Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers

Rob Orman, MD
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Stimulus | Helping Doctors overcome burnout, excel in leadership, and unlock their most fulfilling careers podcast

Ideas, strategies, and tactics to help you improve your mindset, overcome burnout, excel in leadership, prioritize your well-being, get unstuck, de-stress, and thrive in your career. If you are a doctor, nurse, paramedic, medical student, physician assistant, nurse practitioner, administrator, or even tangentially related to healthcare, this show is made for you. Hosted by emergency physician and executive coach Rob Orman, MD. Don't just suck it up, think differently.

  1. 2 DGN GELEDEN

    Don't Do What I Did For Burnout

    A cautionary tale about how I mismanaged my own physician burnout for many years, doing the easy thing instead of the right thing.  More coaching goodness with a side of practical nuggets YouTubeInstagramOur bi-weekly newsletter with short form, evidence based articles you won't find anywhere else.

    13 min

  2. 9 SEP.

    Is Your Hospital Toxic? | The Critical Role of Psychological Safety

    Psychological safety is a crucial factor in creating a healthy and effective workplace. It involves a shared belief that the team is safe for interpersonal risk-taking. This episode delves into the intricacies of psychological safety, particularly in high-stakes environments like medicine. We explore how rigid hierarchies, cultural biases, incivility, and unrealistic expectations can hinder psychological safety and how fostering a culture of openness and vulnerability can lead to better team performance and resilience. We explore various strategies to enhance psychological safety, including setting clear expectations, modeling vulnerability, and showing gratitude. Finally, we provide actionable tools for leaders to create a psychologically safe team environment. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest Bio: Kim Bambach, MD  is an Assistant Professor of Emergency Medicine at The Ohio State University and Assistant Director of the Kiehl Resident Wellness Endowment  We Discuss: What is “psychological safety”?Google's Project AristotleWhy psychological safety is important, even on a SWAT teamThreats to psychological safetyThe Korean Air Crash of 1997Contributors to trainees feeling psychologically unsafeCollegiality between specialties and its impact on psychological safetyThe Psychological Safety ScaleSix key leadership behaviors to create a culture of psychological safety Mentioned in this episode: Physician Coaching I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps. Physician Coaching FAQ Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our bi-weekly newsletter 4 Free Resources specifically designed to address pain points in medical practice Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults. Free Resources Link

    39 min

  3. 26 AUG.

    What If Your Job Ended Tomorrow?

    What would you do if your job ended tomorrow? Even though you might want to say, “Take this job and shove it,” that won’t help build stepping stones to your next job. In this episode, we discuss: what it’s like for physician coaches who regularly work with docs in this situation, getting fired,  dealing with unexpected events that shake up professional stability, planning for career disruption, the importance of networking, and finding your clinical practice N plus one. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest Bio: Health Joliff, DO, is dual-boarded in Emergency Medicine and Medical Toxicology. He is a certified executive coach and can be found at Physician Coaching Solutions.  We Discuss: We plan for what happens at the bedside. Why don't we plan for what might happen to our careers?What happens to the majority of docs who come to coaching wanting to get out of medicineThe importance of clinical medicine + 1Networking doesn't have to be a massive labor. Small steps can make a big difference.Great doctors getting firedFirst steps after losing employment: be humble and don't burn bridgesStrategies for bringing up having been fired in an interviewThe therapeutic power of venting (versus dumping)Should you accept your group's director position?The distinction between imposter syndrome and inexperienceYour contract has not been renewedYou are a new resident, and your health system suddenly closesAn older physician plans to retire in a year and is uncertain what to do nextYour first job out of training will likely not be your last Mentioned in this episode: Physician Coaching I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps. Physician Coaching FAQ 4 Free Resources specifically designed to address pain points in medical practice Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults. Free Resources Link Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our bi-weekly newsletter

    46 min

  4. 12 AUG.

    So You Want To Start A Business | Going all in on the side hustle

    Many of us have ideas that could make a great business. Most of the ideas, however, never see the light of day. It can feel like a big leap from physician to entrepreneur. So how do you do it? We speak with Dr. Jason Hine, the founder of SimKit, and see how he went from community emergency medicine doctor to successful business owner.  In this episode, we cover how Jason started his business, accounting for the knowledge gap between clinician and entrepreneur, setting boundaries, why saying hell yes has a critical proviso, the inevitable oscillation between passion and money, and a marketing exercise that’s critical to walk through before you even consider jumping in on a new product or business. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest Bio: Jason Hine, MD, is an emergency physician in southern Maine, where he is the Director of Education for his community hospital. He is a graduate of Tufts University School of Medicine and completed his residency at Temple University Hospital, where he served as chief resident. His interests include procedural skillset decay and the role of academics in improving the recruitment, retention, and satisfaction of community physicians. He is the founder of SimKit, a medical education company focusing on delivering convenient and effective hands on procedural skills practice. We Discuss: Sharks and bouldersBuild a business plan earlyEffective resources and dead-end rabbit holesThe first thing to consider before starting a business: the pain point and value propositionGetting out of the Lone Wolf mindset and forming an advisory committeeWhat challenge surprised Jason as he got the business rollingHow do you pay your advisory committee before your business makes money?What it means money-wise to give someone equity in your companyNegotiating equity stake and why contracts are by nature adversarialThe tipping point from dreamer to doerA self-reflective prompt that puts endeavors in proper perspectiveIt might be a hell yes for you but a no for your familyProtecting immutable bouldersLogistics of setting and keeping boundariesNothing super cool happened because someone just wanted to make a bunch of moneyFinding your ideal customer before the product even existsA marketing exercise to do when a product is still an idea Mentioned in this episode: Physician Coaching I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps. Physician Coaching FAQ 4 Free Resources specifically designed to address pain points in medical practice Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults. Free Resources Link Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our bi-weekly newsletter

    42 min

  5. 29 JUL.

    Are You Betting On Yourself? | How locus of control makes all the difference

    Success and happiness are often determined by where we place our focus: within ourselves or on external factors. Mastery lies in asking the right questions, and understanding the locus of control is a key part of this. Those who focus on what they can influence are generally happier and more successful. In this episode, we explore the philosophy behind the locus of control, its impact on burnout, the importance of small bets in making significant changes, and state vs. trait gratitude. Finally, we delve into practical strategies to cultivate a more resilient mindset 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest Bio: Dan Mccollum, MD is an emergency physician and Director of Teaching and Learning at the Medical College of Georgia. Hear more of Dan on Stimulus episodes #1 Verbal Judo #14 Stoic With A Capital S, #25 Digital Minimalism, and #59 Aim to Be A Zero. We Discuss: Waiting room medicine has become the norm. It's not ideal. So what do you do about it?The power of placing small betsStoicism and the philosophy behind locus of controlSome things in the world are up to us; others are notSextus, "The crowd is irrelevant."What is the locus of control?Shades of gray in the locus of controlThe Stoic approach to patient complaintsTaming the blame ogreDomains of control and the paradox of varied strengthThe Stoic approach to patient complaintsHow a mishandled aspirin overdose led to a major recalibration of control locusA tactical approach to developing an internal locus of controlThe 'Good' reframeThe five slices of gift exerciseThe jar of awesomePower of an end-of-day debriefTrait vs. state of gratitudeNot every approach is for everybodyBook recommendations for operationalizing an internal locus of control Mentioned in this episode: 4 Free Resources specifically designed to address pain points in medical practice Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling consults. Free Resources Link Physician Coaching I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps. Physician Coaching FAQ Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our bi-weekly newsletter

    51 min

  6. 15 JUL.

    The Strange History of Medical Debt

    Medical debt has a strange and storied history in America. Stretching back to colonial times, physicians and patients alike have grappled with its harsh realities. In recent years, hospitals have resorted to selling medical debt to third parties, who then aggressively pursue patients. In today’s episode, medical historian Luke Messac, MD, PhD, guides us through the past and present landscape of medical debt, examining perspectives from patients, providers, hospitals, and governments. We delve into a form of indentured servitude in the name of debt clearance, the birth of nonprofit hospitals, a pivotal shift in the 1980s, feasibility of operating healthcare under free market principles, medical economics in the 1600s, hospitals suing patients, and the emergence of medical debt as its own thriving industry. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest Bio: Luke Messac MD, PHD emergency physician and medical historian whose research focuses on health care's history and political economy. Luke is an attending physician at Brigham and Women’s Hospital, an Instructor in Emergency Medicine at Harvard Medical School, and the author of two books, No More to Spend: Neglect and the Construction of Scarcity in Malawi's History of Health Care and most recently, Your Money or Your Life: Debt Collection in American Medicine.  We Discuss: Hospitals suing patients over debtThe Service Credit Program | Indentured servitude in the name of debt clearanceNonprofit hospitals were born out of the almshouse tradition, where charity care was part of the missionThe 1980s were a turning point for medical debt in the United StatesWith cuts in government medical spending, hospitals cut costs by limiting charity care and aggressively pursuing unpaid debtsWhy healthcare cannot operate in a pure free marketHospitals used to refuse care to patients and the courts supported itPatient dumping and the rise of EMTALACollecting money from patients has been an issue for hundreds of yearsIn the 1600s, doctors could be arrested for charging too muchDebtor's prisonDoes suing patients to recover medical debt improve a hospital's bottom line?In the early 2000s, Yale New Haven Hospital put liens and foreclosing on patients' homes as part of a debt collection strategyMedical debt collection has now become a thriving industryHow third-party medical debt collectors operateRIP Medical Debt buys and forgives medical debtIs buying and forgiving medical debt better or just forgiving it upfront?Dollar For is a nonprofit focused on helping patients navigate financial assistance programsSome hospitals are making financial assistance easier to accessState legislation is starting to address medical debt collectionNational approaches to medical debtMedical debt is prevalent around the world, but the US stands apart among wealthy countriesThe consequence of copaysPaul Farmer and caring for the destitute sick. The jungle hospital that's carrying out Paul Farmer's vision in GuatemalaRudolf Virchow - Physicians are the natural attorneys for the poor Mentioned in this episode: Physician...

    52 min

  7. 1 JUL.

    Impatience, Anger, and the Guilt of Abundance | Insights from the Dalai Lama’s Doctor

    It's natural to feel guilt or shame when living in abundance while much of the world faces hardship. In this episode, Dr. Barry Kerzin, the Dalai Lama's personal physician and a Buddhist monk, shares his approach to managing these emotions with a simple yet powerful tool. He also discusses his journey to becoming a monk, life within the Dalai Lama's compound, as well as anger management, self-compassion, and impatience strategies. 💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 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. He's also got a new app that you might be interested in -- AIMIcare.  This app is crafted to counteract the distressing prevalence of burnout, depression, and frustration among those facing the brunt of human suffering by instilling the virtues of compassion, mindfulness, and self-care Download AIMIcare:  here AIMIcare Mobile App Website: https://aimicare.altruismmedicine.org/ We Discuss:  How Dr. Kerzin made the trade from US-based family doctor to Buddhist monk and the Dalai Lama's personal physicianStudying Tibetan medicine for the treatment of high blood pressureA day in the life of the Dalai Lama’s doctorWhat the food is like in the Dalai Lama's compoundHow Barry feels about being referred to as 'The Dalai Lama's Doctor'Two experiences in younger life that sparked Barry's spiritual questThe guilt of living in abundanceThe importance of generositySelf-compassionAn approach to imposter syndromeAnger managementHealthy self-confidenceUsing purpose as an antidote for impatienceHaving patience in the time-compressed reality of medical practice Mentioned in this episode: Never Lame. Never Spammy. Always Fresh. If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our bi-weekly newsletter Physician Coaching I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps. Physician Coaching FAQ 4 Free Resources specifically designed to address pain points in medical practice Scripting your least favorite conversations. The Driveway Debrief. My 4 favorite documentation templates. The quick and dirty guide to calling...

    45 min

  8. 17 JUN.

    Are Non-Compete Clauses About To Be History? | And what to consider before accepting a signing bonus

    Non-compete clauses have plagued contracts for decades. It’s been analogous to asymmetric warfare, with employers holding the upper hand.  All of that may soon be a thing of the past. In this episode, we explore the Federal Trade Commission's recent ruling to ban these clauses and its implications for doctors and the healthcare industry. We'll also discuss the unexpected ways non-competes can protect smaller groups, the rise of independent contractor models, and the critical staffing issues in emergency medicine. A highlight of our discussion includes the lure and the trap of signing bonuses—what seems like a generous offer can sometimes come with subtle strings attached. Finally, we'll touch on the U.S. Senate's investigation into major staffing companies and the innovative emergence of empath units for mental health patients.  💡 Check out our Free Resources specifically designed to address pain points in medical practice💡 Guest Bio: Leon Adelman, MD, MBA, FACEP, FAAEM is an emergency physician and co-founder of Ivy Clinicians, a software company that simplifies the emergency medicine job search through transparency. Dr. Adelman is the author and publisher of the Emergency Medicine Workforce Newsletter, which explores the business of emergency medicine. We Discuss:  What is a non-compete clause?The Federal Trade Commission's ruling making non-complete clauses null and voidWhy employers and private equity are unhappy with the non-compete rulingThe emergency medicine-specific burn point of the non-compete ruling: contract retentionThe unexpected way that individual non-compete contract clauses can protect a group from being replacedWhy small groups like to use non-compete clausesHow larger groups have moved away from non-competes and favored a 1099 independent contractor modelWhy the non-compete ruling is a massive win for independent physician practicesThe lure and the trap of physician signing bonusesA signing bonus is a loan, not a check. It's a loan you are paying back with time.What is the chance of someone not paying back the time attached to a signing bonus?There's a reason that some jobs offer a signing bonus and others don't.The US Senate Committee on Homeland Security and Governmental Affairs is investigating the staffing models of USACS, Team Health, Envision, and Life PointWhen private equity owns a hospital, it tries to lower expenses by decreasing staffing48 states and the federal government don't require a physician in the emergency departmentIndiana and Virginia are the only two states that require a physician to be on duty in emergency departmentsAre Empath Units the solution to helping emergency department mental health patients? Mentioned in this episode: Physician Coaching I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps. Physician Coaching FAQ 4 Free Resources specifically designed to address pain points in medical practice Scripting your least favorite conversations. The Driveway Debrief.

    38 min
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Ideas, strategies, and tactics to help you improve your mindset, overcome burnout, excel in leadership, prioritize your well-being, get unstuck, de-stress, and thrive in your career. If you are a doctor, nurse, paramedic, medical student, physician assistant, nurse practitioner, administrator, or even tangentially related to healthcare, this show is made for you. Hosted by emergency physician and executive coach Rob Orman, MD. Don't just suck it up, think differently.

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