The Visible Voices: Recent Episodes

Resa E Lewiss

The Visible Voices podcast amplifies voices that are Visible and those that may be Invisible. We speak on topics related to healthcare, equity, and current trends. Based in Philadelphia, and hosted by physician Resa E. Lewiss, we really like speaking with people like you.

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Dr. Aditi Joshi is a telehealth and digital health expert, speaker, and emergency medicine physician. She is the co-author of Telehealth Success: How to Thrive in the New Age of Remote Care. We discuss her journey and insights in telemedicine, digital health, and remote patient monitoring.

An early adopter, Aditi was involved with telemedicine well before it entered the public consciousness. In 2013 she became Doctor on Demand’s Assistant Medical Director She then led one of the largest telemedicine programs in the country as the Medical Director at Thomas Jefferson University Hospital.

Some episode highlights: Dr. Joshi’s journey as an early adopter and her role in scaling telehealth during COVID-19, How to build a human-centered telehealth experience, including workflows, “webside manner,” and efficient follow-up systems, Practical advice for patients: setting up a quiet space, testing devices, and having info ready for the visit, How recent acts in Congress are driving are expanding telemedicine yet with a questionable future for coverage and reimbursement for care.
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In today's episode, I speak with Rob Gore MD, an emergency medicine physician and founder of KAVI the Kings Against Violence Initiative. We discuss insights from his book, Treating Violence, and his approach to preventing violence through trauma-informed care and community engagement. We’ll look at the impact of violence on health, the importance of early intervention, and the role healthcare providers can play in supporting safer, healthier communities.
For close to 20 years, Rob has been exploring and developing programs and solutions that focus on community violence and other disparities affecting urban and global health. His work is a great example of #healthcaredesign that is human centered and brings the end user to the table to create solutions.

Rob is a TEDFellow, has been named a CNN Hero and has been included on the ROOT 100 list. He has been featured on CNN, NBC, ABC BET, and in the New York Times, among others.
If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating or review on Apple or YouTube and subscribe via the Website.

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In today's episode I speak with Elaine Lin Hering, author of Unlearning Silence. We discuss her book and her mission to help individuals overcome being silenced. Elaine shares practical strategies for finding one’s voice, handling difficult conversations, and creating spaces where everyone feels empowered to contribute.
Elaine Lin Hering is a facilitator, speaker, and writer. She works with organizations and individuals to build skills in communication, collaboration, and conflict management. Elaine is a former Managing Partner of Triad Consulting Group and Lecturer on Law at Harvard Law School, specializing in dispute resolution, mediation, and negotiation.
If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating or review on Apple or YouTube and subscribe via the Website.

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In today's episode I drop a conversation recorded on the podcast Dr. Andrea Austin created: Heartline: Changemaking in Healthcare podcast. We discuss her book, which explores burnout recovery and thriving in healthcare: Revitalized: A Guidebook to Following Your Healing Heartline.
Andrea is an emergency physician, simulation educator, and Navy veteran, known for her advocacy in physician well-being. We discuss her book, which explores burnout recovery and thriving in healthcare. Dr. Austin has served on the frontlines, including a deployment to Iraq and her work at the Navy Trauma Training Center in Los Angeles. She is the Chair of the American Association of Women Emergency Physicians and is the regular host for the Heartline: Changemaking in Healthcare podcast. She is also a Certified Physician Development Coach, helping healthcare professionals move from surviving to thriving.
If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating or review on Apple or YouTube and subscribe via the Website.

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In today's episode I speak with Wendy Dean, MD, is a psychiatrist and co-founder of the non-profit organization Fix Moral Injury. We discuss her book If I Betray These Words and the work being done to address moral injury in healthcare.

"Moral injury describes the plight of tough, resourceful, and resilient clinicians who feel trapped between the patient-first values of their Hippocratic oath and the business imperatives of a broken healthcare system."
"Moral injury is distinct from other forms of distress or pain, including burnout. The two conditions may occur separately, or simultaneously, and may influence each other, but addressing one does not guarantee resolution of the other."

Her recent article in The New England Journal of Medicine, titled Moral Injury and the Global Health Workforce Crisis, underscores the urgent need for compassionate care within healthcare systems.
She is the host of the podcast Moral Matters with Dr. Simon Talbot, which explores moral injury faced by healthcare professionals with a focus on solutions and the need for change.

More recently, she hosts 43cc with Dr. Matt Ramsey and they take an in-depth look at medicine’s machinery tearing the patient-physician relationship apart and to stitch them back together.

Dr. Dean is a leading voice on moral injury in medicine, highlighting the impact of systemic issues on clinician well-being. A passionate advocate for healthcare reform, Wendy fosters a culture of well-being and support for healthcare providers.
If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating or review on Apple or YouTube and subscribe via the Website.

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In this episode, we speak with Pooja Kumar MD, Senior Partner at McKinsey & Company and Global Leader of the McKinsey Health Institute. Pooja has led transformative change across health systems worldwide.

Pooja’s grew up around the world, attended high school in New Jersey before attending Duke University, Harvard Medical School, and the University of Oxford. She has worked with international organizations such as the UN High Commissioner for Refugees, Save the Children, UNICEF, and Doctors Without Borders. She has deep experience contributing to humanitarian efforts in refugee health, aging care, and public health improvement.

Pooja's work at the McKinsey Health Institute seeks to impact the historically underinvested areas of health, such as mental health and women's health.

If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating or review on Apple or YouTube and subscribe via the Website.

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In this episode of The Visible Voices Podcast, Dr. Sharon Horesh Bergquist, a renowned physician, author (Plantology cookbook), podcaster (The Whole Health Cure podcast) and expert in lifestyle medicine, walks us through the profound impact of food as medicine and chronobiology. She explains how the timing of meals and the right nutritional choices can influence health, longevity, and the prevention of chronic diseases.

Dr. Bergquist is an Associate Professor of Internal Medicine and a physician researcher at Emory University School of Medicine, and founder Emory Lifestyle Medicine & Wellness. She is an award-winning clinician, named a "Top Doctor" by Atlanta Magazine for multiple years, and a recipient of the Patients' Choice Award. Dr. Bergquist’s research and clinical work focus on healthy aging, wellness, and disease prevention.

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In this episode of The Visible Voices Podcast, Dr. Michael Greger, physician, author, and internationally recognized expert in nutrition, discusses his latest book, How Not to Age, and the science behind using food as medicine to extend healthy lifespan. Dr. Greger explores the most cutting-edge research on how plant-based nutrition and lifestyle interventions can prevent, halt, and even reverse age-related diseases. He shares practical advice on incorporating evidence-based nutritional strategies to slow down the aging process and enhance overall health.

Dr. Greger is the founder of NutritionFacts.org, a science-based nonprofit dedicated to providing free updates on the latest in nutrition research. He is the New York Times bestselling author of How Not to Die and How Not to Diet. Dr. Greger is also a sought-after public speaker, having lectured at institutions such as the National Institutes of Health and the Conference on World Affairs. He has been recognized with the ACLM Lifestyle Medicine Trailblazer Award and continues to be a leading voice in the plant-based nutrition movement.

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In this episode of The Visible Voices Podcast, we speak with Corey Feist, CEO and co-founder of the Dr. Lorna Breen Heroes' Foundation, and Dr. Kelly Holder, Chief Well-Being Officer at Brown University, for a conversation on Breaking the Silence, Stigma, and Shame: Corey Feist and Kelly Holder on Physician Suicide and Healthcare Worker Wellness.

On National Physician Suicide Awareness Day, our guests shed light on the urgent need to address mental health in healthcare. We explore the legacy of Dr. Lorna Breen, who died by suicide in April 2020, and how her story has catalyzed a nationwide movement to protect healthcare professionals. Corey and Kelly share insights into the systemic challenges that contribute to burnout and mental health struggles among healthcare workers, and discuss actionable steps for fostering a culture of wellness and support.
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In this episode of The Visible Voices Podcast, we speak with special guest Robin Cogan, known as The Relentless School Nurse, to discuss critical issues surrounding school safety and gun violence prevention. As a national leader in school nursing and a vocal advocate for child safety, Robin sheds light on the daily realities faced by students, educators, and health professionals in the wake of escalating school violence.

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In this episode of the Visible Voices Podcast, Speaker Joanna McClinton, a trailblazer in Pennsylvania politics and the first woman to serve as Speaker of the Pennsylvania House, discusses the importance of voter registration and safety at schools. She shares her insights on encouraging civic engagement and reflects on her journey as a pioneer attorney and politician.
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Today we share the second half of a conversatoin recorded on the The EP Talk podcast. Hosts Mark Plaster and Jondavid Landon speak with us- Resa Lewiss and Adaira Landry about MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.

"EP Talk is where emergency physicians aka ER docs hear the latest and most up to date information on relevant research, professional issues and all kinds of practice related topics. On most shows, I’ll be interviewing national specialty and key opinion leaders in casual conversations."

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Today we share an episode recorded on the The EP Talk podcast. Hosts Mark Plaster and Jondavid Landon speak with us- Resa Lewiss and Adaira Landry about MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.

"EP Talk is where emergency physicians aka ER docs hear the latest and most up to date information on relevant research, professional issues and all kinds of practice related topics. On most shows, I’ll be interviewing national specialty and key opinion leaders in casual conversations."

Pick up a copy: MicroSkills: Small Actions, Big Impact Subscribe on Apple: The Visible Voices Podcast

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Today we share an episode recorded on the The Burnout Recovery podcast. Host Jo Braid speaks with us- Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.

Dr. Jo Braid delves into the root causes of exhaustion in healthcare professionals, focusing on perfectionism, people-pleasing, and procrastination. She offers actionable strategies to tackle these issues, emphasizing the importance of setting boundaries and practicing self-compassion.
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Today we share an episode recorded on the The Burnout Recovery podcast. Host Jo Braid speaks with us- Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.

Dr. Jo Braid delves into the root causes of exhaustion in healthcare professionals, focusing on perfectionism, people-pleasing, and procrastination. She offers actionable strategies to tackle these issues, emphasizing the importance of setting boundaries and practicing self-compassion.
Pick up a copy: MicroSkills: Small Actions, Big Impact Subscribe: The Visible Voices PodcastSubscribe: The Burnout Recovery Podcast

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In today's episode I speak with political science professor, and American democracy expert Wendy Schiller of Brown University. We cover the professional journey of Professor Schiller, her co-authored book Inequality across State Lines (2023 Cambridge University press with Kaitlin Sidorsky) and high points of the less than 100 days to the 2024 presidential election!

Wendy J Schiller is the Howard R. Swearer Interim Director of the Thomas J. Watson Institute for International and Public Affairs, Director of the A. Alfred Taubman Center for American Politics and Policy, Alison S. Ressler Professor of Political Science. She studied politics at the University of Chicago, worked as a legislative assistant for Senate for Daniel P. Moynihan of New York, and for Governor Mario M. Cuomo as a lobbyist in D.C. for the State of New York. She earned her PhD from the University of Rochester and came to Brown University in 1994 after completing fellowships at the Brookings Institute and Princeton.
Trigger warning: Our conversation includes the discussion of domestic violence, firearms, and death from firearms.

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Today we share an episode recorded on the Core IM Podcast. Hosts Marissa LoCastro and Shreya Trivedi speak with Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.

"Core IM, a virtual medical community! We strive to empower our colleagues of all levels and backgrounds with clinically applicable information as well as inspire curiosity and critical thinking. We promote our mission through podcasts and other multimodal dialogues. We care about publishing high quality educational materials and for most episodes, follow this three-step review process."

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Today we share an episode recorded on the The Balanced Medics Handover Podcast episode. Host Isabella Townshend speaks with Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.

"... The Handover looks to explore the journeys of people who have changed their life within health through beating burnout, changing specialities, going non-clinical or doing something completely different!"
Website:
https://balancedmedics.com to find out more!
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Today we share an episode recorded on Explore the Space Podcast with host Mark Shapiro. He speaks with Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.

"Examining the interface between healthcare and society, with thought leaders from across the spectrum."

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Today we share an episode recorded on Revitalizing Healthcare with host Andrea Austin. Andrea speaks with Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.

"Join us as we delve into the stories of patients, medical professionals, and other experts who defy the status quo. We’ll uncover the unique characteristics and experiences that propel them to be effective changemakers and the organizational factors that support change.
Dr. Austin, host of the podcast, is an emergency physician with real-world experience with the dysfunction in the system. Along with working in the emergency department, she is a medical educator focusing on healthcare worker well-being and how innovative approaches like simulation can improve healthcare..."

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Today we share an episode recorded on REBEL Cast as an audio REBEL EM Book Club episode. Host Anand "EMSwami" Swaminathan a REBEL EM author, medical news commentator, emergency medicine physician and expert medical educator speaks with Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024. Special thanks to Salim Rezaie.

"For those who haven’t checked out the site already R.E.B.E.L. EM stands for Rational Evidence Based Evaluation of Literature in Emergency Medicine. The blog was launched in October 2013, and continues to grow every month, and with that growth we are excited to give you REBEL Cast. This podcast will review evidence based literature and end with a clinical take home point for your clinical practice."

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Today we share an episode from The Mind Full Medic Podcast. Host Cheryl Martin and emergency medicine physician in Australia speaks with Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.

"The Mind Full Medic Podcast explores broader definitions health, wellbeing and optimal performance through the words and wisdom of guests who I consider to be leaders and gamechangers in their respective fields. Guests to date include elite athletes, healthcare professionals, yoga teachers, business school professors, coaches, and entrepreneurs from across the globe."

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Today we share an episode from The Creative Careers in Medicine podcast Host Dana Zhang speaks with Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.

"Creative Careers in Medicine is an Australian run community, aiming to equip people with the confidence and skills to forge their own unique and fulfilling career path"

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Today we share an episode from The He's Just podcast Host Jules Douge speaks with Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.

"The He’s Just A Social Worker Show is a community-based platform that embellishes the work and pulse of ALL people and backgrounds. Our show’s aim is to discuss how mental health has impacted the work and lives of our invited guests. Moreover, the plight of our messages and the intent of our broadcasting, is to enhance the opportunities of our listeners with resources, new perspectives, and offerings that can enhance their best-self identities."
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Today we share an episode from The Whole Health Cure podcast. Host Sharon Horesh Bergquist speaks with Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.
Dr. Bergquist invites other "pioneers within lifestyle medicine and wellness, for intimate, behind the scenes conversations about the science of health and longevity. Get access to cutting edge research and discover natural ways to improve your wellbeing in your daily life."

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Today we share an episode from EM Over Easy- An Emergency Medicine Podcast about #MoreThanMedicine. Host Andy Little speaks with Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact published by HarperCollins in April 2024.
The podcast started over breakfast in 2016, where four emergency medicine doctors and friends Drew Kalnow, Tanner Gronowski, John Casey, and Andy Little and guests began talking about all things emergency medicine with a focus on #MoreThanMedicine conversations. They cover the things you don't learn in medical school and residency, but need to know to be a high functioning!

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Today we sharing an episode from Teaching in Higher ED podcast. Bonni Stachowiak speaks with Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact. (HarperCollins, April 2024).
Bonni Stachowiak is the producer and host of the Teaching in Higher Ed podcast, which has been airing weekly since June of 2014. Bonni is the Dean of Teaching and Learning at Vanguard University of Southern California. She’s also a full Professor of Business and Management. She’s been teaching in-person, blended, and online courses throughout her entire career in higher education. Bonni and her husband, Dave, are parents to two curious kids, who regularly shape their perspectives on teaching and learning.
The podcast focuses on professional development content for professors. From the website: "This is the space where we explore the art and science of being more effective at facilitating learning. We also share ways to increase our personal productivity, so we can have more peace in our lives and be even more present for our students."

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Today we sharing an episode from Your Unapologetic Career Podcast. Dr. Kemi Doll speaks with Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact. (HarperCollins, April 2024).

We go into some of these MicroSkills specifics:

  • How "Microskills" apply beyond the medical field.
  • Recognizing privilege and the book's role for those not born into it.
  • Setting boundaries and structuring your day for success.
  • Networking for introverts, and why understanding the difference between conversation and commitment is crucial.
  • Maintaining a local reputation amidst growing national recognition.

Resa E. Lewiss MD is a Professor of Emergency Medicine at the University of Alabama at Birmingham and creator/host of The Visible Voices Podcast.

Adaira Landry MD, MEd, is an Assistant Professor of Emergency Medicine at the Harvard Medical School and Brigham and Women’s Hospital, and co-founder of WritingInColor.org.
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Today we sharing an episode from the Ultrasound GEL podcast! Dr. Michael Prats speaks with Drs Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact.(HarperCollins, April 2024).

We talk about our paths as writers, authors and moving from scientific articles, to writing articles for mainstream outlets, to writing the book we wish we had when we were starting our professional journey.

Resa E. Lewiss MD is a Professor of Emergency Medicine at the University of Alabama at Birmingham and creator/host of The Visible Voices Podcast. Adaira Landry MD, MEd, is an Assistant Professor of Emergency Medicine at the Harvard Medical School and Brigham and Women’s Hospital, and co-founder of WritingInColor.org.

Show notes articles

Fast Company
6 Things to Consider When Choosing a Business Partner
How to Write a Letter of Recommendation for Yourself
Nature
Four Evidence-backed Reasons to Say "No" to Early-morning Meetings

Harvard Business Review
Harvard Business Review Articles
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So excited to share today's conversation. We are playing an episode from the Earn & Invest podcast! Dr. Jordan Grumet speaks with Drs Resa Lewiss and Adaira Landry about their book, MicroSkills: Small Actions, Big Impact.

*MicroSkills is built on one core, easy-to-learn principle: every big goal, complicated task, healthy habit, and, yes, even what we think of as character traits, can be broken down into small, learnable, skills that can be practiced, and incorporated real-time. We call these: MicroSkills.

As award winning physicians, educators, and mentors we hear the gamut of challenges with navigating the workplace. And when we learn a lesson we often wish we had learned it earlier. MicroSkills is packed with the privileged information that you want delivered to you as efficiently as possible.*Order: MicroSkills: Small Actions, Big Impact Subscribe: The Visible Voices Podcast !Subscribe: Earn&Invest Podcast !

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In today's episode Soledad O'Brien interviews Resa and Adaira about their new book MicroSkills: Small Action, Big Impact published this week.

MicroSkills is a business self-help book, and we focus on educating the ready for college, ready for work community, and early career professionals with specific, actionable, strategies of the workplace. We share our successes, failures, doubts, observations to help keep the book engaging and personal. We also share very detailed critical actions to gain the MicroSkills. We try to make no assumptions about our readers as we realize that not everyone is starting in the same place. Our book covers topics, such as how to be a polished communicator, how to navigate conflict, how to build subject matter expertise, how to learn your workplace culture, and more.
Adaira Landry, MD, MEd, is an assistant professor at Harvard Medical School who studied and trained at University of California, Berkeley; University of California, Los Angeles; New York University; and Harvard with almost a decade of experience mentoring students and early-career professionals. She is an entrepreneur, keynote speaker, and award winning mentor. She co-founded Writing in Color, a nonprofit that teaches the craft of writing. Resa E Lewiss MD is a professor of emergency medicine, TEDMED speaker, TimesUp Healthcare founder. She studied at Brown University, the University of Pennsylvania School of Medicine, the NIH Howard Hughes Research Scholars Program, Harvard Emergency Medicine, and Mount Sinai St. Luke’s Roosevelt. She is an award winning educator, mentor, and point-of-care ultrasound specialist. When I ‘m not here, she hosts the Visible Voices Podcast, amplifying content in the healthcare, equity, and current trends spaces.

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In today's eposide, I speak with the President of Gallaudet University, Roberta “Bobbi“ Cordano. It is a fantastic conversation covering the topics of Bobbi, of Gallaudet- "the educational, political, social, and economic engine of the deaf and signing community on a national and global scale for more than 150 years," of advocacy for the deaf community, and of sign language equity, and healthcare design.
Prior to Gallaudet, Cordano was vice president of programs for the Amherst H. Wilder Foundation in St. Paul, Minnesota; held leadership roles in the healthcare industry, with Allina Health, the Park Nicollet Institute, and Park Nicollet Health Services; was an educational administrator at the University of Minnesota; and was an assistant attorney general for the State of Minnesota. She also founded two charter schools for deaf and hard of hearing children in the Minneapolis-St. Paul area. She is a 1987 graduate of Beloit College and received her Juris Doctor degree in 1990 at the University of Wisconsin, Madison, and an honorary doctorate from Beloit College in 2018. She is the Chair of the Board of Trustees for the Consortium of Universities of the Washington Metropolitan Area and a Board of Trustee for Mount Holyoke College. Cordano is a child of deaf parents, both proud alumni of Gallaudet University, and is fluent in American Sign Language and English. She and her spouse have two adult children.

HBR article: Is Your Organization Inclusive of Deaf Employees? by Roberta CordanoToday's episode is proudly sponsored by Dr. Maria O'Rourke and Emergency Medicine & Critical Care Institute – your beacon of excellence in Point of Care Ultrasound Education.

Thank you Att Amy Reiss and Christine West for your assistance.

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In today's episode I speak with a witty and sharp duo: Cara Natterson and Vanessa Kroll Bennett. We talk about puberty and parenting. They are the award winning authors of This Is So Awkward: Modern Puberty Explained and the podcast hosts of The Puberty Podcast.

Cara Natterson MD is a pediatrician, consultant, and NYTimes bestselling author. She's also the co-founder and CEO of Order of Magnitude a company dedicated to flipping puberty positive.

Vanessa Kroll Bennett is a puberty expert, writer and entrepreneur who helps adults navigate uncertainty while supporting the kids they love. President of Content at Order of Magnitude, the leading brand dedicated to flipping puberty positive.

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In today's episode I speak with Jamie Schler, an award-winning writer specializing in food and culture.

Her stories are inspired by a multi-cultural family and 30 years living between France and Italy immersed in the culture. We talk about cooking, food, chocolate, and how she does her research for newsletter writing and cookbooks!

Jamie writes the IACP award-winning food blog Life's a Feast which was named in the Top 100 Food Blogs by both The Institute for the Psychology of Eating and Inspired Magazine; her work has been published in Fine Cooking, The Washington Post, The Kitchn, France Magazine, The Art of Eating, Modern Farmer, Paste Magazine, Leite's Culinaria, deliberateLIFE, among others. She has written for Huffington Post Food since the page's creation in 2010; and she has been featured on Saveur.com, South Carolina Living, RDV des Arts Culinaires, in Elle Magazine France, Living France, and France magazine. She was a finalist for a Saveur Magazine Best Blog Award in the category Best Writing.

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In todays episode I speak with Jo Saul-Sehy creator and co-host of the Stacking Benjamins podcast and co-author of the personal finance book Stacked: Your Super-Serious Guide To Modern Money Management.

The Stacking Benjamins Show was called the “Best Personal Finance Podcast” by Kiplinger. Lifehacker listed the show as one of the top 10 of 2021. Joe and the SB team have won five Plutus Awards and the Academy of Podcasters “Best Business Podcast” award (beating well-known shows like The Tim Ferriss Show, How I Built This, and Gimlet’s StartUp).

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In today's episode, I speak with Markita Morris-Louis, the CEO of Compass Working Capital. Markita holds deep expertise in equity and asset building, housing, and healthcare. A proud native of North Philadelphia, raised in subsidized housing, Markita holds degrees from Brown University, New York University School of Law, and studied at the University of Natal in Durban, Republic of South Africa.

Compass Working Capital, is a national nonprofit engaging in policy advocacy, direct service, and capacity building to end asset poverty for families with low-incomes and to narrow the racial and gender wealth gaps. Markita's leadership focuses on centering equity in every aspect of Compass’ work, leveraging asset building as a pathway out of poverty, and amplifying the voices of those Compass serves to shift narratives about communities experiencing poverty and financial challenge.

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In today's episode, I speak with Susannah R Fox about her newly released book Rebel Health: A Field Guide to the Patient-Led Revolution in Medical Care. Susannah takes an important look at communities, which make the difference when the medical field ignores their concerns. The read is an exquisite example of health design thinking and storytelling.

From 2015-2017, Susannah served as the Chief Technology Officer of the U.S. Department of Health and Human Services (HHS). As CTO, she created opportunities for entrepreneurship and innovation across the Department’s 27 divisions and 80,000+ employees, helping HHS harness the power of data and technology to improve the health and welfare of the nation.
Prior to joining the Obama Administration, she served as the Entrepreneur in Residence at the Robert Wood Johnson Foundation, helping to encourage employees to experiment and catalyze new ways to think about challenges. From 2000-14, she was an Associate Director of the Internet Project at the the Pew Research Center, where she directed the health and technology portfolio.

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In today's episode I speak with Amy Diehl PhD. We talk about how to create more equitable workplaces. She is an award-winning information technology leader and gender bias expert. We focus on the book with co-author Leanne M. Dzubinski, PhD GLASS WALLS: Shattering the Six Gender Bias Barriers Still Holding Women Back at Work.

Amy's passion is helping organizations become gender-equitable and giving women tools to understand workplace gender bias and to succeed at work. While a biased workplace may tell a woman that she’s not good enough, that the problems she encounters are her fault, and that she should limit her aspirations, it’s not true. Women are enough and should not take the problems they encounter personally. It’s the workplace culture that must change, not the women

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In today's episode, I speak with RI representative and 1st Congressional Districtman Gabe Amo. The conversation marks a reflective time as it is his first 100 days.

According to the Brookings Institute … [Franklin D] Roosevelt’s rhetoric and mastery of the new medium of radio were not what made him the president who is remembered for the first 100 days. It was the breathtaking scope of bold and new actions, both legislative and regulatory, that set the bar so high. Ever since, presidents have been evaluated for their performance in the first 100 days

Gabriel Felix Kofi Amo is an American politician serving as the U.S. representative for Rhode Island's 1st congressional district. He grew up in Pawtucket RI, is a graduate of Wheaton College where he became both a Marshall Scholar, and a Truman scholar. Before running for Congress, Amo worked in the Biden administration as the deputy director of the White House Office of Intergovernmental Affairs. He has also worked in the Obama administration, on several Democratic political campaigns, and in Rhode Island governor Gina Raimondo's administration.

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In today's episode I spoke with the Honorable Valerie Jarrett, CEO and board of directors member of the Barack Obama Foundation. We discuss her life, her leadership, and her 2019 memoire "Finding my Voice: My Journey to the West Wing and the Path Forward."

She is a Senior Distinguished Fellow at The University of Chicago Law School. She serves as Board Chairman of Civic Nation. Jarrett also serves on the boards of Walgreens Boot Alliance, Inc., Ralph Lauren Corporation, Sweetgreen, Inc., Ariel Investments, The University of Chicago, Sesame Street Workshop and The Economic Club of Chicago. Jarrett also serves on the Goldman Sachs One Million Black Women Advisory Board, the Bank of America Enterprise Executive Development Council, and the Microsoft Advisory Council. Ms. Jarrett was the Senior Advisor to President Barack Obama from 2009-2017, making her the longest serving senior advisor to a president in history. She oversaw the Offices of Public Engagement and Intergovernmental Affairs and Chaired the White House Council on Women and Girls.

Ms. Jarrett has a background in both the public and private sectors. She served as the Chief Executive Officer of The Habitat Company in Chicago, the Commissioner of Planning and Development for the city of Chicago, Deputy Chief of Staff for Chicago Mayor Richard M. Daley and she practiced law for ten years in the private and public sector. She also previously served as the director of numerous corporate and not-for-profit boards including leadership roles as Chairman of the Board of the Chicago Stock Exchange, Chairman of the University of Chicago Medical Center Board of Trustees, Vice Chairman of the University of Chicago Board of Trustees, Director of the Federal Reserve Bank of Chicago and Chair of Chicago Transit Board.

Ms. Jarrett has also received numerous awards and honorary degrees, including TIME’s “100 Most Influential People” Award. Jarrett received her B.A. from Stanford University in 1978 and her J.D. from the University of Michigan Law School in 1981.

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In today's episode I speak with Luke Messac MD PhD, historian and author of Your Money or Your Life: Debt Collection in American Medicine.

In his clinical work, Luke is an emergency physician at Brigham and Women’s Hospital in Boston. His research focuses on the history and political economy of health care.

His first book, No More to Spend (Oxford University Press, 2020), is a history of medical neglect and exploitation in Malawi. Today's discussion focuses on the history of medical debt collection in the United States. This book, titled Your Money or Your Life was published in 2023. It tells the story of how the collection of medical debt in the United States has transformed over the last several decades, and the impact this is having on Americans’ lives.

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In today's episode I speak with Natalia Chalmers DDS MHSc PhD. We discuss the important or oral and dental health and the intersection with social determinants of health.

Natalia is the first-ever Chief Dental Officer in the Office of the Administrator at the Centers for Medicare & Medicaid Services. In her role, Dr. Chalmers has been advancing the Biden-Harris Administration’s commitment to care for the whole person, a key to reducing health disparities and advancing health equity. Natalia is a board-certified pediatric dentist, oral health policy expert, and public health advocate who brings more than 20 years of clinical, research, industry, and regulatory experience to CMS. She previously served as a Dental Officer at the US Food and Drug Administration.

In the spring of 2022, CMS conducted the Oral Health Human-Centered Design Customer Engagement to understand barriers to oral health care access for Medicaid or dual (Medicare-Medicaid) eligible children and adults. As a product of the research, they co-created the “Barriers to Oral Health” illustration with external customers to represent the end-user perspective and highlight the most prominent obstacles individuals’ face as they seek to access or provide oral health care.

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In today's episode I speak with Drs. Khama Ennis and Thea James. We focus our discussion on the docuseries Khama created Faces of Medicine. This is a 4 part participatory documentary series centering on the path of Black female physicians in the United States. Thea is a participant in the documentary. She is a nationally and internationally renowned emergency medicine physician at Boston Medical Center.
Khama Ennis MD MPH is is the Creative Visionary and Founder of Faces of Medicine. She is also a practicing physician, speaker, writer, health equity advocate and experienced healthcare leader. Dr. Ennis opened a private practice, Intentional Health, in 2023 focused on Integrative Health and Lifestyle Medicine for patients throughout Massachusetts. She previously served as President of the Medical Staff at Cooley Dickinson Hospital. Prior to that she was Chief of Emergency Medicine and Medical Director for the Emergency Department. Her essays have been featured in the Washington Post and Parents Magazine. A talk she gave on antiracism in medicine is one of three selected by the Board of Registration in Medicine to educate physicians in the state of Massachusetts on implicit bias.
Thea James MD is Vice President of Mission, Associate Chief Medical Officer, Executive Director of the Health Equity Accelerator Boston Medical Center, and Associate Professor of Emergency Medicine and Director of the Violence Intervention Advocacy Program at BMC. She is a founding member of the Health Alliance for Violence Intervention (the HAVI). In 2011 she was appointed to Attorney General Eric Holder’s National Task Force on Children Exposed to Violence. As Vice President of Mission Dr. James works with caregivers throughout BMC. Additionally she has primary responsibility for coordinating and maximizing BMC’s relationships and strategic alliances with a wide range of local, state and national organizations including community agencies, housing advocates, foundations, and multisector industries that partner with BMC to meet the full spectrum of patients’ needs. The goal is to foster innovative, upstream, and effective new models of care that are rooted in racial equity and economic mobility. This approach is essential for patients and communities to thrive.

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In today's episode I speak with Rhode Island State Senator Jonathon Acosta. We talk about his path into office and his political voice. We cover the stigma of poverty, social determinants of health, and why he calls himself a public facing academic.

Jonathon Acosta is a Democrat representing District 16 (Central Falls, Pawtucket) in the Rhode Island Senate.
He attended Brown University where he earned his bachelors degree in Political Science (Theory) and Ethnic Studies, and Master's Degrees in Urban Education Policy and Sociology. He previously worked as a middle school math teacher and wrestling coach in Miami-Dade County, Florida, and Central Falls before becoming a school administrator.
In 2015, Sen. Acosta received recognition from the White House Initiative on Educational Excellence for Hispanics by the U.S. Department of Education. In 2016, he received the Latino Public Radio Community Champion Award.

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In today's episode I speak with the Glaucomfleckens. Will and Kristin Flanary together join me for a humor filled episode where we explore trauma, healing from trauma, and healthcare design i.e. putting the patient, the clinician and the caretaker at the center of the design process.

Will Flanary, MD, is an ophthalmologist and part-time comedian. He moonlights in his free time as “Dr. Glaucomflecken,” a social media personality who creates medical-themed comedy shorts for an audience of over 4 million across social media. Dr. Flanary’s humor has been shaped by the tribulations of med school and residency but also by his experiences as a patient. He is a two-time testicular cancer survivor and cardiac arrest survivor, saved by his intrepid wife and her timely CPR.
Kristin Flanary, MA, known as "Lady Glaucomflecken" on social media, offers a unique perspective on healthcare. She has experienced being a patient, caregiver, and co-survivor of her husband's two cancer occurrences and sudden cardiac arrest by age 35. She is honored to have received an EMS Cardiac Arrest Save Challenge Coin (2020), the Citizen CPR Foundation's 40 Under 40 award (2021), and the American Heart Association's Resuscitation Champion award (2022).

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In today's episode I speak with author podcaster Dr. Jordan Grumet. We focus on personal finance, his podcast Earn&Invest and his book Taking Stock.

Jordan Grumet was born in Evanston, Illinois, in 1973. His interest in becoming a doctor was ignited when his father, an oncologist, died unexpectedly in the prime of life. This profound loss not only inspired Jordan to practice medicine, but also has given him a unique perspective as a financial expert, challenging him to think deeply and critically about concepts like wealth, abundance, and financial independence. After graduating from the University of Michigan, Jordan received hismedical degree from Northwestern University and began practicing internal medicine in Northbrook, Illinois. He currently is an associate medical director at JourneyCare Hospice.After years of blogging about financial independence and wellness, Jordan launched the Earn & Invest podcast in 2018. In 2019 he received the Plutus Award for Best New Personal Finance Podcast and was nominated in 2020and 2021 for Best Personal Finance Podcast of the year.

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In today's episode we talk about the Food is Medicine Movement. My guests are Drs. Jaclyn Albin and Minako Abe.
Food Is Medicine is the provision of healthy food to prevent, manage or treat chronic disease within our health care system by closing the gap between a medical nutrition prescription and the ability of a patient to fill and consume it on a regular basis.
We reference the 2023 paper published in Circulation: Food Is Medicine: A Presidential Advisory From the American Heart Association by Volpp KG et al
Jaclyn Albin, M.D., CCMS, DipABLM, is an Associate Professor in the Departments of Internal Medicine and Pediatrics at UT Southwestern Medical Center. She specializes in internal medicine, pediatrics, lifestyle medicine, and culinary medicine.

Minako Abe, MD, BCEM, DipABLM has dual board certifications from the United States in Emergency Medicine and Lifestyle Medicine. She has had 15 years of clinical experience in Emergency Medicine in New York and New Jersey. Since 2014, she has worked with the Hakushin Koseikai Medical Foundation and as a director of the International Society for Personalized Medicine. She is the vice-president of the Tokyo Cancer Clinic and is actively engaged in research and activities to further the fields of Lifestyle, Cellular Immunotherapy, and Regenerative Medicine.

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In today’s episode I speak with Jill Wine-Banks: attorney, author, podcaster legal analyst, and the only woman on the legal prosecution team for the Watergate trial.
We cover her book, The Watergate Girl: My Fight for Truth and Justice Against a Criminal President which has been optioned by Katie Holmes to become a movie. She is a legal analyst on MSNBC, a co-host of two Politicon podcasts, #SistersInLaw with 3 other MSNBC contributors (Joyce Vance, Kimberly Atkins Stohr and Barbara McQuade) talking about pressing legal issues each week and iGenPolitics with Victor Shi, a UCLA student, bringing an intergenerational approach to political issues with interviews of leading politicians, activists and journalists.

Find us the Visible Voices Podcast on YouTube.

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In today’s episode I speak with workplace ally Karen Catlin and emergency medicine physician toxicologist Kavita Babu. We discuss Karen’s book Belonging in Healthcare. We also highlight what belonging in the workplace can mean at the holidays.

For 25 years Karen Catlin built software products and served as a vice president of engineering at Macromedia and Adobe, Today, she is a highly acclaimed author and speaker on inclusive workplaces. She is the author of five books: Better Allies: Everyday Actions to Create Inclusive, Engaging Workplaces, Belonging in Healthcare, The Better Allies Approach to Hiring, Present! A Techie's Guide to Public Speaking, and The Better Allies Way.
​​Kavita Babu, MD is a Professor of Emergency Medicine Chief Opioid Officer, and Director, Division of Toxicology at the University of Massachusetts Medical Center. She is a graduate of Warren Alpert School of Medicine of Brown University where she also did her residency, followed by her Medical Toxicology Fellowship training at the UMass Chan Medical School.

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In today’s episode, I speak with Julieanna Richardson. She is the founder and president of The HistoryMakers. We talk about her life and her life’s work.
The HistoryMakers represents the single largest archival project of its kind since the recording of former slaves during the WPA period of the 1930s. The purpose of this archive is to educate and to show the breadth and depth of this important American history as told by the first person; to highlight the accomplishments of individual African Americans across a variety of disciplines; to showcase those who have played a role in African American led movements and/or organizations; and to preserve this material for years and generations to come, creating a priceless collection of 15,000-20,000 of recorded African American testimony.

Julieanna L. Richardson, Public Historian and Founder/Executive Director of The HistoryMakers and principal investigator for ScienceMakers has a unique and diverse background in theatre, television production and the cable television industry. She is a magna cum laude graduate of Brandeis University, where she double-majored in Theatre Arts and American Studies. After conducting oral histories on the Harlem Renaissance and Langston Hughes, Richardson attended Harvard Law School. After graduation, she worked as a corporate lawyer, prior to serving in the early 1980's as the Cable Administrator for the City of Chicago Office of Cable Communications. There she established the Chicago Cable Commission, the City's regulatory body. She went on to found Shop Chicago, a regionally based home shopping channel. She was driven to start The HistoryMakers out of a strong desire to make a difference and to leave a living legacy.

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In today's episode on National Rural Health Day, I speak with two physicians with extensive experience providing patient care in rural environments. We talk about human trafficking, the opioid epidemic, rural healthcare access, and more.
Hanni Stoklosa, MD, MPH, Chief Medical Officer and Co-Founder of HEAL Trafficking, is an emergency physician at Brigham and Women’s Hospital (BWH) with appointments at Harvard Medical School and the Harvard Humanitarian Initiative. She is an internationally-recognized expert, advocate, researcher, and speaker on the wellbeing of trafficking survivors in the U.S. and internationally through a public health lens. She has advised the United Nations, International Organization for Migration, U.S. Department of Health and Human Services, U.S. Department of Labor, U.S. Department of State, and the National Academy of Medicine on issues of human trafficking and testified as an expert witness multiple times before the U.S. Congress.
Eileen D. Barrett, M.D., MPH, SFHM, MACP, is Chair of the Board of Regents of the American College of Physicians (ACP), representing internal medicine physicians, related sub specialists, and medical students. She is a rural internal medicine hospitalist and Faculty with IHI. Dr Barrett She completed a Rural Faculty Development Fellowship through the University of Arizona in 2009 and a Medical Justice and Advocacy Fellowship through Morehouse School of Medicine and the American Medical Association in 2022.

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In today’s episode I speak with author, advocate, and entrepreneur Celeste Mergens. We speak about human centered design when it comes to the health and safety of girls and women. We focus on period equity, her organization Days for Girls, and her book The Power of Days.

Celeste is an innovative thought leader, who has founded several successful organizations, including her global award-winning Days for Girls International. Days for Girls was named by the Huffington Post as a ‘Next Ten’ Organization poised to change the world in the next decade.

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In today’s episode, I speak with emergency medicine physician Mirtha Macri and documentary film maker Ruthie Shatz. We discuss the Netflix docuseries, Emergency NYC. Previously, Ruthie and Mirtha joined me in episode 50, where we discussed the Netflix docuseries Lenox Hill.

Ruthie Shatz is an award winning filmmaker. She and her husband Adi Barash are the founders of the Brooklyn based Yulari Films an award winning director - producer - writer team.

Mirtha Macri is an emergency medicine physician. She trained at Mount Sinai St. Luke's Roosevelt in New York City, and currently works at Northwell Health. She is the quality director for the Lenox Health Greenwich Village hospital.

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In today’s episode, I speak with Barbara Ross-Lee DO. She is an osteopathic family medicine physician, health policy expert, and overall trailblazer in the fields of medicine and health policy and medical education. Dr. Ross-Lee is the first African American woman dean of a medical school and a health policy expert.

She has played a pivotal role in breaking down barriers and reshaping the landscape of medical education. A graduate of Michigan State University's College of Osteopathic Medicine, she made history as the first African-American woman to lead a medical school in the United States. Her visionary leadership has been instrumental in promoting diversity in the healthcare workforce and addressing healthcare disparities. Dr. Ross-Lee's dedication to expanding access to quality healthcare and medical education has left an indelible mark on the industry, making her a respected and influential figure in the world of medicine.

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In today’s episode, I speak with Minda Harts. She is an award winning speaker, author, podcaster, and workplace consultant. We focus our conversation on toxic workplaces, leadership, healing, and two of her books: The Memo and Right Within.

Minda speaks on advancing equity in the workplace, leadership, and career development. She has written three bestselling and award-winning books called The Memo, Right Within, and You Are More Than Magic. She is currently writing her fourth. She is an assistant professor of public service at NYU's Robert F. Wagner Graduate School of Public Service. In 2020, she was named by LinkedIn as the #1 Top Voice for Equity in the Workplace. In 2022, she was named by Business Insider as one the top 100 People Transforming Business. She hosts a podcast Secure The Seat.

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In today's episode I speak with novelist, author, and professor Mecca Jamilah Sullivan, Ph.D. Our conversation focuses on her coming of age young adult debut novel Big Girl.

Mecca is the author of the novel Big Girl, a New York Times Editors’ Choice and winner of the 2023 Next Generation Indie Book Award for First Novel, Blue Talk and Love, winner of the Judith Markowitz Award from Lambda Literary, and The Poetics of Difference: Queer Feminist Forms in the African Diaspora, winner of the William Sanders Scarborough Prize from the MLA. She has earned honors from Bread Loaf, the Institute for Citizens and Scholars, the Mellon Foundation, the Center for Fiction, the NEA and others. Originally from Harlem, NY, she is an Associate Professor of English at Georgetown University and lives in Washington DC.

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In today's episode I speak with Tomas Chamorro-Premuzic. Tomas is the author of the book I, Human: AI, Automation, and the Quest to Reclaim What Makes Us Unique. We talk about AI's ability to predict good leaders, and how this new technology can aide in better selecting people, free of bias.

Tomas Chamorro-Premuzic is the Chief Innovation Officer at ManpowerGroup, a professor of business psychology at University College London and at Columbia University, co-founder of deepersignals.com, and an associate at Harvard’s Entrepreneurial Finance Lab. He is the author of Why Do So Many Incompetent Men Become Leaders? (and How to Fix It), upon which his TEDx talk was based.

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In today's episode I speak with trauma surgeons Drs. Morad Hameed and Elliott Haut. With the announcement of President Biden's first-ever federal Office of Gun Violence Prevention, today's conversation is on point. We chat gun violence in the USA and Canada and discuss the Stop The Bleed campaign. Morad and Elliott speak on what they do to prevent burnout in themselves given that they are exposed to so much trauma themselves.

The STOP THE BLEED® campaign was initiated by a federal interagency workgroup convened by the National Security Council Staff, The White House. The purpose of the campaign is to build national resilience by better preparing the public to save lives by raising awareness of basic actions to stop life threatening bleeding following everyday emergencies and man-made and natural disasters.

Morad Hameed is a trauma surgeon and intensivist at the Vancouver General Hospital (VGH) and an Associate Professor of Surgery at the University of British Columbia (UBC). He completed medical school and surgical residency at the University of Alberta, graduate studies in public health at Harvard University, and fellowships in Trauma Surgery and Surgical Critical Care at the University of Miami.
Elliott Haut MD PhD is the Vice Chair of Quality, Safety, & Service, Department of Surgery, Professor of Surgery at Johns Hopkins Medicine and Editor in Chief at Trauma Surgery & Acute Care Open.

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In today’s episode I speak with personal finance author, educator, podcaster, and storyteller Yanely Espinal. We talk about her personal finance book Mind Your Money and how stories connect us.

Yanely is the host of the podcast Financially Inclined. She is on a mission to help young people learn about personal finance in a fun and engaging way via Youtube, podcasting, writing, teaching and more. She serves as the Director of Educational Outreach at Next Gen Personal Finance and is a member of CNBC's Financial Wellness Advisory Council.

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Sensitivity warning: In today's episode we talk about Suicide Prevention Awareness. We discuss aspects of NPSA National Physician Suicide Awareness Day, and the Lorna Breen Act, which is now the Lorna Breen law. My guests are Corey Feist, Co-Founder of the Dr. Lorna Breen Heroes’ Foundation, and Dr. Stef Simmons, CMO of the Dr. Lorna Breen Heroes Foundation.
The Dr. Lorna Breen Heroes’ Foundation’s mission is to reduce burnout of health care professionals and safeguard their well-being and job satisfaction. We envision a world where seeking mental health services is universally viewed as a sign of strength for health care professionals. Episode guests include CMO Stefanie Simmons, MD and Co-Founder J. Corey Feist, JD, MBA

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Victor Shi, the youngest elected Delegate for Joe Biden in 2020, is a writer, speaker, organizer, activist, podcast co-host, and a freshman at UCLA, where he intends to major in American Literature and Culture and is a member of the school's Daily Bruin and Political Union clubs. On the Move with Victor Shi is a daily show on YouTube that will talk about Gen Z, politics, culture, and everything in between — all within 20 minutes.  A real intergenerational chat iGen Politics Brought to you by Jill Wine-Banks and Victor Shi, the Intergenerational Politics Podcast tackles the issues facing our nation, asks the questions you want to be answered, and most importantly, engages all generations in politics.

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Alister Martin MD MPP is  the CEO of a healthier democracy. He works at the intersection of public policy and medicine as research faculty at the Harvard Kennedy School Behavioral Insights Group and clinical faculty at HMS in the Center for Social Justice and Health Equity Programs like Link Health, Vot-ER, Get Waivered and others are just a few key concrete examples of how healthcare settings and providers can be leveraged to help create A Healthier Democracy!

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From the Visible Voices Podcast archives, today's episode features subject matter experts in safety. Specifically we highlight the research and findings of Dr. Jennifer J Frey. founder of  The Center for Institutional Courage .  Jennifer Joy Freyd researcher, author, educator, and speaker. Freyd is an extensively published scholar who is best known for her theories of betrayal trauma, DARVO, institutional betrayal, and institutional courage.Freyd is the Founder and President of the Center for Institutional Courage, Professor Emerit[ of Psychology at the University of Oregon, Adjunct Professor of Psychiatry and Behavioral Sciences in the School of Medicine,[Faculty Fellow at the Clayman Institute for Gender Research, Affiliated Faculty, Women's Leadership Lab, Stanford University, and principal investigator of the Freyd Dynamics Lab. Freyd settled a lawsuit she filed against the University of Oregon after learning that the university was paying her $18,000 less per year than male colleagues closest in rank to her. The university agreed to pay her $350,000 to cover her claims for damages and her attorneys’ fees and also agreed to donate $100,000 to the Center for Institutional Courage. Kevin Webb is a higher education training professional specializing in Title IX compliance and gender-based violence prevention, as well as equity and inclusion. Kevin has developed, implemented, and facilitated in-person and online training and education programs for students, faculty, and staff at large public and private universities, and produced a variety of education and awareness events around sexual assault and relationship violence prevention in collaboration with campus and community partners. Kevin has developed content for online Title IX/sexual misconduct training implemented by a cross section of American colleges and universities, and provided sexual harassment training for private organizations. Kevin is a graduate of Brown University, where he served as a teaching assistant in sociology courses dealing with issues of race and social justice, and an MPA from the Baruch College School of Public Affairs, CUNY.

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Michelle Lin MD is the Founder and CEO of AliEM. She is a Professor and Digital Innovation Lab Director in the Department of Emergency Medicine at the University of California, San Francisco ALiEM started out as an educational blog in 2009 for Dr. Michelle Lin to store Tricks of the Trade notes, has now evolved into an umbrella organization, housing online educational platforms and virtual communities. Our dynamic, globally distributed team continues to grow now with over 100 volunteer members, comprised of physicians, residents, students, pharmacists, nurses, and paramedics. We value dedication and creativity over experience and welcome all like-minded torchbearers in healthcare. Books Michelle suggests: Flash Foresight by Daniel Burrus and John David Mann [Amazon] Radical Candor by Kim Scott [Amazon] Rest by Alex Soojung-Kim Pang [Amazon] Speed of Trust by Stephen M.R. Covey [Amazon] Steal Like an Artist by Austin Kleon [Amazon]The One Thing by Gary Keller and Jay Papasan [Amazon]

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Alexandra was Editor-in-Chief of Bloomsbury Publishing for 20 years and she is now Executive Publisher. She began her career on the art magazine Art Monthly and joined Virago Press in 1978 where she edited the Virago Modern Classics series, becoming Editorial Director in 1984. In 1990 she moved to Hamish Hamilton as Editorial Director and four years later left publishing to become a literary agent during which time her clients included Amanda Foreman, Geoff Dyer, Maggie O’Farrell and Ali Smith. She joined Bloomsbury in 1999. Her list of authors includes Margaret Atwood, Richard Ford, Esther Freud, Elizabeth Gilbert, Sheila Hancock, Khaled Hosseini, Celia Imrie, Nicole Krauss, Jhumpa Lahiri, Colum McCann, Anne Michaels, Ann Patchett, Hannah Rothschild, George Saunders, 2017  Man Booker winner for Lincoln in the Bardo.Kamila Shamsie, Patti Smith, Kate Summerscale and Barbara Trapido. Abdulrazak Gurnah Gurnah was awarded the 2021 Nobel Prize in Literature

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I am joined today by Kemi Doll – physician, surgeon, researcher, coach, and career strategist. She is the CEO of KD Coach and she is host and creator of the podcast Your Unapologetic Career. On the podcast she guides you on the journey to transform your academic life, so that you can channel your ideas, passions, and skills into a successful and nourishing career. In each episode, she’ll be taking a deep dive into one CORE growth strategy so you can gain confidence and effectiveness in pursuing the dream career in academic medicine that you worked so hard to achieve. Tune in for an always authentic, sometimes a little raw, but unapologetically empowering word.

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On today's episode I speak with the co-founders of Givepact. Givepact is a Web 3 technology platform for nonprofits that helps convert crypto donations into cash donations. Alicia Cepeda Maule is the Co-Founder and CEO. Alicia has over a decade of digital strategy experience and is eager to help humanitarian causes make a splash in Web 3. "I’m Innocence Project’s first Digital Engagement Director and since 2015 have led the organization in exponential audience growth, revenue, and advocacy including execution prevention campaigns. I worked in digital for President Obama’s 2012 re-election campaign and msnbc.com. I have a B.A. in Africana Studies from Brown University." Steven Aguiar is the Co-Founder and COO. Steven has deep experience using digital channels 'to drive positive outcomes for mission-driven organizations. I am a full-stack digital marketer, co-founder of Givepact and founder of BlueWing. I have deep experience using digital channels to drive positive outcomes for businesses and mission-driven organizations. I have worked with dozens of companies to grow and convert an audience throughout the entire marketing funnel. I have a BA from Brown University and am a Facebook, Google and HubSpot-certified professional."

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Dr Michelle Johnston is an author and Emergency Medicine Physician. She works as a senior consultant at Royal Perth Hospital, an inner city  level one trauma centre in Australia. She is committed to clinical care and teaching, and was awarded the Australasian College For Emergency Medicine's Teaching Excellence Award. 

Her first book Dustfall, released in February of 2018  is a story about medical error and its consequences. She has dedicated her career to finding the sweet spot between creativity and critical care, and believes there is a beating heart of humanity within the sometimes brutal world of emergency medicine.

In today's episode we speak about Michelle's highly anticipated second novel Tiny Uncertain Miracles published 2022 by Harper Collins.

From Michelle's website: "Awkward, hapless Marick is still struggling with the loss of his wife, his child and his faith when he is reluctantly thrust into the position of chaplain at a large public hospital. Shortly after arriving, he meets Hugo, a hospital scientist and a man almost as lost as Marick himself, who is working in a forgotten lab, deep in the subterranean realms of the hospital. Hugo is convinced that the bacteria he uses for protein production have – unbelievably – begun to produce gold. Is it alchemy, evolution, a hoax or even … possibly … a miracle? In the meantime, Christmas is approaching, the number of homeless outside the hospital is increasing, the Director of Operational Services is pressing Marick about his weekly KPIs, you can’t buy chocolate in the hospital shop anymore, and Marick keeps waking with nightmares at 4 am every night. If ever a miracle was needed, it’s now."

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Nora D. Volkow, M.D., is a researcher and psychiatrist. She is the Director of the National Institute on Drug Abuse (NIDA) soon to be the  National Institute on Drugs and Addiction at the National Institutes of Health (NIH). NIDA is the world’s largest funder of scientific research on the health aspects of drug use and addiction. Dr. Volkow's work has been instrumental in demonstrating that drug addiction is a brain disorder. She pioneered the use of brain imaging to investigate how substance use affects brain functions. In particular, her studies have documented how changes in the dopamine system affect the functions of brain regions involved with reward and self-control in addiction. She has also made important contributions to the neurobiology of obesity, ADHD, and aging.  Dr. Volkow was born in Mexico and grew up in Mexico City. She earned her medical degree from the National University of Mexico in Mexico City. Her psychiatric residency was at New York University, where she earned a Laughlin Fellowship from The American College of Psychiatrists as one of 10 outstanding psychiatric residents in the United States.

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Megan Ranney MD MPH is an emergency physician, researcher, and advocate for innovative approaches to health. Her work focuses on the intersection between digital health, violence prevention, and population health.

She is the incoming dean of the Yale School of Public Health and former Deputy Dean of the School of Public Health, as well as founding Director of the Brown-Lifespan Center for Digital Health . She is co-founder and Senior Strategic Advisor to the American Foundation for Firearm Injury Reduction in Medicine (AFFIRM) at the Aspen Institute which creates practical, scalable, and immediate health-based solutions to reduce all forms of firearm-related injuries in the United States. She recently served as co-founder and president of the board for GetUsPPE.org, a startup dedicated to matching donated personal protective equipment to those who need it most. She is a Fellow of the fifth class of the Aspen Health Innovators Fellowship Program and a member of the Aspen Global Leadership Network.

She is the Warren Alpert Endowed Professor in the Department of Emergency Medicine at Alpert Medical School of Brown University and a Professor of Behavioral and Social Science / Health Services, Policy, and Practice at the School of Public Health.

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"On June 24, 2022, the United States Supreme Court officially issued a ruling in Thomas E. Dobbs, State Health Officer of the Mississippi Department of Health, et al. v. Jackson Women's Health Organization, refusing to strike down a Mississippi state law banning abortion after the fifteenth week of pregnancy."

We discuss the Dobbs decision and its impact 1 year later.

Kimi Chernoby is Counsel for Reproductive Rights and Health at the National Women’s Law Center. She is a Clinical Instructor of Emergency Medicine at the GW School of Medicine and Health Sciences. Kimi was the first graduate of the University of Florida’s MD/JD program and previously served as a Health Policy Fellow for the Senate Committee on Health, Education, Labor, and Pensions. As a resident physician in Indiana, she helped pregnant minors obtain the right to consent to their own medical care including post-partum contraception. Her work focuses on increasing access to contraception at the state and federal level, specifically using clinical experience to advance policies that center the needs of patients. Robin Marty is the Director of Operations for the West Alabama Women's Center and a freelance reporter and the author of the book "Handbook for a Post-Roe America," a guide for what to do if and when Roe is overturned and states make abortion illegal, and the co-author of "The End of Roe v. Wade" Robin's work is frequently published in Time Magazine, Cosmopolitan, NBC, The Guardian, Politico and other news outlets, and she is a regular guest on MSNBC.

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June is Gun Violence Awareness Month. Today's episode is one recorded and dropped in 2021 with Drs. Selwyn Rogers and Everett Lyn. Unfortunately, the conversation is as relevant today as it was then. 

Selwyn O. Rogers is the Dr. James E. Bowman Jr. Professor of Surgery (first James E Bowman professorship) and the Chief, Section of Trauma and Acute Care Surgery Founding Director, Trauma Center. He is the Executive Vice President, Community Health Engagement University of Chicago Medicine 

Everett T Lyn is the Former Clinical Director and Director of Faculty Affairs and Development Brigham and Women's Hospital.Former Chair, Department of Emergency Medicine North Shore Medical Center. He is also the Former Chief Medical Officer Dignity Health Care and Former Assistant Professor of Medicine Harvard Medical School.

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Lois K. Lee is a Senior Associate in Pediatrics, Division of Emergency Medicine at The Boston Children's Hospital. She is an Associate Professor of Pediatrics and Emergency Medicine, Harvard Medical School  Dr. Lee is a researcher passionate about health policy and injury prevention, including firearm safety and children. She was the inaugural Nick Littlefield health policy fellow at the Network for Excellence in Health Innovation (NEHI; www.nehi.net). During this time she worked as a health policy staffer for Senator Sheldon Whitehouse (D-RI). Dr. Annie Andrews is the Founder and CEO of Their Future Our Vote, an organization focused on mobilizing resources and support for policies that put the needs of children first and educating leaders and lawmakers about these policies. Annie had decided to run for Congress to give children a voice in Washington, D.C. She was the Democratic nominee in South Carolina’s first congressional district in 2022.  Dr. Andrews is currently a Professor of Pediatrics at the Medical University of South Carolina in Charleston, South Carolina, where she cares for children and adolescents at the Children’s Hospital.

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Kim Scott is the author of Just Work: How to Root Out Bias, Prejudice, and Bullying to Build a Kick-ass Culture of Inclusivity and Radical Candor: Be a Kick-Ass Boss Without Losing Your Humanity and co-founder of the company Radical Candor. Kim was a CEO coach at Dropbox, Qualtrics, Twitter, and other tech companies. She was a member of the faculty at Apple University and before that led AdSense, YouTube, and DoubleClick teams at Google. Prior to that Kim managed a pediatric clinic in Kosovo and started a diamond-cutting factory in Moscow. She lives with her family in Silicon Valley.
Follow Kim:https://kimmalonescott.com/

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May is National Historic Preservation Month!

Please remember the National Marian Anderson Museum with your giving in support of the recovery repair and restoration process for the treasured National Landmark and programming. You can pledge support to the National Marian Anderson Museum and Historical Society .
Marian Anderson was a contralto and international singer that triumphed over racial prejudice and became an inspiration for the civil rights movement. She was denied a performance at The Daughters of the American Revolution’s (DAR) Constitution Hall in 1939. First Lady Eleanor Roosevelt resigned from the DAR and an integrated team of activists from the NAACP to Howard University and Secretary of the Interior, Henry Ickes organized Anderson’s iconic 1939 concert on the steps of the Lincoln Memorial  to an unprecedented 75,000, featured on newsreels and heard on radio by millions around the world. In 1955 she became the first black woman to sing at the Metropolitan opera
Jillian Patricia Pirtle is a professional American Stage & Opera Artist  Jillian received her BFA Degree in Musical Theater & Operatic Performance from the University of the Arts in 2004. She also has a degree History and is a licensed historian with the state of Pennsylvania.  In 2018  Lady Blanche Burton Lyles the founder of The National Marian Anderson Museum & Historical Society died and Jillian became the museum & organizations CEO. The museum is run and maintained by The Marian Anderson Historical Society  in Philadelphia

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Amy Bernstein is the editor of Harvard Business Review (HBR) and the Vice President and Executive Editorial Director of Harvard Business Publishing. She also co-hosts HBR's Women At Work podcast.
"I lead HBR, the leading journal of management and leadership thinking, and its team of editors. During my tenure we were twice named National Magazine Award finalists for general excellence. I am also responsible for the editorial strategy and content development of the learning and educator assets for our Corporate Learning and Higher Education businesses."

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Janene H. Fuerch, MD is a Clinical Assistant Professor of Neonatology at Stanford University Medical Center, as well as an innovator, educator, researcher and physician entrepreneur. She has an undergraduate degree in Neuroscience from Brown University and a medical degree from the Jacobs School of Medicine at SUNY Buffalo. At Stanford University she completed a pediatrics residency, neonatal-perinatal medicine fellowship and the Byers Center for Biodesign Innovation Fellowship. She is the Assistant Director of the Stanford Biodesign Faculty Innovation Fellowship, Assistant Director for the UCSF-Stanford Pediatric Device Consortium funded by the FDA and core faculty at the Center for Pediatric and Perinatal Education or CAPE (a specialized simulation center at Stanford). Janene is the co-founder of Emme - a women’s reproductive health company acquired by SimpleHealth in 2022. "Our mission is to put women’s health in women’s hands. We’re starting with the birth control pill, because missed pills, hormone imbalance, and unplanned pregnancy are all too common parts of the pill experience."

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Robbie Felton is the Co-founder and CEO of Intus Care. Intus Care provides data and services to help integrated care programs improve outcomes for their patients in Medicare managed care. The company serves 25 health plans and care programs nationwide with tens of thousands of patients. Prior to Intus Care, he studied Public Health at Brown University

Program of All-Inclusive Care for the Elderly (PACE) is a type of  home and community based service HCBS that provides medical services and supports everyday living needs for certain elderly individuals, most of whom are eligible for benefits under both Medicare and Medicaid. These services are provided by an interdisciplinary team of professionals. For example, a primary care physician, nurse, social worker, physical therapist, and dietitian are a few of the necessary members.
Louise Aronson, MD MFA, is a leading geriatrician, writer, educator, professor of medicine at UCSF and the author of the New York Times bestseller and Pulitzer Prize finalist Elderhood: Redefining Aging, Transforming Medicine, and Reimagining Life.

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Cleerly is a digital healthcare company. Their AI-based digital care platform works with coronary computed tomography angiography (CCTA) imaging to help clinicians precisely identify and define atherosclerosis earlier, so they can provide personalized, life-saving treatment plans for all patients throughout their care continuum.
James K. Min, MD is the Founder and CEO of Cleerly. Previously, Min was a Professor of Radiology and Medicine at Weill Cornell Medical College and the Director of the Dalio Institute of Cardiovascular Imaging (ICI) at NewYork-Presbyterian. He is a board-certified cardiologist with a clinical focus on cardiovascular disease prevention and cardiovascular imaging.
Sharonne N. Hayes MD is Professor of Cardiovascular Medicine. She founded and maintains an active clinical practice in the Mayo Clinic Women’s Heart Clinic. As a non-invasive cardiologist with a focus on prevention and equity, Dr. Hayes has long advocated for the advancement of women’s health and sex-based medicine within the field of cardiology and other areas that affect women’s health and well-being. Dr. Hayes research interests include sex and gender-based cardiology, cardiovascular conditions primarily affecting women, spontaneous coronary artery dissection (SCAD), fibromuscular dysplasia, pericardial diseases, health equity, participation of women and minorities in medical research, healthcare workforce equity, and the utility and optimal role of social media in clinical practice, medical research and health education.

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Alicia Cepeda Maule is the Innocence Project’s first Digital Engagement Director.
Since 2015 she led the organization in exponential audience growth, revenue, and advocacy including campaigns that helped stop the execution of Pervis Payne, and Rodney Reed. Prior, Alicia worked in digital for President Obama’s 2012 re-election campaign and msnbc.com. I have a B.A. in Africana Studies from Brown University.
Founded in 1992 by Barry C. Scheck and Peter J. Neufeld at the Benjamin N. Cardozo School of Law at Yeshiva University, the Innocence Project works to free the innocent, prevent wrongful convictions, and create fair, compassionate, and equitable systems of justice for everyone. Our work is guided by science and grounded in anti-racism.
April 28, 2022) The Innocence Project won its first-ever Webby Award in the Public Service & Activism category this week for its recent “Happiest Moments” campaign. Dubbed the “OSCARS of the Internet” by the New York Times,
Barry Charles Scheck is is a co-founder and director of The Innocence Project as well as a professor at Benjamin N. Cardozo School of Law of Yeshiva University. He has also served as the president of National Association of Criminal Defense Lawyers in the past and has taught legal ethics, forensic science and trial practice to law students, attorneys and judges. Scheck, he is a recipient of National Trial Lawyers Lifetime Achievement Award. He has also received New York State Bar Association gold medal.

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Alexandra was Editor-in-Chief of Bloomsbury Publishing for 20 years and she is now Executive Publisher. She began her career on the art magazine Art Monthly and joined Virago Press in 1978 where she edited the Virago Modern Classics series, becoming Editorial Director in 1984. In 1990 she moved to Hamish Hamilton as Editorial Director and four years later left publishing to become a literary agent during which time her clients included Amanda Foreman, Geoff Dyer, Maggie O’Farrell and Ali Smith. She joined Bloomsbury in 1999. Her list of authors includes Margaret Atwood, Richard Ford, Esther Freud, Elizabeth Gilbert, Sheila Hancock, Khaled Hosseini, Celia Imrie, Nicole Krauss, Jhumpa Lahiri, Colum McCann, Anne Michaels, Ann Patchett, Hannah Rothschild, George Saunders, 2017  Man Booker winner for Lincoln in the Bardo.Kamila Shamsie, Patti Smith, Kate Summerscale and Barbara Trapido. Abdulrazak Gurnah Gurnah was awarded the 2021 Nobel Prize in Literature

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Robin Guenther is Principal of Perkins&Will and Senior Advisor to Health Care Without Harm. Her innovative healthcare projects have been published nationally and internationally. 
Healthcare Design magazine named her the “#1 Most Influential Designer in Healthcare” in 2010. In 2012, Fast Company included her as one of the “100 most creative people in business.” She was a 2014 TEDMED speaker.
Robin works at the intersection of healthcare architecture and sustainability policy, participating in a wide range of advocacy initiatives. She is Senior Advisor to Health Care Without Harm, co-coordinated the Green Guide for Health Care, and has served on the LEED for Healthcare committee.

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Robin Guenther is Principal of Perkins&Will and Senior Advisor to Health Care Without Harm. Her innovative healthcare projects have been published nationally and internationally. 
Healthcare Design magazine named her the “#1 Most Influential Designer in Healthcare” in 2010. In 2012, Fast Company included her as one of the “100 most creative people in business.” She was a 2014 TEDMED speaker.
Robin works at the intersection of healthcare architecture and sustainability policy, participating in a wide range of advocacy initiatives. She is Senior Advisor to Health Care Without Harm, co-coordinated the Green Guide for Health Care, and has served on the LEED for Healthcare committee. 

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Jill Schlesinger, CFP®, is the Emmy and Gracie Award Winning Business Analyst for CBS News, where she covers the economy, markets, investing and anything else with a dollar sign. Jill is a weekly guest on NPR’s “Here and Now” and is the host of the “Jill on Money” podcast and of the nationally syndicated radio show, "Jill on Money". Jill also writes the nationally syndicated column “Jill on Money” for Tribune Media Services.

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Annie Wu Henry is a social media and digital strategy expert for progressive organizations and campaigns. She believes that we need on-the-ground organizing, electoral work and the online media to drive progress in society, and has taken a hand in contributing to all three. She was most recently the social media producer for John Fetterman's successful Senate campaign in Pennsylvania. As a strategist, creator and political operative, Annie has been profiled by the New York Times, contributed to some of the largest online advocacy platforms like @feminist, @impact, @shityoushouldcareabout, @intersectionalenvironmentalist, @so.informed, @genzforchange and has had a myriad of content "go viral," being shared by the likes of Rachel Cargle, Viola Davis, Kerry Washington, Ariana Grande, Yara Shahidi, the Kardashians, Jenners, Olivia Rodrigo + more. Through her personal platform, she engages her own following to inform and activate them about the world and how they can get involved to push for change. She is passionate about progressive politics, press notifications, pop culture, pressed coffee and people who do the right thing.

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Sarah Gilbert is the Said Professor of Vaccinology at the University of Oxford. She works on vaccines for many different emerging pathogens, including influenza, Nipah, MERS, Lassa, Crimean-Congo haemorrhagic fever, and in 2020, she initiated the SARS-CoV-2 vaccine project. Working with Oxford colleagues she is able to take novel vaccines from design to clinical development, with a particular interest in the rapid transfer of vaccines into manufacturing and first in human trials. She is the Oxford Project Leader for ChAdOx1 nCoV-19, a vaccine against the novel coronavirus, SARS-CoV-2 which is now in use in many countries around the world. Read more in her book Vaxxers: A Pioneering Movement in Scientific History

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Leslie S. Richards is the general manager and chief executive officer of Southeastern Pennsylvania Transportation Authority (SEPTA) As the fifth largest public transportation agency in the U.S., SEPTA operates across six transportation modes. Before joining SEPTA, Richards served as the first woman secretary of the Pennsylvania Department of Transportation (PennDOT). A advocate for women and diversity in transportation and government, Richards has been recognized for her leadership in the industry and commitment to public service. She earned a bachelor’s  in economics and urban studies from Brown University, and a master’s degree in regional planning from the University of Pennsylvania.

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Monica L. Lypson MD, MHPE is the Vice Dean for Education at Columbia University's Vagelos College of Physicians and Surgeons and serves as the Rolf H. Scholdager Professor of Medicine at Columbia University Irving Medical Center.  She previously served as a professor,  and Vice-Chair of Medicine, Division Director of General Internal Medicine at The George Washington University School of Medical and Health Sciences. She has been serving the generalist community as President-elect, President and Past President of the Society of General Internal Medicine. After graduating from Saint Ignatius, Monica graduated from Brown University and received her medical degree from Case Western Reserve University School of Medicine. She completed her graduate medical training at the Brigham and Women's Hospital in Internal Medicine - Primary Care. Subsequently, Monica went on to complete a Robert Wood Johnson Clinical Scholars program at the University of Chicago and a master’s in Health Professions Education at the University of Illinois at Chicago. She has also trained to be an executive coach; and recently entered the Aspen Health Innovator, a program that is part of the Aspen Institute.

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Dr. Russell J. Ledet is a native of Lake Charles, Louisiana. At 18, Ledet enlisted in the U.S. Navy. His first duty station was in the nation’s capital as a ceremonial guardsman. He was awarded multiple Navy Achievement Medals for his leadership. Ledet transitioned to the U.S.N Reserves, while attending Southern University. He also worked as a security guard at Baton Rouge General Hospital. Subsequently, Ledet obtained his Ph.D. in molecular oncology and tumor immunology from the NYU School of Medicine. His scientific work focused on protein modifications in prostate cancer progression.  After NYU, he trained at Tulane School of Medicine and Freeman School of Business. There, Ledet has co-founded The 15 White Coats, a world-renowned organization that helps to propel underrepresented minority students into medicine. He is specializint in child and adolescent psychiatry, with a focus on mental health accessibility for marginalized communities at Indiana University.  Watch his recent film: Bootless II An origin story  youtu.be/YsUVsa7B71E

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Amy Gallo is a workplace expert who frequently writes and speaks about gender, interpersonal dynamics, difficult conversations, feedback, and effective communication. She works with individuals, teams, and organizations in the United States and abroad to help them collaborate, improve how they communicate, and transform their organizational culture to one that supports dissent and debate. Gallo is the author of Getting Along: How to Work with Anyone (Even Difficult People)the HBR Guide to Dealing with Conflict, a how-to book about handling conflict professionally and productively. She has written hundreds of articles for Harvard Business Review, where she is a contributing editor. Her writing has been collected in numerous books on a range of topics from feedback to emotional intelligence to managing others. For the past three years, Gallo has co-hosted HBR’s popular Women at Work podcast, which examines the struggles and successes of women in the workplace.Gallo is a sought-after speaker, who has delivered keynotes and workshops at hundreds of companies and conferences, including SXSW, the Conferences for Women, the World Economic Forum, the Bill and Melinda Gates Foundation, Google, Deutsche Bank, MetLife, Adobe, and the American Chambers of Commerce in Finland and Sweden. In 2019, she delivered a talk at TEDxBroadway about the positive benefits of conflict.

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Sheila Heen has been with the Harvard Negotiation Project for twenty years, teaching negotiation and difficult conversations at Harvard Law School and in Harvard's executive education programs.She is also CEO of Triad Consulting in Harvard Square, where she specializes in working with executive teams on issues where there is strong disagreement and emotions run high. She has worked with corporate clients on six continents, with the US White House, the Singapore Supreme Court, and with theologians with disagreements on the nature of truth and God.With co-author Douglas Stone, Heen has published two best selling books Difficult Conversations and Thanks for the Feedback

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Selected by Fast Company as a Master of Design and one of 50 Most Influential Designers, Kathleen Brandenburg is an internationally recognized founder, thought leader, educator and speaker. Named a “Creative Maverick,” Kathleen has devoted her career to elevating design as a strategic value for business, organizations, and society. An early pioneer and advocate of human-centered design, she was one of the first to link design, business strategy, and innovation when she co-founded IA Collaborative, the global design and innovation consultancy, in 2000.Today, Kathleen is leading the conversation to elevate design’s impact even further, championing it as the way solve our world’s most urgent problems. A Harvard Visiting Professor of Design for Social Innovation, she is at the forefront of a movement to change the way healthcare understands and applies design, and is the author of Design for Health: The Beginning of a New Dialogue Between Design and Public Health.Kathleen leads work at the forefront of design and business strategy at IA Collaborative. An expert in cross-pollination, she draws from the varied industries IA serves to uncover unexpected connections and opportunities for innovation. She co-developed the company’s 7 Elements of Design Innovation™ process that has driven record success for the world’s largest brands.Kathleen serves on the Innovation Council at Northwestern University and is on the Board of Directors at IIT Institute of Design.

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Brickson Diamond is a partner in the Technology, Media, Telecommunications and Services practice of the leadership advisory firm, Spencer Stuart. He has a specific focus on supporting media clients and advising across the firm’s Americas region on client-facing diversity equity and inclusion efforts. Brickson also serves on the board of Gentreo, an early-stage private company that provides technology-enabled solutions for estate planning sold to businesses as a benefit to employees, members and affiliated individuals. Prior to joining Spencer Stuart in late 2021, Brickson was CEO of Big Answers, LLC, an independent human capital advisory firm focused on helping leaders evolve enterprises by setting diversity strategy, sourcing senior-level diverse talent and instituting governance excellence in the fields of entertainment, technology, investment management and philanthropy. He previously served for five years as COO of The Executive Leadership Council, the preeminent member organization of Black executives in the Fortune 1000. Brickson began his career and spent 15 years as a marketing and client services executive with The Capital Group Companies, a $2.6 trillion global asset management firm.Brickson is a founding board member and chair of The Blackhouse Foundation, which provides pathways for Black multi-platform content creators into career opportunities within film, television, digital and emerging platforms. Brickson is a trustee of The Cooper Union for the Advancement of Science and Art, the Middlesex School and Tides. He serves on the investment committee of the Annenberg Foundation Trust at Sunnylands, is an advisor to VC Include, a platform that was created to accelerate investment into diverse emerging managers, and Smashcut, an online education platform for the visual arts. Brickson is a graduate of Brown University and the Harvard Business School.

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Paula Scher is one of the most acclaimed graphic designers in the world. She has been a principal in the New York office of the international design consultancy Pentagram since 1991, where she has designed identity systems, environmental graphics, packaging and publications for a wide range of clients that includes and is not limited to, the Public Theater, the Museum of Modern Art, the High Line, the Metropolitan Opera, the United States Holocaust Museum, Tiffany & Co., Citibank and Microsoft. Scher has been the recipient of hundreds of industry honors including the National Design Award and the American Institute of Graphic Arts medal. She is an established artist exhibiting worldwide, and her designs are in the permanent collections of the Museum of Modern Art, the Cooper Hewitt National Design Museum, the Library of Congress, the Victoria and Albert Museum, and other institutions. Scher is the author of many books including and not limited to Paula Scher: Twenty-Five Years at the Public: A Love Story (2020), Paula Scher: MAPS (2011), and Make It Bigger: (illustrated monograph on the design process and work of Paula Scher) (2005). Her #HealthDesign projects have included Period Equity, Planned Parenthood, and Square Peg Round Hole. A must watch documentary on Scher and her work can be seen in the Netflix series “Abstract: The Art of Design.”

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Michelle Lin MD is the Founder and CEO of AliEM. She is a Professor and Digital Innovation Lab Director in the Department of Emergency Medicine at the University of California, San FranciscoALiEM started out as an educational blog in 2009 for Dr. Michelle Lin to store Tricks of the Trade notes, has now evolved into an umbrella organization, housing online educational platforms and virtual communities. Our dynamic, globally distributed team continues to grow now with over 100 volunteer members, comprised of physicians, residents, students, pharmacists, nurses, and paramedics. We value dedication and creativity over experience and welcome all like-minded torchbearers in healthcare.Books Michelle suggests:Flash Foresight by Daniel Burrus and John David Mann [Amazon]Radical Candor by Kim Scott [Amazon]Rest by Alex Soojung-Kim Pang [Amazon]Speed of Trust by Stephen M.R. Covey [Amazon]Steal Like an Artist by Austin Kleon [Amazon]The One Thing by Gary Keller and Jay Papasan [Amazon]

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Yoruba Richen is an award-winning documentary filmmaker whose work has been featured on multiple outlets including Netflix, MSNBC, FX, HBO, Frontline, The Atlantic and Field of Vision. Her recent films The Rebellious Life of Mrs. Rosa Parks, the Emmy nominated How It Feels to Be Free which premiered on PBS’s American Masters and the Peabody and Emmy nominated The Sit In: Harry Belafonte Hosts the Tonight Show which is streaming on Peacock.Her film The New York Times Presents: The Killing of Breonna Taylor won an NAACP Image Award and is streaming on HULU. Her film The Green Book: Guide to Freedomwas broadcast on the Smithsonian Channel to record-setting viewership and was awarded the Henry Hampton Award for Excellence in Documentary Filmmaking.Yoruba is a featured TED speaker, a Fulbright fellow, a Guggenheim fellow, and a 2016 recipient of the Chicken & Egg Breakthrough Filmmaker Award. She was chosen for The Root 100’s Most Influential African Americans Under 45 among the year’s most significant moments and themes. She also directs the documentary program at the Craig Newmark Graduate School of Journalism at CUNY.

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Jay Baruch, a practicing emergency room physician, is Professor of Emergency Medicine at Brown University’s Alpert Medical School and the author of two award-winning short fiction collections, What's Left Out and Fourteen Stories: Doctors, Patients, and Other Strangers. His latest book is Tornado of Life: A Doctor’s Journey through Constraints and Creativity in the ER (MIT Press, August 2022). He lives in Providence, Rhode Island.

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Alister Martin MD MPP is  the CEO of a healthier democracy. He works at the intersection of public policy and medicine as research faculty at the Harvard Kennedy School Behavioral Insights Group and clinical faculty at HMS in the Center for Social Justice and Health EquityPrograms like Link Health, Vot-ER, Get Waivered and others are just a few key concrete examples of how healthcare settings and providers can be leveraged to help create A Healthier Democracy!

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Soledad O’Brien is a journalist, documentarian, podcaster, working mom, dog mom, news anchor, and producer. She champions the stories of marginalized communities, and is the recipient of numerous awards, including three Emmy awards, the George Foster Peabody Award, and the Alfred I. DuPont Award.

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We Need More Illustrations of People of Color in Medical Textbooks— The lack of diversity perpetuates health inequality and stereotypes

"The consequences of primarily depicting White, lighter skinned individuals with Eurocentric features in medical images supports the persuasive concept of White supremacy. It perpetuates the belief that the White male body is "the standard" to which all other bodies should be compared. It leads to inequality in medical education and further perpetuates harmful stereotypes of Black individuals. As a result, this issue plays a role in inappropriate diagnosis and health management of Black individuals. Furthermore, medical care becomes subjective, discriminatory, and filled with speculatory assumptions based on stereotypes." Jenna C. Lester is founder of the Skin of Color dermatology program at UCSF, which addresses the  persistent issues that arise from the exclusion and marginalization of non-white patients in medical  research and practice. She is combatting medical disparities due to racial inequality, working to fill education gaps in textbooks and curriculum about non-white skin and training a new generation of  doctors. A graduate of Harvard University and The Warren Alpert Medical School of Brown University, she is an assistant professor of dermatology at UCSF where she practices and teaches general dermatology. Jenna's TedX Talk

Susan Y. Chon, a 1991 Brown graduate with an independent concentration in children’s literature, is a professor in the Department of Dermatology at the University of Texas M.D. Anderson Cancer Center. Prior to joining the faculty, she earned her M.D. from Stanford University School of Medicine. She then completed her internship in internal medicine and her dermatology residency at Stanford University Hospital. Chon specializes in treating patients with skin cancers, melanomas and skin disorders from cancer treatments. She is a medical educator and an active mentor for medical students and dermatology residents. She is also director of the Skin Cancer Screening and Prevention Program and founded the volunteer physician program for the Brookwood Community, a residential and vocational program for adults with disabilities. Chon is the president of the Brown Club of Houston, helping to maintain the connection between Brown and its graduates throughout the world, and serves as a member of the Women’s Leadership Council, Women’s Launch Pad and Philanthropy Advisory Group.

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Louise Aronson, MD MFA, is a leading geriatrician, writer, educator, professor of medicine at UCSF and the author of the New York Times bestseller and Pulitzer Prize finalist Elderhood: Redefining Aging, Transforming Medicine, and Reimagining Life. 

A graduate of Harvard Medical School, Louise has received the Gold Professorship in Humanism in Medicine, the California Homecare Physician of the Year award, and the American Geriatrics Society Clinician-Teacher of the Year award. Her current work is focused on expanding geriatric care and public perceptions of old age to more accurately attend to the decades and diversity of elderhood, developing innovative programs and practices to empower older adults to retain agency and maximize wellness as they age.  At UCSF, Louise has served as director of the Pathways to Discovery program, the Northern California Geriatrics Education Center, the Optimizing Aging Project, and as Chief of Geriatrics Education. Her writing credits include the New York Times, Atlantic, Washington Post, Discover, Vox, JAMA, Lancet, and the New England Journal of Medicine, and she has been featured on TODAY, CBS This Morning, NPR’s Fresh Air, Morning Edition, Politico, Kaiser Health News, Tech Nation and the New Yorker.  Robbie Felton is the Co-founder and CEO of Intus Care. Intus Care provides data and services to help integrated care programs improve outcomes for their patients in Medicare managed care. The company serves 25 health plans and care programs nationwide with tens of thousands of patients. Prior to Intus Care, he studied Public Health at Brown University Program of All-Inclusive Care for the Elderly (PACE) is a type of  home and community based service HCBS that provides medical services and supports everyday living needs for certain elderly individuals, most of whom are eligible for benefits under both Medicare and Medicaid. These services are provided by an interdisciplinary team of professionals. For example, a primary care physician, nurse, social worker, physical therapist, and dietitian are a few of the necessary members.

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Sheila Heen has been with the Harvard Negotiation Project for twenty years, teaching negotiation and difficult conversations at Harvard Law School and in Harvard's executive education programs. She is also CEO of Triad Consulting in Harvard Square, where she specializes in working with executive teams on issues where there is strong disagreement and emotions run high. She has worked with corporate clients on six continents, with the US White House, the Singapore Supreme Court, and with theologians with disagreements on the nature of truth and God. With co-author Douglas Stone, Heen has published two best selling books Difficult Conversations and Thanks for the Feedback

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Joy Scaglione is the host of Bite-Sized Crime, a short-form podcast that focuses on lesser-known stories in the true crime world. Fact-based and extensively researched, Bite-Sized Crime is committed to giving voices to victims who may not otherwise have a chance to be heard. Outside of podcasting, Joy is a nationally certified school librarian with twenty years of experience in public and private education. In her free time, she enjoys traveling, playing with her 3 big dogs, and catching up on the latest Netflix documentaries. The podcast is part of the Boundless audio network

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Sheila Heen has been with the Harvard Negotiation Project for twenty years, teaching negotiation and difficult conversations at Harvard Law School and in Harvard's executive education programs.She is also CEO of Triad Consulting in Harvard Square, where she specializes in working with executive teams on issues where there is strong disagreement and emotions run high. She has worked with corporate clients on six continents, with the US White House, the Singapore Supreme Court, and with theologians with disagreements on the nature of truth and God. With co-author Douglas Stone, Heen has published two best selling books Difficult Conversations and Thanks for the Feedback

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Kevin M. Simon, MD, was appointed as the first Chief Behavioral Health Officer for the City of Boston. Dr. Simon will guide a public health strategy to support Bostonians’ growing mental and behavioral health needs at the Boston Public Health Commission. In addition, he is an Attending Psychiatrist at Boston Children's Hospital, an Instructor in Psychiatry at Harvard Medical School, a Commonwealth Fund Fellow at Harvard University, and a Medical Director of Wayside Youth and Family Support Network. Dr. Simon practices as a Child, Adolescent, and Adult Psychiatrist & Addiction Medicine specialist caring for youth through the Adolescent Substance use & Addiction Program (ASAP) at Boston Children's Hospital. As a physician-scientist, Dr. Simon has received federal funding for work focused on the intersections of mental health, substance use, and juvenile justice. Dr. Simon has helped design and transform behavioral health agencies as a healthcare consultant and administrative leader. He completed clinical fellowships in child & adolescent psychiatry and addiction medicine at Boston Children's Hospital/Harvard Medical School and a residency in adult psychiatry at Grady Hospital, affiliated with Morehouse School of Medicine, in Atlanta, GA. He received his medical degree from Southern Illinois University School of Medicine. His writings on health equity, mental health, and substance use are in notable journals, including the New England Journal of Medicine, American Journal of Public Health, and Health Affairs. NEJM: Daughters’ Keeper — The Care and Treatment of Black Girls in America NEJM Them and Me — The Care and Treatment of Black Boys in America

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In 2010  Ellen Dunham Jones gave a TedTalk on retrofitting the suburbs and repurposing malls. In 2021, Kedar Mate et al authored a piece in Harvard Business Review Why Health Care Systems Should Invest in Medical Malls Kedar Mate, MD, is the President and Chief Executive Officer at the Institute for Healthcare Improvement (IHI), President of the Lucian Leape Institute, and a member of the faculty at Weill Cornell Medical College. Dr. Mate’s scholarly work has focused on health system design, health care quality, strategies for achieving large-scale change, and approaches to improving value. Previously Dr. Mate worked at Partners In Health, the World Health Organization, Brigham and Women’s Hospital, and served as IHI’s Chief Innovation and Education Officer.  Dr. Mate has published numerous peer-reviewed articles, book chapters and white papers and has received multiple honors including serving as a Soros Fellow, Fulbright Specialist, Zetema Panelist, and an Aspen Institute Health Innovators Fellow. He graduated from Brown University with a degree in American History and from Harvard Medical School with a medical degree.  You can follow him on twitter at @KedarMate Ian Sinnett, AIA, ACHA, is a Principal and board-certified healthcare architect who co-leads the Dallas Health Practice for Perkins&Will. His expertise is concentrated on the strategic, pre-design, programming, and planning phases of projects furthered by a continued level of intensity and project engagement through completion and first-patient. Ian has worked with a range of for-profit, developer, rural, academic, and not-for-profit clients including MD Anderson Cancer Center, HCA, UT Southwestern, Children’s Health, Penn Medicine, Legacy Community Health, and RedBird Dallas. Notable recent projects include critical access hospitals in Uvalde, TX and Pecos, TX, a complete reconfiguration and expansion of the Lancaster General Health ED (15th busiest in the US), and acting as the Principal in Charge of the RedBird Mall Sears Dark Store revitalization with UT Southwestern and Children’s Health in Southern Dallas. Outside of his professional life, Ian travels the world with his wife, is a volunteer and advocate for Big Brothers Big Sisters, and is building his dream get-a-away in the high deserts of West Texas.

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Selected by Fast Company as a Master of Design and one of 50 Most Influential Designers, Kathleen Brandenburg is an internationally recognized founder, thought leader, educator and speaker. Named a “Creative Maverick,” Kathleen has devoted her career to elevating design as a strategic value for business, organizations, and society. An early pioneer and advocate of human-centered design, she was one of the first to link design, business strategy, and innovation when she co-founded IA Collaborative, the global design and innovation consultancy, in 2000.

Today, Kathleen is leading the conversation to elevate design’s impact even further, championing it as the way solve our world’s most urgent problems. A Harvard Visiting Professor of Design for Social Innovation, she is at the forefront of a movement to change the way healthcare understands and applies design, and is the author of Design for Health: The Beginning of a New Dialogue Between Design and Public Health.

Kathleen leads work at the forefront of design and business strategy at IA Collaborative. An expert in cross-pollination, she draws from the varied industries IA serves to uncover unexpected connections and opportunities for innovation. She co-developed the company’s 7 Elements of Design Innovation™ process that has driven record success for the world’s largest brands.

Kathleen serves on the Innovation Council at Northwestern University and is on the Board of Directors at IIT Institute of Design.

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Michelle Lin MD is the Founder and CEO of AliEM. She is a Professor and Digital Innovation Lab Director in the Department of Emergency Medicine at the University of California, San Francisco ALiEM started out as an educational blog in 2009 for Dr. Michelle Lin to store Tricks of the Trade notes, has now evolved into an umbrella organization, housing online educational platforms and virtual communities. Our dynamic, globally distributed team continues to grow now with over 100 volunteer members, comprised of physicians, residents, students, pharmacists, nurses, and paramedics. We value dedication and creativity over experience and welcome all like-minded torchbearers in healthcare. Books Michelle suggests: Flash Foresight by Daniel Burrus and John David Mann [Amazon] Radical Candor by Kim Scott [Amazon] Rest by Alex Soojung-Kim Pang [Amazon] Speed of Trust by Stephen M.R. Covey [Amazon] Steal Like an Artist by Austin Kleon [Amazon] The One Thing by Gary Keller and Jay Papasan [Amazon]

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Brickson Diamond is a partner in the Technology, Media, Telecommunications and Services practice of the leadership advisory firm, Spencer Stuart. He has a specific focus on supporting media clients and advising across the firm’s Americas region on client-facing diversity equity and inclusion efforts. Brickson also serves on the board of Gentreo, an early-stage private company that provides technology-enabled solutions for estate planning sold to businesses as a benefit to employees, members and affiliated individuals.  Prior to joining Spencer Stuart in late 2021, Brickson was CEO of Big Answers, LLC, an independent human capital advisory firm focused on helping leaders evolve enterprises by setting diversity strategy, sourcing senior-level diverse talent and instituting governance excellence in the fields of entertainment, technology, investment management and philanthropy. He previously served for five years as COO of The Executive Leadership Council, the preeminent member organization of Black executives in the Fortune 1000. Brickson began his career and spent 15 years as a marketing and client services executive with The Capital Group Companies, a $2.6 trillion global asset management firm.

Brickson is a founding board member and chair of The Blackhouse Foundation, which provides pathways for Black multi-platform content creators into career opportunities within film, television, digital and emerging platforms. Brickson is a trustee of The Cooper Union for the Advancement of Science and Art, the Middlesex School and Tides. He serves on the investment committee of the Annenberg Foundation Trust at Sunnylands, is an advisor to VC Include, a platform that was created to accelerate investment into diverse emerging managers, and Smashcut, an online education platform for the visual arts. Brickson is a graduate of Brown University and the Harvard Business School.

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Jeannine A. Cook the founder and business owner Harrietts and Idas Bookshops. For the last 10 years she worked as a trusted creative writer for several startups, corporations, non-profits, and influencers. Jeannine is a Leeway Art & Transformation grantee and a winner of the South Philly Review Difference Maker Award. She recently returned from Nairobi, Kenya; Johannesburg, South Africa; and Birmingham, UK facilitating trainings on racism, colonialism, and imperialism with youth from 15 countries around the world. Jeannine is known for her "out of the box" approaches to organizing through guerrilla style creative writing.

Oprah Daily  Travel and Leisure WNBC News

[Jeannine A Cook in Philadelphia PA]

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Suzanne Koven, received her B.A. in English literature from Yale and her M.D. from Johns Hopkins. She also holds an M.F.A. in nonfiction from the Bennington Writing Seminars. After her residency training at Johns Hopkins Hospital, she joined the faculty of Harvard Medical School and has practiced primary care internal medicine at Massachusetts General Hospital for over 30 years. She is an associate professor of medicine at HMS and holds the Valerie Winchester Family Endowed Chair in Primary Care Medicine at Mass General.  In 2019 she was named inaugural Writer in Residence at Mass General. Her essays, articles, blogs, and reviews have appeared in The Boston Globe, The New England Journal of Medicine, The Lancet, NewYorker.com, Psychology Today, The L.A. Review of Books, The Virginia Quarterly, STAT, and other publications. Her monthly column “In Practice” appeared in The Boston Globe and won the Will Solimene Award for Excellence in Medical Writing from the American Medical Writers Association in 2012. Dr. Koven co-directs the Media and Medicine certificate course at HMS and speaks to a wide variety of audiences on literature and medicine and the role of women in medicine. Her essay collection, Letter to a Young Female Physician, was published by W.W. Norton & Co. in 2021.  [Suzanne Koven in Boston MA]

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Soldedad O'Brien is award-winning journalist; anchor and producer for Matter of Fact with Soledad O’Brien; founder and CEO of Soledad O’Brien Productions

Soledad O’Brien Productions is a multi-platform media production and distribution company dedicated to uncovering stories on the divisive issues of race, class, wealth, poverty, and opportunity through personal narratives. Soledad O’Brien has spent her career championing the stories of marginalized communities, and has been the recipient of three Emmy awards, the George Foster Peabody Award, and the Alfred I. DuPont Award for her reporting work. 

SO’B Productions has produced a number of documentaries, including the Black in America and Latino in America series and most recently The Rebellious Life of Mrs Rosa Parks, which aired at the 2022 Tribeca Film Festival Soledad serves on the Board of Trustees for the National Museum of the American Latino Board of Trustees With her husband Soledad founded The PowHERful Foundation, whose mission is to get young women to, and through, college

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Kevin Volpp MD PhD is the founding Director of the Center for Health Incentives and Behavioral Economics (CHIBE), Division Chief of Health Policy for the Department of Medical Ethics and Policy, and the Founders President’s Distinguished Professor of Medicine at the Perelman School of Medicine and Health Care Management at the Wharton School of the University of Pennsylvania. He has led CHIBE since its inception turning it into an entity that involves more than 90 faculty members and trainees across the University of Pennsylvania and which was 1 of 2 original NIH Centers nationally on behavioral economics and health. Dr. Volpp’s work focuses on developing and testing innovative ways of applying insights from behavioral economics in improving patient health behavior and increasing value in the health system by influencing provider performance. He has competitively been awarded more than $70 million to lead projects with a variety of employers, insurers, health systems, and consumer companies in testing the impact of different behavioral economic strategies on behavior.Dr. Volpp has published more than 250 articles, book chapters, and commentaries, and his work has served as the foundation for numerous widely implemented programs such as benefit design initiatives using financial incentives for smoking cessation among GE and CVS employees, a prescription refill synchronization program for Humana members, a simple health insurance plan called “Humana Simplicity”, and an ‘enhanced active choice’ approach used among tens of millions of CVS members to increase the ease of receiving automated medication refills. Penn Medicine's Nudge Unit is the world's first behavioral design team embedded within a health system. We leverage insights from behavioral science and implementation science to design, implement, evaluate, and disseminate scalable nudges to steer medical decision-making toward higher-value care, improved patient outcomes, and more equitable health care delivery. Follow Kevin on Twitter and follow CHIBE on Twitter.

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Black Motherhood Through the Lens Dr. Komal Bajaj is an innovator and healthcare leader based in New York City, catalyzing quality and safety transformation across all facets of healthcare delivery. Dr. Bajaj is the Chief Quality Officer of NYC Health + Hospitals/Jacobi/NCB. She is also Clinical Director for NYC Health + Hospitals Simulation Center, which delivers more than 12,000 interprofessional participant encounters throughout its 9 simulation centers annually. She co-chairs the health system’s Monitoring & Evaluation Subcommittee for its Equity & Access Council. Dr. Bajaj is a Professor of Obstetrics & Gynecology at Albert Einstein College of Medicine. She was recently appointed to the AHRQ National Advisory Committee, a 20-member board that advises the Secretary of Health and Human Services and AHRQ Director on priorities for a national health service research agenda.  Ade Osinubi is a documentary filmmaker, photographer, and an Emergency Medicine Resident Physician at the University of Pennsylvania. She is a recent graduate from the Warren Alpert Medical School of Brown University. Ade's work focuses on sharing the stories of minority populations that often go untold. At the age of 16, Ade traveled to Mekelle, Ethiopia to co-produce her first documentary.  Since then, Ade has produced films educating the public about various health topics ranging from the COVID-19 vaccine to postpartum pelvic floor conditions. Starting from her first year of medical school, she independently filmed and produced Black Motherhood through the Lens, a documentary about four Black women’s experiences in navigating infertility, childbirth, and postpartum mood disorders. Black Motherhood through the Lens has been accepted to 7 film festivals including the American Public Health Association Film Festival and it received the “2021 Best Short Collective Award” at the Rhode Island Black Film festival. Her work on the documentary was also recently recognized in Forbes Magazine amongst other places. In addition to filmmaking, Ade has published articles for the Washington Post and Glamour Magazine on topics related to health equity. She was recently named a National Minority Quality Forum 2022 40 under 40 Leader in Health and is a member of the Alpha Omega Alpha and Gold Humanism Honor Societies. In the future, Ade hopes to pursue a career in health journalism, using her passion for photography and film to elevate the voices of communities of color.

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Hella Pick was born in Vienna, came to the UK on a Kindertransport and has lived in UK since 1939. She is a Graduate of the London School of Economics, was awarded a CBE in 2000, and received an honorary doctorate from Sussex University in 2018. She is a British-Austrian journalist who spent 35 years reporting for the Guardian in Washington, at the UN and all over Europe. Her memoir Invisible Walls was published in 2021

She was on the staff of the Guardian newspaper from 1961- 1997, working first as UN correspondent, later Washington correspondent, East-West affairs correspondent, Diplomatic Editor, and Associate Foreign Affairs Editor. She has been a frequent contributor to BBC news programs and appearances on German and Austrian TV.

Since 1998 she has worked a Senior consultant first for Lord Weidenfeld’s Club of Three and after its foundation for his Institute of Strategic Dialogue, where she became Director of the Arts and Culture Programme organising international meetings on political/strategic, economic and arts issues, and also for five years an annual Europe-China Media exchange project.

Hella has served on the Advisory Board of the German-Jewish Studies Centre at Sussex University for more than 10 years, and on behalf of Lord Weidenfeld was closely involved in the establishment of the Chair of Israel Studies at Sussex University. She is currently acting in an advisory capacity for the establishment of the Sussex University Weidenfeld Institute of Jewish Studies

She is the author of Simon Wiesenthal - A Life in Search of Justice published by Weidenfeld & Nicolson (1996). Her latest book , her memoir is Invisible Walls – a Journalist in search of her Life’ was published by Weidenfeld&Nicolson (2021).

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Donald M. Berwick, MD, MPP, FRCP, President Emeritus and Senior Fellow, Institute for Healthcare Improvement, is also former Administrator of the Centers for Medicare & Medicaid Services. A pediatrician by background, Dr. Berwick has served on the faculty of the Harvard Medical School and Harvard School of Public Health, and on the staffs of Boston's Children's Hospital Medical Center, Massachusetts General Hospital, and the Brigham and Women's Hospital. He has also served as Vice Chair of the US Preventive Services Task Force, the first "Independent Member" of the American Hospital Association Board of Trustees, and Chair of the National Advisory Council of the Agency for Healthcare Research and Quality. He served two terms on the Institute of Medicine's (IOM's) Governing Council, was a member of the IOM's Global Health Board, and served on President Clinton's Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. Recognized as a leading authority on health care quality and improvement, Dr. Berwick has received numerous awards for his contributions. In 2005, he was appointed "Honorary Knight Commander of the British Empire" by Her Majesty, Queen Elizabeth II in recognition of his work with the British National Health Service. Dr. Berwick is the author or co-author of over 160 scientific articles and six books. He currently serves as Lecturer in the Department of Health Care Policy at Harvard Medical School. Follow Don on Twitter

Nana Twum-Danso, MD, MPH, FACPM, ​Senior Vice President, Global, Institute for Healthcare Improvement (IHI), leads all global strategy and client development, with top-line revenue responsibility. Previously she was Managing Director for Health at The Rockefeller Foundation, overseeing a strategy designed to transform the practice of public health through data science. She is a public health and preventive medicine physician with 20 years of experience in health policy, practice, strategy, monitoring, learning, evaluation, research, and philanthropy at local, national, and international levels. Dr. Twum-Danso is also an Adjunct Assistant Professor in the Department of Maternal and Child Health at the Gillings School of Global Public Health at the University of North Carolina, Chapel Hill. She worked at the Task Force for Global Health in Atlanta, Georgia; was Director of IHI’s nationwide CQI initiative in Ghana; Senior Program Officer in the MNCH Department at the Bill & Melinda Gates Foundation; independent consultant; and Founder and CEO of MAZA, a social enterprise that provided on-demand health care transportation for pregnant women and sick infants in remote areas of Ghana. She also served on technical advisory committees for the World Health Organization, the US National Academy of Sciences, Engineering and Medicine, and the Canadian International Development Research Centre. Dr. Twum-Danso received her undergraduate and medical education from Harvard University and her public health and preventive medicine residency training from Emory University.  Follow Nana on Twitter. [Don Berwick in Boston MA][Nana Twum-Danso in New York NY]

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Dr. Matifadza (Mati) Hlatshwayo Davis is a Zimbabwean born, American based physician and public health expert in Missouri. Her subspecialty is infectious diseases, with a focus on community engagement addressing health disparities amongst people from historically marginalized groups. She serves as the Director of Health for the City of St. Louis Department of Health.

Follow Mati on Twitter and LinkedIn [Mati Davis in St Louis MO]

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Joyce Lee MD is a Physician, Designer, Researcher, and the Robert P. Kelch, MD, Research Professor of Pediatrics at the University of Michigan. She is a Diabetologist (Pediatric Endocrinologist focused on Diabetes) and a clinical/health outcomes researcher with work focusing on the creation of learning health systems. She serves as Ambulatory Clinical Chief of Pediatric Medical Specialties, Associate Chief Medical Information Officer for Pediatric Research, and Associate Chair of Health Metrics and Learning Health Systems for the Department of Pediatrics.  Joyce on Twitter Kristy M. Shine, MD, PhD is an Assistant Professor of Emergency Medicine at Thomas Jefferson University and Director of Scholarly Inquiry, Design, at the Sidney Kimmel Medical College. In addition to her role as attending physician and core faculty for the residency, Dr. Shine has worked in the medical device industry and holds graduate degrees in mechanical engineering and medical engineering/medical physics.  She believes that training doctors to be compassionate innovators will change the future of medicine. Kristy on Twitter [Joyce Lee in Ann Arbor][Kristy Shine in Philadelphia]

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Cindy Gallop is a graduate of Somerville College, Oxford, whose background is over 30 years in brand-building, marketing and advertising - she started up the US office of ad agency Bartle Bogle Hegarty in New York in 1998 and in 2003 was named Advertising Woman of the Year.  She is the founder and CEO of IfWeRanTheWorld, co-action software launched in beta at TED 2010 and subsequently written up and taught as a Harvard Business School case study, which enables brands to implement the business model of the future – Shared Values + Shared Action = Shared Profit (financial and social). She is also the founder of MakeLoveNotPorn – ‘Pro-sex. Pro-porn. Pro-knowing the difference’ - a social sextech platform designed to promote good sexual behavior and good sexual values, which she launched at TED 2009, You can follow her on Twitter @cindygallop.

The Future For White Men In Advertising: Cindy Gallop (2019)Cindy Gallop: Where The Money Is – Closing Keynote 2017 3% Conference (2017)

[Cindy Gallop in New York City]

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Al'ai Alvarez, MD aka LA is a national leader and educator on Wellness and Diversity, Equity, and Inclusion. He is a clinical assistant professor of Emergency Medicine and the Director of Well-Being at Stanford Emergency Medicine. He co-leads the Human Potential Team and serves as the Fellowship Director of the Stanford EM Physician Wellness, and Co-Chair of the Stanford WellMD's Physician Wellness Forum. His work focuses on humanizing physician roles as individuals and teams through the harnessing of our individual human potential in the context of high-performance teams. This includes optimizing the interdependence between Process Improvement (Quality and Clinical Operations), Recruitment (Diversity), and Well-being (Inclusion). Currently, he is one of the 2021-2022 Faculty Fellows at the Stanford Byers Center for Biodesign.  Andrew Petrosoniak MD is a trauma team leader and emergency physician at St. Michael's Hospital in Toronto, Canada. He's an assistant professor at the University of Toronto and he leads the translational simulation program at St. Michael's Hospital. His research focuses on the use of in situ simulation and design thinking to support human-centered care. He's also co-principal at Advanced Performance Healthcare Design, a firm that consults with hospitals, start ups and high stake industries using simulation to improve decision making and inform the design of systems, spaces and teams. White paper on simulation informed design.

In 2004, Patrick MacLeamy drew a set of curves based on a pretty self-evident observation: an architectural project becomes more difficult to change the more developed it becomes. For this earth-shattering revelation MacLeamy named the curve after himself (although the title should probably go to Boyd Paulson who drew the curve much earlier [see Noel’s comment to this post]). You have probably seen the graph before. It gets trotted out in every slide deck promoting BIM / IPD / or early-stage environmental analysis.  The key point is that architects expel their effort at a time when design changes are relatively costly. MacLeamy and his disciples advocate shifting design effort forward in the project, front loading it, in order to reduce the cost of design changes.

[Andrew Petrosoniak in Toronto CA][Al'ai Alvarez in Palo Alto CA]

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We Need More Illustrations of People of Color in Medical Textbooks — The lack of diversity perpetuates health inequality and stereotypes "The consequences of primarily depicting White, lighter skinned individuals with Eurocentric features in medical images supports the persuasive concept of White supremacy. It perpetuates the belief that the White male body is "the standard" to which all other bodies should be compared. It leads to inequality in medical education and further perpetuates harmful stereotypes of Black individuals. As a result, this issue plays a role in inappropriate diagnosis and health management of Black individuals. Furthermore, medical care becomes subjective, discriminatory, and filled with speculatory assumptions based on stereotypes."

Jenna C. Lester is founder of the Skin of Color dermatology program at UCSF, which addresses the  persistent issues that arise from the exclusion and marginalization of non-white patients in medical  research and practice. She is combatting medical disparities due to racial inequality, working to fill education gaps in textbooks and curriculum about non-white skin and training a new generation of  doctors. A graduate of Harvard University and The Warren Alpert Medical School of Brown University, she is an assistant professor of dermatology at UCSF where she practices and teaches general dermatology.

Jenna's TedX Talk Susan Y. Chon, a 1991 Brown graduate with an independent concentration in children’s literature, is a professor in the Department of Dermatology at the University of Texas M.D. Anderson Cancer Center. Prior to joining the faculty, she earned her M.D. from Stanford University School of Medicine. She then completed her internship in internal medicine and her dermatology residency at Stanford University Hospital. Chon specializes in treating patients with skin cancers, melanomas and skin disorders from cancer treatments. She is a medical educator and an active mentor for medical students and dermatology residents. She is also director of the Skin Cancer Screening and Prevention Program and founded the volunteer physician program for the Brookwood Community, a residential and vocational program for adults with disabilities. Chon is the president of the Brown Club of Houston, helping to maintain the connection between Brown and its graduates throughout the world, and serves as a member of the Women’s Leadership Council, Women’s Launch Pad and Philanthropy Advisory Group. 

Under-representation of skin of colour in dermatology images: not just an educational issue. Lester JC, Taylor SC, Chren MM. Br J Dermatol. 2019 Jun;180(6):1521-1522. doi: 10.1111/bjd.17608. PMID: 31157429 No abstract available.

Clinical photography in skin of colour: tips and best practices. Lester JC, Clark L Jr, Linos E, Daneshjou R. Br J Dermatol. 2021 Jun;184(6):1177-1179. doi: 10.1111/bjd.19811. Epub 2021 Mar 18. PMID: 33448346 No abstract available.

Integrating skin of color and sexual and gender minority content into dermatology residency curricula: A prospective program initiative. Jia JL, Gordon JS, Lester JC, Linos E, Nord KM, Bailey EE. J Am Acad Dermatol. 2021 Apr 16:S0190-9622(21)00816-1. doi: 10.1016/j.jaad.2021.04.018. Online ahead of print. PMID: 33872717 No abstract available.

Two pandemics: Opportunities for diversity, equity and inclusion in dermatology. Lester JC, Taylorf SC. Int J Womens Dermatol. 2021 Jan 17;7(2):137-138. doi: 10.1016/j.ijwd.2021.01.015. eCollection 2021 Mar. PMID: 33937478 Free PMC article. No abstract available.

Encouraging the next generation of skin of color researchers: Funding skin of color research in medical school and residency. Jia JL, Amuzie AU, Lester JC. J Am Acad Dermatol. 2021 Sep;85(3):e161-e163. doi: 10.1016/j.jaad.2020.11.048. Epub 2020 Nov 27. PMID: 33253843 No abstract available.

Skin Cancer in People of Color: A Systematic Review. Zakhem GA, Pulavarty AN, Lester JC, Stevenson ML. Am J Clin Dermatol. 2021 Dec 13. doi: 10.1007/s40257-021-00662-z. Online ahead of print. PMID: 34902111 BACKGROUND: People of African, Asian, Hispanic or Latino, Pacific Islander, and Native Indian descent are considered people of color by the Skin of Color Society (SOCS). OBJECTIVES: In this study, we assess incidence, risk factors, clinical characteristics, histopathology,    Skin-of-color article representation in dermatology literature 2009-2019: Higher citation counts and opportunities for inclusion. Amuzie AU, Jia JL, Taylor SC, Lester JC. J Am Acad Dermatol. 2021 Mar 24:S0190-9622(21)00617-4. doi: 10.1016/j.jaad.2021.03.063. Online ahead of print. PMID: 33771597 No abstract available.

Establishing the diagnosis of rosacea in skin of color patients. Onalaja AA, Lester JC, Taylor SC. Cutis. 2019 Jul;104(1):38-41. PMID: 31487335 Rosacea is a chronic inflammatory cutaneous disorder that may be underreported and underrecognized in skin of color (SOC) patients. There are several skin disorders that can present with the classic features of rosacea, such as erythema, papules, and pustules, which …

Absence of images of skin of colour in publications of COVID-19 skin manifestations. Lester JC, Jia JL, Zhang L, Okoye GA, Linos E. Br J Dermatol. 2020 Sep;183(3):593-595. doi: 10.1111/bjd.19258. Epub 2020 Jul 16. PMID: 32471009 Free PMC article. Mounting evidence shows that COVID-19 impacts several organ systems, including the s [Jenna Lester in San Francisco CA][Susan Chon in Houston TX]

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Celine Gounder, MD, ScM, FIDSA, is a Clinical Assistant Professor of Medicine and Infectious Diseases at NYU Grossman School of Medicine. She cares for patients on the wards at NYC Health + Hospitals/Bellevue and at Indian Health Service and tribal health facilities across the country. Dr. Gounder is the CEO, President, and Founder of Just Human Production, a non-profit multimedia organization. Dr. Gounder is the host and producer of American Diagnosis, a podcast on health and social justice, and Epidemic, a podcast about the COVID-19 coronavirus. She's written for The New Yorker, The Atlantic, The Guardian US, The Washington Post, Reuters, Quartz, Sports Illustrated, and Bloomberg View. She’s a frequent expert guest on CNN, HLN, MSNBC, Al Jazeera America, CBS, BBC, MTV, Dr. Oz, and Oprah Prime. She’s best known for her print and TV coverage of the Ebola, Zika, COVID-19, gun violence, and opioid abuse epidemics. In early 2015, Dr. Gounder spent two months volunteering as an Ebola aid worker in Guinea. In her free time, she interviewed locals to understand how the crisis was affecting them. She is currently making Dying to Talk, a feature-length documentary about the Ebola epidemic in Guinea.

Dr. Gounder is also a consultant for TEDMED and on TEDMED’s 2017, 2018, and 2020 Editorial Advisory Boards.

Between 1998 and 2012, she studied TB and HIV in South Africa, Lesotho, Malawi, Ethiopia, and Brazil. While on faculty at Johns Hopkins, Dr. Gounder was the Director for Delivery for the Gates Foundation-funded Consortium to Respond Effectively to the AIDS/TB Epidemic. She later served as Assistant Commissioner and Director of the Bureau of Tuberculosis Control at the New York City Department of Health and Mental Hygiene.

She received her BA in Molecular Biology from Princeton University, her Master of Science in Epidemiology from the Johns Hopkins Bloomberg School of Public Health, and her MD from the University of Washington. Dr. Gounder was an intern and resident in Internal Medicine at Harvard’s Massachusetts General Hospital and a post-doctoral fellow in Infectious Diseases at Johns Hopkins University. She was elected a fellow of the Infectious Diseases Society of America in 2016 and featured in the IDSA’s 2017 Annual Report. In 2017, People Magazine named her one of 25 Women Changing the World.

Website: https://www.celinegounder.com/

[Celine Gounder in New York City]

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Jennifer Joy Freyd researcher, author, educator, and speaker. Freyd is an extensively published scholar who is best known for her theories of betrayal trauma, DARVO, institutional betrayal, and institutional courage. Freyd is the Founder and President of the Center for Institutional Courage, Professor Emerit[ of Psychology at the University of Oregon, Adjunct Professor of Psychiatry and Behavioral Sciences in the School of Medicine,[Faculty Fellow at the Clayman Institute for Gender Research, Affiliated Faculty, Women's Leadership Lab, Stanford University, and principal investigator of the Freyd Dynamics Lab. Betrayal trauma Earlier this year, she settled a lawsuit she filed against the University of Oregon after learning that the university was paying her $18,000 less per year than male colleagues closest in rank to her. The university agreed to pay her $350,000 to cover her claims for damages and her attorneys’ fees and also agreed to donate $100,000 to the Center for Institutional Courage.

Kevin Webb is a higher education training professional specializing in Title IX compliance and gender-based violence prevention, as well as equity and inclusion. Kevin has developed, implemented, and facilitated in-person and online training and education programs for students, faculty, and staff at large public and private universities, and produced a variety of education and awareness events around sexual assault and relationship violence prevention in collaboration with campus and community partners. Kevin has developed content for online Title IX/sexual misconduct training implemented by a cross section of American colleges and universities, and provided sexual harassment training for private organizations. Kevin has a Bachelor of Arts degree in Sociology and Organizational Behavior and Management from Brown University, where he served as a teaching assistant in sociology courses dealing with issues of race and social justice, and a Master’s degree in Public Administration (MPA) from the Baruch College School of Public Affairs, CUNY.

In the news: Institutional betrayal Three graduate students file sexual harassment suit against prominent Harvard anthropology professor (Boston Globe) DARVO A high-flying German media giant is ahead on digital media but seems stuck in the past when it comes to the workplace and deal-making. Axel Springer (NYTimes) Women spoke up, men cried conspiracy: inside Axel Springer’s #MeToo moment (Financial Times)

2018 NASEM Report  Sexual Harassment in Academic Science Engineering and Medicine This study examined the prevalence and impact of sexual harassment in academia on the career advancement of women in the scientific, technical, and medical workforce. The report concludes that the cumulative result of sexual harassment in academic sciences, engineering, and medicine is significant damage to research integrity and a costly loss of talent in these fields. It provides a series of recommendations for systemwide changes to the culture and climate in higher education to prevent and effectively address all forms of sexual harassment.

DARVO DARVO stands for Deny, Attack, and Reverse Victim and Offender—a perpetrator strategy. The perpetrator may Deny the behavior, Attack the individual doing the confronting, and Reverse the roles of Victim and Offender, so that the perpetrator adopts the victim role and accuses the true victim of being an offender. This can occur when an actually guilty perpetrator assumes the role of "falsely accused" and attacks the accuser's credibility and blames the accuser of being the perpetrator of a false accusation. Institutional courage™ Institutional courage is the antidote to institutional betrayal. It includes institutional accountability and transparency, as when institutions respond well to disclosures and when institutions conduct anonymous surveys of victimization within the institution and then use the data to become healthier.

Betrayal blindness Betrayal blindness, a key concept of betrayal trauma theory, is the unawareness, not-knowing, and forgetting exhibited by people towards betrayal. Victims, perpetrators, and witnesses may display betrayal blindness in order to preserve relationships, institutions, and social systems upon which they depend.

Betrayal trauma  A betrayal trauma occurs when someone you trust and/or someone who has power over you mistreats you. For instance, it’s a betrayal trauma when your boss sexually harasses you. Our research shows that betrayal traumas are toxic. They are associated with measurable harm, both physical and mental.

Institutional betrayal Institutional betrayal, developed from betrayal trauma theory, occurs when the institution you trust or depend upon mistreats you. It can be overt but it can also be less obvious, for instance, a failure to protect you when protection is a reasonable expectation. Our research shows that institutional betrayal is also related to measurable harm —again both mental and physical. [Jennifer Freyd in Oregon][Kevin Webb in Washington DC]

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Dr. Ashley McMullen is an assistant professor of medicine at the University of California, San Francisco and a primary care internist based at the San Francisco VA Hospital. She is a Houston, TX native and lifelong book nerd, who grew up nurtured by her mother, a pediatric nurse, and grandmother, an ordained minister. Dr. McMullen’s work focuses on the role of narrative and storytelling in medical education as a mechanism for healing, advocacy, and improving care across differences. She served as the host and producer of The Nocturnists: Black Voices in Healthcare Series, a 2021 Webby Award Honoree, and recently launched a new story-telling podcast with Dr. Kimberly Manning called, The Human Doctor. 

[Ashley McMullen in San Francisco CA]

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Accomplished roboticist, entrepreneur and educator Ayanna Howard, PhD, became dean of The Ohio State University College of Engineering on March 1, 2021. Previously she was chair of the Georgia Institute of Technology School of Interactive Computing in the College of Computing, as well as founder and director of the Human-Automation Systems Lab (HumAnS).   Her career spans higher education, NASA’s Jet Propulsion Laboratory, and the private sector. Dr. Howard is the founder and president of the board of directors of Zyrobotics, a Georgia Tech spin-off company that develops mobile therapy and educational products for children with special needs. Zyrobotics products are based on Dr. Howard’s research. Among many accolades, Forbes named Dr. Howard to its America's Top 50 Women In Tech list. In May 2021, the Association for Computing Machinery named her the ACM Athena Lecturer in recognition of fundamental contributions to the development of accessible human-robotic systems and artificial intelligence, along with forging new paths to broaden participation in computing. Dr. Howard also is a tenured professor in the college’s Department of Electrical and Computer Engineering with a joint appointment in Computer Science and Engineering. As dean, she holds the Monte Ahuja Endowed Dean's Chair, which was established in 2013 through a generous gift from Distinguished Alumnus Monte Ahuja '70. She is the first woman to lead the College of Engineering, and the college’s second Black dean. Throughout her career, Dr. Howard has been active in helping to diversify the engineering profession for women, underrepresented minorities, and individuals with disabilities. Dr. Howard earned her bachelor’s degree in computer engineering from Brown University, her master’s degree and PhD in electrical engineering from the University of Southern California, and her MBA from Claremont Graduate University. From 1993 to 2005, she worked at NASA’s Jet Propulsion Laboratory, where she held multiple roles including senior robotics researcher and deputy manager in the Office of the Chief Scientist. Among other projects, Howard was involved in developing SmartNav — an autonomous, next-generation Mars rover — and SnoMotes, toy-sized robots that can explore icy terrain that is too dangerous for scientists. She joined Georgia Tech in 2005 as an associate professor and the founder of the HumAnS lab. The lab focuses on humanized intelligence, which uses techniques such as sensing and learning to enhance the autonomous capabilities of robots or other computerized systems. Among other roles at Georgia Tech, Dr. Howard was program director of the nation’s first multidisciplinary robotics PhD program; associate chair for faculty development in the School of Electrical and Computer Engineering; and associate director of research at the Institute for Robotics and Intelligent Machines. In 2013, she founded Zyrobotics to help translate the lab’s research into commercial products for children with special needs. Zyrobotics spun off as a non-profit in 2020.

More on Ayanna Howard: Podcast: Enginuity podcast Book: Sex, Race, and Robots: How to Be Human in the Age of AI https://www.nasa.gov/vision/universe/roboticexplorers/ayanna_howard.html https://sloanreview.mit.edu/article/real-talk-intersectionality-and-ai/ https://sloanreview.mit.edu/article/taming-ais-can-should-problem/ https://sloanreview.mit.edu/article/diversity-in-ai-the-invisible-men-and-women/ https://www.thehistorymakers.org/biography/ayanna-howard-41 https://ny.pbslearningmedia.org/resource/5aa004f3-f0a8-40e7-8aea-1aa18aa9705d/5aa004f3-f0a8-40e7-8aea-1aa18aa9705d/  [Ayanna Howard in Columbus OH]

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JoAnne A. Epps is a Senior Advisor to the President at Temple University ,and a Professor of Law . A member of the Temple law school faculty since 1985, JoAnne Epps served as Dean of Temple’s Beasley School of Law from 2008-2016.  From 2016-2021, she has served as Executive Vice President and Provost of Temple University.  Author and co-author of several books and articles on Evidence and Trial Advocacy, Epps has won numerous awards recognizing her commitment to diversity and advancing women within the legal profession and community. Epps is a former Deputy City Attorney for the City of Los Angeles and Assistant United States Attorney for the Eastern District of Pennsylvania. 

Serena Murillo is a Judge of the Los Angeles Superior Court. She has presided over the court’s Criminal, Civil, and Appellate Divisions, and served as Justice pro tem on the California Court of Appeal.  She is a co-chair of the Los Angeles Superior Court’s Latino Judicial Officers Association and a professor at the University of California Irvine School of Law.  She serves as faculty for the California Judicial Council’s Center for Judicial Education and Research and speaks on issues pertaining to bias and gender-based incivility in the legal profession.  She is a recipient of the California Chief Justice’s Award for Exemplary Service and Leadership to the Judicial Branch.

. [JoAnne Epps in Philadelphia PA][Serena Murillo in Los Angeles CA]

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Robert McNamara, MD, FAAEM a Professor and Chair in the Department of Emergency Medicine and Lewis Katz School of Medicine at Temple University. He is the past president of the American Academy of Emergency Medicine and currently Chief Medical Officer, AAEM Physician Group. He received his medical degree from Jefferson Medical College in 1982 and then completed his residency in Emergency Medicine at the Medical College of Pennsylvania.  He stayed on as faculty at MCP and was the residency program director until he departed for Temple University School of Medicine in 1999.  At Temple, Dr. McNamara along with his faculty was successful in the creation of a full academic department of EM in 2001 and he currently serves as Chairman at Temple University Hospital, the busiest Level 1 Trauma center in the Delaware Valley.  His scholarly contributions include over 100 peer reviewed articles and abstracts and numerous textbook chapters.  He was involved in the first studies bringing intra-osseous infusion and magnesium therapy for asthma to attention of the EM community.  Nationally, Dr. McNamara is a leading figure in the specialty of Emergency Medicine.  He has been active in leadership roles within a number of medical societies but is best known for his achievements as a founding member of the American Academy of Emergency Medicine (AAEM).  Dr. McNamara served as AAEM’s President from 1996 until 2002. Under his leadership the organization gained national and international stature while representing board certified emergency physicians.  In 2015, he became the Chief Medical Officer of the newly created AAEM Physician Group which seeks to preserve physician-owned practices in Emergency Medicine. Dr. McNamara currently serves as the Premier Open Coach of the US National Dragon Boat Team. Teams under his direction have won 135 medals at the World Championships. Dr. McNamara was born and raised in Philadelphia and currently resides in Lafayette Hill, PA. Follow Bob on twitter and LinkedIn

Darin G Wiggins MD is the vice chair Department of Emergency Medicine Stony Brook Southampton Hospital. He is the chair of the physician leadership committee Stony Brook Southampton Hospital.

[Bob McNamara in Philadelphia PA][Darin Wiggins in Southampton NY]

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Aletha Maybank, MD, MPH currently serves as the Chief Health Equity Officer and Senior Vice President for the American Medical Association (AMA) where she focuses on embedding health equity across all the work of the AMA and leading the Center for Health Equity. She joined the AMA in April 2019, as their inaugural Chief Health Equity Officer. Dr. Maybank previously served as Founding Director for the Center for Health Equity at the NYC Department of Health and Mental Hygiene (2014) and the Office of Minority Health in the Suffolk County Department of Health Services (2006). She is a nationally recognized speaker, writer and advisor on issues related to health equity, the future of medicine, and public health impact. She received her Bachelor of Arts from Johns Hopkins University, a Medical Degree from Temple University School of Medicine, and a Master of Public Health from Columbia University Mailman School of Public Health.

AMA Health Equity Publications

Organizational Strategic Plan to Embed Racial Justice and Advance Health Equity Advancing Health Equity: A Guide to Language, Narrative and Concepts Dr. Aletha Maybank: A Commitment to Advance Health Equity on YouTube https://www.youtube.com/watch?v=nOUB6QFsr1k Prevalence of Personal Attacks and Sexual Harassment of Physicians on Social Media

[Aletha Maybank in Brooklyn, NY]

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Health design thinking uses play and experimentation rather than a rigid methodology. It draws on interviews, observations, diagrams, storytelling, physical models, and role playing; design teams focus not on technology but on problems faced by patients and clinicians. 

Healthcare UX, then, is about the experiences people have with healthcare technology and services. A Healthcare UX designer’s job is to optimise the usability, accessibility and pleasure of healthcare technology and services. Remember, the experiences cannot be guaranteed, but they can be influenced. Clinical UX, a niche within Healthcare UX focused on the experiences clinicians and their patients have with healthcare technology and services.

Dr. Delphine Huang is a medical director at IDEO Health. She works closely with design teams to bring impactful and innovative ideas to life. Her projects span from health products, services, systems and strategy design. She is also a practicing emergency medicine physician and loves hiking the California coast, finding the perfect avocado, and continuously learning from her kids.

Dr Gyles Morrison is a Clinical UX Strategist with a 10 year history in healthcare. Starting as a doctor in the UK, he now works internationally, helping UX professionals and healthcare companies make products and services that are valued by clinicians and patients. His areas of interest are digital therapeutics, healthcare behaviour change, UX maturity and professional development.               https://drgylesmorrison.medium.com/what-is-healthcare-ux-and-why-is-it-so-important-be21b415e681

Health design solutions to improve the care of sickle cell patients with vaso-occlusive crisis in the emergency department

https://www.youtube.com/watch?v=Am5jIA7xKJU

https://drgylesmorrison.medium.com/how-to-learn-clinical-ux-through-mixed-learning-fbf147a42875

Transcript

SUMMARY KEYWORDS design, people, Gyles, clinician, healthcare, IDEO, health, ux, moments, patients, thinking, resistance, therapeutics, clinical, digital, working, Delphine, opportunities, shared, projects SPEAKERS Resa Lewiss, Delphine Huang, Gyles Morrison Resa Lewiss  01:12 Hi, audience. Thanks so much for joining me. And we're talking about a favorite topic, health design and user experience by two guests or subject matter experts in after balancing a few calendars, a few continents and a few time zones. Here we are. Dr. Delphine Huang is a medical director at IDEO health. She works closely with design teams to bring impactful and innovative ideas to life. She's a practicing emergency physician at San Francisco General in San Francisco, and her projects span from health products, services, systems and strategy design. Dr. Gyles Morrison is a clinical UX strategist. He has a 10 year history in healthcare, and he started as a physician in the UK, yes, the United Kingdom. He now works internationally helping UX professionals and healthcare companies make products and services that are evaluated by clinicians and patients. So each of these physician health designers have websites and have lots of projects. I first met Delphine, when I was reading about design and Health Design, and the work of IDEO. They have some really interesting products, looking at diabetes, looking at breast pumps, looking at artificial intelligence, I first came across Gyles, when we were working on a piece together, he ultimately published this in the European Journal of Emergency Medicine in 2021. He talked about an app for the treatment, the Health Design, and patient centered treatment of sickle cell patients in the emergency department. So before the episode get started, we actually were talking a bit about design. And each of them were sharing when they first realized they were thinking like a design or how they implement design in their daily lives. And in both of their cases, they talked about taking care of patients in their clinical environments. Delfina actually added that she realizes in having two young children, she actually is designing on a daily basis. Okay, let's get to the conversation. What strikes me from what both of you have shared is because I know from working in healthcare is there's a lot of resistance. There's a lot embedded in tradition. Too many times we hear well, this is the way we've always done things. So I am sure that you are used to not just the resistance of human nature and people, but specifically the resistances within healthcare. So I'm wondering if you can share for audience members that really trying to wrap their head around this concept of design, where perhaps there's been a resistance, maybe from a patient, maybe from the healthcare team, maybe from the institution, maybe from the built environment, and how you worked through that resistance. Delphine?   Delphine Huang  04:03 Yeah, I mean, I think, you know, like whoever you're working with, whether it's a client or a patient, at the end of the gate, the two are also human. Right. So I think there is a, you know, when we talk about design, we talk about being empathetic, putting ourselves into their shoes. And so when you hit these moments of resistance, it's actually taking a time to slow down and actually understand, like, what is driving that? That thought process for that individual. And so, you know, a lot of love and work, I would say in design, there is the actual thing that you're trying to build or design for app or medical device, but it's also about aligning your lining, what could be multiple stakeholders also that are involved in this and so, you know, I think when you have this moment where it feels more I would maybe she A different resistance to feeling, maybe a moment of tension is to actually take a moment to be like, Okay, how can we better understand this moment tension, because within that, you might actually find the path of clarity that you need in order to then move something forward to design something forward. So an example of this would be like, you know, when we're talking to hospital administration, a lot of them are indoctrinated, or come from the theory of like, you know, LEAN improvements, or Sigma Six. And there are a lot of parallels actually, with that with design, I actually think they actually complement each other really well. And so it's about thinking about like, actually, how do you then speak their language? How do you bring in moments that there they are accustomed to and integrating that in order to be like, well, actually, and how do we elevate them through those means the principles of design, great,   Resa Lewiss  05:56 Gyles, what came to mind?   Gyles Morrison  05:58 So this is really advice, I would offer not just in healthcare as a way to overcome that resistance. But anytime you're facing resistance from people, I'm not a parent yet, but I've been around a lot of young children, or someone who, for whatever reason is against you. And I think it's that whole advice, the general advice that you would get from David Carnegie's How to Win Friends and Influence People comes to mind. And the first big take home for that is to genuinely be interested in other people, which is something we can take for granted when we're talking about friends and family. But when you genuinely care about someone else's interests, it means that you start trying to read between the lines, and whenever there's doubt to ask explicitly, but over time, because you've built a relationship with that person, you instinctively start doing what's right for them, like my wife doesn't have to ask for peppermint tea in the morning, I just notice what she's gonna want, not just from tradition, but I can sense this is probably what she's gonna want right about now. And I think this can be applied very quickly, even when you are dealing with a stranger. Just having that first genuine interest in seeing how you can help that person, which then should motivate you should guide you to be asking the right questions and observing as well, because especially in design, a lot of what we determine the requirements or satisfy a user's needs, doesn't come from what the user tells us, it can often come from what the user shows us, or better still, what we learn from what the user isn't doing or what they can't do. So it's having that inquiring mind, which still first comes from genuine care about this person's interests. So I found that always worked really, really well in healthcare, I think as well, as a doctor dealing with clinical UX and design and is genuine working in digital health. Being a clinician myself is kind of like a superpower, you kind of get a power up, where when you are speaking to fellow clinicians, and you make it very clear from the outset, you're part of the solution to their problem that you're here to help. And you understand generally, even if you've never worked with them in their department, even in their country, generally, because your clinician like them, that they can trust you and that you're going to understand them because you've got a shared language, shared experiences. And so actually, the easiest conversations I've had in digital health, and clinical UX has always been with fellow doctors, more so than anybody else, followed by all other allied health care professionals, and actually is most difficult at times working with non clinicians, who have a very strong opinion about how things should be done. So again, I have to genuinely care for their interests. Is it money that's motivating them? Is it success of the project that's motivating them? And then see, how does that tie back to what I have to do in my job? What is it linked back to my agenda, and then have that common ground and make sure both of us are happy state communicating about our needs, and then that normally leads to success, it breaks down the wall that people can have, or resistance and build that bridge to connect to so that you can walk across and get stuff done?   Resa Lewiss  09:28 Thanks, I really like that reframe, rather than resistance perhaps consider it tension, which can be both positive and it does not necessarily have to connote negative. So in the show notes, the audience will be able to read about your respective work your project, Delphi, and I spent quite a bit of time going through your website reading about your projects. And, you know, most interestingly is your role when you're not an emergency physician at SF general is you are a medical director for IDEO some Audience members may not know about audio. And so I'm wondering if you can share a bit about the company, your role. And can you can you let us know what are you working on right now? Yeah,   Delphine Huang  10:11 Sure. So IDEO is a global design consultancy firm. And we are most like when most people think of IDEO, they think of, you know, products such as Oxo or Apple, I was involved in designing the first Apple mouse, for example. But over the years, besides doing physical products, we also have expanded our services and do a majority of our work in digital experience. And also think about new ventures or new opportunities. So, a lot of times organizations come to us because they have some big question that they're trying to solve. And they're looking for a creative or innovative way to be able to do that. And so, you know, IDEO is a multidisciplinary organization where we were, I think, where our strengths lie, is that we have folks that are spanning from interaction designers, to design researchers, to business designers, to someone like me, who's a clinician, to data scientist engineers, and we believe actually, the collective mind is a lot stronger than the individual mind. And so I think, with that, you know, we are a lot of times given a challenge, and from there, able to explore new avenues that perhaps haven't been thought of yet. In terms of my role, so I am one of the medical directors in our health domain. And my role primarily is to bring in the, the, the perspective of the healthcare ecosystem, and provide that lens of perhaps the different stakeholders that might be a play and the different levers that might be in play when trying to design. And so sometimes I think I think of myself a bit of like, I'm the gut check, of, you know, we can dream all these different different solutions out there. But you know, at the same time, we also have to think about the pragmatism of it, as well, as you know, what is our current state of, you know, our healthcare system. So there's a little bit of my role in terms of projects, and current, I most recently finished a project related to home care services. And I think that this was a you know, in COVID times, you know, this is an area ripe for innovation, you know, we're seeing a lot of movement, healthcare, thinking about what the outside of hospital experience could be like. And especially at home, in our current pandemic. So, you know, I think that, you know, the that this is an area that could be the has a lot of opportunities, because it's actually a lot of patients and families that need, you know, about, I think it's like 70% of patients who use home services or Medicaid beneficiaries. And we actually do see a lot of racial disparities, elder disparities when it comes to outcome and quality of care. So given the one on one nature of home care, I think there are opportunities, one of the things that we explored was, you know, I think they, the key to there a few things that we learned along the way was one, how do we like design and integrate tools, not just for the patient, but actually for the care provider? And what are those opportunities of community interacting patients, even when that provider is not with the patient? So you can build that trust and psychological safety? And second, thinking about how can we design delightful and interactive moments for patients who have a long road of recovery? And so thinking about what is that moments of being able to share progress and build positive feedback so that people are engaged in taking care of their health? So I think, you know, these are some of the projects that we work on. And this is just an example, where design I think, has a lot of can have a lot of tools that can help individuals think through how we can improve a particular situation health.   Resa Lewiss  14:11 Yeah, Gyles I want to get to you about your current work, but I want to first dovetail off Delphine something you shared about access, equity, health disparities, and sort of trying to raise the level of standard that everybody is getting the same care and particularly Health Design, I think is having its moment because of COVID because of and we can talk about the US and Gyles welcome your examples from the UK and Germany. You know, it basically pulled a scab off of the racial inequities, the racism throughout healthcare, in terms of patients and even in terms of health care trainees, but for you know, for the sake of argument here, we're talking about patients the despair The racial ethnic disparities and the racism. So in, as I said, health design, I think is having its moment. And I would wonder, with your role with IDEO, how have you seen that manifest? Are you just bananas, busy with many, many projects, and many, many consultations, you know, what's been coming your way because of the pandemic?   Delphine Huang 15:22 Yeah, I mean, I think when it comes to thinking about equity and thinking about health equity, specifically, IDEO, along with many other organizations that we're actually seeing now are grappling with, how do we how do we, as an organization, as a health care system in the US address, some of the some of the disparities that have really been they're always there, but now really exacerbated and highlighted. And during COVID, and in some ways, there's an awareness that we there, where's not even that imperative that we address these issues. And so I think that design itself really has a role to play in that kind of all the things that we've kind of talked about, of why design is a good can be helpful in these scenarios is that, you know, thinking about how we can in a moment where, you know, COVID has really highlighted these gaps in health care, it also has been an opportunity to really bring out Creative Innovations about how health care can be delivered and to whom we're really delivering it. So I think there are these moments where I think thinking about how both the merging of technology, human centered design, and healthcare come together, are at play right now. And I think we're seeing that across all organ, a lot of organizations out there and how they're approaching their work. There's a piece of organizations being wanting to be introspective about their own journey when it comes to equity at this point,   Resa Lewiss  16:53 Gyles, feel free to jump on that and update us on what you're working on right now. Yes, so   Gyles Morrison 16:59 I primarily focus on either working independently as a clinical UX strategist. So I primarily work on products in the digital therapeutic space. So any evidence base digital tool that can prevent, manage or treat disease, this can be disease anywhere in the world, on any disease, really. But what I love about that work is that you're suddenly moving the power more towards the individual patient to take more control over their health, because they're in a position to record their data most of the time and digital therapeutics and get feedback on their health in real time, within a forms them of what sort of options that they have to improve their health, or even reassure them if they had any previous concerns, which then feeds into any new treatment plans or seeing their primary care physician, so on and so forth. And what I love about this is that a lot of the issues that we face with health inequalities can be easily overcome through the more encouraged use, encouraged development and use of digital therapeutics. So you know, depending on the statistics that you look at, it can be argued that actually, people are more likely to have access to a mobile phone, then immediate healthcare services. You know, even if it's the back in the day, Nokia 9210, with the snake game that people might remember from the 90s, even those devices still can provide a very sophisticated offering to you. So the example I like to give is M-Pesa which is commonly used across Africa, particularly East Africa, which is a completely digital service to manage your money. So you can access your bank account, just through USSD, which is similar to SMS, but it's that hash, hash key and then few digit stuff that you do in your phone, which then gives you access to your ability to not only draw money as cash from an appropriate store, but for you to even send money to other people. Let's think if that instead of having financial data had medical data, you can give even homeless people the ability to own their own health data when they have a mobile phone because many homeless people, even in very deprived parts of the world have a mobile phone. And this is one of the reasons why I love working in digital therapeutics. As I said before, it can bring that shift of power more towards an individual. So anybody who needs healthcare services at some point is going to have to interact with a professional pharmacist or doctor so on and so forth. But there's many medical problems that we have or medical questions that we have, which can be easily solved on someone's own like we've seen this We've encouraged people to, you know, Google stuff, which isn't always so useful because it doesn't take into full consideration the realities of someone's lived experience and their personal health needs. But people are trying to help themselves. But we don't really have a sophisticated suite of tools and technologies to really allow people to do this properly. So that's why I like focusing on the digital therapeutics, because when we do that, right, we will be able to serve underserved people much more with language barriers. Even confidence with using technology to improve their health, we started to empower these populations. And when we satisfy their needs, everybody else who can take modern technology for granted, their needs are satisfied as well.   Resa Lewiss  20:52 Do you want to tell the audience briefly about your online course your clinical UX course? Yes. So   Gyles Morrison 20:57 the clinical UX course, he goes into his second year in January of 2022. So the course is designed to help anybody whether they are new to UX, or experienced in UX, perhaps they've done a recent bootcamp in UX design, or they've even been in UX for 10 years or more, to gain that additional skills, knowledge and experience on working in clinical UX. So how can you change your profession and go into this field, or have it as another string to your bow, so we had nine students graduate this year in 2021. And this is students all over the world, doctors, paramedic psychologists, UX professionals, new and old. And they've loved it. I'm biased, because I taught them. But the feedback has been very, very positive. And students have been able to even get jobs whilst taking the course, because the whole course is taught part time. So it's specifically designed to help people who's in full time education or full time employment, to spend a couple of hours a week on the course, if they're already in digital health or healthcare in general, they can base their coursework on what they do in the day job, or they spend a couple more hours Additionally, in the week, if they're outside of healthcare currently. But it's really to provide people with that experience, and a group of like-minded people globally, who are really passionate about making a difference in health care, food design.   Resa Lewiss  22:32 Great. I want to give each of you the opportunity to ask each other questions. Delphone, you want to start?   Delphine Huang  22:39 Sure, I would love to hear more about you teaching about clinical UX. Actually, I'm curious if you know, whether whether things are moments where you see learners or that are taking on this endeavor of clinical UX. moments for them to what are the moments where it's like an aha moment for them? Yeah, yeah.   Gyles Morrison 23:08 So the most common aha moment, regardless of someone being a clinician or not, is when it's revealed to them the crazy similarities between diagnosing patients and working as a designer, the whole process of there is a problem. So you investigate it. And through your investigations, you might start having ideas of what the solution could be your treatment plan. And so you give it to treatment, but then you still do a check to see you know, you know, an evaluation, further blood test, whatever the investigation that is required, and even still be saved in his life. So here's the treatment, we expect you to get better, but it'd be any problems, come back and see me the same thing you should be doing in design, someone comes with a brief, you gather as much information as possible. And you go through that cycle of understanding the problem, as well as possible, narrowing down to the right problems to solve, exploring potential solutions, testing out improving, and then making sure that if, after someone's been given a solution, they need to make any changes, they can come back to you. And so when conditions in particular, doctors realize that they're like, Wow, I get this, and I care about this. It's, it's not so hard to do is like as much as I need to learn new skills. It's that mindset change that people fit they need to go through as clinicians, we say don't they don't need to change the mindset. The only thing about the mindset that needs to change is to realize that you won't just be now using your medical degree and experiences, there's going to be some additional knowledge you're going to have to have, but otherwise you're in a good place to solve problems in healthcare as a design if you come from a clinical background. And then when the non designers I'm sorry, the designers realize this when the UX to start understanding this as well. They like I now see how Ready got such a common ground with clinicians, I can see how I can start a conversation with them and get them on my side because we've got this shared experience, even if it's seems to be different industries and different problems that's been solved. So that's perhaps the best aha moment that I see. amongst the students. The other one is when they realize how much they can earn, when they stay. That's another one that what okay, I definitely, I really like this whole clinical UX thing. Let's let's go for it, then. Yeah.   Resa Lewiss  25:34 Gyles, what do you want to ask? Delphine?   Gyles Morrison 25:37 Um, I'm really keen to know, what advice would you offer your younger self? Because I'm assuming that you weren't involved with design, before medical school? And if you didn't know about design, then would that have changed your your path in life?   Delphine Huang 26:03 Um, good question. Um, I don't think it would necessarily have changed the path, per se, I think that, at the heart of it, I'm still physician, and I still love the art of medicine. I think that, though, when I, you know, when I think back to folks have come to me and be like, you know, how do I get started on a journey similar to yours, I would say that, that, you know, the path at the end of the day is not clear. Because in medicine, you always have, you kind of have this trajectory that you go on, you go through medical school, and then go to residency become attending. And that path is very clear. But when I think for all of us out here on the call is that is that you have to forge your own path at the end of the day, but that you should take the opportunities as they come because you never know where it will lead you. And it's whether or not it's, you know, helping with a startup just help sit through their UX experience, and you're doing it as maybe something you do as a med student, or going to conferences and meeting different people in the industry, you start hearing some of their pain points, and what they may be struggling with, because a lot of those folks don't have experience in health care, and don't even have a weight of the lens to be able to get it. And so that can be you, right. And so I always tell folks, you know, use the opportunities as you especially as you're going through training, to one learn about the pain points of the industry, but then also learn the pain points of your hospital. Prior to coming out of prior to coming to IDEO. And prior, I had done a fellowship at Stanford called Biodesign. I had never thought about you have this physical product, let's say, let's say a ventilation machine. And then I never thought about who makes that machine? What goes into the design of it. What is components that need to be in there? What is the supply chain from being built in a manufacturer all the way with regulation, with the delivery to and training of an individual to use it, each of those steps, as someone who's early in it, who's working at the hospital had the opportunity to learn and that knowledge is so useful to somebody else in the industry? So I would say that those are the those are the things I would tell folks as they're thinking about either whether it's you know, doing something part time or making the jump fully into industry, that if you're a clinician, you can you can learn those moments and bring that knowledge to others.   Resa Lewiss  28:59 I know I say this every week, what a great conversation. But seriously, what a great conversation. I think it's obvious to you audience how much Delphine Gyles and I love speaking with each other and love the topic of health design and user experience. Delphine shared that this may have been one of her first podcast recordings, and I'm so glad and feel so lucky to be able to amplify her amplify her leadership as a health designer, and amplify her work. As an ideal Medical Director. Gyles and Delphine are people to watch in the health design and user experience space. You audience have a role in health design, you are designers. Think about your health. Think about health care. Think about health care that can better serve society. See you next week. The visible Voices Podcast amplifies voices both known and unknown, discussing topics of healthcare equity and current trends. If you enjoyed this episode, please rate and review us on Apple podcasts. It helps other people find the show. You can listen on whatever platform you subscribe to podcasts. Our team includes Stacy Gatlin and Dr. Giuliano deport you. If you're interested in sponsoring an episode, please contact me resa@visiblevoicespodcast.com. I'm based in Philadelphia, Pennsylvania, and I'm on Twitter @ResaELewiss. Thank you so much for listening and as always, to be continued

[Delphine Huang in San Francisco CA][Gyles Morrison in Badenheim, Germany]

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Dr. Suzanne Rivera is the President of Macalester College. She also is a Professor of Public Affairs, and her scholarship focuses on research ethics and science policy. Rivera has written numerous journal articles and book chapters, and she co-edited the book Specimen Science. Her research has been supported by the NIH, the NSF, the DHHS Office of Research Integrity, and the Cleveland Foundation. She is engaged in numerous civic and municipal leadership roles, including Chair of the Board of Public Responsibility in Medicine and Research (PRIM&R), Appointed Member of the Executive Council for Minnesota’s Young Women’s Initiative, Board Member of the Science Museum of Minnesota, Board Member of College Possible, and Member of the TeenSHARP National Advisory Board. Rivera received a BA in American Civilization from Brown University, an MSW from UC-Berkeley, and a PhD in public policy from UT Dallas.

Head Start Programs Brown University Undocumented, First-Generation College, and Low-Income Student Center 

Transcript

SUMMARY KEYWORDS students, people, brown, feeling, college, Headstart, Minnesota, Posse, support, low income students, financial aid, St. Paul, sponsored, day, job, brown university, group, Marian Wright Edelman, graduate, phd SPEAKERS Resa Lewiss, Sue Rivera Resa Lewiss  00:36 Hi, listeners. Thanks so much for joining me with today's episode and I'm gonna start with a quote. You can't be what you can't see. One more time, you can't be what you can't see. Now this was said by Marian Wright Edelman. She was the founder of the Children's Defense Fund and was one of the original founders of the Headstart program. She graduated Spelman College and Yale School of Law. Now Marian Wright Edelman is not my guest in today's conversation, however, she was an inspiration for my guest. Today I'm in conversation with Suzanne M. Rivera, PhD MSW. Sue. Dr. Suzanne Rivera is the president of Macalester College in Minneapolis. She's also a Professor of Public Affairs. Her scholarship focuses on research ethics and science policy. She received her BA in American civilization from Brown University, a master's in social work from UC Berkeley, and a PhD in public policy from UT Dallas. Now Sue and I have a few areas of overlap. Number one, we graduated college one year apart. Number two is the Headstart program. Growing up in my small town, Westerly, Rhode Island, I was exposed to the Headstart program through my mother. My mother is an elementary school educator, and she did preschool testing for children. And my knowledge at the time was she helped with evaluating children for learning disabilities, for challenges with speech, sound, and sight. Let's get to the conversation where when we get started, Sue is explaining her ideas about mentorship, and who her mentors were, or at least a few of them.   Sue Rivera  02:47 I mean, one thing I tell young people all the time is, don't hold your breath waiting for a mentor who shares all of your attributes who can inspire you because especially if you're from a historically excluded or underserved group, the likelihood that there's going to be some inspirational leader who shares all your attributes is pretty small. So the mentors and sponsors who've made the biggest impact in my life have all been men. They've all been white men, they've all been white men who were significantly older than me and much more accomplished, and who came from backgrounds that were, you know, that had a lot more privileged than my own. And yet, we were able to connect on a deep level and they really opened doors for me. So a couple exams for Harry Spector at UC Berkeley was a great mentor is no longer with us. Another great mentor, for me was a guy named Al Gilman, a Nobel Laureate, who, who I worked for at UT Southwestern in Dallas, Texas, opened a lot of doors for me, encouraged me to go back and get my PhD when I was a 35 year old mother of two school aged kids. And once I got it, promoted me and then what, and then once I had a faculty appointment, invited me to co author a chapter for him with him in the kind of most important pharmacology textbook, that he was responsible for publishing, which means My name is forever linked with his in the literature, which is an incredibly generous gift for him to give to me. People like that have sort of stepped in at at moments where, if not for them, I might not have seen in my self potential that was there. Another person I would mention is a professor from my undergraduate days. Greg Elliot at Brown University in the sociology department, who sort of encouraged me to think about my own interests in social inequality and poverty as things that were worth studying things that were worth studying in a rigorous way as a scholar and not just sort of feeling badly about or complaining about or having a personal interest, but really taking them on as an intellectual project. So he sponsored me for a summer research assistantship, he had me serve as a TA in one of his classes. And he sponsored a group independent study project for me and a bunch of other students. And I'm still in touch with him to this day. He's somebody who certainly helped me think about myself as a scholar at a time where I was really thinking, I was just barely holding on, like, hoping I could graduate with a BA, I wasn't imagining that I could go on to become a professor and eventually a college president.   Resa Lewiss  05:36 People saw in you what maybe you hadn't yet seen for yourself. I was a sociology concentrator, and I took Professor Elliott's class, and I remember him reading from Kurt Vonnegut Mother Night, and it was really moving, he sort of cut to the punch line of we are who we pretend to be, so we must be very careful who we pretend to be. And that stuck with me. And that also launched a whole lollapalooza of reading Kurt Vonnegut.   Sue Rivera  06:07 Yeah, actually, this is one of the beautiful things about a liberal arts education, I think is that you know, so you became a physician after being a sociology undergraduate concentrator. I dabbled in a lot of different things as an undergrad did not imagine I would eventually become an academic, but I feel like the tools I got, from that degree have served me really well, moving between jobs. You know, I originally went to go work for the federal government thinking I was going to do policy work. Eventually, I worked in higher education administration, then I went back and got a PhD in public policy. But, you know, all along as I was making career changes, the tools I got as an undergraduate to think critically and communicate effectively and, you know, think in an interdisciplinary way work with people who have really different perspectives than I have. All of that is just priceless. I mean, so so incredibly valuable.   Resa Lewiss  07:02 Speaking of liberal arts education, let's jump right in and talk about Macalester for audience members that aren't familiar with the college. Tell us about the college and tell us about how it's been to be President.   Sue Rivera  07:14 Well, it's a wonderful college. It's it's almost 150 years old, and it's a originally was founded by Presbyterians and although still Presbyterian affiliated his is a secular liberal arts college, a small private liberal arts college in St. Paul, Minnesota. It has a deep history of being committed to social justice. It was the first college in the United States to fly the United Nations flag, which is still flying outside my window in my office here. And in fact, Kofi Annan was a graduate of Macalester the four pillars of a Macalester education as they're currently described, our academic excellence, internationalism, multiculturalism and service to society. And I think the character of this place actually is not that dissimilar from the brown that you and I know, in the sense that social justice is really important part of the character read institution, but it also attracts people who dispositional li are attracted to activism, to wanting to make a more just and peaceful world who think about their education in a sense as not only a privilege, but also an obligation to go out and make things better. And so the students we attract at Macalester are really sparky, in the sense that they, they, they're, you know, they're really passionate. They all come with it, let's just set aside that they're really academically talented because they all are so that no longer is a distinguishing characteristic once they get here because they're all academically talented. So what distinguishes them when they get here is all the other stuff in addition to being bright, you know, they're, they're committed athlete, they're a poet. They're a weaver. They're a dancer, they're, they're an aspiring politician involved in political campaigns mean that they're all just how they're debater, you know. So whenever I meet students, one of the first things I say to them is, well, what are you really loving right now? Or, you know, what's keeping you really busy right now, instead of saying, you know, what are you taking? Or what's your major, I'm much less interested in what their major is. And I'm much more interested in like, you know, what's got them really jazzed? What are they spending their time on? What's what's so exciting that they're staying up into the middle of the night working on it,   Resa Lewiss  09:40 The timing of your start.  There was an overlap with the murder of Mr. George Floyd. And I'm wondering if you can share with the audience how that sort of set a tone and set an inspiration for your work.   Sue Rivera  09:55 Yeah, it was a really difficult time I actually accepted the job. On January 31, of 2020. So at that time, if you can remember back to the before times, none of us had ever heard of COVID. And the board of trustees who offered me the job, were saying, this is going to be a turnkey operation for you, the previous president had been here for 17 years, smooth sailing, really easy transition, you know, easy peasy. And three weeks later, you know, every college in America started closing because of COVID. And I realized, wow, this job is about to get a lot more challenging. I was in Cleveland, Ohio at the time at Case Western Reserve University. And I was sort of watching as the news was unfolding, but also doing my job at another higher ed institution. So I could anticipate how it was going to get more difficult to come to McAllister, then literally on the day that I got in my car to drive to Cleveland, to drive to St. Paul from Cleveland to take this job was the day that George Floyd was murdered. So as I was driving all day, north of Michigan, and then across the up of Michigan, going west to St. Paul, I would drive all day and then turn on the TV at night and watch the news. And as we approached St. Paul, the city was deeper and deeper in grief and righteous anger and fear National Guard troops were coming in, there were fires all over the place. In fact, I was supposed to start the job on a Monday and arrive on a Saturday and I got a call on that Saturday while I was on the road saying don't try and come into the city because we've got a curfew. And it's not feeling safe right now. Just get in a hotel outside of the city and try and come in tomorrow. So I arrived really on Sunday in St. Paul to start the job on Monday. And I and I recognize that my first day was going to be very different than what any of us had imagined. Because what the, what the moment called for was to name the pain and grief and anger everyone was feeling. And to try to address people's grief in a way that was honest about the challenges offer some comfort, but also a call to action about how we could be how we could be of help how we could be of service. So you know, the first couple things I did that week were one was I attended a silent vigil that was organized by the black clergy of St. Paul from various different faith, faith communities, I also attended a food and hygiene drive that was organized by our students, you know, it's just a lot, you know, we stood up a mutual aid fundraising drive, within the first couple of weeks, it was just a lot of attending to the immediate needs of the community. And also, all of this was complicated by having to do almost everything by zoom, you know, so, you know, Zoom is good for a lot of things. But when people are crying when people are scared when people, you know, our international students, many of them couldn't go home, because of COVID. So they were staying over the summer, it was just very, very complicated and didn't look anything like what we thought it was going to look like. And what I didn't have was a reservoir of trust built up with this community. And the only way I could talk to people was on a computer screen, which doesn't give the full benefit of body language. It doesn't give all you know, everything you learned from being in a room with somebody. The various facial expressions, the way the way that when you talk to a roomful of people, you see two people make eye contact after you've said something and you recognize you have to go follow up with them and see what that was all about. You know, none of that is possible on Zoom. And, and it was just it was just an impossible summer. It was very, very difficult. I was trying to introduce myself at a time where I also had to deliver a lot of bad news to people. You know, we were having to take all sorts of difficult decisions about keeping the residence halls densifying the residence halls by telling some people they couldn't move back in August that was disappointing for them taking decisions related to the college's finances, like suspending contributions to employees retirement accounts for six months until we could understand how we were going to do financially. arranging for testing COVID testing was incredibly expensive and something we hadn't budgeted for figuring out where to put hand sanitizer and plexiglass and what our masking policy should be. I mean, really, it was like being a full time disaster management person not being a college president. And in many ways, the whole first year was was not being a college president. It was it was just one really challenging, ethical or logistical decision after another all year long.   Resa Lewiss  14:50 According to my reading in 1991, you delivered your graduation class orration and I'm wondering if you can fill us in on about what you spoke   Sue Rivera  15:04 well, I, you know, I basically I talked about my unlikely journey to being an Ivy League graduate and what that could mean for all of us about the possibilities of you know pathbreaking of moving into uncharted territory. When I, when I went to college, we didn't have the expression first gen, and we didn't have really a sense of pride around being a financial aid student to the contrary, my experience at an elite institution was that if you were there on financial aid, and came from a low income background, that you tried to hide it as much as possible in order to fit in, you know, back then Brown had a policy of limiting financial aid students to 30% of the student population. And that meant even just students who only had loans and got no grant awards. So just imagine an environment it's not like that anymore, I should clarify, Brown is not like that anymore. But back then 70% of the student body were full pay, meaning their parents could write the whole check. And just imagine what that means when the tuition is significantly more than the, you know, median income for a family of four in this country. It means you're, you're in a really elite and I daresay elitist environment. So what that meant if you were a student on financial aid was that it was kind of a scary place, it was kind of an alienating place. And when I arrived there, I really felt like a fish out of water. I thought about transferring, had a job in the Ratty in the dining hall. You know, my work study job, where I was sort of serving other students and feeling I don't know if I would say inferior but definitely had a sense of imposter syndrome. Like you know, one of these days somebody is going to figure out I don't really belong here. And the turning point for me was that in in the spring semester of that first year for me, a chaplain, Reverend Flora Kashagian who I don't know if that's a name, you know, but she offered like a discussion group, she and Beth Zwick, who was the head of the Women's Center offered a discussion group for students struggling with money issues. So I opened the school newspaper one day, and there's an ad in there. That's like, I don't even remember what it said. But it was something like are you struggling with money issues? Are you on financial aid, you know, are things tough at home, and you don't know how to talk about it come to this discussion. And let's rap about it. And for whatever reason, that spoke to me and I, I went, and there were like, 11 or 12 people in the room for this discussion group. But it was like the Island of Misfit Toys. Do you remember that, that that Christmas cartoon where like, every toy is broken in some kind of way, but they all have their gifts, right? Every student who showed up for that thing had a different non traditional path to get to brown and we were all broken in some kind of weird way. You know, for me, I had grown up in an immigrant home on was on public assistance, food stamps, free lunch, you know, you name it. I was there on a on a Pell Grant, which are, you know, the neediest students. And there were other people in the room who came from really different environments. I grew up in New York City, but there were other people who were like, from a rural farm family, or, you know, I mean, just all everybody had different reasons for why they came to that discussion group. But it was magical because we all saw each other in a really like, pure and non judgmental way. And we could all be real with each other. As it turns out, one of the other 11 people was the person who would eventually become my spouse. And other people in the room that day are lifelong friends. I mean, we really bonded, we ended up forming a club called sofa students on financial aid. We even have little T shirts made up that said, so far, so good. And it had like a picture of a couch that was all ripped and torn on on the front. And by making it a student club, that got incorporated by the student government, we kind of created legitimacy for ourselves on campus, and started to create a way of talking about being from a low income background that didn't feel shameful, that felt prideful, not prideful, in the sense of hubris, but in the sense of like, acknowledging the distance traveled was great that we were not born on third base. And yet we were here sort of competing with people who had every advantage in the world and having a sense of deserving to be there or belonging there. So by the time I was a senior and I got selected to give the one of the two oratory addresses at graduation, the theme for me really was one of triumph of having overcome all of those hurdles and feeling like finally I feel like I deserve at this place. I earned my spot here.   Resa Lewiss  19:57 In my freshman unit, there was a woman with whom I'm still very, very close. She is an attorney. She's an LA county judge. And she transferred from Brown for some of the reasons that you considered transferring. And she to this day says that it's one of her biggest regrets. And also she really feels if they were more visible vocal support for first gen students than she thinks it would have made a huge difference for her.   Sue Rivera  20:29 Yeah, no doubt and and Brown has come a long way. In this regard. I consider them a real leader. Now they have this you fly center. It's like it's an actual center on campus for people who are undocumented first gen or low income. And they get extra support. They have a dedicated Dean, they have programming. I think it's a real testament to the seriousness with which Brown has taken the unique challenges that face low income students going to a place like that. It also helped a lot that between Vartan, Gregorian and roof Simmons, two presidents, who I greatly admire from Brown, they were able to raise the money to provide financial aid to students who need it, but also to go need blind. So I told you that at the time that I went there, they limited the number of students on financial aid to 30% of the student body, that's no longer true. Now, when you apply to brown, you are admitted without regard to ability to pay and they commit to meet full need. So I think it's a much more socio economically diverse student body today. And I think Brown has really been a leader in how to increase access and support low income students when they get there, because I think it's a two part problem. You know, just letting people in. But allowing them to sink or swim is really not helpful. You need to increase access, but then also provide the support necessary so that the that educational opportunity is a ladder to economic mobility, people have to actually be able to finish, you know, complete the degree, and then go off and have a career afterwards in order for the opportunity to really, you know, fulfill that promise.   Resa Lewiss  22:16 Yeah, it reminds me a bit of what you described with the Headstart program of not just, you know, supporting this one individual child, but it's actually the system in place. So similar, like it's one thing to get in, but you have to help the student, succeed, thrive. Be healthy in that environment. I believe I've read that you that you're actually doing work to increase access and admission of students that may have fewer resources in the state. Can you talk a little bit about that initiative?   Sue Rivera  22:47 Yeah, I'd love to. So when I arrived at Macalester again, just like a little over a year ago, Macalester already had a relationship with the quest Bridge Program, which is one way to recruit first gen and low income students. But of course, we take those from all over the country. We also had other cohort programs like the Bonner Scholars Program and the Mellon Mays program. But after the murder of George Floyd, one thing that I heard a lot from people on campus was that while Macalester had done a great job recruiting a diverse student body from not only all over the country, but also all over the world. We have a very international student body that we hadn't done as much to focus on students from right here in Minnesota, especially talented students from historically excluded groups from right here in Minnesota. So we did two things last year. One was that we established a new fund called the Minnesota Opportunity Scholarship Fund, which is an effort to raise scholarship dollars that will be targeted specifically to talented students from Minnesota. And the second thing we did was that we joined forces with the Posse Foundation to sign on as a posse school, whereby Macalester will become recipients of the first posse from the state of Minnesota. I don't know if you're that familiar with posse, but that's a program that's 30 plus years old, that that's based on the Really clever idea that that their founder Debbie Bial had, which is that if you pluck one student from an under resourced High School, and you send them across the country to a private liberal arts college, they may feel like a fish out of water. But if you cultivate a cohort of students from a city, and you give them in high school leadership training and other kinds of support, and you foster trust and friendship among them, and then you take a group or a posse, if you will, and you take those 10 students and send them all to the same liberal arts college, the chances are, that they're going to be better equipped to persist and complete because they have each other you know, they don't have that feeling of walking into the dining hall and not seeing any familiar face. We're not having anybody who knows what it's like in their home city neighborhood. You know, the same feeling I had when I walked into that room and I saw the other Misfit Toys sitting around in a circle. The posse already formed a trusting cohort that can keep each other company and offer support through the four year experience of college. So we are adding posse to our other cohort programs here on campus. But we've specified that the posses gotta come from here in Minnesota, they will come from the Twin Cities, either Minneapolis public schools or St. Paul Public Schools. And we're going to get our first group of 10 in September, and we will give them all full tuition scholarships. It's really exciting. Yeah.   Resa Lewiss  25:47 Wow. What a conversation and honestly, I could have kept speaking with Sue for quite a while. I think she enjoyed the conversation too, regarding my friend that I referred to in the conversation. Attorney judge Serena Murillo. As I said, we're still friends, and she knows that I had tipped her during this episode. And all I can say is, listen to your heart. Listen to your brain. Have a growth mindset and know that your professional path is not linear. Thanks for joining and see you next week. The visible Voices Podcast amplifies voices both known and unknown, discussing topics of healthcare equity and current trends. If you enjoyed this episode, please rate and review us on Apple podcasts. It helps other people find the show. You can listen on whatever platform you subscribe to podcasts. Our team includes Stacey Gitlin and Dr. Giuliano Di Portu. If you're interested in sponsoring an episode, please contact me resa@thevisiblevoicespodcast.com. I'm based in Philadelphia, Pennsylvania, and I'm on Twitter @ResaELewiss. Thank you so much for listening and as always, to be continued

[Suzanne M Rivera in Minneapolis MN]

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Carol A. Bernstein, MD is a Professor of Psychiatry and Behavioral Sciences and Obstetrics and Gynecology and Women’s Health at the Montefiore Medical Center and the Albert Einstein College of Medicine.  She is also a Senior Scholar in the Department of Education and Organizational Development for the Accreditation Council for Graduate Medical Education a member of the National Academy of Medicine’s Action Collaborative on Clinician Wellbeing and a Past President of the American Psychiatric Association.

J. Corey Feist, JD, MBA is a health care executive with over 20 years of experience. Corey is the Co-Founder of the Dr. Lorna Breen Heroes’ Foundation and Corey currently serves as the Chief Executive Officer of the University of Virginia Physicians Group, the medical group practice of UVA Health comprised of 1200+ physicians and advanced practice providers. Corey also holds an adjunct faculty appointment at the UVA Darden School of Business where he recently taught a course entitled “Managing in a Pandemic: The Challenge of COVID-19″. Corey is also the Chair of the Board of the Charlottesville Free Clinic. Corey holds his Masters in Business Administration from the UVA Darden School of Business, his Juris Doctorate from Penn State Dickinson School of Law and his Bachelors degree from Hamilton College

The Dr. Lorna Breen Health Care Provider Protection Act, (S. 610  and HR 1667) which unanimously passed the US Senate on August 6, 2021, the Health subcommittee of the House Energy and Commerce Committee on October 26, 2021 and the full Energy and Commerce Committee on November 17, 2021 aims to reduce and prevent suicide, burnout, and mental and behavioral health conditions among health care professionals. Health care professionals have long experienced high levels of stress and burnout, and COVID-19 has only exacerbated the problem. While helping their patients fight for their lives, many health care professionals are coping with their own trauma of losing patients and colleagues and fear for their own health and safety. This bill helps promote mental and behavioral health among those working on the frontlines of the pandemic. It also supports suicide and burnout prevention training in health professional training programs and increases awareness and education about suicide and mental health concerns among health care professionals. Further reading:

https://www.congress.gov/bill/117th-congress/senate-bill/610?q=%7B%22search%22%3A%5B%22S.+610%22%5D%7D&s=1&r=1

https://drlornabreen.org/about-the-legislation/

A Key Differential Diagnosis for Physicians-Major Depression or Burnout?

Transcript:   SUMMARY KEYWORDS stigma, people, burnout, talk, lorna breen, mental health, physicians, psychiatrist, mental health services, depression, burn out, challenges, medicine, feel, healthcare professionals, heard, licensure

SPEAKERS Resa Lewiss, Corey Feist, Carol Bernstein   Carol Bernstein. 00:02 We really are a long way from where we were. You may know that in 2003, the AMA brought together a panel of experts and issued a consensus statement on physician well being and said this was a big problem and that physician mental health needed to be prioritized and it went nowhere. But we are at a different point in time. And this is about seize the moment.     Resa Lewiss  00:54 Hi, audience. Thanks so much for joining me. In today's episode, we are going to speaking about health care, professional mental health, suicide prevention, burnout, depression in all sorts of things in the healthcare professional world. I'm going to start framing the episode by reading you a little blurb from the Dr. Lorna Breen heroes Foundation website. Healthcare professionals have long experienced high levels of stress and burnout and COVID-19 has only exacerbated the problem. While helping their patients fight for their lives. Many healthcare professionals are coping with their own trauma of losing patients and colleagues in fear for their own health and safety. So with that, as a start, you're going to hear a lot about stigma, the stigma surrounding mental health talking about mental health seeking help for mental health. My two guests are Dr. Carol Bernstein, and attorney Corey Feist. Carol is a psychiatrist. She's a Professor of Psychiatry and Behavioral Sciences and obstetrics and gynecology and Women's Health at the Montefiore Medical Center and the Albert Einstein College of Medicine in the Bronx. She is also the past president of the American Psychiatric Association. Attorney Corey Feist is a healthcare executive. He's the co founder of the Dr. Lorna brain heroes foundation. He's the brother in law of Dr. Lorna Breen. And he currently serves as the chief executive officer of the University of Virginia Physicians Group. Now, the topic is serious, and it can be triggering for some of you. If at any point, you want to take a break, take a pause, turn off the episode, please do so. And now, let's get to the conversation. When we start, Carol is talking about physician suicides in New York City, and how that was a pivotal moment for talking about health care, professional mental health. Here we go.   Carol Bernstein  02:40 In 2014, there were two interns who died by suicide in New York City wasn't someone at my institution, but I knew colleagues of the people who were involved. And at the time, I was sitting on the ACGME board of directors. And at our September 2014 board meeting, we had an extensive conversation about what was going on. And as I was listening, and I happened to be the only psychiatrist in the room at the at that time, I'm listening and I'm thinking, oh my goodness, if we can get doctors to look inward at themselves, they'll do a much better job at looking outward at the mental health issues that affect our patients. And that was the stimulus for me. I mean, I'd been involved in graduate medical education my whole career. But depression and suicide per se, had not been an overt interest of mine, although clearly the well being of my trainees had been very important to me throughout my career. But that was the driver. And that was really the kickstart because our we set up a task force at the ACGME that I co chaired with Tim Brigham. And that was really the stepping stone for what subsequently became the action collaborative at the National Academy of Medicine, the action Collaborative on clinician well being, and all of a sudden, I found myself really, really invested in that, particularly because my passion throughout my life has been making good physicians. And if we have physicians who are burned out depressed, anxious, miserable, for whatever reasons, they're not going to be able to give good care to our patients to say nothing of their own lives.   Resa Lewiss  04:27 Cory You come to the conversation wearing many hats. Why don't we jump right in: Update the audience on the Dr Lorna Breen heroes Foundation, and most recently the health care provider Protection Act.   Corey Feist  04:41 So Resa, thank you so much for having me today and thanks for having me back. This is this past year we have done so many podcasts and speaking engagements, but this is the first one I've been invited back to so it's really a pleasure to be here with you today. The last 20 months of the Dr Lorna Breenheroes Foundation have been incredibly fruitful in terms of making an impact in the areas of awareness, advocacy, and education of the challenges that the healthcare workforce has right now. In the past 20 months, and since we talked 12 months, we have now reached over 150 million people with the story we've published in the last year, six additional national publications, including an academic publication on physician suicide. We've launched a website called NPSA.org, which is now stands for National physician suicide awareness day.org, which is chock full of resources for hospitals and institutions. We have now been published over 300 articles that all accumulate to the 100 and 50 million people that we've reached. More importantly, though, we have heard from countless physicians, family members of physicians, nurses, family members of nurses about the impact of this storytelling and how the behavior change is followed. In addition to that, we have heard from mental health professionals who have commented about how important it was for us to share the information about Dr. Breen's concerns with regard to her license stigma so that they could pick it up in the language that their physician patients were sharing. weave in. So in that way, we've heard from many that that this work has been life saving, and enabled others to take care of each other. Advocacy has been something that we have spent a tremendous amount of time in as well. The Dr. Lorna Breen, healthcare provider Protection Act unanimously passed the Senate. The House of Representatives currently is voting on the legislation, it unanimously passed the House Energy and Commerce Subcommittee on Health, it is about to be voted on by the full Energy and Commerce Committee. And then the full committee, I'm sorry, the full House of Representatives, we will have law by the end of the calendar year. And on top of that, because the many of the grant provisions in this new law were already funded in the American rescue plan, which was in the spring, a really early late winter, early spring of 2021. HERSA is already allocating the dollars associated with the Lorna Breen act. So we've made tremendous progress there. I'll end by saying our advocacy work has also extended to states hospitals. On the September 9, we published an article in US News and World Report, which identifies six barriers to stigma. So I'll pause there by saying that we have spent a lot of time and advocacy and awareness. At some point in this podcast. I also get to tell you about our educational work, too, because it's cascading the country.   Resa Lewiss  08:14 Carol, you have been shaking your head, agreeing, knowing thinking, What is your reflection?   Carol Bernstein  08:21 Well, first of all, I want to thank both of you both Resa for inviting me and Cory to this podcast and for all of the work that you've both done in educating the general population about these challenges. Certainly, they've been true forever. Cory, I'm really sorry, for the loss that your family experienced. I think it is amazing that you've been able to grab this and use it and turn it into something that from what I've heard about your sister in law, she would be so proud of that you've been able to take it and move it into something that's meaningful and productive for everyone. And that will help not only other doctors, but all of our patients as well. This stigma there, the annual meeting of the American Psychiatric Association always has a theme. Usually it's a whole lot of words like you hear in a strategic planning mission. The one the one Sentinel word that I ever heard to describe a meeting somebody theme was a psychiatrist named Paul Fink in the 90s. And his theme was overcoming stigma. That is the only that is the only language that I remember from all of the American Psychiatric Association meetings that I ever went to for a theme to show you how long it's certainly been around. It's been around much longer than that. I mean, the stigmatization against mental illness is endemic for millennia. You know, people were always sequestered and hidden and it was shameful. It even took me Most of my career to talk openly about my mother's bipolar illness, and I was president of the American Psychiatric Association, and still never thought to make a public statement about that, because everybody's been impacted in one way or another by some family member who has struggled with a psychiatric illness. And given the macho tradition and culture in medicine. You know, it's certainly been hidden and shameful, and a real problem for those of us in the medical profession as it has been throughout the country for everyone. And I think if we can see people that we admire, and respect and look up to talk openly about the challenges that they have faced, that that will make a difference, and will make it possible for all of us to be more tolerant of each other and to help each other out, which is something that I think, sadly, we've lost in the country in general, and that the COVID pandemic has clearly made much worse.   Resa Lewiss  11:04 Rather than talking about the stigma of the past, let's talk about the stigma that is still present today, because I just recorded an episode on gun violence with the Chair of trauma surgery at the University of Chicago, and a former emergency medicine chief medical officer, and everybody who's saying yes, like physician should get treatment. Yes, physicians should address their mental health. It's very important for trainees. I think we're hearing people say that more people in leadership position, but I don't know how people feel they can really actualize it because of the stigma that still exists. So Carol, I'm wondering if you can address that. And Cory, please weigh in on what you've learned your thoughts.   Carol Bernstein 11:45 Well, you're completely right Resa. And I can't even tell you the stories that all of us in psychiatry have heard, which is, if you're a good student, they say to you what, why are you going into psychiatry, you should be going into XYZ. I mean, the good news is, as stigma against about mental illness is reducing, and it's very different now than when I finished medical school, more and more, that we were seeing a huge uptick in the number of students selecting psychiatry as a career. So that's really the very good news. But I think that people are ashamed, you know, we doctors feel very strongly about having to be the best do the best jump through hoops in order to go to medical school, and we are used to succeeding. And when we can't succeed, the shame and embarrassment, and, you know, just feeling really awful is quite profound. And so I think that that's contributory. And the fact that applications for licensure is you know, for credentialing. And I'll tell you, if we have time a little later, I'll talk about a very neat initiative that may come through the AMA House of Delegates, but there are stigmatizing questions on licensure examinations, they question questionnaires, they say, Have you ever been treated for a psychiatric illness? They don't say, Have you ever seen your general practitioner? So it's embedded in our culture, that mental illness seeking help for depression, for anxiety, for suicidal thinking, that all of that is something to be ashamed of, and to be hidden? And that we should know, just pull up your bootstraps? Don't ask for help. It's not okay. And that's through our families through our culture, through the population in general.   Corey Feist  13:38 I would add three, three points to that. The first is like any, any change initiative starts from the top and then maybe at the bottom, the behavior has to be modeled, right. So the more that we can get the frankly the senior physicians to start talking about their experiences, because I will tell you since the New York Times, first article on Dr. Breen's passing the day after she died, I have heard from more senior physicians about their personal private struggles, then, then about any other group that we've heard from other than their families. And so the more that we can get those at the top of that hierarchy, which is in that hierarchy and medicine, speaking, and then modeling the behavior would be is is one critical piece. The second I would say is that the expectation of our learners about the environment that they're going to mature into is very different. They have different expectations, and this has been evolving. I've been in healthcare over 20 years and I've heard about the evolution of, you know, work life balance and the demands by the future Gen. But I do think that particular to mental health, the expectations, and the openness, which this generation that is coming up is speaks about their mental health is a little different, is a little different. The third thing I would say, and this is to Carol's point, and this was the article that we published in US News and World Report, we found these six areas where stigma is, is really institutionalized or incorporated into questionnaires. It's incorporated into the medical plan, design of map of the medical plan that you have as a doctor at a hospital where it requires you to use the same services of your hospital. But when it comes to mental health, that just reinforces stigma. We've heard about it when it comes to your mental health medical records, being able to be subpoenaed in a malpractice case that you're a defendant. So then there's and then there's the credentialing and the licensure and all the questions. And one of the things that we've done, though, and I truly, I've heard that, that this is already making an impact is just to ask hospitals to publish for their own what the current state is in your hospital. In New York, you're in New York, does licensure require disclosure in New York? It does not. And I know that because Dr. Breen was convinced it did. She was convinced beyond any doubt that by obtaining mental health treatment for the first and only time in her life, that she was going to lose her license. So for us, this is personal. But just by publishing a report card to those who you work with, you know, knowledge is powered in this case, it can it really, it can allow folks to obtain, you know, it removes a barrier to obtaining access to mental health care that otherwise, otherwise would, you know, would be there, absent that knowledge. So, so those are the three points that I would make, I'm totally in agreement on the stigma thing. I'm also very, I would just say hopeful that where we are now, and maybe some of the some of the silver lining of the pandemic, is, I don't know anybody who doesn't have a mental health challenge right now for the pandemic, regardless of your walk of life. And so maybe just maybe it comes becomes part of the common conversation more common than it was before?   Carol Bernstein  17:32 Well, I'm, I'm hoping this is a tipping point, I actually thought before COVID That we were at a tipping point, because of all the changes in medicine, I wanted to make at least one other point, which is, and it relates obliquely, to the stigma thing. And by the way, just so everyone knows that the Federation of State medical boards published a template for what the question should be on licensure exams that are not stigmatizing. And in many states who had stigmatizing questions have changed their licensure requirements. So that's really important. And Cory, you're absolutely right about New York, there isn't a single stigmatizing question on our licensure application. I do want to say that reimbursement for mental health services from Medicare for Medicaid from our commercial insurance companies is abysmal. A GI Doc can do a colonoscopy that takes them 10 minutes, I'm making up the numbers gets $3,000 to do it, and we get $100 for spending 45 minutes with a patient. So stigma really impacts directly the access to care issues, which is another part of the problem. It's not just the stigma. It's having people available, who can provide the mental health services and we don't have enough. And part of the reason that we don't have enough is because the system the system that we live in, believes that it's more appropriate to reimburse for cardiology procedure than it is for a mental health service.   Resa Lewiss  19:08 Yeah. You mentioned about something coming through the AMA House of Delegates.   Carol Bernstein  19:13 Well, I'm very, I was very excited about this, because it's in a teeny little way, it may be a way to address some of the stigma issues. So now that we've conquered licensure, which I think we have, now it moves into credentialing. And if you look at your own our own institutions, there are still stigmatizing questions on the credentialing applications. And I think I hope it makes its way through the AMA house of delegates that Kim Templeton at the University of Kansas is pushing forward a resolution that would say to Jayco to CMS, that you will ding hospital systems that have discriminatory questions on their credentialing applications. So it's not even saying it's taking the regulatory advice. MIT and turning it on its head and say, you're going to get dinged, you're not going to get payment, you're going to get a problem if you continue to have stigmatizing questions on your credentialing applications. And I think that's a big way to start to make change where it has to happen, besides the amazing, incredible advocacy work that Corey has been able to do with Congress, which is astonishing to me, and thank you.   Corey Feist  20:27 It's my pleasure Carol truly is.   Resa Lewiss  20:31 So Carol, before the show, I typed your name into PubMed, and I looked at that on what you've published, and a few titles caught my attention. One specifically was the differential diagnosis between major depression and burnout among physicians and can you walk Resa Cory and the audience through these distinctions?   Carol Bernstein  20:54 Well, thank you very much for that Resa. I in several of my colleagues, I think that piece I wrote with Laurel Mayer and Maria Oquendo. And Maria happens to be the chair at Penn Laurel runs the resident mental health services at Columbia. And she was directly involved after Dr. Breen’s untimely death. So we've talked a lot about what that means. And what's important is that the symptomatology can be similar what you feel when you're depressed, sad, apathetic, isolated, no energy, loss of interest, loss of appetite, difficulty sleeping, all of those symptoms you can be experiencing when you're burned out. But at least from you know, we talk about burnout as being a response to the environment. And it's kind of a simple way to make a distinction, but usually burnout will respond to rest time away, time with friends, colleagues, and you'll feel better, and we don't know yet that it responds to any depressant medication. And, and it is the response to systems are better at issue, not your own personal physiology, which may contribute to depression. Depression, on the other hand, can look the same. But if you're feeling depressed, no matter what you do, or where you go, you're still going to feel terrible. And what's really important to distinguish between the two is that burnout looks to the system for the solution. And depression looks to mental health for the solution. Now, there it is a Venn diagram, there is an interface, but you don't want to be saying to somebody who's depressed, oh, we just have to adjust the regulatory environment in the hospital. Conversely, you don't want to be saying to somebody who's burned out, go see a psychiatrist. So we want to be as careful as we can and understanding what the differences are. And that the two can work synergistically. People who are depressed can be experiencing burnout worse, and people who are burned out, can if they're susceptible, if they have a, what we call a diathesis. for depression, they can get depressed, given the circumstances.   Resa Lewiss  23:15 You said something about if someone is burnt out, you don't want to send them to a psychiatrist. Can you just clarify that a bit?   Carol Bernstein  23:21 Well, I'm talking in in a purely linear fashion, I'm very much about for burnout, trying to look at systemic solutions, and not putting the onus on the individual to feel better, which is, which is why I say that. But of course, if you're burned out, seeking mental health treatment may help you find some individual solutions to the situation since we know that systemic change is very hard to manage. We need efforts like the one Cory has initiated with Congress to really do it on a large scale, and what's happening with the National Academy. But so I don't want to say you shouldn't go to see a psychiatrist. I'm just saying, we want to be sure a not to miss depression, when it's really happening, and get treatment for people who need it. And if people are burned out not to forget that the bigger issue here is the system, and that we don't want to put the onus on the individual to fix it.   Resa Lewiss  24:20 Yeah. Thanks for that clarification. Go ahead, Cory.   Corey Feist  24:22 Yeah, I'd like to reinforce with what Carol just said there, because if I've heard from one doctor, I've heard from probably 1000, that when it comes to burnout, we don't need more meditation apps. That is That is literally a quote I have heard hundreds of times and let me be clear, I love meditation apps. I meditate all the time. I learned about meditation when I went back to business school and it was very stressful. So it is definitely very effective. But to Carol's point, and this is the big challenge that the entire healthcare industry has here is that it is found itself in a in a position where it The way that healthcare delivery is designed, burns out right now 55% of the workforce. And that is not a sustainable delivery system. So we have to redesign the coal mine. And what I've heard from those physicians and nurses who have said, If you give me another meditation app, I'm going to shove it right back in your face is redesigned my workplace so I can do my job. So I can thrive. So I can feel valued, by shifting by telling me that I just need to go get a meditation app, or do yoga, or even take the day off, what you're telling me is, this is my problem to solve. And you have abdicated or in some ways, just put a bandaid on the solution. And that's where I think we've got to do both we absolutely because right now the workforce is really, really struggling. And so we've got to give them interventions right now to support them in whatever that that fashion. But our longer term play, or I should say, maybe our intermediate and longer term play is gonna be to redesign this so that we prevent these in the future.   Carol Bernstein  26:08 And just to add completely, completely agree with Corey, that the challenge that we have is that the individual solutions are the easier ones to talk about. It is much harder to say no. I mean, I like the idea of Chief wellness officers, sorry, one person is not going to fix the system. We need an army of people. And they're different. They're different in different specialties. The challenges, they're different in different workplaces. They're different for different disciplines, nurses have certain challenges, physicians have others. The Transport Workers have others. I mean, there are multiple layers to this, that all require targeted solutions at on a systemic level. But people get so overwhelmed by that, that they say okay, here's another meditation and I'm like, No, I'm, I'm sorry, I haven't managed to do meditation yet. i People say would probably help. It probably would. But I'm very much about the system. And I'm about linking mental health services and adequate good accessible services to the system for the people who need it.   Resa Lewiss  27:23 People that still feel a stigma yet want to reach out and seek services, the surfaces that Corey referred to that sort of went unfilled, you know, the free therapy that was available throughout the pandemic. How would you help people and encourage them?   Carol Bernstein  27:42 Well, first of all, I think it's getting better. I think people are more will as we talk about it. And the narratives, the stories hearing about Dr. Breen hearing about our own struggles as people, people we respect and look up to, I mean, I remember even when Victor Dzau at one of the National Academy meetings, talked about wanting to change specialties, and how demoralized he felt in the work he was doing to a room of 4000 people, this very powerful person, admitting that he had struggled, that's huge. So that's a big way that we can do it. But it's still challenging. I mean, people, I feel that some of the future for my field is working alongside our colleagues in emergency medicine, and in medicine, and in surgery, so that we can sort of whisper in your ears, because people still feel shamed and embarrassed about going to see a psychiatrist. So it's getting better, though it really is.   Corey Feist  28:45 One of my hypothesis, Carol, and this is backed by the data from the American Medical Association's coping with COVID-19 survey, is that because of the stigma, many physicians would feel more comfortable in a peer support type of model. So it'd be helped me understand a little bit about your thoughts on whether a peer support model would be at least an intermediate step along that spectrum.   Carol Bernstein  29:09 It's not just intermediate, Cory, actually, thank you for asking the question. Because I have become increasingly interested and intrigued by the concept of peer support. I think that that's useful again, in any field, not I mean, law, okay. You're a lawyer, right? I think teachers I think all of us you know, when we're especially you truck drivers, whomever, you know, that we gain a lot from connecting to our peers. And as I don't think that most people in health care are going to need to be referred to psychiatrists or mental, other mental health professionals because of their burnout. But I think to the extent that we can connect with each other, and have peer support that that's wonderful, and I know that the Health and Hospitals Corporation in New York City really rolled out a huge initiative to try to develop programs that would enable people who are interested in having peer support, whether it was someone in your discipline someone of your age, someone older, someone in a different site. So yes, and yes, and yes, I think that I don't think it's just intermediate. I think that that is a potential solution, that that will be very helpful, both in the short term and the long term.   Resa Lewiss  30:30 Amazing. Now I knew Carol had expertise but I actually didn't understand that breadth and the depth of her expertise until doing some background reading and research for the show, and having her join for this conversation. I'm deeply appreciative that there are healthcare professionals focused on dealing with the health of healthcare professionals. Amazing work by both Cory and Jennifer of the Dr. Loner Breen heroes Foundation. They have been tireless in what they're doing and it's amazing to see how they have moved the needle. Coming up, we have some episodes on Health Design, which is one of my favorite topics on which to speak. And I have a conversation that's been pending with Dr. Aletha Maybank. Stay tuned, and we'll see you next week. 

[Carol Bernstein in New York, NY][Corey Feist in Charlottesville, VA]

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Selwyn O. Rogers MD is the Dr. James E. Bowman Jr. Professor of Surgery (first James E Bowman professorship), Chief, Section of Trauma and Acute Care Surgery Founding Director, Trauma Center and Executive Vice President, Community Health Engagement University of Chicago Medicine    March 2021  Senate Judiciary Committee Selwyn O. Rogers Solutions for prevention and treatment of gun violence:   1. Re-frame gun violence as a public health crisis 

  1. Allocate $1 billion to fund research to prevent gun violence commensurate with the burden on society. Given the $43 billion NIH budget for research, a significant amount of dollars should be allocated to gun violence prevention research since this has been lacking for decades. 
  2. Develop and fund primary prevention strategies A. Invest economically in high-risk communities of color that have a disproportionate burden of intentional gun violence to build jobs, increase earning capacity, provide housing and give people hope B. Educate and counsel people on safe firearm storage C. Screen people at risk for firearm injury or death D. Engage communities on social determinants of disease, such as poverty, and connect them with social services through hospitals and health-care systems 

  3. Victims of violence are known to be at very high risk to be involved in repeated episodes of violence.4 Target this high-risk population and develop and fund secondary violence prevention programs:  A. Fund street outreach programs that prevent retaliatory violence B. Fund programs for those at the highest risk of recidivism that provides transitional jobs and cognitive behavioral therapy.  Linkedin https://www.linkedin.com/in/selwyn-o-rogers-jr-555688aa/ Twitter https://twitter.com/selwyn_rogers

https://www.uchicagomedicine.org/forefront/trauma-articles/selwyn-rogers-james-bowman-professorship https://www.meharry-vanderbilt.org/all-news-community-engagement-news/selwyn-rogers-and-david-satcher-discuss-violence-seen-through https://www.migrantclinician.org/users/selwyn-o.-rogers-jr https://www.migrantclinician.org/streamline-2016-fall/making-the-biggest-impact-with-dr-selwyn-rogers https://news.uchicago.edu/profile/selwyn-rogers https://www.youtube.com/watch?v=4uPrL4khRsc https://www.judiciary.senate.gov/imo/media/doc/Rogers%20Testimony.pdf

Everett T Lyn MD is the Former Clinical Director and Director of Faculty Affairs and Development Brigham and Women's Hospital. Former Chair, Department of Emergency Medicine North Shore Medical Center  Former Chief Medical Officer Dignity Health Care and Former Assistant Professor of Medicine Harvard Medical School.

Transcript: 

SUMMARY KEYWORDS gun violence, Chicago, mentor, trauma, communities, talk, son, care, mentees, story, life, public health, risk factors, emergency department

SPEAKERS Resa Lewiss, Everett Lyn, Selwyn Rogers   Selwyn Rogers  00:02 Historically, gun violence has been treated as a policing problem. And not looking at it from a public health plans. And by that, I mean, looking at the lived experience built environment, upstream factors that contribute to gun violence. And there’s been overwhelming focus on the incident to the gun than the person who's struck and not the context in which that injury occurs.   Resa Lewiss  00:38 This is the visible Voices Podcast. I'm your host, Dr. Resa Lewiss. Before we get started, here's a word from the creators of the emergency mind podcast.   Advertisement   Resa Lewiss  01:05 Hi, listeners. Welcome to today's episode where we're talking about gun violence and thinking about gun violence through a preventive solutions oriented public health lens. Public health is the science of protecting the safety and improving the health of communities through education policymaking and research for disease and injury prevention. By two guests are Dr. Selwyn Rogers and Dr. Everett Lyn. Selwyn grew up in St. Croix and he came to the United States for his higher education. He's currently the James E. Bowman Jr, Professor of Surgery. He's the chief of the section of trauma and acute care surgery, and the founding director of the Trauma Center at the University of Chicago. Selwyn and I first met when I was in training in Boston, he was the chief resident on the general surgery service, and I was the rotating resident. So I had the luck of seeing firsthand his leadership style and his mentorship. My second guest is Dr. Everett Lyn. Everett is an emergency physician. He's formerly the Clinical Director and Director of Faculty Affairs and development at the Brigham and Women's Hospital department emergency medicine. He's also formerly the Chair of the Department of Emergency Medicine at North Shore Medical Center in Boston. Everett was born in Jamaica, and he too, came to the United States for his higher education. Now, it was quite a feat. And quite a treat to get both of these gentlemen to join me in conversation. They are friends for over 20 years. Oh, I forgot to add a thing about Everett. Everett was everybody's favorite attending when they worked with him as a resident. He also won the emergency medicine Educator of the Year Award every single year. Okay, I digress. In the episode Yes, we talk a little bit about statistics and data and facts. But more so you hear the actual experience of Selwyn and Everett and what it's like to work in the emergency department, work in critical care situations and work in the setting of gun violence. We're talking about years of experience in cities such as Boston, Chicago, Galveston, Texas, Los Angeles, and more. When the episode gets started, Selwyn is talking about when he's first started at the University of Chicago, and he's contacted by a journalist from the French newspaper Le Monde.   Selwyn Rogers  03:24 It was January of 2017, I just newly arrived at University Chicago medicine in order to stand up an adult level one trauma center on the south side of Chicago. By way of context, there had not been an adult level one trauma center in the Southside of Chicago for over 30 years. And in the context of that reality, there obviously was a lot of trauma on the south side of Chicago there is in many urban settings throughout the United States. In this particular interview request from Le Monde to talk about this, the level one trauma center. I was struck back by the reporter’s requests. He wanted me to take him on a tour of the Southside of Chicago and show him some gangbangers and I was like, What do you mean gangbangers? And he said, Well, you know, show me where all the people who are getting shot are. And it really set me back because I was like, Well, this is about trauma. This is about social determinants such as poverty, inequality, and lack of equity, and how that drives people's being at risk for trauma, normally gun violence, and in many ways he wanted to sensationalize us as it was bad people doing bad things to each other versus thinking about The larger context in which this trauma was occurring. So I basically respectfully declined the interview, because I didn't think that this was going to lead to anything fruitful.   Resa Lewiss  05:10 Yeah. Any regrets regarding declining that?   Selwyn Rogers  05:14 Absolutely not. I mean, I think one of the things that I think we have to do this change the narrative around what violence is what trauma is, and only by changing the narrative, will we be able to have a lasting impact?   Resa Lewiss  05:27 Just before the episode started, we were talking about Venn diagrams of overlap. And when I think about and look at the two of you, there's some commonalities. You both have the experience of being parents to three sons, you both have the experience of childhood being outside the US. And I'd like to ask based on your experience, as a trauma surgeon, your experience Everett, as an emergency physician, coming to the US, parenting, fathering three sons, how has the work affected you? And what you see on a daily basis influenced the way you care for your children? Selwyn Why don't you take it first? And then Everett.   Selwyn Rogers  06:10 That's a great question. I have three African American sons, they're aged 25, about to be 26 on December 1 22, and 19. And, you know, they're all currently, you know, out in the world doing what they want to do. But certainly, when they were younger, I often gave them various vignettes stories of how they need to behave in the world, if you will, you know, as my eldest son who's not 25, or 26, was the first to learn how to drive. I remember giving him the lesson about, you know, if you are driving in the police stop you, you need to keep your hands on the wheel at all times. Be very respectful, you don't know what's going to happen next, and you can't take any chances. And, you know, as someone who works closely with the police department, with respect to taking care of victims of violence and crime, it's sad that I had to give that lesson to my three sons. And, you know, it's one that that many people would probably not even think about having if they weren't a person of color. Now, I'll give another concrete example of an observation that my middle son made when he and I were on a trip to Portland, Oregon for celebrating his birthday has happened to be during the weekend of the Women's March, and Portland. And he were in an elevator together. And my middle son is six, five, so he's a bit imposing. And a white woman walked in the elevator, and he lowered his shoulders, he made himself more welcoming. And it was so striking to me knowing that I know him well, that I asked him afterwards. Why did he do that? He said, Well, I wanted to hurt feel comfortable in an elevator with two lack men. And it's a process that he's internalized, and he's done somewhat instinctively, living at America that's still divided.   Resa Lewiss  08:41 Thank you. Everett.   Everett Lyn  08:45 I don't think my story's any different from Selwyn. One of the biggest fears I had when my boys were young, was the fear of not seeing them coming back through the door when they leave. And it was constant teaching. Not only that, I tell them to put their hands on the steering wheel. Usually in law enforcement, ask for your driver's license and registration and I usually teach my son to say to them, I'm going into the glove box. Do you want me to get the registration or do you want to get it? And it was a defensive mechanism because I didn't want my son or sons being killed because they thought he was reaching for a firearm or something like that. So I did the same things that Selwyn did. And I also was a bit more I can say a bit more but I was very protective. I made sure just as a parent I was there in certain places when they were getting off this school bus. totally white neighborhood to pick them up or dropping them off and watching them get on the bus. Because the trustworthy part was just not there, I was always a bit in fear that they may leave through my door and may never come back. So it's similar stories.   Resa Lewiss  10:22 You both are intentional about the way you mentor, who you mentor, and probably by whom you mentor. And this is before mentoring, sponsoring coaching became trendy, and there were lots of Harvard Business Review articles about it and books written. And, you know, Everett you and I met in 1997. And you are someone to whom many people came for advice and input and mentorship. And what I saw. And what I know is there's an there's an element of organic connection with people, but sometimes it's intentional, and you intentionally made sure women, women of color, men, men of color, specifically students of color, were mentored and you spoke to them and you let them know how to help navigate healthcare and our healthcare training. I reviewed your CV Selwyn and your listing of mentees is similar. You've mentored a lot of women, and a lot of students of color. And I'd like each of you to comment on how you see mentoring. And also, if you can share a story of mentorship, not someone you mentored but someone who's been a mentor to you, no matter who that was. Everett why don't you start? And then Selwyn.   Everett Lyn  11:39 Yeah, it's a little bit difficult, because I sort of, I'll tackle the last part of your question first. I really had no good mentor, per se. And it's funny. I think it was a few years ago, I was on the Harvard campus and somebody says, Well, Dr. Lyn, who was your mentor, and I bust out in a laugh, because I really didn't have one. And to be honest with you. I patchworked and I think most of the things that I did it probably similar to Selwyn, growing up in the island education was always at the forefront from our parents and family. It was always about education. The emphasis on education was how you lift yourself up and move forward and how you progress, which is what I instill in my children to this day. But I sort of patchworked and seek advice from different people at different times. I think in terms of mentoring people, I think it was just a natural acumen for me It started out that people just sort of gravitated towards me and I just develop in advising people and some of it was from personal perseverance and just things that I've been through. And not letting them step in potholes that I have stepped in along the way.   Selwyn Rogers  13:18 I'm a couple years behind you Everett. And then I had the benefit of having mentors, like you. You know, it was striking that sometimes just the presence, even though we weren't in the same department, but having now the African American man who was a leader in the Department of Emergency medicine was a form of informal mentoring. But like Everett, I will also echo that probably my biggest mentor, our you know, my mom and dad, you know, I think that they instilled in me a certain sense of self, a certain comfortable, comfortable in my own skin, if you will, that progressed throughout my academic life. I mean, I didn't start off thinking I wanted to be a professor of Surgery or chief of, of Trauma. I mean, I started off I want to be a good person. And that was really instilled and then in my parents, and I still try to sell that same set of values in my children.   Everett Lyn  14:24 Self-discipline, self discipline.   Selwyn Rogers  14:28 Yeah, yeah. And a degree of resilience to I mean, I think that sometimes people forget that it's not about the failure, but it's about getting up again after the failure and a big part of mentorship is encouraging people that after they have a failure or setback that doesn't define them. And that's a big part of mentorship. It's also a big part of sponsorship. Supporting people when you don't even know that you're supporting them. And to your question about why mentoring is such an important part of my professional life. It was because I didn't have many people that look like me throughout my training and early faculty development, and it was very important to me to, to see more people who look like me, irrespective of what their diversity of thought would be. Because I think just having that diversity of presence goes a long way oftentimes, and changing how people view others. When I was starting off my training at the Brigham, there was a single African American man who was ahead of me in training. And you know, now it's probably about 30 40% of people of color that Brigham in surgery, never mind in other fields. So I think there's work that has been done that's been successful, partly because mentoring. But I also do think that, that we still have a long way to go.   Everett Lyn  16:15 If I may take 10 seconds. There is a story or resounding story that I always mention: I was in a hospital in Boston will leave the name out, but we know what it is. And I remember this so vividly. Because I've told the story over and over. An African American lady came in and I was caring for her. She was deeply sick. And she said to me, when all the other people walked out of the room, first residents and nurses and she said Dr. Lyn, can I speak to you for a minute, and I stayed behind and she said, this is a true story. She says you're a doctor here? And I said, Yes, ma'am. And she says, I didn't know they hired Black doctors here. And I was shocked when she said that. I just said, I said Yes, ma'am. And I said, not only that I'm in charge of the emergency department. I'm the attending and one of the directors here. And she was floored. She says I've been getting my care here for 28 years, and I've never had a Black physician care for me. Well, I just want to tell you, she had dead bowel. Okay. And Selwyn was not on that night and Selwyn was at home and it was a weekend night. And I called Selwyn, because of her comfort level that she exhibited to me. And I asked him if he could come in and we could work it out with the surgeon on call. And I can truly tell you that within 20 minutes to half an hour, I had her ready for the operating woman. Selwyn was at her bedside. And that story always resonated with me. There are not many people on a weekend, even if you're a dedicated surgeon who do that. So your compassionate leadership stands out. And it's no surprise that you are where you are. But I wanted also to ask the question about this public health tragedy if you have seen any differentce since you have been in Chicago and I just keep reading Chicago tends to make the headlines every single week about the number of deaths and the number of people shot and I read a recent New York Times article where the number of people who have been shot this year is much more than last year and more than 2019. And I just wanted to get your take on how things are up there. And what are the differences that you've seen since you started your work in terms of outreach with the community?   Selwyn Rogers  19:00 Yeah, it's a it's a question that keeps me up at night. We have certainly seen in all US cities, probably on the order of a 30 to 40% higher rate of gun violence. In each of our urban settings here in Chicago, specifically between 2019 and 2020. There was a 50% surge and in gun violence at the University of Chicago specifically, we went from seeing about 3000 trauma activations a year to see 5000 trauma activations a year: 40% of which was penetrating trauma. 90% of that was gun violence. And the numbers are staggering because each victim has multiple people connected to that person And it's a larger community around that individual. With respect to how it's been approached, you know, the story of gun violence in Chicago is one that became highly politicized during the 2020 election. I don't need to do to go more into that. But I think that, that clearly, Chicago became more and more of a symbol of gun violence, even though the rates in St. Louis and Detroit and Philadelphia are just as high or a little higher. Having said that, historically, gun violence has been treated as a policing problem. And not looking at it from a public health lens. And by that, I mean, looking at the lived experience built environment, upstream factors that contribute to gun violence. And it's been overwhelming focus on the incident, the gun than the person who's struck and not the context in which that injury occurs. Taking a public health framework, you will focus on a combination of preventative factors and risk factors to help change the course of about a public of gun violence, and specifically, addressing upstream factors that lead to gun violence in the first place, a lack of economic opportunities. inequities, and educational opportunities, lack of jobs, all of those things are the backdrop for seeing high rates of intentional gun violence, on top of the fact that we have a preponderance of guns in our society.   Resa Lewiss  22:09 Yeah, to your point, violence is complex. And you really, there are a lot of things I love about what you just shared. Number one, you essentially gave a nice definition of public health. you've highlighted that as surgeons, yes we can fix blood vessels, we can sew someone up, but that's not treating their soul. And that's not filling out the experience of what happens when they leave the hospital doors. I wonder if you can elaborate a little bit on that?   Selwyn Rogers  22:36 Sure. You know, one of the things that trauma care has been focused on obviously is stopping the bleeding controlling the damaged bowel, controlling of hemorrhage and sepsis. But that doesn't take care of the whole human being. And I think the at times missed opportunity is taking the incident that occurs in the context of trauma. And using that as a teaching moment, if you will, or a moment to wrap services around the individual and their family, in order to try to make a difference in a person's life. The analogy from a medical perspective that I would often give is having someone come in with a heart attack and not addressing their hypertension and their smoking history and their sedentary lifestyle. We would think that's an anathema not to take care of those aspects that are risk factors for repeated myocardial injury. Violence is in many ways, similar. There are certain risk factors, and certain protective factors, protective factors like family and church and entities that lift people up. But they're also risk factors, living in a chronically disinvested community as a risk factor for being a victim of gun violence. And what we might try to do is wrap around services- around the individual and their family who've been victims of gun violence and connecting them with resources in the community that they may not know of. But we basically have a kind of a warm handoff if you will, above and beyond providing direct patient care. And with the thought being that patient care doesn't end when the patient leaves the hospital, but it's a part of the continuum of their life. I think the other thing that I really hope that we as a nation embrace is thinking more about primary prevention, I mean, what we really want to do is not let people be shot in the first place. And some of that involves some policies around gun possession. But I think others we will need to involve on how do we invest more accurately in communities broadly? And give, especially young people more opportunities to make a difference in their lives?   Resa Lewiss  25:31 Yeah, I like this concept, a lot of the wraparound services, it makes sense. It's holistic. I wonder if you think there's this element of othering. HIV in the 80s didn't get the attention that COVID did. And gun violence, especially when it's put in this context of like, oh, Chicago, oh, urban. Oh, lower socio economic status neighborhoods. That's the other. That's not me, my family, my children, my neighborhood. And I think there's been literally a call to attention by subject matter experts such as yourself that no, this is everybody. And this is affecting everybody. But I still see the resistance, which is why I ask.   Selwyn Rogers  26:15 There is a sense of the other I heard one person say once, if this was all happening in white communities, white wealthy communities there would be a lot more focus on fixing the problem. Specifically in Chicago says it's a great city, Great American Cities, City of 77 neighborhoods, but specifically, gun violence is hyper endemic in some communities more than others, mostly on the south and west sides of the city. And those are the communities that are primarily Black and Brown communities in the city of Chicago. There is somewhat of the other, it's happening over there, not in my backyard. I'm concerned about it, but doesn't really affect me in a daily way. It affects everyone. I mean, I think it's not unique to Black and Brown communities, I think it affects all of all of the city. The other thing that I think is often not discussed, when we mentioned gun violence is the high rate of self-inflicted gun violence in the context of suicides, and disproportionately that happens in and among white, older males. But we don't talk about that in an epidemic way. We talk about that in the episodic way. But that's similarly, a tragedy where we aren't focused enough on mental health and protection of those who may risk taking their own life and finding ways to help them as well.   Everett Lyn  27:56 So that question as Selwyn was answering, I was wondering if the model that he had has in Chicago and the wraparound services and the community reach out services, if that's something that's adaptable to other cities that anyone could employ? Or is that something that could import to other communities and cities?   Selwyn Rogers  28:22 There are lots of good people doing good work and community. You know, be it you know, after school programs or, you know, teaching kids how to, to box or, you know, other sporting engagements. What we often don't do is, is connect the isolated hospital, to the community. And, and I think finding ways to do that in an effective way, is very important.   Resa Lewiss  28:58 I want to shift the focus to something we've addressed indirectly, which is the toll that trauma and gun violence takes on healthcare workers on physicians, such as Dr. Selwyn. Rogers, such as Dr. Everett Lyn, such as Dr. Resa Lewiss. I'm going to read a quote and ask each of you to sort of discuss how you've maintained self-maintained that self-actualization and overcome times of burnout. So this is from your (Selwyn’s) judiciary committee report. At trauma centers across the country, we have seen the pain with our own eyes, we have cleaned the blood from our own hands. Sometimes the blood soaks through our scrubs and socks. We can wash away the blood but the pain stays with us. I cannot fully grasp the tragic impact of the lives lost. Yet I'm still hopeful. If we take concrete actions now, if we do the small things now then we will create the big changes later, these changes will stem the tide of gun violence that has become such a devastating problem in our country. And there was an article from Philadelphia that talked a bit about work life balance and your experience. So with whatever you feel comfortable sharing, what did that look like for you? And now that you're the other side of that? How do you instruct your mentees, for example, or your trainees? Or, what do you how do you keep yourself in check?   Selwyn Rogers  30:31 Yeah, it's a constant battle, daily battle. When I, unfortunately, when I go to trauma bay, here in the Southside of Chicago, 85% of time, it's Black male, usually between the ages of 18 and 25 26, who's the victim of gun violence. And, as I relate at the start of our session today, my kids are 19, 22 and, and 25 almost 26. But I, I think every time this could be my son. And, and that, you know, I have to suspend that in the moment of taking care of the critically injured person. But when all that we have tried to do fails, and the person dies, and I have to go talk to that mother, that father, that brother, that sister about their last son, or daughter, or last child hits me, and it hits me in the context, when I hear the cry, when I hear them say, go back in, you can find a way to get them to survive, or you know, the sense of hopelessness that the person has in that moment. It tugs at you, and you may not have that moment, then to process that, but it catches up with you. And the way I try to deal with it, I have a very supportive family and I talk to them about how my day was, and I don't sugarcoat it, I'm sure my wife Kimberly exactly what happened, and how it made me feel. And that's very helpful. You don't keep it all in, you actually get it out. And with respect to my mentees and trainees, I encourage them about the importance of self-care, of not keeping it all in and also highly encourage people when they're feeling blue or down to seek professional counseling with mental health providers, psychologist, psychiatrist, because I do think it does take a personal toll on us over the course of time, especially if we don't share with others. Everett, your thoughts about that? You've been doing it a little longer than me.   Everett Lyn  33:28 Yeah, I think it's about this same Selwyn. And I think I can share a couple of quick stories. One is that gun violence leads to a lot of teen deaths and children that is the leading cause of death in the US and early in my career, when I when I started seeing children die, it was gut wrenching for me. And I just remember, there were times when I had to talk to a mother or parents about the death of their child. And one of the disturbing things in the emergency department is that you're caring for about 50 patients at the same time and you have five minutes to spend with them, no time to spend with them. You know, you have to move on because there are sick patients waiting for you. And it wasn't ideal but seeing a child die is just it just it took me out and it was hard to deal with that and very difficult. So I shifted my career of everything that I've experienced. I moved my career more to the adult side of caring in trauma bays and trauma units and emergency department because it was just so devastating and difficult to watch children die and similar to Selwyn: I stay close to my family and my children and One of the things that all of this has taught me, I use running just to decompensate: I run a lot, and I just use it to try to keep me level and keep my thoughts level and help me with my stress levels. But most of all, I do what Selwyn does, I talk to my family and I speak to my children a lot. And to the people, I mentor or my mentees, I talk about work life balance as much as I can, and for them to seek help when they can. But the single most important thing that I've gotten doing this for over 30 years is the value of time, I've got grown more and more to respect the value of time each minute of every day of every hour. And I try to make sure that whatever I'm doing with my time, that it's either serving others, which I think is really critical: its affecting somebody else's life in a positive way. And service to others, as one person says we're at our best when we're a service to others. And I tend to believe in that. But I share with you the value of time and the importance of time and how little people tend to look at that sometimes, we always think we have time. But that's true, isn’t it? That we always think we have time. So just seeing so many deaths in trauma bays and trauma units and emergency departments has just reinforced that notion.   Selwyn Rogers  36:50 I couldn't agree with you more. Time is one commodity that we don't have enough of. It's very precious. And when you see a life taken away from you, it just reminds you of that reality.   Resa Lewiss  37:07 What a conversation and I think like what I said at the beginning of the episode, it was quite a treat, and quite a feat to get these two together on one podcast episode. So here's the deal. Gun violence affects everybody. From my perspective, gun violence is all of our responsibility. We all have a duty or responsibility and we can all make a difference. Join me next week where I'm in conversation with Dr. Carol Bernstein. And with the founders of the Dr. Lorna Breen Heroes Foundation. We talk about physician mental health and physician suicide prevention. Talk to you then. The visible Voices Podcast amplifies voices both known and unknown, discussing topics of healthcare equity and current trends. If you enjoyed this episode, please rate and review us on Apple podcasts. It helps other people find the show. You can listen on whatever platform you subscribe to podcasts. Our team includes Stacey Gitlin and Dr. Giuliano DePortu. If you're interested in sponsoring an episode, please contact me resa@thevisiblevoicespodcast.com. I'm based in Philadelphia, Pennsylvania, and I'm on Twitter @ResaELewiss. Thank you so much for listening and as always, to be continued [Selwyn Rogers in Chicago Il][Everett Lyn in Los Angeles Ca]

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Niny Rao, PhD is an Associate Professor of Chemistry and the Director of the Undergraduate Chemistry and Biochemistry Program at Thomas Jefferson University College of Life Sciences. She received her bachelor degree in chemical engineering from the Cooper Union for the Advancement of Science and Art in NYC and went on to pursuit a PhD in physical chemistry at Florida State University. A computational chemist by training and an enthusiast of artisanal food and beverages, she has expanded her research into food chemistry. She co-authored numerous research articles on the impact of brewing, roasting, and bean origin on the chemical composition of cold brew coffees. Dr. Rao has been an educator since 2007 and is an advocate of Jefferson’s undergraduate research program, mentoring undergraduate researchers in chemistry. Her students have presented their research in both regional and national conferences on topics ranging from the computational study of zirconium methyl amide to the chemistry of ready-to-drink coffee beverages.

Mark Shapiro, MD is the creator, producer & host of Explore The Space Podcast, a show focused on bringing those who provide healthcare and those who seek healthcare closer together through conversations with leaders from across the spectrum. He is also a TEDx speaker, delivering his first TEDx in March, 2021, and is a co-author of the “Covid-19 CV Matrix”  as seen in the Journal of Hospital Medicine and Proceedings of the National Academy of Sciences Dr. Shapiro has been in full-time clinical practice as a Hospitalist since 2006. He earned a BA in history at University of California-Los Angeles, attended medical school at Baylor College of Medicine and completed his Internal Medicine residency at University of California-San Diego. Dr. Shapiro is an active voice on social media and can be followed on Twitter at @ETSshow & Instagram @explorethespaceshow.

References:  Physiochemical Characteristics of Hot and Cold Brew Coffee Chemistry: The Effects of Roast Level and Brewing Temperature on Compound Extraction

Ready, Drink! Chemical Characterization of Ready-to-Drink Cold Brew Coffee Products

https://www.youtube.com/watch?v=kzv4t0M6o7I

https://www.researchgate.net/scientific-contributions/Niny-Z-Rao-2136487068

https://cgscholar.com/bookstore/works/ready-drink-chemical-characterization-of-readytodrink-cold-brew-coffee-products

https://www.foodandwine.com/news/hot-and-cold-brew-coffee-difference-science

Transcript

SUMMARY KEYWORDS coffee, beans, drink, taste, roasted, cold brew, grind, people, flavor, extraction, extract, acidity, bit, caffeine, brew, podcast, cold brew coffee, buy, acids, compounds SPEAKERS Resa Lewiss, Mark Shapiro, Niny Rao Niny Rao  00:01 So when you have a low temperature, a lot of the bitter, larger chemical compounds are not soluble in water at low lower temperature so they're not coming out very often. They're the one responsible for the bitter kind of exchanging taste that we taste in coffee. So what we are tasting in cold brew, it's probably the lack of bitter acids, as they call it, and then we give you that little bit better, smoother taste.   Resa Lewiss  00:25 This is the visible Voices Podcast. I'm your host, Dr. Resa Lewiss. Before we get started, here's a word from the creators of the voices Unheard podcast.   00:35 Hello, listeners. This is Dr. Pringle Miller. And I'm joined by Dr. Melissa Blaker voices our podcast recently launched and we are very excited. three episodes are now available for you to download on Apple podcast and Spotify. When you go there, be sure to hit subscribe voices on heard as a podcast production of physician just equity.   Resa Lewiss  00:56 Hi, listeners. Thanks so much for joining and I'm really excited to bring you today's topic. Coffee. I love coffee. Okay, my subject matter expert is Dr. Niny Rao. She's an associate professor of chemistry and the director of the Undergraduate Chemistry and Biochemistry program at Thomas Jefferson University, College of Life Sciences. She came across my radar when I read a food and wine magazine article where they quoted her and her work on cold brew coffee in her lab and with her students, many studies, cold brew and hot brew coffee, the temperature of the water you should use grind of the bean and roasted the bean all with an eye towards health and other extractive effects. I just made that word up extractive. My guest conversationalist is a serious coffee hobbyist. Dr. Mark Shapiro, you may know is the creator, producer and host of explore the space podcast. He focuses in his conversation on bringing those who provide health care, and those who seek health care closer together. So as a little bit of background, Nene shared that in the morning, she likes to drink coffee. That's a pour over Mark likes to work on his skills with the AeroPress and me, I like to pull shots of espresso and make believe that I'm a barista. So a little background regarding Resa and coffee. Growing up I wasn't allowed to drink it, I was told that it would stunt my growth. Now at the tall height of five foot two inches, we can just say that there really wasn't any science to that. Nonetheless, I sidestepped the rules by definitely eating coffee I screen, selecting coffee flavored hard candies, and drinking coffee milk. Now if you attended Rhode Island Public Schools, you will know that when you bought milk, you had the option of milk, chocolate milk, or coffee milk. I don't think there was anything natural or anything coffee really in there. However, it definitely tasted good. And with that, let's get to the episode. Now nidi get us started cold brew versus hot brew.   Niny Rao  03:00 So we are, we were looking at how, at the time the corporate coffee was becoming very popular, you go to any coffee shop, but they have all these extravagant setups about the color corporate coffee. And I looked into a little bit more about cocoa coffee, it just turns out that for COBRA coffee, you're brewing coffee at room temperature were lower. So you use cold water, you let the grind feed for a long period of time, by often overnight 24 hours, some people do 48 hours, and then you enjoy the X extract, filter it and then the extract is what we call cold brew coffee very often needs to be diluted with water. So that's we in we stumbled on this topic because I always like to think I could make it myself. I could do it in my kitchen and do it myself. And it turns out it didn't turn out correctly. It was too strong too. Not much of a flavor. And I was wondering if I did something wrong. So I looked into the brewing methods a little bit more and I convinced my colleague to join me to do some chemical analysis on COBRA coffee, it turns out there was nothing to compare to and that's how we started. And that's how we started looking into the extraction mechanism as well as the kinetics like how long does it take for the coffee to be extracted? And we looked at two specific compounds chlorogenic acid, which is an antioxidant, and the caffeine which everybody who drink coffee says okay, what is the caffeine content? Right? So, so as we were studying this, we realize that this is there's it's a great opportunity for us to fill in some void in the coffee region. Most of European coffee maker brewers as well as a South American coffee, kind of source they pride themselves on Drinking hot brew coffee, espresso, filtered, mocha. And Kobo seems to be very popular in North America. And we want and then people started talking about, oh, he has like low acidity, he has smooth flavor and another cup, and texture. And we just wanted to give some metrics to the audience to the consumer about what they can like exactly what these words mean. And we were able to that started the whole thing. And the first one we looked at was the kinetics of extraction. How long did it take for the chemicals to come out of the grind? And it turns out, the way we're doing it seven hours is more than enough. And then the other one we were trying to decipher was, was, is there a difference between roast and versus in cold brew coffee, and the first one we thought there was something by turns out, it was a little bit more inconclusive. Our latest study actually deciphered that aspect of cold brew coffee a little bit better, we actually roasted our own coffee, we bought a roaster, we started doing like, we made sure that we had the same sorts of beings, and we roasted two different types of three different temperature to see some of the characteristics change. And then we found interesting stuff. So yeah,   Resa Lewiss  06:27 so I want to go into some of the specifics of the science and I think our audience is probably and health minded audience, Mark, if you had to pick light rose versus dark roast, which one would you go with,   Mark Shapiro  06:40 like,   Resa Lewiss  06:41 always like, and cold brew versus hot brew.   Mark Shapiro  06:44 So I've done my own cold brew a couple of times couple of different ways, the flavor is fine, the flavor profiles are fine. I feel like the flavor profiles I get when I do a lighter roast. And when I when I say light roast, I'm talking about specifically just after what's known as first crack in the home roasting process. So when the silver skin blows off the temperatures at about 400 degrees for the bean. Second crack, for me is a no fly zone. That's what is known in the commercial marketplace is dark roasted coffee. But that's when you've taken all of the fun, interesting heterogeneous properties of the bean away and just turn it into a homogeneous, Dark Roasted taste that we're all pretty used to and that is readily available. So you can take different beans, put them all together, roast them to that degree and they're all going to taste the same. But if you're doing a single origin to go that far, you're kind of obliterating all of the good stuff. When you do a cold root when I do a cold brew. I find that I can't get the flavors that I seek to really be emphasized and to do cold brew properly. For me, it uses a lot of beans. I don't feel like I get enough bang for my buck with it. I have unfortunately the couple times I've done it as well I feel like I've kind of over extracted it and it gets a little bit of a little bit of a bitter taste that definitely washes out the stuff that I want I'm comfortable getting with my roaster I'm pretty tuned I can identify first crack the gap is there a stop at a cool it I let it sit a grind a drink it and I am I'm in heaven daily so I'm perfectly content there.   Resa Lewiss  08:12 Mark are you at all like me? When the medical literature puts out articles on coffee you look at the results. Oh my gosh, yes. I'm more productive. Oh my gosh, less depression less prevalence of dementia Do you do you care at all about the medical or it's all about pure taste?   Mark Shapiro  08:26 i It's not that I don't care about it. I do. I feel like a lot of those things are released in a manner where they land on me it's just being clickbait. I don't feel like we have something to say that. Absolute Yes. Absolute No. All things in moderation. I don't drink extraordinary amounts of coffee. I enjoy one cup in the morning, I might have a second cup in the afternoon. I enjoy sort of what's available if I'm at work, and I don't overthink it. I enjoy it and I don't need a lot of it. So I don't really per separate too much on what one or more studies show. They are always on the top of a crawler whatever feature on New York Times Twitter, it's always there. It always just feels kind of clickbait to me. All things in moderation. Enjoy what you like and go forward.   Resa Lewiss  09:11 Yeah, meaning what? What are the facts regarding the health effects of coffee?   Niny Rao  09:16 Well, I there are a lot of one of the things that the most common ones that we know is that caffeine actually is a stimulant, and is one of the key like legal stimulant that you can use, like accessible over the counter and then you have a U shape right? So you were talking about the benefits, you know increases as you consume moderate amount as you drink more and more and then it becomes actually not beneficial to you anymore. And this same thing with acidity in coffee in the beginning that the nice flavor the small acids like the citric acid and whatnot, gives you a nice flavor in your mouth and you enjoy it and then you can drink too. much you may upset your stomach because the large amount of acid that you're, you're drinking so these are some of the ones that I've seen over and over again in literature saying like the acidity as well as the stimulant effect of coffee. It's the most prevalent in coffee drinkers. It's like most important to a lot of coffee drinkers.   Resa Lewiss  10:23 You mentioned in one of your posts, or perhaps it was one of the podcast discussions I listened to that the science is still not robust on pH and stomach and people that have gastritis, gastric reflux, reflux and the acidity of coffee. What do we know about this?   Niny Rao  10:43 So um, if you depend on how coffee is prepared, you will end up with a different acidity in coffee. Origin of coffee will also impact the acidity of coffee slightly, but there is a variation of acids that that can be extracted roast is a huge factor in terms of what kind of what kind of coffee you produce in terms of acidity. Our last study we did a being single origin beans from Colombia, and we roasted at three different degrees. One is right before right about the first class one is a little bit more than, like between the first and the second mark, I know you're talking, you know exactly I'm talking about and the third one, we roasted beyond the second crack to the point where the beans eject automatically before it turns into carbon. Because we wanted to show the spread, right. And you can definitely see the acidity change. And the more believe or not the lower acidity ones actually are the ones that are dark roast, because you actually roast all the chemicals out of it. Right. And then the higher acidity ones are the one that's medium and that's the one that most people enjoy. And, and also, we found that Cobra definitely has a lower acidity then hopper. Again, the extraction is when you when you extract anything with a high energy fluids like boiling water, we also did it with at the extreme we use boiling water which you never do when brewing coffee. And you actually get a lot of acids out of the beans good or bad. And you do have that metallic taste that that and then the strong acid taste when you're extracting coffee using boiling water so you do see the acid change from one to another we're getting a little bit better understanding in terms of how pH and acids are changing in different brewing methods. So in terms of acid reflux versus drinking coffee, still there, they're not. There's no definitive correlation yet I have not seen a paper saying like there is a correlation if you should. Everybody tells you to drink in moderation, but there is no definitive evidence saying drinking less coffee or drinking more coffee will either negatively or positively impact your app, the effect of acid reflux.   Resa Lewiss  13:14 I do know that when I drink cold brew, it tastes smooth to me it's easier to drink, it doesn't burn my stomach as much it am I drinking and sensing the fact that the pH is higher meaning it's less acidic or is that not the right correlation. Oh,   Niny Rao  13:32 there is some to that. And then we also think that the because it's extracted a low temperature some of a lot of the compounds are sensitive to temperature will come to extraction, so we'll call solubility. So when you have a low temperature, a lot of the bitter larger chemical compounds are not soluble in water at low lower temperature so they're not coming out. Very often. They're the one responsible for the bitter kind of like astringent taste that we taste in coffee. So what we are tasting in Cobra is probably the lack of bitter acids as they call it and then we give you that little bit better, smoother taste. I as much as I drink. Like I study Kobo, I don't drink coffee or coffee. I drink coffee or coffee. Yeah   Resa Lewiss  14:22 ninny. I want to ask a little bit about Grindr the bean because that's also been part of your research tell us about how that affects antioxidants extraction taste.   Niny Rao  14:32 It's mostly about extraction process. The larger the particle, right there are few things going on in in. So I'm gonna start about size. The larger the particle, the easier it is for the chemicals to leach out when you let it soak for a long period of time. So basically extraction is nothing but to take the chemicals from the grinds and put it in water and we drink the solution that is infused with chemicals. So on If you have a larger particle size, very often you will have less extraction in the same amount of time. Because you can't take a while for some larger molecules to migrate through. This is what we've seen we in terms of caffeine, caffeine is a fairly large molecule. And if you have a larger grain size, and you it will take a little while for the caffeine to reach equilibrium, as we call it, like saturation point, so forth. And then so if you have a finer Brian's that the powders in the bottom, like when you drink coffee, and you these, these powder will continue extract if they're left in the in the solution. So this is why I don't drink coffee who set for a long time, because you see them look, you know, in the bottom, and that's and that makes the coffee bitter because it's over, it's already extracted, because you let it sit for a long time and then all this good or bad they are all the stuff are coming out and then it's not it's not great tasting. So that's number one number two roast has something to do as well. As you continue to roast the beans, you are cooking the beans. By cooking the beans, you are changing the cellular structure of the beans become make more brittle. So darker rows tend to be easier broken into smaller parts. As a result, you have more fine and a little bit that bitter kind of like Mark said a taste. Right? So you are you're also depleting the depleting some of the chemicals as well. So roasted will also have the effect the size affects the extraction process of the beans and then I drink medium roast beans. And I if I were to do it my way, I'll actually sip the coffee before I make a brew the coffee. But I don't have time. Yeah, have you   Mark Shapiro  17:03 ever put beans that you've under roasted a little bit through your grinder and have your grinder bind up because that's a fun experience. You're hearing normal and suddenly, it'll hit a bean rare, you haven't depleted the matrix enough. And the burble will bind up and it goes into just start screaming. So if you want to really scare the dog, the kids, your partner, that's a great way to do it.   Niny Rao  17:26 I have not encountered that yet. And I do know that we did purposely underwrote some beans in the in previously and then I read it and one of the colleagues who did the coffee research on grinding is put the beans in the freezer before he went he will reduce the chance of binding happening. Also make the make the grind size a little bit more uniform. And that was and then somebody else told me that if you're doing really under roasted beans, like almost green beans, you freeze it with liquid nitrogen and then grind it that will make sure you grind the whole process into whatever size are you looking. Yeah.   Mark Shapiro  18:14 Can I ask you about the So can I ask you to validate or or rebut what I I'm asked a lot about how do I optimize my cup of coffee? What tech should I buy? What equipment should I buy? And I always tell people, whatever resources you have, put them into your grinder and get a burr grinder not a blade because like you said you want a nice consistent grind. But you want to get one that doesn't generate heat or generate excess heat while grinding because that excess heat will actually you've spent 18 bucks on 12 ounces of you know delicious beans from wherever. If you put those through a burr grinder that's grinding and efficiently in generating heat. You're actually going to scorch your beans as they go through your grinder Am I Am I on track as I give people that counsel   Niny Rao  19:00 you are you are on track you the grinding does generate heat but then my point has been when you depend on how much you grind at a time. If you're doing just like a one or two servings, okay, four servings in my household in the morning, you're going to be okay because you're all only grinding for about 10 seconds or even like 15 seconds at a time you're not going to generate that much. But if you're talking about batch processing the entire pounder so absolutely you don't have to worry about especially the heat generates later stage. So the part that the top layer that are falling onto the container that you're storing the coffee it's likely to be the one that's a little bit more roasted compared to the freshly the first couple seconds where it's still nice and cold. And in grinding it should be not It shouldn't it should be minimal at the time but I still believe like freezing the beans would probably be a better way of go   Mark Shapiro  19:58 to go tricks of the trade I'm totally trying that. Absolutely.   Resa Lewiss  20:01 For people that aren't as versed as this current group of convert conversions. And what might surprise people geographically about coffees of the world, where they are, where they come from.   Niny Rao  20:15 So we whenever we talk about coffee, Mark, like we talked about the big regions like Brazil, Colombia, and then the little bit more petite, Ethiopia, a lot of the coffee actually grown specially Robusta coffee, which is very often used in like instant coffee or not grown in Vienna. And India also produced coffee. And these are the areas that we do not think of coffee producers, yet they produce. I think Vietnam is the second largest, if not the first largest, robust producer in the world. So they that's one of their cash crops, because they are, they're located in this what they call the coffee belt, where around the equator region. And then they, I'm sure there are smaller farms that produce artisanal coffee that we don't, it's underappreciated.   Resa Lewiss  21:14 And for people that don't know what robust is   Niny Rao  21:17 so robust it is. So there are two types of coffee that's popular grown robust versus Arabica. Arabica tend to be grown at a higher altitude, and a little bit more as a smaller, lower, smaller production, little bit more fruity, and then less coffee. But it's the taste that we're going after the coffee tastes are going after, whereas robust is more disease resistant, easy maintenance, it can be grown like a low altitude Bush, like and then huge production. And, and then they, they, they have lots of coffee. And so very often Robusto are used to produce instant coffee, because you're not really going after the taste, you're going after the generic coffee, flavor, and then the coffee. So   Mark Shapiro  22:05 here's what I would say as far as regions, and superiority of one region or another. Coffee, as we all know, right? This is a multibillion dollar enterprise, all of these things that we have come to understand as being one region is good one region is not as good one region is the best. This is all marketing, it is all marketing, it's done by large entities that have been doing it for years to try to draw you to their product, it is not based. In fact, coffee, the best coffee is the one that you like the most, they are all available, go and try them. And then remember this to coffee, like any other product is seasonal. So there will be times of the year where the place that you like your coffee from, it won't be available. And if you get it from that region at that time of year, it will be suboptimal. It's like buying peaches in the wintertime, they will not be the ideal peach that you will get in the summertime. Is that that is the mathematic that when people ask me about the coffee because I look I love talking about it. That's what I always encourage people just go try them, go to coffee shops, pick the single origin. So you can say okay, this is what this is Rwanda, this is Guatemala, try them the one that you like, that's the best one. It doesn't matter if it says Colombia is the best or coffee from Yemen is the best or coffee. That is all marketing. Pick the one that you like, taste it, enjoy it, recognize the seasonality of it and be versatile. In the wintertime, I'm going here in the summertime, I'm going here, you'll get better prices, you'll have a much better experience and you'll be drinking the stuff that you love.   Niny Rao  23:43 It's always I always tell people, the one you're just like you said the one you like is the one you know, that's the best coffee. It doesn't have to be some people say Oh, this coffee is like 3040 $50 a pound. And the one I can taste the difference between that and my $15 pound or even $8 a pound coffee. You know, I enjoyed that one, it's accessible to me and I know I could have a chemical consistent product like an extraction out of it. And it's not only the product, it's not only the beans itself is also the extraction. Like you can ruin an expensive bag of coffee by roasting over roasting it or seeing it or you can ruin it by pouring boiling water into it and then basically over extract the coffee and then you were like well this. I paid this much but it doesn't taste like what I expect it to be. It's probably because of water temperature, the water the quality of the water, the deep the presence of minerals in the water. A lot of factors influence the taste of coffee influence the extraction of coffee, so I don't want people to get flustered. traded when the first time they brew coffee in there like it doesn't taste much, tweak a little bit, try it again, you know, and then you will find that sweet spot that you like. It's not nobody else's coffee is yours, right.   Mark Shapiro  25:11 And remember to the keeping the circuit through which you get bean to cup, as simple as possible. And as clean as possible. Oftentimes people will buy very fancy equipment, lots of bells and whistles, impossible to keep clean coffee leaves residue, wherever you use the term muck, perfect, I'm going to adopt it, but I'm going to give you credit, it leaves muck everywhere. And so if you have a complex circuit with lots of turns, small diameter tubing, you'll never be able to keep it clean. And that muck, the flavor from that will extrude into your brew. My favorite is pour over single cup, or AeroPress super simple system is easy to keep clean. I mean, it's just, it's clean. But that if you have a system that you can't keep clean, that will absolutely permeate your $25 Delicious executive coffee and it will spoil it.   Resa Lewiss  26:04 Dini, what's upcoming in your research, what should we look for,   Niny Rao  26:08 we're looking into a couple other compounds in corporate coffee that has been seldomly mentioned, mostly related to flavor. So one of the group of compounds of fluorescent, they are related to flavor. And they are a lot some of them are generated during the roasting process. So just one of the things we wanted to look at just to definitively to say that, Oh, cobras in the coal extraction method, you don't really get a lot of the compound out, compared to the heart extraction method, just one of those things we wanted to be able to provide data to is nothing like complex, but kind of COVID Stop that altogether, and now have to go buy additional beans, because I'm pretty sure the green beans I have right now are sale because they're not stored in, you know, airtight containers. They're in my lab, and it's been there for over a year. So that's one thing. And the other one, I was hoping to this is this may or may not be published, I was hoping to help a local things Indonesia, one of the family, friends, new farmer, coffee grower in Indonesia, and then they are just calling regular Arabica beans and then they wanted to kind of have the antioxidant and acidity tested to kind of give them an idea of how their beans compared to other beans, like from a very chemical analysis perspective, and not talking about copying at all. So I wanted to help them out on that one. And then hopefully, if I could have a couple undergraduate students who are interested in these kinds of things that we could probably publish a little small paper and just to just, you know, to encourage local growth of like support local growers and then give people an idea of different smaller, smaller farms, even within different regions will perform, produce very different coffee. And again, support the idea what you like to drink is the best.   Resa Lewiss  28:16 What a fun and informative conversation. So here are the take home points. Drink what you want to drink, whatever tastes good to you is what tastes good, hot brew cold brew, know that you're getting some antioxidants, some caffeine. And from my perspective, it definitely makes you more productive. Thanks for joining, and we'll see you next time. The visible Voices Podcast amplifies voices both known and unknown, discussing topics of healthcare equity and current trends. If you enjoyed this episode, please rate and review us on Apple podcasts. It helps other people find the show. You can listen on whatever platform you subscribe to podcasts. Our team includes Stacey Gatlin and Dr. Giuliano deport you. If you're interested in sponsoring an episode, please contact me Resa at the visible voices podcast.com. I'm based in Philadelphia, Pennsylvania, and I'm on Twitter at Resa e Lewis. Thank you so much for listening and as always, to be continued

[Niny Rao in Philadelphia PA][Mark Shapiro in Santa Rosa CA]

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Hilary Klotz Steinman is an Emmy award winning independent documentary filmmaker. In 2020, Hilary established Napatree Films to produce independent projects that explore forgotten or overlooked histories and illuminate the experiences of women and girls in America and globally. She produced, The Codebreaker, a PBS documentary and part of the series American Experience . It tells the story of Elizebeth Friedman, a pioneering codebreaker who thwarted organized crime gangs during Prohibition, hunted Nazi spies during World War II and helped develop the science of cryptography in America. Her story was buried for more than half a century. For more about Elizabeth, read Jason Fagone's The Woman Who Smashed Codes: A True Story of Love, Spies, and the Unlikely Heroine Who Outwitted America's Enemies.  Review by the Wall Street Journal.

​​Jordana J. Haber, MD, MACM, FACEP is an assistant professor of emergency medicine at Kirk Kerkorian School of Medicine at (UNLV). Following emergency medicine residency, Dr. Haber completed a fellowship in medical education at Maimonides Medical Center in Brooklyn, New York, and received a Master in Academic Medicine through University of Southern California Keck School of Medicine. She is a regular contributor and assistant editor to the Book Club for Academic Life in Emergency Medicine (ALiEM). She has co-authored the monthly column “Mindful EM” for Emergency Medicine News. She is a public speaker on topics of medical education, narrative medicine, and leadership.  She was a speaker at FIX 2019.  Follow Jordana on Twitter @JordanaHaber [Hilary Klotz Steinman in New York, NY][Jordana Haber in Las Vegas Nevada]

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Episode 54 Amie Varley, Sara Fung, and Gina Lopez on Violence in the Health Care Workspace

The Gritty nurse podcast

Amie Varley, RN, BN, MScN- CP Women's Health, received her Bachelor's degree from the University of New Brunswick in Nursing and her Masters Degree in Nursing from the University of Toronto (U of T). She also completed a collaborative Masters Degree program with the Dalla Lana School of Public Health  at U of T in Women's Health.  Amie is a dynamic speaker, advocate and activist for nursing as a profession, mental health, health equity, Womxn's health and Womxn's rights. Her Master's degree focused on the mental health of postpartum Womxn and transgender medicine.  She has worked as a nurse in many roles; Labour and Delivery Nurse, Maternal Child Nurse, Educator, Professional Practice Clinician, College/University Faculty and in Quality Improvement.

Sara Fung, RN, BScN, MN,  received her Bachelor’s of Science in Nursing from Western University and her Master's of Nursing from the University of Toronto.   Her expertise is in maternal child health, with clinical experience in obstetrics and the NICU. She has worked in both academic and community hospitals and home health as a bedside nurse, educator, advanced practice nurse and professional practice specialist. In addition to working full time, she is also a mother of 2, resume writer/interview coach, and podcaster! Sara is passionate about issues such as bullying and incivility, diversity and inclusion, and helping nurses find their career paths in a profession with so many opportunities!

Gina Lopez, MD, MPH received her Bachelor’s of Science from the City College of New York and graduated from Albany Medical College as a Doctor of Medicine. She completed her Master of Public Health with a concentration in operations management from Harvard T. H. Chan School of Public Health. She is a practicing board certified Emergency Physician working at Boston Medical Center, which is the busiest provider of trauma and emergency services in New England. As an assistant professor at Boston University School of Medicine, she has special interests in trauma, team dynamics, work-life integration and resilience as well as diversity and inclusion. She is the director of workplace safety for the emergency department and active in policy and procedures development and training related to workplace violence and management of escalation. Clinically, she strives to be an empathic listener and holistic care provider and personally, she is an involved mother of three and supportive wife.

Emergency Nurses Association Workplace Violence

Violence in the Emergency Department: Resources for a Safer Workplace Emergency Doctors and Nurses Team Up on No Silence on ED Violence Campaign

ACEP Policies Protection from Violence in the Emergency Department The American College of Emergency Physicians (ACEP) believes that workplace violence is a preventable and significant public health problem and that optimal patient care can be achieved only when patients, health care workers, and all other persons in the emergency department are protected against violent acts occurring within the department.  Emergency Department Violence: An Overview and Compilation of Resources   [Amie Varley and Sara Fung in Toronto, Canada][Gina Lopez in Boston MA]

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LaShyra “Lash” Nolen is a Harvard Medical School student where she is serving as student council president of her class. She is the first documented black woman to hold this leadership position. She is a published author and fervent advocate for social justice with commentary published in the Boston Globe, New England Journal of Medicine, Nature, and HuffPost. Lash is a Foster Scholar in Health Policy, Advocacy, and Media at the MGH Stoeckle Center for Primary Care Innovation and a co-host for the Clinical Problem Solvers Anti-Racism in Medicine podcast. Most recently she founded https://www.wegotusproject.org/, a grassroots community empowerment project with the goal of bringing vaccine education and access to Black communities in the wake of the COVID-19 pandemic. Her work has earned her the honor of becoming the 2020 National Minority Quality Forum’s youngest “40 under 40 Leader in Minority Health”, named a “2020 Young Futurist” by The Root Magazine, and the 2021 recipient of the American Medical Student Association's Racial Justice in Medicine Award.  Follow Lash on Twitter @LashNolen

Alister Martin MD MPP is faculty at the MGH Center for Social Justice and Health Equity  at Harvard  Medical School and Founder of Get Waivered, a campaign aimed at transforming emergency departments nationwide into the front door for recovery for patients with opioid addiction. This work serves as a  national model at the NIH with several state partnerships including Get Waivered Texas and Get Waivered Nebraska. Alister trained at Harvard after working in state health policy and after getting an MPP from the Harvard Kennedy School  of Government where he was a fellow at the Center for Public Leadership. In 2013, he accepted a position  as a Health Policy Aide to Governor Peter Shumlin of Vermont given that state's ongoing transition to a single payer system at the time. Over the subsequent year, he led a team in the Governor’s office responsible for building the communications plan for Vermont’s proposed single payer plan called Green Mountain Care.  Alister previously served as Chief Resident at MGH/Brigham Hospital. He now leverages his background in politics, healthcare policy, and the field of behavioral economics to use the ED as a place to build programs that serve the needs of vulnerable patients. He leads a program which offers patients who are unregistered voters the opportunity to register to vote through a program called VotER.  Follow Alister on Twitter @AlisterFMartin

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Nina R. Jacobson is the founder and president of Color Force productions.

Nina Jacobson built an impressive career as a senior film executive at three major motion picture studios before founding the independent company Color Force in 2007.  Jacobson has produced The Hunger Games franchise, grossing $2.9 billion worldwide, the groundbreaking feature Crazy Rich Asians, and the Diary of a Wimpy Kid series.  Jacobson and her partner Brad Simpson have executive produced The People V OJ Simpson: American Crime Story and The Assassination of Gianni Versace: American Crime Story, which received two Emmys and two Golden Globes. Color Force recently wrapped production on Impeachment: American Crime Story and Y: The Last Man.

Timeline of Nina's professional roles: —1988: Jacobson joins Silver Pictures as director of feature entertainment —1993: Jacobson moves to the role of Senior Vice President of Production at Universal Studios, where she oversees the development and production of ‘90s gems like Dazed and Confused, 12 Monkeys, and many more —1995: Jacobson comes on as a senior executive at DreamWorks, where she helped shepherd films such as Antz and The Sixth Sense —1995: Jacobson and producer Bruce Cohen establish Out There, a collective of gay and lesbian entertainment industry activists, formalizing their colleagues’ efforts to raise the visibility, awareness and collective power of queer filmmakers —1998: She begins her role as a senior exec at Disney, overseeing film production and developing scripts for Disney Pictures, Touchstone Pictures and Buena Vista Motion Pictures Group. It’s during this period she would help helm gigantic properties like the Pirates of the Caribbean, Chronicles of Narnia and Princess Diaries franchises —2003: Jacobson wins a Women in Film Crystal Award —2005: Forbes includes the power player in its list of 100 “Most Powerful Women,” as the business world takes note of the influence Jacobson has had both on the industry and the world at large —2007: Jacobson makes the move from studio exec to producer when she founds Color Force with partner Brad Simpson. The shingle quickly emerges as an incubator for the wonderful projects she’s helped usher in during the past decade —2009: Jacobson and Color Force acquire the film rights to The Hunger Games book series, a property that would spawn four films and go on to become an enormous worldwide success. The Hunger Games becomes another shining example of how you can build a blockbuster franchise (almost $3 billion in combined revenue) around someone other than a male —2016: Color Force takes on the small screen as their production of The People v. O.J. Simpson: American Crime Story premieres on FX and is met with immediate acclaim and a slew of awards —2018: Jacobson and Color Force release the feature adaptation Crazy Rich Asians, which — spoilers — is also a huge success and underscores how vital, fun and profitable stories of underrepresented communities can be on the big screen Selected articles and interviews —https://www.hollywoodreporter.com/news/general-news/hunger-games-producer-nina-jacobson-interview-300719/ —https://www.indiewire.com/2019/01/nina-jacobson-sundance-producers-brunch-keynote-speech-1202038685/ —https://www.hollywoodreporter.com/news/general-news/crazy-rich-asians-producer-nina-jacobson-inclusion-hollywood-timeline-successful-career-1167199/ —https://www.youtube.com/watch?v=27L2NnO2LRc —https://deadline.com/2019/01/sundance-usc-annenberg-inclusion-initiative-stacy-l-smith-angela-robinson-nina-jacobson-karim-ahmad-diversity-inclusion-representation-1202541675/ —https://www.latinheat.com/everything-related-to-film/film/nina-jacobson-to-speak-at-hollywood-networking-breakfast/ —https://brownbears.com/news/2019/3/20/diversity-and-inclusion-womens-history-month-2019-nina-jacobson-87-film-executive.aspx —https://www.nytimes.com/2016/12/09/fashion/nina-jacobson-hollywood-diversity-hunger-games-american-crime-story.html —https://www.hollywoodreporter.com/lifestyle/style/residence-nina-jacobson-382231/

[Nina Jacobson in Beverly Hills, CA]

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Matthew Carrano always wanted to be a paleontologist and is still somewhat amazed that he actually is one. He is currently the Curator of Dinosauria at the Smithsonian’s National Museum of Natural History, where he studies dinosaur evolution and paleobiology. Most recently, he served as lead curator for the museum’s new paleontology exhibition, Deep Time, which opened in 2019. Matthew graduated from Brown University in 1991 with a B.S. in Geology-Biology, and earned his M.S. and Ph.D. from the University of Chicago. Originally from Branford, Connecticut, he now lives in Washington, DC with his wife, Diana and son, Max.

B. Natterson Horowitz, MD, is a New York Times bestselling author of the award-winning books Zoobiquity  (Twitter) and Wildhood. A cardiologist and evolutionary biologist on the faculty of Harvard and UCLA, Dr. Natterson Horowitz studies animals in their natural settings to find solutions for human health challenges.  [Matt Carrano in Washington DC][Barb Natterson-Horowitz in Los Angeles]

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Women are at a disadvantage. At home, they often face an unequal division of household chores and childcare, and in the workplace, they deal with lower pay, lack of credit for their contributions, roadblocks to promotion, sexual harassment, and more. And while organizations are looking to address these issues, too many gender-inclusion initiatives focus on how women themselves should respond, reinforcing the perception that these are "women's issues" and that men—often the most influential stakeholders in an organization—don't need to be involved.

A Navy pilot-turned-associate-professor at the Johns Hopkins Carey Business School, David G. Smith PhD led combat missions in Iraq and Afghanistan. Trained in military sociology and social psychology, he now focuses his research on  gender, work, and family issues. W. Brad Johnson PhD, who served as a lieutenant commander in the Navy’s Medical Service Corps,  is a professor of psychology at the U.S. Naval Academy. He specializes in mentoring, professional ethics, and counseling. 

Dave and Brad have co-authored 2 books and numerous articles including those in the Harvard Business Review: Good Guys: How Men Can Be Better Allies for Women in the Workplace and Athena Rising: How and Why Men Should Mentor Women. Some HBR articles: • How Men Can Confront Other Men About Sexist Behavior • The Missing Link in Gender Equality Efforts • How Men Can Be More Inclusive Leaders • Male Allyship Is About Paying Attention • Gender Equity Starts in the Home • Men Can Improve How They Mentor Women. Here’s How. • How Men Can Become Better Allies to Women • Gender Equity Is Not Zero Sum

Read more on their website:  Workplace Allies. Dave on twitter @davidgsmithphd [Dave Smith in Baltimore MD][Brad Johnson in Annapolis MD]

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Lenox Hill is a Netflix original TV series that hit the streaming service in 2020. Lenox Hill is a nine-episode documentary series about the real-life Lenox Hill Hospital in New York City. The series follows four medical professionals in Obstetrics-Gynecology (Amanda Little-Richardson), Emergency Medicine (Mirtha Macri), and Neurosurgery (David Langer and John Boockvar). The Lenox Hill team filmed the first ever COVID-19 episode of television, highlighting the pandemic in the early stages of the virus. Lenox Hill in the News Israeli Makers of Netflix Hit 'Lenox Hill' on Capturing Coronavirus and BLM Struggles The top-rated Netflix shows available to watch right now (June 2021) How the Lenox Hill Doctors' Lives Have Changed Since the Show Was Filmed How a Neurosurgeon (and Netflix Star) Spends His Sundays

Yulari films : Ruthie Shatz and Adi Barash founded Brooklyn-based Yulari Films. They are a prolific and award winning director - producer - writer team. The company excels in the documentary arena by penetrating complex organizations to address themes of community and diversity, revealing the strength and drive of the human spirit as their guiding force. Barash and Shatz go deep into a subject’s core while creating ambitious character-driven verite projects that touch on taboo subjects with their unique cinematic lance. Follow Ruthie on Twitter

Mirtha Macri DO is originally from New Jersey. She graduated from New York College of Osteopathic Medicine, and completed residency in Emergency Medicine at Mt Sinai West and North, formally St Lukes Roosevelt Hospitals. She has over 10 years experience in Emergency Medicine, and  currently practices at Lenox Health Greenwich Village stand alone emergency department in Manhattan where she also focuses on community outreach. Apart from Emergency Medicine,  she has focused on international medicine specifically in remote regions of the Peruvian Amazon with a group Amazon Health Project. Dr Macri also collaborates with Northwell Health's Minority Medical Education Committee working with young

Elan "Lonny" Levy MD graduated from the University of Miami, Miller School of Medicine.  He trained at St. Luke's Roosevelt Hospital in Emergency Medicine and has been a New Yorker ever since.  He serves as the Chair of Emergency Medicine at Lenox Health Greenwich Village, part of Northwell Health.  His interests include operations, strategy, and financial performance.   [Ruthie Shatz in Brooklyn NY][Mirtha Macri in New York NY][Elan Levy in New York NY]

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Professor, Dr, and Chair Noliwe Rooks is an interdisciplinary scholar, She is the chair of and a professor in Africana Studies at Brown University and the founding director of the Segrenomics Lab at the school. Her work explores how race and gender both impact and are impacted by popular culture, social history and political life in the United States. She works on the cultural and racial implications of beauty, fashion and adornment; race, capitalism and education, and the urban politics of food and cannabis production. Follow on Twitter: @nrookie

Cutting School The Segrenomics of American Education (2017) Related articles • African American Homeschools as Racial Protectionism • The Rise of Homeschooling Among Black Families • A revealing look at America’s most controversial charter school system. Success academy • Mark Zuckerberg wanted to help Newark schools. Newarkers say they weren’t heard.

Historical context • Brown v. Board of Education of Topeka, 347 U.S. 483 (1954) • Plessy v. Ferguson (1896)  

Hair Raising: Beauty, Culture, and African American Women (1996) Related article • Soul Cap, designed for swimmers with natural Black hair, banned from Tokyo Olympics  • Soul Cap Shop

Brown University, Department of Africana Studies Prof. Anani Dzidzienyo in the Brown Daily Herald Prof. Anani Dzidizenyo in the Brown Alumni Monthly

[Noliwe Rooks in Providence RI]

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MK Czerwiec is a nurse, cartoonist, and educator. She is the creator of Taking Turns: Stories from HIV/AIDS Care Unit 371, a co-author of Graphic Medicine Manifesto  and editor of Menopause: A Comic Treatment . MK is also the comics editor for the journal Literature & Medicine.  Follow MK on Twitter @ComicNurse

MK co-manages the website, podcast, annual conferences, and online community of GraphicMedicine.org. 

Michael Natter is an artist, humanist, and doctor. He utilizes his passion for art and storytelling in his medical life in didactic, humorous, and cathartic ways. He is a graduate of Sidney Kimmel Medical College, completed his Internal Medicine Residency at NYU/Bellevue and is a current Endocrinology fellow at NYU/Bellevue. His work has been featured in media outlets such as The Philadelphia Inquirer, Annals of Internal Medicine, Buzzfeed, and others.  Follow Mike on Twitter @mike_natter [MK Czerwiec in Chicago, IL][Mike Natter in New York, NY]

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Orlando Bravo is is a Founder and Managing Partner of Thoma Bravo. He led Thoma Bravo’s early entry into software buyouts and built the firm into one of the top private equity firms in the world. Today, Orlando directs the firm’s strategy and investment decisions in accordance with its principles of partnership, innovation, and performance. Orlando has overseen over 300 software acquisitions conducted by the firm, representing more than $85 billion in transaction value. Forbes named him “Wall Street’s best dealmaker” in 2019, and he was part of Thomson Reuters “Eight Buyout Pros to Watch” in 2009. Orlando was born in Mayaguez, Puerto Rico. He graduated Phi Beta Kappa with a bachelor’s degree in economics and political science from Brown University in 1992 and earned a JD from Stanford Law School and an MBA from the Stanford Graduate School of Business in 1998. He is the Founder and Chairman of the Bravo Family Foundation, the mission of which is to provide access and opportunities to young adults in Puerto Rico. Orlando directs the organization’s various programs and initiatives to promote entrepreneurship, community-based leadership and economic development in Puerto Rico. After Hurricane Maria hit Puerto Rico in 2017, he spearheaded a humanitarian mission to remote communities on the island. In 2019, Orlando committed $100 million to the Foundation’s Rising Entrepreneurs Program (REP) with the goal of fostering entrepreneurship in Puerto Rico. Orlando is a Member of the Board of Trustees of the Corporation of Brown University.  Read more about Orlando in this Forbes 2019 article. Follow Orlando on Twitter @OrlandoBravoTB and LinkedIn

Verónica Tora Arana is born and raised in San Juan, Puerto Rico, She is the first woman Olympic Rower for Puerto Rico. She graduated from MIT in 2016, where she studied Biological Engineering and started rowing. Currently, she is an MD student at the Stanford University School of Medicine. She is a part of the Cardiovascular Biomechanics Computation Lab at Stanford, where she researches Pulmonary Valve Replacement Outcomes in children with Tetralogy of Fallot. She hopes to become a Pediatric Cardiothoracic Surgeon and help to serve this patient population on the island.   She began competing as the Woman Single sculler for Puerto Rico in 2014. She is named Rowing athlete of the year for Puerto Rico in 2014, 2015, 2016, 2018, and 2019. In 2019, I made it to the A Final at the Pan-American Games. She has trained in the boathouse featured in The Boys in the Boat: Nine Americans and Their Epic Quest for Gold at the 1936 Berlin Olympics.

On March 5, 2021 at the Lagõa de Freitas in Rio de Janeiro, Brazil, she became Puerto Rico's first woman Olympic rower. She aims to convey: YES WE CAN, as women and as Puerto Ricans.

Follow Verónica on LinkedIn and Instagram. Help Verónica's GoFundMe on her way to the Olympics2021 [Orlando Bravo in Miami FL][Verónica Toro Arana in Palo Alto CA]

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On the day Andy and I spoke the supreme court upheld the ACA and Andy's new book Preventable just dropped. PREVENTABLE: The Inside Story of How Leadership Failures, Politics, and Selfishness Doomed the U.S. Coronavirus Response is the definitive inside account of the United States' failed response to the Coronavirus pandemic

Andy Slavitt was President Biden’s White House Senior Advisor for the COVID Response at the beginning of his term where he oversaw direct communication with the public  on the SARS-CoV2 pandemic. He has led many of the nation’s most important health care initiatives, serving as President Obama’s head of Medicare and Medicaid and overseeing the turnaround, implementation and defense of the Affordable Care Act. He is host of the award winning In the Bubble podcast. 

[Andy Slavitt in California (photo credit Shari L. Gross)]

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During her residency at the University of Minnesota, Dr. Maria Uloko launched her podcast, “Battle Cry,” as “a love letter” to minorities pursuing careers in STEM.

Maria Uloko is a urologist, Inclusive Sexual Medicine, prosthetic/reconstruction, transgender health and Male Infertility Fellow at San Diego Sexual Medicine. Interested in making medicine progressive and innovative. For the 2020-2021 year she completed a fellowship in male and female sexual dysfunction, infertility and prosthetic urology in San Diego under the guidance of Irwin Goldstein, MD, Director of Sexual Medicine at Alvarado Hospital Medical Center and founding editor of the Journal of Sexual Medicine, Dr. Martin Bastuba, a urologic reproductive specialist, and Dr. Jordan Spiegel, a reconstructive urologist at Scripps hospital in La Jolla California. Maria completed her internship in general surgery and residency in urology at the University of Minnesota. Follow Maria on Twitter

In 2011, Dr. Gina Northington joined the faculty at Emory University School of Medicine. She is currently Associate Professor and Director of the Division of Female Pelvic Medicine and Reconstructive Surgery (FPMRS) in the Department of Gynecology and Obstetrics. She is also Chief of Clinical service for OB/GYN at Emory University Hospital. Gina's clinical areas of interest include geriatric gynecology, neuromodulation, pelvic organ prolapse, urinary incontinence, and overactive bladder. She currently participates in several clinical trials and translational research projects investigating mechanisms of female pelvic floor disorders. Prior to joining the faculty at Emory, Dr. Northington was an assistant professor at the University of Pennsylvania where she also completed her fellowship training. In addition to her administrative positions at Emory, Gina is also fellowship program director for FPMRS at Emory and was responsible for Emory receiving ACGME Accreditation for the Fellowship program the first year it was offered by the ACGME in 2013.  Follow Gina on Twitter [Maria Uloko in San Diego CA][Gina Northington in Atlanta GA]

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LaShyra “Lash” Nolen is a second-year student at Harvard Medical School where she is serving as student council president of her class. She is the first documented black woman to hold this leadership position. She is a published author and fervent advocate for social justice with commentary published in the Boston Globe, New England Journal of Medicine, Nature, and HuffPost. Lash is a Foster Scholar in Health Policy, Advocacy, and Media at the MGH Stoeckle Center for Primary Care Innovation and a co-host for the Clinical Problem Solvers Anti-Racism in Medicine podcast. Most recently she founded https://www.wegotusproject.org/, a grassroots community empowerment project with the goal of bringing vaccine education and access to Black communities in the wake of the COVID-19 pandemic. Her work has earned her the honor of becoming the 2020 National Minority Quality Forum’s youngest “40 under 40 Leader in Minority Health”, named a “2020 Young Futurist” by The Root Magazine, and the 2021 recipient of the American Medical Student Association's Racial Justice in Medicine Award.  Follow Lash on Twitter @LashNolen

Alister Martin MD MPP is faculty at the MGH Center for Social Justice and Health Equity  at Harvard  Medical School and Founder of Get Waivered, a campaign aimed at transforming emergency departments nationwide into the front door for recovery for patients with opioid addiction. This work serves as a  national model at the NIH with several state partnerships including Get Waivered Texas and Get Waivered Nebraska. Alister trained at Harvard after working in state health policy and after getting an MPP from the Harvard Kennedy School  of Government where he was a fellow at the Center for Public Leadership. In 2013, he accepted a position  as a Health Policy Aide to Governor Peter Shumlin of Vermont given that state's ongoing transition to a single payer system at the time. Over the subsequent year, he led a team in the Governor’s office responsible for building the communications plan for Vermont’s proposed single payer plan called Green Mountain Care.  Alister previously served as Chief Resident at MGH/Brigham Hospital. He now leverages his background in politics, healthcare policy, and the field of behavioral economics to use the ED as a place to build programs that serve the needs of vulnerable patients. He leads a program which offers patients who are unregistered voters the opportunity to register to vote through a program called VotER.  Follow Alister on Twitter @AlisterFMartin [LaShyra Nolen in Boston MA][Alister Martin in Boston MA]

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Impact of the Build Environment on Health (CDC)

Erin K. Peavey is a believer in the power of place to heal, connect, and serve vulnerable people — from hospital patients and staff, to people struggling with social isolation and mental health challenges. In her leadership role at HKS, she helps integrate research and practice to advance the creation and communication of knowledge across the firm. Erin served as research chair on the board of trustees on the Academy of Architecture for Health Foundation for close to a decade, and was adjunct faculty at The Pratt Institute and New York School of Interior Design. She is an industry scholar with the Cornell Institute for Health Futures and is a widely-sought after author, speaker and facilitator. Her podcast, Shared Space, explores how architecture and design can help us live healthier, happier and more connected lives.   • Podcast Host @ Shared Space  • Erin on Twitter: @erin_peavey • Ein on Linkedin Erin K Peavey • Erin's Website: https://www.erinpeavey.com • Erin on WKRA March 2021: After Social Distancing, This Architect Is Hoping for A 'Renaissance of Connection' • Erin in Psychology Today May 2021: Is your Environment Making You Lonely

Jennifer D. Roberts is an Assistant Professor in the Department of Kinesiology, School of Public Health at the University of Maryland College Park (UMD).  Dr. Roberts is also the Founder and Director of the Public Health Outcomes and Effects of the Built Environment (PHOEBE) Laboratory as well as the Co-Founder and Co-Director of NatureRx@UMD, an initiative that emphasizes the natural environmental benefits interspersed throughout and around the UMD campus.  Her scholarship focuses on the impact of built, social, and natural environments, including the institutional and structural inequities of these environments, on the public health outcomes of marginalized communities. Presently, Dr. Roberts’ is leading the Purple Line Light Rail Impact on Neighborhood, Health and Transit (PLIGHT) Study in order to investigate changes in light rail use, active transportation, overall physical activity, obesity and related comorbidities among Prince George’s County, Maryland residents.  She is also examining the risk of transit-induced gentrification related to this light rail train through funding she was awarded with her JPB Environmental Health Fellowship.  • Follow Jen on her Website JenniferDRoberts website •  Twitter @ActiveRoberts Twitter,  • LinkedIn Jennifer D. Roberts LinkedIn • Jen on Episode 172 Therapy for Black Girls podcast September 2020 Plant Parenthood Is More Than a Trend • Jen on NPR April 2021:  Closing the Gap on Transportation Walking or Biking while Black can be Deadly

[Erin Peavey in Dallas TX][Jennifer Roberts in Washington DC]

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Trailer transcript:

Resa E. Lewiss  0:00  My name is Dr. Resa E Lewiss and I'm the host of the Visible Voices Podcast. These are designed conversations about healthcare equity and current trends. I amplify voices that may be known and those that may be unknown. If you're looking to learn and to be inspired, then listen for this content with leaders and experts in their respective fields. Here are a few people that you'll hear...

Gloria Steinem. Yes. I mean, why would you not you know, you have a voice, why would you not use it? Seth Godin  0:29  What I'm asking people to do is take responsibility before they get authority. Joneigh Khaldun 0:37  I think it made me a better doctor. I think it helps when I'm trying to advance certain public health initiatives, I think it helps that I actually can share my experiences and know what it's like when you talk about maternal mortality. I am one of the lucky ones. Stacey Chang. And if we aren't holding those three things, trust, and agency, and human connection at the core of what we're trying to do in health design then we will really have lost the thread. Paula Johnson 1:02  we have to tell these personal stories because it makes it real, I think, in some way. We're not thinking this is all of us together. And it really is.

Resa E. Lewiss  1:15   Whether you're in healthcare in the equity space, or just generally curious about health design, arts and culture, then this podcast is for you. Subscribe wherever you listen to podcasts. New episodes come out every week.

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From the Visible Voices podcast archives, Tova du Plessis of Essen Bakery and Abby Dahan of the Bake School join to discuss Philadelphia award winning baking.

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Jahan Mantin is the co-founder of Project Inkblot, a consultancy that specializes in design education and partners with companies on adopting models and tools that supporting equitable products, services, content, and experiences. Jahan began her career in advertising and marketing at Time Out New York and later as the Associate Editor for Beyond Race Magazine. Jahan earned a B.A. in Communications and Culture from Clark University and reived the Kate Spade and Company Fellowship at the New Museum Incubator. 

"I'm a designer and futurist, partnering with companies to build equitable products/services using Design for Diversity™ D4D.  Design for Diversity™ helps illuminate blind spots around cultural and racial biases within your team’s design processes, before they are embedded into the end product.  As the co-founder of Project Inkblot, our team has developed a framework to guiding how we design, create and build services, content etc. to not just guardrail against racial biases – but to center the voices, leadership and vision of those most impacted within our design process. I'm a relationship builder, a natural storyteller (before "storytelling" was a buzzword), connector, curator and community builder." Follow Project Inkblot on Twitter

Steven Christian started his creative journey as a student-athlete. He got injured so he began to explore design. This path has led him into the augmented reality space where he empowers Black communities to express themselves through creativity, art, and technology. Born and raised in Sacramento, CA, Steven Christian grew up playing sports. He earned a football scholarship at the University of Hawaii. During his college career, he injured his hips and had to get bilateral hip reconstructive surgery. It was then that he began to explore art, comics, and development for mobile devices. It became an avenue of self-expression as well as therapy. He then received his Master of Arts from Oregon State where he focused on visual representation of social issues through an interdisciplinary lens: primarily animation and illustration. This path has led him into the augmented reality space where he is empowering Black communities to express themselves through creativity, art, and technology, and is now admitted to Medical School. 

At Iltopia Studios, he tells stories about the Black experience in America using art and technology. His goal is to educate, empower, and entertain through immersive content creation.He founded Iltopia Studios as a creative studio to scale what he does into a platform that inspires and empowers people from his community to push beyond what is expected of them. Follow Steven on Twitter [Jahan Mantin in New York NY][Steven Christian in Portland OR]

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Tae Keller is an American children's book author.  She is the award-winning author of The Science of Breakable Things and When You Trap a Tiger.

When You Trap a Tiger, won the 2021 American Library Association John Newbery Medal. The book tells the story of Lily and her relationship with her aging and ill Korean grandmother, wrapped around the Korean folktales her grandmother tells her at bedtime. When Lily and her family move in with her sick grandmother, a magical tiger straight out of her halmoni’s Korean folktales arrives, prompting Lily to unravel a secret family history. Long, long ago, Halmoni stole something from the tigers. Now they want it back. And when one of the tigers approaches Lily with a deal–return what her grandmother stole in exchange for Halmoni’s health–Lily is tempted to agree. But deals with tigers are never what they seem! With the help of her sister and her new friend Ricky, Lily must find her voice…and the courage to face a tiger.

Follow Tae on twitter

Tae's mother is award winner author Nora Okja Keller. Her first novel Comfort Woman won the American Book Award in 1998 and the 1999 Elliot Cades Award. Previously, in 1995, Keller won the Pushcart Prize for a short story, "Mother-Tongue", which became the second chapter of Comfort Woman. In 2003, she won the Hawai'i Award for Literature. Jason Han MD is integrated cardiac surgery resident. He received his bachelor’s degree in Neuroscience at Columbia University and received his MD from the Perelman School of Medicine. He is a writer for the healthcare section of the Philadelphia Inquirer, and publishes on Medium. He is interested in heart failure, and clinical ethics and plans to pursue a career in academic cardiac surgery.

Follow Jason on Twitter [Tae Keller in Seattle WA][Jason Han in Philadelphia PA]

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EXTRA BOLD is a feminist inclusive anti-racist nonbinary field guide for graphic designers. In this episode I am joined two fo the authors of this May 2021 release. 

Kaleena Sales  (she/her) is the Interim Chair  and an Assistant Professor of Graphic Design  in the Department of Art & Design at Tennessee State University. She is a writer, illustrator, and graphic design educator at Tennessee State University, an Historically Black College and University in Nashville, TN. Her research focuses on Black culture and aesthetics, and her recent illustration work has been selected for inclusion in the 2021 Communication Arts Illustration Annual. Through her service on AIGA's Design Educators Community Steering Committee, Kaleena has advocated for a more inclusive view of design history through her Beyond the Bauhaus writing series. She also serves as Director of Diversity and Inclusion for AIGA Nashville. Twitter: @kaleena_sales

Ellen Lupton is a writer, curator, educator, and designer, critic. She is the Senior Curator of Contemporary Design at the Cooper Hewitt, Smithsonian Design Museum in New York City. She has authored numerous books on design processes: Thinking with Type, Graphic Design Thinking, Graphic Design: The New Basics, and Type on Screen, Design Is Storytelling, Health Design Thinking and Extra Bold, a feminist career guide for designers. In 2017, she delivered a TEDxMidAtlantic talk Museums should activate multiple senses, not just the eyeball. Ellen is the founding director of the Graphic Design MFA Program at MICA (Maryland Institute College of Art) in Baltimore, where she received the AIGA Gold Medal for Lifetime Achievement in 2007. She was named a Fellow of the American Academy of Arts & Sciences in 2019. Twitter: @ellenLupton

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Cure sometimes, treat often, comfort always

Hospice care is compassionate comfort care (as opposed to curative care) for people facing a terminal illness with a prognosis of six months or less, based on their physician’s estimate if the disease runs its course as expected. Palliative care is compassionate comfort care that provides relief from the symptoms and physical and mental stress of a serious or life-limiting illness. Palliative care can be pursued at diagnosis, during curative treatment and follow-up, and at the end of life.

Marie-Carmelle Elie, M.D., has been named chair of the Department of Emergency Medicine at the University of Alabama at Birmingham School of Medicine. Carmelle obtained her undergraduate degree from Columbia University and her medical degree from the State University of New York in Brooklyn with a distinction in research. Since then, she has continued to identify herself as a scholar and clinical investigator. Following her emergency medicine residency at Mount Sinai Medical Center in New York, she completed a Critical Care/Trauma Fellowship at the R. Adam Cowley Shock Trauma Center at the University of Maryland. She is triple board-certified in emergency medicine, critical care, as well as hospice and palliative care medicine.

Dr. Ashley Shreves earned a Bachelor of Arts degree in Biology and Chemistry from Washington and Lee University in Lexington, VA. She went on to receive a doctor of Medicine degree from Louisiana State University School of Medicine located in New Orleans, LA.  Ashley completed a residency in Emergency Medicine with St. Luke’s-Roosevelt Hospital in New York City.  She then completed a Palliative Medicine Fellowship at Mount Sinai School of Medicine. Dr. Ashley Shreves is board-certified in emergency medicine and palliative care and splits her clinical time between the two specialties. [Marie-Carmelle Elie in Gainesville Fla][Ashley Shreves in New Orleans LA]

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Graphic Medicine refers to the use of graphic novels, comics, and visual storytelling in medical education, patient care, and other applications related to healthcare and the life sciences.   Dr. Shirlene Obuobi is a third year internal medicine resident, rising Cardiology fellow, and creator of the graphic medicine platform, "ShirlyWhirldMD." ShirlyWhirlMD has functioned as a vehicle of self expression during a time of professional growth, as well as a place to critique and discuss elements of medical culture and current events within healthcare.  Follow her on twitter. Website https://shirlywhirlmd.com Dr Ian Williams is a comics artist, writer and doctor who lives in Brighton, UK. His graphic novel, The Bad Doctor, was published in 2014 and followed up in 2019 by The Lady Doctor. He is working on his third, for the same publishers, provisionally entitled The Sick Doctor, which will be published in 2022. He studied Fine Art after medical school and then became involved in the Medical Humanities movement. He named the area of study called Graphic Medicine, building the eponymous website in 2007, which he currently co-edits. He is Founder of the not-for-profit Graphic Medicine International Cooperative and co-author of the Eisner-nominated Graphic Medicine Manifesto. Between May 2015 and January 2017 he drew a weekly comic strip, Sick Notes, for The Guardian. He recently made an animation with Matilda Tristram for The Care Under Pressure project from Exeter University. He has spoken at numerous medical humanities, comic art and literary events.Ian is represented by Kirsty McLachlan of Morgan Green Creatives Follow Ian on twitter Website https://myriadeditions.com/creator/ian-williams/

[Shirlene Obuobi in Chicago Illinois][Ian Wiliams in Brighton, England]

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Robert M. Wachter, MD is Professor and Chair of the Department of Medicine at UCSF, where he is the Holly Smith Distinguished Professor in Science and Medicine and the Benioff Endowed Chair in Hospital Medicine. He coined the term “hospitalist” in 1996 . In 2015, Modern Healthcare magazine named him the most influential physician-executive in the United States. Prior to becoming UCSF's ninth chair of medicine, he served as chief of UCSF's Division of Hospital Medicine. He is generally regarded as the academic leader of the hospitalist movement. Hospitalists are internists and other physicians who specialize in the care of hospitalized patients. He is a past president of the Society of Hospital Medicine and a past chair of the American Board of Internal Medicine. In January 2021, Wachter began guest-hosting the In the Bubble podcast. You can follow Bob on twitter. Patricia C Henwood MD is an Associate Professor of Emergency Medicine at Thomas Jefferson in Philadelphia. She has been leading and organizing the coronavirus response on the front lines at Jefferson and in the city of Philadelphia. Trish's experience training clinicians in Rwanda, Uganda, and other countries to use point-of-care ultrasound to answer questions about TB, and Ebola has prepared her more than most on how to handle a crisis. Trish is a graduate of the Harvard Affiliated Emergency Medicine program. During her time as a resident she founded a 401(c)3 organization PURE: Point-of-care Ultrasound in Resource limited Environments. PURE is an organization comprised of medical professionals and others dedicated to enhancing ultrasound education and use in the developing world. PURE works in concert with ministries of health and local leaders in education to develop tailored plans to train physicians and other healthcare practitioners to use ultrasound at the bedside in caring for their patients, as well as help them develop the tools to sustainably transfer ultrasound skills to other healthcare practitioners in their setting. In a 2019 NEJM perspective piece, Trish published her never before described ultrasound findings diagnostic of Ebola patients in Liberia. Follow Trish on twitter. [Bob Wachter in San Francisco CA][Patricia Henwood in Philadelphia PA]

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A practicing physician, Ashish K. Jha,  M.D., MPH, is recognized globally as an expert on pandemic preparedness and response as well as on health policy research and practice. He joined to the Brown School of Public Health as Dean fter leading the Harvard Global Health Institute and teaching at the Harvard T.H. Chan School of Public Health and Harvard Medical School. Dr. Jha has published more than two hundred original research publications in prestigious journals such as the New England Journal of Medicine and the BMJ, and is a frequent contributor to a range of public media. He has extensively researched how to improve the quality and reduce the cost of health care, focusing on the impact of public health policy nationally and around the globe. Before joining the Brown School of Public Health, Dr. Jha was a faculty member at the Harvard T.H. Chan School of Public Health (HSPH) since 2004 and Harvard Medical School since 2005. He was the Faculty Director of the Harvard Global Health Institute from 2014 until September 2020. From 2018 to 2020, he served as the Dean for Global Strategy at the Harvard T.H. Chan School of Public Health. A general internist previously with the West Roxbury VA in Massachusettts, he practicea at the Providence VA Medical Center.  Ashish was elected to the National Academy of Medicine in 2013. Follow him on twitter @ashishkjha

Miriam Laufer MD is the Assistant Dean for Student Research and Education at University of Maryland School of Medicine Dr. Laufer is a pediatric infectious disease specialist, with a primary research interest in malaria and global child health. She has conducted research, clinical care and professional education in resource-limited countries in Africa and Asia, and has dedicated nearly two decades to working in Malawi. She and her research team use clinical and laboratory research to develop and evaluate interventions to decrease the burden of malaria in sub-Saharan Africa. She currently serves as Principal Investigator for clinical trials, epidemiological studies and a Fogarty training grant, that support her collaboration with colleagues throughout the US, Europe and Africa. In 2006, she published her first author paper Return of Chloroquine Antimalarial Efficacy in Malawi in the New England Journal of Medicine Dr. Laufer directs the Malaria Research Program at the Center for Vaccine Development and Global Health. ‌‌The Malaria Research Program aims to support global malaria eradication efforts by developing and deploying innovative tools for improved malaria treatment, prevention and surveillance. Recognizing that progress requires interdisciplinary and international partnerships now and in the future, we work in collaboration with researchers across the globe and focus on training young scientists and clinical investigators to build research capacity both in the US and in malaria-endemic countries. Follow her on twitter @MirLaufer [Ashish Jha in Providence RI][Miriam Laufer in Baltimore MD]

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Stacey Chang is a designer and engineer.  Until 2014, Stacey was the Managing Director of the Healthcare practice at IDEO, the global design and innovation firm. He left to found the Design Institute for Health at the University of Texas at Austin, a first-of-its-kind institution, dedicated to applying design approaches to solving systemic health care challenges as an integrated part of an operating health system and a medical education and training program. As Executive Director of the Design Institute, Stacey and team cover topics such as the design of health services and tools, the built environment, new care models, and the structure and functionality of the health ecosystem itself. Stacey has served as a TEDMED Editorial Advisory Board member, and a Thought Leader for NEJM Catalyst. He holds degrees in engineering from MIT and Stanford. Follow Stacey on twitter.

Rachel Smith- identifies as I'm a multidisciplinary Latina Design Leader who believes in Designing for social impact. She is the founder of Design to Combat COVID-19, a virtual community of creatives—now over 2,200 strong—who volunteer their skills and time using design thinking to support medical professionals, service workers, and under represented communities affected by the pandemic. By day, Rachel Smith is a Senior Product Designer at Zillow, and previously has worked with companies such as Nordstrom and The Home Depot. The rest of the time, the LA native works on a range of creative projects, both within her local community and globally. Follow Rachel on twitter.  [Stacey Chang in Austin TX][Rachel Smith in Los Angeles CA]

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Ty Sells is one of the most sought-after motivational speakers for youth in the country. He received his BA in Communication from The Ohio State University, is an Ohio Certified Prevention Consultant, and is currently the Director of Training for Youth to Youth International in Columbus, Ohio. In 2012, Ty received the “Prevention Innovator of the Year” Award from the Ohio Department of Mental Health and Addiction Services for his development of creative prevention trainings and consultations with schools and organizations across the state. Ty has developed a multitude of trainings, workshops, and presentations for both youth and adults to address the many complex issues that confront today’s young people.  Ty speaks on The Power of Connection

Lynn Fiellin is a Professor of Medicine, the Child Study Center, and Public Health at Yale. She is also the Founding Director of the play2PREVENT Lab at the Yale Center for Health & Learning Games where she and her team focus on developing and evaluating videogame interventions, in the form of “serious games” to impact the health and well-being of adolescents. PlaySmart: playTEST! smokeSCREEN PlayForward: Elm City Stories empowerED: Think It Through Digital Stories

Mission of play2PREVENT is to establish and grow a repository for evidence-based videogame interventions and educational materials geared toward risk prevention, well-being, and social intelligence in children, teens and young adults. Our objective is to serve as a resource for teens, parents, schools, communities, and other stakeholders with the common goal of improving and sustaining the health and well-being of young people.

The play2PREVENT Lab builds on the evolving and expanding area of “serious games,” a field defined as video games intended for use beyond just entertainment, such as in the fields of health, well-being, education, and social intelligence. We use principles of character education and components of social emotional learning to develop innovative targeted digital interventions to impact a range of health outcomes in youth and young adults. [Ty Sells in Columbus, OH][Lynn Fiellin in New Haven, CT]

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Seth Godin grew up in Buffalo, New York. He graduated Williamsville East High School in 1978 before leaving to earn degrees in computer science and philosophy from Tufts University and an MBA in marketing from the Stanford Graduate school of Business. He returned to Buffalo often to see his family, owners of HARD Manufacturing, a maker of hospital cribs headquartered. The company is currently run by his sister Marjorie Bryen.  Seth is the author of 20 books that have been bestsellers around the world and have been translated into more than 35 languages. He’s also the founder of the altMBA and The Akimbo Workshops, online seminars that have transformed the work of thousands of people. He writes about the post-industrial revolution, the way ideas spread, marketing, quitting, leadership and most of all, changing everything. Some of his books Linchpin, Tribes, The Dip  and Purple Cow. His book, This Is Marketing, was an instant bestseller around the world. His newest book, The Practice came out in 2020. Seth has founded several companies, including Yoyodyne and Squidoo. His blog (which you can find by typing “seth” into Google) is one of the most popular in the world. His podcast is in the top 1% of all podcasts worldwide. In 2018, he was inducted into the Marketing Hall of Fame. 

Michelle Johnston is a Professor of Emergency Medicine and novelist, and on good days it is difficult to tell the difference, She works as an Emergency Physician at an inner city trauma hospital, thus specialising in mess and chaos. Her first novel, Dustfall, was published in 2018; a book about medical error and the legacy of asbestos mining in Western Australia.  She writes extensively in the medical field, and believes creativity is at the beating heart of critical care. [Seth Godin in Hastings-on-Hudson, New York][Michelle Johnston in Perth Australia]

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Resa speaks with Danielle Ofri, MD, PhD, a clinical professor of medicine at the New York University School of Medicine. She has worked at Bellevue Hospital for decades. They discuss writing and finding one's voice through writing  Dr. Ofri recently released When We Do Harm. She is the author of many books and has regular contributions in Slate, New York Times, the New England Journal of Medicine, and the Lancet.. They discuss her June 2019 New York Times OpEd piece The Business of Health Care Depends on Exploiting Doctors and Nurses One resource seems infinite and free: the professionalism of caregivers. Listen to Dr. Ofri's TEDMED talk.  Twitter @danielleofri Website danielleofri.com [Danielle Ofri in New York, NY]

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Vineet Arora, MD is the Herbert T Abelson Professor of Medicine in General Internal Medicine. She is an an academic hospitalist and medical educator who specializes in improving the learning environment for medical trainees and the quality, safety and experience of care delivered to patients. She serves as Associate Chief Medical Officer for the Clinical Learning Environment at the University of Chicago Medicine and Assistant Dean for Scholarship and Discovery at the Pritzker School of Medicine. Dr. Arora is an internationally recognized expert on patient handoffs in health care and also has broad expertise in using technology, such as social media, to improve medical education. Dr. Arora is an elected member to the American Society of Clinical Investigation, which recognizes physician-scientists for an outstanding record of scholarly achievement in biomedical research, and serves on the American Board of Internal Medicine Board of Directors. As an advocate for gender equity across health care, she has leadership roles in several organizations dedicated to advancing women leaders and combating sexual harassment in health care, including Women of Impact, TIME’S UP Healthcare and the National Academies of Science, Engineering, and Medicine’s Action Collaborative on Sexual Harassment in Higher Education.  She blogs for the Society of Hospital Medicine : The Hospital Leader. You can follow Vinny on twitter @FutureDocs. Subha Airan-Javia is an Associate Professor in Clinical Medicine and practicing Hospitalist at the University of Pennsylvania. Dr. Airan-Javia formerly served in the Associate Chief Medical Informatics Officer role. She co-founded TrekIT Health, to bring technology she developed and implemented at Penn to other health systems. TrekIT was formed to create a commercial software platform for both large institutional health systems and individual clinicians looking for a better way to manage their workflow based on the CareAlign technology platform developed by Subha Airan-Javia and colleagues at Penn Medicine. Product design was born out of a necessity to improve clinician experience, present data in a way that reduces cognitive overload, and to improve the handoff process, while simultaneously reducing medical errors and making the electronic health record more user friendly. You can follow Subha on twitter @subhaairan. [Vinny Aurora in Chicago IL][Subha Airan-Javia in Philadelphia PA]

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Tova du Plessis was born and raised in a kosher Jewish household in Johannesburg South Africa, She came to the United States to attend college, planning to become a doctor.  She pivoted her professional plan and enrolled in the Culinary Institute of America at Greystone in Napa Valley. She completed externships with Pastry Chef Matt Tinder and Boris Portnoy at The Restaurant at Meadowood in Yountville. During a free period, she traveled to Philadelphia, connected with Michael Solomonov, who hired her as a line cook at Zahav and a sous chef at kosher European restaurant Citron & Rose. After a brief stint as the pastry chef at Avance, she joined The Rittenhouse Hotel as executive pastry chef, overseeing dessert and pastry at Lacroix. Tova opened essenbakery.com in 2016. The bakery focuses on Jewish breads and sweets, including babkas, challah, and rugelach.  She is a four time James Beard award nominee as a semi-finalist for “Outstanding Baker”.  Follow Tova on twitter @ChefTova and @essenbakery and Instagram @tovadup 

Abigail Dahan is a Foodnetwork 2020 Chopped Sweets winner. She likes teaching regular folks how to bake like pros. She was born in Paris to a Moroccan Jewish father and French Jewish mother.. Her family moved to Cherry Hill, New Jersey, when she was young.  She returned to Paris for culinary school and eventually returned to the Philadelphia area.  In 2014, she was selected for Zagat’s “30 under 30” list for Philadelphia. Dahan was furloughed as the executive pastry chef at Parc at the beginning of the pandemic and returned part-time early in the summer.  She won “Chopped Sweets” in early March and the episode aired 01 September 2020.  Abby prepared for the competition by watching as many episodes as possible and by memorizing certain recipes. After baking challahs out of her home, Abby started a business. She now teaches virtual baking classes. Follow Abby on Twitter @sugarchefabs Instagram @abbydahan and contact her for classes through her website www.thebakeschool.com   [Tova du Plessis of Essen Bakery][Abby Dahan of the Bake School]

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JOANNE A EPPS has been a member of the Temple law school faculty since 1985, JoAnne Epps served as Dean of Temple’s Beasley School of Law from 2008-2016.  Since 2016, she has served as Executive Vice President and Provost of Temple University.  Author and co-author of several books and articles on Evidence and Trial Advocacy, Epps has won numerous awards recognizing her commitment to diversity and advancing women within the legal profession and community. Epps is a former Deputy City Attorney for the City of Los Angeles and Assistant United States Attorney for the Eastern District of Pennsylvania.  Her primary areas of expertise include criminal procedure, evidence and trial advocacy. She has shown a commitment to curricular innovation and experiential legal education inspired the creation of the Stephen and Sandra Sheller Center for Social Justice at Temple Law School, which introduces students to the many roles that lawyers can play in securing access to civil justice. She has trained Sudanese lawyers representing victims of the Darfur crisis, and taught prosecutors for the UN International Criminal Tribunal for Rwanda. Epps was an Assistant U.S. Attorney in Philadelphia and a Deputy City Attorney for the City of Los Angeles. Epps received a B.A. from Trinity College in Hartford, Connecticut, and a J.D. from Yale Law School.

SERENA MURILLO Serena Murillo is a Judge of the Los Angeles Superior Court currently assigned to the civil division in the Spring Street Courthouse. Brown University and the University of California at San Diego where she played NCAA Basketball and earned a Bachelors Degree. She earned her law degree from Loyola Law School  Criminal prosecutor for 17 years . Murillo was a district attorney for the Los Angeles County District Attorney's Office [JoAnne Epps in Philadelphia PA][Serena Murillo in Los Angeles CA]

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Maurice Cherry is principal and creative director at Lunch, an award-winning multidisciplinary creative studio he established in 2008 in Atlanta, GA. Currently, he works as the creative strategist for CodeSandbox.  Maurice is perhaps most well-known for his award-winning podcast Revision Path™, which showcases Black designers, developers, and digital creators from all over the world. It is the first podcast to be added to the permanent collection of the Smithsonian’s National Museum of African American History and Culture (NMAAHC). Other projects of Maurice’s include the Black Weblog Awards, 28 Days of the Web, The Year of Tea, and the design anthology RECOGNIZE.

Maurice is the 2018 recipient of the Steven Heller Prize for Cultural Commentary from AIGA, was named as one of GDUSA’s “People to Watch” in 2018, and was included in the 2018 edition of The Root 100 (#60), their annual list of the most influential African-Americans ages 25 to 45. 

You can find Maurice on Twitter @mauricecherry

Maurice's 2015 Lecture: Where Are the Black Designers? Stesha Doku, MD is a private practice anesthesiologist, web designer and developer based in Greensboro, NC. She focuses on designing interfaces for healthcare technology for software healthcare providers use to better take care of patients. She believes recognizing design's role in healthcare will help build a better future for growth and quality in the medical field.  What we particularly need more of in medicine are designers who can be a bridge to create great interfaces that physicians and healthcare professionals can integrate into their practice. While I believe that anyone can program given a computer, patience and the right book, learning what works on the front-end for different industries is much harder. Only good design can be the connector to helping us meet our goal of making technology adoption worthwhile and cost effective in medicine! Stesha Doku MD on Revision Path 01 July 2013 Mastering the craft of great design is a surprisingly long and continuous process. You will find that having a good eye is very different than being able to think creatively, which is in turn very different from being able to technically manifest your ideas digitally. Great designers have all three, so pick one to start with and the others will build on that.   You can find Stesha on Twitter at @dohkoo.  [Maurice Cherry in Atlanta GA][Stesha Doku in Greensboro NC]

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Christine Laine, MD, MPH is Editor-in-Chief , Annals of Internal Medicine and Senior Vice President, American College of Physicians. She is a general internist and Professor of Medicine at Sidney Kimmel Medical College, Thomas Jefferson University where she remains active in clinical medicine and teaching.

Yonathan Freund is the editor in chief of the European Journal of Emergency Medicine  an emergency physician and professor at Sorbonne University, Paris France. His research focuses on pulmonary embolism, fragile populations,. suboptimal care, and Medical errors in the ED.  Established in 1927 by the American College of Physicians (ACP), Annals of Internal Medicine is the premier internal medicine journal. The journal publishes a wide variety of original research, review articles, practice guidelines, and commentary relevant to clinical practice, health care delivery, public health, health care policy, medical education, ethics, and research methodology. In addition, the journal publishes personal narratives that convey the feeling and the art of medicine.   ​​​​​​​​​​​​​​​The European Journal of Emergency Medicine is the official journal of the European Society for Emergency Medicine. It is devoted to serving the European emergency medicine community and to promoting European standards of training, diagnosis and care in this rapidly growing field. The new Impact Factor for EJEM is at 2.17 This is the highest score the journal has reached. EJEM is now the 10th out of 31 journals in Emergency Medicine. [Christine Laine in Philadelphia PA][Yonathan Freund in Paris, France]

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Karen Catlin is a leadership coach and an acclaimed author and speaker on inclusive workplaces. After spending twenty-five years building software products and serving as a vice president of engineering at Macromedia and Adobe, she witnessed a sharp decline in the number of women working in tech. Frustrated but galvanized, she knew it was time to switch gears. She coaches women to be stronger leaders and men to be better allies for members of all underrepresented groups. Her client roster includes Airbnb, DoorDash, eBay, Envoy, Intel, Intuit, and Segment, as well as entrepreneurs and individuals. Karen’s coaching offerings include tactics for increasing visibility, being more strategic, managing stakeholders, negotiation, and cultivating ally skills.  To help more people cultivate ally skills, she wrote Better Allies: Everyday Actions to Create Inclusive, Engaging Workplaces. She also published a companion guidebook, The Better Allies™ Approach to Hiring, with best practices to recruit and hire people from underrepresented groups. In 2020, her unique approach to allyship was featured in the BBC’s Ally Track tool. Follow her on twitter @kecatlin

Dr. Peter Tomaselli  is an emergency physician and medical educator  in Philadelphia. He sees allyship and equity as crucial to providing a safe and effective learning environment and a healthy workplace. His other academic interests include professionalism and hospitality in medicine. Follow him on twitter @pjtomaselli

In this episode we discuss Better Allies: Everyday Actions to Create Inclusive, Engaging Workplaces The highly-acclaimed, practical guide for how to be an ally in the workplace, now in its 2nd edition. Subscribe to the weekly 5 Ally Actions Newsletter. [Karen Catlin in Bay Area, CA][Peter Tomaselli in Philadelphia PA]

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Paula Adina Johnson MD is a Cardiologist and academic leader. She is the 14th president- of Wellesley College and the first Black woman to serve in this role. President Johnson founded and served as the inaugural executive director of the Mary Horrigan Connors Center for Women's Health & Gender Biology, as well as Chief of the Division of Women's Health at Brigham and Women's Hospital.  She was one of the first researchers in her field to identify the need for consideration of sex differences in medical treatment, and has been a significant voice in raising awareness of the importance of sex differences in understanding women's health. In her 2013 TED talk, "His and Her Healthcare, she asks: Why leave women’s health to chance?  She was the Grace A. Young Family Professor of Medicine in the field of women's health, an endowed professorship named in honor of her mother, at Harvard Medical School. She was also Professor of Epidemiology at the Harvard T.H. Chan School of Public Health. She is a member of the National Academy of Medicine. You can follow her on twitter: @DrPaulaJohnson

Joneigh S. Khaldun MD MPH is a practicing emergency medicine physician in Detroit Michigan. She is the Chief Medical Executive and Chief Deputy Director for Health for the Michigan Department of Health and Human Services.  She advises Michigan Governor Gretchen Whitmer and is the top medical advisor guiding Michigan’s COVID-19 response, and oversees public health, Medicaid, behavioral health, public hospitals, and aging services for MDHHS. Prior to her roles at MDHHS, she was the director and health officer for the Detroit Health Department, where she oversaw a robust community-driven community health assessment, established a comprehensive reproductive health network and led Detroit’s response to the Hepatitis A outbreak. In 2018, Dr. Khaldun was selected for the 40 Under 40 Leaders in Minority Health Award by the National Minority Quality Forum; Prior to that, she was the Chief Medical Officer for Baltimore City. Dr. Khaldun practices part-time at Henry Ford Hospital in Detroit. In her FIX18 talk Work Like there is No Tomorrow, Dr. Khaldun  shares her own medical story and how from it she learned that we must all live life so we have no regrets and work like there is no tomorrow.  You can follow her on twitter @DrKhaldun

In this episode, we discuss the 2018 NASEM report : Sexual Harassment in Academic Science, Engineering, and Medicine . We cover leadership, storytelling, mentorship. President Johnson pays tribute 2 Black women Wellesley alums who became infected by COVID19 and died due to disparities in healthcare: Zoe Mungin and Julie Butler DVM [Paula Johnson in Boston MA][Joneigh Khaldun in Detroit MI]

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Back for the new year. For this week's episode, I decided to create a collection of memorable moments from 2020. Honestly, there are too numerous to count. I wanted to capture pieces of conversations that really moved me: Stopped me in my tracks, made me laugh and smile, made me lose my breath.  

  1. EPISODE 1:  HOW IS COVID19? REPORTS OF GENEVA, LONDON, AND PHILADELPHIA The stress and anxiety was palpable in this episode. I spoke with a doctor friends one in Eva Niyibizi Geneva, one in London Segun Olusanya, and one here in Philadelphia Jamie Garfield.

  2. EPISODE 3:  IS COVID19 INCITING NARRATIVE VIOLENCE? I spoke with two doctors who are also storytellers.  Dr. Emily Silverman founded and hosts the Nocturnists podcast. She has taken story telling and the audio to a whole new level. A highlight of healing for me and what is amazing here is we hear the seeds that were planted for something yet to sprout: After the murder of George Floyd in May 2020, they launched a new audio storytelling series called “Black Voices in Healthcare”, hosted by Ashley McMullen, MD and executive produced by Kimberly Manning, MD

  3. EPISODE 9: ASHISH JHA AND MIRIAM LAUFER ON THE CDC + #COVID19 CURRENT EVENTS I laughed with Ashish Jha and Miriam Laufer when we discussed COVID19, the CDC, vaccines were on the horizon and not yet available, and what to do with kids and summer camp. The laugh surrounds the use of the word kerfuffle

  4. EPISODE 11: STRUCTURAL RACISM AND THE #COVID19 PANDEMIC AS HEALTH CARE CRISES Hat tip  to Yale school of medicine 4th year student Max Tiako founder and host of @FlipScriptPod podcast covering health disparities in the U.S. & globally.  

  5. EPISODE 16: SYNDROME K I viewed the film in Miami right before the pandemic shut down everything. Syndrome K is a documentary, which tells the story of three doctors  Adriano Ossicini. Prof Giovanni Borromeo, Vittorio Sacerdoti who saved members of Rome's Jewish community by convincing the Nazis that these Jews were infected with a deadly and contagious disease that the doctors called Syndrome K. In this segment, Dr. Ignazio Marino, a transplant surgeon and former mayor of Rome, shared that his father was deported to a concentration camp. 

  6. EPISODE 13: ELLEN LUPTON AND ANDREW IBRAHIM : HEALTHDESIGN 101 Two well known #HealthDesigners. Andrew is the chief medical officer of HOK’s architecture Healthcare group and a general surgeon at the University of Michigan, Ellen is a senior curator at the Cooper Hewitt Museum in NYC and directs the graduate program in graphic design the Maryland Institute of Contemporary Art. Andrew is a general surgeon and They really highlighted the importance of Health Design now and going forward. Take a listen as they explain #HealthDesignNow

  7. EPISODE 19: A CULTURE OF SILENCE: PHYSICIAN SUICIDE AND THE DR. LORNA BREEN FOUNDATION We paid tribute to the Dr. Lorna Breen and discussed the Lorna Breen Heroes Foundation . If we prioritize the mental health of medical professionals who are caring for some of our most vulnerable patients, and encourage help-seeking behaviors for mental health concerns and substance use disorders by reducing stigma, increasing resources, and having open conversations about mental health- maybe we can change the culture. In this moment Dr. Dan Egan reflects on his memory of Dr. Lorna Breen a colleague and friend who died by suicide in 2020

  8. EPISODE 10: PRESIDENT AND CEO #TIMES UP TINA TCHEN ON LEADERSHIP DURING A CRISIS I spoke with Tina Tchen, American lawyer Christina M. "Tina" Tchen CEO and President of Time's Up. She was a constant voice of equity and advocacy. Here she speaks on leading during a crisis: What to do

  9. EPISODE 12: SENATOR MAGGIE HASSAN AND DR. HIRAL TIPIRNENI: WHY GO INTO POLITICS Here I am in conversation with Senator Maggie Hassan of New Hampshire. Hassan is one of only two women in American history to be elected as both a Governor and a Senator. She was the 81st Governor of New Hampshire, from 2013 to 2017. She has been active and focused during the recent period advocating on topics, such as PPE, Nursing Homes, the Opioid epidemic, Unemployment insurance Paid sick leave, and Training the returning workforce. 

  10. EPISODE 18: GLORIA STEINEM: WHY WOULD YOU NOT USE YOUR VOICE? In February 2020,  I sat with Ms Gloria Steinem. I asked her what she did for her health her self care and gave me a look of … well listen to what she said.

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Fatima Goss Graves is president and CEO of the National Women’s Law Center, She has a distinguished track record working across a broad set of issues central to women’s lives, including income security, health and reproductive rights, education access, and workplace fairness. She is the recipient of the 2020 John W. Gardner Leadership Award in recognition of her groundbreaking work to advance the rights of women and girls. Fatima is among the co-founders of the TIME’S UP Legal Defense Fund, which connects those who experience sexual misconduct including assault, harassment, abuse and related retaliation in the workplace or in trying to advance their careers with legal and public relations assistance.  Ms. Goss Graves received her B.A. from UCLA in 1998 and her J.D. from Yale Law School in 2001. She began her career as a litigator at the law firm of Mayer Brown LLP after clerking for the Honorable Diane P. Wood of the U.S. Court of Appeals for the Seventh Circuit. She currently serves as an advisor on the American Law Institute Project on Sexual and Gender-Based Misconduct on Campus and was on the EEOC Select Task Force on the Study of Harassment in the Workplace and a Ford Foundation Public Voices Fellow. Follow Fatima on twitter @FGossGraves

Reshma Jagsi, M.D., D.Phil., is Newman Family Professor and Deputy Chair in the Department of Radiation Oncology and Director of the Center for Bioethics and Social Sciences in Medicine at the University of Michigan. Founding member of TIMES UP Healthcare. Spoken and published extensively on topics related to equity and harassment. She is the recipient of the 2020. Woman Oncologist of the Year Presented by Women Leaders in Oncology She graduated Harvard College and Harvard Medical School. She also served as a fellow in the Center for Ethics at Harvard University and completed her doctorate in Social Policy at Oxford University as a Marshall Scholar. Dr. Jagsi’s medical research focuses on improving the quality of care received by breast cancer patients, both by advancing the ways in which breast cancer is treated with radiation and by advancing the understanding of patient decision-making, cost, and access to appropriate care.  A substantial focus of her research considers issues of bioethics and gender equity in academic medicine. Her investigations of women’s under-representation in senior positions in academic medicine and the mechanisms that must be targeted to promote equity have been funded by an NIH R01 grant and grants from the Robert Wood Johnson Foundation, AMA, and other philanthropic funders. She leads the national program evaluation for the Doris Duke Charitable Foundation's Fund to Retain Clinician Scientists, a large national intervention that was inspired in part by her own research. She also leads an NIH R01-funded investigation using deliberative democratic approaches to illuminate patients’ attitudes towards secondary use of data collected in routine clinical encounters and a current Greenwall Foundation-funded investigation of patient attitudes towards approaches used by hospitals to encourage donations from grateful patients.  Follow Reshma on twitter @reshmajagsi [Fatima Goss Graves in Washington DC][Reshma Jagsi in Ann Arbor, Michigan]

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Debbie Millman is a writer, designer, educator, artist, brand consultant and host of  the podcast Design Matters.

Design Matters is one of the world's very first podcasts. Broadcasting independently for 16 years, the show is about how incredibly creative people design the arc of their lives. Design Matters won a 2011 Cooper Hewitt National Design Award, in 2015 Apple designated it one of the best overall podcasts on iTunes, and in 2018 the show was honored by the Webby Awards. In addition, Design Matters has been listed on over 100 “Best Podcasts” lists, including one of the best podcasts in the world by Business Insider.  Debbie is also co-founder and chair of the world’s first graduate program in branding at the School of Visual Arts in New York City; editorial director of Print magazine; and the author of six books on design and branding. She has worked on the design and strategy of over 200 of the world’s biggest brands (shout out to Dunkin Donuts, Burger King, Hershey’s, Haagen Dazs, Tropicana, Star Wars, Gillette, and the No More movement) . Debbie is also President Emeritus of AIGA, one of five women to hold the position in the organization’s 100-year history.and is currently Chair of the Board of Directors for Law & Order SVU actor and activist Mariska Hargitay’s Joyful Heart Foundation. Read about the Rape Kit Backlog. Watch the documentary: I Am Evidence

Debbie recently joined the TED audio collective. She did 4 visual stores: Love Letters to What We Hold Dear: New York City, Gardening, Travel, Visual Storytelling

Follow Debbie on twitter @DebbieMillman. Photo: John Madere [Debbie Millman in New York City]

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Paula Scher is one of the most acclaimed graphic designers in the world. She has been a principal in the New York office of the  international design consultancy Pentagram since 1991, where she has designed identity systems, environmental graphics, packaging and publications for a wide range of clients that includes and is not limited to, the Public Theater, the Museum of Modern Art, the High Line, the Metropolitan Opera, the United States Holocaust Museum, Tiffany & Co., Citibank and Microsoft. Scher has been the recipient of hundreds of industry honors including the National Design Award and the American Institute of Graphic Arts medal. She is an established artist exhibiting worldwide, and her designs are in the permanent collections of the Museum of Modern Art, the Cooper Hewitt National Design Museum, the Library of Congress, the Victoria and Albert Museum, and other institutions. Scher is the author of many books including and not limited to Paula Scher: Twenty-Five Years at the Public: A Love Story (2020),  Paula Scher: MAPS (2011), and Make It Bigger: (illustrated monograph on the design process and work of Paula Scher) (2005). Her #HealthDesign projects have included Period Equity,  Planned Parenthood, and Square Peg Round Hole. A must watch documentary on Scher and her work can be seen in the Netflix series “Abstract: The Art of Design.”

[Paula Scher in New York City]

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According to the American Foundation for Suicide Prevention, the rate of suicide among male physicians is 1.41 times higher than among men in the general population. For women, the risk is 2.27 times greater. If we prioritize the mental health of medical professionals who are caring for some of our most vulnerable patients, and encourage help-seeking behaviors for mental health concerns and substance use disorders by reducing stigma, increasing resources, and having open conversations about mental health- maybe we can change the culture. Visit afsp.org/actioncenter to learn more about the Dr. Lorna Breen Health Care Provider Protection Act (H.R. 7255/S. 4349). Learn more about the Dr. Lorna Breen Heroes’ Foundation.

Why Do Female Physicians Keep Dying By Suicide At Mount Sinai St. Luke's Hospital?

Unspoken: Doctor Depression and Suicide Jennifer Breen Feist  is an attorney in Charlottesville, VA specializing in finance, real estate and wealth management. She is the Co-Founder of the Dr. Lorna Breen Heroes' Foundation.  J. Corey Feist,  is a health care executive with over 20 years of experience. Corey is the Co-Founder of the Dr. Lorna Breen Heroes’ Foundation. He serves as the Chief Executive Officer of the University of Virginia Physicians Group, the medical group practice of UVA Health. He holds an adjunct faculty appointment at the UVA Darden School of Business where he currently teaches a course entitled “Managing in a Pandemic: The Challenge of COVID-19″.  Jessica (“Jessi”) Gold, MD, MS, is an Assistant Professor and the Director of Wellness, Engagement, and Outreach in the Department of Psychiatry at Washington University in Saint Louis. She works clinically as an outpatient psychiatrist and primarily sees college graduate students, as well as faculty, staff, and hospital employees. In her administrative role, Dr. Gold is helping her university and hospital's overall mental health response to covid for faculty and staff and finding acute and sustainable ways to take care of our own. Daniel J Egan MD is the program director of the Harvard Affiliated Emergency Medicine Residency Program in Boston. Prior to Boston, Dr. Egan worked at several sites in NYC where he was involved in residency leadership as APD and PD and most recently a Vice Chair of Education.   If you or someone you know is suicidal, please, contact your physician, go to your local Emergency Department, or call the suicide prevention hotline in your country. For the United States, the numbers are as follows. The National Suicide Prevention Lifeline at 800-273-TALK (8255), or message the Crisis Text Line at 741741. Both programs provide free, confidential support 24/7. Project Parachute   In cooperation with Eleos Health, the project provides pro-bono therapy for front line health care professionals. The Emotional PPE Project is a directory that provides contact information of volunteer mental health practitioners to healthcare workers whose mental health has been impacted by the COVID-19 crisis.  Frontline workers counseling project  The Frontline Workers Counseling Project (FWCP), formerly called the COVID-19 Pro Bono Counseling Project, is an initiative that helps connect frontline workers with free, confidential psychotherapy and counseling. The project is now open to all frontline and essential workers in the following counties: Alameda, Contra Costa, Marin, Napa, Sacramento, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Solano, Sonoma, and Yolo.

Change the culture: Reframing Health Licensure Questions [Dan Egan in Boston MA][Jennifer Breen Feist in Charlottesville VA][Corey Feist in Charlottesville VA][Jessi Gold in St. Louis MO]

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I sat with Gloria Steinem in February 2020 just before the acute wave of the #COVID19 pandemic in New York City. Gloria Steinem is a writer, political activist, and feminist organizer. She was a founder of New York and Ms. magazines. We discuss one of her recent books  The Truth Will Set You Free, But First It Will Piss You Off. Gloria co-founded the National Women’s Political Caucus, the Ms. Foundation for Women, the Free to Be Foundation, and the Women’s Media Center in the United States. She helped found Equality Now, Donor Direct Action, and Direct Impact Africa. For her writing, Steinem has received the Penney-Missouri Journalism Award, the Front Page and Clarion awards, the National Magazine Award, the Lifetime Achievement in Journalism Award from the Society of Professional Journalists, the Society of Writers Award from the United Nations, and the University of Missouri School of Journalism Award for Distinguished Service in Journalism. In 1993, her concern with child abuse led her to co-produce an Emmy Award–winning TV documentary for HBO, Multiple Personalities: The Search for Deadly Memories. She and Amy Richards co-produced a series of eight documentaries on violence against women around the world for VICELAND in 2016. In 2013, she was awarded the Presidential Medal of Freedom by President Barack Obama. In 2019, she received the Freedom Award from the National Civil Rights Museum. Gloria is the subject of Julie Taymor’s 2020 biopic, The Glorias. 

[Gloria Steinem in New York City (Photo credit- Beowulf Sheehan)]

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Resa speaks with Angela Rasmussen PhD and Esther Choo MD MPH. Esther is an emergency physician and professor of emergency medicine at the Oregon Health & Science University. She is a researcher, an educator, and a writer. She is a popular science communicator, who has used social media to talk about racism and sexism in healthcare. She was the president of the Academy of Women in Academic Emergency Medicine and is a member of the American Association of Women Emergency Physicians. She is a founding member of TIMES UP Healthcare. View some of her publications HERE. Angie is a PHD virologist who "uses systems biology techniques to interrogate the host response to viral infection. She has studied a huge range of viral pathogens, from the “common cold” (rhinovirus) to Ebola virus to highly pathogenic avian influenza virus to SARS-CoV-2/COVID-19. View some her publications HERE. The discussion ranges from COVID19 to viruses in general, to Vaccines, to the Eloquent Rage of equity, social media, and being women in STEMM. [Esther Choo in Portland, OR][Angie Rasmussen in Seattle, WA and NYC]

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Syndrome K is a documentary, which tells the story of three doctors  Adriano Ossicini. Prof Giovanni Borromeo, Vittorio Sacerdoti who saved members of Rome's Jewish community by convincing the Nazis that these Jews were infected with a deadly and contagious disease that the doctors called Syndrome K. (It is thought that the K is mocking in nature and represents the K in Albert Kesselring- the General of the German army  and chief for Italy or the K in Herbert Kappler, the chief, colonel of the SS in Rome.) The occupying Nazis deported over 1,000 Jews to Auschwitz from the Jewish Ghetto in Rome in October 1943. During that period, some Jewish people sought refuge in Fatebenefratelli hospital where the doctors invented the disease to protect them. The hospital is located on Tiber Island in Rome and 200 meters from the Jewish ghetto and near to the great synogogue of Rome. At the time it was run by Catholic friars and controlled by the Vatican. Resa engages guest discussants Dr. Ignazio Roberto Maria Marino, a transplant surgeon, scientist, and former politician, who was Mayor of Rome from 2013 to 2015, Dr. Silvana Boccanfuso, a phD historian with extensive training and experience leading tours in Europe and specifically Italy, and an author of a 2019 biography of Ursula Hirschmann, and Stephen Edwards, the film director and producer, who is best known for his work as a film composer.  Further reading: 2016 article on Syndrome K There are almost 30,000 Jewish people in Italy today. They are concentrated in Rome (13,000) and Milan (8,000), with smaller communities in Turin (900), Florence (1,000), Venice (600) and Livorno, was (600). Other communities number in the few hundred can be found in Bologna, Genoa, Triste, Ancona, Naples Padua, Pisa, Modena, Siena, Parma, Verona and other areas.  [Silvana Boccanfuso in Milano, Italia][Stephen Edwards in Los Angeles, CA][Ignazio R. Marino in Rome, Italy and Philadelphia, PA]

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In this episode, Resa centers the conversation with an early career (Adaira Landry MD MEd) , mid career (Gretchen Diemer MD) and later career physician (Steve Klasko MD MBA) on the topic of Mentorship. At its highest level, Mentorship is about being “good people” and having the right “good people” around us - individuals committed to helping others become fuller versions of who they are. There is brief discussion on extroverts and introverts with a nod to the book Quiet by Susan Cain and Ted talk: The Power of Introverts. Articles to learn more about the topic: What The Best Mentors Do + Mentoring Millennials + Demystifying Mentoring + Social Distancing Doesn't Have to Disrupt Mentorship [Adaira Landry in Boston MA][Gretchen Diemer in Philadelphia PA][Stephen Klasko in Philadelphia PA]

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Physician economist Anupam B. Jena advances the understanding of what works and what does not work in health care by using “natural experiments” and big data. He studies phenomena such as the economics of physician behavior and the physician workforce, health care productivity, and the economics of medical innovation. Bapu is the Ruth L. Newhouse Associate Professor of Health Care Policy at Harvard Medical School, an internist at Massachusetts General Hospital, and a Faculty Research Fellow at the National Bureau of Economic Research. He is the 2007 recipient of the Eugene Garfield Award by Research America for his work demonstrating the economic value of medical innovation in HIV/AIDS. In 2013, he was the first social scientist to win the NIH Director’s Early Independence Award. His research and editorials have been featured in the New York Times, Washington Post, Wall Street Journal, Freakonomics, and NPR. He is also co-host of the podcast, Tradeoffs, which aims to make sense of the complicated, costly, and often counterintuitive world of health care. He spoke at TEDMED 2020 in Boston.

Kali D Cyrus holds a BA in Psychology from Stanford University, an MPH in health policy & management from Emory University and an MD from the University of Illinois at Chicago. She completed her adult psychiatry residency training and served as a public psychiatry fellow at the Yale School of Medicine. Kali is currently an assistant professor in the Department of Psychiatry of Johns Hopkins School of Medicine. She worked on Capital Hill from 2017- 2018 as a health policy fellow in the Office of Senator Chris Murphy and was a Jeanne Spurlock congressional fellow.  View her recent work: How Racism is Causing Black and Latinx Communities to Die of COVID-19 at Higher Rates on NowThis News   [Anupam Bapu Jena in Boston, MA][Kali D. Cyrus in Washington, DC]

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Special guest Ellen Lupton is a writer, curator, educator, and designer, critic. She is the Senior Curator of Contemporary Design at the Cooper Hewitt, Smithsonian Design Museum in New York City. She has authored numerous books on design processes: Thinking with Type, Graphic Design Thinking, Graphic Design: The New Basics, and Type on Screen, Design Is Storytelling, Health Design Thinking and Extra Bold, a feminist career guide for designers. In 2017, she delivered a TEDxMidAtlantic talk Museums should activate multiple senses, not just the eyeball. Ellen is the founding director of the Graphic Design MFA Program at MICA (Maryland Institute College of Art) in Baltimore, where she received the AIGA Gold Medal for Lifetime Achievement in 2007. She was named a Fellow of the American Academy of Arts & Sciences in 2019.

Guest Andrew M. Ibrahim MD, MSc, is the chief medical officer of HOK’s Healthcare group and a general surgeon at the University of Michigan, where he directs the Design & Health Fellowship with the Department of Surgery and the Taubman College of Architecture & Urban Planning. Andrew wrote a Fast Company 2020 article reflective of #HealthDesign and #COVID19 What comes next? A surgeon’s 3 predictions for the future of healthcare design. Create a #VisualAbstract from his primer here.   (Episode image with permission and courtesy of Ellen Lupton.) [Ellen Lupton in Baltimore MD and New York City NY][Andrew Ibrahim in Ann Arbor, MI]

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Resa welcomes Senator Maggie Hassan and Dr. Hiral Tipirneni for a discussion on current events and politics. Why go into politics? Why does representation in politics matter? Senator Hassan is one of only two women in American history to be elected as both a Governor and a Senator. She was the 81st Governor of New Hampshire, from 2013 to 2017. She has been active and focused during the recent period advocating on topics, such as PPE, Nursing Homes, the Opioid epidemic, Unemployment insurance Paid sick leave, and Training the returning workforce. See Senator Hassan's Press Releases. Dr. Hiral Tipirneni is running for election to the U.S. House to represent Arizona's 6th Congressional District. She is on the ballot in the Democratic primary on August 4, 2020.  Hear more about Hiral and her path in a 2018 FemInEM podcast .

In 2020, 127 (105D, 22R) women hold seats in the United States Congress, comprising 23.7% of the 535 members; 26 women (26%) serve in the U.S. Senate, and 101 women (23.2%) serve in the U.S. House of Representatives. Four women non-voting delegates (2D, 2R) also represent American Samoa, the District of Columbia, Puerto Rico and the Virgin Islands in the United States House of Representatives. There are 54 African American Members of the House and3in the Senate. This House number includes two Delegates. There are 51 Hispanic or Latino Members (a record number) serving: 46in the House, including 2 Delegates and the Resident Commissioner, and 5 in the Senate. There are 20 Members (14Representatives, 3Delegates, and 3Senators)who are Asian Americans, Indian Americans, or Pacific Islander Americans. This is also a record number. A record four American Indians (Native Americans) serve in the House. [Maggie Hassan in Washington DC and New Hampshire][Hiral Tipirneni in Phoenix AZ]

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Resa speaks with Max Tiako MS and Lauren Powell MPA PhD. They discuss #COVID19, protests, structural racism, and Black racism.  The launch point is Lauren's 02 June 2020 OpEd My nightmare: Covid-19 meets racism meets the killing of a Black person by police.  Lauren leads the health care industry for TIME’S UP. She is formerly the Director of the Virginia Department of Health’s Office of Health Equity. Max is an engineer completing his 4th year of medical school at Yale in New Haven CT. He is the founder and host of @FlipScriptPod podcast covering health disparities in the U.S. & globally.  Episode cover Donna M Parker MD, Associate Dean Office for Diversity and Health Equity University of Florida - COM. Photographer: Giuliano De Portu MD, FACEP.  [Lauren Powell in Norfolk, VA][Max Jordan Nguemeni Tiako in New Haven, CT]

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21 May 2020 The #COVID19 series continues.: Resa speaks with Ashish Jha MD MPH and Miriam Laufer MD MPH.  They discuss the Atlantic magazine article ‘How Could the CDC Make That Mistake?’, Hydroxychloroquine, Vaccines, Summer Camps, and opening institutions of higher learning (see NYTimes Op Ed by Christina Paxson) Dr. Ashish K. Jha is the K.T. Li Professor of Global Health at the Harvard TH Chan School of Public Health and Director of the Harvard Global Health Institute (HGHI). He is a practicing General Internist and is also Professor of Medicine at Harvard Medical School. Dr. Jha received his MD from Harvard Medical School and trained in Internal Medicine at the University of California in San Francisco. He completed his General Medicine fellowship at Brigham & Women’s Hospital and received his MPH from the Harvard TH Chan School of Public Health. Dr. Jha is a member of the Institute of Medicine at the National Academies of Sciences, Engineering, and Medicine. In September, Dr. Jha will begin work as the Dean of the Brown University School of Public Health. Dr. Miriam Laufer is Professor of Pediatrics, Medicine, Epidemiology and Public Health, and Faculty of the graduate program in Microbiology and Immunology at the University of Maryland School of Medicine. She received her medical degree at the University of Pennsylvania and completed her residency in pediatrics at Babies and Children’s Hospital of New York (now New York Children’s Hospital) of Columbia University. She completed fellowships in pediatric infectious diseases at Johns Hopkins University and in malaria research at the Center for Vaccine Development at the University of Maryland. She received her MPH from the Bloomberg School of Public Health at Johns Hopkins University. [Ashish Jha in Boston][Miriam Laufer in Baltimore]

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20 May 2020 In this #COVID19 episode, Resa speaks with physicians in Sweden, France, and the USA. A group of health experts published a USA Today OpEd in the USA: We stuck together to #StayHome, now we can start together to #OpenSafely  Subject matter expert Dr. Eric Topol offers his thoughts on how different countries are opening. Follow him on Twitter Dr. Josefin Elzen works at Karolinska University Hospital in Stockholm Sweden. She is an Anesthesiologist and Critical Care physician. Dr. Laurence Amar Hatchuel works in Paris at the HEGP Hypertension unit, Centre of Excellence, Hôpital européen Georges Pompidou. She is a Vascular Internal Medicine physician.  Episode image with permissions rob@flamingpencil.com

[Eric Topol in San Diego][Josefin Elzen in Stockholm][Laurence Amar Hatchuel in Paris]

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15 March 2020. The curve steepened. Telehealth has exploded during the #COVID19 pandemic, Resa speaks with two visionary physicians,, who are subject matter experts and leaders in Telemedicine. Jane van Dis, MD is an Obstetrician-Gynecologist, Co-Founder and CEO of Equity Quotient.  She is Medical Director for Ob Hospitalist Group, and Medical Director for MavenClinic. Emergency Medicine physician, Aditi U. Joshi MD is the Medical Director of JeffConnect, in Philadelphia. Jefferson’s tele-health platform running both on-demand tele-health program and tele-intake programs. She is the director of the digital health scholarly inquiry track at Sidney Kimmel Medical College, and director of the Telehealth fellowship. Prior to Jefferson, she worked at a telemedicine startup, learning barriers in uptake, marketing and business development.  [Aditi Joshi MD in Philadelphia][Jane van Dis MD in Los Angeles]

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This episode was recorded before the #COVID19 pandemic and is now timely. May 06 2020 NBC Chicago headline: The Latinx Community Testing Positive at Higher Rate Than Any Other Group in Illinois . Resa speaks with Drs Ivette Motola - an Associate Professor of Emergency Medicine at the University of Miami Miller School of Medicine and Director of the Prehospital and Emergency Healthcare Division at the Gordon Center for Research in Medical Education, M Fernanda Bellolio - a Professor of emergency physician and health sciences researcher dedicated to research methodology, knowledge synthesis and comparative effectiveness, and Marina Del Rios - Associate Professor of Clinical Emergency Medicine Director of Social Emergency Medicine and Emergency Ultrasound Research Director. Does representation in medicine matter?  [Ivette Motola MD MPH in Miami][Fernanda Bellolio MD MS in Rochester, Minn][Marina Del Rios MD MS in Chicago]

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Resa speaks with Medical Educators and Emergency Medicine Drs. Teresa Chan and Megan Stobart-Gallagher.  What are Serious Games?  How do those differ from using Game Mechanics in your medical education teaching?  The literature supports that adults like to play and games are effective.  They discuss Jane McGonigal, the power of games and highlight examples, such as Gridlocked, a game that could allow future doctors to learn systems approaches to patient management in a safe, low stakes environment., and Empiric, the antimicrobial card game designed for education for medical professionals. 

[Teresa Chan HBSc, BEd, MD in Ontario, Canada][Megan Stobart DO in Philadelphia]

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Resa speaks with Danielle Ofri, MD, PhD, a clinical professor of medicine at the New York University School of Medicine. She has worked at Bellevue Hospital for decades. They discuss writing and finding one's voice through writing  Dr. Ofri recently released When We Do Harm. She is the author of many books and has regular contributions in Slate, New York Times, the New England Journal of Medicine, and the Lancet.. They discuss her June 2019 New York Times OpEd piece The Business of Health Care Depends on Exploiting Doctors and Nurses One resource seems infinite and free: the professionalism of caregivers. Listen to Dr. Ofri's TEDMED talk.  [Danielle Ofri MD PhD in New York City]

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Thursday 09 April 2020: COVID19 series Resa speaks with Dr. Emily Silverman creator and host for the Nocturnists. In March 2020, she and her team put out a call for people who are interested in keeping an “audio diary” about their experience working on the front lines of the COVID19 pandemic. Dr. Sayantani DasGupta is a Pediatrician by training, a subject matter expert in Narrative Medicine, and a NYTimes best selling author of a children's book series: Kiranmala and the Kingdom Beyond (photo credit Chris X. Carroll). Episode image with permissions quiles_artworks [Emily Silverman][Sayantani DasGupta]

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Sunday 05 April 2020: COVID19 series Resa speaks with doctors in the USA, Europe, and Australia to understand the how Point-of-Care Ultrasound or ultrasound used at the patient bedside may play a role in triage, diagnosis, and/or ongoing management of patients. Dr. Daniel Lichtenstein is a Critical Care and Intensivist in Paris, France. He is credited as one of the first physicians to use ultrasound in the care of critical patients. Dr. Rachel Liu is an Emergency Physician at Yale New Haven Hospital in Connecticut, USA. Dr. Kylie Baker is an Emergency physician in Brisbane, Australia. Dr. Cian McDermott is an Emergency physician in Dublin, Ireland.  [Daniel Lichtenstein in Paris][Rachel Liu in New Haven][Kylie Baker in Brisbane][Cian McDermott in Dublin]

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Monday 16 March 2020: Philadelphia has ordered all nonessential businesses and government operations to close by Monday afternoon as the city grapples with the coronavirus pandemic. Mayor Jim Kenney said the closures should happen by Monday at 5 p.m. The closures are expected to last through at least March 27, though that time may be extended. The city now has nine diagnosed cases of the new coronavirus, health officials said at a Monday afternoon news conference. COVID19 series Resa speaks with doctors in the USA and Europe to understand the preparation and current work environments in 3 hospitals each in a different major city. Dr. Eva Niyibizi is an Emergency physician and Internal Medicine specialist and Trauma specialist in Geneva Switzerland. *She diagnosed the first patient case of COVID19 in the city. Dr. Jamie Garfield is a Pulmonary and Critical Care physician at the Temple Lung Center in Philadelphia PA, USA. Dr. Segun Olusanya is an Intensive Care resident physician in a Cardiac Hospital in London.  [Eva Niyibizi in Geneva][Jamie Garfield in Philadelphia][Segun Olusanya in London]