Afleveringen
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Psychological safety is a crucial factor in creating a healthy and effective workplace. It involves a shared belief that the team is safe for interpersonal risk-taking. This episode delves into the intricacies of psychological safety, particularly in high-stakes environments like medicine. We explore how rigid hierarchies, cultural biases, incivility, and unrealistic expectations can hinder psychological safety and how fostering a culture of openness and vulnerability can lead to better team performance and resilience. We explore various strategies to enhance psychological safety, including setting clear expectations, modeling vulnerability, and showing gratitude. Finally, we provide actionable tools for leaders to create a psychologically safe team environment.
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
Guest Bio: Kim Bambach, MD is an Assistant Professor of Emergency Medicine at The Ohio State University and Assistant Director of the Kiehl Resident Wellness Endowment
We Discuss:
What is “psychological safety”?Google's Project AristotleWhy psychological safety is important, even on a SWAT teamThreats to psychological safetyThe Korean Air Crash of 1997Contributors to trainees feeling psychologically unsafeCollegiality between specialties and its impact on psychological safetyThe Psychological Safety ScaleSix key leadership behaviors to create a culture of psychological safetyMentioned in this episode:
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
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4 Free Resources specifically designed to address pain points in medical practice
Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults.
Free Resources Link
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What would you do if your job ended tomorrow? Even though you might want to say, “Take this job and shove it,” that won’t help build stepping stones to your next job.
In this episode, we discuss: what it’s like for physician coaches who regularly work with docs in this situation, getting fired, dealing with unexpected events that shake up professional stability, planning for career disruption, the importance of networking, and finding your clinical practice N plus one.
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
Guest Bio: Health Joliff, DO, is dual-boarded in Emergency Medicine and Medical Toxicology. He is a certified executive coach and can be found at Physician Coaching Solutions.
We Discuss:
We plan for what happens at the bedside. Why don't we plan for what might happen to our careers?What happens to the majority of docs who come to coaching wanting to get out of medicineThe importance of clinical medicine + 1Networking doesn't have to be a massive labor. Small steps can make a big difference.Great doctors getting firedFirst steps after losing employment: be humble and don't burn bridgesStrategies for bringing up having been fired in an interviewThe therapeutic power of venting (versus dumping)Should you accept your group's director position?The distinction between imposter syndrome and inexperienceYour contract has not been renewedYou are a new resident, and your health system suddenly closesAn older physician plans to retire in a year and is uncertain what to do nextYour first job out of training will likely not be your lastMentioned in this episode:
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
4 Free Resources specifically designed to address pain points in medical practice
Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults.
Free Resources Link
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Zijn er afleveringen die ontbreken?
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Many of us have ideas that could make a great business. Most of the ideas, however, never see the light of day. It can feel like a big leap from physician to entrepreneur. So how do you do it? We speak with Dr. Jason Hine, the founder of SimKit, and see how he went from community emergency medicine doctor to successful business owner.
In this episode, we cover how Jason started his business, accounting for the knowledge gap between clinician and entrepreneur, setting boundaries, why saying hell yes has a critical proviso, the inevitable oscillation between passion and money, and a marketing exercise that’s critical to walk through before you even consider jumping in on a new product or business.
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
Guest Bio: Jason Hine, MD, is an emergency physician in southern Maine, where he is the Director of Education for his community hospital. He is a graduate of Tufts University School of Medicine and completed his residency at Temple University Hospital, where he served as chief resident. His interests include procedural skillset decay and the role of academics in improving the recruitment, retention, and satisfaction of community physicians. He is the founder of SimKit, a medical education company focusing on delivering convenient and effective hands on procedural skills practice.
We Discuss:
Sharks and bouldersBuild a business plan earlyEffective resources and dead-end rabbit holesThe first thing to consider before starting a business: the pain point and value propositionGetting out of the Lone Wolf mindset and forming an advisory committeeWhat challenge surprised Jason as he got the business rollingHow do you pay your advisory committee before your business makes money?What it means money-wise to give someone equity in your companyNegotiating equity stake and why contracts are by nature adversarialThe tipping point from dreamer to doerA self-reflective prompt that puts endeavors in proper perspectiveIt might be a hell yes for you but a no for your familyProtecting immutable bouldersLogistics of setting and keeping boundariesNothing super cool happened because someone just wanted to make a bunch of moneyFinding your ideal customer before the product even existsA marketing exercise to do when a product is still an ideaMentioned in this episode:
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
4 Free Resources specifically designed to address pain points in medical practice
Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults.
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.
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Success and happiness are often determined by where we place our focus: within ourselves or on external factors. Mastery lies in asking the right questions, and understanding the locus of control is a key part of this. Those who focus on what they can influence are generally happier and more successful. In this episode, we explore the philosophy behind the locus of control, its impact on burnout, the importance of small bets in making significant changes, and state vs. trait gratitude. Finally, we delve into practical strategies to cultivate a more resilient mindset
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
Guest Bio: Dan Mccollum, MD is an emergency physician and Director of Teaching and Learning at the Medical College of Georgia. Hear more of Dan on Stimulus episodes #1 Verbal Judo #14 Stoic With A Capital S, #25 Digital Minimalism, and #59 Aim to Be A Zero.
We Discuss:
Waiting room medicine has become the norm. It's not ideal. So what do you do about it?The power of placing small betsStoicism and the philosophy behind locus of controlSome things in the world are up to us; others are notSextus, "The crowd is irrelevant."What is the locus of control?Shades of gray in the locus of controlThe Stoic approach to patient complaintsTaming the blame ogreDomains of control and the paradox of varied strengthThe Stoic approach to patient complaintsHow a mishandled aspirin overdose led to a major recalibration of control locusA tactical approach to developing an internal locus of controlThe 'Good' reframeThe five slices of gift exerciseThe jar of awesomePower of an end-of-day debriefTrait vs. state of gratitudeNot every approach is for everybodyBook recommendations for operationalizing an internal locus of controlMentioned in this episode:
4 Free Resources specifically designed to address pain points in medical practice
Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults.
Free Resources Link
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
Never Lame. Never Spammy. Always Fresh.
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Medical debt has a strange and storied history in America. Stretching back to colonial times, physicians and patients alike have grappled with its harsh realities. In recent years, hospitals have resorted to selling medical debt to third parties, who then aggressively pursue patients. In today’s episode, medical historian Luke Messac, MD, PhD, guides us through the past and present landscape of medical debt, examining perspectives from patients, providers, hospitals, and governments. We delve into a form of indentured servitude in the name of debt clearance, the birth of nonprofit hospitals, a pivotal shift in the 1980s, feasibility of operating healthcare under free market principles, medical economics in the 1600s, hospitals suing patients, and the emergence of medical debt as its own thriving industry.
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
Guest Bio: Luke Messac MD, PHD emergency physician and medical historian whose research focuses on health care's history and political economy. Luke is an attending physician at Brigham and Women’s Hospital, an Instructor in Emergency Medicine at Harvard Medical School, and the author of two books, No More to Spend: Neglect and the Construction of Scarcity in Malawi's History of Health Care and most recently, Your Money or Your Life: Debt Collection in American Medicine.
We Discuss:
Hospitals suing patients over debtThe Service Credit Program | Indentured servitude in the name of debt clearanceNonprofit hospitals were born out of the almshouse tradition, where charity care was part of the missionThe 1980s were a turning point for medical debt in the United StatesWith cuts in government medical spending, hospitals cut costs by limiting charity care and aggressively pursuing unpaid debtsWhy healthcare cannot operate in a pure free marketHospitals used to refuse care to patients and the courts supported itPatient dumping and the rise of EMTALACollecting money from patients has been an issue for hundreds of yearsIn the 1600s, doctors could be arrested for charging too muchDebtor's prisonDoes suing patients to recover medical debt improve a hospital's bottom line?In the early 2000s, Yale New Haven Hospital put liens and foreclosing on patients' homes as part of a debt collection strategyMedical debt collection has now become a thriving industryHow third-party medical debt collectors operateRIP Medical Debt buys and forgives medical debtIs buying and forgiving medical debt better or just forgiving it upfront?Dollar For is a nonprofit focused on helping patients navigate financial assistance programsSome hospitals are making financial assistance easier to accessState legislation is starting to address medical debt collectionNational approaches to medical debtMedical debt is prevalent around the world, but the US stands apart among wealthy countriesThe consequence of copaysPaul Farmer and caring for the destitute sick. The jungle hospital that's carrying out Paul Farmer's vision in GuatemalaRudolf Virchow - Physicians are the natural attorneys for the poorMentioned in this episode:
Physician...
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It's natural to feel guilt or shame when living in abundance while much of the world faces hardship. In this episode, Dr. Barry Kerzin, the Dalai Lama's personal physician and a Buddhist monk, shares his approach to managing these emotions with a simple yet powerful tool. He also discusses his journey to becoming a monk, life within the Dalai Lama's compound, as well as anger management, self-compassion, and impatience strategies.
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
Guest Bio: Barry Kerzin, MD is a US born and trained family physician who for the past several decades has resided as a monk in Dharamshala, India — home of the Tibetan community in exile. In addition to serving as H.H. the Dalai Lama’s personal physician, Dr. Kerzin is the founder of the Altruism in Medicine Institute, whose mission is to increase compassion and resilience among healthcare professionals and extended professional groups, such as police officers, first responders, teachers and leaders.
Self described as “…a doctor, a monk, a teacher, a lazy man. All of these things, yet none of these things,” you can follow Dr. Kerzin on Facebook, Youtube, Instagram or learn more about his story here.
He's also got a new app that you might be interested in -- AIMIcare. This app is crafted to counteract the distressing prevalence of burnout, depression, and frustration among those facing the brunt of human suffering by instilling the virtues of compassion, mindfulness, and self-care
Download AIMIcare: here
AIMIcare Mobile App Website: https://aimicare.altruismmedicine.org/
We Discuss:
How Dr. Kerzin made the trade from US-based family doctor to Buddhist monk and the Dalai Lama's personal physicianStudying Tibetan medicine for the treatment of high blood pressureA day in the life of the Dalai Lama’s doctorWhat the food is like in the Dalai Lama's compoundHow Barry feels about being referred to as 'The Dalai Lama's Doctor'Two experiences in younger life that sparked Barry's spiritual questThe guilt of living in abundanceThe importance of generositySelf-compassionAn approach to imposter syndromeAnger managementHealthy self-confidenceUsing purpose as an antidote for impatienceHaving patience in the time-compressed reality of medical practiceMentioned in this episode:
Never Lame. Never Spammy. Always Fresh.
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Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
4 Free Resources specifically designed to address pain points in medical practice
Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling...
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Non-compete clauses have plagued contracts for decades. It’s been analogous to asymmetric warfare, with employers holding the upper hand.
All of that may soon be a thing of the past.
In this episode, we explore the Federal Trade Commission's recent ruling to ban these clauses and its implications for doctors and the healthcare industry. We'll also discuss the unexpected ways non-competes can protect smaller groups, the rise of independent contractor models, and the critical staffing issues in emergency medicine. A highlight of our discussion includes the lure and the trap of signing bonuses—what seems like a generous offer can sometimes come with subtle strings attached. Finally, we'll touch on the U.S. Senate's investigation into major staffing companies and the innovative emergence of empath units for mental health patients.
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
Guest Bio: Leon Adelman, MD, MBA, FACEP, FAAEM is an emergency physician and co-founder of Ivy Clinicians, a software company that simplifies the emergency medicine job search through transparency. Dr. Adelman is the author and publisher of the Emergency Medicine Workforce Newsletter, which explores the business of emergency medicine.
We Discuss:
What is a non-compete clause?The Federal Trade Commission's ruling making non-complete clauses null and voidWhy employers and private equity are unhappy with the non-compete rulingThe emergency medicine-specific burn point of the non-compete ruling: contract retentionThe unexpected way that individual non-compete contract clauses can protect a group from being replacedWhy small groups like to use non-compete clausesHow larger groups have moved away from non-competes and favored a 1099 independent contractor modelWhy the non-compete ruling is a massive win for independent physician practicesThe lure and the trap of physician signing bonusesA signing bonus is a loan, not a check. It's a loan you are paying back with time.What is the chance of someone not paying back the time attached to a signing bonus?There's a reason that some jobs offer a signing bonus and others don't.The US Senate Committee on Homeland Security and Governmental Affairs is investigating the staffing models of USACS, Team Health, Envision, and Life PointWhen private equity owns a hospital, it tries to lower expenses by decreasing staffing48 states and the federal government don't require a physician in the emergency departmentIndiana and Virginia are the only two states that require a physician to be on duty in emergency departmentsAre Empath Units the solution to helping emergency department mental health patients?Mentioned in this episode:
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
4 Free Resources specifically designed to address pain points in medical practice
Scripting your least favorite conversations. The Driveway Debrief.
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Understanding cultural context in healthcare can seem overwhelming, especially when time and resources are limited. Why should clinicians invest energy in learning about different cultures? In this pod, we break down the differences between cultural competence and cultural safety, explaining why the latter is essential for patient care. We share practical examples of how understanding cultural context can improve interactions, strategies for making patients feel seen and heard, and the pitfalls of the term ‘non-compliant’. We also touch on how these practices can make your job more rewarding and prevent burnout.
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
Guest Bio: Raj Sundar, MD, is a family physician and community organizer in Washington state. His podcast, Healthcare for Humans, “is dedicated to educating you on how to care for culturally diverse communities so we can be better healers.”
For full show notes of this episode and all sorts of other goodies, visit our podcast website
The Flameproof Course
The hidden anti-burnout curriculum we all should have learned in training. Cohort 3 begins Sept 10, 2024. Get the deets
We Discuss
What does it mean to care for diverse communities effectively?An argument for why it’s not the patient’s job to teach clinicians about their cultureUnderstanding the cultural context of frustrating behaviorsShifting from 'why me' to 'of course'How to create a framework for cultural knowledgeWhat happened to Raj's practice when he started interviewing local Pacific Islander community leadersHow to have patients feel seen, heard, and known in the point of careCultural competence vs cultural safetyWhat does cultural safety look like?Why should I spend my energy on learning another's culture? If they've moved here, shouldn't they be the ones to assimilate into this culture?The language of noncompliance vs nonadherence vs nonjudgmentalWhy social determinants of health in documentation might be a good thingRumi's The Great WagonMentioned in this episode:
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
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 bi-weekly newsletter
4 Free Resources specifically designed to address pain points in medical practice
Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults.
Free Resources Link
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"Kicking the can down the road" is a common behavior that manifests in various ways, from delaying difficult patient decisions to avoiding complex tasks. We explore the reasons behind on-shift procrastination and strategies for overcoming it. Our discussion includes practical steps to recognize and address decision deferral, techniques for managing aversion to some decisions, and pre-loading accountability. We also highlight the importance of building decision-making resilience and creating systematic pathways to streamline the decisional process.
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
We Discuss:
What does it mean to kick the can down the road?How procrastination shows up on a clinical shiftWhy does procrastination happen?It doesn't take much dread for can-kicking to occurAvoidance AwarenessDecisional InterrogationKicking the can because deciding will set off a cascade of more workAvoiding the infinite test of timeIdentify how, when, and where you’ll make high-level decisionsLong term guests | How is it that decisions can finally be made when the shift is over?ChunkingZero in on your critical decision pointsKicking the can at work: pick one thing and identify YOUR decision pointsPreloading accountabilityPerfectionists get caught in a tree when they're actually in a tunnelMentioned in this episode:
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
4 Free Resources specifically designed to address pain points in medical practice
Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults.
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 bi-weekly newsletter
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How do you build a team in the critical first moments of a crisis? The balance between rapid response and thoughtful planning is delicate, especially when understanding what defines a crisis and acknowledging when you're in the midst of one. This conversation delves into the complexity of emergency team dynamics, emphasizing that the composition and organization of these teams are deeply influenced by their members' specific skills and contexts, with lasting implications long after the crisis has passed.
We introduce 'Name, Claim, Aim'—a straightforward, three-step framework designed to streamline team organization under pressure. It's about rapid situational assessment, clear role delegation, and setting concise objectives. The discussion extends to effective leadership in high-stakes situations, including establishing command, ensuring effective communication from the start, and striking the right balance to encourage team input without compromising decisiveness.
Exploring the subtleties of crisis leadership, we'll discuss the strategic balance needed for effective oversight and the practicality of 'Name, Claim, Aim' as a distilled version of more complex crisis management theories tailored for the immediacy of emergency care. The conversation will also cover the practical implementation of this framework, from team huddles to understanding the profound impact of the first few seconds on the trajectory of team success.
This episode builds on episode 115 - Zero Warning | Frameworks for no notice critical patients
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
Guest Bio:
Lon Setnik, MD, is an emergency physician practicing in New Hampshire and the associate director of clinical programs at the Center for Medical Simulation. Lon is a Stimulus fan favorite. Here are some of his most popular episodes:
Listening to Understand versus Listening to WinFeedback can be hard to give and harder to receive. Here are techniques to do both betterTake the Suck out of Documentation | Making the most of scribes, documenting in the room (and in front of the patient), efficient workflowsWe discuss:
The tension between planning and actionWhat defines a crisis?How do you know when you're in a crisis?Teams are contextual in their skill setsHow you organize a team in a crisis has ripples after the event has endedThe three steps to organizing teams in a crisis: Name, Claim, AimHow to declare yourself as a team leaderModeling closed-loop communication from the first moments of team formationThe balance between being a tyrant vs an effective leader and how to avoid suppressing speaking-up behaviorsThe two pillars of Aiming what we want to achieve and who is going to do what to get us thereName, Claim, Aim needs to be fast and efficient; otherwise, people will just start getting to work without organizingBalancing the balcony and the dance floor | The impulse in crisis is to do. The leader does not have to be the primary operator, but it's hard to hold back!As a team leader, it's ideal to keep your hands -
Will you have enough money to retire? What does that even mean? In this pod, our guest physician financial coach, Elisa Chiang, M.D. Ph.D. breaks down
Trading time for money and money for timeWorking harder vs creating valueThe FIRE (Financial Independence Retire Early) movement and why it doesn't always mean living by austerity rulesThe risk of relying solely on retirement accounts to fund your post-career lifeHer biggest financial mistakeHow identity influences spending habitsIncorporating real estate into an investment portfolioGuest Bio: Elizabeth ‘Elisa’ Chiang, M.D. Ph.D. is a board-certified ophthalmologist and fellowship-trained oculoplastic surgeon who found her way into personal finance and real estate investing during her MSTP program, aspiring for FIRE long before it became mainstream. Battling burnout from her work in a hospital system, she turned to real estate as her avenue to financial independence, complemented by her newfound passion for life coaching. With active involvement in rental properties and passive investments in syndications and real estate funds, Elisa now helps others achieve financial independence while embracing life's journey. Learn more at https://www.growyourwealthymindset.com/
For full show notes of this episode and all sorts of other goodies, visit our podcast website
We discuss:
Why a high income does not equate to wealthWorking harder vs creating valueOnce debt is gone, attention to money can dwindle Finding a place to start investing can be overwhelming and lead to inertiaHow to navigate a scarcity mindsetHow identity influences spending habitsMoney can buy time, but there's a catchElisa's biggest financial mistakesHow to decide if a real estate investment is a good (or bad) dealElisa’s big-picture financial strategyReal estate investing for positive cash flowIf you only think about maxing out your retirement account, you probably won't retain the same lifestyle when you stop workingBeyond real estate investing, what are other areas for investment to produce cash flow?F.I.R.E Financial Independence Retire Early | Survival, Regular, and Fat FIREHow to figure out how much FIRE money you'll need to stop workingWill my retirement funds actually last? Rate of withdrawal and sequence of returns risk Fat FIRE | Spending more in retirement than you did while workingMentioned in this episode:
4 Free Resources specifically designed to address pain points in medical practice
Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults.
Free Resources Link
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
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Phantasia Kataleptike, a lesser-known gem from Stoic philosophy, offers a transformative approach to life's challenges. This practice of 'objective representation' strips away the layers of subjective judgment that often cloud our perceptions. Imagine the power of viewing a setback not as a disaster but simply as a fact of life, a moment ripe with potential for growth. How does this shift affect our inner turmoil? The Stoics had insights that might surprise you, blending ancient wisdom with actionable strategies for modern living.
In this pod, we break down the essence of Phantasia Kataleptike and multiple methods for employing it as a tool for equanimity and de-catastrophization.
For full show notes of this episode and all sorts of other goodies, visit our podcast website
The Flameproof Course
The hidden anti-burnout curriculum we all should have learned in training. Cohort 3 begins Sept 10, 2024. Get the deets
We Discuss:
Defining Phantasia KataptikeAcceptance of what isA dog and a cart | Epictetus’ classic simileWhy the words we use impact us as much as (or more than) they impact othersThe lost shipThe A-hole in a JaguarOperationalziing Phantasia KataleptikeValence | Awareness of emotion and narrative The Dichotomy of ControlHow to Think Like a Roman EmperorActively de-catastrophizing Shifting from ‘what if’ to ‘why did’ to ‘so what?’ to ‘what’s next’The threat-challenge seesawWhat to do when the emperor banishes youThe counterarguments to Phantasia KataleptikeMentioned in this episode:
4 Free Resources specifically designed to address pain points in medical practice
Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults.
Free Resources Link
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
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Have you ever found yourself deep in “The Pit” where the mere thought of going back to work triggers an existential crisis? You wonder if your current job is the right choice. Sometimes, all it takes are a few adjustments to the current job and you'll feel fully refreshed and stoked to tackle that next shift. It may also, however, be time for The Trade.
In this episode, we delve into the critical juncture many professionals, particularly physicians, find themselves in when their once-aspired career paths no longer bring fulfillment. We tackle:
Whether to deepen commitments to your current role or brave the uncertainty of switching careersWhat it means to tolerate another yesterdayThe silent tax paid by grinding it outThe emotional and practical implications of making significant life changesHow a well-cultivated professional identity can become an albatrossA step-by-step guide on how to transition towards a more satisfying careerSo, whether you're a physician on the brink, a professional in a pickle, or just someone who enjoys a good existential quandary with their morning coffee, tune in. Let's laugh in the face of the status quo and ponder if the grass is greener, or if it's just astroturf.
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
Guest bio: Lon Stroschein is the purveyor of the Normal 40 podcast and author of The Trade. In past career interactions, he was an aide to a US senator and brokered billion-dollar deals in the aerospace industry. He now guides professionals in finding their second-half stories.
The Flameproof Course
The hidden anti-burnout curriculum we all should have learned in training. Cohort 3 begins Sept 10, 2024. Get the deets
We Discuss:
Do I double down on what I'm doing right now or consider making a career change?Tolerating another yesterdayThe Pit: A Signal for ChangeRecognizing and Overcoming the Tax of DiscontentWorking yourself into The Box | We strive for years to get into it, but then it can feel like a trap. The two things that keep high-level professionals stuck in a career or positionWork identity takes a long time to build. It gives amazing opportunities but also takes some awayThe Trade: Step by StepThe mindset to thwart inertia #JFDSHas this job given me all it has to give and have I gotten all I have to get?A lifetime is a long time, but it doesn't take long to live itMentioned in this episode:
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
4 Free Resources specifically designed to address pain points in medical practice
Scripting your least favorite conversations....
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The interplay between the Default Mode Network (DMN) and the Task Positive Network (TPN) is crucial for our cognitive and emotional health. The DMN, active during restful states and wandering mind, facilitates introspection, memory recall, and creativity, serving as a foundational element in our mental processes. On the other hand, the TPN takes charge during focused, goal-oriented tasks, enabling attention, decision-making, and problem-solving. They operate in balance - when one is active, the other quiescent and this dynamic is essential for optimal mental functioning.
However, imbalances in these networks can lead to mental health challenges. For instance, excessive DMN activity is linked to conditions like depression and anxiety, where rumination and negative self-referential thoughts prevail. In contrast, overreliance on the TPN without adequate rest can lead to burnout and stress.
Mindfulness meditation offers a practical approach to equilibrating the DMN and TPN, promoting mental well-being by fostering a state of alert relaxation and enhancing self-awareness. Moreover, incorporating regular breaks into the workday, particularly those that allow for mental disengagement from task-focused activities, is vital for sustaining cognitive performance and preventing decision fatigue. Engaging in activities that stimulate the DMN, such as spending time in nature or practicing mindfulness, during these breaks can further enhance cognitive restoration and emotional balance.
Awake and Aware | Our 2024 Live Event
Join us at Awake and Aware 2024, a transformative 3-day workshop from May 1st to 3rd in Bend, Oregon. Mitigate stress and stay cool under pressure. Create the mindset you want and lock it in. Limited slots.
Website: Awakeandawarebend.com
16.25 Hours Category 1 AMA CME
For full show notes of this episode and all sorts of other goodies, visit our podcast website
We DiscussWhat is the Default Mode Network?What is the Task Positive Network?Interplay of the TPN and DMNDefault Mode Network out of Balance | Mental IllnessThe Neurophysiology Behind How Taking a Small Step of Action Can Decrease Rumination and AnxietyThe Default Mode Network and InsomniaWhat Happens with the DMN in Meditation?The Task Positive Network's Role in MeditationWhy Your Task Positive Network is Begging You to Take a Break in the WorkdayHow to Take a Break That Effectively Recharges Your Task Positive NetworkMentioned in this episode:
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
4 Free Resources specifically designed to address pain points in medical practice
Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults.
Free Resources Link
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Moral injury, a term initially used in the military context during the Vietnam War to describe the psychological trauma soldiers experienced, has become increasingly relevant in medicine. In this episode, we discuss how moral injury manifests as psychological distress when healthcare professionals' actions, or inactions, contradict their moral or ethical codes, leading to feelings of guilt, inadequacy, and a sense of betrayal.
Our conversation will navigate through the history of this term, its definition, relationship with burnout, PTSD, and moral distress. We'll examine real-life scenarios where healthcare workers face moral dilemmas, feeling trapped in a system that often works contrary to their values.
Moreover, we’ll explore individual and systemic actions that may help mitigate the impact of moral injury.
Guest Bio: Kim Bambach, MD is an Assistant Professor of Emergency Medicine at The Ohio State University and Assistant Director of the Kiehl Resident Wellness Endowment
Awake and Aware | Our 2024 Live Event
Join us at Awake and Aware 2024, a transformative 3-day workshop from May 1st to 3rd in Bend, Oregon. Mitigate stress and stay cool under pressure. Create the mindset you want and lock it in. Limited slots.
Website: Awakeandawarebend.com
16.25 Hours Category 1 AMA CME
For full show notes of this episode and all sorts of other goodies, visit our podcast website
Mentioned in this episode:
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
The Driveway Debrief
A free resource to help you transition from work to home life. Developed from extensive experience with one-on-one physician clients, The Driveway Debrief is a structured exercise for decompression and processing the day's events. *Release work tension*Establish a boundary between professional and personal life*Be more present with your loved ones after a day's work
The Driveway Debrief
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There’s no getting around the surges and potential chaos of an emergency department. The good news is that these events are predictable, you know they’re going to happen, just not when. So how do you prepare and then navigate the storm once you’re in the thick of it?In today’s episode, we start with a discussion with Thom Mayer, MD exploring strategies to steel yourself for the inevitable chaos, underscoring the importance of maintaining a positive, agentic, proactive mindset. Drawing parallels to General Theodore Roosevelt Jr.'s decisive leadership on D-Day, the discussion highlights the critical need for quick, confident decision-making. A key focus is on the concept of "energy packets," a methodical approach to managing the cognitive overload in the ED by strategically allocating mental resources to specific tasks. We also delve into understanding individual stress thresholds and how to manage stress without succumbing to a sense of helplessness. In the second half of the episode, Chris Hicks, MD gives his approach to managing high patient volumes, communication while managing critical patients, and how to address a direct challenge in the resus bay. Guest Bios:
Chris Hicks, MD
Chris is an emergency physician and trauma team leader at St. Michael's Hospital in Toronto. He has innovated in several areas of resuscitation and psychological skills, including mental practice, stress inoculation training. These days he enjoys a quieter life, free from the problematic corporate jib-jab of academic deliverables. In 2018, as a partial rebuke of the status quo, Chris co-created and chaired resusTO, an inter-professional simulation-based resuscitation conference in Toronto with international acclaim. In 2020, he co-founded Advanced Performance Healthcare Design, consulting with hospitals and industry using simulation to inform the design of systems, spaces and teams. Chris is an avid speaker and lecturer, staunch #FOAMed supporter, occasional runner and cyclist, fledgling boxer, semi-retired pianist, and proud father of three lunatic boys.
Thom Mayer, MD
Dr. Mayer is the Medical Director for the NFL Players Association, Clinical Professor of Emergency Medicine at George Washington University and a Senior Lecturing Fellow at Duke University.
Dr. Mayer was named the ACEP Outstanding Speaker of the Year in the second year the award was given and has twice been named ACEP’s “Over-the-Top” award winner.
On September 11, 2001 Dr. Mayer served as one of the Command Physicians at the Pentagon Rescue Operation, coordinating medical assets at the site. Dr. Mayer has served on the Department of Defense on Defense Science Board Task Forces on Bioterrorism, Homeland Security and Consequences of Weapons of Mass Destruction. Dr. Mayer also serves as a Medical Director for the Studer Group.
Awake and Aware | Our 2024 Live Event
Join us at Awake and Aware 2024, a transformative 3-day workshop from May 1st to 3rd in Bend, Oregon. Mitigate stress and stay cool under pressure. Create the mindset you want and lock it in. Limited slots.
Website: Awakeandawarebend.com
16.25 Hours Category 1 AMA CME
For full show notes of this episode and all sorts of other goodies, visit our podcast website
We Discuss:Setting Yourself Up for Success at the Beginning of a Busy ShiftCounting Down the Hours Til the Shift is OverEnergy Packets - Closing the Loop on Open-Ended Attention VampiresIdentifying Your Stress Tolerance... -
We all have an internal drive that propels us forward, inspiring us to achieve and create. Yet, there's also an innate anti-drive, a subtle yet powerful force that holds us back. This episode delves deeply into the nature of this anti-drive. We explore the foundations of resistance, drawing insights from Stephen Pressfield's 'The War of Art' and linking it to entropy and the Second Law of Thermodynamics. We'll examine why resistance occurs, how it manifests in both our personal and professional lives, and the various ways it can be hidden, even under the guise of positivity. We'll discuss practical strategies to overcome this resistance, ranging from the psychological tools developed by Phil Stutz to Stephen Pressfield’s adopting a professional mindset.
The Flameproof Course
The hidden anti-burnout curriculum we all should have learned in training. Cohort 3 begins Sept 10, 2024. Get the deets
For full show notes of this episode and all sorts of other goodies, visit our podcast website
We Discuss:
What is Resistance?The link between resistance and entropy Resistance is always on patrol and ready to thwart creativityWhere does resistance come from, and how does it work? The pain of leaving the comfort zoneResistance can be hidden in positive actionHow to overcome resistance. Strategy 1 – Phil Stutz’s The ToolsEven the best feel fear, it can rarely be overcome How to overcome resistance. Strategy 2 – Going ProWhy being process vs goal-oriented is a key to overcoming resistance but nearly impossible to execute fully How criticism can be a manifestation of resistanceOvercoming resistance in documentation habitsMaking your bed and small acts that squeeze resistance out of the pictureMentioned in this episode:
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
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When a critical patient lands on your department's doorstep without prior notice, even the most seasoned professionals can find themselves momentarily at a loss — wondering what steps to take first and how to prioritize actions in those crucial initial seconds. What do I do first, what do I do next? What’s REALLY important in the first few seconds? In this episode, emergency intensivist and physician coach Scott Weingart breaks down how to get your mind unstuck and move into action.
Guest Bio: Scott Weingart, MD is a physician coach and emergency department intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is best known for talking about Resuscitation and Critical Care on the EMCRIT podcast , which has been downloaded > 40 million times.
The Flameproof Course
The hidden anti-burnout curriculum we all should have learned in training. Cohort 3 begins Sept 10, 2024. Get the deets
For full show notes of this episode and all sorts of other goodies, visit our podcast website
We Discuss:
Temporizing vs. Stabilizing: Why Seconds Count but Don't Really CountThe Emergency Action DrillGet Off the Spot: Taking Action to Get Out of the White NoiseBeat The Stress Fool: Breathe, Self Talk, See (Mental Rehearsal), Focus with a Trigger WordUsing Operant Conditioning to Train a De-escalating Trigger WordYou Don't Need to Be Everything, Everywhere, All at Once: The Critical Steps to Start UnfreezingThe transition from temporizing to definitive care in a trauma arrestWhy ACLS Fails as an Emergency Action Drill: Strategy vs LogisticsThe Reason Why Cognitive Freeze Happens in a Zero Warning Critical SituationHow to Craft Your Own Emergency Action Drills: The Difference Between Thinky Time and Pure ActionBuilding an Emergency Action Drill from the Ground Up for a New DiseaseA Hospital's Resuscitation Readiness Contributes to an Individual Clinician Freezing in a Zero Warning SituationMaking an Emergency Department Resuscitation Ready on an Individual LevelEmergency Department Resuscitation Readiness on a Systems Level: The Four Steps to Become a Resus World ChampionPotential Objections to Becoming Resuscitation ReadyHow to Communicate Uncertainty in a Critical SituationMentioned in this episode:
The Driveway Debrief
A free resource to help you transition from work to home life. Developed from extensive experience with one-on-one physician clients, The Driveway Debrief is a structured exercise for decompression and processing the day's events. *Release work tension*Establish a boundary between professional and personal life*Be more present with your loved ones after a day's work
The Driveway Debrief
Physician Coaching
I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.
Physician Coaching FAQ
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The specter of medical malpractice lawsuits looms large for many clinicians, but according to Mark Brown, MD, JD, this anxiety may be disproportionate to the actual risk. In this discussion, we explore the contrasting nature of law and medicine, the unpredictable and capricious nature of legal proceedings, the systemic elements that fuel the high number of medical malpractice lawsuits in the United States, and several practices to reduce the risk of lawsuits.
Guest Bio:
Mark W. Brown, M.D., J.D., holds a JD from Harvard Law School (1970), and an MD from Dartmouth Medical School (1982). His career includes roles in the Los Angeles District Attorney's Office, criminal defense practice, and teaching law at Southwestern School of Law. In medicine, he completed his internship and residency in Emergency Medicine at Presbyterian Hospital, San Francisco, and UCLA and is currently an emergency physician at Antelope Valley Medical Center and clinical faculty member at UCLA School of Medicine.
Awake and Aware | Our 2024 Live Event
Join us at Awake and Aware 2024, a transformative 3-day workshop from May 1st to 3rd in Bend, Oregon. Mitigate stress and stay cool under pressure. Create the mindset you want and lock it in. Limited slots.
Website: Awakeandawarebend.com
16.25 Hours Category 1 AMA CME
The Flameproof Course
The hidden anti-burnout curriculum we all should have learned in training. Cohort 3 begins Sept 10, 2024. Get the deets
For full show notes of this episode and all sorts of other goodies, visit our podcast website
We Discuss:
The Fundamental Difference Between Law and MedicineShould you be worried about the National Practitioner Data Bank?Can Getting Sued Lead to Getting Sanctioned by the Medical Board?The Odds of Getting SuedThree Reasons Why The US Has So Many Malpractice SuitsShould You Push For Settling a Lawsuit?The Plaintiff's Attorney Is Not Your Friend, Even If They Act Like ItWhen the Doctor's Med Mal Fear Supersedes the Patient's Risk ToleranceWhat's Really Happening in a DepositionHigh Yield and Low-Cost Ways to Reduce Med Mal Risk and AnxietyThere's a Big Ticket Item That Your Documentation Doesn't CaptureWhat to do About Hindsight Bias
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None of us are born with the skills to build and sustain healthy relationships. These things are learned. In this episode, our guest is Ryan Cheney, an experienced psychotherapist and behavioral leadership coach, guiding us through the intricacies of healthy and unhealthy relationship dynamics. Our conversation will explore the importance of interdependence, the negative impacts of codependency, and the nuanced practice of attunement, including how to rectify misattunements. Further, we will delve into the role of healthy boundaries in building resilience and trust, how resistance and perfectionism can hinder growth, acceptance and self-awareness, and the difference between appeasement and compromise
Guest Bio:
Ryan Cheney MS, LPC, is a licensed professional counselor, wellness specialist, certified behavioral leadership coach, breath work specialist, and certified XPT (extreme performance training) coach.
He received his Master of Science in clinical mental health from Oregon State University and has dedicated himself to learning how to help others through continued research, education, and practice for over 15 years. He has worked in many settings, including community mental health crisis work, clinical outpatient work within medical settings, and as a clinical supervisor for Deschutes County Behavioral Health. He works in his private practice as a clinical mental health therapist specializing in trauma work and as a performance coach, helping others gain self-mastery and thrive.
Connect with Ryan Here
Awake and Aware | Our 2024 Live Event
Join us at Awake and Aware 2024, a transformative 3-day workshop from May 1st to 3rd in Bend, Oregon. Mitigate stress and stay cool under pressure. Create the mindset you want and lock it in. Limited slots.
Website: Awakeandawarebend.com
16.25 Hours Category 1 AMA CME
The Flameproof Course
The hidden anti-burnout curriculum we all should have learned in training. Cohort 3 begins Sept 10, 2024. Get the deets
For full show notes of this episode and all sorts of other goodies, visit our podcast website
We Discuss:
The Campfire Metaphor for RelationshipsInteracting with Others' CampfiresThe Difference Between Healthy Interdependence and Codependency The Dynamics of Healthy RelationshipsIdentifying Healthy vs. Unhealthy RelationshipsBlaming Never Helps, But It Sure Happens A LotUnderstanding Resistance in Personal Growth and RelationshipsResistance is a Struggle Against AcceptanceConfronting and Recovering from PerfectionismThe Impact of Attunement on Personal and Professional InteractionsThe Importance of Boundaries in Healthy RelationshipsThe Distinction Between Appeasement and Compromise
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