ERcast: Clinical Perspectives Podcast Preview
The summary below is from an episode of ERcast: Clinical Perspectives
The transition from residency to attending changes more than responsibility; it changes feedback, isolation, and how conflict feels at work. Early-career emergency medicine physicians do better when they protect longevity, choose priorities deliberately, and remember that patients and consultants are usually having a hard day too.
Move-Up Day Career Advice
- Attending Isolation Shift: The jump from training to independent practice can feel unexpectedly lonely because the daily reinforcement of co-residents, faculty, and shared wins largely disappears.
- Patient Stress Framing: Most ED patients are meeting you on one of the worst days of their lives, a simple reframing that makes it easier to respond with calm instead of irritation.
- Consultant Conflict Perspective: Friction with hospitalists or consultants usually feels less personal when you remember the system is strained and not everyone is trying to ruin your shift.
- One Hill Rule: Career change is more sustainable when you pick one problem worth pushing on rather than trying to fix every broken process at once. We get into that mindset in the episode.
- Endurance Career Mindset: Emergency medicine is an endurance event, not a sprint, so protecting schedule balance, investing in colleagues, and engaging in meaningful institutional work matters.
Subscribe to ERcast: Clinical Perspectives to listen to the episode.
Faculty
- Drew Kalnow, DO
Dr. Drew Kalnow is an emergency medicine physician and educator based in Columbus, Ohio. He completed his emergency medicine training at OhioHealth Doctors Hospital Emergency Medicine Residency. Dr. Kalnow is passionate about advancing emergency medicine through high-quality education, with a particular focus on simulation, learning theory, and innovative teaching.
- Andy Little, DO
Dr. Andy Little is an emergency medicine physician and educator. He earned his medical degree from the Ohio University Heritage College of Osteopathic Medicine and completed his emergency medicine residency at OhioHealth Doctors Hospital Emergency Medicine Residency, where he served as Chief Resident. He has received multiple national awards, including recognition from the American Osteopathic Association, American College of Osteopathic Emergency Physicians, and Emergency Medicine Residents' Association.
- Matthew DeLaney, MD, FACEP, FAAEM
Dr. Matthew DeLaney is an emergency medicine physician and educator based in Birmingham, Alabama. A native of Mobile, he earned his medical degree from the University of South Alabama and completed his emergency medicine residency at Maine Medical Center.Dr. DeLaney has experience in both community and academic emergency medicine and is known for his commitment to teaching and medical education. He lives in Birmingham with his wife, Erin, who is also a physician, and their two daughters.
