Andy Little DO, co-founder and host of EM Over Easy podcast, shares how the show was born in a Columbus OH diner during post-night shift breakfasts—mental health check-ins that evolved into conversations about leadership skills they weren't learning in residency. As a first-generation physician from small-town Montana, Andy never had "the playbook" for navigating medicine, relying on college counselors and ED mentors who gave him opportunities and trusted him to run with them.We discuss the closing MD/DO perception gap, his teaching philosophy of calculated trust (the "10-second countdown" for critical patients), and how the emergency department teaches perspective through patient stories. Andy explains AI's current "confidently incompetent intern" phase in medical education and his mission: Mentor everyone including those navigating medicine without a roadmap.Instagram: @AndyGLittle If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating on Apple or a 👍🏻 on YouTube. Subscribe via the Website. Forward to a friend today!