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What happens when a trusted EM education brand hands the day-to-day to a leader who grew up on County shifts, built startups, and still believes teaching should feel human? We open up about a big leadership change, why credibility beats polish, and how we’re rebuilding medical education to match the realities of modern emergency medicine.

First, we trace Mizuho’s path from Santa Barbara to County, through early EM:RAP projects and entrepreneurial swings, to a CEO role focused on protecting the core—reliable, relatable, high-yield teaching—while pushing formats forward. That means cinematic fundamentals filmed in a new studio, graphic overlays that mirror real resuscitation thinking, and modules that work whether you’re printing PDFs or binging 90-second pearls between patients. If you haven’t tackled pediatric resuscitation or trauma in years, you’ll see why visual refreshers can be safer than skimming dense text after a long shift.

Then we get serious about boards. With written pass rates shrinking and a revamped oral exam adding simulation and hands-on elements, the Invictus suite aims to turn board prep into lifelong learning. Expect emphasis-driven videos, short companion podcasts for daily reps, practice cases built for the new format, and study guides mapped to PGY levels. Program directors get roadmaps that cut through noise. Attendings gain a path to rebuild rusty domains without losing time.

Threaded through it all is the weight of burnout and moral injury. We talk candidly about the gap between what clinicians know to do and what systems allow, and why storytelling matters in repairing that fracture. Our collaboration with The Pit helps families see the strain behind the badge, and it feeds back into education that respects your time, your attention, and your reality on the floor.

If you care about EM education that earns your trust and meets you where you work, this conversation lays out the why and the how. Subscribe, share with your team, and leave a review with the one topic you want us to build next—we’re reading every word.

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New CEO, The Pitt and the Future of EM Education