Do you work in medicine and love patient care but feel like parts of the job don’t measure up? Stimulus equips you with tools, mindset shifts, and strategies they didn’t teach you in training—so you can practice medicine like a boss, flourish in your career, and not let it crush your soul. Emergency physician and executive coach Rob Orman, MD, goes in-depth with thought leaders on how to avoid burnout, improve communication, lead without drama, and stay calm amidst the storm. Don’t just suck ...
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Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!
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The Shift Report is a PodCast published by EMcentric. Host Tilman (Til) Jolly talks about important trends, topics, and issues impacting the field of Emergency Medicine. Til interviews key industry professionals and experts across the entire spectrum of the Emergency Medicine ecosystem.
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Strong, Single and Human is a uniquely real podcast dedicated to all the single parents navigating through the challenges of raising children alone. No matter how you became a single parent, it is the hardest thing you will ever do. We talk about the real side of single parenting with all its impacts, worries and issues,. Listen to interviews with single parents who have dealt with many challenging situations and come through the other side.
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Strategies for Keeping Trauma at Bay with Rob Orman, MD
25:02
25:02
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25:02In this episode, Sam Ashoo, MD interviews Rob Orman, MD about ways to manage the trauma inflicted by the ER. Discussing Trauma in Emergency Medicine Personal Experiences with Trauma The Impact of Suppression Defining Trauma and Its Effects Integration vs. Disintegration Debriefing and Coping Mechanisms The Driveway Debrief Nurse and Physician Dynam…
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Parkinson's, Myasthenia Gravis, and MS in the ED
21:05
21:05
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21:05In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the May 2025 Emergency Medicine Practice article, Emergency Department Management of Patients With Complications of Chronic Neurologic Disease: Parkinson Disease, Myasthenia Gravis, and Multiple Sclerosis Parkinson's Disease Importance of maintaining medication schedule for Parkinson's pati…
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Are You Still Lit Up by the Core of Your Work?
20:57
20:57
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20:57What is it about your work that still lights you up inside? At the center of every profession is a core - the reason we chose it in the first place, the part that feels meaningful no matter the chaos around it. When we reconnect with that core, even amid challenge, fulfillment often follows. Sometimes, though, that spark fades. Sometimes the core o…
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The White Coat Investor | Avoiding the Money Mistakes That Sink Physicians
1:09:13
1:09:13
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1:09:13Burnout isn’t just emotional, it’s financial. Many doctors put off financial planning until they’re deep in debt, stuck in lifestyle inflation, and too burned out to pivot. In this episode, The White Coat Investor Jim Dahle lays out how to build a burnout-resistant career by making smart, intentional money decisions, whether you’re a student or a s…
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In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the April 2025 Emergency Medicine Practice article, Sodium Disorders in the Emergency Department: A Review of Hypernatremia and Hyponatremia Hypernatremia (High Sodium Levels) Definition: Sodium level greater than 145 mEq/L Breakdown into three categories based on total body water status Hy…
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From Fried to Fired Up | How One Doctor Rebuilt His Career
46:50
46:50
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46:50Making a major career shift is never easy, especially when you've dedicated decades to a profession that has become part of your identity. The decision to leave clinical medicine can be fraught with self-doubt, financial considerations, and the lingering question - what comes next? But at some point, the balance shifts, and the cost of staying outw…
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In this episode, Sam Ashoo, MD interviews Patrick O'Malley MD about his career in emergency medicine, The Laceration Course, and the power of connection with our patients. Dr. Patrick O'Malley's Journey in Emergency Medicine The Laceration Course: Origins and Evolution The EM Docs Side Hustle Facebook Group The Patient That Changed My Life For More…
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36. Christina Shenvi - An Academic Leader Fighting Burnout Through Professional Coaching
28:05
28:05
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28:05It seems so simple - find Time for Your Life. Like many of us Christina Shenvi struggled with that. She found help through coaching, and now has learned even more about time and life management which she has turned into a thriving coaching practice. Learn more at https://timeforyourlife.org/about/.By EMcentric
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35. Joshua Russell - Urgent Care as Key Component of the Emergency Medicine Landscape
31:00
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31:00From "Why couldn't urgent care do that?" to "Why couldn't that patient have gone to urgent care instead?" we all have opinions, most of which are not based on science. Josh Russell is leading efforts to bring science and education to the growing urgent care industry. Found out how you can contribute to the Journal of Urgent Care Medicine https://ww…
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A Guide to Skillful Death Communication with Alex Jabr, PhD
43:48
43:48
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43:48Delivering the news of death is one of the hardest yet most overlooked skills in emergency medicine. Many learn by watching others or through trial and error rather than structured training (or just make it up as they go). This lack of preparation can lead to discomfort, stress, avoidance, and even systemic failures in how death notifications are h…
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34. The EM Innovation Collaborative - Democratizing Innovation in Acute Care
28:12
28:12
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28:12There must be a better way. We've all said it when some device or technique just doesn't work the way it should. Nick Stark and Zaid Altawil join The Shift Report to talk about how they are supporting innovators, inventors, and entrepreneurs in Emergency Medicine. If you want help with an idea or invention, including how to turn that innovation int…
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33. Rob Orman - He's lived burnout. Now he's helping others.
30:31
30:31
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30:31Rob Orman faced burnout at least three times during a long clinical journey. Now, he is a certified executive coach helping physicians at all stages - just out of residency to mid to late career - who are struggling with the realities of the current practice of emergency medicine. He's been there with us during busy shifts, managing everything from…
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In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the March 2025 Emergency Medicine Practice article, Emergency Department Management of Knee Pain Common Etiologies of Knee Pain Risk Factors and Statistics Infectious Causes of Knee Pain Pre-Hospital Care and EMS History and Physical Exam Imaging Guidelines Ottawa Knee Rule and X-Ray Necess…
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Your First Leadership Role? Start With These 8 Principles
24:09
24:09
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24:09Leadership impacts everyone—whether you're steering an entire organization or simply navigating team dynamics. It’s an essential skill, yet it often feels elusive, even for experienced professionals. While every leadership challenge is unique, the core principles remain universal. In this episode, we break down eight critical leadership principles …
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32. Sean Codier - A compelling story of organizing a union to support emergency physicians
29:30
29:30
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29:30A decorated Army veteran, Dr. Codier entered the private sector practice of emergency medicine, but then started living all of the struggles now contributing to the burnout crisis in the specialty. He and his colleagues did something that has only been done a few times in medicine - they successfully formed a union. While not an easy mission, they …
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31. Anthony Guynes - Reimagining and Transforming the Common Scrub
27:29
27:29
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27:29The Shift Report welcomes Dr. Anthony Guynes. Dr. Guynes and his wife, an emergency physician and a nurse, have put up with poorly designed scrubs for years. The difference is that they wondered why scrubs couldn't be better and then did something about it. They set about to learn everything they could about making a clothing line. Now you can see …
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30. Sam Ashoo: Clinical Experience Fosters Leadership and Education
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30:37Sam Ashoo has been there and done that. He worked at the bedside for 20 years, including time leading his group as a medical director. Now he has taken that experience and turned to the important task of educating all of us through his work with EBMedicine (www.ebmedicine.net). From general CME, to all important treatment pathways, and his EMplify …
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Violence has a cadence, a rhythm that disrupts the normal flow of life. When an act of violence erupts, the first sign is often a sudden, unexplainable shift in the environment—an eerie silence, a heightened energy, or a gut feeling that something is wrong. But when does that uneasy feeling cross the threshold into immediate danger? In this episode…
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Rural EM and Traumatic ICH – An Interview with Ashley Weisman, MD
10:07
10:07
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10:07In this episode, Sam Ashoo, MD interviews Ashley Weisman, MD about her career in rural emergency medicine, and the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department Interview with Dr. Ashley Wiseman Introduction of Dr. Wiseman: Emergency physician specializing in rural ER.…
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29. Patrick McCarville - The Life of Serial Entrepreneur
24:39
24:39
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24:39The Shift Report welcomes Dr. Patrick McCarville, a young and ambitious emergency physician. He balances his clinical work with the pursuit if ideas and new businesses, from Cameroonian plantain chips to AI solutions for radiology support in the Emergency Department. Anyone who wants to try to turn a good idea into a business reality should listen—…
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28. Tatiana Havryliuk: Broadening the Use of Ultrasound in Medicine
29:00
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29:00POCUS - Point of Care Ultrasound. Tatiana Havryliuk has taken her passion for teaching and her wide-ranging experiences around the world and built Hello Sono. She shares with the Shift Report how she got started, what she faced building a new business, and how Hello Sono is helping hospitals and clinics build high-quality sustainable ultrasound pro…
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27. Ian Warrington - Talented Musician and Emergency Physician
27:32
27:32
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27:32Ian Warrington joins The Shift Report to discuss his wide-ranging musical talents and how they help him manage the stresses of an Emergency Medicine career. He shares some of his music with us as well as his story of reinvigorating his remarkable skills as COVID-19 set in. Music as Medicine has remarkable power - Listen for more if Ian's work on In…
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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…
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26. Resa Lewiss - Author, Podcaster, EM Leader
35:16
35:16
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35:16Resa Lewiss shares lessons from her professional service, The Visible Voices podcast (170 episodes and growing) and book "MicroSkills: Small Actions, Big Impact." Three simple lessons - Time can only be spent, the world is not equal, and learning is limitless if only it is accessible. Find her book at HarperCollins - MicroSkills Resa Lewiss LinkedI…
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Traumatic ICH - An Interview with Erin D'Agostino, MD
34:20
34:20
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34:20In this episode, Sam Ashoo, MD interviews Erin D'Agostino, MD about the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department Pathophysiology Types of Traumatic Brain Injuries Pre-Hospital Care Critical History and Physical Examination Neurological Assessment and Monitoring La…
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25. Kim Tranquada - Bringing healthcare equity to the underserved around the world
32:45
32:45
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32:45Kim Tranquada has built Healthcare Alliance for an Equitable World from her experiences developing a telemedicine system for the VA and her passion about serving the 84% of the world's population who lack access to even basic medical care. From the Philippines to border regions of Kenya and Uganda, she brings hope to a vastly underserved group. A t…
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The Emergency Mindset: What Med School Got Wrong
28:59
28:59
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28:59What 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 differen…
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In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the January 2025 Emergency Medicine Practice article, Alkali Exposure: An Evidence-Based Approach to Diagnosis and Treatment Patient Demographics and Case Scenarios: Types of patients prone to alkali exposure Causes and scenarios leading to alkali exposure (e.g., accidental, intentional, so…
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24. Jesse Pines - Demystifying the World of Health Insurance and How it Affects How We Work
36:48
36:48
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36:48Jesse Pines - perhaps the leading health services researcher in emergency medicine - speaks with The Shift Report about the complexities of our health insurance system, the effects of the No Surprises Act, and why boarding is still a problem. Follow his work with USACS at https://www.usacs.com/about-us/academics/usacs-research-group, read his colum…
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23. Dr. Kevin Spencer from Ring Rescue—from an Idea to Success
28:28
28:28
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28:28Dr. Kevin Spencer joins the Shift Report to discuss his invention and growing company Ring Rescue. Newer rings made of metals like titanium and tungsten carbide can be impossible to remove with those old flimsy ring cutters. Many of us have tried makeshift hardware store solutions that are ineffective and dangerous. Ring Rescue solves the problem. …
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EP 184 - Ana Kresina - Kids Ain’t Cheap: Parenthood, Personal Finance, and Financial Independence
42:11
42:11
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42:11Hailing from Canada, Ana Kresina is the parent of two small children and a financial educator who works in the financial technology sector. Her love of personal finance, parenthood and technology is apparent in both the content she creates, documenting her journey to financial independence. She is the co-host of two of Australia’s leading podcasts,…
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Nonverbal Communication | From facial expressions to tonal authority
33:04
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33:04Mastering nonverbal communication can be an elusive task, but the fact remains: what’s unsaid leaves a significant footprint in any interaction. Nowhere is this more palpable than in the medical exam room, where trust and connection between physicians and patients often hinge on subtle, nonverbal cues. So, how can one build trust through facial exp…
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