Hey everyone, I'm Brandon Odo.
And I'm Brian Bowling.
And this is Critical Care Scenarios, the podcast where we use clinical cases, narrative storytelling,
and expert guests to unpack how critical care is practiced in the real world.
Hello everyone, welcome back.
It is Brandon Odo back with Brian Bowling.
Hey everybody.
And we've got some lightning rounds for you, a little bit of chit chat, a little bit of
discussion.
We're going to kind of do a sort of meta topic here.
Just looking at the topic of online medical education, which, you know, we always used
to call foam, although I feel like that's becoming an acronym that not everyone knows
anymore.
We're almost, it's almost dating us.
But that's free open access online medical education.
The stuff that you get for free, it's just floating around, produced by people for the
public good.
In essentially, this podcast is an example.
But I thought we could chat about what other examples we like.
Because, you know, we are both producers, but also consumers of foam.
And there is still a lot of great stuff out there, although kind of seems like it's dwindling
sometimes.
A lot of stuff is moving more towards paid models.
People are busy.
They want to get paid for their time.
But there is still great stuff.
And it really has been one of the defining features of, you know, the current or the most
recent generations of medical education, I think.
And I think we still both use a lot of it.
So I thought we could just share what the resources are that we like.
Obviously, not including our own podcast.
But I think we're just going to be able to get a lot of money.
And I think we're going to be able to get a lot of money.
And I think we're going to be able to get a lot of money.
And I think we're going to be able to get a lot of money.
And I think we're going to be able to get a lot of money.
And I think we're going to be able to get a lot of money.
And I think we're going to be able to get a lot of money.
And I think we're going to be able to get a lot of money.
All right, so I'm going to be honest, I actually don't listen to a whole lot of medical podcasts
anymore.
I used to listen to a ton.
And now it's pretty select.
And it's not because they're not good.
There's tons of good stuff still out there.
I just find that, you know, I make a medical podcast.
I work in clinical medicine.
When I'm not working in clinical medicine, I'm teaching medicine.
I read.
It's just sometimes overload.
So I take breaks, but I do still listen to a couple of things mostly because I think
they're really good and they're short.
I like really short stuff because I feel like I pick up new things, not only from my practice,
but stuff that I can share with my students too.
So I'll start with one that I really like.
It's not always super critical care.
Well, we're not only not just critical, it's not always super applicable to what I do in
critical care, right?
We've talked before.
I work in pretty specialized areas of critical care.
But it is always good in terms of acute care stuff.
So it's a lot of times good stuff for my students.
And the episodes tend to be like super short, like 10 minutes or less.
So I can listen to it like literally as a palate cleanser in between two other episodes, you
know, so if I'm at the park listening to something for fun while I walk the dog, I can pop this
in in between.
And it is a pharmacy podcast called the elective rotation with pharmacy Joe.
So the website is pharmacy Joe.com and we'll have links to all of these things in the show
notes for you.
But it's really good.
So this guy, he's a clinical pharmacist.
It's really aimed, I think, primarily at pharmacists, but it's quick reviews of different medications
and a lot of reviews of recent papers and articles and things like that.
So it really helps if you want to kind of stay up to date on the new things that are
going on in medicine in terms of pharmacotherapy.
But also a lot of times it's just not necessarily new and cutting edge stuff.
It's just good stuff that I forget about.
Yeah.
Yeah, I listened to that one for a while.
My preferences and podcast, like you, I actually still do listen a lot, but not to a lot of
the things I used to.
They've come and gone and they kind of ebbs and flows.
My preferences are usually informed by, on a technical level, I have a hard time now
with podcasts where the quality is not that good.
So a lot of them are kind of like so-so on how they record.
And if you're in the habit of that, you don't even notice, but once you, I think doing this
podcast has made me more attuned.
So when it sounds like you're listening to someone through their voicemail or from the
bottom of a well or something, I just have a hard time putting up with it.
I also, you know, I'm interested in people who have opinions or, you know, you're sharing
their practice.
For whatever reason, I have a hard time getting into ones that are heavily about reviewing
literature or, you know, a lot of discussions can be potentially good, but end up being
not that engaging because it just ends up kind of talking around topics, but not actually
presenting opinions, depending on who you have discussing.
And I'm also quite open to things that are sort of critical care adjacent.
So from specialties that are important to us but are not critical care, because there's
often where there's the most to learn.
I mean, you need to hear another topic about ARDS or something.
Maybe not, but there could be a lot of low-hanging fruit hearing from an ID person or a cardiology
person about things in their areas.
So that's kind of my bias.
The ones that were really kind of been a big part of my growing up, the M-Crip podcast,
Scott Weingart, it's a very influential part of my training.
You know, production has dropped off a little.
Scott has gone to, a lot of it is paid now, but still, I am still a listener.
I really still like the Gobbata Puss, which is Mark Chrislips podcast.
Mark is an ID guy of many decades now.
And he just does short little podcasts, a few minutes, which are just his clinical experiences.
But he works so much.
He covers a bunch of hospitals, and he has for many, many years.
And he is a pure clinician, so always doing his tons of patient care.
So he has stories.
I mean, it seems insane that every week or however often he has another interesting ID
case to talk about, but he does.
He's about like 1,500 or 2,000 episodes or something.
And they're just really kind of interesting and engaging.
And I just a really great example, I think, of what a just a really experienced skilled
clinician looks like.
Someone who's not doing research or I don't know if he teaches, but that's not really
what it's about.
Someone who's really good at what they do and kind of sharing their approach.
I still find that very interesting.
Lately, I've gotten more into kind of internal mediciney things because I've gotten back
into medical critical care more, so focusing on those topics.
So I'm really liking Core IM, which is a medicine show, but phenomenally produced, just
really excellent didactic stuff about medicine topics, but really high yield.
They do it various formats and I think they're all really interesting.
What are some of the ones that you used to be into that you're maybe not listening to
now?
Well, I still do listen to some just not as often as frequently.
So my big one that's probably critical here adjacent, like you with internal medicine
is curbsiders.
The curbsiders internal medicine podcast is a good one that I'll turn to every now and
then.
They cover stuff that's acute care, hospital medicine type stuff, but a lot of it has some
overlap in the ICU.
Something that I used to listen to a ton, M-creative course.
One that I really love for a long time and I haven't listened to it in a while, but maybe
I'm going to pull it back out is the Maryland critical care project.
If you're not familiar with this one, this is produced, it used to be produced by the
fellows.
I think it's produced by faculty now because I think they're people that used to be fellows
in our faculty at the University of Maryland with their critical care fellowship program.
So these were like lectures that were given for their critical care fellows.
Now, I will say production value is not as great on this because it is a live recording
of someone giving a talk in an auditorium.
So it doesn't sound produced, it doesn't sound very polished and put together, but it's like
a recording of a talk.
And they're always good and that's the podcast where I've discovered that there are certain
people who speak and teach and I don't care what they're talking about.
They're good teachers and I'll listen to them.
And that started to really expand my horizons from a topic standpoint because I might look
and go, I'm not really interested in this topic, but oh man, that guy, he's really good.
I'm going to listen to it and turns out I learned some stuff even when I thought I might
not.
Yeah, I used to love Maryland critical care project.
Like you said, I think it's just broadcast of their lectures there.
Yeah.
I agree.
The quality is iffy.
I think they're all virtual now and they just record their zoom feeds or whatever.
So and also because it is just part of their fellow training program, you start to see
the same topics sometimes come up.
So I've dropped off a little bit of it, but there is a lot of great stuff there.
I also, gosh, there's Aqrak, anesthesia critical care reviews commentary.
That's some Jed Wulpah's show.
I was on it once.
That's the anesthesia show, so sort of adjacent, but a lot of good topics there.
It has not been doing as many episodes lately.
I like the blood bank guy, blood bank guy essentials.
I think it's a blood banking podcast.
So there's not that many episodes that are interesting, but if you see a topic that sounds
like there's 30 or 40% relevance to what we do, it's like you're never going to get more
information in the inside world of transfusion medicine.
So that's the kind of stuff that I find just compelling.
Well, so the old days there was Jeff Guy's podcast, ICU rounds.
I was going to say that's the real OG.
Yeah, that is the real OG.
That was the very first, probably the very first podcast period that I listened to.
Yeah, that's why up there.
He would just do didactic lectures about critical care, but it was good stuff and it was a lot
of basic, relevant topics.
I mean, he kind of went through them and then he stopped upping.
I think he briefly revived it during COVID, but it's essentially archived, but I think
they're mostly there.
I don't know that they're all still available online, which is too bad, but oh, Louisville
lectures, their internal medicine program, kind of like Maryland program, they would
really use, I think, their whatever, their weekly didactics or something like that.
I did that for a while and then a lot of the topics are not that relevant.
So I kind of dropped off, but they have some good stuff.
There's a couple others that I'll kind of hit and miss according to topics and if I feel
like it's relevant more to my personal practice, which like I said, is sort of niche.
But try my CE rounds.
Speaking of Jeff Guy, he was surgical.
I see you rounds sort of Dennis Kim sort of took that name over from him, I think.
And we had Dennis on the show a while back.
He told us that Jeff Guy said, please, with my blessing.
Yeah, I think Jeff.
But yeah, try my CE rounds with Dennis Kim is really good.
I don't do a lot of trauma, but I do do a lot of surgical critical care.
So that's helpful for me.
The other thing that I will listen to that sort of medicine adjacent, there's the emergency
mine podcast with Dan Dorkas, Dan we had on the podcast not too long ago.
His podcast is really good.
It is less medicine and more the things you learn as an ED slash critical care provider
on topics like leadership or remaining cool in a crisis or things like that.
This sort of the less medically things that we do every day.
And I really like that one.
I am into simulation training now with my students and with our fellows and stuff.
So I also like the podcast, simulcast.
It is all about medical simulation training.
And it's really nice.
They go over things like debriefing and how to run successful in situ simulation or just
different things that you can do in the SimLab.
And along with kind of reviewing the latest and greatest and what's out there in the simulation
literature.
So again, not really clinical medicine, but I do a lot of teaching.
And so that's really helpful to me.
Some others that are popular.
And well, so the podcast used to be a really good one.
There was a political care, APPs, it's kind of become archived now, but they have some
good stuff in there.
Hey, I try my SU grounds.
I agree.
It's a fun one.
What was I going to say?
There are some others that are popular.
I kind of hit or miss on listening.
The Internet Book of Critical Care, Josh Farkus' online kind of critical textbook.
They do a podcast with companies, kind of discussion and summaries of the text articles.
A lot of people like, I listen, not very regularly.
I don't know why.
I never really quite grabs me.
There are a little sarcastic, which sounds funny because I feel like I'm kind of a sarcastic
person.
But for whatever reason, it's the tone's a little light for me.
I don't know.
I have to introspect on that one.
I love those guys.
Oh, Palm Peeps is a new-ish one.
A lot of like, Palm Critical Care faculty are producing it.
They have a lot of really good content.
I've had a hard time getting engaged also.
I have some issues with their quality.
It's a little slow.
It has kind of an academic flavor.
You have to sit through like five, ten minutes of introductions and hearing people's titles
and stuff like that.
Very discussion-y.
Discussions can be hard to make dense because it's hard to get one person who can speak
well, good luck getting five together in a room.
Speaking of podcasts that are on your list that you never quite listened to, the Critical
Care Reviews podcast.
I don't know if you guys know this one.
Critical Care Reviews is a great site.
I get their email and I skim it every time I get it too.
But they just go over the most recent literature in what feels like 1500 different journals.
I don't know how in the world these guys have time to look at all these things.
But they just sort of summarize stuff.
So I have it in my podcast Feed with the intention of listening to every episode.
And that way I'm always up to date on the literature and I listen to it pretty infrequently.
Probably because I say I want to be up to date on the literature but I really don't care
that much.
Because I feel like the stuff that I'm doing every day in my little niche world I am up
to date on.
And a lot of the general critical care literature is not super apical to me.
It's easy to say you like evidence-based medicine but it's the proof is in that the
doing clearly.
Yeah.
When you have to actually read the evidence it's a lot harder to make that argument.
Yeah.
Gosh, what else?
Trauma cast, the East Trauma people do that one sometimes that's interesting.
Yeah, that's a good one.
I used to listen to that a bunch.
Not as much anymore but.
Yeah.
Oh, ultrasound podcast.
That's another one that's kind of died off.
Oh yeah.
But that's another real classic and they used to have a ton of ultrasound content.
Those guys have kind of gone on to other things now but I think it's all still available
on there.
Oh, SMAC, the SMAC conference.
Oh, yeah.
SMAC and the...
It's coded now.
Is there a new one?
Yeah.
Yeah.
But what's the other group though that it started from?
Intensive care.
Intensive care network.
Oh yeah, yeah.
That's right.
Yeah, they would do that.
Those were both fantastic.
Yeah.
And yeah, they've sort of fallen away I think to.
Coda now does some stuff but yeah, ICN and SMAC both were really great.
Yeah, SMAC would just release their talks from their conference which was famously
good stuff and if you couldn't go it was either Australia or Europe or something then
at least you could hear them.
I think they're all still available online and there's some classics there for sure.
All right, so that's podcasts.
What about non-podcast?
What about written stuff like blogs?
I'm going to have such a classic format for medical education now.
They're kind of...
It's hard to get anyone to sit down and read something but they're still out there.
Which ones have you liked or are still like and read?
Yeah, I actually do read quite a few medical blogs so that is one way that I still kind
of keep in touch with stuff.
One that I really like, it's not always super relevant to critical care but is taming of
the shrew.
And this is produced by the department of emergency medicine at the University of Cincinnati and
the shrew is SRU, the shock resuscitation unit.
So that's the sort of critical care recess area of their ED.
And they have posts on different topics.
They have one called the air care series where they go through stuff specifically related
to their pre-hospital and flight stuff.
That's interesting if not always applicable.
That's really nice that I like though is they do one called grand rounds recap where they
just basically recap their grand rounds each week.
A lot of it is EM stuff that doesn't apply to me and I skim past it but it's just like
an outline format.
Dr. So and So got up and talked about this and here are his take home points.
And then Dr. So and So got up and talked about this and here's what she said.
And it's just bullet points and you just skim through it.
A lot of times there's links to more information if you want to like see the articles they
discussed or whatever.
But I really like it.
I find it very helpful.
It's one that comes up in my blog feed a lot.
Yeah.
Yeah.
It's a good one.
I have just I don't read nearly as much as I used to.
And I feel like a lot of the good blogs and websites that continue to be active are emergency
medicine.
Those guys have really been good about keeping up with that stuff.
Also care is kind of not been quite so much.
There's still a lot of good ultrasound stuff.
I don't know if you call them blogs but good resources.
Five minute sauna is still very active.
That's got you as one of the ultrasound pod.
Jekylla.
Yeah, Jekylla.
A core ultrasound, isn't that the.
Yeah.
I think that's is a yeah that's kind of his broader website.
I think there's a ton of stuff on there including clips, educational cases.
Yeah.
So you guys who do the ultrasound podcast to?
Yeah.
Yeah.
Yeah.
That's I'm saying that they're kind of that kind of became a core ultrasound training.
Now.
Yeah.
Yeah.
That's sort of my go to site for all things.
Focus.
Yeah.
Yeah.
Yeah.
Yeah.
He's trying to train people.
And you know, focus was always something that's you can really do a lot of kind of self directed
training.
And that's what this kind of foam stuff is so great for.
Oh, the trauma professionals blog.
That's Michael McGonagall.
Yeah.
He's like like a drama director somewhere in the Midwest.
Yeah.
Good trauma kind of surgery topics and pretty was pretty active.
I haven't checked in a little while now.
He's a newsletter too, I think.
Yeah.
She's what else there's always life in the fast lane.
That was an old life.
The fast I was going to say is a great one.
That's like my I mean, I have that like book more.
They need an app really because I will I have their site bookmarked on my phone.
I pull it up.
I mean, probably once a week at least at that work.
It is more of a reference.
It kind of put a ton of stuff in on all kinds of topics and you can dig through and find
stuff you want.
It's like Google is your way to find stuff on there almost.
Yeah.
Yeah.
One that I like, it's not really a blog, but it has an RSS feed so you can pull it up
through your blog reader.
If you like little micro learning, little bits, little nuggets, it's something called
ICU pearls.org.
It's a website.
There's a pearl of the day.
So like today's IV in oral acetaminophen and it's just got a question.
IV acetaminophen has better efficacy than oral acetaminophen for perioperative pain.
True or false?
And then it gives you the answer and a brief like one little paragraph explaining it.
It takes less than a minute to read them.
It pops up in my blog feeder and I read a read them every day.
Some of them I don't really care about.
So I skip it, but some of them are really helpful and they're really great for like
students too.
Yeah.
The F along those lines, also University of Maryland, the UMEM educational pearls, I think
was a series, it's the email.
I'm sure they're available online too, but I think it's every day or something you can
get one.
And they're just little tidbits of stats, facts, teaching points on emergency medicine
topics, which of course means related to everything.
I haven't gotten them in a while, but those were good things.
Oh, there are, I mean, in terms of reference things, there's deranged physiology.
That's a good thing, because derangedphysiology.org.
Oh, deranged physiology is the best.
Like, yeah, if you really want to understand how things work.
Yeah, I can't remember his name.
He's, I think, the UK.
And it's, I think, meant to be a reference for like critical care boards there.
So it's kind of formatted that way.
But it's just this massive archive and it's not just a dump.
I mean, it's like stuff he writes out, which makes it very readable.
But it's like, it's like facts going down to like the molecular structure of like the
oxygen tanks that are, you know, used for patient rooms or whatever.
I'm just all kinds of topics.
So you can find like these, just massive wealth of things there.
And it's that kind of like slightly unhinged, like esoterica that makes you wonder who the
like the guy who produced this stuff was either you would just be amazing to have a beer
with or you like might not leave them alone with your like bicycles.
But it's awesome stuff.
Yeah.
Another good sort of not resource dump, but a compendium, I guess maybe you could say,
is critical here now.
Haney Malamet's site.
Lots of different people write for that, including several friends of the podcast.
Lots of good little articles.
I've put I wrote one article for it once upon a time and then realized that enough time
to keep writing articles every day.
But that's a good place for a quick article.
Really nicely peer reviewed stuff from the behind the scenes perspective.
Yeah, you're right.
They have a whole stable of a good material.
Oh, yeah.
So there's kind of cardiology stuff that's out of that's great.
Stephen Smith's ECG blog by Stephen Smith, as you might imagine, he's an emergency medicine
guy.
But I mean, easily one of the best EKG interpreters in the world.
And I don't just say that in some nebulous way, but I mean, he's really put deep thought
into a lot of subtleties and a lot of research and publications on things like, you know,
organizing subtle ACS and produce a lot of algorithms for differentiating tricky diagnoses
and things.
And I mean, if you spend a year reading these posts, you could you would be like a true God
of EKGs.
I used to be super into EKGs and now I suck, but that's that would be a way to go.
He's just still just putting stuff out there.
That's amazing.
Getting back to some POCUS stuff, POCUS 101 is a good site.
It just explains lots of really good stuff about POCUS exams, not necessarily strictly
critical care, but lots of different POCUS type stuff.
One of my favorite sites for teaching is the University of Toronto's point of sorry,
a perioperative interactive education or PI.
It's a site.
It's got tons of good stuff.
It's got some POCUS.
It's got some ECHO.
It's got a Bronx simulator that's really nice.
I have all my students kind of do that.
It's a little like flash kind of thing where you go down and look at the anatomy of the
bronchial tree.
It's got little bits about ECMO.
It's got all sorts of good stuff, tons of stuff.
And it's really interactive.
Scott Weingar also maintains a site called Crashing Patient.
Crashing Patient.com.
I think he doesn't really advertise it.
Which literally reads just like an unedited dump from his notes app.
So it's just like an outline of topics and it's like notes from them.
It's relevant and important studies and references, facts from here or there.
So you have to dig through it, but there's a ton of information in there.
I don't know that he's still putting stuff in there, but there's a career's worth of
stuff if you want to go look for things.
What about, are you ever a either discussion forum guy or a like listserv mailing list guy?
These are again things that were I think dominated web discussion a little more a while ago.
Now there may be aging formats, but there used to be some amazing communities online.
Yeah, I used to be on the CCML, the critical care medicine listserv.
It's an email listserv.
I got off a while back just because I felt like I got constantly bombarded with emails.
And some of them were relevant, some of them were not.
I just didn't find it as helpful anymore.
And it was just sort of, I found that my inbox would be full of stuff that I would go, I'll
read this later, I'll read this later, and I never did.
So I sort of unsubscribed to it.
But it was really helpful for a while learning stuff and making some connections too.
I've made connections with people kind of all over the world through that listserv, but
I think it's still up and running.
Yeah, I am still on CCML.
It's definitely a classic.
Like most of these listservs, it has become, what's the right word?
Although active, it's like the people on it are mostly the people who have been on it
for 10, 20 years.
It's not a lot of young faces.
I imagine because young faces are not looking for this type of discussion, they'd be like,
what is this?
You have to explain what a listserv is.
Yeah, like a diverse international group of some phenomenal experts.
But yeah, it is sort of perhaps a dwindling type of thing.
But yeah, that's the only one that I'm still on.
I used to be on other.
There's the trauma list, I think, TraumaL.
I think that one actually is dead.
Yeah, I was on that for a while back in the moment.
There's the EKG Club got really going back here.
I think they had a Facebook group for a while and I think they've also gone away.
And then web forums too, people are just, I guess there's Reddit and stuff.
I imagine there's communities there, but people are just not making use of this stuff quite
as much more.
I feel like social media, Twitter has kind of taken over that.
It's just so easy to use.
So I guess what about that?
I mean, Twitter is for you and I, most of what I know there's things like TikTok that
we don't understand.
But are there any good Twitter accounts that you think are particularly useful to follow?
And I say useful because that distinguishes it from say stupid or funny, which is the
other half of Twitter.
Right.
Yeah.
You're right.
There are some, there's a lot of entertainment on Twitter and some people would say it's
not terribly entertaining.
But you know, a lot of useful stuff out there.
I have actually not been super active in Twitter in a while.
I check it a lot.
I just don't post a ton.
I'm trying to think who my kind of big go-to people are that I follow.
Some people have been pretty consistent about putting out like content, like tweet tutorials
and cases and facts.
A good one.
I am crit.
I think it's just at I am CRIT.
I'm pretty sure.
He's just a intensivist, but he does some really good like case threads with a lot of
good ultrasound stuff.
Really just kind of nitty gritty clinical critical care.
That one's worth following.
You know, one that I do follow that I like, again, critical here adjacent to this stuff
that I feel like I don't know well enough is one called Radiology Masterclass.
They're at red, Masterclass.
They have a website too that's really great.
It's probably my favorite Radio out learn radiology website.
But their Twitter account, they'll just post images from CTEs, X-rays, MRIs, etc.
And kind of, you know, what do you see here?
What is this?
Let's talk about it.
And people will weigh in and then they'll kind of explain some things.
So I find that helpful just because I'm always trying to be a better radiology interpreter.
Yeah.
And again, I mean, that's probably lower hanging fruit than the topics that are like right
in our wheelhouse.
You see what the, you know, when you walk down flight of stairs and you stick your head
into the radiology room or is a nephrology conference or whatever, like what are those
guys talking about and you can learn all kinds of stuff.
Casey Alvin, who we've had on the show a couple times, does really good educational
stuff.
I think she's been associated now with, I think, one of the neurology journals or something
and creating like somewhat endorsed tutorial or something, but lots of good stuff.
Yeah.
Speaking of EKGs, I'm Alma too.
He's a good EKG guy who I follow on Twitter.
He'll post EKGs to read and little things about them.
Oh, by the way, all these you can find if you search for these names.
Ron Barbosa, who we had on talked about, ribcating.
Yeah.
What is he?
R Barbosa 91.
He's been doing a lot of good little threads about surgical, like micro concepts, like
types of sutures.
What are, you know, the name of a tool and why it's like that?
Things that are, I think, readable and applicable enough that even non-surgeons, it's at least
interesting and maybe even useful.
But just to really, again, the kind of that glimpse into another world, and certainly
if you're in a surgical realm, I think really uses stuff.
Yeah, as I say, as someone who's not a surgeon but does a lot of stuff with surgery, I find
those very interesting and very helpful.
Just like you said, to sort of understand the other side of things that I don't see every
day, things that are going on in the OA or why you do things the way you do things.
I mean, Josh Farkas, of course we mentioned.
Right.
I don't know if you're interested in a lot of research, but I think it's a lot of research
that's going to be a little bit different.
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♪♪♪
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