Clinical Brain Training

A discussion of good and bad systems, and why systems that revolve around "Wizards" don't grow and improve and eventually become dangerous. Happy New Year! JY

Discussion of offense and defense when taking care of patients. These are vital concepts as you develop a clinical strategy. I included a recording of an original song I performed a few years ago. Happy New Year! JY

A discussion of how to begin to change your clinical or emergency service. Thanks for listening. JY

Discussion with Chief Eggleston on "Dealing with Reality". As a leader, how do handle it when your goals and vision run up against obstacles so great that they endanger your success. We also talk about strategies to win over detractors or drive over them. Thanks for listening.

Starting a series on how to lead clinical teams, whether its a trauma center or a fire department. This part gives the background on what kind of positions are worth taking, and what to do when you show up. Thanks for listening. JY

A discussion with Tom Joyce of Orange County Fire and EMS of several patient care issues. Thanks for listening. JY

A discussion of what has went wrong, and what we need to do going forward in the battle to prevent harm and optimize outcomes in medical care. A little from an original tune I wrote a few years ago and performed with friends. Thanks for listening. JY

A discussion with some examples of the difficult problem or properly risk assessing patients. Thanks for listening. JY

A discussion of a risky process (securing the airway) and the complexities of doing it well, and protecting the patient. Also I've attached a picture of my son Andy and I running a medic shift together at CARS. Thanks for listening. JY

Discussion of paranoia and decision making. What is too risky to ignore, and what is so benign to investigate that you are wasting resources and time. Some of my playing with the band Green Eggs and Sam in Charlottesville from a few years ago. Thanks for listening. JY

A discussion with examples of high risk, medium risk, and low risk situations and how we deal with them. How do we set up systems that manage risk, without wasting resources and time. The sound effects are my dogs, Deci and Yogi.  Thanks for listening. JY

A discussion of the significant need for a tool to organize routine clinical incidents. A little sax section work at the beginning and end. Thanks for listening. JY

A discussion of Weick and Sutcliffe's principles from "Managing the Unexpected" and how they relate to how we design safe systems in whatever we do. Thanks for listening. JY.

A discussion of why it is so hard to get smart people to control what they do. There is a tremendous pressure toward disorder in the universe, and among physicians, firefighters, and others. It's one reason why you need to watch what you say around the "kids". Chameleon at the beginning and end with Brian Hughley on drums and myself on sax. Thanks. JY

Second half of my talk. Thanks for listening. JY