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Stimulus - Learn Tools to Crush It in Your Medical Career

Rob Orman, MD
Stimulus - Learn Tools to Crush It in Your Medical Career
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  • Boundary Rituals: How to Keep Work from Following You Home
    Ever walk out of a shift and feel like the hospital came home with you? In medicine, the mental residue can cling long after the work day is done. One way to address this is boundary rituals, deliberate actions designed to process the day and allow you to leave work at work, be more present when you get home, and possibly even sleep better. As a bonus, the ability to disengage from work is one of the strongest predictors of reduced burnout.In this episode, Mohamed Hagahmed, MD, shares how he creates this boundary—through small rituals of gratitude, stillness, and reflection. From growing up as a refugee to serving as a sideline physician for the Pittsburgh Steelers, Dr. Hagahmed’s path has been shaped by resilience, culture, and care. He explains how he learned to stop carrying unfixable wounds home, why kindness is clinical armor, and how tiny acts of self-compassion can protect meaning in medicine.Guest Bio: Mohamed Hagahmed, MD a Clinical Assistant Professor of Emergency Medicine at the University of Pittsburgh, Associate Medical Director at the Center for Emergency Medicine, and EMS Medical Director for several systems in Western Pennsylvania. On top of that, he works in high-acuity emergency departments across the region. He’s a graduate of Johns Hopkins Bloomberg School of Public Health, passionate about resuscitation, critical care, and toxicology education. And he’s the creator and host of EMERGE in EM, a podcast focused on emergency medicine education and global health empowerment.We Discuss: Growing up as a refugee and finding purpose in emergency medicineThe toll of moral injury and why staying closed and rigid nearly broke himSmall rituals that help shed the emotional residue of a shiftUsing gratitude and stillness as tools for resilienceHow changing clothes, music, and even snacks can protect emotional healthTurning frustration into advocacy for immigrant health and systemic changeAdvice for new attendings on protecting the threshold between work and homeMentioned 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 LinkDistilled Kickassery Every Other SaturdaySign up for our Newsletter
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  • Crystal-Clear and Error-Free | Three Essential Tools for High-Stakes Communication
    The best communication in high-stakes environments isn’t complicated. Quite the opposite - it’s structured, clear, and consistent. Small, deliberate shifts in how we transfer information can dramatically improve patient safety, team efficiency, and workplace culture. In this episode, we explore three simple but transformative communication habits that reduce errors and build trust among teams. Finally, we share practical tools you can use today to tighten your communication and improve safety without adding extra workload.We Discuss:The Three-Way Repeat-Back: “That’s Correct” Changes EverythingPhonetic Clarifications: Stop the “Norman” ProblemNumbers: Say the DigitsWhiteboards: The Cheapest Safety Tool in the RoomChecklists: Mastering the BasicsCheaper Than Dirt, More Precious Than GoldMentioned in this episode:Free Tools To Make Medical Practice EasierNo fluff. Just good stuff.Free Resources LinkUnBurnable - Our Cohort-Based Burnout Prevention and Cure CourseWe took the highest yield tools from our 1:1 coaching and created a community-based course with docs who get it and get you.The UnBurnable Course
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  • How to Stop Spiralling When Massively Stressed with Scott Weingart
    Stressful events can hijack cognition, cloud judgment, and leave emotional residue that can fuel long-term burnout. For acute care clinicians, those moments of emotional overwhelm, when heart rate spikes and the thinking brain goes offline, can have consequences that last far beyond the shift. While long-term resilience is essential, it’s often the just-in-time strategies that determine whether we break down or rise to the moment. In this episode, we explore the physiology and psychology of real-time emotional regulation with Scott Weingart, MD, co-creator of the Beat the Stress Fool protocol. Finally, we uncover how practices like gratitude flooding and negative visualization can inoculate against burnout and offer emotional integrity in the most harrowing moments of care.💡 Check out our Free Resources specifically designed to address pain points in medical practice💡Scott Weingart, MD, is an emergency department intensivist and physician coach based in New York. He completed fellowships in Trauma, Surgical Critical Care, and ECMO, and is internationally recognized for his expertise in resuscitation and critical care. As the creator of the EMCrit podcast, with over 40 million downloads, he has shaped how clinicians think and perform under pressure. Together, Scott and I co-founded Guidewire Coaching, where we create and teach tailored courses to address the real-world pain points of acute care medicine.We Discuss:Rapid stress reset with “Beat the Stress Fool”Breathing techniques that calm the nervous systemSelf-talk under pressureMental rehearsal that ends in successTrigger words for fast de-escalationGratitudinal flooding as a shield during emotional overloadReal-time tools for grief resilienceThe quiet strength of negative visualizationTeaching stress tools to trainees without pushbackMentioned 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 NewsletterUnBurnable - Our Cohort-Based Burnout Prevention and Cure CourseAs physician coaches, my partner, Scott Weingart, and I have noticed a pattern: some doctors are thoroughly burned out, and some are on the path to burnout. Almost all were shortchanged in their medical training, having been molded into excellent clinicians but given virtually no tools for retaining joy and equanimity throughout their careers. This course will teach you the hidden anti-burnout curriculum.The UnBurnable Course5 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 Link
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  • How I Coach Doctors With A Performance Improvement Plan
    No one enters medicine expecting to land on a performance improvement plan, yet for many physicians, it becomes a disorienting reality. A PIP can feel like both a warning and a test, raising existential fears about career, reputation, and future. Behind the formal language is often a complex mix of organizational risk management and legitimate behavioral concerns. In this episode, we explore what it really means to be placed on a PIP, how to navigate the process effectively, and why resistance is rarely a successful strategy. Finally, we share a structured approach to coaching through a PIP that can turn even the most fraught situation into meaningful professional growth.💡 Check out our Free Resources specifically designed to address pain points in medical practice💡We Discuss:Understanding the Purpose and Structure of a Performance Improvement Plan (PIP)Variability and Pitfalls in PIPsWhy Coaching Matters During a PIPCommon Reactions and Emotional TollStructural Flaws That Undermine PIPsNegotiating and Responding to a PIPThe Myth of Performance ImmunityA Coaching Framework for Navigating PIPsCollaborating With LeadershipSuccess and Long-Term ImpactMentioned in this episode:UnBurnable - Our Cohort-Based Burnout Prevention and Cure CourseAs physician coaches, my partner, Scott Weingart, and I have noticed a pattern: some doctors are thoroughly burned out, and some are on the path to burnout. Almost all were shortchanged in their medical training, having been molded into excellent clinicians but given virtually no tools for retaining joy and equanimity throughout their careers. This course will teach you the hidden anti-burnout curriculum.The UnBurnable Course5 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 Link
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  • An Insider’s Look at Addiction Medicine
    What if addiction isn’t about drugs, but about pain? Beneath compulsive behaviors often lie histories of trauma, anxiety, and unmet emotional needs, hidden behind layers of stigma and misunderstanding. In medicine, addiction is still often mischaracterized as a moral failing rather than a treatable illness with deep psychological roots. In this episode, we explore the personal and professional evolution of Dr. Casey Grover, an addiction medicine physician who reframed both his own struggles and the way he cares for patients. Finally, we uncover how shifting mindset and language can transform both clinical outcomes and clinician well-being.💡 Check out our Free Resources specifically designed to address pain points in medical practice💡Guest bio: Dr. Casey Grover is a board-certified physician in Addiction Medicine and Emergency Medicine at Montage Health, where he also serves as Chief of Staff. He is the Physician Champion for the Monterey County Prescribe Safe Initiative, a program focused on reducing opioid misuse through education, safe prescribing, and improved treatment access. In addition to his clinical and leadership roles, Dr. Grover hosts the podcast Addiction Medicine Made Easy, where he breaks down complex topics to make addiction care more approachable for both providers and the public.We Discuss:What is Addiction?When Food Becomes a Coping MechanismThe Stigma of AddictionThe Neurology of AddictionDivided Views on SobrietyWhy Some People Recover and Others RelapseThe Reason Some Brains Get HookedAddiction vs. Dependence — and Why Stigma Makes It WorseBuilding Trust with PatientsFrom Frustration to Compassion: Reframing Patient EncountersTrauma, PTSD, and Personal ReckoningThe Practice of Addiction MedicineMentioned in this episode:UnBurnable - Our Cohort-Based Burnout Prevention and Cure CourseAs physician coaches, my partner, Scott Weingart, and I have noticed a pattern: some doctors are thoroughly burned out, and some are on the path to burnout. Almost all were shortchanged in their medical training, having been molded into excellent clinicians but given virtually no tools for retaining joy and equanimity throughout their careers. This course will teach you the hidden anti-burnout curriculum.The UnBurnable CourseNever 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 Newsletter5 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 Link
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About Stimulus - Learn Tools to Crush It in Your Medical Career

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.
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