Stimulus - Learn Tools to Crush It in Your Medical Career
Rob Orman, MD
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Top 10 Stimulus - Learn Tools to Crush It in Your Medical Career Episodes
Goodpods has curated a list of the 10 best Stimulus - Learn Tools to Crush It in Your Medical Career episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Stimulus - Learn Tools to Crush It in Your Medical Career for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Stimulus - Learn Tools to Crush It in Your Medical Career episode by adding your comments to the episode page.
The Upset Patient Protocol
Stimulus - Learn Tools to Crush It in Your Medical Career
02/10/25 • 31 min
Dealing with an angry, upset patient can feel like walking into an emotional storm. The frustration in the room is palpable, and even the most experienced clinicians can feel thrown off balance. While medical training equips us to handle complex diagnoses and emergencies, it often falls short when it comes to managing interpersonal conflict. That’s where the Universal Upset Patient Protocol comes in—a straightforward, highly effective framework designed to de-escalate tense situations, restore trust, and protect your own emotional bandwidth. In this episode, we explore Dr. Dike Drummond’s original protocol, breaking down each step with specific language to use in the heat of the moment. Finally, we’ll add a few practical tweaks to help make these conversations even more natural and effective in real-world practice.
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
Guest Bio: Dike Drummond, MD, is a physician coach, burnout prevention expert, and creator of the Universal Upset Patient Protocol—a step-by-step framework for managing challenging interactions with upset patients. A former family physician, he transitioned to coaching to address the emotional toll of healthcare on providers. As founder of TheHappyMD.com, he’s helped thousands of physicians improve communication, manage stress, and build healthier professional relationships.
We Discuss:
- The Universal Upset Patient Protocol: A Framework for Diffusing Conflict
- Key Principle: Acknowledgment Over Fixing
- Step 1: Acknowledge the Vibe and Name the Emotion
- Step 2: Open the Door for Them to Speak
- Step 3: Apologize and Show Compassion
- Step 4: Identify Their Need
- Step 5: Clarifying Reflection (Rob O Addition)
- Step 6: Set Boundaries and Expectations
- Step 7: Express Gratitude
- Beyond the Protocol: The Magic of Conflict Framework
Mentioned in this episode:
5 Free Tools To Make Medical Practice Easier
Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death.
Upcoming Programs You Won’t Want to Miss!
Awake and AwareMay 5–7 | Bend, Oregon - A 3-day, in-person workshop to challenge your mindset, recharge your purpose, and connect with people who get it. The Unburnable CourseStarts September | Online - A 6-month, online program with bi-weekly live coaching. Real strategies for career longevity and resilience. Spots are limited. Check the show notes for details!
Doctoring Done Well | Bite-Sized Wins
Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh.
1 Listener
90. The Dalai Lama’s Doctor Has a Prescription for You | The critical distinction between empathy and compassion
Stimulus - Learn Tools to Crush It in Your Medical Career
10/23/22 • 54 min
Barry Kerzin, MD, the Dalai Lama’s personal physician, is back to dive deeper into: the difference between empathy and compassion, why compassion (versus empathy) is a critical aspect of medical care, generating self compassion, and answers to listener email.
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.
Episode Sponsor: Ivy Clinicians. Curious if there’s a better clinical opportunity out there? Ivy is the simplest way for physicians, PAs, and nurse practitioners to match with jobs they love. With Ivy, you can find all 5,549 emergency departments, filter by your preferences, and connect securely with the right employers. All for free.
For full show notes of this episode and all sorts of other goodies, visit our podcast website
Awake + Aware | Our 2025 Live Event
⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and lock in the mindset you need to flourish. Space is limited.
🖱️ Website: Awakeandawarebend.com
🎓 P.S. Yes, this is a CME event!
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:
- The difference between empathy and compassion;
- Can compassion be taught?
- Listener email about having a hard time switching between empathy and compassion;
- Barry’s response to the listener's email;
- Self compassion after a bad patient outcome;
- Exercises to help build compassion;
- The decision point between accepting people how they are and trying to change them;
- And More.
46. Strategies to De-Stress Your Nervous System | Before, during, and after intense events
Stimulus - Learn Tools to Crush It in Your Medical Career
04/19/21 • 46 min
We are often witness to, or sometimes in the middle of, traumatic events. Whether it’s a mass casualty or cumulative stress over time, our nervous system can get stuck in an upregulated state. In this episode, we break down: training to handle stressful events, protective strategies to employ during and after traumatic events, the physiology of PTSD, specific techniques to downregulate your nervous system and getting to a place of equanimity.
Guest Bio: Ryan Cheney is a mental health therapist, breath work, and performance coach based in Bend Oregon. Our guest on Stimulus Episode 5: The Art of Breathing, Ryan is a thought leader in the field of wellness for health care professions. You can contact him here for further questions and consultations.
Awake + Aware | Our 2025 Live Event
⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and lock in the mindset you need to flourish. Space is limited.
🖱️ Website: Awakeandawarebend.com
🎓 P.S. Yes, this is a CME event!
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 Las Vegas mass casualty and the wide range of emotional responses of those who were involved [03:50];
- Trauma is different for every nervous system -What’s traumatic for one person may not be for another [05:50];
- Training to handle stressful events in a better way [08:15];
- What’s happening physiologically when you have PTSD after a traumatic event [10:40];
- Strategies that are protective of your nervous system DURING a traumatic event [14:20];
- The importance of PRE-TRAINING so that you have tools to down-regulate your nervous system in the moment [19:20];
- Protective, positive strategies that can be used AFTER a traumatic event to reduce the risk of PTSD [25:50];
- The role movement plays in down-regulation and why dosage matters [31:40];
- The benefit of EMDR (Eye Movement Desensitization and Reprocessing) and other body-based therapies for processing acute trauma [35:10];
- The process of intentionally letting go, or “cutting strings”, when something is weighing heavily on you (such as a client, patient, etc.) [37:30];
- And more.
61 - Outpatient COVID-19 Therapy with Salim Rezaie, MD
Stimulus - Learn Tools to Crush It in Your Medical Career
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/
65. Bouncing Back After a Tough Case
Stimulus - Learn Tools to Crush It in Your Medical Career
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]
Awake + Aware | Our 2025 Live Event
⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and lock in the mindset you need to flourish. Space is limited.
🖱️ Website: Awakeandawarebend.com
🎓 P.S. Yes, this is a CME event!
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 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 committing 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.
91. Is this the end of note bloat? | Breaking down the 2023 documentation guidelines
Stimulus - Learn Tools to Crush It in Your Medical Career
11/07/22 • 66 min
28 years ago, the die was cast for how emergency department encounters were documented. Since then, we've had note bloat, click fatigue, and too much attention placed on things that really didn’t matter. All of that is slated to change in 2023 with dramatic new documentation guidelines (that today’s guest calls ‘refreshing’) are implemented. When was the last time you heard the word ‘refreshing’ used when it came to charting? And a massive thank you and hat tip to my friend Matt DeLaney who now runs ERcast - he was the first to alert us to these guidelines and interviewed Jason when they were first announced.
Guest bio: Jason Adler, MD is a clinical assistant professor of emergency medicine at the University of Maryland where he is also the director of compliance and reimbursement. He is also the vice president of acute care solutions at LogixHealth.
Episode Sponsor: Ivy Clinicians. Curious if there’s a better clinical opportunity out there? Ivy is the simplest way for physicians, PAs, and nurse practitioners to match with jobs they love. With Ivy, you can find all 5,549 emergency departments, filter by your preferences, and connect securely with the right employers. All for free.
For full show notes of this episode and all sorts of other goodies, visit our podcast website
Awake + Aware | Our 2025 Live Event
⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and lock in the mindset you need to flourish. Space is limited.
🖱️ Website: Awakeandawarebend.com
🎓 P.S. Yes, this is a CME event!
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:
- History and physical documentation are now at your discretion;
- Heavy value is placed on cognitive work and medical decision making;
- History from a non-patient source is valued in these guidelines;
- Ordering a test is equally valued as not ordering a test;
- Consideration of escalation or deescalation of care;
- In addition to documenting your shared-decision making conversations, your MDM should include;
- Population health - Stable means something different when it comes to documentation;
- Social determinants of health;
- There is a heightened emphasis of independent interpretations of separately billable procedures (EKGs, X-ray, CT, U/S);
- Jason’s take home points;
- And More.
The Emergency Mindset: What Med School Got Wrong
Stimulus - Learn Tools to Crush It in Your Medical Career
01/27/25 • 28 min
What defines the unique mindset of an emergency clinician? It’s not just the fast pace or the chaotic environment—it’s the deliberate, top-down thinking that prioritizes patient safety over diagnostic certainty. This approach, though deceptively simple, often flies in the face of traditional medical training, which emphasizes comprehensive differentials and exhaustive workups. In emergency medicine, knowing what the patient needs often matters more than knowing exactly what they have. In this episode, we explore the emergency medicine mindset, the pitfalls of the bottom-up approach, and why experienced clinicians focus on acute interventions and dangerous conditions. Finally, we discuss how humility and strategic communication with patients can make all the difference in mitigating risk and building trust.
💡 Check out our Free Resources specifically designed to address pain points in medical practice💡
Guest bio: Reuben Strayer is an emergency physician based in Brooklyn, at Maimonides Medical Center. He tweets @emupdates and blogs at EMupdates.com on a variety of emergency medicine topics. His clinical areas of interest include airway management, analgesia, opioid misuse, procedural sedation, agitation, decision-making, and error. His extra-clinical areas of interest include sweeping generalizations and jalapeño peppers.
We Discuss:
- A Critique of Medical School Training and the Bottom-Up Approach
- Top-Down Approach and Ophthalmology Insights
- The 8 Responsibilities of Emergency Physicians
- The Wheel of Dangerous Conditions
- Top-Down Thinking in Practice
- Humility and Communication in Emergency Medicine
Mentioned in this episode:
5 Free Tools To Make Medical Practice Easier
Scripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death.
The UnBurnable Course
Career Longevity. Self Mastery. Anti-Burnout. Next cohort begins Sept 2025.
Doctoring Done Well | Bite-Sized Wins
Every other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh.
11. ZDoggMD | Race, Star Wars, virtue signaling, and prepping for a live show
Stimulus - Learn Tools to Crush It in Your Medical Career
06/29/20 • 53 min
Our guest today is Dr. Zubin Damania (aka ZDoggMD), an internist, hospitalist, and healthcare evangelist. ZDogg is dedicated to turning the practice of medicine into the healing art that it should be, rather than the leviathan of bureaucracy, roadblocks, and nonsense that it sometimes seems to be. In this episode we cover: the morality of masks and not wearing them in public, racism, suspension of the scientific method in the early phases of the pandemic, Star Wars, and much more.
Awake + Aware | Our 2025 Live Event
⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and lock in the mindset you need to flourish. Space is limited.
🖱️ Website: Awakeandawarebend.com
🎓 P.S. Yes, this is a CME event!
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 RECOVERY Trial which found that steroids reduced mortality in certain COVID patients [02:10];
- The optimal way to introduce Star Wars to someone who has never seen an episode [07:50];
- How ZDogg prepares for the flow state of an unscripted live show or polemic [12:30];
- Why wearing a mask in public during the COVID pandemic is like paying taxes [17:50];
- Virtue signalling [23:00];
- The time when Rob was most proud to be ZDogg’s friend [23:55];
- Pandemic & Protest: Racism As A Social Determinant Of Health [23:55];
- The fundamental unfairness when judged on something that you cannot control [28:30];
- The challenge of being both authentic to yourself but also using your large social media platform to spread important messages [34:40];
- Things that surprised ZDogg about COVID-19 [37:25];
- The danger (and benefits) of dissemination of anecdotes [40:15];
- How distancing has disrupted the fabric of society [41:35];
- The importance of recognizing your emotional response and biases [44:25];
- Victims of misinformation and how they’re influenced by FLICC [46:20];
- How infrequent hand-washing demonstrates that quality in healthcare is equated with what’s financially incentivized rather than what really makes a difference [51:20].
23. Michele Harper on Being a Guardian of the Vulnerable
Stimulus - Learn Tools to Crush It in Your Medical Career
10/05/20 • 52 min
NY Times bestselling author Michele Harper, MD on setting boundaries, pre-shift routines, guarding the vulnerable, microaggressions, racism in the emergency department, and why inaction is just as much a choice as action.
Guest Bio: Dr. Michele Harper, is an emergency physician and author of The New York Times best selling memoir, The Beauty in Breaking. She's been interviewed on Trevor Noah, Fresh Air, CNN, NBC, amongst many others. Michele is also a widely published essayist, often focusing on race and medicine. Her writing shares her personal journey that started as a child in an abusive household, then to undergrad at Harvard, medical school at Stony Brook, New York, and now her life as an attending physician. And as you'll hear, she's got a personal mission to be a guardian for the vulnerable.
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Awake + Aware | Our 2025 Live Event
⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and lock in the mindset you need to flourish. Space is limited.
🖱️ Website: Awakeandawarebend.com
🎓 P.S. Yes, this is a CME event!
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 importance of setting boundaries, especially when people are able to reach you 24/7 [03:20];
- Her essay, “Sovereign Bodies” (The Cut), where Michelle shares a story demonstrating how difficult it can be for patients and providers to get the help they need [07:15];
- Michele’s pregame routine before a shift in the ED (which includes probiotic chai tea and Eckhart Tolle) [12:00];
- How growing up in an abusive household groomed Michele for a career in emergency medicine [16:45];
- Why loving medicine is not enough to keep you in the game [19:15];
- Patients who have a special place in Michele’s heart: children and anyone who might be in danger [23:00];
- An excerpt from The Beauty in Breaking which explores the notion that we can find our center through chaos and by transcending difficult experiences [30:15];
- How meditation and yoga help Michele remain still and steady in moments of chaos [32:15];
- Why there’s nothing “micro” about microaggressions [36:00];
- How it’s not the job of the victim to plant a seed of understanding for someone who delivers a microaggression [38:10];
- Why people who are in a position of power need to try harder to prevent and correct indignities [43:30];
- Her article “When This War Is Over, Many of Us Will Leave Medicine” (Elemental) which presents the idea that “healthcare providers are regarded as more disposable than our PPE” [44:30];
- Michele’s call to action [50:45];
- And more.
42. Tough Love and Managing Complainers | Unapologetic expectations with Jim Adams, MD
Stimulus - Learn Tools to Crush It in Your Medical Career
03/08/21 • 19 min
Jim Adams, MD is direct, transparent, and unapologetic in his ‘tough love’ management strategy. In this episode, Jim breaks down: how setting expectations early helps to manage complaints later, managing those who degrade social capital, redirecting conflict to mutual benefit, and how understanding what motivates others’ behavior keeps you from taking things personally.
Guest Bio: Jim Adams, MD is professor and chair of the Department of Emergency Medicine at Northwestern University Feinberg School of Medicine. He is also the senior vice president and chief medical officer at Northwestern Medicine.
Awake + Aware | Our 2025 Live Event
⭐ Join us at Awake and Aware 2025, a game-changing 3-day workshop from May 5-7 in Bend, Oregon. Learn how to stay cool when the pressure’s on and lock in the mindset you need to flourish. Space is limited.
🖱️ Website: Awakeandawarebend.com
🎓 P.S. Yes, this is a CME event!
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:
- Zen and the art of scheduling [05:30];
- Why you might not want to be a complainer [07:05];
- The benefit of assuming people are unreasonable and crazy [08:10];
- A strategy for handling people who degrade social capital [10:30];
- Blend and redirect, a technique for negotiation and collaboration that’ll make you much happier than combat [14:00];
- “People are not against you. They're just for themselves.” [16:15].
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FAQ
How many episodes does Stimulus - Learn Tools to Crush It in Your Medical Career have?
Stimulus - Learn Tools to Crush It in Your Medical Career currently has 157 episodes available.
What topics does Stimulus - Learn Tools to Crush It in Your Medical Career cover?
The podcast is about Health & Fitness, Medicine, Podcasts, Self-Improvement and Education.
What is the most popular episode on Stimulus - Learn Tools to Crush It in Your Medical Career?
The episode title 'The Upset Patient Protocol' is the most popular.
What is the average episode length on Stimulus - Learn Tools to Crush It in Your Medical Career?
The average episode length on Stimulus - Learn Tools to Crush It in Your Medical Career is 38 minutes.
How often are episodes of Stimulus - Learn Tools to Crush It in Your Medical Career released?
Episodes of Stimulus - Learn Tools to Crush It in Your Medical Career are typically released every 14 days.
When was the first episode of Stimulus - Learn Tools to Crush It in Your Medical Career?
The first episode of Stimulus - Learn Tools to Crush It in Your Medical Career was released on Mar 2, 2020.
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