Stimulus - Learn Tools to Crush It in Your Medical Career
Stimulus - Learn Tools to Crush It in Your Medical Career

Stimulus - Learn Tools to Crush It in Your Medical Career

Rob Orman, MD

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Episodes

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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 it up, think differently.

Recent Episodes

How to Handle Interruptions Without Alienating Your Team
FEB 2, 2026
How to Handle Interruptions Without Alienating Your Team
Emergency medicine has an interruption-based workflow. There's no getting around some of that, but recurrent interruptions erode quality of care, accuracy of documentation, concentration, and ultimately the ability to leave work on time. While some interruptions are unavoidable, most are predictable and preventable. Reclaiming control over interruptions is more than a way to improve efficiency; it's about patient safety, reducing medical errors, and safeguarding your mental health. Constant task switching creates cognitive load, contributing to emergency physician burnout and compromising clinical decision-making.In this episode, we explore tactical and mindset shifts that emergency clinicians can use to reduce interruptions, enhance documentation efficiency, and avoid the hidden costs of task switching. We'll cover practical strategies for managing EKG interruptions, skillful ways to manage nursing questions, and setting boundaries all while maintaining team dynamics and patient care quality. Whether you're an emergency physician, PA, NP, or resident, these evidence-based strategies will help you work smarter, reduce stress, and reclaim control of your clinical day.Finishing emergency department shifts with a stack of charts to complete gets old fast. This chart debt also contributes to burnout.We will help you break bad habits and equip you with the skills to walk out the door unencumbered.Out-On-Time is a course for emergency physicians and clinicians that teaches shift efficiency and real-time documentation, enabling you to write fast, focused charts that bill well and are medicolegally sound.Learn More About The Out-On-Time Course We Discuss:The Cost of Interruptions in Emergency MedicineNot All Interruptions Are UrgentThe Cognitive Cost of Task SwitchingBecoming a Non-Interruptible ClinicianDeferring Without Alienating Your TeamProtecting Focus at the End of the ShiftFixing the EKG Interruption ProblemAsynchronous Communication That Actually Works
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41 MIN
Why You Might Be Chasing the Wrong Dream
JAN 20, 2026
Why You Might Be Chasing the Wrong Dream
So many of our choices are shaped less by desire and more by expectation. We chase prestige, status, or recognition, only to arrive and realize we were climbing the wrong ladder. Beneath burnout and the friction, there’s often the truth that we were never pursuing what we truly wanted. In this episode, we explore the concept of mimetic desire, how it misguides our ambitions, and how to reclaim our decisions. Finally, we examine how fear of judgment and shame shape our careers more than we think, and what it takes to break free.Guest bio:  Josh Russell, MD, is double board-certified in Emergency Medicine and Palliative Care. He’s held leadership roles as a Chief Medical Officer in telehealth, artificial intelligence, and urgent care systems. He’s an experienced clinician, writer, educator, and medical editor with a passion for making complex topics accessible. LinkedIn article that spurred this podcastJosh’s WebsiteWe Discuss:Mimetic Desire: Chasing What Others WantThe Trap of “Should”: Internalized ShameThe Concentric Circles of StressorsFinding What You Really WantThe Ladder Against the Wrong WallActionable Reflection PracticesMentioned in this episode:The Out-On-Time CourseBuilt for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time.Learn More About The Out-On-Time CourseDoctoring Done Well | Bite-Sized WinsEvery other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh.Sign up for our Newsletter
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26 MIN
Dan Millman on How to Practice Life
DEC 29, 2025
Dan Millman on How to Practice Life
What if the true test of strength is focusing less on what we feel and more on what we do? In this episode, we explore a practical philosophy of action, presence, and personal agency with Dan Millman, author of Way of the Peaceful Warrior. Finally, we dig into how small mindset shifts can transform both high-stakes moments and the quiet struggles of everyday life.Guest bio:  Dan Millman is a world champion athlete turned author, educator, and teacher of practical wisdom. With a background that spans competitive sports, university-level coaching, martial arts, and academic instruction, Dan brings a rare blend of physical discipline and philosophical insight to his work.Following two decades of spiritual exploration, he developed what would become known as the Peaceful Warrior’s Way, an action-based approach to living with purpose. Dan is the author of 18 books, including the international bestseller Way of the Peaceful Warrior, which was adapted into a feature film. His writings have reached millions across 29 languages and continue to influence readers around the world.We Discuss:Peaceful Warrior Philosophy in ActionWhat We Control (And What We Don’t)Action Over EmotionThe Three Rules of Wise LivingThe Power of Present Moment AwarenessMastery Through Deliberate PracticePurpose as a Practical ToolGrowth Without PerfectionWorking Within Broken SystemsPracticing LifeMentioned in this episode:Free Tools To Make Medical Practice EasierNo fluff. Just good stuff.Free Resources LinkThe Out-On-Time CourseBuilt for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time.Learn More About The Out-On-Time CourseDoctoring Done Well | Bite-Sized WinsEvery other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh.Sign up for our Newsletter
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66 MIN
Supranormal
DEC 15, 2025
Supranormal
Your work world is built on endurance, intensity, and mastery. The culture is 'always on,' and you were trained to perform in conditions no one would call normal. The work is supranormal. It sits at the edge of reasonable and regularly exceeds what is sustainable by most standards. High performers like you often find themselves on an above-the-fray pedestal, expected to be tireless and self-sacrificing. Supranormal work can unlock extraordinary performance, but the cost adds up if it goes unchecked. In this episode, we look at where this culture came from, the cortisol spikes that shape your days, the hidden curriculum of self-sacrifice, and the countermeasures that keep you from burning out. It is a straight look at the supranormal experience and what it takes to do this work without losing yourself to it.Awake + Aware | Our 2026 RetreatJoin us at Awake and Aware, our 3-day retreat in Scottsdale, AZ. March 1-4, 2026. Space is limited.Learn More Here🎓 P.S. This is a CME event.We discuss:• Why medical culture expects you to perform inside conditions no one would call normal• What makes supranormal work different from ordinary high-stress work• How the “always on” ethos formed and why it persists• The hidden curriculum of self-sacrifice and the pedestal of being above the fray• Cortisol spikes, sympathetic load, and what chronic activation does to your body• Why self-preservation feels selfish in medicine and why that belief is wrong• The roots of modern training from monastic care to Halsted’s cocaine-fueled stamina• Why emergency medicine is an outlier in burnout, longevity, and physiological strain• The concept of parasympathetic nurturing as a countermeasure• How mindset changes biology and shifts performance• What it takes to last in supranormal work without losing yourself
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19 MIN
How To Not Overthink Simple Decisions
NOV 24, 2025
How To Not Overthink Simple Decisions
What if the best decision is to not decide at all? We waste valuable mental energy overthinking simple choices, especially when the outcomes are nearly identical. That kind of cognitive drain reduces our capacity to think clearly when decisions actually matter. In this episode, we explore how to reduce cognitive load, identify low-risk choices that can be automated or ignored, and recognize when deliberation is just noise. Finally, we break down how framing, values, and the right question can make even complex decisions frictionless.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. We Discuss:The Three Types of Cognitive LoadHarvesting Free RollsApplying Dominance and Cutting Through Decisional NoiseHow to Stop Fretting Over Equivalent DecisionsNavigating EquipoiseMaking Big Life DecisionsMentioned in this episode:5 Free Tools To Make Medical Practice EasierScripts for your least favorite conversations. The quick and dirty guide to calling consults. A 10-minute "Driveway Debrief" to switch off from work. My favorite documentation templates. Step-by-step guide for delivering the news of death. Free Resources LinkDoctoring Done Well | Bite-Sized WinsEvery other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh.Sign up for our NewsletterThe Out-On-Time CourseBuilt for emergency clinicians who are tired of chart debt and getting derailed by interruptions and overwhelm. Learn practical, real-time documentation and shift-efficiency strategies to finish your shift and actually leave on time.Learn More About The Out-On-Time Course
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40 MIN