Dirty White Coat
Dirty White Coat
Mel Herbert for FoolyBoo Inc
New CEO, The Pitt and the Future of EM Education
30 minutes Posted Jan 7, 2026 at 2:00 am.
Cold Open And Big Tease
Meet Mizuho And The CEO Shift
Santa Barbara Roots And Family Story
Groundskeeper Willie Origin Tale
Training At County And Early MRAP Work
Entrepreneurial Detours And Return
Vision For MRAP’s Future And Brand
Generational Learning And Format Mix
Burnout, Moral Injury, And Community
Fundamentals Series And New Studio
Chest X‑Ray, EKG, And Filmmaking Approach
Board Pass Declines And Invictus
Lifelong Learning Beyond The Exam
Support For Residents And Program Directors
The Pit Collaboration And Season Two
Why The Stories Matter At Home
Gratitude, Handover, And Closing Banter
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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.

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