133 | Dr. Julie | The Golden Rule in the ER | Skills, Humility, and Not Letting Others Break You
Sun Dec 21 2025
I give my perspective on being an APP in the ED, be humble and teachable and strike an affect that allows the physicians to speak into your practice
When in doubt, consult the specialist
Julie talks about what makes her proud about her career
She is proud of the connections she made, that she treated her patients how she would have wanted to be treated
Remember to take that intentional time with patients to help reassure and connect with them
Julie talks about a the expectation she sets for patients with abdominal pain - that we don’t find a clear answer most of the time and when we do it’s usually something emergent and surgical so sometimes no answer is good news
Set the right expectation for the ER visit early
She talks about how she reassures patients that may be embarrassed for coming in when they end up not having anything emergent going on
Julie highlights the need to eat and hydrate on shift
Julie talks about the next generation of providers and how she hopes they continue to keep their observation skills and clinical thinking skills intact considering technology advances and AI incorporation
Julies advice to her younger self would be to not let people drag you down
A big thing we need to learn is to not let others poor behavior or flexing of their ego affect us personally, it speaks more about them than us
We need to learn to give constructive criticism without judging
Support the show
Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care.
Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics
Most efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours.
If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you.
1st Phorm | The Foundation of High Performance Nutrition
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I give my perspective on being an APP in the ED, be humble and teachable and strike an affect that allows the physicians to speak into your practice When in doubt, consult the specialist Julie talks about what makes her proud about her career She is proud of the connections she made, that she treated her patients how she would have wanted to be treated Remember to take that intentional time with patients to help reassure and connect with them Julie talks about a the expectation she sets for patients with abdominal pain - that we don’t find a clear answer most of the time and when we do it’s usually something emergent and surgical so sometimes no answer is good news Set the right expectation for the ER visit early She talks about how she reassures patients that may be embarrassed for coming in when they end up not having anything emergent going on Julie highlights the need to eat and hydrate on shift Julie talks about the next generation of providers and how she hopes they continue to keep their observation skills and clinical thinking skills intact considering technology advances and AI incorporation Julies advice to her younger self would be to not let people drag you down A big thing we need to learn is to not let others poor behavior or flexing of their ego affect us personally, it speaks more about them than us We need to learn to give constructive criticism without judging Support the show Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics Most efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition