Dirty White Coat
Mel Herbert, MD, and the creators of EM:RAP, UCMAX, CorePendium, and the collaborators on "The Pitt" and many of the most influential medical education series present a new free podcast: “Dirty White Coat.” Join us twice a month as we dive into all things medicine—from AI to venture capital, long COVID to ketamine, RFK Jr. to Ozempic, and so much more. Created by doctors for clinicians of all levels and anyone interested in medicine, this show delivers expert insights, engaging discussions, and the humor we all desperately need more of!
Dirty White Coat
New CEO, The Pitt and the Future of EM Education
What happens when a trusted EM education brand hands the day-to-day to a leader who grew up on County shifts, built startups, and still believes teaching should feel human? We open up about a big leadership change, why credibility beats polish, and how we’re rebuilding medical education to match the realities of modern emergency medicine.
First, we trace Mizuho’s path from Santa Barbara to County, through early EM:RAP projects and entrepreneurial swings, to a CEO role focused on protecting the core—reliable, relatable, high-yield teaching—while pushing formats forward. That means cinematic fundamentals filmed in a new studio, graphic overlays that mirror real resuscitation thinking, and modules that work whether you’re printing PDFs or binging 90-second pearls between patients. If you haven’t tackled pediatric resuscitation or trauma in years, you’ll see why visual refreshers can be safer than skimming dense text after a long shift.
Then we get serious about boards. With written pass rates shrinking and a revamped oral exam adding simulation and hands-on elements, the Invictus suite aims to turn board prep into lifelong learning. Expect emphasis-driven videos, short companion podcasts for daily reps, practice cases built for the new format, and study guides mapped to PGY levels. Program directors get roadmaps that cut through noise. Attendings gain a path to rebuild rusty domains without losing time.
Threaded through it all is the weight of burnout and moral injury. We talk candidly about the gap between what clinicians know to do and what systems allow, and why storytelling matters in repairing that fracture. Our collaboration with The Pit helps families see the strain behind the badge, and it feeds back into education that respects your time, your attention, and your reality on the floor.
If you care about EM education that earns your trust and meets you where you work, this conversation lays out the why and the how. Subscribe, share with your team, and leave a review with the one topic you want us to build next—we’re reading every word.
So before we begin, let me ask you this question. What does uh the Simpsons, Groundskeepers, the Pit MRAP, outrageous Scottish accents, and biracial marriages have in common? Well, you're about to find out. Alright, ladies and gentlemen, boys and girls, I've got a very special dirty white coat. We have Mizaho Morrison, who is the CMO of MRAP, a little program here on the west coast of the United States. You may have heard of. And actually, I've got a big announcement before we go too further. Mizaho is going to be moved from uh CMO to CEO because the current CEO has got serious dementia and needs to be put out to pasture.
SPEAKER_00:Yeah, but what have I told you? I've told you you're actually not allowed to leave. You're actually not even allowed to die. You're you're the you're the brand of MRAP. So you're actually so, I mean, it's good for the listeners to know this. You're not going anywhere. Uh, they'll still hear you, you'll still be on video here from time to time. You'll still be doing all the things that you want to do. It's just that you don't have to do any of the meetings, admin, or operational things. So that's that's kind of fun.
SPEAKER_03:Yeah, it's kind of perfect timing for you and for me and for the pit. It sounds like a real fun job being CEO, but basically it's a pain in the ass and a lot of Zoom meetings, a lot of HR issues, uh, with some good stuff. No, it's a great job, but uh I don't want to do that job anymore because I'm really loving the pit and it's a sort of perfect time. I'm loving the writing and being in the writer's room, and I just found I can't do both. So you've basically been doing the job for the last year. So now let's just make it official. But I wanted you to get to know Amisohoe a little bit here. So, Mizaho, tell us your life story. Where were you born and where'd you grow up? Where'd you go to med school? Let's stuff.
SPEAKER_00:Uh, born in Santa Barbara, California. Yay, where I am right now. Why did you leave?
SPEAKER_03:Why?
SPEAKER_00:Well, I know, right? Uh um, it's such a beautiful place. Born and raised there, and then went off to college and uh knew I wanted to be a doctor when I was nine years old. Told my Scottish father I want to be a doctor. He told me, You're a bloody idiot. Um he was probably right. And you know, fast forward, uh found myself at County in 2008 as a that's when we were doing the PGY two through four. So I did my little internship in 2007 in Long Beach, this little tiny hospital, and then uh worked my way up to County and met you in 2008, and the rest is history. Wow.
SPEAKER_03:Um Scottish Dad, Japanese mom. Just go into that for a second. So Tiger Mom and uh Scottish Dad, that must have been fun.
SPEAKER_00:My parents very fun, and then they give you a very traditional Japanese name like Mizuho, which means life coming from the sea. So every person who I meet is like, oh, you have a very Japanese name, but you don't look Japanese. So I have to give them the whole life story of mom and dad. So they met post-Vietnam, they met in Japan. My dad's a Scotsman with a very thick Scottish brogue, but actually speaks Japanese more fluently than he does English. Like, what? Most yes, most people understand his Japanese far better. Um, they ended up, you know, biracial marriages in the early 70s was not really a thing. So they ended up moving to the States and then having my sister and I in good old Santa Barbara. So that's the short and short, sweet story of it. Yes, my dad was a um janitor groundskeeper. And in fact, he, this is the sort of infamous story of me's, is my father was the inspiration for Groundskeeper Willie for The Simpsons back in the day. So the producer of The Simpsons, uh, his kids went to Montecito Union School, yeah, where my dad was a groundskeeper for 30 plus years. So I grew up um in Montecito, but on the groundskeeper side. So my dad was the school janitor, and so all my friends are, you know, Montecito whites, but I learned uh I learned how to work hard, and uh he in turn gave me a great education because of where we lived.
SPEAKER_03:So I can't believe your dad is grandscapable willy.
SPEAKER_00:Literally great, that's great. Yep.
SPEAKER_02:If elected mayor, my first act will be to kill the whole lot of you and burn your turn to cinders.
SPEAKER_00:And never collected any royalties. In fact, when they when the show offered him royalties, he I think he told them to literally fk off. So I'm like, oh, excellent. You are dead, is a fool. Yes, absolute fool.
SPEAKER_03:That's such a great story. I'm glad you slipped that story. It is such an amazing story. So you came to County. I remember you were. Um, I was at County from 2002 to 2018, so I was there. This was just after we were right at the time the old hospital shut down and the new hospital started. Very exciting time. It was sort of the heyday of County with Billy and Jan and Stuart and all of these amazing educators, and we were just uh firing on all cylinders. And you were a superstar then, as you are now. And then you went off and uh you worked for MRAP for a number of years, and then we split off another company that will remain unnamed. Shall remain unnamed, yes. And you went over and worked uh at that company for years and became their lead medical uh editor there, right?
SPEAKER_00:Yeah. So I helped you that was I think 2011, 2012, somewhere on there. We launched C3 together and then Urgent Care Rap and PEEDs wrap together, and then we took those shows and took them to that other place that Shall Remain unnamed, and yeah, I was editor-in-chief and then senior medical director, and um and also planned and hosted Essentials for quite a bit. So I've been around the block. But that's not all you did, right? There's a couple of other entrepreneurial things you got into. I decided to start a little startup company with two of our grads from SC. So we started three mommy doctors and a little startup creating first aid kits. So we had our little entrepreneurial uh little fun. We actually took it to market and we're in um brick and mortar stores and sold on Amazon and pretty exciting stuff. Almost went on Shark Tank for a whole host of reasons. Learned a lot, and then recently a couple years ago, developed a medical device as well. So um, you know, have my I have my little entrepreneurial itch, which now I get to scratch at MRAP, which is fun.
SPEAKER_03:So you came back to MRAP over a year ago. And what's the plans now? So I'm still gonna be involved and but stepping back. And what do you see as the big things that you've got planned for the next couple of years?
SPEAKER_00:Well, when you take sort of the 30,000-foot view of 24 years of MRAP, you know, you you set the tone in the stage of essentially creating how medical education is consumed, not just for our specialty, but really for most specialties.
SPEAKER_03:I told her to say that. It's absolutely not true, but I told her to say it.
SPEAKER_00:And so that's kind of a high bar you've set. You know, in fact, right before we started recording, I had my my chief uh of mine who sent me a picture of his CDs that you used to send out. I remember that, right? Cassette tapes and CDs. And to put them in the boxes at Caddy. Yes, it was very exciting. Anyway, you've set a high bar. And so I think particularly, we talk about this almost every week, but with the advancement of AI and the ways that various generations learn, I think the challenge will be how to keep that bar high, how to remain the gold standard and continue to grow it. Um, and I think at the end of the day, you have created a brand and a company that is really based on trustworthiness, reliability, and relatability. You're self-deprecating, you're funny, and you're relatable. And at the end of the day, you know, that's what the brand is. And so we love people that sort of follow that same culture and mentality. And that's what we're here to do. So my job is more behind the scenes, but really to help all of our folks sort of push the company forward. And what's the first thing I made you do when I when I got here? Uh, you made me do some writing.
SPEAKER_03:You made me write a mission statement. I'm like, what the f is a mission statement?
SPEAKER_00:Yeah, but the it's just so important. And the reason was because it really is important for us as we move forward, sort of to to, you know, uh despite whatever new ventures we may come into, which we're starting, um, that we stay on brand and that we stay on task and that we remain the reliable source that MRAP has always been. So I'm super excited. I mean, we listen, we have our work cut out for us. Residencies, as we know, have the board pass rate has gone down and down and down. I think we saw the most recently 82 or 84%, very low. So that's a problem. So we have huge efforts for trying to get our resources back into residencies. Back when I was training, everyone used MRAP. And nowadays it's less common. So it's important for us to help and support our not just the residents, but the program directors also. Um, as there's big changes coming down the pike, changing from three to four year programs potentially. So um we are here to help our programs, help our residents. And then where else? We have, you know, I think this is uh you tell me, but this is probably the first time we've had so many different types of generational learners. So you've got the docs who are semi-retired or retired that they still they want the PDFs to print out and they want to read the texts, right? And they want some paper documents and videos to watch, all the way down to the recent grads who want 90-second TikTok like videos. And so that's a big span of how people learn and how to how people ingest and digest their education. So, how to sort of um parlay our education so there's something for everyone is really um exciting and fun, but also I think that's one of our biggest challenges of how to keep progressing and moving forward uh for all those folks that we take care of.
SPEAKER_03:Yeah, I think that's a really important point. When you first came here, you were a working stiff doing all of the the 12-hour shifts and the 16 month and all and came with a big heart to say like uh community docs are really fing suffering. And the job has gotten worse and worse, and so wanting to elevate so it's about education, but it's also about community and elevating people and reminding them that work is really important, even though the way you do it is kind of shitty right now. And um, hopefully we can help with that moral sort of dilemma, which is moral injury, which is you know you can do a much better job, but I can't do a fing rectal exam in the hallway, it's just not right.
SPEAKER_00:Um Our people are really suffering, yeah. I mean, our specialty before COVID was already one of the worst burnt out specialties out there, and then COVID just I actually went full-time clinical right around right before COVID and uh was working yeah, 16, 10 hour shifts a month. Don't recommend that for anyone, by the way. But that was the mandatory sort of slotted shift count for for quote newer partners. I've been a prettium there for 15 years. You know, when you get like a front row seat to how incredibly hard that job is, and and not that there's not burnout in academics, there certainly is, but academics is so unique because you have such young and um energetic and curious minds around you all the time. And in community, you really are working a lot of the time in a silo, even if you have group, you know, uh partners, you're you're kind of on your own. So you don't have that uh mental exchange as much. You certainly don't have as much of that emotional support. So a lot of our docs, I mean, you just feel like a cog in the wheel. You show up, get beaten up, get yelled at by a bunch of people, and then you leave and you do that day in and day out, and there's really not enough time in the day to reset. And so we, you know, and just how EM has been treated during COVID, everyone was the hero. After after COVID, you're just this like you're you know, totally pissed upon. So yeah, the moral injury we have to do something about. I feel very passionate about that. So we will, and um, how we do that I think is yet to be seen.
SPEAKER_03:Yeah, I feel exactly the same, and that's why I'm excited about the pit work, is because we get to talk about these stories on a national level, and so we're doing on the MRAP side, we're doing on the pit side, and yeah, I think it's all synergistic. So I want to go back to this idea of it's really hard to give people everything they want. So we'll have people that say, Oh my god, what is this 60-second video bullshit about? Mike, uh, it's called TikTok and it's what the kids like. And then there are other people who's like, Why do you do these long form things and that's stupid? So at MRAMP, what we've always done is something for everybody. I call I've called it sort of the Netflix of education. There's something there for everybody. But one of the things that's really worked that you really helped um push through this year, and I know next year is gonna be a big thing, is the fundamentals series. So tell us about that and what's your plans.
SPEAKER_00:So fundamentals, I mean, when I came on, there wasn't much filming happening, and and it it's super exciting. We have this new studio, it's very large, and we have a whole team. And really, uh, you know, uh what's the saying? A picture uh pictures. Worth a thousand words. So a video about a thousand words. Right, right. So how do you refresh yourself on if you have a dying neonate or a dying two-year-old, right? What is one of the best ways of doing that is watching something and kind of learning in addition to reading. So we have the textbook information in Corpendium. Uh, but certainly having a visual and reminding yourself how to manage certain resuscitations is super key. So we have stuff for the new learners, such as trauma fundamentals. Now, if you've been doing trauma your whole life, yeah, you might want to watch it just for fun, but that's really more for how to how to lead an orchestra of managing a sick trauma patient. But we do have a section in there about managing pediatric trauma, which is unique and different. I actually learned, I mean, I love doing these because you learn something, you know, every time you create create it. And then the ones I'm really excited about. So we've got EBM fundamentals. When I first heard that, I was like, EBM fundamentals, that sounds terribly boring. And that's the point, right? Like most of us, especially if you're not an EBM person, like, ugh, it sounds terrible. This is so exciting, Mel, that I've learned so much. Justin Carlson is our expert coming in and filming this with us. Super fun. And literally, I'm like, Justin, explain this to me. Like, I know nothing about EBM. Explain it to someone dumb. And he does, and it's great. So I'm excited about that. That's something for everyone. Even if you are an EBM expert, you're gonna find something useful in there. Um, neonatal resuscitation, pediatric medical resuscitation, in addition to the PEEDS trauma resuscitation. We have EKG fundamentals coming. That's you, Amil, Stuart, and a whole bunch of other folks that we want, legendary folks that we want on there. Um, because we want it not just visually film like a camera and a talking head, but we've incorporated these graphics and ways of making the video so engaging and powerful. So um, yeah, lots of good stuff coming down the pike. More ortho coming down the pike, musculoskeletal series. I've got Matt Delaney helping me with all these things. So lots of good stuff. Our team is growing and uh really, really exciting.
SPEAKER_03:Yeah, we stole some ideas from the pit. If you look at the trauma fundamentals, you'll see it's it's run like a TV show as we're coming in with the gurney and we're talking about what we're gonna be doing, and it's really a different way of doing things. The talking head thing is kind of dead. Uh, the new studio is great because it's big enough to do this kind of filming. I've done a lot of trauma in my career, but now I don't work as much and I work overseas. I gotta tell you, I've watched this thing like four times, and I cannot wait for the Pede's one because PED's resuscitation used to scare me when I was doing them. Now I don't do them very much. So it's like one of those things as you sort of go into semi-retirement or you're going into urgent care more than emergency care. You actually need more education, not less. You do. Because it's like a sick kid could come through there and you haven't resuscitated a sick kid in five years. Yeah. Um, so I think this is perfect for everybody from I've never really resuscitated a sick and dying child or a trauma case to people like, oh, I used to do it, I'm doing it less. I need a refresher, and I'm finding it so helpful. So could you hurry up and get peeds done and radio natal?
SPEAKER_00:We have Emily Rose and Brett Guest, and honestly, this one is so good, Mel, because we not just talk about sort of the undifferentiated super sick kid that's you know shows up rushing in. Literally, the mom runs the baby in. Um, but then we also highlight the most common presentations of sick kids, such as status, um, airway obstruction, medical, just overall medical recess. So it is so good. And to your point, if you're in an urgent care, you know, people don't know. They just show up with these sick people and and you're supposed to deal with this. And so, yeah, the first like how do you approach? What do you think about what's the first thing that should be on your mind, what to do, et cetera, et cetera. It's coming. It's very exciting.
SPEAKER_03:Yeah, and there's lots of graphic overlays. And again, just go and check it out, the trauma one that's on the site right now or on your app. Should also say there's a chest x-ray reading fundamentals, which is also of just spectacular quality. And that was done by Chris Riley again with lots of overlays and stuff. Watch that, and you'll be a chest x-ray reading expert. We started off doing these fundamentals series and we renamed them because they were mostly just the same sort of thing. They were just sort of lectures, and then we had this epiphany. Actually, we could do much better by actually filming it like a film and doing graphic overlays, and it's definitely the way to go forward. As we're working out, you know, what is the future? This is certainly one part of that future. Now let's also go back and talk about boards. So when I was graduating, '95 I graduated, I did my exams in '96, the pass rate was 98% for the written. Yeah. A little less on the orals. Now, as you said, it's 82% for the written. Yes. One in five residents now are failing. And there's lots of uh theories about why that is. The exam's wrong. Uh, there's too many residencies, there's not enough residencies with good faculty. There's a lot of potential reasons, but I consider that as a disaster. One in five people after 20 years of high school and college and med school and residency, and then you've got a one in five chance of failing. So, what's the plan to help out in this area? And there's a new oral exam that's terrifying.
SPEAKER_00:So, we have developed a sister program called Invictus. This was a name that you chose, which means unconquered, undefeatable. Uh, Invictus is the mothership sort of sister program, and that essentially has two components EM reviews, which is for the written boards, and then Invictus Encore for the oral boards. And I told you with this new oral board coming down the pike, this is the first time ABEM has ever changed up their oral board exam to be in person. I mean, it was in person for us before in the weird hotel setup situation, but where there's actually now hired actors, the format is different. You actually have to, you know, partially do some procedures and hands-on skills that they're going to be testing. So there's a lot of anxiety. This test comes out in March of 2026. So we've developed a short, nice, quick oral board prep course called Invictus Encore, which helps walk you through what to expect, what to anticipate, and then those practice cases that are super key. And then you and Matt Delaney and I have been building a massive mothership program called Invictus EM Reviews. And that is about 50 hours of video with emphasis, which is unusual and unique. And there's a podcast affiliated with it, which is short. So you can listen to these things like five, 10-minute little episodes. You can listen on the way to a shift, you can listen while you're on a jog. And they're sort of, they're great, like really good nuggets of those nuanced concerns and questions. And we have all the study guides and questions, and we're doing a deal with Rosh as well. So if you want more questions, you can go to Rosh and get get more questions. So um lots of good stuff. We're sort of revamping how border view should be taught, I think. And what's exciting to me about this one is that I have folks who are, you know, 10, 20 years out and really almost want that border view material again, not to pass an exam, but just to stay on top of it. And I feel like I want this product. I do. I want to go back and learn about, you know, all the endocrine stuff. I've forgotten or whatever topics I don't you know read up on much. And so um I'm excited about the lifelong learning opportunities that Invictus may bring. So it's good stuff.
SPEAKER_03:It's interesting historically because MRAP, I thought when my first started MRAP, but that's what basically what it would be continuous board review level. And then it sort of morphed into well, immensely message is changing so fast, we're gonna do the cutting edge stuff. But I still believe that every ER doc should be doing some form of board review pretty much constantly because there's so much to remember. And when I was doing board review lectures back in the old days in Vegas, at least a third of the people there weren't actually setting the boards. They were just like, I come every few years just to remind myself of all the shit that I've forgotten in the last two years. Yes, exactly. I actually think that there's an opportunity for this to become something that's just a part of people's, you know, ongoing education constantly. So I am very excited about it. The emphasis, the way we're doing it is very different. Board of you hasn't changed in 30 years, but it is time. A one in five failure rate. That's terrible. And the other thing that I should say historically, and Bob Gally, I don't know if you're out there and listening to this, Bob Gally was my residency director at UCLA. And when I started on day one and I was worried about the oral exam, he's like, Mel, don't worry about it. The oral exam's going away. Well, it's 35 years later, Bob. And not only has it not gone away, they've doubled down and made it even harder. It's gotten harder.
SPEAKER_00:Yeah, I mean, you know, listen, it's I I think that we need to help our people, and this is definitely one way to do it. So I'm excited. And and we're not just, it's not just about Invictus, but really the study guides that our team is working on. Um, Britt Gast and Mac Brown are helping work with our Corpendium team to develop within MRAP, both for all the PGY levels, so that if you're a PGI one versus a four, you know where to go and what resources to look up and review and refresh yourself, sort of asynchronous learning in addition to your grand rounds. And then we're also developing a program director roadmap to help the PDs because listen, that's a ridiculously hard job, big job. There's almost too much information out there. So helping kind of refine and filter down what each level needs to know. Anything we can do to help the PDs, I think is important. So we're sort of tackling it from both sides, and then we're there to help our folks along. Because the residents get MRAP for free anyway, right? They get it through EMRA. So it's not uh, there's no money in this, it's just a matter of like making sure our people are graduating and passing and becoming board-certified physicians. I think that's a good investment.
SPEAKER_03:So I should make it clear, all of those things that uh Mizo is talking about, the uh study guides, they use MRAP material, they use EMA, they use all those parts of MRAMP, and that is a great way to um get through residency. And then Invictus is now going to be a separate, separate specifically for the exams board review course for both the oral and the written. And the oral is actually already available, and the written version, the EM uh reviews, is going to be published, we think, um, in the first quarter, so soon-ish. I was with Stuart yesterday. We were excited about the EKG course. Yes. It's so funny because I was I'm doing this Brady Cartier lecture, and I pulled up a video from 2017 where Stuart and I looked 12 years old and we're doing it in my office in my home in the valley. And I was like, boy, this thing needs a reboot, Ed, so we'll make it much prettier and have overlays and models and three-dimensional floating things, so you can like where is the posterior part of the heart. Yes, yeah. Super excited about getting that done. Yeah, and so Stuart, our last act, as he said, before we die, let's finish this EKG course.
SPEAKER_00:You guys aren't dying, and you're done.
SPEAKER_03:It's like we're at 85 years old. We're not that old, but we talk like we're 85.
SPEAKER_00:I'm excited. Are you excited about season two? Pit coming out? Yes. Um, I don't know when I'll get this out.
SPEAKER_03:I actually this should come out in the next day or two. So we're laying this down on a Sunday, and the pit comes out to the world on Thursday, uh, episode one, season two. I was really anxious about, you know, I was a consultant on the first season, but to be in the writer's room, there's a it makes me really anxious because the first day I'm like, we should just stop now because the season one was so good, how are we gonna do better than that? And um Scott Gemmler, who's the showrunner there, just like settle down now. The first thing you do is you don't try and make it better, you just keep telling the stories. Otherwise, you turn into one of these ridiculous things where you know the hospital falls down and then the world explodes, and then you're always trying to make it better, and so you get like grades anatomy after 20 years of it. This has nothing to do with medicine. Yeah, it's insane. So, you know, I think season two is is I think it's as good or better than season one. I might be biased, but I think it's really good. It's telling the same stories, the stress, going further though, with the different characters, and Robbie's journey is really important. So I think it's gonna I think people are gonna like it.
SPEAKER_00:Yeah, when colleagues ask, you know, colleagues will ask me like, I haven't watched that. I'm like, you should watch it, and not just because for you, but really to your point, it really is a PSA. Have your family watch it. You might have to explain to them a little bit of what they're seeing, but um, it is exceptionally well written. It's uh and it's worthy. It's actually it's actually really good. It's a little too good sometimes, I think, right? It's a little triggering for I think for like some of my nurses have said, it's all triggering for them.
SPEAKER_03:A lot of my friends said they initially couldn't watch it. It's like, why would I go to work and then go watch a show about going to work? But then it's really not for you, it's for your family to see what you do. I can't tell you how many people have come up and s and said the same thing. My kid said to me, Mom, is this what you do? And you're like, Yeah, it's what I do. And so for the first time, these docks, you guys get to be seen by families and friends, and then they're like, Oh shit. Now I know why sometimes you're quiet when you come back from a shift because you just saw terrible shit and you need some time to metabolic.
SPEAKER_00:That's literally what I said. I have two teenagers, literally what I said to my kids after they watched the first few episodes. I'm like, now do you see why mommy is cranky sometimes? They're like, uh yeah, sorry.
SPEAKER_03:The pits, m rap, these two things go together. We're an official collaborator on the pit, and vice versa. And all of it's so fun to watch all the actors come up and said, I was listening to MRAP and what the hell was this thing? And could we put that on the show?
SPEAKER_00:Well, you use the trauma fundamentals to teach the actors. I thought that was brilliant. You know, that's fun.
SPEAKER_03:Yeah, it's great. And you know, Joe Sachs, who's he was my Joe Sacks, who was like the guy on the pit in terms of the medicine, he's the lead doc. He um he made it what it is in terms of the medicine. He's this Emmy Award-winning guy. He was my attending at UCLA. He was four or five years ahead of me at UCLA, and then brought me onto EA later on to be a consultant. But um, we can't give that guy enough props. Probably the most important person in all of the Murrency medicine is Joe Sacks. First with EA, like the day ER went live, I was a senior resident or a third year resident. That created this sort of feeling that the next year we had the smartest people in all of every med school wanted to become an ER doctor. So that's because of Joe Sacks. And now, again, as the specialty is really suffering, here again comes the pit and the same crew and Joe putting together that first season, which was just magnificent television. So I can't blow enough smoke up, Joe Sacks. It's great. Well, he's a good guy. Now he's teaching me how to do it again. It's wonderful. He's got seven ER docs that he's basically runs a residency at Warner Brothers on the city.
SPEAKER_00:It's amazing. Well, I think you've liked the learning experience too, right? I mean, you were saying you're like, I don't know how to do this. I'm like, whatever. You sit in a room, you talk, you tell stories. That sounds brilliant.
SPEAKER_03:Well, if you all want to lie down, I'll go through something. It is really hard to go from I know what I'm doing in MRAP, blah, blah, blah, and to go into a room like I have no idea what I'm doing. I am now the most junior person here, and I really struggled with like, is this what I'm supposed to be doing? Because I feel like I'm as dumb as dog again. I feel like an intern. Uh so it was a real struggle. But now it was ACEP. I was really thinking, well, maybe I'm not going to do it again because my ego can't take being the stupidest person in the room. It was ASIP, and we were there with Noah and June. Oh, so good. And we did our little thing, and but then we went and talked to people, and I can't tell you how many ER docs came up and just said, please keep doing this show. It's really important. You're telling our stories. My family finally understands what's going on. Thank you. Please keep doing the show. And I came away from that ACEP going, Oh yeah, this is what I gotta do now. Agree. And uh so powerful. It's perfect timing because Mies can take over the show. She's running MRAP better than I ever did. I can focus on the pit. So I really want to thank you, Mies, for coming back to us for taking on the job of C M O now, C E O. Understanding what MRAP is, and I think that's really important. Your job is so important. You ER docs, your job is so important, but it's so fing stressful. The last thing you need is a CME program that's boring as and not real. And so thank you for continuing the poop jokes and the realness.
SPEAKER_00:Of course, and that's the specialty needs and the chocolate bun cakes and all the goodness, gooey goodness. Yeah, yeah. No, it's um such a pleasure and really an honor. And um I I hope to help keep moving the ship forward. That's what we need, right? That's what we need collectively. That's what our people deserve. And so, yeah, and thanks for not really leaving. You don't really get to leave. So you're always around. You'll still be on all the ships. I know, but people want to hear from you. You know, every time we get any feedback, we're like, where we want more of Mel. I agree. We want more of Mel. So it is um, it's fun. I'll I'll run the day-to-day, and you get to pop back in when you want and play.
SPEAKER_03:This is the new ringleader of the circus we call Abraham. Thought you should get to know her. Thank you, thank you.
SPEAKER_01:All of Welsh men and sis gullops, all of Japanese and gullops, all of his gullets, and gullops, is gullops, is gone. Use gun for Germany contentious people.
