93. Five Sleep Tools We've Tested and Like
ERCAST
by Rob Orman, MD
1M ago
In a follow up to our episode on sleep, we break down five sleep tools we’ve tested, like, and are still using.  For many of you,  sleep can be a fraught landscape. This is doubly true if you are doing shift work, working nights, or even just getting home with your mind spinning.  When you have built-in disrupted sleep, it is extra important to pay attention to how you go about getting as much quality sleep as possible. What’s discussed  in this episode is 100% opinion and anecdote but hopefully there is something in here that you’ll find useful.  For show notes and li ..read more
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92. Strategies for Shift Endurance
ERCAST
by Rob Orman, MD
2M ago
It’s a tough time to practice medicine right now, which makes paying attention to self care even more important. In this episode we break down three specific strategies for: improving mental and physical performance, sustaining shift endurance, and building a scaffolding for joy at work.   Interested in one-on-one coaching? Learn more at roborman.com To support the show - visit our Patreon site and help keep the wind in the sails.  For full show notes visit our podcast page   Episode Sponsor: Ivy Clinicians. Curious if there’s a better clinical opportunity out there? Ivy is the ..read more
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91. Is this the end of note bloat and chart nonsense? Possibly so! We break down the 2023 documentation guidelines
ERCAST
by Rob Orman, MD
3M ago
28 years ago, the die was cast for how emergency department encounters were documented.  Since then, we've had note bloat, click fatigue, and too much attention placed on things that really didn’t matter. All of that is slated to change in 2023 with dramatic new documentation guidelines (that today’s guest calls ‘refreshing’) are implemented. When was the last time you heard the word ‘refreshing’ used when it came to charting? And a massive thank you and hat tip to my friend Matt DeLaney who now runs ERcast - he was the first to alert us to these guidelines and interviewed Jason when they ..read more
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89. The Drunk Whisperer
ERCAST
by Rob Orman, MD
4M ago
Verbal de-escalation is a tool that can be learned by almost anyone. In this episode, 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’,  and Dan McCollum, MD,  emergency physician at Augusta University. The core of this conversation hinges around an approach to conflict resolution that evolved from the martial arts principle of using your opponent’s energy to resolve conflict, rather than simply butting heads. The name for this method? Verbal Judo. A proviso ..read more
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84. A Look Inside Ketamine Clinics (and how to start your own)
ERCAST
by Rob Orman, MD
6M ago
An inside look at what it takes to launch a ketamine clinic including: first steps, navigating hurdles, potential pitfalls, which patients benefit from ketamine, and an exhortation about why you should (and shouldn’t) go into this type of business.  For full show notes visit our podcast page   Guest Bio: Dr. Samuel Ko is a Board Certified Emergency Physician and medical director of Reset Ketamine in Palm Springs, California. In addition to his medical practice, Dr. Ko is Co-Creator of an online course - Ketamine StartUp - which teaches other physicians how to start their own ketamine ..read more
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82. Letter to My Future Self
ERCAST
by Rob Orman, MD
7M ago
Have you ever had a situation where afterward you repeatedly questioned the choice you made at the time? You chewed on it, perseverated on it, kept coming back to it? If you are a clinician, there is an amplifier to this because someone else’s life is also involved - the patient’s. You worry about their health, you worry about whether they or their family may sue you - you worry worry worry. I think most of us have been there to varying degrees. In this episode, we will discuss one strategy to manage these fears:  the letter to your future self.   Interested in one-on-one coaching? L ..read more
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76. Silencing Your Inner Critic
ERCAST
by Rob Orman, MD
10M ago
Chances are that you have a robust inner critic. You might even believe that self criticism and castigation are the only ways to excel. As a high level performer, you are not alone. In this episode, we break down the nature of inner criticism and several ways to silence it (or nearly so).   Interested in one-on-one coaching? Learn more at roborman.com To support the show - our Patreon site https://www.patreon.com/stimuluspod For full shownotes visit our podcast page We Discuss: 3 objectives in the training of ski jumpers which can be applied to any moment or high stakes situation [0 ..read more
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73. The Value (and pitfalls) of Signout Culture with Mike Weinstock MD
ERCAST
by Rob Orman, MD
11M ago
There 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: Mike Weinstock, MD  is Professor of E ..read more
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Stimulus Podcast 67 - Caring for the Unapologetically Unvaccinated
ERCAST
by Rob Orman, MD
1y ago
We share two conversations about navigating the waters of interacting with unvaccinated COVID patients. Brit Long, MD and Jose Pacheco, RN are thoughtful healthcare providers with somewhat different approaches. The common thread is that both are intentional and compassionate.   Guest bios:  Brit Long is an assistant professor of emergency medicine in San Antonio, Texas and Editor-in-Chief of Clinical Content at emcdocs.net. He is one of the most published authors in the field of emergency medicine. Brit is working in a unique environment where he's running what is in effect a COVID e ..read more
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Stimulus Podcast 65 - Bouncing Back After a Tough Case
ERCAST
by Rob Orman, MD
1y ago
The 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 Brooks Ph.D. is a performance coach h ..read more
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