Stimulus with Rob Orman, MD

21/03/2022

It doesn’t look like performance metrics are going away anytime soon. So why not make them a feature instead of a bug? Guest Bio: Shawn Dowling MD is the medical director of the Physician Learning Program at the University of Calgary and Clinical Content Lead at the Calgary Zone Emergency Department. We discuss: Receiving audit and feedback data typically makes providers uncomfortable and feels punitive. ...

https://roborman.com/stimulus/74-flipping-the-narrative-on-performance-metrics/

It doesn’t look like performance metrics are going away anytime soon. So why not make them a feature instead of a bug?

06/03/2022

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....

https://roborman.com/stimulus/73-the-value-and-pitfalls-of-signout-culture-with-mike-weinstock-md/

We break 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.

05/03/2022

There is no getting around chest pain when you work in the ED, so we might as well embrace it with zeal and gusto. Within this one symptom there are several potentially lethal diagnoses (MI, PE, dissection). So we must be very careful in our workups and diligent in our documentation. To that end, below is my chest pain medical decision making (MDM) for a patient with a fully negative evaluation....

https://roborman.com/stimulus/my-template-for-chest-pain-medical-decision-making/

There is no getting around chest pain when you work in the ED, so we might as well embrace it with zeal and gusto. Within this one symptom there are several potentially lethal diagnoses (MI, PE, dissection). So we must be very careful in our workups and diligent in our documentation. To that end, be...

28/02/2022

If you've listened to Stimulus, you may be acquainted with emergency department nurse Jose Pacheco. He was the first voice ever heard on the show in episode number one Verbal Judo and more recently Caring for the Unapologetically Unvaccinated. I’ve known Jose for many years, but I learned something really cool hanging out with him recently that I’m going to start applying to my own life. ...

https://roborman.com/stimulus/the-student/

Keeping the student posture or mindset can be hard the further you get in your life and career. It won't come to you magically, it takes intent.

21/02/2022

It can be hard enough managing critical tasks in even the best of times but, when things start to go awry, you need to focus even more to keep moving in a positive direction. Back by popular demand, Dan Dworkis (our guest on episode 57) walks us through: Navigating uncertainty when under situational pressure, powering down at the end of the day, managing the physiologic response to stress, the most thoughtful procedural time out we’ve ever heard, and transparent team communication. ...

https://roborman.com/stimulus/72-navigating-uncertainty/

It can be hard enough managing critical tasks in even the best of times but, when things start to go awry, you need to focus even more to keep moving in a positive direction. Back by popular demand, Dan Dworkis (our guest on episode 57) walks us through: Navigating uncertainty when under situational...

07/02/2022

A book I recommend to many coaching clients is “Designing Your Life” by Bill Burnett and Dave Evans. I’ve even had a client use a several month coaching engagement specifically to focus on the exercises in the book. What makes it such a potent tool? Design thinking. What happens if we take the same principles that are used to create the fastest road bike or most efficient electric vehicle and apply them to help us live our best life?...

https://roborman.com/stimulus/stimulus-podcast-71-rebalancing-your-life/

What happens if we take the same principles that are used to create the fastest road bike and apply them to help us live our best life?

18/01/2022

Our recent episode on navigating conversations with unvaccinated COVID patients is one of my recent favorites. One reason this really resonated is that it brings up several gravity problems1: COVID is here, it’s sticking around for a while, lots of people are unvaccinated, most sick COVID patients are unvaccinated. These issues are like gravity. You’re not going to solve gravity in the immediate moment....

https://roborman.com/stimulus/the-problem-with-gravity/

Our recent episode on navigating conversations with unvaccinated COVID patients is one of my recent favorites. One reason this really resonated is that it brings up several gravity problems1: COVID is here, it’s sticking around for a while, lots of people are unvaccinated, most sick COVID patients...

24/09/2020

"We all went into medicine to help people. Helping people is joyous. ‘Thank you so much for coming in. I will help you.’ That's a joyous activity.” - Loren Rauch
I wish I had heard this podcast when I was a trainee.

Navigating difficult conversations and the ethical imperative of the well-deserved compliment.

14/09/2020

When you post or reply, what's your intent?
-to get attn? That's thirst that can never be quenched
-to persuade? Rare and often not the intent
-to say 'F*&K you' or 'you're a dumbas$?'. Common, but when you poison, you also get a taste of it
-to make the world better?

9 minutes on considering the intent of your response when you fell affronted.

07/09/2020

Gender and racial bias are pervasive across all aspects of society, the house of medicine notwithstanding. In this episode, Esther Choo, a titan for the cause of gender and racial equity discusses

14/05/2020

What can medicine learn from Bob Ross? A lot. I'd even say that Bob Ross should be your spirit animal in the trauma bay.

Bob 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....

01/05/2020

After this interview, I started sleeping and working with my mouth taped shut. I think everyone is a little happier with the situation.

Breathwork coach Ryan Cheney walks us through how we can make breath work for us, not just with us

17/04/2020

Taking a breath and a pause from looking outside in this pandemic to looking inside with performance coach Jason Brooks

Jason 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, h...

19/03/2020

PPE is going fast but things we can do to conserve. CMS has loosened HIPAA- more access to telehealth and opens tools in the ED that can limit times we enter a room.
Listen on website: https://buff.ly/2IWJTjB
iTunes: https://buff.ly/2QrYO9U

18/03/2020

PPE is going fast but things we can do to conserve. CMS has loosened HIPPA- more access to telehealth and opens tools in the ED that can limit times we enter a room.
Listen on website:
iTunes: https://buff.ly/2QrYO9U

In today's episode, emergency physicians Amy Cho and Jason Adler break down novel ways to limit use of PPE while at the same time minimizing contact …

18/03/2020

PPE is going fast but things we can do to conserve. CMS has loosened HIPPA- more access to telehealth and opens tools in the ED that can limit times we enter a room. Also, wash your gloves.
Listen on website:
iTunes: https://buff.ly/2QrYO9U

In today's episode, emergency physicians Amy Cho and Jason Adler break down novel ways to limit use of PPE while at the same time minimizing contact …

15/03/2020

Amid the tumult, take a break and listen to this guy - Dan Bissell, MD. Cofounder of Portland Street Medicine that gives onsite care to the homeless. Getting onto the street, he rediscovered what was essential to practicing medicine (and finding the joy). https://buff.ly/39Sd5nQ

12/03/2020

Stimulus Episodes 1-3 now live! Verbal Judo, Pregame Like a Pro, and Street Medicine.
iTunes: https://buff.ly/2TG7b2i
Spotify: https://buff.ly/2IlL9MP
Stitcher: https://buff.ly/2POhrUP
TuneIn: https://buff.ly/3aqQej0

11/03/2020

Stimulus. Tomorrow.

10/03/2020

Stimulus. This Thursday.

09/03/2020

Stimulus. March 12. Episode 1. Verbal Judo.

08/03/2020

Stimulus. March 12.

07/03/2020

Stimulus. Launches March 12.
Episode Zero: https://buff.ly/2TG7b2i
Site: https://buff.ly/2VQVnwD