Scott Weingart on the State of Things

Scott Weingart is a thought leader in critical care and emergency medicine medicine. His EMCrit podcast has changed the game in medical education and improved care of crucially ill patients across the planet. ERCast sat down with Scott to get his opinion on beer, medical education, FOAMed, critical care, podcasting, and life in general.




  1. mjasumback

    Well guys I’ve been listening now for nearly 6 years. I like to think my practice is more than 10% better than it otherwise would be because of you two, but I suspect it might not…..

    I appreciate Emcrit and ERcast because, I suspect, I’m like you two, This podcast proved that. I too, feel a bit less good about my practice if I don’t listen to a podcast on my way to work. I love ED and Critical Care, I search out good articles to read. I like a good nut brown ale in the winter, etc..

    Not everyone is like this.

    One thing that you may have missed though is that perhaps just 1 pearl of wisdom may have dropped into someone’s head that made a much greater difference than 10%. We all have holes in our knowledge bases. I think one aspect of FOAMed is that it keeps those holes pretty small. That saves lives.

    So take heart, I have no doubt that somewhere along the way you guys dropped a pearl, that someone picked up and saved lives. That far outweighs the 10% average.

    To quote Mel- “What you do matters”

    Thank you for that.


    1. Post
      Rob Orman

      Hey Mike!
      I agree with you 100% (or is it 10%?). It seems like whatever bit of crit care or EM I listen to just before working, comes through the door in the next 12 hours and I am able to apply the knowledge directly to patient care.

      Thank you for the kind words.

  2. Tim Holland

    Great podcast! I was especially happy to hear Scott’s claim that the flaky arts degrees turned out to be better docs that the science “pre-meds” (apologies to all the post-pre-meds out there). With a bachelor or philosophy and psychology, I felt a little over my head during biochemistry in the first year of medical school. I did find a support group with other non-science folks who all turned into some of the best doctors I know -- A previous music degree voice major is currently one of the most respected new docs at our hospital! As Rob started off the podcast: TLC is key to care and you don’t get that lesson in a science degree (although, I’m not sure where that was in my philosophy curriculum either…)

    Also love the constant referral to alcohol enjoyment -- makes my personal alcohol consumption feel less sinful!

    Can we get a list of Scott’s recommendations for books somehow?

  3. Dr. Mario

    Rob O
    Have you ever spoken with a disillusioned medical student who only wants to take care of really sick people? The student will ask where they should work so they only see patients that are Level one traumas, in septic shock, STEMIs, etc. They don’t want to have to see anyone with low risk chest pain, drug seekers, headaches, sprained ankles, old ladies who are dizzy, etc. We usually tell them that no such place exists and we have to take care of everyone who comes into the ER, not just the “fun” ones. From what Scotty W said in your interview that was him as a medical student. He refused to take that as an answer and set out to make his own category as “resuscitationist.” That is great for him and great for us that we get his insights about critically ill patients, but I would hate to work in the same shop as him. What if you worked with someone who refused to work nights or weekends? That would mean fewer of the convenient shifts and more of the less desirable shifts for the rest of us. To my limited understanding Scott is basically refusing to work anywhere but the trauma bay and the ICU, forcing his colleagues to spend less time there and more time with the workups and fast track patients. I don’t know about the rest of you but I don’t think we should be encouraging that as a career track unless you want us all to eventually become urgent care doctors and only the resuscitationist do the “real” emergency care.

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