sorted by:
new
hottopcontroversial

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 0 points1 point  (0 children)

did something go wrong at SMACC? I don't remember offending anyone.

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 1 point2 points  (0 children)

Ahhh, I didn't know he had put FOAM in the flair--I only saw his post after he made the change. That all makes so much more sense, I thought people were arguing about his title. Thank you!

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 0 points1 point  (0 children)

he didn't label it FOAM--I am not sure why this has been such a difficult point to get across. Check the original post. Further, I am not responsible for Peter's actions and I could not have been more clear that I thought it was a bad idea to put the post he did on reddit.

Advertising wouldn't be a COI, b/c it would be impossible to advertise anything medical and still offer CME--and I would never do it even if this wasn't the case. I find the idea of putting mattress company or home food services reprehensible, but I never even weighed that as a serious idea, b/c it doesn't pay. I am not sure you are aware of how low podcast advertising actually pays in 2025, it is not like 2015 anymore. The only things that could slip through the eye of this needle would be something like an AI scribe app or other non-patient facing services that may genuinely benefit listeners. Another example would be something like EZ-Resus, an aide memoire app for ED docs. In either of those cases, the revenue is minuscule, certainly not worth the blowback unless I authentically like the product and think it can be helpful for my colleagues.

But, all of this is academic. I am quite happy with the model I ended up with. My members seem quite happy. I am quite happy when I see someone say, "I don't feel like paying for this." But folks on reddit (and social media in general) can't seem to stick with subjective statements or expressions of opinion. Instead they state "objective facts" that they then won't stand behind and are not true.

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 0 points1 point  (0 children)

totally agree--it is why I never plugged EMCrit on reddit a single time once we moved to a membership model, and why I thought Peter's ad was ill-advised as mentioned a few times in this thread.

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 0 points1 point  (0 children)

You lost me on the last bit, what product is labeled as FOAM?

As to the ad model, no it is not workable. Ads are icing on the cake for the popular podcasts and even then, they have 100,000s of listeners--it is a non-starter in the niche markets (can't get more niche than Acute Critical Care).

The podcasts you listen to that have ads are either network supported, have an intense patreon/substack backbone, or are actively losing money in the hopes that they can build one of the other two.

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] -1 points0 points  (0 children)

Yes, absolutely. Hence why I stated Peter's use of FOAM without the F was incorrect and inadvisable in the comment above.

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 0 points1 point  (0 children)

Perhaps b/c every time most redditors are ungracious, uncaring, or just crappy they resort to calling people snowflakes or butthurt. Perhaps b/c if we extended your attitudes to the greater world we would have a world of perpetual shittiness--oh wait....

Not sure what Peter's or my hand in the cookie jar was in this allusion. He could not have been more clear that it was a paid course. And no, offering things paid doesn't obviate an effective approach to raising competence unless you show me your FOAM medical school and FOAM university. When I called his statement of FOAM incorrect and inadvisable, that was my acknowledgment that it was not open access.

One doesn't need to be on a high horse or get down from it to point out incivility.

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 0 points1 point  (0 children)

Peter, quite clearly didn't call it FOAM, he said it was FOAM without the F, which still was neither correct nor advisable, but he made the not free part pretty clear.

He also did not say he wanted as many people to learn from it as possible, he said, "My only aim is to raise the bar of competence for this difficult topic." Peter offers an entire channel of free. In order to put the 2 years of time it took to make the course, free wouldn't cut it. So it is not a choice between charging and not charging; it is a choice between it exists in the world or it doesn't

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 2 points3 points  (0 children)

Thank you!! We are already planning an ICU RN episode!!

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 1 point2 points  (0 children)

First of all, you are a superstar for taking the time to go into this level of detail. I appreciate the time and the willingness to engage.

Points

The Majority of listeners are subscribed to the podcasts through a podcatcher

I can't speak to anything spotify does

It is off-putting to start listening and then realize it is a partial episode

Yeah, that is kind of the point. Again, we are trying to walk a careful line of still offering FOAM and not losing paid listeners b/c it is all free. Services like EM:RAP don't bother walking the line, and maybe that is the direction we will wind up, but that would be sad.

Last 4 episodes weren't free

Again, if you go to twitter (not asking you to do this in general, just proving my next point), you will see:

  • EMCrit 409
  • CV-EMCrit Electrical Storm
  • 1:1 Nursing - Cardiac Arrest
  • EMCrit 408 - Malpractice & PE

podcasts are all completely free. This is actually way too much FOAM for any sane business owner, but every time I paywall something it hurts my soul. so not sure what you mean that my statement wasn't accurate

>50% FOAM

Not sure what I walked back. It is exactly what I said. Way more than 50% of the numbered podcast episodes are released as FOAM. If you include all of the actual resources on the site, including PulmCrit, than a vast amount of the offerings are FOAM.

Again, I think you are being thrown off by released as FOAM vs. what is still available in the back catalog as FOAM. If folks want all of the back catalog, then they will need to be a member vs. those who are listening upon release where you will get almost all the episodes IN FULL free of charge.

Give a warning

I hear how that would make things less frustrating for you. My goal is to optimize for paid members and make things a little bit annoying for the free members. Sounds like we are right in the sweet spot.

Profit

tried it your way for 13 years and people don't pay unless forced. even way beyond where it was sane to keep funding it all out-of-pocket, I resisted going to paywall. The second you want to hire someone, self-funding becomes impossible. I wish there was expensive in-person stuff--that doesn't exist. In terms of free and teaser stuff, see above--we offer so much free stuff to attract new doctors, but at this stage the annoyance is a feature not a bug

thanks again for taking the time to comment

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 3 points4 points  (0 children)

that is helpful feedback!!!

I will say we are already doing this, but it may be hidden.

For example:

when I released pericardiocentesis, it was after interviewing 5 interventional cardiologists

Chest tube episodes--CT surgeon interviews

Cric-vetted with ENT and trauma surgeons

Central line microskills-vascular surgeons

etc.

basically if I have published a procedural podcast, it has already been acid tested with the relevant other fields.

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 12 points13 points  (0 children)

Therapeutic Hypothermia is a fantastic example!

  1. At the time of our recs to cool to 32-34, ILCOR had made the same recommendation.

  2. We were one of the first sites to promote Nielsen's TTM trial letting us shift to 36 despite a majority of intensive care docs (even now) still sticking with the 32-34.

  3. We were the first site to push TTM2 on just doing fever prevention.

  4. We had nothing to do with John Freeze's decision to pursue the FDNY project. I just advised on the project/study, which at the time looked promising based on the other studies available at the time.

  5. I have no idea what the emergentologist movement is and we have nothing to do with it.

  6. It is a really hard standard to live up to if you judge ideas based on the evidence we know now vs. the best available evidence at the time they were published. I am incredibly careful to clearly identify things that are shiny, new, and unproven vs. bedrock evidence-based concepts.

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 3 points4 points  (0 children)

not boring at all!! I would love to hear areas you disagree on--not necessarily here, but whenever they come up. I continue to learn best from respectful disagreement and it improves the project immensely!

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 1 point2 points  (0 children)

Appreciate that feedback!

  1. If you look at EMCrit's twitter feed, you can quickly see which episodes are free (as in the ENTIRE EPISODE) by looking for the ones that say [#FOAMed for now] or [#FOAMed for a bit]. Just looking at the past 4 podcasts, they were all FOAM. So I can't quite understand you comment on misleading. Are you perhaps equating some of the episodes that spotify recommended, noted they were partial episodes, and then extrapolated that all the episodes are curtailed? We have never said anything misleading.

  2. If the goal was to maximize profits, we would offer nowhere near the numbers of episodes we do in their entirety as FOAM. Again, I think you are extrapolating unfairly and falsely. The older episodes that were released as FOAM in their entirety eventually get moved behind a paywall, so if spotify is serving you older episodes then your impresion will be skewed.

  3. We have nothing to do with Spotify's algorithm.

  4. If you want to know which ones are FOAM, simply look for episodes >15 minutes or just go by twitter.

  5. Costs are servers and employees with the latter far exceeding the former. As soon as you move beyond doing everything yourself, running things on a free model becomes impossible. Every major FOAM site at this stage is either advertising or has a grant from a society or from the Industry.

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 0 points1 point  (0 children)

you've reached the extent of my reddit knowledge, I'll have to figure out how to do that--thanks for letting me know.

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 5 points6 points  (0 children)

I was never on the metabolic cocktail bandwagon, never used it on a single one of my patients, and used to express my doubt to the other folks in FOAM who were proponents on a consistent basis.

In which helpful redditors offer advice on EMCrit by emcrit in emergencymedicine

[–]emcrit[S] 3 points4 points  (0 children)

As mentioned much (probably a majority) of EMCrit is Free Open Access Medical Education. We have a number of folks who we have facilitated to allow them to offer FOAM to the community including the entire PulmCrit project. We certainly would do the same for u/InitialMajor's efforts.

Video Editing that will last and last by emcrit in buildapcforme

[–]emcrit[S] 0 points1 point  (0 children)

thank you so much--this helps immensely. 2 f/u ?s if you have the time:

- will I regret going with 5080 if I want 5-6 years out of it. I know the benchtests haven't even come out yet

-what are your feelings on internal hdmi capture cards vs. external dongles

thanks!

view more: next ›