Mike Rubin MD

Curious how others experience this— If you work in high-stakes environments, do decisions ever follow you home? Or is that just medicine? open.substack.com/pub/mikerubinm…

We don’t discharge patients because we’re certain. We discharge them because the risk feels low enough. That’s a very different thing. open.substack.com/pub/mikerubinm…

How I saved a life by practicing on a bell pepper open.substack.com/pub/mikerubinm…

Gender inequity in EM isn’t personal failure—it’s structural. open.substack.com/pub/mikerubinm…

The system does not flex; women do. In emergency medicine, that quiet accumulation of friction shapes careers, burnout, and who gets to stay. On gender inequity, family life, and design failure. open.substack.com/pub/mikerubinm…

PTSD isn’t something we think happens to us. In emergency medicine, we call it the job. That’s why we miss the injury. New piece ⬇️ PTSD? No—Not Me open.substack.com/pub/mikerubinm…

Moral injury isn’t burnout. It’s what happens when clinicians are held responsible for system failures they don’t control — and then blamed when patients are understandably frustrated. I resurfaced an essay about this today. open.substack.com/pub/mikerubinm…

Why Emergency Physicians have the shortest life expectancy open.substack.com/pub/mikerubinm…

Full story: [open.substack.com/pub/mikerubinm…]

Emergency medicine is 90% composure. Even when things get weird.

Two weeks into residency, I took a patient’s fart directly to the face. Stay with me.

“The Cost of Saving Lives.” The night emergency medicine nearly broke me. Just released today: open.substack.com/pub/mikerubinm…

“Moral injury” is telling a patient to follow up when both of you know there’s no one to follow up with. open.substack.com/pub/mikerubinm…

Some days the emergency department feels like a battlefield. Other days it feels like a sinking ship. Today it felt like both. Why Emergency Doctors Are Burning Out open.substack.com/pub/mikerubinm…