Stimulus. podcast

54. How Do You Define Success In Your Job (and find the joy)?

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What gives you fulfillment in your job? If you know it, do you make purposeful choices to keep pointed in that direction?

 

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With special guests:

  • Amal Mattu
  • Scott Weingart
  • Greg Henry 
  • Mizuho Morrison
  • Haney Mallemat
  • Reuben Strayer
  • Mike Weinstock
  • Victoria Brazil
  • Ilene Claudius

 

To learn more about Stimulus or to sign up for our newsletter: https://www.stimuluspodcast.com/

If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance!

Interested in sponsoring this podcast? Connect with us here

Follow Rob:
Twitter: https://twitter.com/emergencypdx

Facebook: https://www.facebook.com/stimuluswithrobormanmd

Youtube: https://www.youtube.com/c/emergencypdx

 

 

Fler avsnitt från "Stimulus."

  • Stimulus. podcast

    63. The Pillars of Your Professional Life

    10:22

    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. This short segment is a preface to a deeper future conversation about the importance of purpose.   To hear more from Jaime Hope,MD on Stimulus, click here.  For previous episodes, detailed show notes, or to sign up for our newsletter: https://www.stimuluspodcast.com/. This podcast streams free on iTunes, Spotify, and Stitcher. Interested in one-on-one coaching? https://www.stimuluspodcast.com/contact  Follow Rob:  Twitter, Facebook, and Youtube.
  • Stimulus. podcast

    62. Primum Non Nocere (First, Do No Harm)

    20:52

    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.    Listen on: iTunes Spotify Stitcher   Guests:  Cam Berg MD, Neda Frayha MD, Scott Weingart MD, Josh Russell MD, Haney Mallemat MD, Alan Sielaff MD, Vicky Vella MD, and Mike Weinstock MD    We Discuss: The importance of figuring out the core principles that drive your medical decision-making [1:30]; Primum non nocere, and how it is good for patients and good for us [02:40]; Cameron Berg is concerned about the harm caused by excessive prescription of opiates in the ED [05:10];    Neda Frayha learned that ordering more tests on patients can cause more harm than good [07:25];.  Scott Weingart applies the “do no harm” principle to the use of IV fluids when resuscitating patients in septic shock [09:20]; Josh Russell tries to limit harm by thinking about what he’d want to have done, if he were in his patient’s shoes [11:00]; Haney Mallemat has come to learn that many patients are predestined for bad outcomes, and the provision of maximal therapy is actually harmful [13:40]; Alan Sielaff uses shared decision-making to help guide him in doing no harm [15:50]; Vicky Vella believes that “do no harm” is recognizing when a patient is near the end of their life and, as a physician, trying to act in a way that reflects that [16:20]; Mike Weinstock makes an effort to treat all patients as he would treat them if they were his own family member [17:15]; And more.   Shownotes by Melissa Orman, MD For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/   If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob:Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx
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  • Stimulus. podcast

    61. Outpatient COVID-19 Therapy with Salim Rezaie, MD

    30:54

    The 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. Listen on: iTunes Spotify Stitcher     Guest Bio:  Salim Rezaie completed his medical school training at Texas A&M Health Science Center and continued his medical education with a combined Emergency Medicine/Internal Medicine residency at East Carolina University.  He currently works as a community emergency physician at Greater San Antonio Emergency Physicians (GSEP) where he is the director of clinical education.  Salim is the creator and founder of REBEL EM and REBEL Cast, a free, critical appraisal blog and podcast that tries to cut down knowledge translation gaps of research to bedside clinical practice. Hear more from Salim on Stimulus #16 Accumulation of Marginal Gains.    We Discuss: The fact that the best treatment of COVID-19 is prevention through vaccination [2:30];   The value and purported benefit of monoclonal antibodies [03:21];     Whether a rapid antibody test would help predict seronegativity [06:30];   Specifically which monoclonal antibodies are being used in Salim’s shop [07:40]; The irony of people demanding monoclonal antibodies, but refusing vaccination because they don’t know what's in it [08:50];     Why you can’t trust everything you read about COVID-19 therapy in a news headline [12:40];   One of the largest ivermectin studies which was based on falsified data, yet continues to influence the results of meta-analyses  [15:30];   Inhaled budesonide for COVID-19 symptom control [22:00];   The slippery slope of outpatient anticoagulation [23:39];   The things Salim might do if he had symptomatic COVID-19 and was well enough to be managed as an outpatient [27:25];     And more.   Shownotes by Melissa Orman, MD For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/   If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob:Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx
  • Stimulus. podcast

    Deeper Stimulus Book Club 1 Announcement

    3:54

    Scott 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
  • Stimulus. podcast

    60. How to Be An Expert Witness with Amal Mattu and Rich Orman

    57:17

    Thinking 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 expert witnesses as a trial attorney. He gives his perspective on the mistakes expert physicians make and teaches us that preparation is the key to success. Listen on: iTunes Spotify Stitcher   Guest Bios:  Amal Mattu, MD is a professor of emergency medicine at the University of Maryland. He's known worldwide for his expertise in educating on emergency cardiology issues as well as his medical legal expertise and experience.  Rich Orman, JD spent nearly three decades as a trial lawyer, working across the spectrum of practice types - public defender, private practice, and most recently as Senior Chief Deputy District Attorney in Colorado's 18th judicial district.    We Discuss: What inspires Amal to be an expert witness and why he usually works for the defense [1:59]; How to review a chart [6:20]; Reimbursement strategies and keeping track of hours [08:37]; How being involved in court cases influences what you say in a podcast or teach publicly [10:00]; The fact that medicine is not as clear cut as attorneys make it out to be [10:00]; Why you should be even-keeled and nice when you’re on the stand and things get heated [13:55]; The steps to getting started with med-mal work [18:30]; The importance of knowing clinical policies and guidelines for your specialty (because they’ll be brought up in court) [20:30]; An attorney’s perspective on the mistakes expert physicians make [29:50]; Alleviating the fear of physicians who are terrified of being on the witness stand [34:15]; Advice Rich would give to an expert physician witness who is being cross-examined in an antagonistic way and is clearly unsettled [37:35]; Rich’s advice for responding to ‘yes/no’ questions when there isn’t a ‘yes/no’ answer [41:55]; What do the best expert witnesses do that the worst ones never do:  prepare [43:15]; The difference between direct testimony and cross-examination [50:15]; And more. Shownotes by Melissa Orman, MD For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/ If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob:Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx
  • Stimulus. podcast

    59. Aim to be a Zero

    28:05

    What 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.   Listen on: iTunes Spotify Stitcher    We Discuss: The pitfalls of thinking too highly of yourself.  [1:46] On the importance of being a “plus one” and the wisdom of not proclaiming your plus-oneness.  “If you’re really a plus one, people will notice”. [2:23] Aim to be a zero -- having neutral impact.  Observe and learn. Pitch in with the grunt work. Being a zero is a good way to get to plus one.[5:08] What Mccollum looks for in EM residency applicants:  people who treat the receptionist or program administrator well. [8:00] Focus on the simple core things which are most likely to save lives, as opposed to shooting for the stars with cutting edge treatment.  [8:48] On why the weight and power of ego impairs our ability to learn and harms patients. [11:04] Sweat the small stuff. [13:01] The quintessential nature of EM and how they’re similar to flight rules:  solving complex problems rapidly with incomplete information.  [13:49] Why we should be using checklists, particularly when we think we don’t have time for them. [14:47] Even when you follow all the rules, sometimes bad things happen. Perfectionism is not part of the flight rules. [15:49] Why early success is a terrible teacher.  If you’ve always been the star and never experienced failure, this can be a barrier to learning. [18:27] Jocko Willink video, Good. When bad things happen and you get knocked down, “get up, dust off, reload, recalibrate, re-engage, and go out on the attack”. [20:13] When in a position of leadership, be careful with your words.  Don’t ridicule. The small things we do or say can have a big impact. [22:00] Expeditionary behavior is the willingness to endure hardships for the sake of the mission. And why whining poisons the pool.  [24:13]   References: An Astronaut's Guide to Life on Earth by Chris Hadfield   More stuff you’ll want to know: To learn more about The Stimululs Podcast, sign up for newsletter, or contact us CLICK HERE If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here   Follow Rob: Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx  
  • Stimulus. podcast

    58. Lessons Learned in Blood with Mike Shertz, MD

    51:16

    Mass 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.  Listen on: iTunes Spotify Stitcher   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 casualty care. Check out this video that we did together in 2019 on how to place and remove a tourniquet and this one on how to pack a gunshot wound with combat gauze.    This episode is in support of the I AM ALS. I AM ALS was founded by Brian Wallach and his wife Sandra shortly after his diagnosis at the age of 37. He was given 6 months to live, and now 4 years later he is leading a revolution to find a cure. People often refer to ALS as rare, which is not really so. The lifetime risk is around 1 in 300. Since Lou Gehrig was diagnosed 80 years ago, available treatments have been shown to extend life a mere 3 months. I AM ALS supports research, legislation to fast track therapies, and provides critical resources to patients and caregivers. ALS is relentless, and so are they. The question is no longer if we'll find a cure for ALS, but when. This is an underfunded disease and every little bit makes a difference. We will match donations to I AM ALS up to $5000 -- get started here on our Stimulus Donation Page. And for your daily dose of positivity, follow Brian on Twitter.   We Discuss: The First Receiver who is in a singularly unique position as it applies to a mass casualty [03:55]; The difference between a hospital’s surge capacity and mass casualty preparedness [05:30]; What you might expect from EMS during a mass casualty as compared with a normal day [08:20]; The mindset of the medical provider after receiving a patient from EMS [10:32]; The value of a field triage score which is a simple way to stratify casualties [12:50];  How the success of a mass casualty event for the first receiver has to do with organization, throughput, and saving lives [16:15]; Lessons learned from the Christchurch, New Zealand mass shooter incident [29:45]; How your response to a mass casualty differs if you’re unsure about the safety of your facility (as was the case in the 2020 Beirut explosion) [41:15]; One of the sayings of the Special Forces:  ‘All lessons are written in blood’ [43:27]; The question Shertz thinks people should ask of their hospital disaster planners [45:45]; And more.   For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/ If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob: Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx
  • Stimulus. podcast

    57. Cultivating the Emergency Mind with Dan Dworkis

    54:30

    The 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. Listen on: iTunes Spotify Stitcher 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.  This episode is in support of the I AM ALS. I AM ALS was founded by Brian Wallach and his wife Sandra shortly after his diagnosis at the age of 37. He was given 6 months to live, and now 4 years later he is leading a revolution to find a cure. People often refer to ALS as rare, which is not really so. The lifetime risk is around 1 in 300. Since Lou Gehrig was diagnosed 80 years ago, available treatments have been shown to extend life a mere 3 months. I AM ALS supports research, legislation to fast track therapies, and provides critical resources to patients and caregivers. ALS is relentless, and so are they. The question is no longer if we'll find a cure for ALS, but when. This is an underfunded disease and every little bit makes a difference. We will match donations to I AM ALS up to $5000 -- get started here on our Stimulus Donation Page. And for your daily dose of positivity, follow Brian on Twitter.   We discuss: Deploying psychological countermeasures when you’re under stress and dealing with uncertainty [05:40]; Whether the approach to managing pressure is universal for all stressful situations [11:15]; Different modes of thought:  system 1, system 2, and the recognition-primed decision-making model [15:50]; The deliberate path to becoming an expert (beyond just repetition) [20:00]; The value of training with an idea of graduated pressure [21:45]; What it means to borrow pressure from other events to succeed in something that's unrelated [25:50]; The Yerkes–Dodson law [28:45]; Why sangfroid is a good thing and how you do it [35:20]; The path to excellence which goes far beyond mastery of a specific skill [38:30]; How acknowledging the suboptimal nature of a situation when something goes wrong can help you “regroup, recover, and evolve out of any crisis” [41:50]; What does it mean to train your “tired moves” [42:55]; Dan’s challenge for the Stimulus audience [52:44]; And more. For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/ If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob: Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx
  • Stimulus. podcast

    56. Rescue in the Jungle

    33:25

    A hike in the jungle takes an unexpected turn. In this episode: medical emergencies in austere environments, managing acute pain without medication, and using breath work vs distraction in high stress situations. Listen on: iTunes Spotify Stitcher Photos and videos for this episode--> this link will take you to the blog post For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/ If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob: Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx
  • Stimulus. podcast

    55. Too Much On My Plate with Christina Shenvi MD, PhD

    1:00:08

    The 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. Listen on: iTunes Spotify Stitcher   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 Association of Professional Women and Medical Sciences. A frequent guest on Stimulus, Dr. Shenvi is a world class time managment coach www.timeforyourlife.org where her goal is to help busy professionals find more peace with their schedules, feel less stressed, and use their time more effectively.. Her most recent Stimulus episodes were on Procrastination and Habits. This episode is in support of the I AM ALS. I AM ALS was founded by Brian Wallach and his wife Sandra shortly after his diagnosis at the age of 37. He was given 6 months to live, and now 4 years later he is leading a revolution to find a cure. People often refer to ALS as rare, which is not really so. The lifetime risk is around 1 in 300. Since Lou Gehrig was diagnosed 80 years ago, available treatments have been shown to extend life a mere 3 months. I AM ALS supports research, legislation to fast track therapies, and provides critical resources to patients and caregivers. ALS is relentless, and so are they. The question is no longer if we'll find a cure for ALS, but when. This is an underfunded disease and every little bit makes a difference. We will match donations to I AM ALS up to $5000 -- get started here on our Stimulus Donation Page. And for your daily dose of positivity, follow Brian on Twitter.   We discuss: The insidious path of getting to the point of having too much on your plate [02:00]; A framework for deciding whether to say “yes” or “no” to things [05:45]; The 4 pillars Rob uses to help guide “yes” or “no” decisions [08:30]; Why it’s problematic to think of life as a zero sum game makes  [10:20]; The Japanese concept of Ikigai [13:30]; Becoming more efficient by shrinking the amount of time you spend on things that are on your plate [15:45]; The 5 Whys technique for understanding the fundamental bedrock of your motivation [19:30]; Self worth theory, which helps explain both why we overwork/overcommit as well as why we sometimes procrastinate [25:00]; The concept of Stoic meditation and the Ozymandias exercise [30:10]; The constant struggle of determining if your work is aligning with your values and using Stoic indifference to suspend self-judgement [32:00]; Choosing to do things vs. “I should” [33:40]; Reframing the notion of being too busy [40:44]; Deep work [43:30]; The importance of creating a system for shallow work [46:15]; The freedom gained from managing your email inbox [51:50]; And more.   For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/ If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob: Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx

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