orman Physician Coaching. He holds extensive expertise as a medical educator, is a multiple award-winning speaker with a deep background in communication. He served as chief editor of EM:RAP, created the Stimulus and ERcast podcasts, and for nearly a decade hosted Essentials of Emergency Medicine, the la...
2025-04-2414 min
The SimKit PodcastBurnout Brass Tax w Rob OrmanIn this episode, Jason Hine speaks with Rob Orman, a renowned emergency physician and coach, about his career transition from emergency medicine to physician coaching. The conversation covers preventive measures for burnout, effective communication with hospital administrators, strategies for self-care before, during, and after shifts, and the importance of task management. Orman emphasizes the need for personalization and intentional strategies in preventing burnout.
Click HERE for our detailed shownotes!
(https://simkit.co/podcast/)
2025-04-1056 min
White Coat Investor PodcastWCI #413: Optimizing Your Career for Longevity with Rob OrmanToday we are talking with Dr. Rob Orman. Dr. Orman is a writer, podcaster and coach. He is an emergency medicine doc who now works with physicians to build resilience, overcome burnout, and reconnect with meaning and purpose in their work. In this conversation we discuss side gigs and the impact they can have, we talk about the incredible power of mindset, we talk about burnout and so much more. Financial Waterfalls for New Residents and Attendings: https://www.whitecoatinvestor.com/financial-waterfalls-for-new-residents-and-attendings/ Today's episode is brought to us by SoFi, the folks who help you g...
2025-04-031h 17
The Shift Report33. Rob Orman - He's lived burnout. Now he's helping others.Rob Orman faced burnout at least three times during a long clinical journey. Now, he is a certified executive coach helping physicians at all stages - just out of residency to mid to late career - who are struggling with the realities of the current practice of emergency medicine. He's been there with us during busy shifts, managing everything from the most critical patients to figuring out when to eat. You can learn more about Rob, and find some great Stimulus podcasts at roborman.com
2025-03-1330 minHealthcare Leadership ExcellenceEpisode 123: Breaking Decision Paralysis with Dr. Rob OrmanI welcome back Dr. Rob Orman, emergency physician and host of the Stimulus Podcast, for another insightful conversation. Rob and I dive deep into decision-making—why it’s often more complicated outside of clinical settings and why intelligent people still struggle to make the right calls.We break down the role of uncertainty, the brain’s instinctive reactions, and the difference between clinical and administrative decision-making. Rob shares practical strategies like the Five Whys technique to get to the root cause of problems and the importance of stress-testing assumptions with others—especially those who challenge us.We a...
2025-02-1735 min
Succeed in Medicine#437 - Mastering Difficult Patient Conversations with Dr. Rob OrmanEvery physician has those patient conversations they’d rather avoid, the ones that drain energy and feel like a constant struggle. But what if there was a way to make them easier and more effective? In this episode, Dr. Rob Orman shares how scripting your least favorite conversations can help you stay in control, set boundaries with compassion, and reduce emotional fatigue.Dr. Bradley Block and Dr. Rob Orman dive into key frameworks that can help you approach difficult conversations with confidence, including the “Yes, No, Yes” method—affirming concerns, setting boundaries, and providing alternatives, how to identify...
2025-02-1330 minStimulus - Learn Tools to Crush It in Your Medical CareerThe Upset Patient ProtocolDealing with an angry, upset patient can feel like walking into an emotional storm. The frustration in the room is palpable, and even the most experienced clinicians can feel thrown off balance. While medical training equips us to handle complex diagnoses and emergencies, it often falls short when it comes to managing interpersonal conflict. That’s where the Universal Upset Patient Protocol comes in—a straightforward, highly effective framework designed to de-escalate tense situations, restore trust, and protect your own emotional bandwidth. In this episode, we explore Dr. Dike Drummond’s original protocol, breaking down each step with specific langua...
2025-02-1032 minHealthcare Leadership ExcellenceEpisode 114: Leading Like Alice with Dr. Rob OrmanIn this episode of the Healthcare Leadership Excellence Podcast, I welcome back Dr. Rob Orman for his fifth appearance. Rob shares lessons from his article, “From Hot Mess to Night Shift Boss,” inspired by a nocturnist physician, Alice, who thrives in the toughest shifts.Alice approaches challenges like night-shift sign-outs with energy and efficiency, a stark contrast to the dread many feel. Rob explains how adopting Alice’s mindset changed his own experience. Instead of avoiding sign-outs, he reframed his attitude, deciding to tackle them proactively and efficiently.Rob highlights three key lessons:Self-Efficacy - Beli...
2024-12-0230 minHealthcare Leadership ExcellenceEpisode 110: Burnout and the N Plus One Solution with Dr. Rob OrmanIn this episode of the Healthcare Leadership Excellence Podcast, I have the pleasure of welcoming back Dr. Rob Orman, an expert on physician burnout. Today, we’re tackling an issue that hits home for so many in healthcare: the overwhelming weight of burnout. Too often, solutions offered are superficial—recommending yoga mats or meditation apps for quick fixes. But burnout is deep-seated, and what Dr. Orman brings to the table is a truly comprehensive, thoughtful approach to not just coping, but preventing burnout, in a meaningful way.Dr. Orman shares his concept of "N+1," which I find comp...
2024-11-0432 minStimulus - Learn Tools to Crush It in Your Medical CareerMel Herbert on Mediocrity, Forgiveness, and the Cost of Holding GrudgesHolding onto a grudge can feel strangely delicious, but that sense of righteousness often comes at a steep cost. In this episode, EMRAP founder Mel Herbert joins Rob to unpack a rift that’s lingered for over half a decade—and explore the way forward to healing. We also break down why achievement does not demand extraordinary genius or talent but a shift in how we view our perceived mediocrity. Why the idea that we need to be exceptional to succeed fuels imposter syndrome and keeps us from valuing the potential in our "average" qualities. We examine the p...
2024-11-0451 min
EMplify by EB MedicineMaladaptive Perfectionism with Rob Orman, MDIn this special episode, Sam Ashoo MD and Rob Orman MD discuss the concept of Maladaptive Perfectionism and its application to emergency medicine.Understanding Maladaptive PerfectionismCase Example and DiscussionAdaptive vs Maladaptive PerfectionismPersonal Experiences and Legal ChallengesDealing with Negative OutcomesStrategies for Managing Perfectionism in the EDHandling Overwhelming ShiftsManaging Expectations in the EDA Soul-Crushing Day in the EDFinding Meaning in Moments of CrisisThe Importance of Meaningful WorkOperationalizing Meaning in Your ShiftThe Driveway Debrief: Transitioning from Work to HomePreparing for the Next ShiftConclusion and Next Episode TeaserFor more from Rob Orman, MD check...
2024-09-2938 minHealthcare Leadership ExcellenceEpisode 91: Crucial Conversations with Dr. Rob OrmanDr. Rob Orman, a renowned expert in handling difficult conversations, joins me once again on the Healthcare Leadership Excellence podcast. He hosts the Stimulus Podcast and sends out phenomenal newsletters. Today, we dive into why people often struggle with conflict.Dr. Orman explains that our natural response to uncomfortable situations is largely driven by our limbic system, often called the "lizard brain." This part of our brain triggers fight-or-flight responses, making it difficult to stay calm and rational during conflicts. He emphasizes that understanding this biological reaction is the first step toward improving how we handle tough...
2024-06-2433 min
EMplify by EB MedicineAction Is The Antidote For Rumination - An Interview with Rob Orman, MDIn this episode, Sam Ashoo, MD interviews Rob Orman, MD, founder of Orman Physician Coaching, about routine examination of our careers in emergency medicine.Understanding Career Cycles and Embracing ChangeThe Importance of Career Reflection and Making TradesNavigating Career Satisfaction and Preventing BurnoutProactive Career Management and Reflection StrategiesExploring Career Alternatives and Rediscovering Joy in MedicineBalancing Work, Love, Play, and Health for a Satisfying LifeWhen to Seek Coaching for Career GuidancePractical Tools for Self-Reflection and Taking ActionClosing Thoughts and Resources for Emergency Physicians
2024-05-1540 minHealthcare Leadership ExcellenceEpisode 78: Stress Regulation in Healthcare with Dr. Rob OrmanToday, we're thrilled to welcome back a special guest for the third time, Dr. Rob Orman, who founded the Stimulus Podcast and has won multiple awards for his lectures.In our conversation, Rob shares insights from his recent blog post on D-Day, particularly focusing on the remarkable leadership General Theodore Roosevelt Jr. displayed during the Normandy invasion. Despite facing challenges and landing a mile off course, General Roosevelt's rallying cry, "We'll start the war from right here," epitomizes resilience and adaptability in the face of adversity.Transitioning to the everyday challenges of healthcare, Dr. Orman...
2024-03-2537 min
Wild Health PodcastWhy You Are Drowning in Stress and How to Save Yourself with Dr. Rob OrmanIn this episode of the Wild Health Podcast, Dr. Mike Mallin is joined by Dr. Rob Orman, an emergency physician and educator, to explore the intricacies of stress management through the lens of acceptance, awareness, recalibration, and the mindset required to effectively manage stress. Dr. Orman shares his insights into the different types of stress, the physiological and cognitive responses to stress, and introduces a multifaceted approach to coping with stress. This conversation is not only a deep dive into the science of stress but also a practical guide on how to apply these concepts in everyday life, especially...
2024-03-071h 04
Scott Carney Investigates30. Shocking Stories from the Emergency Room: A conversation with Dr. Rob Orman and the strange things he's removed from people's backsides.The one question that Emergency Room Doctors get more than any other is "what sorts of objects have you pilled out of people's rectums." I've known Dr. Rob Orman for several years now and he has stories galore: from the proper technique to remove rectal foreign bodies without damaging his patients, to how to keep up his bedside manner when operating on a known criminal with a horrible record. You don't want to miss this show.
Listen to Rob Orman's Stimulus Podcast: https://roborman.com/stimulus-podcast/
2023-10-141h 05Healthcare Leadership ExcellenceEpisode 56: The Transformative Power of Coaching with Shandy Welch and Rob OrmanIn this episode of the Healthcare Leadership Excellence podcast, we bring together two exceptional guests, Rob Orman, MD, ACC, and Shandy Welch, PCC, to discuss the challenges and benefits of coaching in the healthcare industry.This episode dives into the critical role of coaching in healthcare leadership and the common issue of coaches being called in too late when bridges have already been burned. We emphasize the need to shift the perspective on coaching from being punitive to a growth opportunity. We also make mention of the significant return on investment (ROI) when organizations invest in coaching.
2023-10-0949 minHealthcare Leadership ExcellenceEpisode 41: Addressing Perfectionism with Dr. Rob OrmanIn this episode, Dr. Rob Orman, host of Stimulus Podcast, and I delve into the inner dialogue and self-image associated with perfectionism. Dr. Orman explains that the underlying thought often revolves around feeling inadequate, believing that "I am not enough." While this negative motivation can drive achievement, it doesn't contribute to joy and well-being. The first step in addressing perfectionism is developing awareness of the inner voice and recognizing its presence.He explains that addressing the perfectionist voice is an ongoing process. It's about developing a relationship with it, listening to it without necessarily believing its criticisms...
2023-06-2639 min
The Prosperous DocUnpacking the Good and the Bad of Grit with Dr. Rob OrmanDr. Orman spent 21 years working in clinical community emergency medicine. In the first 10 years of his practice, he experienced three severe burnouts. Without much guidance, he thought the solution was to work harder - grit it out. Soon after his third major bout of burnout, Dr. Orman realized that his current way of life wasn’t sustainable. So, he switched gears to work in medical education, and that became a salvation for him, giving him a new purpose. This led him to start his podcast, Stimulus, and spend a year getting his certification from a coac...
2023-02-2438 minHealthcare Leadership ExcellenceEpisode 22: Three Realms of Agency with Rob OrmanToday's podcast episode with Dr. Rob Orman, a seasoned emergency room physician and medical leader, delves into the crucial concept of agency across three levels - personal, professional, and systemic. He emphasizes the significance of establishing connections between these levels and being aware of individuals' agency and its source.Additionally, Dr. Orman provides valuable insights on navigating challenging situations where one knows they are right, but must help others understand the significance of their perspective. He asserts that collaboration on differing views is a vital aspect of successful leadership.Finally, he offers practical advice for...
2023-02-1336 min
Stimulus - Learn Tools to Crush It in Your Medical CareerFeedback can be hard to give and harder to receive. Here are techniques to do both better.Feedback comes in many forms and oftentimes we aren’t even aware that it’s happening. In this episode, communication expert Lon Setnik, MD breaks down the basics of feedback, why cloaked or hidden feedback can be so dangerous, and critical skills for both delivering and receiving feedback. Guest Bio: Lon Setnik, MD is a community emergency faculty at the Center for Medical Simulation. Mentioned in this episode: The Awake and Aware Physician conference sponsored by Wild Health. Jan 13-15 Sedona Arizona. Use the code CONSCIOUSPHYSICIAN for 15% off (that’s 15% off the whole package – lodging, meals, th...
2022-12-0558 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe Value and Pitfalls of Signout Culture with Mike Weinstock, MDThere is no doubt that handing over care of a patient to another clinician is potentially fraught with peril. After all, it’s in the transitional moments when error is most likely to occur. But there’s a balance to strike here because there are also myriad upsides to signouts for both the patient and clinician. In this episode, Mike Weinstock, MD breaks down the arguments in favor of signouts, how to do them well, the big fat hairy signout pitfall, and why signouts might just be a key ingredient to career longevity and patient safety.Guest Bio...
2022-03-0653 min
Stimulus - Learn Tools to Crush It in Your Medical CareerBouncing Back After a Tough CaseThe nature of medical practice dictates that we will have tough cases. Patients will die, we will have to deliver bad news, and we will, at some point, make mistakes. We have high expectations of ourselves so when we get figuratively knocked down, how do we get back up? In this episode, performance coach Jason Brooks guides us through strategies for dealing with the emotional and intellectual fallout of a bad case as well as how to re-engage during a shift when the last thing we feel like doing is seeing the next patient. Guest bio: Jason Bro...
2021-11-1538 min
Stimulus - Learn Tools to Crush It in Your Medical CareerWhy Focusing on Patient Experience and Not Satisfaction Is the Right MovePatient satisfaction and the patient experience are vastly different different things. In this pod we discuss: how experience is influenced by every conceivable touchpoint, and perception, how making a purposeful choice to care helps ensure that our patients have a positive experience, efficiently handling the situation when a patient has extra questions, the best way to acknowledge a patient’s long wait, and de-escalating the unhappy patient.Guest Bio: Justin Bright MD, CPXP is an attending physician and the Assistant Medical Director for Patient Experience in the Department of Emergency Medicine at Henry Ford Hospital in Detroit. He...
2021-11-0144 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe Pillars of Your Professional Life | Do you own or rent your career?Job satisfaction increases when the work we do aligns with our purpose. One way of looking at it is by creating pillars that support your career and being intentional about using those pillars to help guide your decisions. In this episode, we learn that Jaime Hope’s four roles as an emergency physician are to excel as a public safety officer, a resuscitationist, a diagnostician, and a patient advocate. Rob’s pillars are to spark joy in the lives of others, to be present as much as possible, to be of service, and to facilitate awesomeness. Awake + Aware...
2021-10-2110 min
Stimulus - Learn Tools to Crush It in Your Medical CareerPrimum Non Nocere | How 8 doctors practice 'first do no harm'In this episode we hear from eight leading physician educators about a core principle of patient care: primum non nocere. We learn that limiting harm can translate into doing what’s medically right, putting the patient’s welfare first, judicious use of IV fluids, reducing opioid prescribing, making a habit of pausing when depleted, acknowledging the end of life, and allowing a natural death. Awake + Aware | Our 2025 Live Event⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and lock in...
2021-10-1820 min
Stimulus - Learn Tools to Crush It in Your Medical CareerOutpatient COVID-19 Therapy with Salim Rezaie, MDThe treatment of non-hospitalized patients suffering from COVID-19 is a hot topic and constantly changing. Today we have a conversation with Salim Rezaie, MD whose dive into this literature couldn’t be much deeper. We discuss which subgroup of patients might benefit from monoclonal antibodies, why the jury is still out on the benefit of ivermectin, the role of inhaled budesonide, and outpatient anticoagulation which hasn’t been studied, but hopefully will be someday. Guest Bio: Salim Rezaie completed his medical school training at Texas A&M Health Science Center and continued his medical education with a combi...
2021-10-1430 min
Stimulus - Learn Tools to Crush It in Your Medical CareerDeeper Stimulus Book Club 1 AnnouncementScott Weingart and I will be hosting a book club. When: Nov 14th 20:00 EST Where: Via Zoom Who: Anyone who will actually read the book and wants to participate. We are limiting this first one, so please don't sign up unless you are genuinely interested. We will be releasing a recording for those folks that want a passive experience. Nonviolent Communication: A Language of Life: Life-Changing Tools for Healthy Relationships How: Sign-Up Here. If we are full, put your name on the waiting list
2021-10-0603 min
Stimulus - Learn Tools to Crush It in Your Medical CareerHow to Be A Medical Expert Witness with Amal Mattu, MD and Rich Orman, JDThinking about a career as an expert witness but now quite sure how to get started? Or perhaps you already have a side gig in this line of work but you want to up your game. In this episode we chat with Amal Mattu, MD who is an expert at being an expert witness. He shares pearls of wisdom including what inspires him to do this, how he does it, and why you should remain nice even when it’s getting heated in the courtroom. Our second conversation is with Rich Orman, JD who has years of experience working with...
2021-10-0457 min
Stimulus - Learn Tools to Crush It in Your Medical CareerAim to be a Zero | An astronaut's guide to life on EarthWhat does your life have in common with that of an astronaut? A lot, it turns out. Dan Mccollum returns to Stimulus to break down the skills learned by International Space Station commander Chris Hadfield as explained in his autobiography An Astronaut's Guide to Life on Earth.Guest Bio: Dan Mccollum, MD is an emergency physician, associate professor, and associate residency director at the Medical College of Georgia. Hear more of Dan on Stimulus episodes #1 Verbal Judo #14 Stoic With A Capital S and #25 Digital Minimalism.Awake + Aware | Our 2025 Live Event⭐ Join us at Awak...
2021-09-2028 min
Over the Wall with Rob LoCascioEP20: Suze OrmanThis week's guest is the incredible Suze Orman. A legend in the finance world and beyond, Suze shared some of her biggest tips with me on the podcast but also went beyond that to dig into what truly attracts money, how we can prepare for the future, and what makes a great leader. I hope you enjoy the episode as much as I did recording it.
For more content about entrepreneurship, founding a company, raising funds, or to just ask me a question, you can find me all over social:
Instagram: https://www.instagram.com/roblocascio
2021-09-1349 min
Stimulus - Learn Tools to Crush It in Your Medical CareerLessons Learned in Blood with Mike Shertz, MD | Mass casualty response effectiveness with Green Beret and physician Mike Shertz, MDMass casualty events are rare and thus the mistakes made and lessons learned are often repeated, over and over. In this episode, emergency physician and former Special Forces medic Mike Shertz, MD walks us through the steps on how to be an effective first receiver of mass casualty victims and shares the lessons written in blood from previous events. Guest Bio: Mike Shertz MD is an emergency physician who spent 13 years as a Green Beret and a Special Forces medic. He is the founder and purveyor of Crisis Medicine which teaches and trains first responders in tactical c...
2021-09-0651 min
Stimulus - Learn Tools to Crush It in Your Medical CareerCultivating the Emergency Mind | Graduated pressure, sangfroid, and acknowledging the suboptimalThe emergency mind is cool under pressure. But how do you get there? For most us, it’s not an innate skill. Dan Dworkis MD, PhD lays out the path: graduated pressure, deliberate training, tired moves, and acknowledging the suboptimal.Guest Bio: Dan Dworkis MD, PhD is an emergency physician who is a clinical professor of emergency medicine at USC Keck School of Medicine. He's also host of the Emergency Mind podcast that focuses on helping individuals and teams perform better under pressure and the author of The Emergency Mind: Wiring Your Brain for Performance Under Pressure.
2021-08-2354 min
Stimulus - Learn Tools to Crush It in Your Medical CareerRescue in the Jungle | Rob and Melissa meet a hiker with a medical emergencyA hike in the jungle takes an unexpected turn when Rob and Melissa meet a traveler with a medical emergency.In this episode: medical emergencies in austere environments, managing acute pain without medication, and using breath work vs distraction in high stress situations.Pics and videos on our website. Awake + Aware | Our 2025 Live Event⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and lock in the mindset you need to flourish. Space is limite...
2021-08-0933 min
Stimulus - Learn Tools to Crush It in Your Medical CareerToo Much On My Plate | Getting un-busy, procrastination, and pulling back from overcommitmentThe phrase “too much on my plate” and word “busy” are pervasive in modern discourse. But does it have to be so? We certainly didn’t start out that way as children! In this episode, Dr. Christina Shenvi walks us through the path to clear our ‘schedule plates’ and open space in our lives, get un-busy, and conquer the email inbox.Guest Bio: Christina Shenvi MD, PhD is an emergency physician at the University of North Carolina, Chapel Hill where she is the director of the UNC Office of Academic Excellence and the newly appointed president of the Associatio...
2021-07-261h 00
Stimulus - Learn Tools to Crush It in Your Medical Career54. Spanish matador Juan Belmonte practiced naked | Defining success and developing character through the medium of careerWhat gives you fulfillment in your job? If you know it, do you make purposeful choices to keep pointed in that direction?We start with the tale of Juan Belmonte...Juan Belmonte's journey to becoming a master of the bullfighting arena is a tale of resilience and unparalleled determination. Born into modest circumstances, Belmonte initially faced a series of setbacks, including an early attempt at being a shopkeeper, which failed, compounded by a physical disability that could have easily derailed his ambitions. Undeterred, Belmonte turned to bullfighting, an arena where his physical limitations were not...
2021-07-1229 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe Five Fears of Scott WeingartScott Weingart is arguably one of the most influential and polarizing physicians on the planet. He is not one to mince words and often comes across as definitive in how he describes his practice of medicine. What people don't realize, he says, is that his clinical care is often guided by fear, not bravado, ego, or machismo. In this episode, Scott breaks down his five fears when it comes to medical practice and thinks that those who seek to follow his advice should take these fears into account before acting.Guest Bio: Scott Weingart is an emergency ph...
2021-06-2852 min
Stimulus - Learn Tools to Crush It in Your Medical CareerListening to Podcasts for Maximal Retention | Interstitial time, task type, hour of day, driving vs undivided attentionMost of us don’t give a lot of thought to how and when we listen to podcasts. But like most of life, an intentional approach can reap benefits. In this episode, Josh Russell walks us through: strategies for maximizing retention, listening based on brain state, new data on listening while driving, the value of silence.Guest Bio: Joshua Russell, MD is clinician, writer, and educator. Since completing residency training in Emergency Medicine, Dr. Russell has had a varied career including supervising PAs and NPs as a medical director for a regional Urgent Care network, contributing to vari...
2021-06-1430 min
Stimulus - Learn Tools to Crush It in Your Medical CareerExcellent Presentations with Ross Fisher, MD | Detailed instructions for how to slay it on stage (or online)Pediatric surgeon Ross Fisher, the mind behind p cubed presentations, breaks down how to finish a talk (teaser, it’s not a random vacation slide or you saying, “Thank you,” and walking off stage). As a bonus, he also discusses structuring a lecture with spaced repetition so your audience truly understands your message, fielding questions, staying on message, and how to (and how not to) use a script in lecture preparation.Guest Bio: Dr. Ross Fisher is a UK based pediatric surgeon and the creator of p cubed presentations. The p cubed philosophy, based on three core princip...
2021-05-3130 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe Wedge | An internal shift to thrive under duressInvestigative journalist and bestselling author Scott Carney is our guest as we discuss: what it means to be human, going deep in the Wim Hof method, benefits of cold exposure, climbing Kilimanjaro without a shirt, using The Wedge to change conversations with your limbic system, kettlebell throwing, and why you might want to embrace failure.Guest Bio: Scott Carney is an anthropologist, investigative journalist, author, and a seeker of both the fringes of human experience and the core of what makes us human. Scott has written four books to date, including The Enlightenment Trap, The Red Market...
2021-05-171h 12
Stimulus - Learn Tools to Crush It in Your Medical CareerCan Sex Improve Nasal Function?Recent evidence suggests that sex to orgasm can improve nasal airflow equal in degree to nasal decongestant spray. We break down the literature (which totals 1 article).Awake + Aware | Our 2025 Live Event⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and lock in the mindset you need to flourish. Space is limited.🖱️ Website: Awakeandawarebend.com🎓 P.S. Yes, this is a CME event!The Flameproof CourseThe hidden anti-burnout curriculum we a...
2021-05-0608 min
Stimulus - Learn Tools to Crush It in Your Medical CareerSkill Decay | How to get back in the gameHigh demand jobs (like fighter pilot, emergency medicine, trauma surgery, etc.) require continued exposure to the field of operations for maintenance of top level sharpness. In today’s episode we explore the phenomenon of skill decay and ways to mitigate its effects. Guest Bio: Joshua Russell, MD is clinician, writer, and educator. Since completing residency training in Emergency Medicine, Dr. Russell has had a varied career including supervising PAs and NPs as a medical director for a regional Urgent Care network, contributing to various Hippo Education podcasts, and serving as the Editor-in-Chief of the Journal of Urgent Care...
2021-05-0315 min
Stimulus - Learn Tools to Crush It in Your Medical CareerCOVID Infection and Vaccine Safety in PregnancyNew data this week has shed light on risks associated with COVID infection and the safety profile of mRNA vaccines in pregnant patients. Listen on: iTunes Spotify Stitcher References Villar J, Ariff S, Gunier RB, et al. Maternal and Neonatal Morbidity and Mortality Among Pregnant Women With and Without COVID-19 Infection: The INTERCOVID Multinational Cohort Study. JAMA Pediatr. Published online April 22, 2021. doi:10.1001/jamapediatrics.2021.1050 Full Text Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons. The New England Journal of Medicine: Apr 21, 2021. Full Text For previous episodes or to...
2021-04-2311 min
Stimulus - Learn Tools to Crush It in Your Medical CareerStrategies to De-Stress Your Nervous System | Before, during, and after intense eventsWe are often witness to, or sometimes in the middle of, traumatic events. Whether it’s a mass casualty or cumulative stress over time, our nervous system can get stuck in an upregulated state. In this episode, we break down: training to handle stressful events, protective strategies to employ during and after traumatic events, the physiology of PTSD, specific techniques to downregulate your nervous system and getting to a place of equanimity.Guest Bio: Ryan Cheney is a mental health therapist, breath work, and performance coach based in Bend Oregon. Our guest on Stimulus Episode 5: The Art of...
2021-04-1946 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe Story Behind COVID Vaccines and Brain Blood ClotsThe news this week has been replete with stories about increased clot risk in those who have received the AstraZeneca and Johnson & Johnson COVID-19 vaccines. In this episode, we break down: what we know so far about vaccine induced thrombotic thrombocytopenia (VITT), the research that has revealed an underlying mechanism, CDC and NHS recommendations, and a primer on cerebral venous thrombosis -- the primary clot site associated with VITT. We Discuss: Vaccine induced thrombotic thrombocytopenia (VITT) The similar mechanism of AstraZeneca's and Johnson & Johnson's COVID-19 vaccines [01:00]; Proposed mechanism of VITT [03:20]; Greinacher, Andreas, et al. "Thrombotic Thrombocytopenia aft...
2021-04-1628 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe Beirut Explosion and Mass Casualty | A First Hand AccountThe August 4, 2020 explosion in Beirut, Lebanon is thought to be one of the most powerful artificial, non-nuclear explosions ever, causing over 200 deaths and 7500 injuries. In today’s episode, we walk through a firsthand account of what happened during this mass casualty event from the lens of an emergency physician who was there.Guest Bio: Sarah Abdul-Nabi, MD is an emergency medicine resident at the American University of Beirut Medical Center. She is the author of Airway Breathing Circulation: An Emergency Medicine Resident's Experience of the Beirut Explosion.Awake + Aware | Our 2025 Live Event⭐ Join us at A...
2021-04-0533 min
Stimulus - Learn Tools to Crush It in Your Medical CareerHow to Not Take Things PersonallyOur ego is always on patrol and, when it’s insulted, watch out! That is the core of what it means to take things personally. In this episode, we break down: how to not take things personally, sustainable happiness, using body language to transform our internal state, why some insults hurt and others do not, and specific scenarios where you might feel insulted (but don’t need to be).Guest Bio: Frederik Imbo is the founder and head of Imboorling, a company dedicated to improving communication on both the micro and macro levels. Frederik is a formally train...
2021-03-2256 min
Stimulus - Learn Tools to Crush It in Your Medical CareerTough Love and Managing Complainers | Unapologetic expectations with Jim Adams, MDJim Adams, MD is direct, transparent, and unapologetic in his ‘tough love’ management strategy. In this episode, Jim breaks down: how setting expectations early helps to manage complaints later, managing those who degrade social capital, redirecting conflict to mutual benefit, and how understanding what motivates others’ behavior keeps you from taking things personally. Guest Bio: Jim Adams, MD is professor and chair of the Department of Emergency Medicine at Northwestern University Feinberg School of Medicine. He is also the senior vice president and chief medical officer at Northwestern Medicine. Awake + Aware | Our 2025 Live Event⭐ Join us...
2021-03-0819 min
Stimulus - Learn Tools to Crush It in Your Medical CareerCognitive Reframing | Shifting the approach with addiction, end of life, and catastrophizingWe have a choice in how we perceive and act on any situation. Using that knowledge in an intentional way to shift perspective is at the core of cognitive reframing. Epictetus, the great Stoic philosopher, said it best, "It is our attitude toward events, not events themselves, which we can control."Guest Bio: Jaime Hope, MD is an attending emergency physician at Beaumont hospital in Detroit, Michigan. She is the author of Habit That!: How You Can Health Up in Just 5 Minutes a Day, leads the Better Health Habits online course, and teaches the Behavior Change and Mo...
2021-02-2226 min
Stimulus - Learn Tools to Crush It in Your Medical CareerEffect of a single vaccine dose with and without previous COVID infectionIn this episode: Effect of Israel’s full bore vaccine program, protection after a single vaccine dose, immunity after a single dose in those with COVID antibodies from previous infection, evidence of decreased transmission following AstraZeneca vaccine, vaccine potency and viral variants. We Discuss: Israel’s full bore vaccination program and the effect on new cases, hospitalizations, and severe disease [00:01:18]; In patients over 60 41% Decrease in new cases 31% decrease hospitalizations 24% decrease critically ill Article Link How much protection is there after a single dose of mRNA vaccine? [00:04:56]; Pfizer vaccine reduced infection 13-24 days after first vaccination by 51% compared to 1-12 d...
2021-02-1118 min
Stimulus - Learn Tools to Crush It in Your Medical CareerVinay Prasad Wants to Flip Your Vote | Chemotherapy delusions, overstating benefit, trade offs, and medical reversalVinay Prasad pulls no punches in this wide ranging conversation about the realities (and delusions) about chemotherapy research, principle centered social media engagement, flipping votes, the FDA drug approval process, the importance of early palliative care, the dangers of embellishing therapeutic benefit, medical reversals, effective vs efficacious, and trade offs in decision making. Guest Bio: Dr Vinay Prasad is a practicing hematologist-oncologist and Associate Professor in the Department of Epidemiology and Biostatistics at the University of California San Francisco. He studies cancer drugs, health policy, clinical trials and better decision making. He is author of over 250 academic ar...
2021-02-081h 12
emDOCs.net Emergency Medicine (EM) PodcastEpisode 21: Perspectives on Success with Rob Orman As emergency physicians, we experience a great deal of success, and failure, in our journeys. What can failure and success teach us, and how can we best use these to grow? Today on the emDocs podcast, Brit Long, MD (@long_brit) interviews Rob Orman (@emergencypdx), host of ERCast, the Stimulus Podcast, and Essentials of Emergency Medicine. The first part looked at Rob’s perspectives on failure and how to learn from it. Today we look at success in EM and life. To continue to make this a worthwhile podcast for you to listen to, we appreciate any fee...
2021-02-0218 min
Stimulus - Learn Tools to Crush It in Your Medical CareerHow to MeditateMaster meditation teacher Robert Beatty walks us through: the basics of meditation, how to start a meditation practice, principles of mindfulness, understating the roots of suffering, how concentrating on the breath can lead to insight, and healthy vs unhealthy coping. Guest Bio: Robert Beatty is co-author of Mindfulness for a Happy Life as well as founder and guiding teacher of the Portland Insight Meditation Community. He has worked with thousands of students and, as a practicing therapist, has created a unique synthesis of Buddhist methods of awakening and healing and those of western psychotherapy.Awake + Awa...
2021-01-251h 13emDOCs.net Emergency Medicine (EM) PodcastEpisode 20: Perspectives on Failure with Rob OrmanAs emergency physicians, we experience a great deal of success, and failure, in our journeys. What can failure and success teach us, and how can we best use these to grow? Today on the emDocs podcast, Brit Long, MD (@long_brit) interviews Rob Orman (@emergencypdx), host of ERCast, the Stimulus Podcast, and Essentials of Emergency Medicine. This first part will look at Rob’s perspectives on failure and how to learn from it. In the second part, we will cover success in EM and life. To continue to make this a worthwhile podcast for you to listen to...
2021-01-1931 min
Stimulus - Learn Tools to Crush It in Your Medical CareerStress Inoculation | HALO procedures, racing the clock, low fi sim, and the power of an audienceWe break down three techniques to inoculate yourself against the stress of time-critical tasks.Guest Bio: Jason Hine, MD is a community emergency medicine physician at Southern Maine Healthcare where he is the Medical Director of Education. He is a graduate of Tufts University School of Medicine and the Temple EM Residency program where he served as chief. He serves as an Associate Editor and Author on the DownEast EM blog and podcast and has an interest in procedural skill set decay as well as the role of academics in improving the recruitment, retention, and satisfaction of c...
2021-01-1121 min
Stimulus - Learn Tools to Crush It in Your Medical CareerUK COVID Variant ExplainedWe break down what’s known about the new UK COVID variant: what it is, what’s meant by ‘more transmissible’, and potential effects on vaccine efficacy. Listen on: iTunes Spotify Stitcher We discuss: A new COVID variant in the UK is reported to be 71% more transmissible than ‘wild type’ virus [00:01:45]; The epidemiologic data on the new variant [00:03:09]; NERVTAG has ‘moderate confidence’ of increased transmissibility [00:04:56]; UK technical briefing shows no increase in 28 day mortality for new variant (at least so far) [00:06:02] A South African variant shows similar behavior as UK virus [00:06:45]; Potential effects of new variant mutat...
2021-01-0315 min
Stimulus - Learn Tools to Crush It in Your Medical CareerA Physician's Terminal Diagnosis | Facing mortality and sharing wisdomChristiaan Maurer MD, was in his mid-40s when diagnosed with glioblastoma multiforme -- terminal brain cancer. In this episode, he and Rob discuss: what terminal illness taught him about time, what people with cancer do and don’t need, preparing your family for a future without you, the most/least admirable traits in physicians, and the secret of life. Awake + Aware | Our 2025 Live Event⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and lock in the mindset y...
2020-12-2830 min
Stimulus - Learn Tools to Crush It in Your Medical CareerHow Tylenol and Sleep Impact Vaccine Antibody ResponseThe historical effects of acetaminophen and sleep on vaccine antibody response. Awake + Aware | Our 2025 Live Event⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and lock in the mindset you need to flourish. Space is limited.🖱️ Website: Awakeandawarebend.com🎓 P.S. Yes, this is a CME event!The Flameproof CourseThe hidden anti-burnout curriculum we all should have learned in training. Cohort 3 begins Sept 10, 2024. Get the deets For full sh...
2020-12-2119 min
Stimulus - Learn Tools to Crush It in Your Medical CareerWillpower Depletion and the Limits of Self RegulationMost of us have habits we'd like to change -- both getting rid of bad ones and adopting good ones. It's easier said than done! Habits by nature are hardwired and happen without much activation energy. In this episode, Christina Shenvi MD, PhD breaks down the nature of willpower, how knowing it's a limited resource can play to our advantage, strategies for getting out of bad habits, and how to adopt the ones you want.Guest Bio: Christina Shenvi MD, PhD is an emergency physician at the University of North Carolina, Chapel Hill where she is the...
2020-12-1451 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe COVID Mortality Score (VACO)The Veterans Health Administration COVID-19 (VACO) Index for COVID-19 Mortality predicts 30 day mortality following a positive test. VACO co-creators Amy Justice MD, PhD and Joseph King Jr, MD, MSCE break down how to use VACO, what it does, and what it doesn’t. We’re also joined by Joe Habboushe MD, CEO of MDCalc, whose online VACO calculator makes using VACO far easier than doing it in your head. Here is a link to the VACO Calculator. Listen on: iTunes Spotify Stitcher We discuss: The Veterans Health Administration COVID-19 (VACO) Index, what it is and h...
2020-12-1022 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe Dalai Lama’s Doctor, Barry Kerzin MDA discussion with His Holiness the Dalai Lama’s personal physician Barry Kerzin, MD on: how he came to his unique job, why compassion might be better than empathy in healthcare, simple ways to develop compassion towards both others and yourself, the cure for jealousy, lessening the impact of errors, and a prescription for longevity in medicine and life. Guest Bio: Barry Kerzin, MD is a US born and trained family physician who for the past several decades has resided a monk in Dharamshala, India -- home of the Tibetan community in exile. In addition to serving as H...
2020-11-301h 09
Stimulus - Learn Tools to Crush It in Your Medical CareerCOVID-19: Why a negative test doesn't clear you to see Grandma, Vax updatesWe review the false negative rates of different COVID tests (PCR and rapid antigen), the known knowns and known unknowns of the Moderna vaccine. Listen on: iTunes Spotify Stitcher We discuss: Why the lack of a legitimate gold standard is a challenge when comparing different tests for COVID-19 [01:45]; RT-PCR: why we shouldn't be reassured by a negative test result [03:45]; How your pretest probability of disease affects your interpretation of test results [07:00]; The COVID antigen test: faster and more widely available, but less accurate [08:10]; A NYT report of a rapid antigen test study showing suboptimal tes...
2020-11-2317 min
Stimulus - Learn Tools to Crush It in Your Medical CareerHow To Be An Effective LeaderEffective (and ineffective) leadership comes in many flavors, but there is an underlying quality to any good leadership that you know when you see it. In this episode, Colonel Jim Czarnik, MD and Josh Bucher, MD break down the lessons they’ve learned leading in both the military and civilian worlds of medicine and crisis situations. My favorite quote from this episode: “Purpose is embraced, not imposed.” Guest Bios:Colonel Jim Czarnik, MD is the Deputy Chief Of Staff, Surgeon United States Army Special Operations Command. He has previously served as Command Surgeon for US Army Afri...
2020-11-1637 min
Stimulus - Learn Tools to Crush It in Your Medical CareerCOVID-19: Dirty Money, Wave 3, COVID + fluIn this Stimulus Thump: Should we be worried about COVID on surfaces? Tools to manage the third wave. A new study suggests there might be benefits from aspirin. Having flu and COVID at the same time increases odds of mortality. Listen on: iTunes Spotify Stitcher This episode is sponsored by Wild Health. Wild Health provides personalized medicine that takes into account your DNA, biometrics, microbiome, and lifestyle factors to come up with your ideal diet, supplements, and lifestyle to optimize health and maximize healthspan. Use the code "Stimulus” for 10% off any Wild Health care plan. ...
2020-11-0925 min
Stimulus - Learn Tools to Crush It in Your Medical CareerImposter Syndrome, Either/Or Thinking, and the Daily Dose of GoodnessWhen things are going well, you may not notice how your mind is working. But sometimes, you are overtaken by events and it can feel like the gears are grinding in the worst possible way in both life and work. In this episode, physician coach Gail Gazelle, MD, walks us through the mental processes that happen in those gear grinding moments and how to not only work through them, but also come out the other side with resilience and a better understanding of ourselves.Guest Bio: Gail Gazelle, MD, MCC is a former hospice physician, part-time Harvard Me...
2020-11-021h 01
Stimulus - Learn Tools to Crush It in Your Medical CareerCOVID-19: Vitamin D, Aspirin, Exercise, and RestaurantsIn this Thursday Thump: Is there a role for aspirin in COVID? Does vitamin D reduce the chance of getting COVID or being sicker once you have it? Association between going to a restaurant and testing positive. Cardiac injury in athletes after mild and asymptomatic infection. Listen on: iTunes Spotify Stitcher We Discuss: Is there a role for aspirin in COVID infection? [01:42] ; The evidence for and against vitamin D in COVID infection [03:15]; COVID positive patients have increased odds of having been to a restaurant compared to COVID negative [09:57]; Understanding odds ratio [11:00]; Exercise with a...
2020-10-2322 min
Stimulus - Learn Tools to Crush It in Your Medical CareerDigital MinimalismOur digital lives have become cluttered, scattered, and reflexive rather than intentional. Is it time for a change? In this episode, Rob and Dan McCollum, review the principles and exercises laid out in the book Digital Minimalism: Choosing a Focused Life in a Noisy World. Taking it a step further, they share what happened when they went full on guinea pig and dove deep into the process.Guest Bio: Dan McCollum, MD is an emergency physician, associate professor, and associate residency director at the Medical College of Georgia. Here more of Dan from Stimulus Episode #1 Verbal Judo.
2020-10-1933 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe COVID Vaccine with Paul OffitWorld-renowned vaccine expert Paul Offit discusses where we stand with the development of a COVID-19 vaccine, challenges ahead, and how clinicians can best focus our efforts in vaccine education and advocacy. This podcast is produced in partnership with Hippo Education
2020-10-0827 min
Stimulus - Learn Tools to Crush It in Your Medical CareerMichele Harper on Being a Guardian of the VulnerableNY Times bestselling author Michele Harper, MD on setting boundaries, pre-shift routines, guarding the vulnerable, microaggressions, racism in the emergency department, and why inaction is just as much a choice as action. Guest Bio: Dr. Michele Harper, is an emergency physician and author of The New York Times best selling memoir, The Beauty in Breaking. She's been interviewed on Trevor Noah, Fresh Air, CNN, NBC, amongst many others. Michele is also a widely published essayist, often focusing on race and medicine. Her writing shares her personal journey that started as a child in an abusive household, then t...
2020-10-0552 minStimulus - Learn Tools to Crush It in Your Medical CareerMastering Communication When It Matters MostWho teaches doctors how to speak to patients (or each other)? It’s usually something that’s picked up as you go. Let’s be honest though, some clinicians are much better at clear and empathetic communication than others. It’s an under taught skill that’s way more important than the attention it gets. In this episode we take a look into the mind and practices of master clinician Loren Rauch. Loren is one of the wisest clinicians we know and intentionally applies humanity to every aspect of his practice. Among the topics addressed are: the ethical imperative of the well...
2020-09-2158 min
Stimulus - Learn Tools to Crush It in Your Medical CareerResponding in Anger | Impulse vs intentWhen you react in anger, what is your intent? Often it's to lash out; the reflective and thoughtful part of your brain is taken out of picture. But if you think of a really clever and biting response, what do you hope will be the result of those words? It’s unlikely to persuade. More likely it’s a quasi-cognitive-orgasmic release of F*&k You.Awake + Aware | Our 2025 Live Event⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and loc...
2020-09-1408 min
Stimulus - Learn Tools to Crush It in Your Medical CareerCOVID-19: Does Convalescent Plasma Work?Convalescent plasma has been a hot button news story over the past few weeks since the FDA approved its use in COVID patients. In this episode, hematologist Tom DeLoughery (@Bloodman) breaks down what it is, what it purportedly does, the evidence (or lack thereof) supporting its use, at what point in disease it might work, and potential dangers of indiscriminate use. This episode is brought to you by Mar-Med, makers of the industry leading and #1 selling Tourni-Cot digital tourniquet. What you may not know is that Mar-Med also makes a newly reengineered balloon extractor for nasal foreign bo...
2020-09-1026 min
Stimulus - Learn Tools to Crush It in Your Medical CareerEsther Choo and the Equity QuotientGender and racial bias are pervasive across all aspects of society, medicine notwithstanding. In this episode, Esther Choo MD, MPH (@choo_ek), a titan for the cause of gender and racial equity discusses: a rubric for deciding 'yes or no', single payer healthcare, why confining medical practice to the bedside can be an exercise in futility, sexism and racism in medicine, the wage gap, workforce vs. leadership demographics, managing overtly racist patients, and why the culture of medicine is ripe for sexual harassment.This episode is brought to you by Mar-Med, makers of the industry leading and #1 s...
2020-09-071h 32
Stimulus - Learn Tools to Crush It in Your Medical CareerCOVID-19: A Fishing Boat, Heart Damage, and What Low Oxygen Portends A fishing boat out of Seattle gives clues as to what COVID immunity looks like; an emergency department pulse ox study gives insight into the clinical course of patients discharged home who later develop low oxygen levels; and some staggering statistics on cardiac injury following COVID infection. We Discuss: The impact of neutralizing antibodies on immunity; The difference between neutralizing antibodies and what’s tested for in the Abbott Architect commercial antibody test; Why some who have a positive commercial antibody test might not be immune;; Sensitivity of Viral RT-PCR testing; What a negative PCR test me...
2020-08-2716 min
Stimulus - Learn Tools to Crush It in Your Medical CareerWhy We ProcrastinateProcrastination isn't what you might think. Do you really not have the time to get that thing done, or is there something else getting in the way? In this episode, Christina Shenvi MD, PhD breaks down: why we procrastinate and how to break free of that habit, reframing 'busyness', value based scheduling, how she decides on responding yes or no, how to say no in a skillful yet honest manner, and techniques to keep up with email. If you want to go deeper into all of this in a small group setting, Dr. Shenvi has an online time management...
2020-08-2448 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe Accumulation of Marginal Gains With Salim Rezaie | From 260 pounds to super fitA conversation with Dr. Salim Rezaie on discipline vs stubbornness, working through depression, transforming his body from 260 lbs to super fit, the aggregation of marginal gains, and intentional living. Guest Bio: Salim Rezaie is double board certified in internal medicine and emergency medicine. In addition to working clinically as an emergency physician, he runs one of the most popular medical education websites on the planet, Rebel EM. We discuss:What has been most challenging for Salim while caring for patients in the ED during the COVID-19 pandemic [03:20];The spark for Salim’s transformation from bein...
2020-08-1050 min
Stimulus - Learn Tools to Crush It in Your Medical CareerCOVID-19: Is There a Case for Hydroxychloroquine?
2020-07-3119 min
Stimulus - Learn Tools to Crush It in Your Medical CareerStoic With a Capital SWhen we hear the word stoic, what often comes to mind is a repression of emotion, a stone-faced response to adversity. You can think of that kind of stoicism as using it with a lowercase 's'. What we're talking about today is the philosophical school of Stoicism, Stoic with a capital 'S'. At its core, Stoicism provides a way to find equanimity no matter the circumstance and take on whatever adversity is thrown at you.Guest Bio: Dan McCollum, MD is an award winning educator and assistant professor of emergency medicine and Augusta University. His translation of...
2020-07-2738 min
2020-07-1614 min
Stimulus - Learn Tools to Crush It in Your Medical CareerHow to Achieve Flow StateWhat is a flow state? When you feel it, you know it. It’s an almost effortless ease of action. To define it, you could say it's a feeling of being in control without making any conscious effort to do so, or being completely immersed in an activity with energized focus. In this episode, performance coach Jason Brooks, PhD breaks down the steps to achieving flow and how to get it back when it slips away. Awake + Aware | Our 2025 Live Event⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, O...
2020-07-091h 13
Stimulus - Learn Tools to Crush It in Your Medical CareerZDoggMD | Race, Star Wars, virtue signaling, and prepping for a live showOur guest today is Dr. Zubin Damania (aka ZDoggMD), an internist, hospitalist, and healthcare evangelist. ZDogg is dedicated to turning the practice of medicine into the healing art that it should be, rather than the leviathan of bureaucracy, roadblocks, and nonsense that it sometimes seems to be. In this episode we cover: the morality of masks and not wearing them in public, racism, suspension of the scientific method in the early phases of the pandemic, Star Wars, and much more.Awake + Aware | Our 2025 Live Event⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from...
2020-06-2953 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe Space Between Stimulus and ResponseSometimes it feels like we’re buffeted by the winds of life and have little control over what happens to us. The more this cycle recurs, the more helplessness embeds itself into our psyche. Chances are that some of the decisions you make (or don’t make) come from a place of internally throwing your hands up and feeling like you have no say in the matter. The opposite of this mind-frame is called 'agency', or acting with agency. When you act with agency, you own your decisions and act with specific intent. It’s not always easy to get th...
2020-06-1147 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe Master Skill of Taking BreaksThe thought of taking a break during a busy work day can sound impossible if not contrary to the ethos of our job. The reality, however, is that taking a break is not only possible, but will likely make you clinically sharper, more efficient, and possibly even happier. In this episode, Dr. Joshua Russell walks us through how to take a break within the constraints of our clinical responsibilities as well as pitfalls to avoid when taking a pause from patient care.Awake + Aware | Our 2025 Live Event⭐ Join us at Awake and Aware 2025, a game-changing 3-day...
2020-05-2534 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe Bob Ross School of Trauma | Don't rush but don't linger, full chill, talk the processBob Ross is best known as the mellifluous host of The Joy of Painting, yet there are things he can teach about how to effectively care for trauma patients. In this episode, we cover: how Bob Ross can help invoke calm during crisis, the Chuck Norris mode of trauma resuscitation, why Bob Ross is your trauma room spirit animal, finding your feet, the power of acknowledging mistakes.Awake + Aware | Our 2025 Live Event⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pres...
2020-05-1410 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe White Coat Investor | Bear markets, investing plans, income loss, and cushion cashJim Dahle is an emergency physician who is widely known by his moniker, the White Coat Investor. He's become one of the leading voices for financial literacy and intelligent planning for those who 'wear the white coat'. In this conversation, Jim gives perspectives and strategies on managing finances during a bear market. We address the dangers of market timing, the value of a written investment plan, how Jim invests his money, and why a good financial advisor can sometimes be the best couple's therapist.Awake + Aware | Our 2025 Live Event⭐ Join us at Awake and Aware 2025, a ga...
2020-05-071h 00
Stimulus - Learn Tools to Crush It in Your Medical CareerDefusing Stress in a PandemicNone of us are immune from stress, especially now. This is a critical moment for us to look out not only for our own mental health but that of our colleagues. In this episode, psychiatrist Dr. Melissa Shepard sits down with our good friend Dr. Neda Frayha to discuss the mental health challenges facing health care workers in the COVID-19 pandemic, and some concrete, tangible tools to help us get through this period. HIPPO Education COVID Resource Center. Link Free mental health crisis line for physicians impacted by Covid-19 related issues, staffed by US Psychiatrists (support on...
2020-05-0135 min
Stimulus - Learn Tools to Crush It in Your Medical CareerThe Art of BreathingWe've been breathing since our first moments of life, but does that mean we are truly experts? In this episode of Stimulus, therapist and breathwork coach Ryan Cheney walks us through how we can make breath work for us, not just with us.Despite breathing being an automatic process since birth, most of us have yet to harness breath's potential to consciously improve our well-being. The discussion covers various aspects of breathing techniques and their effects, including influence on mental and physiological states, visual field expansion for psychological adjustment, and the three pillars of breath physiology. Cheney...
2020-04-2350 min
Stimulus - Learn Tools to Crush It in Your Medical CareerTalking to FearJason Brooks, PhD is a performance coach who works with physicians, athletes, and the military, helping them develop the cognitive skills not only to operate at the highest level, but to thrive no matter what the task. During the COVID-19 pandemic, Jason has been working with frontline clinicians, helping and guiding them through the cognitive and emotional aspects of what’s happening. This episode will give us strategies to mentally prepare for each day. It will show us how to find an anchor to ground us so that rather than feeling like we’re constantly running defense, we’re actual...
2020-04-1748 min
Stimulus - Learn Tools to Crush It in Your Medical CareerStreet MedicineAt the end of the day, have you made the world a little better? My guess is that you have, even if only in a small way. That’s certainly true of today’s guest, Dan Bissell, MD. Dan is co-founder of Portland Street Medicine, a medically focused non-profit dedicated to caring for the homeless. What’s unique about the care delivered is that it happens in the austere environment of homeless camps, underpasses, and street corners. In this episode, Dan and I cover what a day of the street medicine team looks like, how his group started, and how st...
2020-03-1251 min
Stimulus - Learn Tools to Crush It in Your Medical CareerPregame Like a Pro | Walk into your shift ready to rockWe can't immediately change the process of medicine, the stuff that is kind of a drag and wears us down. What we can change, however, is our mindset. In this episode, we dissect several practices for shift preparation with a common goal of operating at a peak level of performance and experiencing more joy in what we do. Today we learn how to pregame, like a pro.Awake + Aware | Our 2025 Live Event⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pres...
2020-03-1248 min
Stimulus - Learn Tools to Crush It in Your Medical CareerVerbal Judo | The art of verbal de-escalationIn this first episode of Stimulus, we learn from two masters in the art of de-escalating those who are agitated and upset. Jose Pacheco, RN, known affectionately to his co-workers as ‘The Drunk Whisperer’, has a specific sequence to this approach, which he’s going to walk us through, step by step. The good news is that verbal de-escalation is a tool that can be learned by almost anyone. To that end, we’re also joined by Dan McCollum, emergency physician at Augusta University, to talk about conflict resolution that evolved from the martial arts principal of using your opponent...
2020-03-1254 min
Stimulus - Learn Tools to Crush It in Your Medical CareerWhat this show is about.Launching March 12, 2020When I was in medical school and residency, the ethos was that when times are tough, you suck it up. If times are tougher, you suck it up harder. I did that for a decade after I was an attending physician, sucking it up, and I burnt out... over and over again. Sucking it up is a great tool for short-term resilience but not ideal for excellence or longevity. So you can suck it up or you can think differently. Regardless of your job title or description - doctor, nurse, EMS, fi...
2020-03-0202 min
The ZDoggMD ShowZDoggMD: Behind The Medicine (w/Guest Host Dr. Rob Orman)The tables are turned when ERCast host and emergency medicine physician Rob Orman hijacks the show!
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2018-02-151h 05
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #39 - Grab Bag of Tips and Ideas with Rob OrmanRob Orman is back again for another fun week where we continue his "grab bag" interview. I need to make a quick warning that there is some language in this podcast so if you are easily offended please be warned now. However, language is very brief and minimal at best. This interview was done in a lot of fun and we hope you find it entertaining, too.
2017-04-1838 min