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Published by Rob Orman, MD
Do you work in medicine and love patient care but feel like parts of the job don’t measure up? Stimulus equips you with tools, mindset shifts, and strategies they didn’t teach you in training—so you can practice medicine like a boss, flourish in your career, and not let it crush your soul. Emergency physician and executive coach Rob Orman, MD, goes in-depth with thought leaders on how to avoid burnout, improve communication, lead without drama, and stay calm amidst the storm. Don’t just suck it up, think differently.
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Getting sued, or even just the fear of it, is one of the greatest hidden drivers of physician stress, burnout, and career dissatisfaction, yet almost no one teaches doctors how to survive it. A malpractice lawsuit can shake your confidence, challenge your identity, and strain your relationships long before you ever step into a deposition. The good news is that preparation, practice, and the right mindset can transform litigation from an overwhelming threat into something you can navigate with confidence. In this episode, we explore what every physician should know about medical malpractice lawsuits and malpractice litigation,, how to navigate a deposition, the conversations that can sabotage your defense, and the emotional toll of being sued, along with practical ways to prepare before you're ever named in a lawsuit. Finally, we share the tools, resources, and hard-earned lessons that help doctors protect their careers without losing themselves in the process. Why getting sued changes the way physicians practice medicine long after the case is over. How preparation can take you from feeling like you're on the chopping block to walking into a deposition with confidence. What you should and shouldn't say while a malpractice lawsuit is ongoing. Why understanding plaintiff attorneys' tactics makes you a stronger defendant. The communication mistakes that can undermine your credibility. How to prepare for a deposition. Why shame and isolation can make malpractice harder than the lawsuit itself. Practical ways to protect your confidence, career, and mental health after being sued. Resources Mentioned Books When Good Doctors Get Sued How to Survive a Medical Malpractice Lawsuit - Eileen Brenner Depositions Are Trial Podcasts Doctors and Litigation: The L Word Season 1: Approaching D-Day Season 3: The Educated Defendant Courses & Tools LEAP (Litigation Education and Performance). Use the code STIMULUS100 for $100 off. Guest: Dr. Gita Pensa is an emergency physician, educator, and litigation performance coach who helps clinicians navigate malpractice lawsuits with greater confidence and less emotional distress. Through speaking, coaching, and her LEAP (Litigation Education and Performance) courses, she works with healthcare organizations, insurers, defense attorneys, and physicians to transform how clinicians experience litigation. Mentioned in this episode: Distilled Kickassery Every Other Saturday Sign up for our Newsletter The Out-On-Time Course Built for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time. Learn More About The Out-On-Time Course
When another person is upset or angry, our instinct can be to help them lower their emotional temperature by saying something like, "Just calm down," or, "Relax," or, "Take a breath," or, "Look at the facts." However, saying those things when the other person is in the heat of the moment can have the reverse effect from what we were hoping for. The reason is simple: People who do not feel heard are not ready to hear solutions. In this episode, we explore the communication strategy of valence matching, why it works at both a psychological and neurological level, and how it can transform interactions with patients, colleagues, consultants, and loved ones. Finally, we show how a few seconds of emotional attunement can save minutes, or even hours, of unnecessary conflict. 💡 Get Rob's Book Supranormal: A Field Guide for the Impossible Job. Tools, mindsets, and communication techniques so you don't get eaten alive by a job you're good at. Buy it on Amazon We Discuss: Why "Calm Down" Rarely Calms Anyone The Simple Idea Behind Valence Matching Why the Brain Rejects Logic During Conflict Content vs Process in Conversation Why You Should Match First, Then Move Small Words That Create Big Differences How to Effectively Thank Patients for Waiting How Emotional Connection Shapes Clinical Encounters Why an Excellent Clinician Had Consistently Low Patient Satisfaction Scores Mentioned in this episode: 🧭 UnBurnable | Career Longevity, Burnout Prevention, Self Mastery This course will teach you the hidden anti-burnout curriculum. Begins Sept 15, 2026. CME available. The UnBurnable Course Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter
The quality of our attention shapes every interaction we have, yet listening is often the first skill sacrificed when pressure, technology, and time constraints take over. Most clinicians spend years learning what to say, while spending little time learning how to effectively listen. In a healthcare system dominated by tasks, metrics, and efficiency, the ability to slow down and create genuine presence may be one of the most valuable skills we can cultivate. In this episode, we explore why listening is both a mindset and a practical skill, how to listen more effectively, how small pauses can transform patient care, and why mindfulness extends far beyond meditation. Finally, we examine simple practices that help clinicians stay present, focused, and connected even during the busiest days. 💡 Get Rob's Book Supranormal: A Field Guide for the Impossible Job. Tools, mindsets, and communication techniques so you don't get eaten alive by a job you're good at. Buy it on Amazon Guest Bio: Dr. Ronald Epstein – internationally recognized family physician, palliative care physician, educator, researcher and writer -- has devoted his career to understanding and improving communication and mindfulness in medicine. His scholarly articles have revolutionized doctors’ view of their work, and his 2017 book, Attending: Medicine, Mindfulness and Humanity shows how becoming mindful can transform healthcare, build strong connections between doctors and patients, and help clinicians flourish while providing the best care for patients. You can find Ron at www.ronaldepstein.com and learn about his workshops at www.mindfulpracticeinmedicine.com We Discuss: Why listening may be the most important clinical skill we rarely teach The 90-second habit that changes patient encounters What a near-missed surgical complication reveals about hierarchy The difference between spending time and being present The difference between reacting and responding A simple doorknob practice for transitioning between patients How "Find Your Feet" helps restore presence during stressful encounters Why slowing down often improves performance What mindfulness looks like beyond formal meditation Mentioned in this episode: Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter The Out-On-Time Course Built for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time. Learn More About The Out-On-Time Course UnBurnable Registration is Now Open We took the highest yield tools from our 1:1 coaching and created a community-based course with docs who get it and get you. The UnBurnable Course
Your ability to earn income is your most valuable financial asset. Physicians spend years protecting patients, building careers, and accumulating assets, yet many discover too late that the insurance designed to protect their income is full of loopholes, exclusions, and traps. Disability insurance sounds boring until the moment someone needs it, and then it becomes one of the most emotionally and financially consequential topics in medicine. In this episode, we explore the hidden realities of physician disability insurance, why employer policies often fail when doctors need them most, and how to think strategically about protecting future income before health problems appear. We also walk through what physicians should do when filing a disability claim, and how to avoid sabotaging the process from the very beginning. 💡 Get Rob's Book Supranormal: A Field Guide for the Impossible Job. Tools, mindsets, and communication techniques so you don't get eaten alive by a job you're good at. Buy it on Amazon Guest bio: Matthew Wiggins is the founder of Doc Insure and a leading educator in physician disability insurance. Since 2003, he has helped more than 15,000 doctors understand and secure income protection, while pioneering a faster, online-first way for residents, fellows, and attendings to compare personalized disability policies. Through Doc Insure, Matt makes a confusing and often overlooked topic practical, transparent, and easier to navigate so physicians can make informed decisions about protecting their future earnings. Matt and his crew will give you a quote on disability insurance through this link . Or you can set up a call to chat with them directly here. We Discuss: Why most employer disability policies leave physicians underprotected How true own-occupation coverage protects a physician’s specialty income Why physicians dramatically underestimate their chances of becoming disabled The different disability risks facing procedural and cognitive specialties Why disability claims often become adversarial and difficult to navigate How detailed occupational documentation strengthens disability claims Why income documentation determines the value of a disability payout How understanding a diagnosis improves the strength of a disability claim Why filing timing can affect whether benefits are approved and when payments begin Why buying disability insurance during residency protects future insurability Mentioned in this episode: Get Out On Time The Out-On-Time Course gives you the tools to complete your charts on shift, manage overwhelm and interruptions, and create fast, focused, kickass notes, so you can stay out of chart debt and get home on time. Self-paced. 12 hours AMA PRA Category 1 CME. Learn More About The Out-On-Time Course UnBurnable Registration is Now Open We took the highest yield tools from our 1:1 coaching and created a community-based course with docs who get it and get you. The UnBurnable Course Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter
Medicine gives you a map. Pre-med, med school, residency, attending. Step by step, no shortcuts. Then one day, the map disappears and you’re there asking, “Now what?” In this episode, Dr. Mizuho Morrison and I dig into what happens after training, when fulfillment, identity, and control are no longer prescribed. We talk about nonlinear careers in medicine, from part-time clinical work and motherhood to podcasting, entrepreneurship, leadership, and walking away from roles that no longer fit. We also get into what happened when Mizuho wore a continuous glucose monitor during emergency department shifts, and what it revealed about stress, cortisol, and the real physiologic cost of the job. This is a conversation about agency, experimentation, and ownership, and how to build a medical career that actually works for your life, not just your training. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest Bio: Dr. Mizuho Morrison is a board-certified emergency physician in Southern California and CEO of EM:RAP. A graduate of the Los Angeles County + USC residency program, she has worked in both academic and community emergency medicine and has been a major voice in EM education for more than a decade. Miz was one of the first female EM podcasters, helped launch multiple EM:RAP programs, served as Editor-in-Chief and Senior Medical Director at Hippo Education, and co-hosted Essentials of Emergency Medicine. She is also an entrepreneur and cofounder of 3MD, Three Mommy Doctors, a medical device company that reimagined first-aid kits for kids. She lives in Orange County with her two children. We Discuss: The Train Track Problem in Medical Careers Fulfillment Is Not One Standard Career Shape Seasons, Experiments, and Knowing When to Move On Stress, Cortisol, and the Cost of Shift Work Begin Before You Feel Ready Reclaiming Agency in a System That Keeps Asking for More Mentioned in this episode: Supranormal: A Field Guide for the Impossible Job Rob's book is for anyone doing high-stakes, human-facing work who's ever thought I wasn't trained for this. Built from 20 years in emergency medicine and thousands of hours coaching physicians, Supranormal delivers the tools, mindset shifts, and communication techniques that don't show up on any board exam, but make all the difference in how you perform, connect, and build a career worth keeping. Get Supranormal on Amazon Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter UnBurnable Registration is Now Open We took the highest yield tools from our 1:1 coaching and created a community-based course with docs who get it and get you. The UnBurnable Course
It’s not uncommon for hospitals to provide clinicians with scorecards. While they may seem like a judgment of your quality of work, scorecards rarely provide data that will lead to flourishing in your career. But what if you made your own scorecard, filled with things that were important to you and fully within your control? If you nailed one of those each day at work, what would your experience be like? In this episode, we explore what happened when Dr. Erin Broderick, a participant in the Unburnable Course, stopped using the hospital’s scorecard as her main definition of success and created a more personal one instead. Erin talks about how she took a new approach to patient satisfaction surveys, one that has eliminated nearly all the stress and distress associated with them. Finally, we look at how intentional practices during and after a shift made Erin’s work feel joyful and sustainable. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 We Discuss: Measuring success with a personal scorecard A post-shift routine that closes the day Closing open loops A novel approach to patient satisfaction surveys Letting go of metrics that don’t serve you Scheduling recovery during the shift Extending intentionality beyond the hospital Mentioned in this episode: Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter Supranormal: A Field Guide for the Impossible Job Rob's book is for anyone doing high-stakes, human-facing work who's ever thought I wasn't trained for this. Built from 20 years in emergency medicine and thousands of hours coaching physicians, Supranormal delivers the tools, mindset shifts, and communication techniques that don't show up on any board exam, but make all the difference in how you perform, connect, and build a career worth keeping. Get Supranormal on Amazon UnBurnable | Our Cohort-Based Burnout Prevention and Cure Course We took the highest yield tools from our 1:1 coaching and created a community-based course with docs who get it and get you. The UnBurnable Course
If you have ever lost it mid-shift, frozen when you should have acted, or spent the next two weeks asking yourself what's wrong with me , you already know what character assassination feels like. In this episode, we break down a simple and effective reframe that interrupts the self-flagellation shame spiral without making excuses or lowering standards. You will learn how to move from why did I to, of course , how to give yourself a legitimate and hard-earned break, and why self-compassion is not softness but one of the most underutilized performance tools in medicine. Topics include physician burnout, self-compassion, cognitive reappraisal, shame and self-criticism, communication under stress, and physician coaching. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 We discuss: Why self-criticism after a hard moment often hurts more than the moment itself The difference between first-order distress and second-order distress What the research on rumination and shame actually shows Why your brain treats harsh self-evaluation like a physical threat The biology of performance under load and why grit has a limit The of 'course' reframe and how to use it in real time Four steps to move from character assassination to context assessment Why suppression makes it worse, and reappraisal changes the signal Pre-shift dread and how to take the shame out of it Why self-compassion is a performance tool, not a soft skill What this reframe is not: excuses, lowered standards, or avoiding accountability How to start today with one sentence Mentioned in this episode: Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter Supranormal: A Field Guide for the Impossible Job Rob's book is for anyone doing high-stakes, human-facing work who's ever thought I wasn't trained for this. Built from 20 years in emergency medicine and thousands of hours coaching physicians, Supranormal delivers the tools, mindset shifts, and communication techniques that don't show up on any board exam, but make all the difference in how you perform, connect, and build a career worth keeping. Get Supranormal on Amazon The Out-On-Time Course Built for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time. Learn More About The Out-On-Time Course
Emergency medicine has an interruption-based workflow. There's no getting around some of that, but recurrent interruptions erode quality of care, accuracy of documentation, concentration, and ultimately the ability to leave work on time. While some interruptions are unavoidable, most are predictable and preventable. Reclaiming control over interruptions is more than a way to improve efficiency; it's about patient safety, reducing medical errors, and safeguarding your mental health. Constant task switching creates cognitive load, contributing to emergency physician burnout and compromising clinical decision-making. In this episode, we explore tactical and mindset shifts that emergency clinicians can use to reduce interruptions, enhance documentation efficiency, and avoid the hidden costs of task switching. We'll cover practical strategies for managing EKG interruptions, skillful ways to manage nursing questions, and setting boundaries all while maintaining team dynamics and patient care quality. Whether you're an emergency physician, PA, NP, or resident, these evidence-based strategies will help you work smarter, reduce stress, and reclaim control of your clinical day. Finishing emergency department shifts with a stack of charts to complete gets old fast. This chart debt also contributes to burnout. We will help you break bad habits and equip you with the skills to walk out the door unencumbered. Out-On-Time is a course for emergency physicians and clinicians that teaches shift efficiency and real-time documentation, enabling you to write fast, focused charts that bill well and are medicolegally sound. Learn More About The Out-On-Time Course We Discuss: The Cost of Interruptions in Emergency Medicine Not All Interruptions Are Urgent The Cognitive Cost of Task Switching Becoming a Non-Interruptible Clinician Deferring Without Alienating Your Team Protecting Focus at the End of the Shift Fixing the EKG Interruption Problem Asynchronous Communication That Actually Works Mentioned in this episode: Supranormal: A Field Guide for the Impossible Job Rob's book is for anyone doing high-stakes, human-facing work who's ever thought I wasn't trained for this. Built from 20 years in emergency medicine and thousands of hours coaching physicians, Supranormal delivers the tools, mindset shifts, and communication techniques that don't show up on any board exam, but make all the difference in how you perform, connect, and build a career worth keeping. Get Supranormal on Amazon
So many of our choices are shaped less by desire and more by expectation. We chase prestige, status, or recognition, only to arrive and realize we were climbing the wrong ladder. Beneath burnout and the friction, there’s often the truth that we were never pursuing what we truly wanted. In this episode, we explore the concept of mimetic desire, how it misguides our ambitions, and how to reclaim our decisions. Finally, we examine how fear of judgment and shame shape our careers more than we think, and what it takes to break free. Guest bio: Josh Russell, MD, is double board-certified in Emergency Medicine and Palliative Care. He’s held leadership roles as a Chief Medical Officer in telehealth, artificial intelligence, and urgent care systems. He’s an experienced clinician, writer, educator, and medical editor with a passion for making complex topics accessible. LinkedIn article that spurred this podcast Josh’s Website We Discuss: Mimetic Desire: Chasing What Others Want The Trap of “Should”: Internalized Shame The Concentric Circles of Stressors Finding What You Really Want The Ladder Against the Wrong Wall Actionable Reflection Practices Mentioned in this episode: The Out-On-Time Course Built for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time. Learn More About The Out-On-Time Course Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter
What if the true test of strength is focusing less on what we feel and more on what we do? In this episode, we explore a practical philosophy of action, presence, and personal agency with Dan Millman, author of Way of the Peaceful Warrior. Finally, we dig into how small mindset shifts can transform both high-stakes moments and the quiet struggles of everyday life. Guest bio: Dan Millman is a world champion athlete turned author, educator, and teacher of practical wisdom. With a background that spans competitive sports, university-level coaching, martial arts, and academic instruction, Dan brings a rare blend of physical discipline and philosophical insight to his work. Following two decades of spiritual exploration, he developed what would become known as the Peaceful Warrior’s Way, an action-based approach to living with purpose. Dan is the author of 18 books, including the international bestseller Way of the Peaceful Warrior, which was adapted into a feature film. His writings have reached millions across 29 languages and continue to influence readers around the world. We Discuss: Peaceful Warrior Philosophy in Action What We Control (And What We Don’t) Action Over Emotion The Three Rules of Wise Living The Power of Present Moment Awareness Mastery Through Deliberate Practice Purpose as a Practical Tool Growth Without Perfection Working Within Broken Systems Practicing Life Mentioned in this episode: Free Tools To Make Medical Practice Easier No fluff. Just good stuff. Free Resources Link The Out-On-Time Course Built for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time. Learn More About The Out-On-Time Course Supranormal: A Field Guide for the Impossible Job Rob's book is for anyone doing high-stakes, human-facing work who's ever thought I wasn't trained for this. Built from 20 years in emergency medicine and thousands of hours coaching physicians, Supranormal delivers the tools, mindset shifts, and communication techniques that don't show up on any board exam, but make all the difference in how you perform, connect, and build a career worth keeping. Get Supranormal on Amazon Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter
Your work world is built on endurance, intensity, and mastery. The culture is 'always on,' and you were trained to perform in conditions no one would call normal. The work is supranormal. It sits at the edge of reasonable and regularly exceeds what is sustainable by most standards. High performers like you often find themselves on an above-the-fray pedestal, expected to be tireless and self-sacrificing. Supranormal work can unlock extraordinary performance, but the cost adds up if it goes unchecked. In this episode, we look at where this culture came from, the cortisol spikes that shape your days, the hidden curriculum of self-sacrifice, and the countermeasures that keep you from burning out. It is a straight look at the supranormal experience and what it takes to do this work without losing yourself to it. Awake + Aware | Our 2026 Retreat Join us at Awake and Aware, our 3-day retreat in Scottsdale, AZ. March 1-4, 2026. Space is limited. Learn More Here 🎓 P.S. This is a CME event. We discuss: • Why medical culture expects you to perform inside conditions no one would call normal • What makes supranormal work different from ordinary high-stress work • How the “always on” ethos formed and why it persists • The hidden curriculum of self-sacrifice and the pedestal of being above the fray • Cortisol spikes, sympathetic load, and what chronic activation does to your body • Why self-preservation feels selfish in medicine and why that belief is wrong • The roots of modern training from monastic care to Halsted’s cocaine-fueled stamina • Why emergency medicine is an outlier in burnout, longevity, and physiological strain • The concept of parasympathetic nurturing as a countermeasure • How mindset changes biology and shifts performance • What it takes to last in supranormal work without losing yourself
What if the best decision is to not decide at all? We waste valuable mental energy overthinking simple choices, especially when the outcomes are nearly identical. That kind of cognitive drain reduces our capacity to think clearly when decisions actually matter. In this episode, we explore how to reduce cognitive load, identify low-risk choices that can be automated or ignored, and recognize when deliberation is just noise. Finally, we break down how framing, values, and the right question can make even complex decisions frictionless. 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. We Discuss: The Three Types of Cognitive Load Harvesting Free Rolls Applying Dominance and Cutting Through Decisional Noise How to Stop Fretting Over Equivalent Decisions Navigating Equipoise Making Big Life Decisions Mentioned in this episode: 5 Free Tools To Make Medical Practice Easier Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources Link Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter The Out-On-Time Course Built for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time. Learn More About The Out-On-Time Course
As students navigate an increasingly complex, competitive, and costly path to medical school, parents often find themselves uncertain about how to help without hindering growth. Meanwhile, institutions maintain opaque admissions practices, amplifying anxiety for both students and families. In this episode, we explore what parents need to know to truly support, not sabotage, their aspiring doctors. Finally, we pull back the curtain on everything from shadowing to AI in essays, offering a brutally honest look at what really matters in the application process. Guest bio: Dr. Ryan Gray, a former Flight Surgeon in the United States Air Force, is the founder of Medical School Headquarters and Meded Media, where he has become a leading voice in guiding pre-med and medical students toward careers in medicine. He is the author of The Premed Playbook series, including Guide to the Medical School Application Process , Guide to the Medical School Personal Statement , Guide to the Medical School Interview , and Guide to the MCAT . Dr. Gray also hosts several popular podcasts, including The Premed Years , OldPreMeds Podcast , The MCAT Podcast , and Specialist Stories . We Discuss: Support vs. Sabotage The Myth of the Perfect Applicant Why Checklists Aren't Really Checklists What Shadowing Really Tells You What's the Deal With Volunteering Hours? Service for the Right Reasons Why Pre-Med Doesn't Mean Pre-Doctor Using AI When Writing Med School Essays Compressing Preclinical Education The Price of Applying and the Sneaky Secondaries Why Don't Schools Post MCAT Cutoffs? How to Write a Good Letter of Recommendation and When to Say No Thank You Notes Letters of Intent Should Premeds Attend Non-Interview Info Sessions? Why Clinical Hours Are Non-Negotiable Mentioned in this episode: Free Tools To Make Medical Practice Easier No fluff. Just good stuff. Free Resources Link The Out-On-Time Course Built for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time. Learn More About The Out-On-Time Course Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter
A broken system won’t fix itself, and no one is coming to the rescue. Medicine is fraying under the weight of burnout, misaligned incentives, and systemic inertia. Yet, hope isn’t lost. Change is still possible, but it won’t come from the top down. In this episode, we explore how grassroots leadership, inner work, and community involvement can become the antidote to despair in modern medicine. Finally, we dig into the personal cost of service and the tools we need to heal ourselves while fighting for change. Guest bio: Dr. Andrea Austin is the inaugural Emergency Medicine Program Director at Sacred Heart in Pensacola, Florida. As a Navy veteran, her military service taught her how to perform under pressure and lead teams in high-stakes environments. She brings that same focus to her work in medical education, physician well-being, and healthcare systems change. Dr. Austin is the author of Revitalized: A Guidebook to Following Your Healing Heartline and host of the Heartline: Changemaking in Healthcare podcast. Books mentioned in this episode What My Bones Know by Stephanie Foo We Discuss: The Case for a New Residency Program What It Means to Be a Change Maker Working Within the Domains of Change Overcoming Social Loafing in Medicine Rethinking Suicide Risk in Emergency Medicine The Call for Psychiatric Fellowships in EM Reclaiming Wellness Through the “Heart Line” The Inner Work is the System Work Building a Portfolio Career Mentioned in this episode: Coming Soon! The Out On Time Course If you are on our mailing list, you will have early access and a few other surprises as well. Sign up for our Newsletter The Out-On-Time Course Built for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time. Learn More About The Out-On-Time Course Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our Newsletter
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 scrotum, and a tour of Colorado’s emergency departments. Guest Bio: Rich Orman began his legal career as a public defender before moving into private practice. He soon joined the district attorney’s office, where he spent most of his career and ultimately rose to the position of deputy district attorney. Over three decades in the courtroom, he tried some of the most complex and high-profile cases in the state. After retiring from law, Rich turned to filmmaking. He is the writer and director of the critically acclaimed Boundary Layer. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 We Discuss: What Competence Actually Means in Legal Terms Defining Medical Decision-Making Capacity Real-Life Dilemmas in Emergency Medicine The Right Terminology in Documentation What Physicians Get Wrong in Court How to Testify Like a Pro How to Handle Yes/No Cross-Examinations One Legal Nugget You Should Never Forget Mentioned in this episode: The Out-On-Time Course Built for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time. Learn More About The Out-On-Time Course Decision Making Capacity Free Template Need to document decision-making capacity quickly and accurately? I created this free resource so you don’t have to waste time looking up the elements each time. It’s an example of how it can be done—use it as a guide and make it your own. Free Resources Link Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our Newsletter
Ever walk out of a shift and feel like the hospital came home with you? In medicine, the mental residue can cling long after the work day is done. One way to address this is boundary rituals, deliberate actions designed to process the day and allow you to leave work at work, be more present when you get home, and possibly even sleep better. As a bonus, the ability to disengage from work is one of the strongest predictors of reduced burnout. In this episode, Mohamed Hagahmed, MD, shares how he creates this boundary—through small rituals of gratitude, stillness, and reflection. From growing up as a refugee to serving as a sideline physician for the Pittsburgh Steelers, Dr. Hagahmed’s path has been shaped by resilience, culture, and care. He explains how he learned to stop carrying unfixable wounds home, why kindness is clinical armor, and how tiny acts of self-compassion can protect meaning in medicine. Guest Bio: Mohamed Hagahmed, MD a Clinical Assistant Professor of Emergency Medicine at the University of Pittsburgh, Associate Medical Director at the Center for Emergency Medicine, and EMS Medical Director for several systems in Western Pennsylvania. On top of that, he works in high-acuity emergency departments across the region. He’s a graduate of Johns Hopkins Bloomberg School of Public Health, passionate about resuscitation, critical care, and toxicology education. And he’s the creator and host of EMERGE in EM , a podcast focused on emergency medicine education and global health empowerment. We Discuss: Growing up as a refugee and finding purpose in emergency medicine The toll of moral injury and why staying closed and rigid nearly broke him Small rituals that help shed the emotional residue of a shift Using gratitude and stillness as tools for resilience How changing clothes, music, and even snacks can protect emotional health Turning frustration into advocacy for immigrant health and systemic change Advice for new attendings on protecting the threshold between work and home Mentioned in this episode: 5 Free Tools To Make Medical Practice Easier Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources Link Distilled Kickassery Every Other Saturday Sign up for our Newsletter
The best communication in high-stakes environments isn’t complicated. Quite the opposite - it’s structured, clear, and consistent. Small, deliberate shifts in how we transfer information can dramatically improve patient safety, team efficiency, and workplace culture. In this episode, we explore three simple but transformative communication habits that reduce errors and build trust among teams. Finally, we share practical tools you can use today to tighten your communication and improve safety without adding extra workload. We Discuss: The Three-Way Repeat-Back: “That’s Correct” Changes Everything Phonetic Clarifications: Stop the “Norman” Problem Numbers: Say the Digits Whiteboards: The Cheapest Safety Tool in the Room Checklists: Mastering the Basics Cheaper Than Dirt, More Precious Than Gold Mentioned in this episode: The Out-On-Time Course Built for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time. Learn More About The Out-On-Time Course Doctoring Done Well | Bite-Sized Wins Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh. Sign up for our Newsletter
Stressful events can hijack cognition, cloud judgment, and leave emotional residue that can fuel long-term burnout. For acute care clinicians, those moments of emotional overwhelm, when heart rate spikes and the thinking brain goes offline, can have consequences that last far beyond the shift. While long-term resilience is essential, it’s often the just-in-time strategies that determine whether we break down or rise to the moment. In this episode, we explore the physiology and psychology of real-time emotional regulation with Scott Weingart, MD, co-creator of the Beat the Stress Fool protocol. Finally, we uncover how practices like gratitude flooding and negative visualization can inoculate against burnout and offer emotional integrity in the most harrowing moments of care. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Scott Weingart, MD, is an emergency department intensivist and physician coach based in New York. He completed fellowships in Trauma, Surgical Critical Care, and ECMO, and is internationally recognized for his expertise in resuscitation and critical care. As the creator of the EMCrit podcast , with over 40 million downloads, he has shaped how clinicians think and perform under pressure. Together, Scott and I co-founded Guidewire Coaching , where we create and teach tailored courses to address the real-world pain points of acute care medicine. We Discuss: Rapid stress reset with “Beat the Stress Fool” Breathing techniques that calm the nervous system Self-talk under pressure Mental rehearsal that ends in success Trigger words for fast de-escalation Gratitudinal flooding as a shield during emotional overload Real-time tools for grief resilience The quiet strength of negative visualization Teaching stress tools to trainees without pushback Mentioned in this episode: Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our Newsletter The Out-On-Time Course Built for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time. Learn More About The Out-On-Time Course 5 Free Tools To Make Medical Practice Easier Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources Link
No one enters medicine expecting to land on a performance improvement plan, yet for many physicians, it becomes a disorienting reality. A PIP can feel like both a warning and a test, raising existential fears about career, reputation, and future. Behind the formal language is often a complex mix of organizational risk management and legitimate behavioral concerns. In this episode, we explore what it really means to be placed on a PIP, how to navigate the process effectively, and why resistance is rarely a successful strategy. Finally, we share a structured approach to coaching through a PIP that can turn even the most fraught situation into meaningful professional growth. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 We Discuss: Understanding the Purpose and Structure of a Performance Improvement Plan (PIP) Variability and Pitfalls in PIPs Why Coaching Matters During a PIP Common Reactions and Emotional Toll Structural Flaws That Undermine PIPs Negotiating and Responding to a PIP The Myth of Performance Immunity A Coaching Framework for Navigating PIPs Collaborating With Leadership Success and Long-Term Impact Mentioned in this episode: Distilled Kickassery Every Other Saturday Sign up for our Newsletter 5 Free Tools To Make Medical Practice Easier Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources Link
What if addiction isn’t about drugs, but about pain? Beneath compulsive behaviors often lie histories of trauma, anxiety, and unmet emotional needs, hidden behind layers of stigma and misunderstanding. In medicine, addiction is still often mischaracterized as a moral failing rather than a treatable illness with deep psychological roots. In this episode, we explore the personal and professional evolution of Dr. Casey Grover, an addiction medicine physician who reframed both his own struggles and the way he cares for patients. Finally, we uncover how shifting mindset and language can transform both clinical outcomes and clinician well-being. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest bio: Dr. Casey Grover is a board-certified physician in Addiction Medicine and Emergency Medicine at Montage Health, where he also serves as Chief of Staff. He is the Physician Champion for the Monterey County Prescribe Safe Initiative, a program focused on reducing opioid misuse through education, safe prescribing, and improved treatment access. In addition to his clinical and leadership roles, Dr. Grover hosts the podcast Addiction Medicine Made Easy , where he breaks down complex topics to make addiction care more approachable for both providers and the public. We Discuss: What is Addiction? When Food Becomes a Coping Mechanism The Stigma of Addiction The Neurology of Addiction Divided Views on Sobriety Why Some People Recover and Others Relapse The Reason Some Brains Get Hooked Addiction vs. Dependence — and Why Stigma Makes It Worse Building Trust with Patients From Frustration to Compassion: Reframing Patient Encounters Trauma, PTSD, and Personal Reckoning The Practice of Addiction Medicine Mentioned in this episode: The Out-On-Time Course Built for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time. Learn More About The Out-On-Time Course Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our Newsletter 5 Free Tools To Make Medical Practice Easier Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources Link
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Observed September 15, 2026. Cached outside the daily freshness window; the positions keep the date they were taken on.
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