Dr. Jody Leng and Dr. Brett Athans, both key faculty in the PRIME (Physician Resiliency in Medicine) program join Derrick Wu in talking about physician wellness and how PRIME plays a significant part in promoting wellness/resiliency within the residency and department. We talk about what PRIME is and how it got started (02:49), how PRIME has lead the way for similar initiatives around the country (08:22), resources and methods that may help improve well-being during a difficult time (12:42), how the "gas lounge" began and how PRIME facilitates new wellness initiatives (20:33), what check-in sessions are and how they help in debriefing tough situations as well as finding common ground in shared experiences (24:22), do a sample check-in (27:42), practicing "resiliency" while knowing there are other systemic issues at hand (37:23), and have some closing thoughts and other resources for physicians seeking help (39:09).

Resources:

• Physician Peer Support Program: https://medicine.stanford.edu/news/current-news/standard-news/peersupport.html

• Physician Resource Network (PRN) Support: https://wellmd.stanford.edu/get-help/prn-support.html

• WellConnect - a confidential program to promote mental health for medical trainees (residents and fellows), and all benefits eligible faculty in the School of Medicine at Stanford: https://med.stanford.edu/psychiatry/special-initiatives/wellconnect.html

Joe and Derrick discuss their approach in getting called for an emergency airway out of the OR. They talk thought process when first getting the call (00:59), what to do when first seeing the patient/environment (08:53), the MSMAIDS of intubation (12:50), the importance of positioning the patient (25:54), medications to induce with for intubation (33:54), mental checklists and doing the time out (38:57), and closing thoughts (41:41).

Joe Hodapp (one of the chief residents of the Stanford anesthesia residency program) and Derrick Wu talk about what exactly is a handoff or sign-out (1:33), what to consider when handing off an ambulatory case to PACU or another anesthetist (2:23), a structure for organizing handoff of simple cases (5:54), a sample case of handoff to PACU (11:03), how to sign out to another anesthesia provider (15:28), considerations when signing out more complicated cases to the ICU/other colleagues (25:03), and closing remarks (35:57).