Cite this post as:
Scott Weingart, MD FCCM. SMACC-Back – On the Beliefs of Early Adopters and Straw Men. EMCrit Blog. Published on June 24, 2014. Accessed on March 19th 2025. Available at [https://emcrit.org/emcrit/on-the-beliefs-adopters-straw-men/ ].
Financial Disclosures:
The course director, Dr. Scott D. Weingart MD FCCM, reports no relevant financial relationships with ineligible companies. This episode’s speaker(s) report no relevant financial relationships with ineligible companies unless listed above.
CME Review
Original Release: June 24, 2014
Date of Most Recent Review: Jul 1, 2024
Termination Date: Jul 1, 2027
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dont put your grandparents on a boat and burn it?
well thats good to hear!
couple of house keeping things. the video link seems faulty..it wont play past 5 seconds
second, you misspelt threw in the gauntlet sentence
with Caseys recent post on physics and metacognition and now this wee on deeply philosophical concepts of knowledge and meaning..my head is about to hurt.
but thanks, its a good hurt!
a followup podcast between you and Simon would be good to salve the headache 🙂
Video link was good, check your plugins. Spelling error corrected, much thanks.
Hi Scott I both agree & disagree with you & Simon. There are two significant problems with both of your presentations. The first is that as early adopters both of you will be very comfortable with ‘uncertainty’. This is a core characteristic of innovators and early adopters and therefore you will be able to manage new information or evidence as it is published. This makes your clinical practice dynamic rather than static. At this time Im trying to convince nurses and physiotherapist that pre-oxygenation prior to suction is NOT required for the vast majority of ventilated patients and may actually… Read more »
great comments!
Hi Scott.
I’ve recorded a SMACC Back on the podcast site here.
http://stemlynspodcast.org/
Spoiler alert – we agree on a LOT. You’ve defended early adoption admirably although there are two sides to every discussion and what I have tried to do (and I think succeeded) is to make people think.
Love the podcast.
See you in Chicago.
vb
S
PS No cheeky editing of the cast with Weingart insertions 😉
Great discussion Scott As I said on the FOAMcc G+ Community thread which links to this (http://goo.gl/zZ7ID6), this discussion is important as those of us in the FOAM world are sometimes criticised for being cowboyish risk-taking early adopters. It is clear, there has to be innovators and early adopters – otherwise nothing ever changes. It is inevitable that if you are an early adopter in medicine you will harm some people in the short-term. The hope is that in the long-term, many more will be helped by the innovations that work. However, there are ill defined criteria that must be… Read more »
Excellent post Chris
You’ve articulated a lot of what I, and probably many others, think on the subject. It’s a great topic for discussion and helps everyone reflect on how quickly/slowly to move on new evidence.
Rob
Thanks to Chris and Kaye to articulate a concept that I wanted to further detail. Sometimes I believe it is our duty to be early adopters or in fact innovate totally new ideas/practices. This is part of our social contract not only as healers in society but as health advocates! Let me give you an example. I have been doing prehospital and retrieval medicine for now 10 yrs. Prior to this I was a rural doctor in a small country town. I have a strong clinical interest in mental health care. In fact for a while I considered psychiatry as… Read more »
I listen to both presentations. I think it come back to many discussions on FOAM on dogma and all. Humans are not rational been. We have to accept that premise first. Then we have to understand what drive our beliefs. Thing like aversion to loss, to be wrong and all. Why? Cause I believe both extremity of the bell curve have something to bring to each other. There was a human study once that look at the group vs personal decisions. Peoples at a faire was ask to guess the weight of a bull. The personal guess was very different… Read more »
I think there is something about the institutional position on the bell curve too; St Emlyn’s ED tends to be an early adopter in terms of resuscitation techniques/technologies, so it appoints people who want to do this and it becomes self-perpetuating – I’m guessing Janus General New York is fairly similar. The discomfort and problems come if your personal bell curve doesn’t match your institution’s, or if two departments in the same institution (ED and anaesthesiology or ED and orthopedics/trauma surgery come to mind) don’t match. Back to Chris’ point on how to move the curve faster to get to… Read more »
such a fantastic point! i can do the things I do b/c I am the division chief at Janus General. I could easily be stymied if I was a new attending at the wrong shop.