Dirty White Coat Podcast Por Mel Herbert for FoolyBoo Inc arte de portada

Dirty White Coat

Dirty White Coat

De: Mel Herbert for FoolyBoo Inc
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Mel Herbert, MD, and the creators of EM:RAP, UCMAX, CorePendium, and the collaborators on "The Pitt" and many of the most influential medical education series present a new free podcast: “Dirty White Coat.” Join us twice a month as we dive into all things medicine—from AI to venture capital, long COVID to ketamine, RFK Jr. to Ozempic, and so much more. Created by doctors for clinicians of all levels and anyone interested in medicine, this show delivers expert insights, engaging discussions, and the humor we all desperately need more of!


© 2025 Dirty White Coat
Episodios
  • Unfunded Mandates: How ER Docs Bear the Cost of America's Healthcare Crisis

    Unfunded Mandates: How ER Docs Bear the Cost of America's Healthcare Crisis
    Jun 23 2025

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    Dr Gillian Schmitz former ACEP president and current vice chair of education at Naval Medical Center San Diego, examines emergency medicine's financial crisis and its consequences. She identifies the fundamental contradiction in how America treats emergency care as a universal right while funding it as a privilege, creating an unsustainable system where nearly 70% of ED patients don't cover their care costs.

    • Former ACEP president with extensive experience in civilian and military emergency medicine
    • Healthcare in America faces a fundamental conflict between right vs privilege approaches
    • Nearly 70% of emergency department patients don't pay the full cost of care
    • Insurance companies making billions while avoiding fair payment for emergency services
    • Boarding and overcrowding have reached dangerous levels affecting patient safety
    • Physician groups facing consolidation as independent practice becomes financially nonviable
    • Potential solutions include better insurance accountability and reconsidering funding models
    • Some physicians consider unionization and collective action as necessary steps
    • Media portrayal through shows like "The Pit" helps public understand emergency medicine challenges

    We need the public to understand how emergency care is funded – or not funded – and the impact of this unfunded mandate on the entire healthcare system. Without addressing the root cause, boarding, violence, and consolidation will continue to worsen.


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    19 m
  • The Real Crisis in the ER: Systemic Dysfunction vs Financial Concerns

    The Real Crisis in the ER: Systemic Dysfunction vs Financial Concerns
    Jun 2 2025

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    The ACEP and RAND Study

    Interview with David Schriger, Peter Viccellio, and Al Sacchetti, MD's

    Four decades of emergency medicine experience reveals how the specialty continues to normalize dysfunction while failing to articulate what emergency care should look like. Veterans explore solutions to the systemic problems that have kept emergency departments "at the breaking point" for over 30 years.

    • Emergency physician compensation ranks around 16th among medical specialties—not the financial crisis some portray
    • Working conditions, not compensation, represent the true crisis in emergency medicine today
    • Emergency departments generate 33-50% of hospital revenue, but this value is rarely recognized by administration
    • Physicians have accepted and normalized dysfunctional practices like hallway medicine instead of demanding change
    • Simple solutions like elective scheduling smoothing and enhanced discharge programs work but aren't widely adopted
    • Emergency medicine needs to define and demand what optimal practice should look like
    • The healthcare system tries to solve 7-day-a-week problems with 5-day-a-week solutions
    • Hospitals contain chaos in emergency departments to maintain predictability on inpatient floors
    • Emergency physicians increasingly moving into hospital leadership roles where they can implement systemic improvements

    Listen to our next episode where we'll explore how new emergency physicians can advocate for better workplace conditions despite institutional resistance.


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    39 m
  • Physician, Heal Thyself (Without Losing Your License)

    Physician, Heal Thyself (Without Losing Your License)
    May 5 2025

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    The Dr. Lorna Breen Heroes Foundation works to eliminate barriers to mental health access and improve work environments for healthcare workers, following the tragic suicide of Dr. Lorna Breen during the first COVID wave.

    A interview with CEO Stephanie Simmons

    Links:

    ALL IN for Mental Health: https://drlornabreen.org/allinformentalhealth/

    Specifically the ALL IN for Mental Health resource page: https://drlornabreen.org/allinformentalhealth/six-actions/accessible-affordable-mental-health-care/

    ACEP wellbeing resource page: https://www.acep.org/life-as-a-physician/wellness

    Dr. Lorna Breen Heroes' Foundation Licensing/Credentialing toolkit: https://drlornabreen.org/removebarriers/

    Write your Representative to support Reauthorization of the Dr. Lorna Breen Healthcare Provider Protection act: https://drlornabreen.org/reauthorizelba/

    Become an Ambassador: https://drlornabreen.org/become-an-ambassador/

    Donate (and thank you!): https://drlornabreen.org/donate/

    Summary:
    • Founded by Lorna's sister and brother-in-law after thousands of healthcare workers reached out following her death
    • Three main areas of work: advocacy at federal and state levels, advanced collaboration, and accelerating solutions
    • Successfully helped pass the Dr. Lorna Breen Health Care Provider Protection Act in 2022, establishing grants for healthcare provider mental health programs
    • Working to remove stigmatizing questions about mental health from licensing and credentialing applications
    • 35 state medical boards and over 600 hospitals have removed invasive mental health questions
    • Many healthcare workers avoid seeking mental health care fearing professional consequences
    • Anonymous resources available include the Emotional PPE Project and Physician Support Line
    • Healthcare workers compartmentalize trauma like "putting it in a backpack" that eventually becomes too heavy
    • The foundation is committed to being "completionist" in changing all state licensing boards
    • Physicians and healthcare workers have unique power to advocate for these changes

    Visit the All In for Mental Health website for resources and use the legislative call to action tool to support reauthorization of the Dr. Lorna Breen Healthcare Provider Protection Act.


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    23 m
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