48. Skill Decay

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High demand jobs (like fighter pilot, emergency medicine, trauma surgery, etc.) require continued exposure to the field of operations for maintenance of top level sharpness. In today’s episode we explore the phenomenon of skill decay and ways to mitigate its effects.  Listen on: iTunes Spotify Stitcher   Guest Bio:  Joshua Russell, MD is clinician, writer, and educator.  Since completing residency training in Emergency Medicine, Dr. Russell has had a varied career including supervising PAs and NPs as a medical director for a regional Urgent Care network, contributing to various Hippo Education podcasts, and serving as the Editor-in-Chief of the Journal of Urgent Care Medicine (JUCM). Most recently, he has completed fellowship training in Hospice and Palliative Medicine at the University of Chicago Medical Center. Today’s episode is sponsored by Stages Cycling, makers of industry leading cycling computers, power meters, heart rate monitors, and indoor studio bikes. When I say industry leading, I’m talking about last year's Tour de France winner Tadej Pogacar uses a Stages power meter and cycling computer. Stimulus listeners get 20% off your order of all Stages outdoor products. You can now get $100 off the Stages SB20 Smartbike . Use this link to go to Stagescycling.com and use the code SB20-100 at checkout. (**If you see an "Insufficient Permissions" error when entering the coupon code, refresh the page and it should then work like a hot knife through butter).   Essentials of Emergency Medicine, the conference I host each year, is happening May 25-27, 2021. Early bird discount ends April 3.  For an additional $100 off registration, use the code 'orman' at the bottom of the checkout page. This episode is in support of World Bicycle Relief -- delivering specially designed, locally assembled, rugged bicycles for people in need. They’ve developed an efficient, innovative, and scalable model to empower students, health workers, and entrepreneurs in rural developing regions with life-changing mobility. Donate here.    We discuss: The fact that skill decay sets in rather quickly following an absence from the emergency department [03:50]; How motor skills, like riding a bike, decay much more slowly than cognitive skills [05:20]; The principles behind skill decay:  cognitive load theory and cognitive overload [07:66]; Strategies for combating skill decay [09:30]; Rob’s approach after a short absence which centered around visualization [12:50]; And more.   For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/ If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob:Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx