I welcome back Dr. Rob Orman, emergency physician and host of the Stimulus Podcast, for another insightful conversation. Rob and I dive deep into decision-making—why it’s often more complicated outside of clinical settings and why intelligent people still struggle to make the right calls.

We break down the role of uncertainty, the brain’s instinctive reactions, and the difference between clinical and administrative decision-making. Rob shares practical strategies like the Five Whys technique to get to the root cause of problems and the importance of stress-testing assumptions with others—especially those who challenge us.

We also explore how emotions drive most decisions, even when we believe we’re being purely logical. Rob explains how gut feelings, shaped by years of experience, can be valuable but also misleading in unfamiliar situations. He introduces a triage approach to decision-making, distinguishing between high-stakes, time-sensitive choices and those that require deeper analysis.

This episode is packed with actionable insights for healthcare leaders who want to improve their decision-making, align choices with their values, and develop more confidence in uncertain situations. Rob’s wisdom is always worth revisiting, and I know our listeners will get a lot out of this one.

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