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In this episode, we tackle three realities every APP faces in emergency medicine: clinician well-being, the pressure of RVUs, and the patient who seems straightforward… until they’re not. We discuss how productivity demands can quietly impact decision-making, why protecting your well-being matters for patient safety, and walk through a case of simple back pain that quickly turns into something more serious. This episode sets the stage for practical, real-world insights to help you stay sharp, balanced, and ready for anything in the ED.