Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers
Rob Orman, MD
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Top 10 Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers Episodes
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69 - A Primer on Nonviolent Communication
Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers
12/21/21 • 36 min
Nonviolent Communication is one of the most powerful ways of speaking with people that I have ever come across. It eliminates useless strategies like judgment and proving yourself right and instead gives you absolutely tactical techniques to get the things you need for happiness for yourself and your interlocutor.
NVC is not a new, gimmicky set of dictum. It boils down the philosophies of Stoicism, the psychological approaches of cognitive behavioral therapy (CBT), and cognitive psychology.
For complete shownotes: https://roborman.com/stimulus/stimulus-podcast-69-a-primer-on-nonviolent-communication/
Interested in one-on-one coaching? https://roborman.com/about-us/coaching/
Our landing page: https://roborman.com/
12/21/21 • 36 min
68. Taking the Suck out of Documentation
Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers
12/13/21 • 45 min
Nobody goes into medicine hoping they can have a long career in data entry, but that’s how many feel when looking at computer screens more than patients during a work day. Documentation and the electronic medical record (EMR) are nearly ubiquitous sources of frustration in medical practice. In this episode we cover two solutions to make medical documentation, charting, and the EMR less onerous: a very specific way to interact with scribes and using technology that’s already in your pocket to chart at the bedside. These might seem like ‘tech hacks’ but they are really tools to get away from the computer and back to patient care.
Guest bios: Alan Sielaff is an emergency physician in Ann Arbor, Michigan. Lon Setnik is a community emergency physician in New Hampshire.
We discuss:
- Challenges that scribes have when documenting critical parts of the medical record [08:25];
- Setting ground rules with your scribe [09:30];
- The provider-scribe workflow [11:20];
- Lon Setnik’s tips for successful utilization of scribes [19:45];
- The importance of doing as much of your documentation as possible in the room with the patient [24:35];
- The strategy of dictating the chart in the patient’s room requires several enabling technologies [26:00];
- The primary advantages of documenting in front of the patient [33:05];
- Habits for good workflow discipline and documentation [37:15];
- A primary goal in caregiving: building trust with the patient [42:00];
- And more.
For complete shownotes: https://roborman.com/category/stimulus/https://roborman.com/stimulus/68-taking-th/
Interested in one-on-one coaching? https://roborman.com/about-us/coaching/
Our landing page: https://roborman.com/
12/13/21 • 45 min
67 - Caring for the Unapologetically Unvaccinated
Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers
11/29/21 • 56 min
We share two conversations about navigating the waters of interacting with unvaccinated COVID patients. Brit Long, MD and Jose Pacheco, RN are thoughtful healthcare providers with somewhat different approaches. The common thread is that both are intentional and compassionate.
Guest bios:
Brit Long is an assistant professor of emergency medicine in San Antonio, Texas and Editor-in-Chief of Clinical Content at emcdocs.net. He is one of the most published authors in the field of emergency medicine. Brit is working in a unique environment where he's running what is in effect a COVID emergency department in an underserved area with an incredibly high unvaccinated rate.
Jose Pacheco is an emergency department nurse who is a local legend for his kind personality and fully engaged approach to caring for patients. He is not just a legend among healthcare providers, but frankly, among the community.
We discuss:
- Brit’s mental processes when he enters the room of a patient with COVID pneumonia who is unapologetically unvaccinated [05:15];
- How Brit discusses the importance of vaccination with unvaccinated patients [05:43];
- The impact of one’s belief system on vaccine decision-making [07:15];
- The fact that personal stories (and not scientific evidence) are what many who aren't able to critically appraise literature rely upon to make decisions [15:25];
- Framing the COVID vaccine as an anti-death vaccine [16:45];
- Handling post-shift frustration [19:30];
- The importance of celebrating the success when a vaccine hesitant person agrees to vaccination after you discuss its merits [22:45];
- Jose’s plea to fellow healthcare providers [25:00];
- What makes the COVID situation more difficult than others we encounter in the ED [27:40];
- Why Jose is referred to not only as the Drunk Whisperer (see Stimulus episode 1), but also the COVID whisperer [28:30];
- Many unvaccinated patients think they’ve done their due diligence [40:20];
- The root and seat of compassion -- wishing that all patients are well, vaccinated or not [46:15];
- And more.
For complete shownotes: https://roborman.com/stimulus/67-caring-for-the-unapologetically-unvaccinated/
Interested in one-on-one coaching? https://roborman.com/about-us/coaching/
Our landing page: https://roborman.com/
11/29/21 • 56 min
66 - Hell Yeah or No
Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers
11/25/21 • 5 min
How do you decide whether to say yes or no to something? In this 5 minute episode, we break down a simple yet incredibly effective heuristic taken from the book Hell Yeah or No by Derek Sivers.
For complete shownotes: https://roborman.com/category/stimulus/
Interested in one-on-one coaching? https://roborman.com/about-us/coaching/
Our landing page: https://roborman.com/
11/25/21 • 5 min
65 - Bouncing Back After a Tough Case
Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers
11/15/21 • 38 min
The nature of medical practice dictates that we will have tough cases. Patients will die, we will have to deliver bad news, and we will, at some point, make mistakes. We have high expectations of ourselves so when we get figuratively knocked down, how do we get back up? In this episode, performance coach Jason Brooks guides us through strategies for dealing with the emotional and intellectual fallout of a bad case as well as how to re-engage during a shift when the last thing we feel like doing is seeing the next patient.
Guest bio: Jason Brooks Ph.D. is a performance coach helping healthcare providers, athletes, and other high-level performers live better, work better, and be better. Check him out at Phenomenal Docs and connect with Jason: Facebook, Twitter, email [email protected]
We discuss:
- The fact that no matter how good you are in your medical practice, you are not immune to a bad outcome [02:20];
- How to manage the sense of failure and the anxiety that naturally occurs when you’re faced with the same situation again [04:00];The importance of getting prepared ahead of time and expecting bad things to happen [06:00];
- Channeling the experience into something positive [08:25];
- Learning to live with and honor these experiences, rather than dread them [10:00];
- Drawing a lesson from a bad event and making a commitment to apply that lesson [16:30];
- The value of talking to someone who is able to receive your emotional turmoil in the immediate aftermath of a bad outcome [18:40];
- Why we shouldn’t think of it as “bouncing back” from a terrible outcome [23:00];
- What do you do when you’ve had a bad outcome, but you don’t have the time to process what’s happened before your next shift [29:00];
- The importance of having a process that you can trust to be effective in helping you shift your attention back to where it needs to be [32:25];
- And more.
For complete shownotes: https://roborman.com/stimulus/65-bouncing-back-after-a-tough-case/
Interested in one-on-one coaching? https://roborman.com/about-us/coaching/
Our landing page: https://roborman.com/
11/15/21 • 38 min
64 - Patient Experience, Not Satisfaction, is What's Important
Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers
11/01/21 • 44 min
Justin Bright MD, CPXP is an attending physician and the Assistant Medical Director for Patient Experience in the Department of Emergency Medicine at Henry Ford Hospital in Detroit. He is fascinated by the intersection of patient experience, interpersonal communication, customer service, and employee engagement. Check out his ideas at www.ptexpmd.com or on The Patient Experience podcast on Spotify, Apple Music, or any other listening platform you enjoy. In this episode, we learn that patient satisfaction and the patient experience are different things. We can improve the patient experience by asking open-ended questions, recognizing nonverbal cues, validating emotion, and pausing to listen.
We discuss:
- A patient satisfaction survey rant [02:45];
- The “patient experience” and how it is influenced by every conceivable touchpoint, perception, and logistical thing that may happen to a patient [11:10];
- How making a purposeful choice to care helps ensure that our patients have a positive experience [16:15];
- The power of the pause [19:35];
- Avoiding the “doorknob complaint” by asking open-ended rather than direct questions [22:00];
- Efficiently handling the situation when a patient has extra questions after you thought you had already completed the encounter [24:50];
- The best way to acknowledge a patient’s long wait [26:40];
- How to respond to the disgruntled patient who voices complaints about other people involved in their care or their prolonged wait [29:30]
- Deescalating the unhappy patient whose expectations of care were not met [33:10];
- Salvaging the situation when a patient threatens to call the nurse administrator or an attorney [39:10];
- And more.
For complete shownotes: https://roborman.com/stimulus/63-the-patient-experience-with-justin-bright/
Interested in one-on-one coaching? https://roborman.com/about-us/coaching/
Our landing page: https://roborman.com/
11/01/21 • 44 min
63 - The Pillars of Your Professional Life
Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers
10/21/21 • 10 min
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.
For complete shownotes: https://roborman.com/category/stimulus/
Interested in one-on-one coaching? https://roborman.com/about-us/coaching/
Our landing page: https://roborman.com/
10/21/21 • 10 min
62 - Primum Non Nocere (First, Do No Harm)
Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers
10/18/21 • 20 min
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.
For complete shownotes: https://roborman.com/stimulus/62-primum-non-nocere-first-do-no-harm/
Interested in one-on-one coaching? https://roborman.com/about-us/coaching/
Our landing page: https://roborman.com/
10/18/21 • 20 min
61 - Outpatient COVID-19 Therapy with Salim Rezaie, MD
Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers
10/14/21 • 30 min
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.
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 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 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.
For complete shownotes: https://roborman.com/stimulus/61-outpatient-covid-19-therapy-with-salim-rezaie-md/
Interested in one-on-one coaching? https://roborman.com/about-us/coaching/
Our landing page: https://roborman.com/
10/14/21 • 30 min
54 - How Do You Define Success In Your Job (and find the joy)?
Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers
07/12/21 • 29 min
What gives you fulfillment in your job? If you know it, do you make purposeful choices to keep pointed in that direction?
With special guests:
- Amal Mattu
- Scott Weingart
- Greg Henry
- Mizuho Morrison
- Haney Mallemat
- Reuben Strayer
- Mike Weinstock
- Victoria Brazil
- Ilene Claudius
For complete shownotes: https://roborman.com/category/stimulus/
Interested in one-on-one coaching? https://roborman.com/about-us/coaching/
Our landing page: https://roborman.com/
07/12/21 • 29 min
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FAQ
How many episodes does Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers have?
Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers currently has 121 episodes available.
What topics does Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers cover?
The podcast is about Doctor, Health & Fitness, Career, Leadership, Medicine, Podcasts, Self-Improvement and Education.
What is the most popular episode on Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers?
The episode title '69 - A Primer on Nonviolent Communication' is the most popular.
What is the average episode length on Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers?
The average episode length on Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers is 38 minutes.
How often are episodes of Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers released?
Episodes of Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers are typically released every 13 days.
When was the first episode of Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers?
The first episode of Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers was released on Mar 1, 2020.
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