ACEP Frontline

Latest Episodes:

Doctor Goes to Washington with Dr. Joseph Leary - ACEP LAC Apr 27, 2026

Show notes

In this episode of ACEP Frontline, we sit down with Joseph Leary, DO, MPH, to explore how a single decision in a rural community can ripple across an entire health care system. Early in his career, while working as an emergency physician in the small mining town of Craig, Colorado, Dr. Leary witnessed the abrupt closure of a labor and delivery unit at a critical access hospital, an event that would shape his path into health policy and advocacy.

He shares how that closure didn’t just affect obstetric care, but fundamentally altered emergency preparedness in the region. With fewer resources, physician departures, and pregnant patients left without local options, the impact was immediate and far-reaching.

Dr. Leary reflects on that pivotal moment and how it sparked a deeper question: how can frontline physicians influence the systems that shape patient care? His journey offers a powerful look at the intersection of emergency medicine, rural health, and policy, and why physician voices are essential in these conversations.

This episode highlights the real-world consequences of health care decisions and the growing need for advocacy to protect access and outcomes in vulnerable communities.

Downcodes and Denials with Dr. Jason Adler - CO ACEP Apr 21, 2026

Show notes

In this episode of ACEP Frontline, we hear from longtime friend of the show, Dr. Jason Adler, one of the most knowledgeable and respected voices in the world of revenue cycle management (RCM). Dr. Adler pulls back the curtain on the increasingly complex and often frustrating tactics used by insurers, including downcoding, denials, and other strategies that directly impact emergency physicians and the care we provide.

This is more than a conversation about billing, it’s a deep dive into the financial realities that shape emergency medicine today. Dr. Adler breaks down how these “insurer games” work, why they matter, and how they ultimately affect not just physician compensation, but the sustainability of emergency departments across the country.

Understanding how your paycheck comes together is no longer optional, it’s essential. As corporate payers continue to prioritize profits, often at the expense of frontline care, physicians must be informed, engaged, and ready to advocate. This episode equips you with the insight needed to recognize these challenges and reinforces the importance of continuing the fight for fair reimbursement and the value of emergency medicine.

If you’ve ever wondered where your work and your worth gets lost in the system, this is an episode you won’t want to miss.

This is from Colorado ACEP and their conference.

Poisons from the Convenience Store with Dr. Mimi Lu - Accelerate26 Apr 14, 2026

Show notes

We join the Learning Lounge at Accelerate to hear from Dr. Mimi Lu with some of the most common and dangerous toxicology related encounters that we may encounter from the "convenience store". This is geared towards the pediatric population, but great information about threats that may seem benign because they are not restricted. ACEP Frontline is transitioning to a new hosting platform. If you only listen to the podcast from SoundCloud, we will no longer be updating that site. We will still be present on all other common platforms and nothing will change there. If you only use SoundCloud, please subscribe to the podcast on any of the common podcast player platforms. Thank you!

Task Interruptions and the Impact on EM Physicians with Dr. Perron - MEACEP Apr 06, 2026

Show notes

How many times per shift(no matter what you do) do you get interrupted? Are you a good multitasker? In this session from Maine ACEP, we hear how these countless interruptions impact your flow, efficiency and (possibly) quality. Dr. Perron has a couple of exercises and then provides some tips and strategies to mitigate the impact of task interruptions in EM.

Peds EM Chest Pain, Fevers, Sedation and Readiness Round-up with Dr. Marianne Gausche-Hill Apr 01, 2026

Show notes

In this episode, we chat with podcast regular and peds EM champion, Dr. Marianne Gausche-Hill, about her topics and leadership within the ACEP Pediatric Emergency Medicine Assembly as a part of Accelerate. We get the best nuggets of each talk and then wrap with a plug for the Pediatric Readiness Project.

Acing the Test on Mentorship with Dr. Matthew Stull - Accelerate26 Mar 25, 2026

Show notes

In this episode, we talk about mentorship and the tips and opportunities we have as emergency physicians. Dr. Matthew Stull is a long time educator with the ACEP Teaching Fellowship and we sit down at Accelerate26 in San Diego.

Pedsapalooza from PEM Assembly at Accelerate26 Mar 17, 2026

Show notes

In this episode, we feature a series of discussions and a Q&A from the Pediatric EM Assembly at ACEP Accelerate in San Diego. We talk about back yard envenomations, poisons, and a number of peds humor moments.

The Evaluation and Management of Pediatric Shock with Dr. Al Sacchetti - Accelerate26 Mar 10, 2026

Show notes

In this episode from Accelerate 2026, we talk with peds EM legend and educator, Dr. Al Sacchetti, about the evaluation and management of shock in the pediatric EM population. Great information and nuggets for when children present to us in the ED.

So What: Are C-Collars on the Path of the Dinosaurs - Part 2 of 2 Mar 05, 2026

Show notes

Part two of two. In this episode, Dr. Howie Mell sits down with Dr. Ken Milne about recent data and evidence on the use of cervical collars and cervical motion restriction. The question the work to answer is whether it's time for the C-collar to follow backboards and dinosaurs into the relative history of medicine.

Case Study: Standardized Protocol and Treatment of the Migraine Patient in the ED Feb 27, 2026

Show notes

In this episode, we review advancements in migraine care and the standardization that can help physicians and other practitioners take the pain out of managing this condition, treating and preventing symptoms. https://drive.google.com/file/d/1YqEz5Ih_lmOnAk7nJsddfu8uXb3dYVjr/view?usp=sharing Supported by Pfizer

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