Rob Orman MD | Physician Coach

🥼 I help doctors get unstuck, unburnt, and rediscover the joy in medical practice

🎙️Host "Stimulus" podcast

📖 Get my best updates (link in bio)

[Rob Orman MD | Physician Coach @emergencypdx]

📍 Hey X friends! If things have been quiet here, it’s because I’m now active on YouTube & Instagram.

YouTube is where I’m having deeper conversations - https://t.co/OoTDtuCcqw

Instagram for quick, practical anti-burnout tips - https://t.co/0qihX9qvKj

See you there!

[Rob Orman MD | Physician Coach @emergencypdx]

Do No Harm.

Take No Shit.

[Rob Orman MD | Physician Coach @emergencypdx]

@JMCWJ @EM_RESUS @DrGolfShirt @ZDoggMD @ALiEMteam @EmergencyDocs @Emeril Of all the perceived slights from the C-suite, that may cut the deepest.

I also prefer the bagel.

It highlights the delight of creamy PB texture with the semi-sweetness of grahams.

The sando is too much cracker all at once

[Rob Orman MD | Physician Coach @emergencypdx]

We're explicitly taught (at least from our med mal colleagues) to not say a word.

Keeping it inside — letting it ruminate and swirl around ad infinitum is 100% the wrong move.

Awareness and acknowledging that the trauma is happening is the first step.

[Rob Orman MD | Physician Coach @emergencypdx]

Sometimes we harm patients.

Medical education, particularly audio, does a massive disservice to doctors.

I've been guilty of it dozens of times.

It's subtle, but multiple clients have brought it up. A case is discussed on a podcast where something went wrong.

[Rob Orman MD | Physician Coach @emergencypdx]

I still think about cases where I harmed patients. Three of them died. I didn't want that to happen, but it did.

Processing that trauma is a skill almost none of us are taught.

Processing that trauma is something that may never happen if not approached with intention.

[Rob Orman MD | Physician Coach @emergencypdx]

On chance and regression to the mean:

"Deviations are not "corrected" as a chance process unfolds; they are merely diluted."

[Rob Orman MD | Physician Coach @emergencypdx]

Amos Tversky was a psychologist instrumental in the understanding of cognitive bias and handling of risk.

On Experts:

"Whenever there is a simple error that most laymen fall for, there is always a slightly more sophisticated version of the same problem that experts fall for."

[Rob Orman MD | Physician Coach @emergencypdx]

On the paucity of Socratic ignorance:

"It's frightening to think that you might not know something, but more frightening to think that, by and large, the world is run by people who have faith that they know exactly what is going on."

[Rob Orman MD | Physician Coach @emergencypdx]

You can't take med mal risk to zero; there's a certain capriciousness to it.

You can, however, reduce the risk with a few light lifts.

From Mark Brown MD, JD, where to focus your energy:

*Stay up to date and practice solid medicine
*Be Nice
*Follow-up/callbacks

[Rob Orman MD | Physician Coach @emergencypdx]

@TheSGEM

[Rob Orman MD | Physician Coach @emergencypdx]

@GikuhiJotham I have not heard it but it's now in the queue!

[Rob Orman MD | Physician Coach @emergencypdx]

@First10EM @EMSwami @emcrit @EMManchester @_NMay @TheSGEM Blessing of a skinned knee.

[Rob Orman MD | Physician Coach @emergencypdx]

@vasisht Is it a matter of templates and preprogrammed dragon phrases or do you have another secret sauce?

[Rob Orman MD | Physician Coach @emergencypdx]

On average, how long after the official end time of your shift do you leave the hospital?

[Rob Orman MD | Physician Coach @emergencypdx]

@vasisht well then, hit me up with the rest of the story!