How is EM Doing?

Recorded live at the AOA/ACOEP scientific assembly in Las Vegas, John Casey and Tanner Gronowski sit down with community emergency physician Matt (long-time listener first time guest and Tanner's now co-worker) to bridge the gap between academic medicine and the community ED trenches. In this episode, the crew tackles the top friction points between emergency physicians and inpatient consultants—breaking down what specialists often misunderstand about acute resuscitation, patient throughput, and why the Emergency Department operates the way it does. In this episode, we cover: The "Incomplete" Workup: Why safe dispositions and ruling out life threats matter more than ordering specialized outpatient labs at 3:00 AM. Rethinking the "Social Admit": Why functional decline isn't a "soft" admission—and how PT/OT and Case Management help protect vulnerable patients. Pain Management & Sedation Pushback: Treating acute pain and securing compromised airways without letting theoretical "masked exams" delay compassionate care. Consulting Early vs. Waiting on Results: The art of giving specialists an early heads-up on operative cases and ICU transfers. Asymptomatic Hypertension: Navigating unnecessary ED referrals for high blood pressure readings without end-organ symptoms. The 20-Year Medical History Fallacy: Why EM docs are built for the "quick, clean snap" of acute stabilization rather than longitudinal chronic disease deep dives. Bonus Riff: Navigating patients who ask to film procedures in the ED and managing family presence during procedural sedations. Connect with EM Over Easy: Website & Blog: https://emovereasy.com Follow us on Instagram, X, and LinkedIn: @EMOverEasy

What exactly is the "hidden curriculum" in medical training? Is it just the unwritten rules and expected "pieces of flair," or is it the critical soft skills we rely on every single shift? In this episode of EM Over Easy, Andy, Molly, Trish, and Drew dive deep into the unspoken culture of emergency medicine. From residency to life as an attending, the crew unpacks the hidden lessons that shape how we practice—and how we live. We discuss the constant tug-of-war between efficiency and empathy, the evolution of showing vulnerability after a tough resuscitation, and the very real struggle of trying not to triage your family members when you go home. Ultimately, the team answers the most important question: How do we take the best parts of the hidden curriculum and finally bring them into the light for the next generation of learners? In this episode, we cover: What is the Hidden Curriculum? (And the classic Office Space "flair" analogy) Service vs. Education: The legacy of house officer shifts. Efficiency vs. Empathy: How to deliver a cancer diagnosis when a trauma is rolling in. Vulnerability in the ED: Normalizing the emotional toll of the pit and learning to compartmentalize. The ED Persona at Home: Why you need to stop treating your family's stories like an ESI 5 triage note. Unlearning the Bad Habits: Why you don't need to die on every single hill with consultants. Making the Hidden, Unhidden: Using simulation and purposeful modeling to teach the unwritten rules of medicine.

Have you ever ordered a CT scan based purely on a "gut feeling" and found a vascular emergency? That’s Clinical Gestalt—the legendary physician "spidey sense." But in 2026, with AI alerts built into every EMR, does human intuition still have a place in Emergency Medicine? In this episode of EM Over Easy, Andy, Drew, Kaitlin, and Patricia deep-dive into the complex intersection of human intuition and modern Artificial Intelligence. Are we de-skilling ourselves into technicians, or is AI just the ultimate co-pilot?

Join original hosts Andy Little, John Casey, and Tanner Gronowski, along with our newest co-hosts Patricia Capone and Molly Estes, as we dive into a topic every healthcare worker experiences, but few talk about honestly: Who are you when you take the scrubs off?

Listen as hosts Tanner, John and Andy discuss their take on a recently published article in MedPage Today calling for the renaming of the Emergency Department and Emergency Medicine. Don't forget we are the official podcast of the American College of Osteopathic Emergency Physicians. Visit acoep.org today to learn more about an upcoming conference and how you can see your favorite EM Podcast LIVE and in person.

Recorded at the ACOEP's Spring Seminar, this conversation between Drew, Tanner, John, and Andy discusses the topic of staying great at our jobs over the course of an ever changing landscape and other factors over our careers. A great discussion for any EM doc (old and young alike) to listen too. Don't forget we are the official podcast of the American College of Osteopathic Emergency Physicians. Visit acoep.org today to learn more.

Listen as Andy is joined by guest Brian Acunto, Chris Colbert, and Peter Alamia to discuss ways to combat the ever-changing nature of EM. Don't forget we are the official podcast of the American College of Osteopathic Emergency Physicians. Visit acoep.org today to learn more.

Listen as MSOE hosts Patricia and Kaitlin are joined by John and Tanner from EM Over Easy to discuss McGuyver stories from the the ED. Don't forget, EM Over Easy is the Official Podcast of the American College of Osteopathic Emergency Physicians. Visit acoep.org today to learn about an upcoming CME event.

Listen as hosts Drew, Tanner, John, and Andy share, reminisce, discuss the past and future of EM Over Easy as they reflect on the shows 10 year anniversary (as of May 1, 2026). Don't forget we are the official podcast of the American College of Osteopathic Emergency Physicians. Visit acoep.org today to learn more about this organization and how you can see your favorite EM Podcast LIVE and in person at an upcoming CME event!

Listen as hosts John and Andy work through the question "How is EM doing?" with guest Geoff Comp and Steven Haywood. Don't forget we are the official podcast of the American College of Osteopathic Emergency Physicians. Visit acoep.org to learn more about this organization and how you can see your favorite EM podcast LIVE and in person at an upcoming CME event.