The Emergency Mind Podcast Episode 131 - Joshua Feblowitz on Experiential Learning with Uncertainty
Mar 30, 2026
Joshua Feblowitz, a board-certified emergency physician and medical educator with Harvard and MIT training, explores experiential learning and simulation in clinical training. He discusses teaching metacognition through interactive cases. Conversations cover operating under uncertainty, speed versus accuracy tradeoffs, realistic decision thresholds, and practical limits of traditional assessments.
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Josh Balances Busy ED Shifts With Building Full Code
- Joshua Feblowitz balances clinical EM shifts, leadership at a busy community ED in Frederick, Maryland, and building Full Code simulation content.
- He describes running ~75% clinical time, managing 200 arrivals/day, and developing mobile virtual simulations for experiential learning.
Virtual Patients Teach The Sequence Of Real Decisions
- Full Code uses interactive virtual patients to teach decision sequences rather than multiple-choice knowledge recall.
- Learners take histories, order tests, interpret results, call for help, and repeat cases to internalize workflow under uncertainty.
Score Actions As Critical Neutral Or Harmful
- After each simulated case, provide granular feedback on actions labeled critical, neutral, or harmful so learners can iterate on decision quality.
- Score actions, explain why they matter, and let learners repeat cases to improve judgment, not just recall.