In this episode, Dr. Nisha Mehta is joined by Dr. Howie Mell, an emergency medicine physician with decades of experience in emergency services, to reflect on how emergency medicine—and healthcare more broadly—has changed throughout his career.
They discuss:
- What people often get wrong about the purpose of the emergency room, and why the appeal of emergency medicine isn’t necessarily the adrenaline, but the “zen” of controlling chaos and knowing your team can handle whatever comes through the door
- How electronic medical records, administrative requirements, insurance pressures, and the need to justify medical decisions have changed the way emergency physicians practice
- The impact of the growing influence of corporate interests and private equity in the emergency room, and in healthcare more broadly
- The disconnect between public perceptions of physician wealth and the realities of medical training, student debt, long hours, and the personal sacrifices involved in practicing medicine
- What has kept Dr. Mell passionate about emergency medicine after decades in the field despite the many changes and challenges
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