Discover key strategies to manage the inner critic and overcome negative self-talk. Explore the concept of inner criticism, recognizing its tone and impact. Learn techniques to combat the negative inner voice and activate a more positive and motivating inner voice. Overcome negative self-talk and inner criticism through reframing, seeking guidance, and practicing distanced self-talk.

Emergency physician Stuart Rose and rescue specialist Ashley Liebig discuss the importance of immediate debriefs in healthcare, exploring different approaches such as INFO and hot offload. They emphasize the significance of processing events and emotions in a safe environment, highlighting the role of charge nurses and the inclusivity of debriefing sessions. The podcast also discusses the significance of the info process, proper training, and the importance of addressing emotions before facts.

Dr. Shawn Dowling, medical director of The Physician Learning Program at the University of Calgary, discusses the reframing of performance metrics to improve provider experience. Topics include: self-assessment challenges, clinician-relevant metrics, presenting metrics to providers, and high-yield metrics that make a difference.

Mike Weinstock, MD discusses the value of signout culture in healthcare, including its benefits for patient safety and career longevity. Topics covered include the pitfalls of signouts, the importance of prioritizing patient care and documentation, utilizing checklists, handoffs in emergency medicine, consequences of inefficient systems in the ER, rare cases, and the significance of clear communication and collaboration in signout practices.

It can be hard enough managing critical tasks in the best of times, but when things start to go awry, you need to focus even more to keep moving in a positive direction. Back by popular demand, Dan Dworkis (our guest on episode 57) walks us through: navigating uncertainty when under situational pressure, powering down at the end of the day, managing the physiologic response to stress, the most thoughtful procedural time out we’ve ever heard, and transparent team communication. Guest Bio: Dan Dworkis MD, PhD is an emergency physician who is a clinical professor of emergency medicine at USC Keck School of Medicine. He’s also host of the Emergency Mind podcast that focuses on helping individuals and teams perform better under pressure and the author of The Emergency Mind: Wiring Your Brain for Performance Under Pressure. This episode brought to you by Wild Health!  Wild Health provides personalized medicine that takes into account DNA, biometrics, microbiome, and lifestyle factors to come up with your ideal diet, supplements, and lifestyle to optimize health and maximize healthspan. I have been through the Wild Health program and found it a game changer as far as optimizing diet and exercise. Use the code GET30 for 30% off the monthly subscription. Learn more at wildhealth.com. 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 CourseThe 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 websiteWe discuss:How Dan’s approach to resuscitation or stressful situations has changed since he started The Emergency Mind project [02:30];Applying the core principles of prepare, perform, recover, and evolve to the scenario of a difficult intubation [05:20];Breathing techniques to manage the physiologic response to stress [07:40];Being cognizant of the other people in the systems around you and communicating what you think you might need next [09:00];How to build a high-functioning culture [10:55];Leave no trace emergency medicine and tale of the squeaky door [15:30];The drama triangle:  victim, villain, and hero [17:15];Altering the principles of behavioral economics when doing a timeout in the ED [19:15]David Marquet’s fist to five [24:15];Cognitive load theory and how it helps us guide trainees who struggle when it comes to knowledge under pressure [27:40]; Managing task saturation with systems and structure [31:30];Powering down after a shift [32:45];The fact that some days a win is simply not “throwing gas on the fire” [40:12];Algorithmic vs creative thinking and the shape of uncertainty [42:20];Dan’s recommendations for new listeners of his show [50:47]Follow Rob:  Twitter, Facebook, and Youtube.

The podcast explores the concept of life balance from an engineering and design perspective. It discusses the importance of evaluating work, health, love, and play in designing one's life intentionally. The hosts address the unique challenges faced by doctors in their clinical work. They emphasize the significance of play as a means of recharging and recommend balancing purpose-driven work with activities done for pure joy. The speakers encourage listeners to self-reflect on their own balance, take specific actions to enhance it, and offer a subscription invitation at the end.

Emergency physician Scott Weingart discusses real-world applications of Nonviolent Communication (NVC) including giving proper compliments, emergency empathy, and the limitations of NVC in the resus bay. They emphasize taking responsibility for our emotions, the flexibility of NVC, and diffusing tense situations through active listening and empathy. The importance of internal frame, last three words, and emergency empathy techniques are highlighted. The significance of effectively expressing feelings and needs, the impact of access on communication, and the connection between NVC, cognitive behavioral therapy, and stoicism are explored.

The podcast discusses Nonviolent Communication, a powerful way of speaking that eliminates judgment and uses tactical techniques for happiness. It explores the basics, four components, and significance of specific observations. It also emphasizes making observations without evaluation and introduces a kinesthetic approach to nonviolent communication.

This podcast discusses solutions to make medical documentation and the electronic medical record (EMR) less onerous for doctors. Topics include using scribes effectively, documenting in front of patients, and efficient workflows. The podcast also explores the use of technology like Dragon voice recognition software in medical documentation and the impact of COVID-19 on dictation. Strategies for managing devices, communicating with patients, and enhancing transparency in healthcare are also covered.

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.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 CourseThe 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 websiteWe 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.