Examining the interface between healthcare and society, with thought leaders from across the spectrum.
“It all comes back to figuring out how to connect with individuals”
Dr. Kierstin Kennedy is a Hospitalist and Associate Professor of Medicine at University of Alabama-Birmingham. She is also Chief Medical Officer at UAB Hospital, the 8th largest hospital in the United States. She joins us to take what frequently sounds like a platitude, the idea of authentic leadership, and gives it real meaning and vitality. She is a remarkable leader, teacher and collaborator who also runs the superb Leadership Academy from the Society of Hospital Medicine. This episode is packed, enjoy!
This episode is sponsored by the Society of Hospital Medicine (SHM), the only medical society solely dedicated to hospitalists and hospital-based clinicians. Looking for the latest CME, practice management resources, and leadership training? Learn how becoming a part of the SHM community can benefit you at hospitalmedicine.org.
The website for Explore The Space Podcast and Dr. Shapiro’s public speaking has been completely refreshed, please check it out here!
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Use this QR code to register to vote or change or change your address.
Links
Society of Hospital Medicine
SHM Leadership Academy
“It’s often a very personalized conversation”
Dr. Austin Chiang is a Gastroenterologist and Chief Medical Officer for the endoscopy business of Medtronic. He is also one of the most influential and entertaining physician voices across social media. He recently published a fantastic new book entitled “Gut: An Owner’s Guide” which breaks down the digestive system and digestive health for a very broad audience. Clearly, Dr. Chiang is an expert on prioritization, and we dive into this critical skill.
The website for Explore The Space Podcast and Dr. Shapiro’s public speaking has been completely refreshed, please check it out here!
The Explore The Space Merchandise Store is open! Please check it out
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Use this QR code to register to vote or change or change your address.
Links
Social media: @austinchiangMD
“Gut: An Owner’s Guide”
“We are talking about the power of individuals to shape their community’s health”
Aliya Bhatia is the Executive Director at Vot-ER and Civic Health Month, a nonpartisan organization working to integrate civic engagement into healthcare . Over 700 hospitals and clinics plus 50,000 health professionals use Vot-ER’s tools and resources to ensure their colleagues and patients are registered to vote. September 17th is National Voter Registration Day, no better time to hear from her, and she is fantastic.
Check out the archive of Explore The Space Podcast
The Explore The Space Merchandise Store is open! Please check it out
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
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Use this QR code to register to vote or change or change your address.
Links
We Want You, Doctor, to Help Get Out the Votehttps://www.medpagetoday.com/opinion/second-opinions/111237?trw=noGet your Vot-ER Badgevot-er.org/badgeJoint the Healthy Democracy Campaign — Vot-ER’s health professional student competitionhttps://vot-er.org/healthy-democracy-campaign/Remind people to check their voter registration on National Voter Registration Day (September 17)link.vot-er.org/nvrdemail
“It’s hard to put it on a webpage and describe how powerful it is”
Dr. Sasha Shillcutt is a cardiac anesthesiologist, author of 2 books, and the creator of the Brave Enough Women’s Conference. She joins us to discuss how she thinks about work-life balance, what happens when people experience a transformational conference, and why she loves lifting heavy weights.
Listen to Sasha’s previous appearance on Explore The Space Podcast here
Check out the archive of Explore The Space Podcast
The Explore The Space Merchandise Store is open! Please check it out
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Use this QR code to register to vote or change or change your address.
Links
Twitter and Instagram @rubraveenoughBrave Boundaries Book: https://a.co/d/0KF4SorBetween Grit and Grace Book: https://a.co/d/30yDizXBrave Enough Website: https://www.becomebraveenough.com/Brave Enough Women’s CME Conference 2024:* Dates: Sept 27 – 30, 2024 * Website: https://www.becomebraveenough.com/be24-cme-conference Episode Sponsors
Practicing Excellence is a skill-building platform designed to deliver value to every team member. Through Practicing Excellence, leaders become more purposeful, teams more capable, care providers lean in, and patients more engaged and confident in their care. To learn more, visit www.practicingexcellence.com.
Elevate your journey in healthcare at the Women in Medicine Summit. Join us September 13-14 at the iconic Drake Hotel in Chicago for a transformative CME conference. Meet influential leaders, tackle healthcare inequities, and engage in exclusive networking and leadership sessions. The Women in Medicine Summit offers unparalleled opportunities for both personal and professional growth. Don’t miss out, secure your spot now at womeninmedicinesummit.org.
“It was important for us to be very direct”
Dr. Adaira Landry and Dr. Resa Lewiss are back together on Explore The Space Podcast! This time, these two extraordinary ER docs are here to discuss their new book “MicroSkills” and things they would have liked to have learned earlier in their career. These two are remarkable coaches, educators, and writers, enjoy!
Listen to Resa and Adaira’s previous appearance on Explore The Space Podcast here
Check out the archive of Explore The Space Podcast
The Explore The Space Merchandise Store is open! Please check it out
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Email feedback or ideas to mark@explorethespaceshow.com
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Links
Twitter https://twitter.com/AdairaLandryMD and https://twitter.com/ResaELewissLinkedIN https://www.linkedin.com/in/adairalandrymd/ and https://www.linkedin.com/in/resaelewissmd/Sponsors
Practicing Excellence is a skill-building platform designed to deliver value to every team member. Through Practicing Excellence, leaders become more purposeful, teams more capable, care providers lean in, and patients more engaged and confident in their care. To learn more, visit www.practicingexcellence.com.
Elevate your journey in healthcare at the Women in Medicine Summit. Join us September 13-14 at the iconic Drake Hotel in Chicago for a transformative CME conference. Meet influential leaders, tackle healthcare inequities, and engage in exclusive networking and leadership sessions. The Women in Medicine Summit offers unparalleled opportunities for both personal and professional growth. Don’t miss out, secure your spot now at womeninmedicinesummit.org.
Dr. Danielle Sarno is the Director of Interventional Pain Management in the Department of Neurosurgery at Brigham and Women’s Hospital and an Instructor of Physical Medicine and Rehabilitation at Harvard Medical School. She joins Explore The Space Podcast to discuss powerful ongoing work in the equity space, focusing on effective mentorship and sponsorship. She also shares her journey in the critical art of learning to say No when asked and invited to do more.
Check out the archive of Explore The Space Podcast
The Explore The Space Merchandise Store is open! Please check it out
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Email feedback or ideas to mark@explorethespaceshow.com
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Links
Twitter: @daniellesarnoMD
Instagram: @daniellesarnoMD
“Six Practical Strategies to Mentor and Sponsor Women in Academic Medicine”
“The Push-Pull Mentoring Model: Ensuring the Success of Mentors and Mentees”
Sponsors
Practicing Excellence is a skill-building platform designed to deliver value to every team member. Through Practicing Excellence, leaders become more purposeful, teams more capable, care providers lean in, and patients more engaged and confident in their care. To learn more, visit www.practicingexcellence.com.
Join Mark Shapiro M.D. and other experts and social change leaders at the 12th annual TEDxSonomaCounty on March 2, 2024 to “Reimagine, Reconfigure and Reconnect”. Get ready for a day of big ideas and inspiration that will leave you energized! Go to www.tedxsonomacounty for tickets.
“It’s interesting what happens when we open ourselves up to receive people”
Dr. Kimberly Manning is back for the best tradition ever, coming on Explore The Space at the end of the year to reflect, reset, and move into what is to come. She is the best, this conversation goes all over the place and it’s wonderful. Enjoy!
Check out Dr. Manning’s previous appearances on Explore The Space Podcast
Check out the archive of Explore The Space Podcast
The Explore The Space Merchandise Store is open! Please check it out
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Email feedback or ideas to mark@explorethespaceshow.com
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Links
Twitter: @gradydoctor
The Human Doctor Podcast
Sponsors
Practicing Excellence is a skill-building platform designed to deliver value to every team member. Through Practicing Excellence, leaders become more purposeful, teams more capable, care providers lean in, and patients more engaged and confident in their care. To learn more, visit www.practicingexcellence.com.
Join Mark Shapiro M.D. and other experts and social change leaders at the 12th annual TEDxSonomaCounty on March 2, 2024 to “Reimagine, Reconfigure and Reconnect”. Get ready for a day of big ideas and inspiration that will leave you energized! Go to www.tedxsonomacounty for tickets.
“It’s about heroes!”
Dr. Lindsey Fitzharris is one of the world’s finest medical historians, Adrian Teal is a wonderful artist and caricaturist. Together they have combined on the superb new book “Plague-Busters”. We had such fun discussing this book which, while directed towards a younger audience, is a blast for any reader.
Check out Dr. Fitzharris’ previous appearance on Explore The Space Podcast here!
It’s Breast Cancer Awareness Month, and we are proud to amplify The Breasties, a wonderful organization for younger women diagnosed with breast cancer. The Breasties are fundraising for stage IV breast cancer research. Also please check out the wonderful work of Dr. Anne Peled, a great friend of Explore The Space Podcast
Check out the archive of Explore The Space Podcast
The Explore The Space Merchandise Store is open! Please check it out
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Links
The Breasties website
Dr. Fitzharris’ website
Adrian Teal’s website
Twitter: @DrLindseyFitz, @Tealcartoons
Instagram: @Tealcartoons @drlindseyfitzharris
“That’s what’s been our goal, showing that sense of urgency”
Dr. Michael Galvez is a Pediatric Hand Surgeon in California, Dr. Cesar Padilla is an Obstetric Anesthesiologist and Intensivist in California and they join Explore The Space Podcast to discuss National Latino Physician Day and the critical need to increase the number of Latino/a physicians in the United States. In turns eye-opening and inspiring, this was a fantastic discussion!
Check out the archive of Explore The Space Podcast
The Explore The Space Merchandise Store is open! Please check it out
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Links
National Latino Physician Day website
Twitter: @michaelgalvezmd, @themillenialMD
Instagram: @doctor_cesar, @michaelgalvezmd, @nationallatinophysicianday
"How do I learn to save myself in this world where I'm asked to save others?"
Anthony Chin-Quee is an Ear, Nose and Throat specialist who wrote the stunning memoir "I Can't Save You". We covered the various writing styles and techniques he used this remarkable work and the challenge of finding yourself while learning how to be a doctor. We also dive deep into financial literacy, empty carbs and being on strike. This was outstanding!
Check out the archive of Explore The Space Podcast
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Links
Twitter: @CQ__MD
Instagram: @wheyouat
Dr. Nora Volkow is a Psychiatrist and the Director of the National Institute on Drug Abuse (NIDA) at the National Institutes of Health. She joins Explore The Space Podcast for a powerful discussion on the impact of synthetic opioids on the risk of overdose and unintentional death, the massive impact of Social Determinants of Health, and the importance of providing medication as part of the treatment of opioid use disorder.
Check out the archive of Explore The Space Podcast
The Explore The Space Merchandise Store is open! Please check it out
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Links
NIDAMed: Clinical resources for health professionals and those in training about screening, addressing, and treating addiction
NIDA’s website
SAMHSA’s website
"We can accelerate change in this country"
Dr. Annie Andrews is a Pediatrician, a leading gun violence researcher and the founder of "Their Future, Our Vote", an organization focused on supporting lawmakers who put the needs of children first in policy decisions. She comes back to Explore The Space Podcast to discuss "Their Future", the importance of positive self-talk, and her upcoming appearance at "Rock The Ride"
Link to register for Rock The Ride on 6/24/23
Archive of Explore The Space Podcast episodes related to gun violence
If you would like to have Mark present his talk "Things I Didn't Learn In Training About Firearms" please email Mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast
The Explore The Space Merchandise Store is open! Please check it out
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
The Ted Lasso finale has aired, and what a finale it was! Mark and Sayed are joined by Dr. Jaime Coleman once again to break it all down. We also take time to say farewell to MedLasso, and what a ride it's been!
Thank You to everyone who has listened, shared, amplified, and participated in this incredible #MedLasso community!
Check out the archive of "MedLasso" here and get caught up!
The Explore The Space Merchandise Store is open! Please check it out
Please join in the MedLasso conversation on Twitter, and tag your tweets with #MedLasso
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
“The more you do it, the easier it gets”
June is Gun Violence Awareness Month, and in that spirit we welcome Dr. Katrina Green to Explore The Space Podcast. Dr. Green is an emergency physician in Tennessee who has emerged as a powerful and committed advocate on a variety of issues. She has recently received much attention for her work and presence during recent sessions of the Tennessee State Legislature. We dive into this historical moment, as well as her journey building skills and confidence as a physician advocate and much more. Enjoy!
Archive of Explore The Space Podcast episodes related to gun violence
If you would like to have Mark present his talk “Things I Didn’t Learn In Training About Firearms” please email Mark@explorethespaceshow.com
Link to register for Rock The Ride on 6/24/23
Check out the archive of Explore The Space Podcast
The Explore The Space Merchandise Store is open! Please check it out
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
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Links
Twitter @KGreenMD
Protect My Care
American Medical Women’s Association
We’re down to the penultimate episode of Ted Lasso, so naturally it’s time to talk legacy. Dr. Jane Liebschutz joins Sayed and Mark for a deep dive into Ted Lasso season 3 episode 11. We cover legacy, healing and the cool way Jane and Mark are connected since the early 1990s. This was so fantastic, enjoy and listen all the way to the end for a fun announcement too.
Check out “Doctors Diaries” here
Check out the archive of “MedLasso” here and get caught up!
The Explore The Space Merchandise Store is open! Please check it out
Please join in the MedLasso conversation on Twitter, and tag your tweets with #MedLasso
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
It’s time for a MedLasso recap of Ted Lasso Season 3, Episode 10, but first we have something to celebrate! Sayed’s new book “These Vital Signs” is available now! We take some time to celebrate his amazing achievement, then dive into the joy of Ted Lasso S3, E10. Celebrate with us!
Check out the archive of “MedLasso” here and get caught up!
The Explore The Space Merchandise Store is open! Please check it out
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Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
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Plugs
Order Sayed’s book “These Vital Signs” here
It’s time for a MedLasso recap of Ted Lasso Season 3, Episode 9, and we knock it out of the park with Jamie Coleman as our guest. She’s a superb leader and a wonderful Trauma Surgeon, her insights on leadership are absolutely incredible. Enjoy!
Check out the archive of “MedLasso” here and get caught up!
The Explore The Space Merchandise Store is open! Please check it out
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Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
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Plugs
Preorder Sayed’s book “These Vital Signs” here
It’s time for a MedLasso recap of Ted Lasso Season 3, Episode 8! Sayed and Mark are joined by Dr. Ali Raja and we go deep on the stories we tell ourselves, our self-talk and how we respond to situations. This was absolutely fascinating!
Check out the archive of “MedLasso” here and get caught up!
The Explore The Space Merchandise Store is open! Please check it out
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Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
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Plugs
Twitter @therealdoctorT, @aliraja_MD
Preorder Sayed’s book “These Vital Signs” here
Society of Academic Emergency Medicine Annual Meeting is here
Sarafina Nance’s book “Starstruck” available hereSponsors
This episode of MedLasso from Explore The Space Podcast is brought to you in part by the Women In Medicine Summit. Do not miss this extraordinary conference taking place in Chicago Sept 22-23. Click here to register and lock in early bird registration.
It’s time for a MedLasso recap of Ted Lasso Season 3, Episode 7, and on Mark’s birthday no less! Sayed and Mark are joined by Dr. Jared Rubenstein to discuss a truly remarkable episode
Check out the archive of “MedLasso” here and get caught up!
The Explore The Space Merchandise Store is open! Please check it out
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Plugs
Preorder Sayed’s book “These Vital Signs” here
Read Jared’s paper on teaching bystanders to be upstanders in the face of microaggressionsDiscrimination 911 videos
Dr. Chelsea Dorsey is a Vascular Surgeon and Vice-Chair of Diversity, Equity & Inclusion in the Department of Surgery at University of Chicago. Dr. Jeff Matthews is Chief of Surgery at University of Chicago. They join Explore The Space Podcast to discuss the remarkable work they’ve done building sustainable and reproducible DEI infrastructure within their department. This is absolutely riveting, enjoy!
Check out the archive of Explore The Space Podcast
The Explore The Space Merchandise Store is open! Please check it out
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Links
Twitter @mddorsey, @jbmatthews
U-Chicago Department of Surgery DEI website
DEI typecasting article
Rethinking morbidity and mortality conferences with an equity lensThematic nature of microaggressions in surgeryWorkforce diversity in vascular surgerySponsorsThis episode of MedLasso from Explore The Space Podcast is brought to you in part by the Women In Medicine Summit. Do not miss this extraordinary conference taking place in Chicago Sept 22-23. Click here to register.
It’s time for a MedLasso recap of Ted Lasso Season 3, Episode 6 , The show comes back strong and Joe Thomas is here to break it all down.
Check out the archive of “MedLasso” here and get caught up!
The Explore The Space Merchandise Store is open! Please check it out
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Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
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Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
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Plugs
Check out CareAlign here
Preorder Sayed’s book “These Vital Signs” here
Check out “Their Future, Our Vote” here
Joe Thomas on TikTokwww.tiktok.com/@docwithbowtieJoe’s bloghttps://www.managinghealthexpectations.com/Joe playing the drums at Buffalo Sabres gamehttps://www.instagram.com/reel/CnsfDfrsqSS/Sponsors
This episode of MedLasso from Explore The Space Podcast is brought to you in part by the Women In Medicine Summit. Do not miss this extraordinary conference taking place in Chicago Sept 22-23.
https://www.womeninmedicinesummit.org/
It’s time for a MedLasso recap of Ted Lasso Season 3, Episode 5 , Laurie Baedke joins us to break down a frustrating and decidedly not fun episode.
Check out the archive of “MedLasso” here and get caught up!
The Explore The Space Merchandise Store is open! Please check it out
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Plugs
Get your copy of Laurie’s book “Mentor, Coach, Lead” here
Click here to learn more about Vave Health
Preorder Sayed’s book “These Vital Signs” here
Vote for “The Nocturnists” for a Webby Award
Sponsors
This episode of MedLasso from Explore The Space Podcast is brought to you in part by the Women In Medicine Summit. Do not miss this extraordinary conference taking place in Chicago Sept 22-23.
https://www.womeninmedicinesummit.org/
It’s time for a MedLasso recap of Ted Lasso Season 3, Episode 4, Dr. Jade Teakell joins us to break down anger in all its manifestations after a powerful episode.
Check out the archive of “MedLasso” here and get caught up!
The Explore The Space Merchandise Store is open! Please check it out
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Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
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Plugs
Jade’s twitter thread of Pedro Pascal as urine sediments
“The End of Everything” by Katie Mack
“Starstruck” by Sarafina Nance
Sponsors
This episode of MedLasso from Explore The Space Podcast is brought to you in part by the Women In Medicine Summit. Do not miss this extraordinary conference taking place in Chicago Sept 22-23.
https://www.womeninmedicinesummit.org/
It’s time for a MedLasso recap of Ted Lasso Season 3, Episode 3, especially Zava’s superhuman pulmonary mechanics. Dr. Ken Tegtmeyer is here for just that purpose and we had a blast! Enjoy!
Check out the archive of “MedLasso” here and get caught up!
The Explore The Space Merchandise Store is open! Please check it out
Please join in the MedLasso conversation on Twitter, and tag your tweets with #MedLasso
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Plugs
Cincinnati Children’s Hospital YouTube page
Pre-order Sayed’s book here!
Sponsors
This episode of MedLasso from Explore The Space Podcast is brought to you in part by the Women In Medicine Summit. Do not miss this extraordinary conference taking place in Chicago Sept 22-23.
https://www.womeninmedicinesummit.org/
It’s time for a MedLasso recap of Ted Lasso Season 3, Episode 2, and we’ve got the outstanding Dr. Jennifer Best here to join us. This was such a fun discussion about an outstanding episode, the leadership themes are just bursting out. Enjoy!
Listen to Dr. Best’s first appearance on Explore The Space Podcast
Check out the archive of “MedLasso” here and get caught up!
The Explore The Space Merchandise Store is open! Please check it out
Please join in the MedLasso conversation on Twitter, and tag your tweets with #MedLasso
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Plugs
“Self-Care for People with ADHD” by Dr. Sasha Hamdani
Dr. Carrie Cunningham’s address at the Academic Surgical Conference
Sponsors
This episode of MedLasso from Explore The Space Podcast is brought to you in part by the Women In Medicine Summit. Do not miss this extraordinary conference taking place in Chicago Sept 22-23.
https://www.womeninmedicinesummit.org/
Dr. Pooja Lakshmin is a Psychiatrist and the author of “Real Self-Care: A Transformative Program for Redefining Wellness (Crystals, Cleanses, and Bubble Baths Not Included)”
She joins Explore The Space Podcast for an outstanding discussion around buzzwords, outside influences, and walking a path where you develop the ability to care for yourself. This is sharp-edge, relevant stuff, enjoy!
Check out the archive of Explore The Space Podcast
The Explore The Space Merchandise Store is open! Please check it out
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Links
Twitter @PoojaLakshmin
Instagram @poojalakshmin
Buy Pooja’s new book REAL SELF-CARE: A Transformative Program for Redefining Wellness (Crystals, Cleanses, and Bubble Baths Not Included) here.Join Pooja’s community, Gemma, the physician-built women’s mental health platform here.Sign up for Pooja’s free Substack email list, Therapy Takeaway, here.Reading List from Pooja:
This is Betrayal, Not Burnout — NYTSaying No is Self-Care for Parents — NYTMy Ambivalence about Motherhood is Normal — NYTWe Don’t Need Self-Care; We Need Boundaries — DoximityIt’s Okay to Stop — Therapy TakeawayWhen You Don’t Belong — Therapy TakeawayFind Your Courage for Discourse — Therapy Takeaway
You’ve come to the right place for a premium Ted Lasso S3 E1 recap! Sayed and I are joined by Dr. Anne Peled and we have a blast diving into the first Ted Lasso episode in a year and a half! We’re covering impressions and the thrill of being back with the #MedLasso community. There are some new segments too, including Coach Beard’s Fainting Couch, Power Rankings and more. Enjoy!
Check out the archive of “MedLasso” here and get caught up!
The Explore The Space Merchandise Store is open! Please check it out
Please join in the MedLasso conversation on Twitter, and tag your tweets with #MedLasso
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsors
This episode of MedLasso from Explore The Space Podcast is brought to you in part by the Women In Medicine Summit. Do not miss this extraordinary conference taking place in Chicago Sept 22-23.
https://www.womeninmedicinesummit.org/
Dr. Ricardo Nuila is a Hospitalist and an early guest on Explore The Space Podcast who returns to discuss his brand new book “The People’s Hospital” Ricardo is a brilliant writer who has written a timely and important work about a hospital dear to my heart in a fraught time for healthcare in America, do not miss this episode
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Ricardo’s homepage
Our long wait is over! Ted Lasso is coming back on March 15, and we’re here to get ready! Mark and Sayed go big on how they’re feeling about the upcoming season and the incredible #MedLasso community, then are joined by a very special guest!
Check out the archive of “MedLasso” here and get caught up!
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This episode of MedLasso from Explore The Space Podcast is brought to you in part by the Women In Medicine Summit. Do not miss this extraordinary conference taking place in Chicago Sept 22-23.
https://www.womeninmedicinesummit.org/
Dr. Sabrina Falquier is an Internal Medicine physician, the creator of Sensations Salud, and a leading educator on Culinary Medicine. She was also my resident during my first month as an intern. Now nearly 20 years after we first met, she joins Explore The Space Podcast to talk about imprinting, making a big career pivot, and her outstanding work in culinary medicine
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Let’s kick off 2023 on Explore The Space Podcast!
Jasmine Brown is a medical student, Rhodes Scholar, and author of the superb new history book “Twice As Hard” detailing the journey of 9 trailblazing Black American women physicians. Jasmine is a tremendous guide through this profound historical work, and she frames it brilliantly with a modern-day perspective. Amazing to have her on the show during Black History Month and to open 2023 on Explore The Space Podcast
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It’s time for the final Explore The Space Podcast episode of 2022! The wonderful Dr. Kimberly Manning is back to help us close out another year. Join us and enjoy reflecting on a year of many transitions
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“MedLasso” from Explore The Space Podcast is back!
Yes Chef! We are talking about The Bear in this very special episode with the wonderful Dr. Mark Lewis. What a blast we had, enjoy!
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“It’s a tough time to be a pediatric specialist of any kind who’s taking care of injured children”
Chethan Sathya, MD, MSc, is a pediatric trauma surgeon and National Institutes of Health (NIH)-funded firearm injury prevention researcher. He serves as director of Northwell Health’s Center for Gun Violence Prevention and oversees the health system’s expansive approach to firearm injury prevention. We cover how he and his team are tackling the horrific issue of kids injured and killed by guns. This is a tough topic, thank you for stepping into the tension.
Please check out the wonderful fundraiser Healthcare Workers vs Hunger, going on right now! On Twitter, check out #HCWvsHunger and help amplify!
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Northwell Health Center for Gun Violence Prevention
“MedLasso” from Explore The Space Podcast is back! In this very special Thanksgiving Week episode, Mark and Sayed dive into a bunch of topics and a ton of laughter. Have fun, and pre-order Sayed’s upcoming book by clicking here!
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"I need to have coffee around me at all times"
James McLaughlin is the Chief Executive Officer and President of Intelligentsia Coffee, a company that pioneered the ideals of exceptional quallty, transparency, and innovation in the coffee industry. He joins Explore The Space Podcast to discuss our shared love of coffee as well as his outstanding perspectives around the impact of climate change on coffee around the world
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Instagram @IntelligentsiaCoffee
Intelligentsia Coffee https://www.intelligentsia.com/
Intelligentsia Subscriptions https://www.intelligentsia.com/pages/subscription
World Coffee Research https://worldcoffeeresearch.org/
"We all have to find our joys in our own ways to keep us going"
Caryn Stone is the Volunteer Program Coordinator at Catholic Charities of Santa Rosa by day and life coach, mother of two teenage girls, wife and pet owner by night. She is also my big sister and she's here on Explore The Space Podcast to help celebrate episode 300! Caryn is one of the most fun people ever and she joins us to talk about why being intentional around fun is so important and ideas to make having fun more frequent and reproducible.
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Link to Caritas Center
"I believe in our country & the institution of representative government, that's how we address these issues"
Congressman Mike Thompson represents California's 5th Congressional District, having been first elected to Congress in 1998. He is the Chair of the House Gun Violence Prevention Task Force and was instrumental in the passage of the Bipartisan Safer Communities Act earlier this year.
He joins Explore The Space Podcast while on the campaign trail approaching an incredibly important midterm election. In our wide-ranging discussion, we cover advancing gun violence prevention in the United States, climate change, homelessness and much more. An incredibly compelling discussion!
Click here for more episodes around gun violence reduction from the Explore The Space Podcast archive
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Congressman Thompson's website
"Should this be an awareness month or should this be an action month?"
Hil Moss is a breast cancer survivor and founder/CEO of VivorCare, the first virtual survivorship clinic for survivors of critical illness. She comes on Explore The Space Podcast during Breast Cancer Awareness Month alongside Dr. Anne Peled. Dr. Peled is a breast cancer and reconstructive surgeon as well as a breast cancer survivor who is making her 3rd appearance on the podcast (check her our on MedLasso here!) We get into the future of Breast Cancer Awareness Month particularly around resolving disparities and making it an international project. In addition we cover amazing topics related to survivorship and sharing the journey on social media.
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VivorCare home page
Dr. Peled's home page
Dr. Peled talking early detection and self-empowerment on AthletaWell
Sponsors
For over 30 years, St. John Associates has thoughtfully matched thousands of physicians with practices across the country. Their experienced consultants work in all specialties and will only send you the jobs that fit your lifestyle and location preferences so you can begin building the life and practice you’ve always wanted. Their services come at no cost to physicians, visit StJohnJobs.com/ETS to get started with your job search today.
"Healthcare can be a major source of social transformation in this country"
Dr. Alister Martin is an Emergency physician who served as an advisor in the Office of the Vice President under Kamala Harris and in the West Wing Office of Public Engagement as an appointed White House Fellow in the 2021 - 2022 class. He now serves as CEO of A Healthier Democracy and joins Explore The Space Podcast to discuss being a White House Fellow, motivating healthcare providers to drive change, and working at the intersection of health and civic engagement
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A Healthier Democracy website
"Gender equity benefits all of us, this is not a zero-sum game"
Dr. Jessie Allan is a pediatric hospitalist for Palo Alto Medical Foundation and Adjunct Clinical Associate Professor at Stanford University School of Medicine. She joins Explore The Space Podcast to discuss Women In Medicine Month, some of the primary gender equity issues within medicine in America and the #InvestInHer campaign
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Career Advancement and Leadership Skills for Women in Healthcare
Sponsors
For over 30 years, St. John Associates has thoughtfully matched thousands of physicians with practices across the country. Their experienced consultants work in all specialties and will only send you the jobs that fit your lifestyle and location preferences so you can begin building the life and practice you’ve always wanted. Their services come at no cost to physicians, visit StJohnJobs.com/ETS to get started with your job search today.
"I've been able to do this and stay very true to who I am and why I'm running"
Dr. Annie Andrews is a Pediatrician and the Democratic nominee for Congress in the South Carolina First District. Her campaign has been electric and she is a dynamic & compelling candidate. She joins Explore The Space Podcast to discuss how she has been changing minds across the Low Country and the final sprint towards Election Day. She is absolutely outstanding!
Click here to make a campaign donation to Dr. Andrews
Read Dr. Andrews' positions here at her campaign website
Register to vote by clicking here
Check out Dr. Andrews' 11/8/2021 appearance on Explore The Space Podcast
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"I knew that 1 in 10 of those healthcare workers was thinking life is not worth living"
Dr. Marie Bismark is a public health physician, health lawyer, health services researcher. She is now an advanced trainee in psychiatry and serves on the Board of Directors of several health sector organizations including The Royal Women's Hospital. She has previously completed a Harkness Fellowship in Healthcare Policy at the Harvard School of Public Health. Dr. Bismark has published widely on the interface between clinician wellbeing, patient safety, and healthcare regulation. Marie is the lead author of the recently published book: "Experiences of Health Workers in the COVID-19 pandemic: In Their Own Words".
Dr. Bismark joins Explore The Space to discuss providing inpatient mental health and addiction care to people admitted with Covid, the importance of rebuilding trust with marginalized people, and writing a book about raw experiences of healthcare workers in their own words and the friction between an overworked healthcare workforce and the need for restorative rest
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Follow on Twitter @ETSshow, Instagram @explorethespaceshow Links Twitter @MBismark "Experiences of Health Workers in the COVID-19 pandemic: In Their Own Words".
Paper on health workers with near daily thoughts of suicide
Sponsors
The remarkable Women In Medicine Summit is coming September 16 and 17th in Chicago. Do not miss out on what will be a memorable and impactful experience. Go to https://www.womeninmedicinesummit.org now to register for either in person or virtual attendance, you'll also have access to the course catalog for 11 months. The Civic Health Alliance Compact for Civic Engagement outlines how health systems can become more civically engaged in advancing the overall health and wellness of their staff and patient populations. To learn more about the Civic Health Alliance, please visit www.civichealthalliance.org. To register to vote or find your voter registration status, please visit https://www.civichealthalliance.org/rx-vote-campaign.
"People don't want perfection. People want to see a human talking to them"
Dr. Alok Patel is a pediatric hospitalist, medical correspondent for ABC News, and host of multiple cable TV shows. He joins Explore The Space Podcast to discuss processes for getting comfortable with public speaking, how speaking with patients actually helps us build fundamental skills for public communication and the value of improv comedy training.
From the Explore The Space Podcast archive: Dr. Susmati Pati on improv training and communication training for scientists
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Sponsors Learn the highest-yield clinical skills to solve 90% of patient problems without the help of a senior colleague. Visit Medmastery https://www.medmastery.com/explorethespace where Explore The Space Podcast listeners can get a 15% discount. The remarkable Women In Medicine Summit is coming September 16 and 17th in Chicago. Do not miss out on what will be a memorable and impactful experience. Go to https://www.womeninmedicinesummit.org now to register.
"If you like fighting injustice, let's do it. This is where we should be"
Dr. Gabriel Bosslet is an Intensive Care doctor, Assistant Dean for Faculty Affairs and Professional Development at Indiana University School of Medicine. He is also the Fellowship Director for Pulmonary and Critical Care Medicine at IU. He has embarked on a new trajectory of advocacy in the state of Indiana and he joins us to discuss how and why he has moved in this critical direction as well as the formation of Good Trouble Indiana
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The remarkable Women In Medicine Summit is coming September 16 and 17th in Chicago. Do not miss out on what will be a memorable and impactful experience. Go to https://www.womeninmedicinesummit.org now to register for either in-person or virtual attendance.
"You have to be open to seeing something through a different perspective"
"MedLasso" from Explore The Space Podcast is back! Dr. Avi O'Glasser and Dr. Eve Bloomgarden are here to discuss how Ted Lasso emphasizes an equitable workplace and advanced leadership techniques around gender equity.
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Sponsors Learn the highest-yield clinical skills to solve 90% of patient problems without the help of a senior colleague. Visit Medmastery https://www.medmastery.com/explorethespace where Explore The Space Podcast listeners can get a 15% discount. The remarkable Women In Medicine Summit is coming September 16 and 17th in Chicago. Do not miss out on what will be a memorable and impactful experience. Go to https://www.womeninmedicinesummit.org now to register.
"They're just dressing who they are, and it makes sense and you're soothed by them"
"MedLasso" from Explore The Space Podcast is back! We've got a special episode with Dr. Alex Anderson diving into the incredible stye of "Ted Lasso". We cover shoes, hats, clothes and watches worn by all your favorite Ted Lasso characters and why the style of the show is so powerful.
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We're starting at new holiday tradition at Explore The Space Podcast
On (hopefully) each major holiday, we're going to have a bracket challenge covering a variety of topics. For this 4th of July, we've got a #MedTaste Candy Bracket!
We got tons of responses, and to help us sort out the winner the wonderful Dr. Angela Weyand is here! This was so much fun and absolutely delicious
Stay tuned for more #MedTaste bracket challenges, Labor Day will be here before you know it!
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"I think of priority in terms of both passion & time"
Dr. Shirlene Obuobi is a physician, cartoonist and author who comes on Explore The Space Podcast in the wake of the release of her wonderful new book "On Rotation".
We cover how she creates and executes around priorities in her life, why her career arc has the potential to shift paradigms, and her incredible enthusiasm around being creative.
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Follow on Twitter @ETSshow, Instagram @explorethespaceshow Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE. Links: Twitter @shirleneobuogi Instagram @shirleywhirlmd Website
"That was all the CDC needed to know, as in, don't mess with this subject anymore"
Dr. Art Kellerman is Professor and Senior Vice President for Health Sciences at Virginia Commonwealth University and CEO of VCU Health System. He also is a public health expert especially around the epidemiology and prevention of firearm-related violence and injuries.
In 1993 Dr. Kellerman helped author "Gun Ownership as a Risk Factor for Homicide in the Home", a paper which led to the Dickey Amendment and a slammed door on further gun violence and injury prevention research. Hearing his perspective and insight is absolutely fascinating.
Click here for the archive of Explore The Space Podcast episodes discussing the gun violence epidemic in the United States
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Follow on Twitter @ETSshow, Instagram @explorethespaceshow Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE. Links: "Gun Ownership as a Risk Factor for Homicide in the Home"
https://www.nejm.org/doi/full/10.1056/nejm199310073291506 Kellermann A, Rivara F. “Silencing the Science on Gun Research” JAMA, Feb 13, 2013 https://jamanetwork.com/journals/jama/fullarticle/1487470 Kellermann A. “Responding to Newtown” Health Affairs Forefront, Dec 21, 2012 https://www.healthaffairs.org/do/10.1377/forefront.20121221.026512/full/ Branas et al. Investigating the Link Between Gun Possession and Gun Assault AJPH, Nov 2009 https://ajph.aphapublications.org/doi/10.2105/AJPH.2008.143099 Kellermann A. “Gunsmoke: Changing Public Attitudes Towards Smoking and Firearms” AJPH, June 1997 https://ajph.aphapublications.org/doi/10.2105/AJPH.87.6.910
"I'm a historian, but I'm a storyteller"
Dr. Lindsey Fitzharris is one of the finest medical historians working today and she joins Explore The Space Podcast to discuss her career, her approach to medical history, and her superb new book "The Facemaker"
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Follow on Twitter @ETSshow, Instagram @explorethespaceshow Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE. Links: Twitter @DrLindseyFitz
Instagram @drlindseyfitzharris
"The Facemaker" purchase page
Dr. Fitzharris home page
"This is a topic that needs more airing from the professional side"
Dr. Yul Ejnes is an Internal Medicine doctor and Chair of the Board of Directors of the American Board of Internal Medicine. He joins Explore The Space Podcast to discuss the recent article in New England Journal of Medicine he co-authored about how the Board will deal with physicians who spread medical disinformation.
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Follow on Twitter @ETSshow, Instagram @explorethespaceshow Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE. Links: Article from ABIM published in New England Journal of Medicine on dealing with medical disinformation American Board of Internal Medicine website
"You do it every time like it matters, because it really does"
"MedLasso" from Explore The Space Podcast is back to discuss Ted Lasso season 1 episode 10. The wonderful Dr. Carrie Quill joins us to help close out our Ted Lasso episode reviews until season 3 arrives. I'll just say she absolutely crushes this. Enjoy!
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Twitter @cquillMD
"MedLasso" from Explore The Space Podcast is back to discuss Ted Lasso season 1 episode 9. Joel Topf joins us to discuss mistakes, apologies, forgiveness, and electrolytes. The penultimate episode of Ted Lasso season 1 deserves this episode
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Twitter @kidney_boy
"We should not accept living in this violent a society and we need to step up and do more"
Dr. Ashley Hink is a Trauma, Burn & Critical Care Surgeon at the Medical University of South Carolina as well as the founder & medical director of the MUSC Turning the Tide Violence Intervention Program, the first hospital-based violence intervention program (HVIP) in South Carolina. We discuss Trauma Surgeon morale nationwide, the importance of having a network when creating something new, and Turning The Tide
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Follow on Twitter @ETSshow, Instagram @explorethespaceshow Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE. Links: Twitter @ashbhinkmd
Turning The Tide website Turning The Tide in the news
The Health Alliance for Violence Intervention website
"MedLasso" from Explore The Space Podcast is back to discuss Ted Lasso season 1 episode 8. Ashley Bartholomew joins us in the midst of Nurses Week to discuss Diamond Dogs in medicine, the value of poise, and The Dart Game.
This is a huge episode, we had a blast!
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Twitter @TheBlondeRN
“What’s so beautiful about this episode are the female friendships!”
“MedLasso” from Explore The Space Podcast is back to discuss Ted Lasso season 1 episode 7. My amazing sister Caryn Stone joins the show to break down Ted having a panic attack, Roy’s leadership, and Rebecca as a true favorite character
Here’s the video of Sayed’s incredible surprise entry for the first ever #MedLasso Live Show!
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Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
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Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter @CarynStone11
“We have to be the voice for kids and teens. That’s very much part of our job”
Dr. Scott Hadland is a Pediatrician and Chief of the Division of Adolescent & Young Adult Medicine at Mass General Hospital for Children / Harvard Medical School. He joins us to help increase understanding about what a specialist in Adolescent Medicine does, the alarming legislation pointed at adolescents in Florida and Texas, as well as how and why he rejects the notion that physicians should not be advocates.
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Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
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Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links:
Twitter: @DrScottHadland
Instagram: @Dr Scott Hadland
Data on LGBTQ youth and suicide from the Trevor Project:
https://www.thetrevorproject.org/resources/article/facts-about-lgbtq-youth-suicide/
Data highlighting declining rates of substance use to a historic low (or as phrased in this paper, highest rates ever recorded of substance non-use):
https://publications.aap.org/pediatrics/article/146/6/e2020007187/77110/Trends-in-Substance-Nonuse-by-High-School-Seniors
“I highly recommend you for this amazing podcast!”
“MedLasso” from Explore The Space Podcast is back to discuss Ted Lasso season 1 episode 6. Dr. Rakhee Bhayani joins the show to discuss alpha dogs, Intentness, Dani Rojas, and much more. You will absolutely love this one
The Explore The Space Merchandise Store is open! Please check it out
Please join in the MedLasso conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter @RakheeBhayaniMD
“The book is meant to be there for you & hopefully feel like a letter from a friend”
Dr. Grace Farris is a Hospitalist and a brilliant cartoonist who has just published the wonderful book “Mom Milestones”. She returns to Explore The Space to discuss her incredible artistic talent, being a resource for others, and staying pluripotent.
The Explore The Space Merchandise Store is open! Please check it out
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links:
Twitter: @GraceFarris
Instagram: @coupdegracefarris
“He was there. They sat. It was such a supportive moment”
“MedLasso” from Explore The Space Podcast is back to discuss Ted Lasso season 1 episode 5. The topic of Friendship is first and foremost in this wonderful discuss with Dr. Jessie Allan. You will absolutely love this one!
Also, mark your calendars for the return of #ETSChat on Twitter! We’ll be doing a MedLasso chat on Tuesday, March 29th at 5pm PST/8pm EST
The Explore The Space Merchandise Store is open! Please check it out
Please join in the MedLasso conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter @DrJessieAllan
“We need to be race-conscious in our approach to pharmacoequity”
Dr. Utibe Essien an Assistant Professor of Medicine at University of Pittsburgh & Investigator at the VA Center for Health Equity Research & Promotion. He is also an international leader in the study of pharmacoequity and his work is outstanding. He joins Explore The Space Podcast to discuss his cutting edge research and the future of pharmacoequity work.
The Explore The Space Merchandise Store is open! Please check it out
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links:
Twitter: @UREssien
Dr. Essien’s website
CP Solvers Antiracism in Medicine Podcast
STAT News article on pharmacoequity
JAMA article
“I just sat down & thought, what am I doing?”
Dr. Hansa Bhargava is a Pediatrician and Chief Medical Officer at Medscape Education. She is also the author of “Building Happier Kids: Stress-Busting Tools for Parents” which comes out next week and she joins Explore The Space Podcast to dive into the stress we are all experiencing and the importance of situational awareness as we work with other people.
The Explore The Space Merchandise Store is open! Please check it out
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links:
Twitter: @HansaBhargava Instagram @DrHansaMD
“Building Happier Kids: Stress-Busting Tools for Parents”
“There’s not enough for the people we know have long Covid”
Dr. Monica Verduzco-Gutierrez is a Professor and Chair of Rehabilitation Medicine at UT Health-San Antonio who is an expert on Long Covid. She joins Explore The Space Podcast to discuss the overwhelming number of patients with Long Covid as well as demystifying her incredible specialty.
The Explore The Space Merchandise Store is open! Please check it out
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links:
Twitter: @MVGutierrezMD
“We need to figure out how to hold purveyors of misinformation accountable”
At the height of the winter 2022 Covid surge, Explore The Space, the Journal of Hospital Medicine and the Society of Hospital Medicine combined to host an incredible roundtable discussion. On January 26th, 2022, Dr. Sharmila Dissanaike, Dr. Adaira Landry, and Dr. Samir Shah shared their experiences, insights, and hopes for a better future during this absolutely incredible hour. Enjoy!
The Explore The Space Merchandise Store is open! Please check it out
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
“Your network is your net worth”
Dr. Ruth Gotian is the Chief Learning Officer and Assistant Professor of Education in Anesthesiology at Weill Cornell School of Medicine. She is also an expert in adult learning and is the author of the superb new book “The Success Factor.” We cover a ton of ground here, this was really fun.
The Explore The Space Merchandise Store is open! Please check it out
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links:
Twitter: @RuthGotian
The Success Factor: https://www.ruthgotian.com/book
“I want to be a Urologist who is changing public narrative”
Dr. Ashley Winter is a Urologist specializing in sexual medicine for all genders. She has rapidly established herself as a powerful voice on social media who finds herself at the nexus of how healthcare providers can represent their whole personality in a public-facing way and the impact this could have on careers going forward.
Happy National Women Physicians Day!
The Explore The Space Merchandise Store is open! Please check it out
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links: @ashleygwinter
“I decided I would be their champion & let them know I’m thinking of them”
Kellie Martin is an incredible actor, best known in medical circles for playing Lucy Knight on ER, who has been an outspoken supporter of healthcare professionals throughout the Covid-19 pandemic. She joins Explore The Space Podcast to discuss where her sense of commitment comes from, her time on ER, and so much more. This was really special and an absolute blast. Enjoy!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter: @Kellie_Martin
Instagram: @TheKellieMartin
The Big Break Podcast
“It makes your heart happy!”
“MedLasso” from Explore The Space Podcast is back to discuss Ted Lasso season 1 episode 4. Dr. Annalise Sorrentino is just back from a visit to London where she saw the Richmond neighborhood and the Ted Lasso sights we’ve all come to love. Lots to discuss in this episode, you know we will get amongst it!
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter @BlazerMD
“Having a non-judgmental approach is hands-down the most important thing”
Dr. Danielle Belardo is a Cardiologist and an expert on how to effectively educate people around the foods they eat. She joins Explore The Space Podcast to open our 2022 program and we discuss how she makes discussing nutrition and food choices feel welcoming and inclusive, as well as premium snacks, smoothies, and fruit salad ingredients.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter: @DBelardoMD
Instagram: @DanielleBelardoMd
The EAT-Lancet Commission Report
“I do not want to operate in the space of regret at any point in my life”
Dr. Kimberly Manning is a Professor of Medicine at Emory University and one of the most important voices in American medicine today. She joins Explore The Space to help us close out this year as only she can do.
This is her 3rd year in a row as the year-end final guest, here’s a link to the episodes from 2019 and 2020
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter: @gradydoctor
“MedLasso is here to save the day!”
“MedLasso” from Explore The Space Podcast is back for a holiday special edition. This is such a strange and difficult time, hopefully this conversation with Sayed Tabatabai and the wonderful Dr. Nicole Kucine brings you a little bit of a smile. Enjoy and Happy Holidays!
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter @PedsHemeDoc
“The hardest part is that we keep thinking we’re going to come out of it, then we don’t”
Dr. Megan Ranney is a Professor of Emergency Medicine and Academic Dean of the School of Public Health at Brown University. She is also one of the most important physician voices across multiple public communication platforms, particularly CNN. She joins us to help wrap up a turbulent and difficult year, her insights around pragmatic optimism, toxic positivity and supporting colleagues are incredible.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter: @meganranney
Instagram: @megranney
The Op-Ed Project
“We just needed a way for people to feel part of something again”
Dr. Angela Weyand is a pediatric hematology oncologist who started #HCWvsHunger in 2020. Dr. Tatiana Prowell is an oncologist specializing in breast cancer who partnered with Dr. Weyand last year to help drive this project.
They are back for #HCWvsHunger for 2021; they join Explore The Space to discuss the incredible growth of this online fundraiser & what they expect this year.
Please join Dr. Weyand and Dr. Prowell on the next #ETSChat as well. Join us on Twitter on Thursday 12/16 at 6pm PST/9pm EST for an incredible interactive discussion.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter: @HCWvsHunger, @acweyand, @tmprowell
“This is what we sit back & watch. It’s everything”
“MedLasso” from Explore The Space Podcast is back to discuss Ted Lasso season 1 episode 3. Dr. Fiona Mattatall joins us all the way from Canada to break down goal celebrations, Poise, and one of the finest pop-culture pulls to date. Let’s get amongst it!
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter @FionaMattatall
“I worked so hard on this, it was a total life journey”
Dr. E. Wesley Ely is a Professor of Medicine & the Co-Director of the Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center at Vanderbilt University Medical Center. He is also the author of the incredible new book “Every Deep-Drawn Breath”
Our conversation goes in some remarkable directions, enjoy!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Links
Twitter: @WesElyMD
Get “Every Deep-Drawn Breath” here
“I like to go back to people’s roots & where they came from”
“MedLasso” from Explore The Space Podcast is back to discuss Ted Lasso season 1 episode 2. Our friend Dr. John Erwin joins Sayed and I in the Locker Room to cover everything from teamwork to the ideal barbecue order. Let’s get amongst it!
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter @HeartOTXHeartMD
“I want to be effective. I want to help the children of South Carolina and the children of this country”
Dr. Annie Andrews is a Pediatrician and a remarkable advocate who joins Explore The Space Podcast to discuss her decision to run for Congress in South Carolina’s First Congressional District. She is a true inspiration. Enjoy!
Click here to donate to Dr. Andrews’ campaign
Watch her campaign announcement video here
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Dr. Andrews’ campaign website
Dr. Andrews’ campaign announcement video
Twitter: @AnnieAndrewsMD
“Everybody had a lot of need for an outlet”
Dr. Gretchen Winter is an adult pulmonologist and critical care physician in Birmingham, Alabama. Dr. Deanna Behrens is a pediatric intensivist in the Chicago area. Together they run @PelotonMed on Twitter, which has become a hub for healthcare workers to congregate, share, and exercise together. They join to discuss the incredible growth of this community and what they see happening going forward.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Links
Twitter: @PelotonMed, @gretchemaben, @deannamarie208
Peloton: DancingLungDoc, DeannaWrites
“I needed that joy at that time”
“MedLasso” from Explore The Space Podcast is back! It’s time for us to jump into Ted Lasso season 1, and Dr. Joy Henningsen is here to help us kick this off with episode 1 from the show we love. This is too much fun!
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter @JoyHenningsenMD
“Mucho mucho joy!”
No new Ted Lasso this week, but no worries! “MedLasso” from Explore The Space Podcast is here! Dr. Anne Peled joins the show to dive into what feels joyful as a healthcare worker and so much more. She also shares her incredible perspective on Breast Cancer Awareness Month and has a great invitation for all of us through #HCWvBreastCA
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Check out Jessica Shapiro on Explore The Space Podcast here
Check out Anne Peled on Explore The Space Podcast here
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter @AnnePeledMD @TheRealDoctorT
“I’m Richmond ’til I die!”
We just wrapped up season 2 of Ted Lasso and “MedLasso” from Explore The Space Podcast is here to help bring this amazing season to a close. Laurie Baedke is here to help us both review this incredible second season of Ted Lasso and think about how it’s impacted us and what is still to come
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter @LaurieBaedke @TheRealDoctorT
“The notion of a meritocracy, which we know does not exist, has propped up the confidence, the careers & the hubris of most of our senior leaders”
Dr. Jocalyn Clark is Executive Editor of The Lancet and Caitlin Thompson is Co-Founder & Publisher of Racquet Magazine. They join Explore The Space for a truly unique & extraordinary discussion of the quest for equity & systemic change in medicine, media, publishing and beyond
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
I was honored to be awarded The Women In Medicine Summit 2021 “I Stand With Her #HeForShe” Award. I had the privilege of giving a short acceptance speech which is here
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Links
Twitter: @caitlin_thomps @jocalynclark @RacquetMagazine @TheLancet
The Lancet
The Lancet’s Diversity Pledge
Racquet Magazine
“I’m a bit nervous it’s going to be a cliffhanger”
Ted Lasso season 2, episode 11 is in the books, and “MedLasso” from Explore The Space Podcast is ready to get amongst it! Dr. Bec Szabo joins us from halfway around the world to break down all we’ve seen and what’s to come in the finale later this week
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
I was honored to be awarded The Women In Medicine Summit 2021 “I Stand With Her #HeForShe” Award. I had the privilege of giving a short acceptance speech which is here
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter @inquisitivegyn
“This is truly a one of a kind event!”
On Sept 28, 2021 “MedLasso” from Explore The Space Podcast & Women In Medicine Summit joined up for a very special live show! Friends came together from all around for an amazing conversation about Ted Lasso, leadership, gender equity and so much more. The panel was led by Dr. Shikha Jain and featured Dr. Jessie Allan, Dr. Sayed Tabatabai and Dr. Mark Shapiro. Enjoy!
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
I was honored to be awarded The Women In Medicine Summit 2021 “I Stand With Her #HeForShe” Award. I had the privilege of giving a short acceptance speech which is here
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter @ShikhaJainMD @DrJessieAllan @TheRealDoctorT
Here is the link to the HeForShe Inclusive Leadership Lab Here is the link to WIMS registration for 2022 Here is the link for the WIM Speakers Bureau sign up
“BoomChickaPow!”
It’s the 250th episode of Explore The Space Podcast! We’ve had a chance to watch Ted Lasso season 2, episode 10, and “MedLasso” from Explore The Space Podcast is ready to get amongst it. Dr. Ali Raja joins us and we had a blast. There’s a special treat at the end, so listen all the way through.
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Register for the upcoming MedLasso/Women In Medicine virtual show here!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
I was honored to be awarded The Women In Medicine Summit 2021 “I Stand With Her #HeForShe” Award. I had the privilege of giving a short acceptance speech which is here
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
“Let go of those expectations”
“MedLasso” from Explore The Space Podcast is back to dive into the challenging and thought provoking Ted Lasso season 2, episode 9. Dr. Adam Hill comes back to Explore The Space Podcast for the second time and we definitely Get Amongst It!
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Twitter: @AdamHill1212, @TheRealDoctorT
Buy Adam’s book “Long Walk Out Of The Woods”
Sayed’s most recent Twitter thread
“It’s sort of this taboo topic”
Dr. Lauren Feld is a Transplant Hepatology fellow after finishing the GI component of her fellowship who has written about workforce gender equity and parental leave policies for medical trainees. She joins us during Women In Medicine Month to discuss interviewing for both fellowship and attending positions while pregnant, the articles she’s written, and the experience of navigating pregnancy during medical training and being a mentor to others.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Links
Twitter: @LaurenFeldMD
“Interviewing For Two”
“Baby Steps In The Right Direction”
“Get amongst it!”
“MedLasso” is back and we’re ready to jump into Ted Lasso season 2, episode 8. The intro voice from Explore The Space Podcast and my wife Jessica Shapiro joins us and this is absolutely epic. I think you’ll particularly like her answer to the question of purchasing premium Ted Lasso merchandise!
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
” You didn’t realize I was so controversial!”
“MedLasso” returns this Labor Day to jump into Ted Lasso season 2, episode 7. This was a heavy episode, Dr. Angela Weyand joins us to help break down how we’re feeling, what’s to come, and what is the preferred cake to eat while watching Ted Lasso.
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
“It’s really powerful to see the love you put into people come back to you”
“MedLasso” is back to dive into Ted Lasso season 2, episode 6. I’m joined by Dr. Sayed Tabatabai and our special guest Dr. Shikha Jain. We go deep on “Woman Up!” and how we need to look out for the well-being of our friends and colleagues who are relentlessly positive.
Click here to sign up for the Women In Medicine Summit
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
“Sometimes you just need to feel passionate about something”
Sapphire Stubbs is the Director of Marketing & Sponsorships for Racquet Magazine. She joins us on the eve of the US Open and just after Racquet released an incredible new issue guest edited by Naomi Osaka to cover how this incredible collaboration took place, how centering mental health & creativity has a powerful impact, and her own incredible story.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Links
Sapphire Stubbs on LinkedIn
“We’re cheering that we are trying, and we are trying to help each other ”
“MedLasso” is back in the wake of the amazing Ted Lasso season 2, episode 5. I’m joined by Dr. Sayed Tabatabai and our special guest Dr. Jessi Gold. We go deep on why Ted Lasso’s resonance with health care professionals continues to grow, the importance of community and finding joy, and then we go “In The Locker Room” to answer some big questions about the show!
Please join in the conversation on Twitter, and tag your tweets with #MedLasso
Check out the archive of “MedLasso” here and get caught up!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Have you been looking for a better way to manage your tasks and collaborate with colleagues? Check out CareAlign – a HIPAA Compliant, digital workspace built to make the EHR work better for clinicians. Manage your tasks, build dynamic care plans, view vitals and labs and generate your progress note in less than 3 clicks. CareAlign has everything you need for patient care, at your fingertips. Visit www.carealign.ai/explore to learn more.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
“We’ve got to give ourselves permission to have a vision, to dream a little bit”
Dr. Shantanu Nundy is a primary care physician and Chief Medical Officer at Accolade who joins Explore The Space to discuss his new book “Care After Covid”. We dive into why it’s important to have a vision and articulate it, unlocking skill sets around speaking out, and what the future can look like.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
The importance of still being in clinical practice while writing a book like “Care After Covid”
Why leaving “Disruption” out of his book was such an important move
How to unlock the skill set around speaking out
Giving yourself permission to lay out a vision
The moment when healthcare happens
What is required to drive a vision
The importance of being comfortable calling out solutions
“I want to be in that world so bad!”
“MedLasso” is back with a quick turnaround after Sayed and I watched “Ted Lasso” episode 4 of season 2! Had to do it, the episode was amazing, we had to talk about it and some some Premium Content out there for all of you to enjoy. Spoiler alert if you haven’t watched episode 4 season 2 yet.
Join our conversation on Twitter using #MedLasso, it’s a great place to all come together. Enjoy!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Have you been looking for a better way to manage your tasks and collaborate with colleagues? Check out CareAlign – a HIPAA Compliant, digital workspace built to make the EHR work better for clinicians. Manage your tasks, build dynamic care plans, view vitals and labs and generate your progress note in less than 3 clicks. CareAlign has everything you need for patient care, at your fingertips. Visit www.carealign.ai/explore to learn more.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
“I feel like I have this connection to a lot more people who are going through the same thing that I am”
“MedLasso” is back! We are 3 episodes into season 2 of “Ted Lasso” and it’s been incredible. Dr. Sayed Tabatabai and I jump in with both feet around why this season and episode 3 are resonating so deeply with doctors, nurses and healthcare workers as the Covid pandemic ramps back up again. We also introduce a new segment “In The Locker Room” where we cover some key questions, this will be a future home for us to bring guests on “MedLasso”
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Have you been looking for a better way to manage your tasks and collaborate with colleagues? Check out CareAlign – a HIPAA Compliant, digital workspace built to make the EHR work better for clinicians. Manage your tasks, build dynamic care plans, view vitals and labs and generate your progress note in less than 3 clicks. CareAlign has everything you need for patient care, at your fingertips. Visit www.carealign.ai/explore to learn more.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
“Be safe & have fun. That’s it. That’s all I said. Be safe & have fun.”
Michelle West does hard things. Things like finishing her 4th Badwater 135, one of the toughest foot races in the world. She dealt with 50 degree temperature swings, dust storms, wind, sleep deprivation and myriad other challenges to complete the race. She rejoined Explore The Space Podcast a few days after finishing to discuss her remarkable insights on doing hard things.
Check out Michelle’s previous appearances on Explore The Space Podcast here
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
Seeing the record breaking heat in Death Valley before the race
The incredibly difficult conditions at the start of the race
Carrying chaos forward and starting something hard
Finding enjoyment as an exercise in mental toughness
Compartmentalization as a tool to move through prolonged challenges
Dealing with physical discomfort while trying to maintain mental toughness
Why Michelle trusts her legs
Hallucinations in the desert
The sadness when it’s all over
Michelle’s incredible approach to building a high-functioning team
Relentless forward motion!
“It felt like we were being pulled out of the dark and shaken awake again”
Welcome to “MedLasso”, a limited Explore The Space Podcast series looking at the wonderful TV show “Ted Lasso” & why it has resonated so deeply, particularly with viewers who work in healthcare. Dr. Sayed Tabatabai joins Explore The Space Podcast as co-host; this first episode we look back on the show as a whole and season 1 in particular.
Stay tuned for more episodes of “MedLasso” over the next few months as season 2 of “Ted Lasso” roles out. We’ll have fun, laughs, special guests, and barbeque sauce!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Have you been looking for a better way to manage your tasks and collaborate with colleagues? Check out CareAlign – a HIPAA Compliant, digital workspace built to make the EHR work better for clinicians. Manage your tasks, build dynamic care plans, view vitals and labs and generate your progress note in less than 3 clicks. CareAlign has everything you need for patient care, at your fingertips. Visit www.carealign.ai/explore to learn more.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
“We can’t stop. We can’t stop trying to save some lives”
Rock The Ride 2021 was a remarkable experience. Here is a replay of “The Coach and The Congressman” with Congressman Mike Thompson & Golden State Warriors Head Coach Steve Kerr. This conversation is not a recapitulation of well-worn talking points. This is actionable and critical content for anyone to hear and implement
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
2, How moments of silence before NBA games brought Coach Kerr into the fray
Why “gun control” is the wrong term to use and “gun safety” is more effective
Why gun violence is a public health epidemic
Speaking out and understanding the potential personal cost
Dealing with feeling discouraged and the role of self-care
The mental health toll of gun violence and the importance of being a good listener
The development of Rock The Ride
Connecting with younger generations and audiences that may not be like-minded
Links
Twitter: @rocktheridegvp
Rock The Ride
“Just existing in this part of the world means needing to know how to live with fire”
Dr. Sasha Berleman is the Director of the Fire Forward Program at Audubon Canyon Ranch, a program that is leading change in the way we live with fire in Northern California. With her team, Dr. Berleman plans and organizes cooperative prescribed burns and trains and leads communities in fire management. As we approach yet another wildfire season, Dr. Berleman shares her incredible insight and expertise. This is an important listen.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Have you been looking for a better way to manage your tasks and collaborate with colleagues? Check out CareAlign – a HIPAA Compliant, digital workspace built to make the EHR work better for clinicians. Manage your tasks, build dynamic care plans, view vitals and labs and generate your progress note in less than 3 clicks. CareAlign has everything you need for patient care, at your fingertips. Visit www.carealign.ai/explore to learn more.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
Assessing wildfire anxiety and how it manifests as people wanting to learn more about wildfire
The evolution of the public’s understanding of wildland fire science and prescribed fire
What does “living with fire” mean?
A realistic expectation for being able to keep wildfires out of developed areas and why it is so difficult
The role of land stewardship and individual engagement
The importance of legislative change to allow more controlled burns to reduce fuel loads
Key points that Dr. Berleman gives to those who show up wanting to level up
How we perceive our region now
What are Dr. Berleman’s “asks”?
Understanding the analogy “dancing with fire”
Learning about Fire Forward
Links
Fire Forward
Good Fire Alliance
“It’s the truth of the rollercoaster I’ve been on”
Dr. Reza Manesh is an Associate Professor of Medicine at Northwestern University and a co-founder of the extraordinary podcast and learning platform “Clinical Problem-Solvers”. He joins us to discuss his wonderful new memoir entitled “Finding Joy In Medicine” and we had an absolute blast.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Have you been looking for a better way to manage your tasks and collaborate with colleagues? Check out CareAlign – a HIPAA Compliant, digital workspace built to make the EHR work better for clinicians. Manage your tasks, build dynamic care plans, view vitals and labs and generate your progress note in less than 3 clicks. CareAlign has everything you need for patient care, at your fingertips. Visit www.carealign.ai/explore to learn more.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
When I met Reza for the first time
The journey of “Finding Joy In Medicine”
Why sharing his path felt more impactful than writing a self-help book
Why “medicine is a calling” feels like a platitude
The incredible level of transparency Reza demonstrates
How Clinical Problem Solvers is a global movement
Wanting to get out and meet so many people from #MedTwitter
Links
Twitter: @DxRxEdu, @CPSolvers
Trailer for “Finding Joy In Medicine”
Reza’s website
Clinical Problem Solvers website
“We put all our money in the wrong place and we don’t think about the whole person”
David Smith is an economist & the CEO and founder of Third Horizon Strategies (THS), a Chicago-based advisory firm focused on maximized human potential through a better health system. He is also the host of the new show from Lemonada Media called “The Cost of Care” which is a provocative podcast that tackles the question “what is your life worth” from a direction you might not expect.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Have you been looking for a better way to manage your tasks and collaborate with colleagues? Check out CareAlign – a HIPAA Compliant, digital workspace built to make the EHR work better for clinicians. Manage your tasks, build dynamic care plans, view vitals and labs and generate your progress note in less than 3 clicks. CareAlign has everything you need for patient care, at your fingertips. Visit www.carealign.ai/explore to learn more.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
A few minutes spent on the joys of home coffee roasting and being beautifully wired
The thrill of having a guest blow you away during an interview
Flipping the question “what is a life worth?” on it’s head
The primacy of human health and the importance of social determinants
What is the most common emotion David experiences while producing “Costs of Care”
Addressing the idea of safety net hospitals
Why system complexity is a barrier by itself
What kind of feedback is David getting?
The road forward for the show
Links
Twitter: @CHIDavidSmith
The Cost of Care
“We have to be rigorous about our approach to purposefully taking on new things”
Dr. Ali Raja is the Executive Vice Chair of the Department of Emergency Medicine at Massachusetts General Hospital, a Professor of Emergency Medicine and was recently named the inaugural Mooney-Reed Endowed Chair at Harvard Medical School. He is also a veteran of the United States Air Force and a highly sought-after expert on a variety of topics. Dr. Raja joins Explore The Space to discuss the wonderful topic of intellectual curiosity, how to harness it, and how it can feed into leadership and mentorship. There are also some premium fashion tips from this sartorial genius.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Have you been looking for a better way to manage your tasks and collaborate with colleagues? Check out CareAlign – a HIPAA Compliant, digital workspace built to make the EHR work better for clinicians. Manage your tasks, build dynamic care plans, view vitals and labs and generate your progress note in less than 3 clicks. CareAlign has everything you need for patient care, at your fingertips. Visit www.carealign.ai/explore to learn more.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
A refresher on dressing to feel at the top of your game
Getting back to some of the activities we love
The power of new technology as a driver of intellectual curiosity
A new approach when you’re not good at something new right away
Why it’s important to share the whole journey
Being ok with doing nothing as well
How intellectual curiousity translates into more effective leadership and mentorship
Dr. Raja’s go-to leadership book
Links
Twitter: @aliraja_md
“You just have to figure out the value of your work & be ok to ask for it”
Dr. Jen Gunter is back on Explore The Space Podcast to discuss her new book “The Menopause Manifesto”, her new podcast “Body Stuff” and the motivation behind her building a media empire. Dr. Gunter’s hard work and clear vision are truly inspirational and very exciting. We also update the Dr. Jen Gunter Twitter Response Pyramid.
Check out Dr. Gunter’s 1st appearance on Explore The Space Podcast here
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Have you been looking for a better way to manage your tasks and collaborate with colleagues? Check out CareAlign – a HIPAA Compliant, digital workspace built to make the EHR work better for clinicians. Manage your tasks, build dynamic care plans, view vitals and labs and generate your progress note in less than 3 clicks. CareAlign has everything you need for patient care, at your fingertips. Visit www.carealign.ai/explore to learn more.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
The intention around creating a media empire
Why Dr. Gunter does not view herself as a celebrity
Comparing news consumption now to pre-Internet days
Which media options are the most effective
How Dr. Gunter understands her fair market value and the importance of people being compensated in one way or another for their work
Tackling the prevalence of misinformation via her new book and new podcast
What the horizon looks like for Dr. Gunter
Will there be a trilogy?
The update to the Dr. Jen Gunter Twitter Response Pyramid
Links
Twitter @drjengunter, Instagram @drjengunter
The Menopause Manifesto
Body Stuff Podcast
The Vajenda
Photo Credit: Jenny Brough
“You don’t want to be asked a performance metric question, you want to be asked a performance question about those things that are actually your job”
Seth Partnow covers the NBA and basketball analytics for The Athletic. He resides in Milwaukee and was formerly the Director of Basketball Research for the Milwaukee Bucks. He joins us to discuss how metrics can be leveraged to help us get better every day, why selecting the right metrics requires diversity, and the critical need for coaching to turn metrics into actual improvement. This was a unique and fantastic conversation filled with brilliant analogies to the analytics revolution in sports.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
Wherein I start out with the wrong question
Framing analytics in a way that gets buy-in from a team and minimizing observer effect
Why agreement around objectives is the right place to start in selecting metrics
The importance of a diverse group selecting what we should be measuring
Reframing use of metrics as art instead of a binary entity
The critical impact of coaching the skills that are being measured
Pitch framing in baseball as an analogy for why we must look for more robust metrics
Why it’s critical that training tracks towards the asks being made of a person
Links
Twitter: @sethpartnow
Seth’s page at The Athletic
https://twitter.com/fullcourtprez/status/838505275665575939?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E838505275665575939%7Ctwgr%5E%7Ctwcon%5Es1_c10&ref_url=https%3A%2F%2Fwww.explorethespaceshow.com%2Fwp-admin%2Fpost.php%3Fpost%3D2660action%3Dedit
“Trust the science, look after the people next to you, & work hard”
In this special edition of Explore The Space, I sit down for a conversation with my dear friend and former babysitter Susie Rolander. Susie is a literacy specialist with a special skill set around on-line learning, and she is currently pursuing her doctorate in Leadership for Change. She is also a co-founder of Startover, which is a meeting place for experts and people seeking to make positive changes. I was fortunate to be Susie’s guest on one of Startover’s live shows. This was really fun.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Have you been looking for a better way to manage your tasks and collaborate with colleagues? Check out CareAlign – a HIPAA Compliant, digital workspace built to make the EHR work better for clinicians. Manage your tasks, build dynamic care plans, view vitals and labs and generate your progress note in less than 3 clicks. CareAlign has everything you need for patient care, at your fingertips. Visit www.carealign.ai/explore to learn more.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
Being interviewed by my childhood babysitter
A bit about my background and path to medicine
Understanding the audience priorities via a few survey questions
Addressing the “Covid malaise”
The stress of the early days of Covid-19 in the hospital
Maturing around my response to people who don’t want the Covid-19 & leveraging the term “help me to understand”
Patriotism and the reckoning to come
The epidemic of grief that we now face
The critical need for a new educational approach to better combat the impact of misinformation
Conversations around showing gratitude and dealing with grief
A shoutout to my parents
Links
Twitter: @suzrolander
Startover
“The more you say something out loud, the more you believe it & the more it is likely to happen”
Kamali Thompson is a 4th year medical student who is simultaneously closing in on her Olympic goal of competing at the 2021 Tokyo Summer Olympics in fencing while preparing to start her Orthopedic Surgery residency. She joins us to discuss her incredible journey in chasing these two aspirations at the same time. In this conversation, Kamali presents the most inspiring and exciting discussion of goal-setting and positive self-talk as a process and a skill I can remember, so enjoy!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Have you been looking for a better way to manage your tasks and collaborate with colleagues? Check out CareAlign – a HIPAA Compliant, digital workspace built to make the EHR work better for clinicians. Manage your tasks, build dynamic care plans, view vitals and labs and generate your progress note in less than 3 clicks. CareAlign has everything you need for patient care, at your fingertips. Visit www.carealign.ai/explore to learn more.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
Is there any sport faster than sabre
The powerplant in fencing and how fencing informs her understanding of medicine and the human body
Reconciling the “interesting case” with the fact it is another person dealing with it
Goalsetting while taking on two all-consuming pursuits at the same time
Finding the hours to do all that she needs to get done
What parts of coaching and mentorship are exciting for Kamali
The upcoming road to the Olympics
Exercises around goal-setting and positive self-talk
How to track her journey
Links
Twitter: @kamali_thompson Instagram: @kamalithompson.usa
Kamali in action
More Kamali in action
Kamali’s blog: “Sabre and a Stethoscope”
The Peter Westbrook Foundation
“Sometimes you’ve got to start over, we are bold on that front”
Jessica Cordova Kramer is co-founder and CEO of Lemonada Media, an award-winning podcast network, which was created in a time of her grieving the loss of her brother to opioid use disorder. Lemonada has exploded on the podcast scene with multiple hit shows including Last Day & In the Bubble with Andy Slavitt.
Jess joins us on Explore The Space to discuss the origin and vision of Lemonada Media, the shared moment of national grief we are in during the Covid-19 pandemic, and how some parts of grief can be leveraged into something aspirational. This is a remarkable conversation with a real innovator.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Watch Explore The Space Podcast host Mark Shapiro deliver a TEDx address at TEDx SUNY Upstate. The topic is “Compliments As A Performance Lever During Covid-19”
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
The shared energy and common starting place we have currently
Lemonada’s origin and why they create content “to help people get out of bed in the morning”
Using a zoom out-zoom in concept to allow for individual attention while also describing a national and global picture in different show formats
Can any of the components of grief be leveraged into something aspirational
The unique sadness surrounding someone dying from Covid-19
Seeking to understand what our lives look like now
How Jess takes care of herself and her teammates
Creating a new model for content creation where employees can also live their lives with a sense of value
Reshaping the world in the right moment
Links
Twitter @jjcordovak @LemonadaMedia
Instagram @jessicacordovakramer, @LemonadaMedia
Email Jess at Jess@LemonadaMedia.com
Lemonada Media homepage
Los Angeles Times article about Jess and Lemonada
Explore The Space Podcast archive on the Opioid Epidemic
Maureen Bisognano on Explore The Space Podcast discussing diseases of despair
“The future is limitless…I think we’re going to take over the world”
To celebrate National Hospitalist Day 2021, Explore The Space & Society of Hospital Medicine collaborated on a roundtable discussion concept. This episode is that roundtable: Dr. Ndidi Unaka, Dr. Anika Kumar, Dr. Gurpreet Dhaliwal, & Dr. Maylyn Martinez joined me for a discussion on “The Pluripotent Hospitalist.” This is just extraordinary
Representing the fastest growing specialty in modern healthcare, the Society of Hospital Medicine (SHM) is the leading medical society for hospitalists and their patients. SHM is dedicated to promoting the highest quality care for all hospitalized patients and overall excellence in the practice of hospital medicine through quality improvement, education, advocacy, and research. To learn more, visit hospitalmedicine.org.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Have you been looking for a better way to manage your tasks and collaborate with colleagues? Check out CareAlign – a HIPAA Compliant, digital workspace built to make the EHR work better for clinicians. Manage your tasks, build dynamic care plans, view vitals and labs and generate your progress note in less than 3 clicks. CareAlign has everything you need for patient care, at your fingertips. Visit www.carealign.ai/explore to learn more.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
Welcome and the most wonderful introductions of our panelists for “The Pluripotent Hospitalist”
Pluripotency and diverse skill sets as a mindset for a Hospitalist and as a whole person
Orchestration as an aspirational skill and the value of being a Generalist
Thinking beyond the walls of the hospital
Seeking autonomy, mastery, and purpose so we can continue to enjoy our careers
How much do we share our whole selves with our teammates and with patients
What skill did each panelist have to develop to move through the Covid-19 pandemic?
Maintaining mental health and uplifting it within the profession
Unique challenges faced by medical students, residents, and fellows
Answering questions from the audience
Links
Twitter @Gurpreet2015, @freckledpedidoc, @MS_Martinez_MD, @NdidiUnaka, @SocietyHospMed
“We can’t address structural racism & we can’t achieve health equity in this country without acting on climate change”
Dr. Renee Salas is an Emergency Medicine physician & the Yerby Fellow at the Center for Climate, Health, & the Global Environment (C-CHANGE) at the Harvard T.H. Chan School of Public Health. She is also lead author on Lancet Countdown Health and Climate Change U.S. Brief as well as co-director for the first Climate Crisis and Clinical Practice Symposium. She joins Explore The Space Podcast to share her expertise around climate change, human health, and how we must make this issue personal. She is incredibly compelling.
Click here for the full climate change archive of Explore The Space Podcast episodes
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
Recording in the wake of another extreme weather event
The resuscitation analogy & the critical window for climate action
Multiple parallels between the response to Covid19 and climate change
The connections between structural racism, health equity and climate change
Activating others by making climate change personal and more visible through their health
The huge impact physicians and nurses can have in overcoming cognitive barriers with the population around climate change
Launcing the “Climate Crisis In Clinical Practice Initiative”
The profound mental health impacts of these converging crises
“Life, liberty and the pursuit of happiness”: Why climate action is aspirational
Links
Twitter @ReneeNSalas_MD
Interactive Perspective on how climate change harms health (by system) and disrupts healthcare delivery
2020 Lancet Countdown Policy Brief and Appendix (HTML, PDF)
2020 Lancet Countdown Launch
Climate Change & U.S. Health Policy
Climate change and impacts on clinical practice and healthcare delivery
How climate change threatens response to COVID-19
Course – https://www.edx.org/course/the-health-effects-of-climate-change
Textbook – https://www.wiley.com/en-us/Global+Climate+Change+and+Human+Health%3A+From+Science+to+Practice-p-9781118505571
MSCCH – https://medsocietiesforclimatehealth.org
“I will do the detective work after the fact to try to figure out what happened”
Dr. Judy Melinek is a forensic pathologist and TJ Mitchell is a professional writer & they are back to discuss their experiences after moving to New Zealand as well as the release of their new book “Aftershock”
If you didn’t hear them on Explore The Space last year discussing “First Cut” here’s the link to that episode. It is so much fun getting back into the world they’ve created with their protagonist, Dr. Jessie Teska.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
When did they begin thinking about moving to New Zealand & how has the settling-in process gone?
The process of moving to New Zealand during Covid-19
Would they ever come back to the United States?
The return of Dr. Jessie Teska with “Aftershock” and what this collaborative process felt like
Why “Aftershock” is a dark story
How they want to shape the world for Jessie Teska in future books
How their books are impacting career choices
Appreciating how New Zealand continues to respond to science
Deciding whether or not Covid19 will enter a subsequent book plot
Links
Twitter @DrJudyMelinek @TJMitchellWS
Get your copy of “Aftershock” here
“Osteopathic medicine is an American treasure”
Dr. Wolfgang Gilliar is an osteopathic physician who currents serves as Dean & Chief Academic Officer at the College of Osteopathic Medicine at Touro University Nevada. He is one of the great philosophers in the profession of medicine and he joins us to discuss open-systems thinking, the origins of anti-DO sentiment as well as the road forward, & why he thinks point of care ultrasounds (POCUS) is a critical element of medical education.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Key Learnings
Why rivers speak to Dr. Gilliar
What is an “Open Systems Thinker” and how does it translate into education
Reconciling complaints and criticism as a learned skill
Addressing anti-DO sentiment, the background behind it, and the road forward
Why osteopathic medicine is similar to jazz & what Dr. Gilliar’s vision for the next-generation physician looks like
Focusing on point of care ultrasound as a tool to improve perinatal health outcomes in Nevada and getting portable ultrasounds to Touro medical students
A most wonderful definition of “resonant”
Links
Twitter @gilliar_do
“I don’t believe that work-life balance truly exists. What I think we can strive for is self-compassion”
Dr. Resa Lewiss is Professor of Emergency Medicine & Radiology as well as Director of the Point-of-Care Ultrasound Division at Thomas Jefferson University Hospital. She is also the host of The Visible Voices Podcast.
Dr. Adaira Landry is an Assistant Professor of Emergency Medicine at Harvard Medical School & Assistant Residency Director for the Harvard Affiliated Emergency Medicine Residency Programs
Dr. Landry and Dr. Lewiss join Explore The Space Podcast to discuss a superb paper they co-authored on what efficient mentorship looks like. This was a springboard into a discussion of how we can all work smarter, why work-life balance is a myth, & their shared love of point of care ultrasound.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: The Clinician Experience Project by Practicing Excellence uses coaching and development to help clinicians become their best and improve patient and organizational outcomes, while amplifying purpose and contentment. Learn more at https://practicingexcellence.com/.
Sponsor: Vave Health believes that personal ultrasound is the future of medicine, with an aim to empower both clinicians and patients. Check out their website for details on their free virtual ultrasound educational events and more, at www.vavehealth.com/live
Key Learnings
Learning about “Work smarter, not harder”
Starting with the Self and thinking about how to move from where you are now to where you want to be in 5 years
Replacing the myth of work-life balance with the reality of self-compassion
Time, caring for Self, and getting a bagel and coffee
Assessing how you use your time and how their HBR paper fits into that assessment
Getting comfortable with saying No and the 3 criteria Dr. Landry uses
Dr. Lewiss’ pathway to becoming a point of care ultrasound (POCUS) expert
How POCUS served as a springboard for Dr. Landry and seeing what speed & efficiency can look like
The ways POCUS changes the physician-patient dynamic
Having an impact on the question of “what’s taking so long?”
The importance of words
Links
Twitter @AdairaLandryMD @ResaELewiss
Visible Voices Podcast
“What Efficient Mentorship Looks Like”
“Women just feel like they’re invisible. We are overlooked & we’re not selected & we’re not chosen”
Dr. Nancy Spector is a Professor of Pediatrics & Vice Dean for Faculty at Drexel University College of Medicine, as well as Executive Director of the Executive Leadership in Academic Medicine (ELAM) program. She joins us for an expansive look at her pluripotent efforts, why mid-career female physicians feel invisible, and the critical need for allyship, among many other topics.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Vave Health believes that personal ultrasound is the future of medicine, with an aim to empower both clinicians and patients. Check out their website for details on their free virtual ultrasound educational events and more, at www.vavehealth.com/live
Key Learnings
Dr. Spector’s pluripotent journey into leadership and ELAM
Recurring points of friction and recognizing structural issues that exist in academia
The “invisibility” of mid-career female physicians & identifying the time of greatest vulnerability
How homogeneity remains a huge barrier at the top for women and particularly women of intersectionality
Why allyship is so critical as opposed to this being solely a women’s issue
Calling out wage gaps and Equal Pay Day
How outdated information sharing platforms in academic publishing are a barrier to progress
Why Promotions and Tenure is ripe for an overhaul, with special attention paid to public influence and impact, particularly during Covid19
Making it clear that the Council of Deans must address the issue of Promotion and Tenure during Covid19
Examining “The Fauci Effect” and medical school applications
Links
Twitter @NancyDSpector, @ELAMprogram
Executive Leadership in Academic Medicine
HBR article #1 on allyship
HBR article #2 on allyship
Forbes article on allyship
A Call for Term Limits in Academic Medicine COVID-19 and the Slide Backward for Women in Academic Medicine
Journal of Hospital Medicine article on tracking academic productivity during Covid-19
Covid-19 CV Matrix
Dr. Quinn Capers on Explore The Space Podcast
“You have to rely on your network to see through to what’s real & what isn’t”
Christina Farr is a health-tech investor at OMERS Ventures and was formerly a superb health-tech reporter at CNBC. She is back for her 5th visit to Explore The Space Podcast to discuss why the finest health-tech reporter in the game pivoted to the venture capital world, the importance of collaboration and empathy in her new role, why she is honing in on behavioral health, and what she is experiencing around physicians seeking to exit the practice of medicine during the Covid19 pandemic
Find all of Christina’s previous appearances on Explore The Space Podcast here
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Vave Health believes that personal ultrasound is the future of medicine, with an aim to empower both clinicians and patients. Check out their website for details on their free virtual ultrasound educational events and more, at www.vavehealth.com/live
Key Learnings
The evolution of the digital health space and how it led Christina to make a career change
Leveraging a personal network to gather understanding & have a point of view
What does it mean to be in Venture Capital?
The failure of hubris & the need for fresh perspectives
Moving away from disruption toward collaboration
Why risk aversion is a problem when a tech company hires a physician
The importance of maintaining a sense of empathy
Why Christina hones in on behavioral health in the United States
Why Christina is getting more pings from doctors looking for an exit from the profession
The “DNA” of the successful physician who crosses over, and her superb article on the subject
Relationship building and reducing professional detachment
Links
Twitter @chrissyfarr
Chrissy’s newest article on “Second Opinions” about hiring physicians into health-tech
“It’s fresh eyes, it’s a change of pace. It’s a new team”
Dr. Vineet Arora is a Hospitalist, a Professor of Medicine and a frequent guest on Explore The Space Podcast. She is back on Explore The Space to discuss something she has rare & tremendous expertise in: handoffs. As we approach the inauguration of President-Elect Biden and Vice President-Elect Harris, this subject is of critical importance. This is a totally unique discussion around a critical moment in American history
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Handing off America, the struggling patient, from one administration to another
Absence of handoff versus a poor handoff
A central assumption in any handoff
How much does trust matter?
The mindset and resonance of Dr. Arora’s Twitter thread on handoffs
What is Dr. Arora on the alert for with this handoff process
The value of institutional memory
Links
Twitter @futuredocs
Dr. Arora’s Twitter thread on handoffs
The Fifth Risk
“When trainees are treated like they’re important, they’ll believe it”
Tricia Pendergrast is a second-year medical student at Feinberg School of Medicine at Northwestern University & co-founder of #GetMePPE Chicago. She joins us to discuss the experience of being a medical student during the Covid19 pandemic and the varied, extraordinary challenges that come with that. We also discuss her recent paper in JAMA “Prevalence of Personal Attacks & Sexual Harassment of Physicians on Social Media” as well as her ongoing work getting PPE where it is needed in Chicago.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
What it’s like to be a medical student during a pandemic
The burden of worrying whether a program or the medical system will properly support trainees
How social media has been essential to airing concerns & raising attention
The skill set and pattern recognition that allows someone to move forward in an academic setting
Valuation of trainees and recognizing everyone has something to contribute
The horrifying impetus for writing the JAMA paper & why it felt vindicating to publish
Why the article needs to be a call to action
The origins and founders of Get Us PPE Chicago
The cloak-and-dagger nature of collecting and distributing PPE
Why nursing homes and homeless shelters are a PPE priority
Links
The JAMA article
The Free Guide to Med School Admission
GetMePPEChi
“We are stuck because we did not apply the basic issues of implementation in supply chain management, things that we have known for decades.”
Dr. Nada Sanders is Distinguished Professor of Supply Chain Management at the D’Amore-McKim School of Business at Northeastern University & the author of “Supply Chain Management: A Global Perspective.” She joins us at a critical juncture in the Covid19 pandemic to help us better understand how supply chains work, how to look for and resolve bottlenecks, and the importance of a unified standard approach built around the concept of “Reverse Scheduling”
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Vave Health believes that personal ultrasound is the future of medicine, with an aim to empower both clinicians and patients. Check out their website for details on their free virtual ultrasound educational events and more, at www.vavehealth.com/live
Key Learnings
Understanding that ideas are everywhere, implementation is everything through “Shark Tank”
Laying out the frustrating part of what we’ve experienced
What is a supply chain an supply chain management
The essential need for the Federal government to drive the supply chain and vaccine process
Horizontal and vertical coordination within a supply chain
Why “Backwards Scheduling” is Dr. Sanders’ top priority going forward
Identifying and dealing with bottlenecks in the supply chain
Rebuilding public confidence in the vaccine supply chain and the vital need for messaging
Links
Twitter @nadasanders
Email: n.sanders@northeastern.edu
Dr. Sanders’ book: Supply Chain Management, A Global Perspective
“I’m walking into it with my eyes open, my dukes up. I’m looking around the corner, but I’m still walking forward into it”
Dr. Kimberly Manning is a Professor of Medicine & Associate Vice-Chair of Diversity, Equity, & Inclusion at Emory University School of Medicine. She is also a busy clinical physician, teacher, coach, and mentor, as well as an extraordinary writer, thinker, and social media voice.
For the second year in a row, we are fortunate to have Dr. Manning join us for our final episode of the year. 2020 has been a year like no other, we reflect and focus on readiness for whatever is to come next.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Vave Health believes that personal ultrasound is the future of medicine, with an aim to empower both clinicians and patients. Check out their website for details on their free virtual ultrasound educational events and more, at www.vavehealth.com/live
Key Learnings
Finding a new empathy amidst the chaos of 2020
What still feels Exceptional
Carrying sadness (with a cameo from “Rapper’s Delight”)
The impact of code-switching & how it eats up cognitive & emotional space
The exceptional nature of diversity
Owning privilege and sharing that exercise
What are you doing well, what’s something you want to work on?
Imposter Syndrome & doing stuff scared
Links
Twitter @gradydoctor
“Healthcare & medicine have to be able to say & acknowledge “there are really bad things that have happened under our watch, but this is not one of them'”
Dr, Jasmine Marcelin is an Assistant Professor of Infectious Diseases at University of Nebraska Medical Center & Associate Program Director of UNMC Internal Medicine Residency Program. She comes back to Explore The Space Podcast for an essential discussion of the Covid19 vaccine on the day we both received our first injection. Dr. Marcelin describes how to both access and move through barriers people may have around it and critical insight into how to properly center and validate concerns held by BIPOC Americans related to the long history of systemic racism in medicine.
Click here for Dr. Marcelin’s 1st appearance on Explore The Space Podcast
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Discussing the experience of getting vaccinated just before we recorded
Dr. Marcelin discusses her needle-associated anxiety and how it can be a barrier for people
The importance of transparency around actually getting the vaccine and the post-vaccine experience
Acknowledging the roots of structural racism in American health care and how they resonate around getting the Covid19 vaccine while also seeing how the vaccine will reduce the impact of Covid19 in communities hardest hit
Avoiding use of the word “Targeting” and what we need to say
The importance of centering voices and connecting with community leaders
Learning to navigate conversations with people about the vaccine & avoiding assumptions
Dr. Marcelin’s conversation with parents
The need for time & skills to speak with every patient
Learning to customize each conversation based upon each person’s unique needs
Why it’s important to avoid use of “Mistrust”
Links
Twitter @DrJRMarcelin
Dr. Marcelin’s Twitter thread about getting the Covid19 vaccine today
“This is the most important phase. This is the phase that requires the most passionate leadership, the most informed & rational leadership.”
Mark Hertling is a retired 3-Star General in the US Army who returns for his 4th visit to Explore The Space Podcast for more riveting leadership conversation. We focus on Inflection Point leadership as we deal with the surging Covid19 pandemic and the arrival of the vaccine. In addition, Mark’s insights on the importance of “running through the tape” and preparing for After-Action reviews are absolutely brilliant.
Click here for the archive of Mark’s previous appearances on Explore The Space Podcast
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our Position Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
The importance of “Living room language”
Introducing the idea of running through the tape
Why the Covid19 vaccine represents an inflection point and what are the implications of that
The essential mindset for leaders to carry right now
What’s going well and what could be done better
The importance of applying lessons learned and not going back to business as usual
Reflecting on personal and organizational lessons in preparation for an After-Action Review
Links
Twitter @MarkHertling
“I want to effect change through the vehicle of empathy”
Dr. Sayed Tabatabai is a Nephrologist in San Antonio and a simply brilliant writer. He shares most of his work as @TheRealDoctorT on Twitter where he continually amazes his large audience.
He joins Explore The Space Podcast as we wrap up 2020 to discuss solitude, anger, and empathy in the midst of the Covid19 pandemic.
This is a remarkable episode, enjoy.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
The nature of Dr. Tabatabai’s writing & connecting to the past
Is looking forward an act of bravery
Where does medicine stand right now
The appetite for a grand reshaping of medicine
Why Sayed writes about connection and things we all recognize as human beings
The power of social media in building relationships, connections, and friendships & what comes next when we come out from behind the Zoom chats
How deeply we’ve all been immersed in solitude
What do we do with all of our stored-up anger
Leveraging empathy
How we can move through the dark part of the tunnel together
Links
Twitter @TheRealDoctorT
“The daily grind doesn’t worry me, doesn’t intimidate me, doesn’t bother me so much”
Dr. Amy Oxentenko is a Professor of Medicine and Chair of the Dept of Medicine at Mayo Clinic in Arizona. She is a truly superb leader and brilliant teacher and she joins us to talk about The Grind of the day-to-day work and the importance of adaptive leadership, especially during a crisis.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Vave Health believes that personal ultrasound is the future of medicine, with an aim to empower both clinicians and patients. Check out their website for details on their free virtual ultrasound educational events and more, at www.vavehealth.com/live
Key Learnings
What does the Grind look like
Does the Grind precipitate anxiety?
The importance of the book “Crucial Conversations” and how Dr. Oxentenko uses leadership books
Leadership books vs real-life experience
Reconciling tension between someone needing “more experience” and the value of on the job training
Term limits in medical leadership as a way to help elevate new leaders and prevent stagnation
Running as a restorative technique
Dealing with new challenges superimposed on the Grind and being able to pivot
Adaptive leadership during the pandemic and during a cross-country move
Speaking for voices that don’t feel comfortable doing so
The power of data to improve inclusivity and drive change
Dr. Oxentenko’s appetite for more
Links
Twitter @AmyOxentenkoMD
“Sometimes the point of sharing is to get people to understand how human we are & what things are really like for us”
Ashley Bartholomew is an ICU nurse in El Paso, Texas. She spent the past several weeks working in the Covid ICU at her El Paso hospital during a tremendous surge in hospitalized patients. After that she shared her experiences in a Twitter thread that has since gone viral. She joins us to discuss confronting misinformation at the point of care, redefining professionalism in how we show emotion, and why being told you’re a hero can feel dehumanizing
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
What is El Paso, Texas like?
The sense of common purpose amongst those at the front lines of the pandemic
Seeing the surge firsthand the day before her scheduled last day and stepping forward to work for an additional three weeks in the Covid ICU
Writing a Twitter thread that went viral
Where Ashley felt a sense of empowerment sharing such vivid and candid experiences
The problems with stoicism and the moment where Ashley broke that barrier with her patient
The need to redefine “professionalism” when it comes to showing emotion as a whole person
Do nurses feel like they shouldn’t be sharing work experience for fear of reprisal?
The disruptive effect of mixed messages
What the limelight feels like and dealing with the inevitable trolls
Why humanizing health care professionals is so important & calling them heroes can actually feel dehumanizing
Links
Twitter @theblondeRN
Ashley’s viral Twitter thread
“This cannot happen in our country right now. We cannot have a civilian-service divide.”
Kevin Schmiegel is the CEO of Operation Gratitude, which is the largest non-profit in the country for hands-on volunteerism in support of the military, veterans and First Responders. Operation Gratitude has expanded their essential operations to support doctors, nurses and hospitals during the Covid19 pandemic. In this episode we discuss how service is critical to bridging divides in our society, why Operation Gratitude expanded its operations to support the medical community, and effective ways to respond to “Thank you for your service”
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
The current strategic picture for a conversation around giving, gratitude, and service
Reflecting on the word “Giving”, how it’s analogous to service which is a common feature across Americans
Overcoming inertia around service & the origin story of Operation Gratitude
Waning morale and widening gaps between doctors, nurses, HCWs and their communities during the pandemic and how to bridge that gap
The need for comfort, how Covid makes that more difficult, and the need for empathy in that space
Addressing “Thank you for your service” with a response that can start a conversation
How getting special treatment or recognition makes people serving feel even more distant
Building a sense of community at the local level that can be sustained whether times are hard or not
Links
Twitter @OpGratitude, Instagram @opgratitude
Operation Gratitude
Kevin’s essay in The Hill about how service can help unite communities
Giving page to support California firefighters
Virtual Volunteering
“A grateful nation that serves together is united”
“That’s why I do the work that I do, to bring those voices into places where they need to be heard”
Dr. Giselle Corbie-Smith is the Kenan Distinguished Professor at University of North Carolina Center for Health Equity Research & is an internationally recognized expert on leadership & health equity. Dr. Utibe Essien is an Assistant Professor of Medicine & a health equity researcher at the University of Pittsburgh School of Medicine.
They came together for an incredible discussion on Explore The Space wherein Dr. Essien interviews Dr. Corbie-Smith covering her career arc, insights into merging leadership and health equity, what brings her joy, and her superb podcast “A Different Kind of Leader.”
This is a very special episode, it’s an honor to have these two incredible people on Explore The Space
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Vave Health believes that personal ultrasound is the future of medicine, with an aim to empower both clinicians and patients. Check out their website for details on their free virtual ultrasound educational events and more, at www.vavehealth.com/live
Key Learnings
How Dr. Essien felt meeting Dr. Corbie-Smith for the first time
Starting off with a Win
Dr. Corbie-Smith’s origins and early career arc
Studying health disparities, starting a career in research, and being a Robert Wood Johnson fellow
Being a child of immigrants & some wonderful advice from her father
The process of integrating leadership development with health equity and launching “A Different Kind of Leader”
Deriving motivation from conversation
What does the next dream job look like
Covid19 through the eyes of a health disparities expert & the critical need to demonstrate trustworthiness for minority communities
What brings joy to Dr. Corbie-Smith during these trying days?
Links
Twitter @GCSMD, @DKLeadership @UREssien
A Different Kind of Leader Podcast
Transcript
Mark Shapiro (00:01):
Welcome back to Explore The Space Podcast. I’m your host Mark Shapiro. Let’s start off with a quick, thank you to Laurie Baedke and Creighton University for sponsoring this episode. Creighton University believes in equipping physicians for success in the exam room, the operating room and the boardroom. If you want to increase your business acumen, deepen your leadership knowledge and earn your seat at the table. Creighton’s health care executive education is for you. Specifically tailored to busy physicians our hybrid programs blend the richness of on-campus residencies with the flexibility of online learning. Earn a Creighton University executive MBA degree in 18 months or complete the non-degree executive fellowship in six months, visit www.creighton.edu/CHEE to learn more. Thank you also to Vave Health for sponsoring this episode. Vave believes that personal ultrasound is the future of medicine with an aim to empower both clinicians and patients. From an affordable wireless device to the industry’s first, all inclusive upgrade plan two built in support with Vave Assist.
Mark Shapiro (01:07):
Their mission is to move the needle on ultrasound use in every clinical setting. Find more information online at www.vavehealth.com. That’s V a V E health.com. This is a remarkable episode. I am delighted that it is actually airing when it is airing. This is one that has been in the works for months and through trial and error and wildfires and an election season. We are finally here. Dr. Utibe Essien and Dr. Giselle Corbie-Smith take over Explore The Space and I’ll just say it’s just one of those conversations. It is unbelievable. The thing that I liked the most about it, and I certainly don’t want to step on any of this conversation. This is a Titan of medicine being interviewed by someone who is on that same road, but also looks up to them as a Titan of medicine and to just feel that dynamic and to be in that space with
Mark Shapiro (02:03):
Dr. Essien and Dr. Corbie-Smith, it’s really special. I’m beaming, as I say this, this is really wonderful. I am delighted that this episode is coming out. I do obviously want to acknowledge this is the first episode of explore the space that has aired after the election. For those of you who are fans of the show, you know, how much energy our whole Explore The Space universe put into the election season. It’s great that we’re now on the other side of it. I hope that this episode can help to restore a little bit of a sense of normalcy, but obviously to all of you who contributed so much sweat and energy and tears and your own personal treasure and all of those things that help drive towards a result. Thank you to all of those of you in medicine who got engaged and activated for the first time who registered to vote for the first time who maybe helped a colleague get to vote for the first time.
Mark Shapiro (02:53):
Thank you as always to, I would like to invite everyone. Please do take a look at the archive of Explore The Space podcast, www.explorethespaceshow.com. You can find me on social media, I’m on Twitter at @ETSshow, and please feel free to email me anytime, Mark@explorethespaceshow.com. And if you have the opportunity to subscribe to explore the space podcasts, wherever you’d like to download your shows, that really helps us out and definitely leave us a rating and a review. It’s great to be back. It’s great to have another episode up and I just couldn’t be happier with the conversation between two incredible physicians, two extraordinary scientists and two just wonderful people who are creating new roads and conversations like this. Just reframe things in a way that is exciting, refreshing, and challenging all at once. So without further ado, Dr. Utibe Essien and Dr. Giselle Corbie-Smith
Utibe Essien (03:49):
Hey everyone. My name is Utibe Essien and I’m an assistant professor of medicine at the university of Pittsburgh. I have to thank Dr. Shapiro for lending us his platform on the Explore The Space podcast to have what is going to be an incredible discussion with one of my favorite people in the medicine, in medicine, probably in the world, Dr. Giselle Corbie-Smith. So Dr. Corbie-Smith, for those of you who, for some reason do not know is the Kenan distinguished professor in the UNC university of North Carolina department of social medicine. And she’s the director of their center of health equity research. She has so many accolades and awards, which was some of which we’ll talk through during our time together. But, um, I’ll start with a little story rather than when I first met her back in 2014, I was straight up like I’m meeting Beyonce or Michelle Obama.
Utibe Essien (04:48):
I remember asking my mentor for med school, Dr. Gonzalez like, Oh, can you introduce me? Like, is it okay if I go up there and say hello at this my first society of general internal medicine meeting? And you could see like the crowds lining around here just to talk to her, because again, she’s so incredible. And I feel so grateful that six years after that, here we are chatting it up on a podcast and just finished getting our first paper together accepted and, um, been a long journey for me being this awkward, shy guy who was trying to say hello to, to use. So thank you for taking the time to chat Dr. Corbie-Smith. I am so glad to be able to talk with you. I think one of the universal truth is that if you know that social awkwardness, and it’s just part of being a physician in medicine, it’s like, we all have a little of that and you just got to figure out how to, how to channel through that. I think that’s probably true. That’s very true. So before jumping into your story, cause I got to, I know a little bit about it, but I want the world to hear it as well. Um, I love starting every conversation with my teams and learning about wins, especially during crazy times when there is a lot of sadness in the world. Um, it’s always great to kind of start off with highlight of the week. Favorite moment, uh, inspiring tale, I guess, so to speak from the past week.
Giselle Corbie-Smith (06:09):
Yeah. That’s such a great question. I’m thinking I’m going to incorporate that going forward. So I would, I, if you’ll allow me, I’m going to go back a little bit more than a week to maybe the last two weeks. Um, we just were awarded UNC and Duke, the coordinating center for grants, which are the rapidly accelerating diagnosis for COVID-19 testing and underserved populations. And that feels like, um, a huge win primarily because my collaborators and myself as PIs really decided we, in this coordinating center, we were centering the community and in everything we do and that felt, it feels like it could be potentially really impactful. Um, and so I’m excited to be able to contribute in this way, in this time, in this crazy time to center the lives of individuals who have been historically marginalized in this country. So that feels like a huge win. So I’m excited for it.
Utibe Essien (07:18):
Awesome. That’s so great. Congratulations. And obviously you guys are killing it down in the research triangle, so, um, congrats on co-PIing that work and looking forward to learning more about it. So again, I just, I feel like I’ve heard and know some of this story. You shared a little bit about your journey during your SGM presidential plenary talk last year. Um, reminded me just how connected you and I are in our journeys. And again, would love to kind of have you share a little bit about what brought you to where you are?
Giselle Corbie-Smith (07:50):
Yeah. Um, well, I grew up in Brooklyn, New York and the old Brooklyn, not the new Brooklyn. I wasn’t a target on Atlantic Avenue then. And Bed-Stuy was, was the stuff of movies from spike Lee, right? Yeah. I grew up, I went to a high school that was rated the, had the highest crime rate in New York city of the year. I graduated had the highest reported crime rate because those of us had tilled and believe that others had higher rates, but we were better at reporting it, get skeptic, even men and, you know, went to, went to college and was woefully unprepared. Um, I had made it through, I was telling my kids last night that I made it through just by not being a bad kid, you know, not, not acting out in class and just doing enough work to stay under the radar medical school in the Bronx.
Giselle Corbie-Smith (08:51):
That really was just a pivotal moment for me in terms of seeing well sort of witnessing and living through the HIV, the birth of the HIV epidemic, um, and seeing the toll. It took not just on our patients, but on our colleagues. We had colleagues who became, who were visibly HIV positive, and it was, um, it was just heartbreaking. And I think that my time at Einstein and at Monte just really was, again, one of those inflection points where you make a commitment, even if it’s not completely conscious to the care of, of, of people that are, have been historically marginalized in this country. And, um, did my training at Yale. And I remember being on the wards and being allowed mouth about the care that I saw people getting that I felt wasn’t just, and just, I felt completely compelled to let everybody know this. And one of, one of the attendings pulled me aside and said, you know, you don’t necessarily want to be seen as an angry black woman, which I thought was hilarious because she was the angriest white woman I had ever met.
Giselle Corbie-Smith (10:05):
And I was like, really you’re telling me this. Cause she was, she was just as strident about the inequalities that, that we saw, but I wanted to try to do something more about it. I remember, um, I don’t think I was a chief resident yet. I remember as a resident, Nikki Lori came to give a, um, an invited lectureship and she talked about, um, vulnerability and brace and social class and some of her research that she was doing around Medicaid expansion, um, even back then. And, um, Medi-Cal, I think in California and I was blown away that people could actually study this and could make a career out of an actually could even name what it was, um, because it really wasn’t even a name for health disparities work at that time. Um, and I thought, wow, okay. So this is a possibility. Um, and as a chief resident, I tried to do a little project to uncover what I saw as the bias around amongst my colleagues.
Giselle Corbie-Smith (11:06):
It didn’t go very well, but it definitely pointed me in a direction to that. This is something that could happen. This is something that I could do. I joined the faculty at Emory, um, at Grady, which was just an amazing place. Anybody that works at Grady could be anywhere else, but it’s the commitment to that population that draw people there. Um, and that sort of comradery was really a beautiful incubator for, for some of this work. And I really wanted to, to learn and to study more about the doctor patient relationship and what was happening in that relationship and how that manifested in health inequalities. And I was dissuaded by my colleagues who had more research. I had no research experience at that point who had more research experience and said, you can’t really understand happening. You can’t study it. There’s no way to really get into the clinical encounter to study it.
Giselle Corbie-Smith (11:58):
And I believe them. Um, but at that time, people were, that was right around the time of the NIH revitalization act. And people were really remarkably callous and to a point of being vitriolic in the scientific press and the scientific publications about having to include black and Brown people in their studies. And I was like, well, if they’re going to publish this as must be zero to study, right? I mean, they’re just saying it right out here, it’s all published about, you know, what I saw as sort of looking in hindsight, sort of a racist approach, racism and medicine, really. Um, and so I followed that line. I was able to get grants. I went back to my chair of medicine. Ralph Horowitz up at Yale who told me I needed to get some research training before I left Yale and I didn’t believe him. And then I saw him at a meeting. I think it wasn’t at SGI M meeting. And I said, Ralph, you were so right. Can you help me?
Giselle Corbie-Smith (13:02):
And he’s like, you know, I have, they have these new diversity supplements out. Why don’t we have an ROI? One, why don’t you write one of these and get a diversity supplement? And I, so I got one of those. It took a while because I had no idea what I was doing. And Ralph Ralph and his team was busy, but that was sort of the lifeline, one of the lifelines that were thrown to me to help me on this path. Yeah. And then, so I got the diversity supplement. Then I got a K I had heard about these cases that were new on the scene. And I said, well, this sounds like a goal. Let me get a K out. I knew nothing. I had no idea what it was or what it would entail, but I was like, okay, I’m going to give myself five years to get a K if I don’t get the K, then I’m out.
Giselle Corbie-Smith (13:47):
I obviously I’m not cut out for this. It was. So this was the bargain I made with the universe. Um, and I got it actually on the first try, um, asked her after two years. Yeah. I got the Amos award. Um, after two tries, the first time I shouldn’t have gotten it. I was so glad that they made that decision. The second time I was barely ready, but I had just gotten a K and they said, you know, well, we’d like to fund winners, so yeah, we’ll take you. And thank God they did that family. Um, extended family of Robert Wood Johnson foundation has been just, uh, the connections connection to such a callous word. The, the family that you become a part of in that program is really enduring and some of my best colleagues even to today, 20 years later. So, um, yeah, so that’s how I started, ended up at UNC when I realized that, um, while Emory and Grady worked fabulous for the work that I was doing at the time that I needed an, a bit more infrastructure to support the work ended up in UNC.
Giselle Corbie-Smith (14:49):
And I’ve been here 20 years, which crazy to me, this is longer than it lived in my parents’ house. Kind of nuts for me to take. I’ve been in one place 20 years, but yeah, it’s been a really fantastic place for my work, the department that I’m in, um, I’m in social medicine and also in internal medicine and it’s been just an incredible place, interprofessional interdisciplinary place to situate this work. And it allowed me to go in a variety of directions and really pushed me to think beyond participation in clinical research and to like, what are you going to do about it? Like, yeah, that’s fine. You’re describing this, but like, what’s, what’s, what’s the game plan. And that’s how I ended up in community engaged research. Community-based participatory research, which is mostly what I do, which has been some of the most rewarding and incredible collaborations that I, um, I’ve, I’ve, I feel like I’ve learned, I feel somewhat selfish. I feel like I’ve learned so much more than, than I ever gave in those collaborations.
Utibe Essien (15:53):
Well, that, that journey is I feel like the stuff of what many of us hope our careers will be, that we, you know, hit it on the first, try our K awards and get the AMLs award grant end. But still what I heard you say throughout that it was, you know, my first project didn’t go as well as I have added hope. I probably shouldn’t have gotten my email’s award on the second try. And so, yes, I, uh, hear the amazing success that we all can see and visualize what I also hear this persistence and kind of resilience through, through the work I suspect I can appreciate where that probably came from, but can you share a little bit about what, what keeps, what kept you going in those times when it was like, you know what, this project is terrible. And my chief year, I’m not going down this route, I’m going to retire those patients.
Giselle Corbie-Smith (16:43):
Well, that chief year, I hadn’t, I probably some would say was a very productive year cause I had my first child, but in terms of scholarly productivity, it really sucked. So, you know, I am a child of immigrants and there’s this, my parents are from the Caribbean and there’s, I saw them work. I mean, and my dad had gave each of us a little saying, as we, as we went through our sort of elementary and high school years, and his quote for me was the race is not for the swift, but for the sure. And it was disappointments in high school because I kind of pulled up. It was easy for me. High school was easy because as I said, you know, I just had to stay out of trouble, show up, do some work. And, you know, I was on the path to be valedictorian. And then I kind of just stopped doing work in height in my senior year. And so I missed valedictorian by like a 10th of a point and was really disappointed. And, um, my dad was like the race is not for the swift, but for the sure. So just stay on your path, keep working hard persevere and you’ll be fine. Um, and in fact, he, right. Okay.
Utibe Essien (18:00):
Yeah. That’s awesome. That’s awesome. I love it
Giselle Corbie-Smith (18:03):
Parents, right? I mean, everybody sees all the, all of these achievements, but it’s the it’s realizing that you have to do it for a purpose. The, for me, the grants and papers were never enough to do the work, the hard work that’s required in academics. So I had to, I literally remember thinking, so like, what’s the deal what’s driving you to do this. And for me, it’s what I realized is that papers and grants are the currency of academia. Um, and it’s the path by which the voices of, um, folks that are underserved or don’t have a voice can be brought into the Academy. Um, and that’s why I do the work that I do is to bring those voices and find a way to bring those voices into places where they need to be heard and can shape organizations. Yeah,
Utibe Essien (18:54):
That’s awesome. Well, one of the other ways that I see you doing it, this work is through your fellowship, through the Robert Wood Johnson. Can you share a little bit about that experience and what kept you again? It sounds like within that family of scholars.
Giselle Corbie-Smith (19:10):
So, um, I actually, for the first iteration of the clinical scholars program, I was on, I was a faculty member. Well, they had a program at Yale that I kind of knew about, but didn’t really participate in. And then they had, they had a program at UNC and I got to be on the faculty there. Um, and then got, was invited to be on the national advisory committee for the first iteration. And then now are sort of leading the latest iteration of the clinical scholars program, which is more about leadership development, which is a fascinating and exciting space to be in because we’re integrating leadership development in our program with health equity in a very intentional way, um, to build teams of interprofessional leaders who are tackling some of the most challenging problems in our country facing health equity. And so it’s exciting to see these folks coming through the program, um, and even more exciting to see how they’ve already been so impactful. Um, since the beginning of the program,
Utibe Essien (20:22):
Maybe that’s a good segue to chat a little bit about your podcast. Obviously we’re recording on a upon right now. Um, and last year you created this new podcast, A Different Kind of Leader, uh, which I feel like is perfectly embodies your career and what you’ve been to me, at least when I left for you to take us through how does a researcher, physicians, academician full professor mother, um, find the time to a director of a research center, find a time to then create a podcast. And, uh, what was the inspiration for that? And what does leadership kind of more broadly mean to you?
Giselle Corbie-Smith (20:56):
Yeah, thank you for that. So the podcast I’ve been thinking about for about two years before, um, and it became clear to me that my colleagues, particularly people who had faced some adversity in their past, either because of what they look like or who they loved had almost been burnished by those that adversity within the Academy and their luster was just, so it was just remarkable, the talent that I saw around me and this really started in the Amos program, but what I have seen, and this is not to take away from anyone else, but the depth of insight and thoughtfulness for leaders that are black indigenous people of color, um, sexual or gender minorities, um, and is their leadership style and substance is, is there’s a, well there, that’s so deep. And that often time appreciates that diversity in thought diversity in their leadership and the teams that they pulled together in their approach to the complexity, their strategies, and the way that they move in the world.
Giselle Corbie-Smith (22:11):
And I wanted to elevate that. Um, I hadn’t seen that I waited two years because I didn’t know how to start a podcast. Um, and you know, as you said, I had a couple of things that I was working on at the time. Um, and then somebody who had heard me talking about actually one of the, one of the folks in our leadership development programs, like, you know, I’ve been hearing you talk about this for like two years, when are you going to start it? Like, okay, I got called on that. So why don’t I go ahead and get this started? And I’ve been lucky to have an incredible team that I’m working with Sable and Rachel, and also to there hasn’t been a single person that I’ve asked that have said no. And in fact, we had, we kind of got ahead of ourselves and our first season and kind of ran out a slot.
Giselle Corbie-Smith (22:58):
We asked a whole bunch of people thinking that, you know, maybe 50% would say yes, and then it was like, okay. And then COVID happened. And we were like, wait a minute, time out, we all need a break. We had to pump the brakes then. So season two, starting now, we’re super excited to launch. Uh, my hope is folks will listen and be inspired as I am each time I talk with those, with those individuals, you know, at the end of the day, it’s hard sometimes to think about adding that one more thing, but I’m always refreshed and energized and inspired just to talk with folks who are on this leadership journey. The other reason that I did it as a fairly selfish, um, you get to a point, um, within academia, as you sort of ascend that you don’t have these colleagues around you, um, as a racial or ethnic minority there it’s far and between.
Giselle Corbie-Smith (23:46):
And I felt like other people probably were experiencing the same thing. And just being able to hear the stories and to have their experiences validated would be helpful. And then the third reason is because I’ve sat in that chair and looked with awe at folks that seemed to have accomplished so much. And it’s so important when you’re starting out as a leader, um, you’re a barking on your leadership journey to know that it’s possible. Um, and to know that folks have experienced those same bumps and that you can do it. There’s nothing you can do it.
Utibe Essien (24:22):
That’s awesome. And that’s my journey towards medicine was literally one first-year medical student at Einstein as well, who told me, you know, if I can do it and you can too. And I was struggling through my MCATs and freaking out about my, my science GPA and she totally completely motivated me in a way that no one else had before. And I think that sounds like that’s what these conversations aren’t for you as well.
Giselle Corbie-Smith (24:45):
Absolutely. Absolutely. That’s my hope is it certainly works for me. I mean, at the end of these conversations, I’m like, okay. Yeah, that just validated another experience that I’ve had. And my hope is that it also serves to inspire people that might feel that that might need, that may need that in, um, in their lives at that moment in time.
Utibe Essien (25:05):
Yeah. That’s great. So what, what, um, what is the future look like for, for someone who is a full professor? One of the very few black women who have, can claim that in medicine, who is a director, again, like I mentioned as someone recently elected to the national Academy of medicine, like seemingly checking off all the boxes that young, early career, um, academicians have, what does, what does the next dream job look like or dream opportunity look like for you?
Giselle Corbie-Smith (25:36):
Well, that’s a great question. So right now I have the privilege of serving as associate provost for rural initiatives. And, um, it’s, uh, I think an opportunity to, to, I think you’d get to this place where you’re no longer satisfied with the impact that you’re having. And you feel particularly if you’re motivated by the people that you’re, so that you’re hoping this work will serve, that you want to be able to have a bigger impact. And so I’m, I’m excited in this role to be able to sort of support people who are really trying to build partnerships with, at least in North Carolina, some of the most underserved areas in our country. I mean, our, that the place where the geography, where my community collaborators live and work is the buckle of the stroke belt in the Southeast and in a rural, rural part of our state.
Giselle Corbie-Smith (26:31):
And so, um, I feel really privileged to be able to support partnerships around the state and to create an infrastructure, to, to advance their work and to create new partnerships. So that’s, that’s what I’m working on now. You know, leadership development is another way to have that impact supporting leaders so that they can really have a systems view of the work that they’re doing and the opportunities to create systems that are equitable. And so that is another thing that gets me excited is to find ways to support leaders, either through a coach or being a coach or through a program. So, yeah, so those are the things that, that are floating my boat now. And of course the research is always there and my patient, I still see patients on Friday afternoon, you know, for, for me, that’s my first love medicine.
Utibe Essien (27:17):
That’s awesome. That’ll put the full package as some might say. And I guess that, that kind of reminds us that as you mentioned, the research into patients, that we would obviously be remiss to not mention the current moment coordinate quote that people refer to as, as the, um, racial injustice that is occurring around our world. And I think that’s really connected you and I together over the last few months, along with the pandemic of COVID-19, and as I was writing references for a recent paper, I came across your paper from 2003, talking about distrust, race and research in JAMA, and really talking about these issues that are really now coming to the forefront. And so I wonder how you’re thinking about this moment, what it means for health disparities research as a field for early again, early career researchers, and again, for the patients and communities that are being were hard hit back when you’re a training where, when you were writing that paper and continue to be hard hit today.
Giselle Corbie-Smith (28:16):
Yeah, yeah. 2003 seems like a minute ago now. Huh? Yeah. So we’re in, they sent syndemics right. So the COVID 19 pandemic and this racism that’s been in our country is actually the fabric of our country. Um, the syndemics that are coming together and actually creating a sum that’s worse than each of its parts. I think for many people of color, this has been just an incredibly trying time. Um, and it’s exacerbated by the misinformation and the sort of the destruction of trustworthiness within our scientific community, but, but we’re seeing, um, and sort of the politicization of this pandemic, I think has, is going to have far reaching consequences for research beyond, beyond the, the unnecessary deaths and ill and lives that have been lost, um, in, in this country. My worry is that as a scientific community, we’re not yet clear on how and on how to, and how important it is to demonstrate our trustworthiness.
Giselle Corbie-Smith (29:31):
We typically, and one of the things that I would go back now, I guess, 17 years ago, and rewrite that paper is to reorient the work to trustworthiness. And this is, I mean, that paper is a, is a product of growing up in a majority culture in, in, in science. And so it’s oriented towards people of color being distrustful, as opposed to the fact that as a scientific community and some would say, even a medical community that we have not demonstrated our trustworthiness in the way that we need to. It’s completely, I remember a quote from the first set of focus groups that I did at Grady around the Tuskegee syphilis study and participation in research. And this, this brother said, given the way brothers are treated in, in, um, why do what I think that participating in research would lead to anything good for me. And I’m like, it’s completely legitimate for people to not put their trust in an institution that consistently and persistently it’s failing them. And right now the misinformation that we, that it’s being, you know, the misinformation contradictory information that we see in our press is really, isn’t going to be a major challenge. And I think is going to have an enduring impact. Unfortunately.
Utibe Essien (31:00):
Yeah, that’s actually something I’ve never, ever really heard that it’s not just the current moment, which is so powerful. Obviously the, the millions and infected the deaths, but thinking about its impact on research down the line, and this trust is not just affecting us right now and studies today, but in four or five years, when we’re trying to recruit again, like what do those similar conversations look like? And that’s such a critical point to bring up? Well, I always want to end on, on a note of hope. Again, I have been inspired by you over the last six, seven years that I’ve got to know you and follow your career. I’m so fortunate to have you as a mentor, a colleague and friend, I’d love to know what, what is giving you hope in, in these days as again, the pandemics, the syndemics, however, we refer to them as can really, um, start to get to us and affect us. What, what brings that joy? What brings that hope as you go along on the day to day,
Giselle Corbie-Smith (31:55):
Really this is going to sound fairly trite, but it’s my kids. And when I say my kids, I’m lucky enough in this pandemic to have my two nieces with me, as well as two of my son. And they are so savvy, they are remarkable. Um, my oldest son, my middle son is 22, my oldest son’s 25, but he’s, he’s in law school now at an, at Howard. Um, but my 22 year old is here. My 14 year old son is here and my 15 and 17 year old nieces. And when I sit down and hear them talk about politics, about race and racism, they are, I mean, it took me a year. It took me probably 10 years on them to be able to have such confident, sophisticated kinds of conversations. I remember last summer I had them for a little while and, um, I came back from a racial equity training and was talking with them about it.
Giselle Corbie-Smith (32:51):
And I said, you know, they have these for teenagers sometimes too. And they were like, please mom. We want to go, we want to go. I was like, wow. Okay, cool. That’s dope, man. So that gives me hope to know that, that they’re not starting from the place that I started. They’re already leagues ahead of me in terms of the, really the sophisticated way that they think about race and racism, anti-racism politics and policy and the current events. It’s really remarkable. And so that, that gives me hope. Every time we sit down to dinner together, that’s really great. And again, I think parents are saying, well, yes, the younger ones, it’s a little rough with that virtual school life, but to have some of the older ones at home when they would typically be on campus or at anywhere else, uh, has been a blessing. So that’s so wonderful to hear that. And I hope they tune in to this pod to hear their mom. Really thank you again so much Dr. Corbie-Smith for taking the time to connect with us. Thank you, Dr. Shapiro for lending this platform of Explore The Space and I’m really looking forward to connecting again soon. Yeah, this was fun. Thank you. Thank you again for a long day after a long day, feel a lot better now.
Giselle Corbie-Smith (34:13):
Yes. Before I go, how can the rest of folks connect with you? I am episodically active on Twitter, not narrowly as active as you are @GCSMD. Um, I’m also on LinkedIn and much less active there, but that’s a goal. Certainly can listen to A Different Kind of Leadership podcast or follow the podcast on, on Twitter as well. Season two is dropping soon. Um, and, um, we’re really excited about the diversity of disciplines that we are having on the show. Um, branching out beyond medicine, which was sort of heavy in the season one, but really almost all of our colleagues that we’re talking with are centering race and their leadership in this moment in time. So I think is going to be pretty exciting for folks to listen to. Very cool. Thanks again. And we’ll chat again soon. Alrighty. Thank you.
Mark Shapiro (35:12):
My thanks once again to Dr. Essien and Dr. Corbie-Smith for this extraordinary conversation and my deep thanks to both of you for sharing my platform and your incredible expertise, your stories and your insights on explore the space podcast. This is very special and I really hope we get to do it again. Thanks also to Laurie Baedke and Creighton University for sponsoring this episode, learn more about Creighton’s executive MBA and executive fellowship programs at www.creighton.edu/CHEE. And thanks also to Vave Health for sponsoring this episode, that’s Vave with a V. don’t forget to check out their site for details on their free virtual ultrasound educational events, otherwise known as #VaveEduCasts. The next one is coming up this Thursday, November 12th at 3:00 PM, Pacific 6:00 PM Eastern standard. Go to vavehealth.com/live for more details or find a link in the show notes. Thanks to all of you for listening. Thank you so much. Look forward to bringing you more great content. If you enjoyed this episode, please do let me know. Please do find us on Twitter and share your insights there as well. You can email me anytime. Your time listening is o appreciated. Thank you so much. Remember to wear your masks, maintain physical distancing, wash your hands, get your flu shots, take care of yourselves, and we will see you soon. Thanks so much. Bye-bye.
“The goal is to help patients who are unexpectedly hospitalized on Election Day vote from their hospital bed”
Dr. Kelly Wong is an Emergency Medicine doctor in her 4th year of residency at Brown University and she is the Founder of Patient Voting. Her incredible, nonpartisan project is helping us all better understand how to help hospitalized patients cast their vote, which is more important than ever as Covid surges across the country. Click here to find information on patient voting for your state!
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
What is Patient Voting?
Where Dr. Wong first learned of the concept of patient voting from the hospital
How Covid19 has driven increased interest in Patient Voting
The ways it is not too late to engage prior to the 2020 elections
Common questions about patient voting from healthcare providers and patients
Where has there been resistance to Patient Voting?
How the new generations in medicine are driving this work
The future of Patient Voting
Links
Twitter @kellywongmd, @patientvoting
Patient Voting website
State guidelines for patient voting
Transcript
Mark Shapiro (00:00):
Welcome back to Explore The Space Podcast. I’m your host Mark Shapiro. Let’s start off with a quick, thank you to Laurie Baedke and Creighton University for sponsoring this episode. Creighton University believes in equipping physicians for success in the exam room, the operating room and the boardroom. If you want to increase your business acumen, deepen your leadership knowledge and earn your seat at the table. Creighton’s health care executive education is for you. Specifically tailored to busy physicians our hybrid programs blend the richness of on-campus residencies with the flexibility of online learning. Earn a Creighton University executive MBA degree in 18 months or complete the non-degree executive fellowship in six months, visit www.creighton.edu/CHEE to learn more. My guest in this episode of Explore The Space Podcast is Dr. Kelly Wong. Dr. Wong is an emergency medicine physician she’s in her fourth year of her residency at Brown University, and she is the founder of Patient Voting.
Mark Shapiro (00:59):
This is part of our run-up to the 2020 general election. And this project that Dr. Wong has created is really remarkable. It is designed to facilitate people who are hospitalized on election day being able to vote. Every state has guidelines for this. Every state has rules for this and a process by which it can happen. This is something I never knew about. I’ve been a practicing physician for awhile. I have never heard of this. And I’m delighted that Dr. Wong has, first of all, created this program, which you can find at www.patientvoting.com. We’ve got all the links in the show notes, and that she’s mobilized this incredible team of pre-meds and medical students and residents and people who are doing all sorts of other education and training to be part of this project. It is really exciting. It’s really remarkable that I’m delighted that she came on.
Mark Shapiro (01:54):
It’s more important than ever as we watch. COVID 19 surge across the United States in the run up to election day as well. Before we get to this really wonderful conversation with Dr. Wong, please do check out the archive of Explore The Space pPodcast at www.explorethespaceshow.com. Email me anytime you want Mark@explorethespaceshow.com and you can find me on Twitter @ETS show. Wherever you’d like to download your podcast, please subscribe to Explore The Space and please leave us a rating and a review. So really appreciate that if you have a chance to do it, that really means a lot. And it definitely helps us out. There are all sorts of remarkable innovations and activations that are happening in the run up to the 2020 election and this patient voting project that Dr. Wong and her whole team have created is really something special.
Mark Shapiro (02:40):
You’re going to really enjoy listening to this. Please check out the website, please think about how you might be able to utilize it. If you are in medicine and you work in a hospital. And if you know somebody who is hospitalized as well, this is something you can ask about. So without further ado, Dr. Kelly Wong Kelly, welcome to Explore The Space Podcast. I am so happy that you’re here. This is cool, Mark. Thanks for having me on. We were joking before we started. And I said, you know what? I don’t script the show. I don’t know what I’m going to ask you. And then I actually asked you, I think a really good question. I’ve been looking at this website, patient voting. I’ve been getting a better understanding of it just in these last few weeks in the run-up to the 2020 election. Who are you? What, what is going on? This is unbelievable.
Kelly Wong (03:26):
I think a lot of people, when they see patient voting and they see that I like founded Patient Voting, they assume that I had a political background. Like I think they assume I was the kid that went and did like a summer in DC and, you know, been involved in like campaigns before, but I was a very casual voter prior to this. And I actually just fell into this because there was a knowledge gap that I saw
Mark Shapiro (03:48):
That is absolutely fascinating. So I didn’t think that I thought that you were like lightning bolted down from above to fill that need. I was like, I’ve never heard of something like this taking shape with this size and scope. And before we get into like the, how did this happen when I kind of get hyperbolic about size and scope, it’s important that people understand this full transparency. I just learned about patient voting the actual website, this platform that you’ve created just like two weeks ago. And I reached out and said, let’s get, let’s get you on the show. Give us a sense of what is this? What is this entity? What have you created here?
Kelly Wong (04:26):
So, you know, it did start small and it’s definitely grown. So Patient Voting is a nonpartisan volunteer based organization that I founded in 2018, just prior to the midterms two years ago. And so the goal is basically to help patients who are unexpectedly hospitalized around election day, vote from their hospital, but using an emergency absentee ballot. And, you know, most people are familiar with a regular absentee ballot. It’s, you know, what college students use in the military uses when they know they’re going to not be present on election day to go to the polls, but for somebody like you or me who maybe thought we might go to the polling place on election day, and then something happens where we end up in the hospital. This is what an emergency absentee ballot is for it’s for that period of time, after that regular absentee voting deadline to election day.
Mark Shapiro (05:17):
And here’s something that I will share. And I share this with equal parts, excitement, and equal parts sadness. I finished residency in Oh six, 2006. I’ve been an attending ever since my sadness comes from the fact that I am just hearing about this. Now, all those years have gone by all those doctors that I’ve worked with all around the country, the smartest, kindest, most engaged, most interested in their patients that you would ever hope to want to work with. It’s never come up. I’ve not heard of this before. So that’s the sadness. The flip side is, Oh my gosh, look at what you’re helping us to better understand. This is really cool. Now for the rest of our careers, we’ve got this.
Kelly Wong (05:58):
And, you know, nobody told me this during my medical education. And it was pretty much a patient that pointed this out to me during the last presidential election. I was still in med school. And as you know, in the emergency department, when we say, you know, I’m very sorry, but you’re probably going to have to be, be admitted to the hospital. You’re going to have to stay for a couple of days, is my guests, you know, sometimes you hear people say, Oh, I can’t be admitted to the hospital. I need to go home to, you know, do X, Y or Z take care of my grandmother, let my dogs out. And I understand those things, but I, until the presidential election in 2016, never heard somebody say, I can’t be admitted for an NSTEMI. I need to go home and vote and like leave AMA.
Mark Shapiro (06:42):
Yeah. Yeah. I haven’t either, you know, for the, the, the, the, how many election cycles have I been a physician for? I’d actually, I have not heard that yet.
Kelly Wong (06:50):
And, you know, I looked at that patient and I was so taken aback basically. Cause I’m the person that cries when like Tom Hanks talks about the constitution in what’s that spy movie that he did, but any kind of patriotic, patriotic part in a movie, I just know. And, but, you know, it’s, it didn’t seem fair to me that there wasn’t a process for patients to go in the hospital. And once I started researching, I realized most States do have a process. We just don’t know about it. And then our patients don’t know about it if we don’t tell them.
Mark Shapiro (07:22):
So from there, especially with this election, have you found if you, you started this in 2018? I would imagine. And I hate to guess, but I want to, because it’ll just kind of spark. I want to see what you think about this. I would imagine that there has been a surge of interest over the last few months around the Patient Voting project.
Kelly Wong (07:40):
Yes. And I, you know, I think part of that is people are more interested in general in general elections than they are, you know, midterms. But I think this year, if any, with COVID has, you know, elections have been in the news more like different ways that you can vote, vote safely vote early. And so I think people are a little bit more familiar that there might be other ways for them to vote other than the classic, like go to the polling place on election day. But we’re definitely getting a lot more inquiries earlier than we did during the midterms. So yes, we’ve seen a huge surge.
Mark Shapiro (08:17):
And then that brings us to where we are now, right? By the time this episode goes up, we’re going to be close to, you know, we’re going to be less than two weeks away from election day. And we’ll obviously have links to the website and the various tools that exist there. But every state, my understanding is every state has its own regulations about how to obtain the emergency absentee ballot, where we are now, are we still in a place where physicians and nurses and healthcare administrators can reach out to individual patients can do organization within their hospitals and medical groups to actually still utilize this tool?
Kelly Wong (08:52):
It’s definitely not too late. You know, I think I’ve, we’ve set up the website so that you, if you have a single patient, you could download all the materials you need on a case by case basis. But there’s definitely still time to organize on kind of a, a larger institutional level, if you wanted to.
Mark Shapiro (09:08):
And what are the most common questions you’re getting from people who find this website, you know, through social media, through any number of different ways, word of mouth, you know, hopefully this podcast, what are the common questions you’re getting? So we can sort of lay out, maybe some of those answers. Now,
Kelly Wong (09:24):
I think from medical providers, it’s a lot of questions about, you know, I don’t, I see what you have on your website on patient voting.com, but I don’t see that on the state elections website, can you kind of like talk me through that? And I think that’s been one of the biggest problems and kind of why we started this website in the first place. It’s, it’s really, really hard to find these processes on the state election websites, even in states where, you know, it exists and you can look up the state election code and you can look up the state laws and you see that there’s a process. You know, I spent hours on my laptop with 20 tabs open on like, you know, whatever state election search, trying to look up like hospitalized patient medical emergency vote from the hospital, but from, you know, home safely and you just can’t find it on there.
Kelly Wong (10:16):
So that’s been kind of the question from medical providers is the kind of mismatch between what they’re seeing on our website versus what they’re seeing on the election website. And then mostly from patients, I think they are hoping that somebody can help them locally. And so that’s really where, you know, building a network has been kind of one of our goals in the future to have people in different States that are more familiar with that state’s process, or can coordinate with somebody at a local hospital to actually like be in person to help that patient or the patient family.
Mark Shapiro (10:49):
And as you’re watching the news, and we’re all seeing the same data points, and we’re all seeing the same curves and graphs around COVID-19 and hospital admissions and all of these sorts of things, are you expecting more demand as we get closer to election day simply because of that variable?
Kelly Wong (11:10):
Definitely. I think, you know, this year is highlighted that anybody could be hospitalized. When I first imagined this program. I kind of thought of it more, as you know, I’m worried about the patients that have repeat visits for, you know, has CHF exacerbation. And they’re more likely to be hospitalized around the election because they’re, they’re hospitalized frequently or something like that. But you know, this year it could be anybody. And, you know, at the time that we are recording this, you or I, or anybody still has time to be exposed, having an incubation period and get sick and end up in the hospital. So I think, you know, I want everybody to hear about this until all their friends and families cause who knows.
Mark Shapiro (11:52):
And what resistance points have you met as you got this started? It’s been a little over two years. It sounds like that you’ve been working on this project and growing the project. Where have you met resistance? Where have you found friction?
Kelly Wong (12:05):
So I think from a grassroots level, people are very, very excited to bring this to their, their institution. And I’ve been so lucky that I basically experienced no friction at my own institution. So I was pretty taken aback when, you know, other people who wanted to start it at their own hospital were met with opposition, basically from the C-suite. And I think, you know, you, you talk about this is an election and we’re going to try and help people vote. And a lot of hospitals feel like that is too political for them to take a stance on and, and help patients. And for me, I think you can be, I think you can be political, but nonpartisan. And that’s really what we are. We want people to be more civically engaged, but I think it’s really important that we’re encouraging all patients equally that we see and giving the equal opportunities to everyone. But that’s been the number one barrier has been having hospitals approve it.
Mark Shapiro (13:00):
It’s going to be really interesting to see if that changes. I can imagine that that is indeed the case. I think if you were to have asked me the same question, Hey Mark, what do you think is the most common friction point? I would’ve probably said the same thing. I think there’s just, we have an opportunity to really level up in our sophistication and our understanding of what it means to be political within the practice of medicine. There’s a lot more nuance to it, right? Like you said, we’re political, but it is a non-partisan brand. And that, that exists. That’s very real as you, I think, have done a wonderful job of, of crystallizing. And there’s just that level up. It’s just another level of sophistication. And I think we’ll look at 2020 as a real pivot point where we realized that we need to make that next level of sophistication, as opposed to using the blunt instrument that has been there for generations, don’t get political conversation over.
Kelly Wong (13:47):
Right. You know, I remember looking four years ago when I started looking into whether or not patients could vote and there really wasn’t a lot. And I remember, you know, you where you you’ve been on Twitter for a while, I assume.
Mark Shapiro (14:00):
Yeah. I’ve been on Twitter for, you know, enough enough. I don’t know. Self-Conscious there all of a sudden
Kelly Wong (14:07):
I’ve been on since I think 2015, but I remember it used to be very voodoo, you know, put your political comments out there along with your quote unquote professional Twitter account. That used to be a huge no-no. And I think this year, you know, people have, you know, decided to take a stance. What am I go back to it? Something else about the COVID questions. Yes, please do. So with all of the hospitalizations for COVID, I’ve actually gotten a lot of questions from, you know, social work, people working at a hospital saying we have the patient, we have their ballot, but if we bring the ballot into the patient, we can’t bring it out. Now one interesting. So just yesterday I was on, I made a couple calls to Washington’s board of elections offices to try and work with them about a specific patient who we want, he really wanted to vote. And so we were able to actually find a way, which is awesome. Wow.
Mark Shapiro (15:11):
Wow. So again, we need to get to a place where it doesn’t rely on a phone call to Dr. Wong and then Dr. Wong calling the election board of a state that’s on the other side of the continental United States to lobby for one patient. We have, we have many levels of sophistication that we need to grow to do this, right?
Kelly Wong (15:31):
Yeah. I think there’s a lot of room for kind of identifying barriers in the future. I think that’s like our goal for the next four.
Mark Shapiro (15:39):
Yeah. Yeah. One of the things that’s really striking to me about patient voting as well, the project as well is, you know, I was talking with Alice Chen from Doctors for Biden and one of the things that she and I were reflecting on because she and I went through medical school and training at relatively similar times. I think I maybe was two years ahead of her or something like that, that as medical students and residents, this was not something any of us did. But when I go to the patient voting website and I look at the who we are page and, or the, you know, the, the, the, our team link, it’s all medical students, it’s all residents. It’s amazing.
Kelly Wong (16:17):
It really is. And I think
Mark Shapiro (16:19):
It’s premeds too. I mean, it’s, it’s, you know, people who were in PA school, I’m scrolling through it right now. It’s, it’s phenomenal.
Kelly Wong (16:27):
Ed techs are having social work directors of patient experience
Mark Shapiro (16:33):
Tapping into something that’s really exciting for the generation of doctors and doctors to be behind mine. It’s, it’s really remarkable.
Kelly Wong (16:42):
Yeah. Future medicine is bright and it’s younger than me.
Mark Shapiro (16:46):
W w why, what is the, what is, what is the offer that, or what is what’s drawing them, do you think?
Kelly Wong (16:51):
I don’t, I mean, maybe, you know, just timing wise is, you know, since 2000 you know, there’s been a lot discord about mismatch between the electoral college and popular boat, and maybe they’ve just grown up with, we either need to be active and change things, or just kind of accept the election results. And maybe they’re just a little bit more used to this political activism at work.
Mark Shapiro (17:21):
Also, do you guys, as a group ever reflect on this, do you ever sort of look around and say, gosh, we’re, we are in a younger demographic, not knowing everyone’s age, but just saying, look, we’re all early career. At least what’s up. Why are, why is it us?
Kelly Wong (17:35):
I don’t know. I didn’t really notice until you pointed it out, but
Mark Shapiro (17:37):
I was blown away by it. I was like waiting to see, you know, the faculty mentor or something like you guys don’t get a faculty mentor. You guys are crushing it, faculty mentors at this they’re coming to me with research projects. They
Kelly Wong (17:50):
Want to do they want to know more about this than anybody? Yeah. They they’re the experts on this. They’re the ones that I’ve talked to all the boards of elections, like their funnel.
Mark Shapiro (17:59):
That is so cool. So what do you foresee for the next two weeks as we come up to election day as we come up to November 3rd? What’s your wishlist with patient voting?
Kelly Wong (18:08):
I mean, I always say that my ultimate goal with patient voting is for it to be obsolete. And maybe that’s not, that’s definitely not this year, but, you know, I would love to go talk to patients this year because we’re just kind of starting on that emergency absentee voting timeline here in the state. I’d love to go talk to patients and have them say, Oh, don’t worry about it. I already voted. Like, I think that’s ideal. I already believed in a safe, early manner, right. Rate my job is done. My job didn’t even start. That’s perfect. Yeah. I do anticipate hearing a little bit more of that actually this year, but I think in the next two weeks, it’s going to ramp up and we’re going to have a lot more of those kinds of COVID isolation case by case basis, because previously it was, Oh, follow the standard protocol of the state. And now it’s, every situation is different. Whether or not it’s, you know, family members that have to serve as an authorized representative to pick up the ballot, can’t get into the hospital because of visitor policies. Cause of COVID. Yeah. There’s a lot more barriers to this than there had been in the, in the past.
Mark Shapiro (19:12):
There’s a lot more barriers. I agree with you in what I would say for my wishlist, it would be acknowledging that I’m just learning about it now is for what time we have left, it would basically just be as many people engaging with it as possible. But for the next go around, you know, the 20, 22 midterms, the next general election, I would like to see are big organizations providing patients with the information up front. So as soon as the deadlines are, as soon as the windows are open for, for emergency ballots in any state that just like, you know, when you get admitted to the hospital, you’ve got some paperwork to complete, or your family has some that this is part of it. And they say, here’s one of your options. If you would like, if you, you know, you can apply for this, that sort of thing. I think that getting that level of sophistication is going to be really, really important. We’re just become standard work.
Kelly Wong (19:57):
Right. And you know, maybe my local hospital can set like a guideline on this. This is what we’re doing. We, every admitted patient is receiving a flyer. Wow. And I think that’s awesome.
Mark Shapiro (20:09):
That is totally awesome. It’s so inspiring. It’s really remarkable. I think that after this election, I, man, you’re going to have such an incredible career and you’re going to have so many cool things you get to do, right? The stuff, you know, blog about it, podcast about it, get on the news. Like you’ve really tapped into something very important here. And the experiences that you’ve learned are going to make it easier for other people to replicate it. And most importantly, for patients who are admitted and don’t obviously want to be in the hospital, they can still vote.
Kelly Wong (20:39):
Exactly. And you know, Mark, just like you said earlier, I think when you thought that hospitals kind of administration and improving like political program was the biggest barrier. All of these hospitals are wondering what other hospitals are doing. They all want to hear what the other big systems they need other people to have done it first. Yeah. Yeah. So I think it’s, it’s a trickle and then hopefully it’ll open up in the future. Like you said,
Mark Shapiro (21:05):
How on the website? It says who’s doing it. You’ve listed some really big organizations that are on the patientvoting.com website that have adopted this. Yeah. And look, it’s, that’s how it starts. These are big, big organizations that anyone can have it to go there, www.patientvoting.com and you can see them for yourself. And you’re going to see names that you recognize
Kelly Wong (21:22):
Adding more every day. That’s
Mark Shapiro (21:24):
So cool. So how do people find this individual physicians, nurses, family members of somebody who may be admitted to the hospital, how do they find patient voting? How do they find out more information? Not just about this project, but about specifically the state that they’re in.
Kelly Wong (21:37):
Yeah. So if you go to patientvoting.com, if you go to patientvoting.com/states, or there’s also a way to get to it from like how to vote, basically it’s really important because every state is so, so different. The deadlines are different the way in which you have to get your application to the election. Officials is different. So what we’ve done is create a state page that has the deadlines that has the process has a principal, state flyer PDF with the step-by-step instructions. And then where possible, where there has been a, you know, application posted to the state election website, we’ve put that on our website and in Google folder. So hopefully we’ve put most of those important materials all together. So that healthcare workers, whoever’s social work, friends or family, aren’t going to 10 different websites that all download things.
Mark Shapiro (22:27):
And we’ll have links to all of that in the show notes for this episode as well. Kelly, this is remarkable. The fact that you have kind of just put this project on your shoulders and built this incredible team of, you know, the next generation and the current generation of young physicians and physicians to be in PAs to be in text. And it’s really exciting. I am feeling so inspired. It’s sort of that shot in the arm in these last two weeks before the election. This is awesome work. Thank you for doing it. And thank you so much for coming on.
Kelly Wong (22:57):
Thanks Mark. Thanks for having me.
Mark Shapiro (23:00):
My thanks once again to Dr. Wong for joining us on Explore The Space Podcast to talk about the Patient Voting project. Definitely take a look at the links in the show notes, learn about this. If there’s time before this election, and there is still time, please make use of it and definitely start to integrate it into your regular workflows because it’s going to be around these rules and laws around people who need an emergency ballot have always been there. We’re just learning about it now. Thanks also to Laurie Baedke and Creighton University for sponsoring this episode, learn more about Creighton’s executive MBA and executive fellowship programs at www.creighton.edu/CHEE. We’ve done a ton of content around the election. Please take a look at the archive. We’re getting closer and closer to election day. Please make sure you make a plan. Please help your friends and teammates and colleagues and family make a safe voting plan.
Mark Shapiro (23:50):
If you can vote early, take advantage of that opportunity. We’re coming down to the wire. So this is the time to make sure all of those pieces are in place so that you can cast your ballot and that your voice can be heard as you’re doing all of this great work. Make sure you wear a mask. Make sure you wash your hands, maintain physical distancing. Make sure you get your flu shot. Take good care of yourselves. Take care of the people around you. We will see you again soon. Thanks so much for listening. Bye bye.
“We are affirming to a complete stranger that their voice matters”
Dr. Alice Chen is an Internal Medicine physician, the former executive director of Doctors For America, and one of the leaders of Doctors For Biden. She joins us in the stretch run of the 2020 election to discuss the shift in mindset among American doctors around politics. We also discuss the critical impact and sense of satisfaction to be had with phonebanking to help drive change.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
How Dr. Chen became politically engaged as a physician
Signing a letter
Differences between physician engagement with politics between 2008 and 2020
What is phonebanking?
The impact a doctor can have when they share their profession when making calls
Orienting and getting started
The current state of voter activation and the rise of medical students and early career physicians in this work
Links
@DoctorsForBiden on Twitter and IG
Phonebanking with Doctors For Biden
Transcript
Mark Shapiro (00:01):
Welcome back to Explore The Space Podcast. I’m your host Mark Shapiro. Before we get to today’s episode, a thank you to Laurie Baedke and Creighton University for sponsoring this episode, Creighton University believes in equipping physicians for success in the exam room, the operating room and the boardroom. If you want to increase your business acumen, deepen your leadership knowledge and earn your seat at the table. Creighton’s healthcare executive education is for you. Specifically tailored to busy physicians our hybrid programs blend the richness of on-campus residencies with the flexibility of online learning. Earn a Creighton university executive MBA degree in 18 months, or complete the non-degree executive fellowship in six months, visit www.creighton.edu/CHEE to learn more. My guest in this episode is Dr. Alice Chen. Dr. Chen is an internal medicine physician.
Mark Shapiro (00:53):
She is former executive director of Doctors for America, and she is now one of the leaders of Doctors for Biden. She joins us in the stretch run of the 2020 election to discuss a really important shift that’s occurring in the mindset of American medical students, doctors, healthcare professionals, all around the country, around this idea of engaging in the political process. And we also discussed the critical impact and the sense of satisfaction to be had with a whole variety of tangible things that you can do to drive towards change the biggest one at this point in the election being phone banking, which is a really interesting topic. It’s a really interesting subject, and she really helps step through some of the barriers that people can come up with to not participate in phone banking, as well as all the great reasons to jump in. If you have some free time leading up to the presidential election, definitely take the opportunity to check out the events page on the Doctors for Biden website.
Mark Shapiro (01:47):
There are phone banking opportunities every single day. So definitely take advantage of that before we get to our conversation. We’ll want to just invite everyone to please subscribe to and rate and review, explore the space podcast on Apple podcasts or wherever you’d like to download your shows. That really helps us out. You can email me any time mark@explorethespaceshow.com. Definitely check out the archive of Explore The Space Podcast at www.explorethespaceshow.com and you can follow me on Twitter at @ETSshow. As I said before, we are coming down the stretch, there are lots of things people can do to engage around activating voters and driving towards change in America. As we come up to election day, it’s just a few weeks away now, Dr. Chen gives us some really tangible, actionable things we can be doing. This was a fantastic conversation. You’re going to really enjoy it. So without further ado, Dr. Alice Chen
Alice, welcome to Explore The Space. I’m excited that you’re here
Alice Chen (02:47):
So excited to be here, Mark.
Mark Shapiro (02:50):
We are 15 days away and by the time this episode goes up, it’ll be a little closer. We’re 15 days away. It’s funny. I can say that and you can hear, and all of the listeners will hear it and they will know exactly what I’m referring to.
Speaker 3 (03:05):
Nobody’s here.
Mark Shapiro (03:06):
Nobody’s got, so obviously we’re, we’re referring to election day and we’re, you know, there there’s a whole host of things I’m in California and there’s a wide variety of, of interesting propositions and ballot measures and such things. And there’s Senate races and down ticket races and all that good stuff. I know it’s the same for you on the East coast, but we’re, we’re here to focus more on the presidential election. Does that sound about right? Absolutely. All right. So you are one of those rare doctors, I would say, and I hope that you don’t stay rare. And I don’t think that you will remain rare, but you are a physician who is as well-trained, as anybody who went through all of the same principles and practices of how we train physicians in America. And at the same time, you are an activated physician. You are engaged from a social aspect and you are engaged from a political aspect. I D I still think that it’s rare, but when I characterize it as rare for an American physician to be as engaged as you are, am I right?
Speaker 3 (04:11):
You are right. Although it is changing. And I have seen a shifting over the past decade or so.
Mark Shapiro (04:17):
So then we come to where we are now, and you are doing close work with an organization that I’ve been really fortunate to participate in a number of activities with Doctors for Biden. And I’m really curious to get a sense for you of how you came to the place where you do all the same training that we’ve done. You’ve heard all of the same implicit and explicit messages about doctors and politics. And now you are doing work on behalf of a candidate on behalf of a vice president Biden. What does that progression feel like?
Speaker 3 (04:49):
You know, it’s funny, I certainly didn’t set out to be a, like a quote unquote political doctor, and it wasn’t anywhere in my training. I was just like any other doctor working in this system and, and just encountering patient after patient, after patient who, you know, I had all of this, like top notch, world-class medical knowledge and equipment and cons consults and everything at my fingertips. And yet I’d have this patient who came in for heart failure again, because his only grocery store is the, is the, is the the gas station down the street and he’s eating canned food. And that’s why he’s back in the hospital with heart failure. They’re just, it was just so frustrating to me that there were so many patients that I couldn’t help either because of the social situation or because they couldn’t get health insurance, or they had had health insurance that didn’t cover the things that they needed.
Speaker 3 (05:39):
And, you know, I didn’t, I knew that there were forces at play in far away places like Washington, DC that were making it harder for me, for me to take care of my patients, but I really felt like I don’t have any power over those people. I don’t have like muddied interest. I’m not like a billionaire, I’m just a doc trying to put my head down and, and, and do what I can for my patients. But then in 2008, I had just become an attending. And I, and I had more free time than I had it as a resident. And it was a presidential election that I was very inspired by. And I found myself there calling voters and knocking on doors. And the next thing I knew, I ran into this organization that was then called Doctors for Obama. And I discovered there were thousands of doctors and medical students just like me.
Speaker 3 (06:23):
And they were just like me. They’re also like deans and people who are very accomplished in the field who were suddenly standing up and saying, Hey, we need a better healthcare system. And we’re going to put our names on a letter and say, so, and, and get involved in an election. I thought, wow, that is crazy. But I joined up and that was my first my first taste of, wow, wait as a doctor, we do, we do that. We have the power of doing something and, and, and, and in powerful places that, that I don’t understand. And then from there, it just kind of progressed. I ended up, we ended up creating an organization called doctors for America. And I, you know, went from a sort of a, a low level volunteer to running the whole organization for many years. And then when this year came around and, you know, the presidential election is happening, COVID is happening. It feels like the entire world is resting on this election. It was kind of obvious that we needed to rally doctors, whether they were politically engaged or otherwise doctors who are just mad about what’s going on in the world and channel that energy toward the election.
Mark Shapiro (07:27):
I remember hearing about Doctors for Obama. I remember hearing about Doctors for America, my whole life I’ve been engaged in the political process. I’ve found it fascinating. I’ve loved to learn from it. I’ve always voted all of those sorts of things. And I’ve always had that barrier that I gathered as a medical student, as a resident that Mark you don’t join things like that as, as, as politically engaged and attached as you are. That’s not where you go. You get in trouble. If you do that, don’t, don’t, don’t I regret it. I’ll be totally honest with you. I wish that I had done things differently, but I know, I know what I know now. And we know we, we just couldn’t, we just kind of commit to trying to get better, but it was just really interesting to hear you name those organizations and that you were able to participate in them. Right. I became an attending in Oh six. So my, my kind of process of evolution as an attending, it’s very similar to yours. And for me, it was, Nope, you don’t do that. You’ll get in trouble that dah, dah, dah. And it’s, it’s just really interesting to reflect back on that as I hear the road that you’ve walked,
Speaker 3 (08:26):
You know, I was lucky in that I just signed a letter online, right. Like a little bit
Mark Shapiro (08:32):
For sure. Yeah.
Speaker 3 (08:35):
But the next thing I knew, I was, I met all these other people who are also like, just feeling like, Ooh, is this something we do? And there were a few people who were like, yeah, I’m putting on my white coat and I’m standing on a street corner. And I was like, what you’re doing? What? But being in that community of people who were all like, okay, we’re going to jump together and suffer the consequences together. That was part of what gave me the, and the permission to do it.
Mark Shapiro (08:57):
It’s so cool. And I love that you said that there’s that sort of permission to do it because I had to kind of do that, that same mental gymnastics over the last like year, just kind of asking myself permission, which is so strange, right? I’m a, I’m a mid career attending now. Like I finished residency, you know, six, and I’m still having that cognitive dissonance of like, I’m gonna get in trouble, get in trouble, but that’s the problem. Right. And so having that community to sort of land with and, and move through that. And that’s one of the things that I really like and appreciate about doctors for Biden is it’s a very open landscape. And, you know, when, when Joe saccharin, who also helped really build it, he came on the show a few a week or so ago. And we talked about this, even though the names has doctors for Biden, it is really designed to be an open landscape for anyone that just feels like they have something to say or want that sense of community that you described.
Speaker 3 (09:44):
Exactly. Exactly.
Mark Shapiro (09:46):
So then in terms of that activation, and in terms of bringing people in, and as we started the conversation with this idea of doctors becoming more activated, are you seeing a change comparing it to Oh eight? What are the, just off the top of your head, the biggest changes that you’ve seen, the biggest differences that you’ve seen?
Speaker 3 (10:05):
So a few things one is that I think there are many more doctors who are a bit more bold because they’ve seen other people doing this, or they have done political things themselves for, for, for a few years, or maybe it’s a year, maybe it’s a month. But they, they, there’s a little bit more of a community and a track record. And so I’m seeing people who are feeling more emboldened to go out there and write their letters to the editor and their op-eds. I’m seeing that there are there, there’s more savviness of understanding, okay, this is how we move the system. These are the ways that we move the dial. You know, the other pieces is, is, is a product of the, of the year that we’re in is that I am seeing a lot of, for lack of a better word, a sense of desperation. Honestly,
Mark Shapiro (10:49):
That’s a fair term. I’m perfectly comfortable hearing you use that term. Yeah.
Speaker 3 (10:53):
That people are. And especially, I mean, you hear from like, you know, the doctor in Wisconsin a week or two ago, who said, we’re out of dialysis, you know, of, of dialysis spots, our ICUs are full. We are shipping people off to another hospital because we don’t have any more space for all of these COVID patients. I mean, there’s, there’s a level of anxiety and like, I will do absolutely anything I need to do to, to make sure the right person wins this election. That feels very different from any prior year that I’ve been involved with.
Mark Shapiro (11:23):
I remember seeing that, that tweet as well. I thought that’s where I saw it. At least it was on Twitter. And so it’s interesting that that’s been sort of what you are experiencing that draws people in, but then is there a tension where I acknowledging that physicians for the most part, carry a mantle of leadership? Is there a challenge in just sort of getting people to step in and grind and be told, just go here, click there, do this for the next hour, as opposed to being the one to the other people to go and do it.
Speaker 3 (11:55):
It’s funny because there are some people who want to just like, sort of be, be on top of, for the most part, doctors are really busy, right? Like I have half an hour, like give me something like that’s like going to be effective to do. So there’s an element of that as well. And because of that, like level of desperation, people are like, I will do anything. Like I will, I will like sweep the floors. I like just, just give me something that will be useful to do. And it just put me in.
Mark Shapiro (12:23):
So then we get to this part, right of somebody has a half an hour. Somebody has a half day, somebody has a chunk of time and they want to do something out, whether it’s out of sense of purpose, sense of desperation, whatever that’s going to feel meaningful. One of the things that you and I spoke about a little bit before we started recording, and then the reason I emailed you in the first place, one of the things that doctors for Biden has done has created a very easy and user friendly space for people to take a small amount of time and do some phone banking. Can you explain first, just so that we make sure everyone has shared understanding what is phone banking?
Speaker 3 (12:59):
Sure. So phone banking is basically calling up voters and it’s mainly voters in swing States and, and, and helping to get them to vote for your candidate or your issue of choice. It it, it seems, it sounds a little scary. And certainly I was terrified of it went back in, back in Oh eight. I remember I had signed up for for, for the Obama listserv and, and they just kept sending out all these calls, like come hang, phone bank with us, come call voters, come call voters. And I was like, no way, there’s no, give me something else to do anything else. I know one day, one day they were like, I was in LA at the time and they said, okay, you guys we need people to drive to Nevada and knock on doors there. And I was like, sign me up, sign me up. I will not. So I ended up going to Nevada and I drove these like random people in a carpool with me. And they were like, wait, you don’t phone bank, but you’re driving to Nevada to knock on strange people’s doors. And I was like, okay. They’re like, you need to go to a phone bank, come with us. We will phone back when we get back to California. And I was like, okay. And, and it kinda stuck. I got kind of hooked on the, on on, on talking to voters. So
Mark Shapiro (14:12):
Hooked you about it. So for someone who’s hearing this as well, understanding themselves, no way, not a chance as not for me. What is that hook? What, what brings you in
Speaker 3 (14:23):
Well, so, so when you phone bank, so, so, so the way, I mean, especially right now, like the, the technology has advanced to a point where they have these like bots that will dial phone numbers for you dial, dial, dial until you had a real person that goes Bing. And then somebody says, hello, and you say, hello, you have conversation. I put on my like, super cheery, like, hi, I’m Alice, I’m a doctor. And I’m volunteering with this campaign. I really want to talk to you. That’s awesome.
Mark Shapiro (14:52):
So you, but you share with them off the top that you’re a doctor. I do. Yeah.
Speaker 3 (14:58):
It could be. Cause I don’t want them to hang up on me. And I think that like, there might be like a small chance that they’re less likely to hang up if I say it
Mark Shapiro (15:05):
You’re right. I think people would be delighted to get a phone call from a doctor.
Speaker 3 (15:11):
Indeed. Indeed. Well, I hope so.
Mark Shapiro (15:14):
And then what happens from there is it, do you have a certain amount of time? Do you take all the time? You want it cause right. It’s, it’s sort of an interesting parallel to what you and I do as hospitalists. Right? We, we make rounds, we chat with people. Sometimes we have plenty of time. Sometimes we don’t have very much, sometimes they may not want to see us. Sometimes they’re busy and we have to come back. How does that sort of rhythm work,
Speaker 3 (15:35):
Funniest, settle. And most of the calls that you get, you get patched through to like, somebody will hang up even before you say hello or they, you know, you say, hi, I’m with them. They’re like, Oh, no more phone calls by. And then you get that like one call or if someone’s like, Oh, hi, sure. I want to talk to you. And then you like talk somebody into becoming a volunteer or you walk them through like how they submit their ballot and that you get this like high and you’re like, I need to get another one of those. Interesting. So, so, so, so it’s like, it’s a little bit, I mean, speaking of, of, of going in Nevada in Vegas, it’s a little bit like slot machine. Like
Mark Shapiro (16:09):
You get that dopamine hit and you just want more.
Speaker 3 (16:11):
Exactly. And what’s fun is and you mentioned doctors for bide and having these phone banks, the phone bank is basically we getting together, you know, we used to be like in person. And now we’re doing it over zoom and basically you’re with a whole bunch of other people, so we can pool our experiences. So we’re all on zoom, we’re all doing our calls. And then you see like, you’re like, Oh, I’ve gotten another hangup. And then you still see somebody chat that, like, I just convinced somebody to over buy it. And you’re like, I’m doing more calls.
Mark Shapiro (16:40):
That’s amazing. That is really, really cool. And then when someone wants to participate in something like this, is there a minimum time they need to be able to commit.
Speaker 3 (16:52):
I mean, I’d say like, you know, probably the bare bare minimum is like 15 minutes. You put in a chunk of time so that you feel like, kind of got, gotta got a good call and okay.
Mark Shapiro (17:03):
Foothold, because you guys have an orientation session first and that’s like 15, 20 minutes, but that’s a one off.
Speaker 3 (17:09):
Yes, yes. There’s a one off session just to orient you to, how do you, how do you, how does the dialer work had you marked the survey to show that somebody is a, you know, what, what, how they’re voting how do you get to the next call? How do you, you know, the, the, the basics of like, be polite, be nice, be respectful. There was a little bit of that training, but once you’ve been trained, you can call during a phone bank, you can call on your own time, as long as it’s within the hours, when people are are awake and the phone banks are open, you can kind of, you can, you can do it, you can do it on your own if you want.
Mark Shapiro (17:42):
Okay. Gotcha. The question that I’ve been asked the most about this is people just have this sense of if they’re phone banking, their own number that they’re calling from, you know, their computer ID or their cell phone number will be accessible to the person that they’re calling. But it definitely feels like, as you said, the technology is way better than it used to be. That that is no longer the same level of concern.
Speaker 3 (18:06):
Exactly, exactly. I mean, I still remember back in 08, like just like reams of paper and these like lists of like phone numbers and dialing one number at a time I’m trying to remember does do star 67. Yeah. But now the system, basically you use your phone just for the audio, but it hooks into their system. It’s the campaign’s phone number is the callback number. So, I mean, you don’t even have to use your real name if, you know, for some reason you, you, you, you don’t, you know, you do, you’d rather use a pseudonym to, to, to make your call. And yeah. So nobody can get ahold of you off of your phone number. They don’t know where you are. And yeah, you’re just, you’re just calling people.
Mark Shapiro (18:45):
This might sound like naive or like overly romanticizing the concept, but it just, it does still feel to me that there’s this sort of unique Americanness to that, that you’re just reaching out to connect with another sort of fellow American to see where they are and to see if you can have a few minutes of their time and maybe guide some decisions together.
Speaker 3 (19:04):
It is. And it is, it feels like a, you know, for all the money and politics and all of us that are like left of policy.
Mark Shapiro (19:14):
Perfect. Yes, totally.
Speaker 3 (19:18):
Is that like sound like person to person, like just another person in this country who wants like better. Yeah. Just want better. And, and it’s interesting because, you know, unlike, I think some, like, I mean, I, sometimes people like, Oh, I’m like bothering people and like, you know, truth be told, some people in these swing States are getting called like all day long. So there’s a little bit annoying, but like, you know, we’re, we are affirming to a complete stranger that their voice matters that, you know, Victor’s voice in like, you know, Miami matters to me that, you know, Shannon’s voice in, like in Virginia matters to me. And there, you know, I’ve gotten a lot of people who have said, like, I’m just like, thank you so much for calling. And, and, you know, even if it’s somebody who is already a supporter and they’re already going to vote, like I know that that phone call will nudge them to remind one more person to vote or will make them like, like more likely to like put in that ballot like one day earlier. And like every little, like every little inch that we can move makes a difference because all of us added together. That’s how you win the election.
Mark Shapiro (20:25):
No, absolutely. And now as we’re approaching, right, everyone keeps saying, we’re coming down the stretch, we’re coming down the stretch. It does sort of feel like we’re getting there. I mean, we’re, we’re going to be, you know, inside of two weeks away from the election, what is your take on the energy level and enthusiasm for people who are doing this sort of work, making phone calls, sending postcards, doing voter activation.
Speaker 3 (20:45):
It is so high. So
Mark Shapiro (20:48):
High, Holy smokes.
Speaker 3 (20:50):
Oh, high, like through the roof high. I mean, I saw, I saw another person on Twitter who, who had like 4,000 postcards. And she said, if I don’t get a promotion this year, this is why I don’t get my research grants. Like, this is why that’s awesome.
Mark Shapiro (21:04):
That should be on a tee shirt. Huh?
Speaker 3 (21:06):
I think she tweeted it from her lab’s Twitter account too.
Mark Shapiro (21:10):
So great. It’s interesting though, too, because I think that there’s this, all of this stuff, right. Which you just described and what I’m seeing, it’s going to leave a legacy regardless of how this election comes out. And I mean, I’ve openly endorsed vice president Biden. I’ve already cast my ballot. And obviously I’m part of doctors for Biden and we’re talking about this. So it’s pretty clear which way we’re leaning in this election. But I do think though in 2022, in the midterm election, 2024 and going forward, I think that things will be different. And I say that for a number of reasons, but the biggest one is the place where I see unbelievable energy is in the students, the undergrads and the medical students, and then the residents. It didn’t exist when I was a medical student or a resident. I mean, it was a few people doing a little bit. This is a whole different sport now.
Speaker 3 (21:57):
Totally. I mean, I don’t remember a single person doing anything in Oh four when I was in medicine. I certainly did nothing. I voted that’s it? Yep. This is, this is, I mean, I, I just heard that yesterday, there are 60 med students in Michigan, Horace signed up to be poll workers. Amazing, amazing,
Mark Shapiro (22:14):
Amazing. That just, that would never have happened where I went to medical school. It was just not on and not again, it’s implicit and explicit messaging. It just wasn’t, it just wasn’t an option. It just wasn’t there. It was there. It just wasn’t transparent where it was, you know, or accessible in a way that was felt to be okay.
Speaker 3 (22:33):
Right. It wasn’t, it’s not what you do. Like back when we were med students like that, wasn’t what you do. But now it’s being, I mean, advocacy is part of the curriculum is part of the Ironman for some residency programs. We’re definitely seeing a pretty significant change. And I think it’s because, I mean, so many of us have realized, you know, whether it’s young doctors or our senior senior doctors have realized that like this system is not going to change with us or sitting on the outside being like, this is terrible. Yeah. To be involved. Yeah.
Mark Shapiro (23:03):
No, I think that that’s very well said. And I think that that fundamental message certainly resonates. So as we move forward, these last few weeks, people hear this, they get fired up, they get over the, whatever, whatever the barrier may be around phone banking or writing letters or any component of voter activation, how do they access these resources through doctors for Biden?
Speaker 3 (23:23):
Sure. So I definitely encourage every single person who’s listening to this to sign up for a phone bank. You just try it once. You don’t want to get to know November 3rd, fourth, whatever day we find out what the results are and think, gosh, I didn’t, I didn’t do everything I could have. So please, please, please try it once. And you know, for us to join one of the doctors for, for Biden or one of our affiliated phone banks, it’s, it’s easy. You go to our website, it’s www.docsforbiden.com/events. And we have phone banks basically every day that you can be a part of. We have phone banks for medical students. We have phone banks with a bunch of health policy, people with other healthcare workers. It’s just the, the doctors for Biden, join, join a phone bank. You don’t, they’re usually two hours or an hour and a half. You don’t have to stay for the whole time. Just join for some of the comradery. You will meet other people who are exactly like we’re there. They’re very few people who are like, I love phone banking.
Speaker 3 (24:28):
I must do this because like, this is what one has to do to win an election. And like, here I am, I’m kind of scared. I don’t like, I almost didn’t show up on this call, but here I am. And then like an hour later you’ve made, you know, a bajillion calls together. So just try it. It is, it is so great. And it will make you feel so much better. Like I sleep so much better on the days when I phone banked or I’ve text banked, I’ve done like some voter outreach. I, I definitely go to bed earlier and check my check all the polling sites one last time, because I feel like, okay, I’ve done my work.
Mark Shapiro (25:02):
You’re so locked in. I just love it. It’s so inspiring. And then if people we’ve talked to you about a little bit about Twitter, where do they access the stuff? If they like Twitter, if they enjoy social media, which so that’s everybody, or at least they’re on social media, whether they enjoy it or not. It’s a different question. How do they access doctors for Biden?
Speaker 3 (25:18):
So we are on Twitter, Facebook and Instagram, our handle on all three is @DoctorsForBiden. And we’re also using the hashtag #votehealth. So those are ways to see it is, it is really fun to just watch that hashtag and it has been blowing out the number of doctors and other healthcare professionals who are using the hashtag. And just saying like, I am here, I’m standing up. It’s it is, it is, it is one of the things that gets me going every day thinking like, okay, I’m going to do one more thing. Cause look at all these other people, they’re all, they’re all doing the things I’m going to do it too.
Mark Shapiro (25:52):
It’s really tremendous. I’m appreciative that you have been one of those people for me to help get me going into kind of bring, explore the space podcast into all of this work. It’s, it’s exciting. And it’s invigorating. This is important. These are, these are momentous times. We’re all gonna reminisce about what we were doing during these extraordinary months. So for all that you’re doing and for helping get us down the stretch. Alice, thank you so much.
Speaker 3 (26:16):
Thank you so much for having me.
Mark Shapiro (26:19):
My thanks once again to Dr. Chen for coming on this episode of Explore The Space and thank you again to Laurie Baedke and Creighton University for sponsoring this episode, learn more about Creighton’s executive MBA and executive fellowship programs@www.creighton.edu/CHEE. And thanks to you for listening to this episode. These are critical times. These are extraordinary days and we will discuss them and reminisce about what we did in this amazing period in the year 2020 don’t waste a moment take advantage of the opportunities that are in front of you to drive towards change. Whether it’s phone banking, writing postcards, talking with friends, neighbors, and colleagues, to make sure that they have a voting plan. And of course, making sure that you vote. It’s all important. It’s all valuable. Thank you so much for being so engaged and for helping to do this work with us, make sure you wear your masks. Make sure you wash your hands, maintain physical distancing, take care of yourselves, get your flu shots. We will see you soon with more great content on Explore The Space Podcast until then, bye bye.
“It’s so hard to not want to have every single step planned”
Dr. Anne Peled is a breast cancer & plastic surgeon in the Bay Area and is also a breast cancer survivor. She joins us during Breast Cancer Awareness Month to discuss moving from awareness to action from both the doctor and patient perspectives. She is simply remarkable, I am truly touched by our conversation.
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Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
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Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Emotions triggered by the words “breast cancer awareness month
Converting awareness to action around the calendar
Acknowledging racial and ethnic disparaties in care and screening as critical items requiring action
Action items from the patient perspective
How the spouse of a person with breast cancer can think about ways to be supportive
Wishing that back pain could just be back pain
Reinventing “one step at a time” & the importance of context
The value of getting out of your head
Acknowledging the experience of men with breast cancer
Links
Twitter @annepeledmd Instagram @drannepeled
Dr. Peled’s website
Breast cancer resources from The American Cancer Society
About Breast Cancer from The Komen Foundation
Facing Our Risk
The Breasties
Transcript for this episode
Mark Shapiro (00:01):
Welcome back to Explore The Space podcast. I’m your host Mark Shapiro. Before we get to today’s episode, a word of thanks to our sponsor, Laurie Baedke and Creighton University. Creighton university believes in equipping physicians for success in the exam room, the operating room, and in the boardroom. If you want to increase your business acumen, deepen your leadership knowledge and earn your seat at the table. Creighton’s health care executive education is for you. Specifically tailored to busy physicians, our hybrid programs blend the richness of on-campus residencies with the flexibility of online learning. Earn a Creighton university executive MBA degree in 18 months, or complete the non-degree executive fellowship in six months, visit www.creighton.edu/CHEE to learn more. My guest in this episode of Explore The Space Podcast is Dr. Anne Peled. Dr. Peled is a breast cancer and plastic surgeon in the Bay Area, and she is also a breast cancer survivor.
Mark Shapiro (00:57):
This being Breast Cancer Awareness Month, she joins us to discuss a really interesting perspective of how we move this idea of awareness of breast cancer, to action, to actionable things, to tangible steps we can take to make progress around reducing morbidity, mortality, and disparities in breast cancer, diagnosis and treatment. And she brings some really brilliant insights from the perspective of both a surgeon who treats people with breast cancer and a patient who has survived breast cancer. It’s a really wonderful way to approach a difficult and charged and sad and sometimes inspiring topic. And it’s obviously one that has been a focal point of my life and certainly on Explore The Space Podcast we’ve shared on this show in the past, the episode that I did with my wife, Jessica, who is the voice of Explore The Space, she was also a breast cancer survivor.
Mark Shapiro (01:51):
And so we really try to make a point of focusing on this topic each October. And I’m delighted that Dr. Peled was able to join me to help us in that process. Before we get to our conversation, just want to invite everyone to please check out Explore The Space’s full archive is at www.exploretheshow.com. You can email me at mark@explorethespaceshow. You can find me on Twitter @ETSshow, definitely subscribed to Explore The Space wherever you download your shows, Apple podcast, Stitcher Spotify definitely leave us a rating and review as well. That really helps us out. We are adding a full transcript of each episode to the show notes. So you can look in the show notes and find a full transcript. And if there are episodes in the archive that you would like a transcript for, please email mark@explorethespaceshow.com as well.
Mark Shapiro (02:41):
Finally, just a reminder to everyone to check your registration status, to vote, get registered, make your voting plan. If you’re able to vote early, make sure you do so. There is a tremendous amount going on in the world that goes without saying, and it is also important too, that we pay attention to things that are happening on that recurrent basis, breast cancer awareness month being one of them. I’m delighted that Dr. Peled could come and join us to share some insight and some opportunities for learning and growth around a subject that affects so many people in the United States and around the world. So without further ado, Dr. Anne Peled.
Anne, welcome to Explore The Space. Thank you so much for coming on. Thank you so much for having me. I’m really glad that you’re here. This is a heavy month. October is always kind of a heavy time. This October has been really heavy October of 2020, but for, for many people all around the country, it’s a little bit heavier in general because it’s breast cancer awareness month, and that’s really why you’re here. And I want to start, I always like to start strategically. I like to start really high level. When you hear the term, when you see it on TV, when you get an invitation to come on a podcast and talk about those four words, breast cancer awareness month, I want to start with the emotions that it triggers for you.
Anne Peled (03:57):
Yeah, it’s incredible. It’s been almost three years since I was diagnosed with breast cancer, but it was actually an October of 2017 where I first felt the lump that I was sure it was going to be a cyst because I was a 37 year old vegetarian triathlete with no family history. Like we hear so often, and I feel like this concept of breast cancer awareness. It just to think about everything that it entails from following up on lumps that you feel to getting your mammograms, to raising awareness around metastatic breast cancer, which is a big topic, especially with today being metastatic breast cancer awareness day. I feel in many ways, transported back very quickly. And it does amaze me. It’s been this way every year since my diagnosis. And so many different emotions come up, but I also love the feeling of action that I get as well. And I’ve been really excited to see this breast cancer awareness month at so many groups are really focusing on actions and not just awareness. And for me, that feels like as you could imagine, a much better place to be, and it makes me feel like I can really channel what I’m feeling to help others really do more than just awareness, but actually have action behind it as well.
Mark Shapiro (05:16):
That’s a good place to start with this idea of, of it being something that’s actionable because awareness months can become, or at least run that risk of becoming lip service or a platitude, or just sort of going through the motions, but the people for whom breast cancer as part of their reality, it’s not, does that sense of actionability. Does that help bridge that divide so that in February and in July and in December, it’s still awareness month in October, but it’s action around the calendar.
Anne Peled (05:52):
Yeah, I completely agree. I think that idea that how do we take, you know, something that has become in so many ways like commercialized and all of this, it’s more than pink. The ideas behind that are good ones. You know, we want to be getting more funds for breast cancer research. We want women to go get their mammograms. So the awareness part of it is important. But as you said, it’s for the women who are, and men who are actually diagnosed with breast cancer, what does that look like when they find out they’re diagnosed in a different month of the year end? Can they remember what they were told about? You know, for me, I focus a lot on how people can get better treatment options and know their options. And are they going to remember that genetic screening and counseling is a really important part of breast cancer treatment? And so I think you’re right, that it allows it to move past this month, but it also gives people the tools when they’re diagnosed or thinking about prevention and screening the rest of the year, they have these action items, this education to take better care of themselves and to get better options when that comes up
Mark Shapiro (06:53):
Is that level of action in your clinical practice, not from your experience as a patient, but in your clinical practice. Do you feel like the penetration at a population level is improving over time? Is it static or is it getting worse?
Anne Peled (07:10):
That’s such a fascinating question. No, I know, but I love the question to be honest cause there’s so many factors that go into whether or not people can take action on preventing and treating breast cancer. And I think we’re at this amazing place and amazing in a bad and good way where we’re really focusing on what are those barriers for people. And we know that COVID has been a major barrier for people going and getting the healthcare screening they need. And unfortunately, I think we’re going to see the impact of that for years to come. The other thing that there’s a ton of wonderful focus on right now is the racial and ethnic disparities in care and screening. And we know for instance that black women are much more likely to present with more advanced stages of disease, less likely to get the treatment they need and less likely to get the full spectrum just as one example. So I think in my mind that, yes, we’re getting better penetration than some places, but I think we’re really missing getting better care than others. And so again, super excited to see action around these kinds of issues so that we’re not just doing better for some, but we’re doing better for all, as we move forward.
Mark Shapiro (08:21):
That concept of doing better for all has come up more and more certainly on this podcast as well. So if you were to look in your toolbox and see things that are not there, that you would like to be there to bridge that divide, what would be kind of number one, two and three on the, on, on, on your wishlist?
Anne Peled (08:42):
I think one of the things that we see in medicine and in other industries is it’s difficult. If you’re a person thinking about whether it’s getting care, whether it’s advancing in your field, whether it’s taking the next steps to move, it’s really hard to do those things. If you don’t have people who look like you and feel like you, they understand your experiences. And so for me, when I think about it, I wish that we had more funding, more resources to get people into communities where they don’t feel like they’re being, well-represented where they’re not seeing people who look like them in advertisements, if you will, or social media or other educational pieces around getting screening, for instance, for mammograms. And I think if we did a better job, both representing different types of people, engaging in screening behavior, but then also really getting people out into communities to encourage that.
Anne Peled (09:31):
I think that would be a huge step. It takes a lot of funding. It takes resources, it takes commitment. When I was in DC, I worked with my dad, who’s a medical oncologist at Georgetown and we helped work on a program for Latina women on breast and cervical cancer screening. And honestly it was much better to have people from that community going and encouraging them then to have me and my dad in there. And so I think we see what that looks like. So for me, that would be a first huge step in terms of moving forward for getting better access to care. I think the next thing that we see has to do, and again, we see this across the spectrum in medicine, but it’s thinking about better representation in clinical trials. And there’s so much wonderfully, there’s so much research on breast cancer and on breast cancer treatments, but we do a very poor job with making sure that people are well-represented and that we have diversity in our clinical trials. So I think those would be two big areas that we could focus on both for screening and prevention and then as well as treatment for breast cancer
Mark Shapiro (10:30):
Context is always critically important in these interviews. And so as we’re sitting here, it’s 21 days before election day in 2020. And what you’ve just articulated is a very clear vision for a better future. Would you ever take that into the political space? Would you ever run for office?
Anne Peled (10:46):
I would say seeing that the, what it would look like to be an office right now, that is a very hard no, but I do that so we can use, and I know your platform is important to you. I mean, I think honestly, as, as physicians, as healthcare providers, I think we’re often, we often feel like we can’t be political. I don’t know if you’ve, you have felt this previously. I know you don’t feel this now, but I’ve often felt over the years, like we’re not supposed to take a stand on political issues and we focus on our healthcare and what we can do. And I think the world we’re in now, we can’t do that anymore. As healthcare providers, we have to use our voices and encouraged people getting out and voting and explain to people what that really means, and that the link between voting and picking people elected in office and what your healthcare and what others health care is going to look like is very real. So I love seeing, again, I know that’s a big priority for you and everything you’ve done. And I think healthcare providers are really changing the way they think about being active in that way.
Mark Shapiro (11:44):
You’re right. It is a big part of what I do now. And you’re also right that for the bulk of my career preceding, it was not. And those were because of implicit and explicit messages that were conveyed during my training, that it was not the physician’s place to participate. And that disconnect is something that I do not recognize as being valid anymore and had been pretty outspoken about that on the show and on social media and in my personal life as well. So I’m glad that you also see it because we all have to walk that road and we don’t have to agree on what the policy should look like necessarily, but we have to agree that we’re participating and that we’re going to join the conversations and support others in doing that as well. And then once we’re doing that, then we can argue like crazy about what’s the right way to go forward.
Anne Peled (12:23):
Exactly, exactly. But no, as you said, I mean, I think it really is. It’s, it’s realizing that. And I think unfortunately with COVID we know more than ever how much politics impacts healthcare and what we as healthcare providers can do and have a voice. And so I’m, I’m so glad again, to see that that’s really becoming a part of all of our, our narrative as healthcare providers.
Mark Shapiro (12:47):
I agree with you. So then I do want to pivot, you’ve laid out that really clear vision of how we could make things better from the perspective of a breast cancer surgeon or breast cancer researcher or a breast cancer advocate. Now we pivot to that other place. You’re a breast cancer survivor and the road may or may not look different. And that’s what I’m really curious. I love, I love juxtaposition. And so having you kind of walking both of those roads literally and figuratively at the same time is really powerful. If you just kind of close your eyes, took a deep breath, and then I asked you that exists, those exact same questions. Would your vision for a different looking future around morbidity and mortality reduction in breast cancer in the United States, would it be any different?
Anne Peled (13:29):
I think for me, having gone through breast cancer, myself and being in a family of, I mentioned my father’s a medical oncologist who treats breast cancer. My sister and my mother are both breast cancer, radiation oncologist. And I think for me having gone through it personally in that context of my family and the real concerns they had, understandably at each step of the way of what the, the data we would find out, you know, everything from what was my, my longterm risk to what treatment I was going to pick and what the impact that would have on my personal wellbeing. Not to mention the fact that I’m a mom of young kids and I’m married to a surgeon who knows enough about breast cancer to worry as well. I think for me, that the way that I pivoted in some ways is really understanding the longterm impact of the treatments that we do and the impact on quality of life.
Anne Peled (14:28):
That many of the treatments that we do in breast cancer can have on people and their sense of self and their ability to move past their breast cancer. So on the one hand, there’s that part of it, where I, I love to focus on getting better education, getting better information about outcomes and quality of life. But on the other hand, when it comes down to it, I’m still a person that had cancer. And once you have had cancer, you sort of always have, cause it could come back at any time. And so thinking about the reality of metastatic breast cancer and what those numbers look like, that never goes away. So for me, again, I, I think better care for all and not just better care for some, but we all know that we can do better for stage four breast cancer, both from a funding standpoint, from a research standpoint, from an awareness, but awareness to action standpoint. So I think I would answer your question saying yes, some of it is the same, but a lot of it is just much more real and much more personal having been through it myself.
Mark Shapiro (15:24):
Can I add one as the spouse of a breast cancer survivor? And if you’d rather that I don’t like, I, I still don’t fully understand the role of the breast cancer survivor spouse as advocate. If it’s better to not have that voice or to be super loud or somewhere in the middle, I am still trying to figure that out and it’s been years. And so I’ll sort of ask you that question before I put my thought about what maybe could also be better into the mix.
Anne Peled (15:52):
No, I’m so glad that you brought that up. Cause I actually wanted to ask you about that as part of this, because I do think that that is, like you said, it’s a uniquely challenging place to be in and I don’t want to speak for you, but having seen my husband go through it, I think it’s a uniquely challenging place to be in as a spouse in medicine where again, you know, enough, but you don’t know quite everything. And I would say, I think sort of seeing his going through it. I think my husband did a remarkably good job letting me come to my decisions myself about what was going to be the right treatment plan for me. And I realized as a dual breast surgeon and breast reconstruction surgeon, I am in a lucky position if you will, to figure that out. But I have to say I’ve been so incredibly grateful for every step of the way.
Anne Peled (16:39):
You know, he’s there, he supports my, what I need in my choices, but he just really listens. And I I’ve seen how he talks to his patients. And I know that he’s so much more active and involved with them, but with me, he’s just, he’s been there and he supports, and I think for me, that was the right, that was the right path. But again, everyone’s different. So I’m really, really curious and excited to hear sort of about your experience and how things went through and what your thoughts are about that. Cause I think everyone’s different in terms of what that, that support can be like.
Mark Shapiro (17:06):
Yeah. It’s so thank you for that space. You know, your, your husband can call me anytime and he, and I can debrief together too. You know, I, I, the thing that I would say is an opportunity for improvement. You mentioned at the beginning of this interview, that idea of being transported back and you know, being transported back to that moment in time where you were informed. And, you know, thankfully I was with my wife when she was informed that her mammogram looked at normal and we, we kinda knew we were embarking on a journey together and I’m comfortable sharing that now because she shared it very transparently on the podcast before the, the, the, the construct that’s set up for a woman who’s being diagnosed with breast cancer or a man who’s been diagnosed with breast cancer and their partner, if they’re available at the time, or whoever’s there as support the construct around how that’s communicated should just never be underestimated because those people will be transported back to that moment over and over and over.
Mark Shapiro (18:03):
And it never, I’m like, I’m about to cry. It never gets easier. It’s, it’s, it’s so uncomfortable. You relive it. I don’t relive it in such a way of like, what would I have done differently as you know, obviously I wish you’d never been in that place, but it’s just, you relive that space and you’re feeling your heart rate shoot up and knowing that life is different and the word choices from the physicians and providers in those moments, they are a hammer and the hammer can fall heavily, or it can fall with a little bit more of a gentle touch. And that art is a place where I think we can get better.
Anne Peled (18:37):
Yeah, no, I, I think you’re so spot on on that. And I got, I really felt like before my diagnosis, I was thinking about, and I was thinking through it, but you’re right. The words matter so much. And then the timing of things, like, I think about the waiting over the weekend, right? Especially the waiting over a long weekend for test results. And sometimes it gets 8:00 PM on a Friday, and I see pathology results that came back that I hadn’t seen. And yes, they would have loved to have been doing that before, but I didn’t really know what it’s like to wait until you’re there. And you realize all that, all the data that you’re waiting for is agony. And so I will say, I think you’re right. I think that we could, we could do better in that space. I also think a lot about the level of information that comes out in those first visits is just, there’s so much of it.
Anne Peled (19:28):
And I struggle with how can we do better so that it’s more digestible, so people can make choices. So more of it can stick. And I love, and I’m so happy for your wife that you were able to be there because a lot of people, when they get that initial information, they don’t have someone there with them. You know, they’re not expecting it, that even the diagnosis, they may not be expecting it. And it is so much to process next step survival, longterm short term and having a person there and making it more digestible, I think would be hugely helpful.
Mark Shapiro (20:01):
It’s hard. It’s just, you know, you just want as a practicing physician, right? I always want my communication skills to be as optimal as possible. And I am sure there is a long gray line of people who would say, you know, dr. Shapiro in that moment, you could have also chosen words differently and chosen your affect differently. And we just, we carry that. And I, and I don’t bring that topic up to say, like, we’re not doing a good job of it. You’re not going to also hit a hundred percent and you’re not going to nail it. It’s a brutal thing to hear. And so when, I guess when I’m calling it out, it’s, I’m not calling out our physicians and providers on it. I think it’s just, it’s, it’s just that opportunity to just get more sophisticated in and more gentle and hopefully have a construct of care delivery where you have more time and you can choose the environments. And like you say, Friday at eight 30, that it’s still the right space and time to make those phone calls. It’s just, it’s that opportunity, right? It’s not, it’s not a criticism, it’s just acknowledging an opportunity. So that when you, as someone who has a clear vision of what good policy could look like, whether or not you choose to run on that someday, and I’m going to maybe push you again a little bit down the road,
Anne Peled (21:14):
It will be addressed later, maybe.
Mark Shapiro (21:17):
Right, right, right. I guess that, it’s just that it’s, it’s seeing it as that opportunity. And so when we’re sitting in a, a month of awareness, it’s being awareness of opportunities for improvement.
Anne Peled (21:27):
Yeah. I love that. And you think it’s also though that it’s the trying like we do as physicians to try to see where people are coming from and where they are, and to read that right. You know, which is really hard. And I remember for me, I kept it together so well, like traveled for my surgery because I needed to have the exact people and it was fine. And I was teaching the next week and everything went so smoothly. And then I drove in for my first day of radiation and I had to park in the patient parking space and it just did me in, I literally like, I, my radiation oncologist blocked in and I just lost it. And it was truly that act of parking in the patient parking space. That’s all, that’s what it was. And that is what it came down to. And so I think as you were saying with breast cancer awareness month, it’s that idea as we engage with our community about all of this understanding how triggering, like we started this conversation and how triggering things can be and seeing where people are before we start, you know, unleashing the, the montage of pink things and breast cancer awareness. And how can we, how can we find out where people are starting to try to minimize, triggering and try to make it a safer space for people?
Mark Shapiro (22:34):
That’s a really smart perspective, because like you said earlier, right. It’s, you know, it’s the pink, and it’s the, you know, football games with the pink gloves and stuff. And it can start to feel performative as opposed to feeling like here are some actual, tangible learning opportunities if you are ever in this place, or if, you know, someone who’s in this place. I mean, I remember for me, it was a couple of days later and I was back to work and I bumped into one of my colleagues whose spouse had been diagnosed with a different type of cancer. And I just said to him, like, what the fuck do I do, man? And he said, and he gave me some really, really good advice. And so it’s like, you know, one day, you know, you, your husband and I would write the book, like, what the fuck do I do now?
Anne Peled (23:11):
Yeah. That’s really helpful.
Mark Shapiro (23:16):
We’re all thinking that. And we’re all kind of wondering, and it’s like, why do we have to keep reinventing the wheel?
Anne Peled (23:21):
Exactly. Or I think about the fact that like, I wish that I could get back pain and it could just be back pain. It’s just not anymore. Right. Like as of December, 2017, like back pain, doesn’t just get to be back pain anymore. And I feel like in those moments, the same thing, like as, as the spouse of this person who has back pain and their mind is going in a million different directions, what do you say in those moments and how do we support someone through that? And honestly, I think that would be so incredibly helpful. There’s never going to be right. It’s just hard, like you said, a few minutes ago, but there, I think there are ways of things to say in that moment that kind of, you know, would bring me back from that edge of that cliff. And you know, what it probably is just back pain. Cause I worked out for like crazy yesterday, but, but I think you need someone right. To kind of kind of reel that back in.
Mark Shapiro (24:11):
These are gratifying conversations. And I think it’s good that we have physicians that are sort of, of the same generation give or take trained in the same way and still have a long career who are going to navigate not just their careers, but life in such a fashion that we can call these sorts of things out and write books with provocative titles like what the fuck do I do now?
Anne Peled (24:30):
You guys are gonna so successful. Think about the politics of you and my husband’s even thinking about the book.
Mark Shapiro (24:38):
There you go. I am glad that you called out the exercise and cause there’s a topic that’s come up on the show, a great deal more actually in the past, but we’ve done a lot of content on Explore The Space around ultra running, endurance sports, and the lessons that can be learned and the toughness that can be gleaned and the, the way that anyone can look at a challenge and take lessons from that, whether they have the physical ability to, or desire to do a run or a walk or anything, there’s still lessons around using the muscle of brain to move through a challenge. And so for you, as someone who has had to navigate tough physical challenges before, were there things in the toolbox that you were glad that you had that can be generalized to other people? Not because they’re going to go run triathlons as part of their treatment for cancer, but that anyone that is going to move into that really, really difficult space of a cancer diagnosis or particularly breast cancer for what we’re talking about now that they can say like these are things that will help your mental toughness in terms of navigating all those challenges.
Anne Peled (25:48):
I love that question so much because there’s no doubt in my mind that having gone into cancer treatment, being an athlete helped across the board. And we have really good data that show that actually exercise decreases the chance of recurrence. So yes, not everyone is going to be calm, let triathlete, but even just the act of getting out and walking regularly that will bring down your recurrence risk. So I think for me, the things that I found that I was able to do one of the first ones is, is when you’re training for races or if you’re in a half marathon or marathon or triathlon, you know, that you can’t be thinking about mile 26 when you’re on mile one and you’re just going to destroy yourself that way. And so, you know, thinking about what is your next accomplishment, what is the next landmark or milestone you’re going to hit?
Anne Peled (26:32):
And you only have to get to there right now. And then you’re at the top of that Hill. And then you have the next tail, but you made the top of that Hill. And so one of the things I tell my patients is trying to things a step at a time, and it is so hard, especially people who like being in control of things like so many of us do, especially as physicians, it’s so hard to not want to have every single step planned, but I think that so clearly people do better when they’re actually able to just see that they’ve gotten through the first step and that’s what they focus on. So for me, I think that was a huge part of, as you said, kind of the mental toughness and preparedness is really taking it a step at a time, celebrating the victory of that step healing from that, and then being in a good place to move on to the next.
Mark Shapiro (27:15):
But, but again, context is critically important with that one because one step at a time can also be one of the things that I really don’t like, which is a platitude. Once one step at a time can sound really dismissive. And I know that when you say it, you don’t mean it that way, and I’m sure that you’re able to frame it in such a way that your patients and their families are like, yes, I get the message. But if, if we take on as the right approach to tell people, Hey, one step at a time that that really has that risk of someone saying, you’re not hearing me. You’re just telling me what you’ve heard over many, many years and in movies and stuff, one step at a time like that, that, that can feel like a platitude.
Anne Peled (27:50):
I think you were so spot on on that. And it’s completely right, as you said, it’s about the context. And I think it’s about describing the picture, feeling like have options laid out for someone and they feel like you are a part of their team and you’re on this journey together. And then once you have that rapport built, then you’re right. Then you get to the, then you get to celebrate those victories with people. So I think you’re spot on about that from a context standpoint. So I think that’s one of the big ones. I think the other one is the appreciation for space that is just yours, where you get out of your head. And I think it’s incredibly challenging. And now more so than ever to really have space where your mind isn’t going in a million different directions. And as a, as a cancer patient inactive treatment, you have only bad places to go.
Anne Peled (28:39):
Quite honestly, in your mind, you know, you’re not thinking about good things most of the time when you get into, when you get in that head space. So for me, I found that the ability to, to have that space when I was exercising I wore my running clothes to radiation every day. And I loved that. I was going to get done with my radiation. I was going to have time. That was just mine. I didn’t have patients to take care of. I wasn’t going to take care of my kids. I was just going to have that space to clear my head and it was hugely helpful. And not every exercise isn’t going to be that space for everyone. You know, there are so many other places people may find that, but that appreciation for that space, the knowledge that that space exists somewhere and that you can find it was incredibly helpful for me also.
Mark Shapiro (29:17):
Those are really good and useful tools. And in retrospect, they’re things that I think in part of chapter three and four of what the fuck do I do now, those will be really good ones to like help create that space, helped create that mentality. You know, just say you’re, you’re off duty for whatever. Just critically, critically important.
Anne Peled (29:38):
I love that because you’re right. I think and I think it’s, I do want to say, cause I think it’s so key that I think men with breast cancer that get lost a lot in this process. And I do try as much as I can to make sure that we’re being inclusive.
Mark Shapiro (29:51):
The first patient with breast cancer I ever took care of was a man. When I was a medical student at the Houston VA, they had a, a breast cancer clinic and it was the vast majority were men from all over the Southern United States because they would come to the Houston VA for treatment.
Anne Peled (30:04):
I mean, it’s amazing that you had that experience because I have to say in a, both having male breast cancer patients of mine and also seeing what the community is like, it’s a whole different set of challenges, right? Speaking of being in a space where you don’t feel like you’re necessarily being heard, you’re not getting full options. So I, I actually on my list of things that, you know, thinking about getting better access to care, it’s not just racial and ethnic disparities. Right. I think it’s also thinking about gender disparities as well. So I think that thinking about that as incredibly important, but I think getting back to your point given that the vast majority of people who get diagnosed with breast cancer are women and especially women who are used to, you know, taking care of families or their roles at work.
Anne Peled (30:43):
I think it’s very hard to actively make space where you don’t feel like you have to take care of others, even in the midst of active treatment. You know, I see so many of my patients who are going through very hard treatment and are still really focused on everyone else around them. And so I think your idea of as a, as a supporting person, as a partner of someone going through breast cancer, giving someone that space is it is a real gift that is very hard to make yourself. So I love that for chapters three and four. That’s great.
Mark Shapiro (31:13):
Yeah, exactly. So you’ve obviously given us a tremendous amount of insight and expertise and it’s all appreciated and I’m sure you’re asked this a lot, but acknowledging that it is breast cancer awareness month and unbalanced, this is a good thing that we’re doing when people do ask me, like, where should I go to learn more when, when the voltage drop hits into November and December and the next July and so on. And so where do I go? What, how do I learn more? Where do you like to refer people? What resources are your go tos for people who want to learn more about these various topics surrounding breast cancer?
Anne Peled (31:44):
So you get in my mind two separate things when you’re really doing research and some overlap, but you get a lot of actual statistics and data and care being laid out. And I like to send people to that as a first start before getting into the second, which is a community because there is so much misinformation about breast cancer, I’m out in the world and it’s especially true because so many people have breast cancer. So trying to figure out if your story is going to be the same as someone else’s and the different kinds is pretty overwhelming for most people. So personally, I really like to send people to the American cancer society. I think Komen also has really great resources and data, and I think that’s a great place to start just to get a real sense of what is breast cancer, what do I have, what are stages and what might treatment look like?
Anne Peled (32:32):
And I think that’s incredibly important for people who are diagnosed and may not have the support and framework of a nurse navigator or a program behind them. Which is unfortunately true for many people. So a lot of people are so lost right off the bat. And so the basics of breast cancer treatment is incredibly important. I do think though that once you have that, and especially as you start thinking about a treatment plan, I think it’s incredibly important to find a community. Not because everyone is going to be a person who wants to share their story and that is completely fine. And there’s no reason that everyone needs to be thinking about doing that, but it’s more so that you can hear people who have been through treatment similar to yours. You can get information on the types of care you might be getting.
Anne Peled (33:14):
Do you need second opinions, clinical research trials. So for me, a couple of places, I think that are great for that. One of them is Force, which specifically is focused on hereditary cancers. They’ve recently expanded beyond breast and ovarian cancer. But it’s a great resource. They have mentorship programs, they do a great job diving into research. So that’s a great post to start. One of my favorite communities from a breast cancer standpoint is a group called The Breasties. It’s focused on younger women. But really sort of includes all ages. And I have to say the events they host, which will currently virtually, but we’ll go back to being real. And the way that the women in that it is for women, but the way that women support each other and give advice, I have to say, my patients often know more than I ever could have imagined about options and what their recovery might look like and really become very close and have these women supporting them and sending them garments and sending them information on how to go through it. So those are kind of my, my go tos. But I do think we are doing so well with social media now in terms of allowing people to find their communities and get through. I actually think there’s no doubt in my mind that people who are better informed going into treatment recover better on the other side. And I think that seeing the communities on social media now is a huge component of that.
Mark Shapiro (34:33):
And we’ll put links to all of those in our show notes. And then for people who want to find you on social media or your website, where did, where do they find you?
Anne Peled (34:40):
Oh, thanks so much Mark. So on Twitter, it’s @AnnePeledMD and then it’s @DrAnnePeled on Instagram. And then my website is www.annepeledmd.com
Mark Shapiro (34:50):
This was an absolute treat. Thank you so much. It’s, it’s a, it’s an important month. It’s a very fraught and emotional month. I can imagine only what it feels like for you and for your whole family, but thank you so much for coming out and being this transparent and honest and, and really helping to continue to drive us towards a place of progress. So this was very special. Thank you.
Anne Peled (35:10):
Well, thank you, Mark. I have to say, I really appreciate everything you just said. And for me, you know, when I found out I was diagnosed, these kinds of conversations where I feel like we’re, you know, moving things forward, getting better for all and action, make me incredibly happy and make it feel like it was all worth it. So thank you so much. This is a treat for me as well.
Mark Shapiro (35:29):
My thanks once again to Dr. Peled for joining us on this episode of Explore The Space Podcast, definitely check out all of the great resources that she mentioned that are linked in the show notes. Please take advantage of those and share those with anyone who you think may benefit as well. Thank you also to Laurie Baedke and Creighton University for sponsoring this episode, learn more about Creighton’s executive MBA and executive fellowship programs at www.creighton.edu/CHEE. And to all of you, who’ve taken time to listen to this episode and to share it, I really appreciate it, especially on this topic. Thank you so much for your time and your interest and your support. It is inspiring and so appreciated. So as we continue to move forward, remember to wear your masks, maintain physical distancing, wash your hands, get your flu shot. Take good care of yourselves. We will see you soon. Thanks so much. Bye bye.
“We need to become aware of the spectrum of disabilities that’s all around us so that the people who are disabled themselves don’t have to do as much teaching”
Harry Paul is an MD/PhD student who speaks, writes, & researches about disabilities in medicine. He joins us to discuss disability & his superb STATNews piece as well as the impact of stigma & Covid19. He also provides critical insight and understanding around “Ableism.”
Please check out the bottom of the shownotes for full transcript of our conversation with Harry. We will be doing transcripts of episodes going forward, and if there is a particular episode in the Explore The Space Podcast archive you’d like transcribed, please email mark@explorethespaceshow.com
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
The value of wrecking hierarchies and building on bidirectional learning
Where Harry has decided to place his advocacy energy around his own disability and entering the profession of medicine
The opportunity for improvement around understanding what disability is and what it means
How the terms “disability” & being “on disability” are reductive and loaded words
Identifying as disabled & dealing with the concomitant stigma
What are hidden disabilities and the problems that arise when they aren’t acknowledged and accommodated
Harry’s description of his own hidden disability & the particular challenges Covid19 brings
Ways we can improve our acknowledgment of hidden disabilities in the hospital
What does leadership in this work look like
Defining and understanding the term “Ableism”
The 3 components of Ableism
A counterpoint to “don’t let your disability define you”
Links
Twitter: @_HarryPaul_
Thread on Alt-Text use on Twitter
Link to Harry’s article in STATNews
Harry’s archive of Twitter threads related to disability & medicine
Episode Transcript
Mark Shapiro (00:00):
Welcome back to Explore The Space Podcast. I’m your host Mark Shapiro. Before we get to today’s episode a thank you to our sponsors of this episode, Laurie Baedke and Creighton University. Creighton university believes in equipping physicians for success in the exam room, the operating room and the board room. If you want to increase your business acumen, deepen your leadership knowledge and earn your seat at the table. Creighton’s health care executive education is for you. Specifically tailored to busy physicians, our hybrid programs blend the richness of on-campus residencies with the flexibility of online learning. Earn a Creighton university executive MBA degree in 18 months or complete the non-degree executive fellowship in six months, visit www.creighton.edu/CHEE to learn more. My guest in this episode is Harry Paul and Harry is an MD PhD student who speaks, writes and researches about disabilities in medicine.
Mark Shapiro (00:56):
I found Harry on Twitter actually several months ago and have found him to be extraordinarily transparent and informative and honest. And he recently wrote a superb piece in STATNews which is linked in the show notes, which discusses the topic of hidden disabilities. So he came on the show to talk about this concept of hidden disabilities and disabilities in general, the opportunity that’s in front of us to deal with this topic better, to understand it better, to find some shared understanding around what these terms mean, as well as the stigma associated with them and the impact of the COVID-19 pandemic. We also spent some time discussing another term ableism and the prevalence of ableism and the impact that it has. And again, opportunities to get better and opportunities to lead that work. There’s also a host of other links in the show notes that Harry has provided. So I would really encourage you to take a look at those.
Mark Shapiro (01:56):
This was a really informative educational and quite frankly, motivating conversation that we had with Harry. And I think you’re going to really enjoy listening to him. Please do check out the archive of Explore The Space Podcast at www.explorethespaceshow.com, there’s over 200 episodes in there. So please take a look around, definitely subscribe rate, and review, Explore The Space on Apple podcasts or wherever you download your shows. I’m often asked what is the best way to help the show word of mouth and those ratings and reviews. So if you have a couple of seconds to spare to do that, I would really appreciate it. Definitely email me anytime Mark@explorethespaceshow.com and you can follow me on Twitter @ETSshow as well. Harry was a fantastic guest to speak with. This was a critical topic. It’s a great learning opportunity for me, I think will be as well for all of you. So without further ado, Harry Paul
Harry, welcome to Explore The Space Podcast. I’m delighted you’re here.
Harry Paul (02:50):
Mark. Thanks so much for having me on.
Mark Shapiro (02:52):
I love that we have this opportunity because I say that you’re here, you’re about as far away from you and I could be in the continental United States, but we’re making it happen. So that’s good. The beauty of the internet that’s right. Good. So speaking of the beauty of the internet, this is where I found you. And this is where you, I think, found the podcast and that we kind of connected in that #MedTwitter environment. And one of the things that I love about it is it has taken the whole dynamic that quite honestly, when I was going through medical training, the, the aspect of hierarchy, the aspect of, you know, medical student leads to intern leads to resident leads to attending. It’s really dumped that out on its head because the fact that I’m an attending and you’re a medical student really has nothing to do with anything that you and I are going to talk about.
Harry Paul (03:40):
Yeah, I have, I’ve been thinking about that a lot and I love that you brought it up because I think the bi-directional learning is, is why I kind of got into medicine, right? Like I, I would never presume to, you know, even though I’m a second year medical student think that I know basically anything about medicine yet. And so having the space to think that, you know, there are things about, about disability, about equity, about the patient experience that I can share and that, you know, people who I look up to as mentors can can learn from is, is just incredibly cool.
Mark Shapiro (04:19):
I love that you just brought up by directional learning because I would assert that at this point in our lives and the short duration of time that we’ve known each other, I have learned 10 X more from you than you have learned from me. And this will evolve over time. And that’s great. But right now, as we sit, I am coming to you with the mindset that we bring to these episodes of look, there are opportunities for us to learn and for us to get better. And we need people who know these things and have expertise and comfort in discussing them. And that’s why you are here. And I love that you are already seeing that
Harry Paul (04:55):
If it’s been, it’s taken me some time to get into, but now I’m sort of leaning into it and finding, finding how to do that, right, because there’s really no rule book or guide book for advocacy. And, and so it’s, it’s its own little journey, you know, separately from my journey to medical school and, and, and through my life.
Mark Shapiro (05:14):
Start there then if there’s no guide book for advocacy, I mean, we talk about advocacy and explore the space, right? This has become a passion of mine. And I would agree that there’s no guidebook except chapter one is that you need to do it. You need to find what you want to advocate for and you have to do it. It does feel like for me, and this is where I have had the opportunity to learn a great deal from you is I think that you are done with chapter one, you’ve identified where you want to place your advocacy, energy and expertise. Is that a fair way to characterize where you are?
Harry Paul (05:47):
Yeah, I think so. I think so. I think, you know, I did not call myself disabled many years ago. You know, I had many surgeries as a child. I was in and out of the hospital. I dealt with things, you know, that came from that. Uh, but it wasn’t really, until I started thinking about working in medicine and then applying to medical school that I sort of recognize that this idea of, you know, probably if we went back to my application, I think I talked about like, you know, how important the conversations are, like how important understanding, you know, patient’s perspectives and you know, all that. And I think that was sort of an abstract way of talking about what I’ve now come to understand is disability and the varying levels of disability that patients and doctors and everyone experience. And then how that disability is, is a part of our, of everyone’s experience of the world. Even if they themselves are not disabled, because it really shapes is one of the things that shapes society and, and physical spaces and internet spaces. And so, you know, I’ve, I’ve identified this because I think it’s a word people are scared to talk about and don’t know really what it means. And so just having those conversations has been, uh, a beautiful experience for me over the last, I don’t know, six months to a year
Mark Shapiro (07:19):
I would submit that your characterization of most people’s understanding and comfort level with the word disability, what it means its implications and how to talk about it is at an early stage of development. Shall we say is an opportunity for improvement? I would say, you’re right. I would say, you’re absolutely right. And I will put myself right in that place. Right. I’m a mid career physician. I finished residency in 06. We didn’t have this in a curriculum. We talked about things that cause disability, we talk, right. That’s, that’s what we did. That’s what we continue to do. Right. We, we learn and study disease and, and, you know, physiology, pathophysiology, all these things long and short term outcomes and, and acute versus chronic. Like we are steeped in that and we get super good at it, but we don’t have that shared understanding when we use that term, what it means, how it can be a positive, how it can be a negative. So it feels like, again, we’re, we’re in that place where we’re all maybe looking for understanding, but boy w that’s the opportunity for improvement, I think is just an establishing that we don’t really all know what we’re all talking about yet, but the entities for sure there.
Harry Paul (08:29):
Yeah. And, and you bring up such a, such a pivotal point of, you know, that medicine, you know, people in medicine, doctors, et cetera, are, are around this all the time, all the time. That’s our job. Our understanding, I think, is, is based on the people who do understand disability or, or who think they do when the word is used. I oftentimes it either goes, I think it goes one or two places. I think it either goes to, okay, that means that you’re a wheelchair user, right. Because that’s what is on the handicap logo. That’s what, you know, happened after polio. You know, that’s what people think a disabled person looks like, or it goes to oftentimes within medicine, all you’re going to be on disability. Meaning, you know, we’re going to give you the paperwork so that you can be on disability and get paid and not work.
Harry Paul (09:26):
And in both of those things, like not only are they with doctors, but, but they also don’t really take into account that two people, if we could clone them right, with the same exact condition, the same exact abilities symptoms, et cetera, in two different environments, one can be disabled. And the other nodded, all right, our socioeconomic status, the job we do, how accessible the spaces we inhabit are all of that changes, what a person experiences and, and that then leads to whether they take on the disabled identity, right. Because that’s what disability is. It’s an identity that, you know, it’s, it’s different than other identities, you know, B whether it’s, you know, gender identity or racial identity in that it’s, it’s very, very fluid through time. So people can be disabled one minute. Um, and, and not the next or vice versa, you know, and even in different spaces, right? Like I just told you, you know, a few minutes ago, I didn’t call myself disabled before. Now I talk about, you know, being a disabled medical student all the time. And it’s, it’s not that something changed for me, it’s that, you know, I came into this and I understood this and, and where I was, and what I was doing was different.
Mark Shapiro (10:51):
Would you characterize the term or would you agree with the way I will characterize the term? So I don’t put you on the spot the way I would characterize the term disability in quotes, it feels loaded. It feels like when you put it out there, people automatically take a posture of sort of a defensive readiness there. Isn’t the sort of, you know, you mentioned disability paperwork, right. That will engender a response. You mentioned disability placards, again, will engender a response. I would characterize this as, as sort of, and again, there’s a spectrum here, but it’s loaded. It’s a loaded term.
Harry Paul (11:31):
Absolutely. Absolutely. And, and those, those ideas, I don’t think really help the people who we’re talking about when we use those terms. And they certainly don’t help the many, many disabled people who don’t fall into those categories or who don’t even call themselves disabled. Right. So when I, when I begin having these conversations with a lot of people, one of the first examples I like to go to is that there are very few people, if any, who call nearsightedness a disability, but that’s because we have glasses, right? And so if you can afford glasses and you have access to glasses, you don’t experience ill effects or barriers from that problem with your eyesight, right? If, if for a member of the dwarf community, if you are in spaces where everything is within reach the fact that you’re of a different height than another part of the population, doesn’t make that a disability, because it doesn’t hinder you.
Harry Paul (12:47):
The way that they spend changes though, is because even if you’re, even if you’re fully accommodated, but then there was stigma attached. So even if you can do everything, the people around you either think that you can’t or treat you differently or have implicit or explicit bias about you, or you have those biases internalized within yourself, then you, I think you can still be disabled. Even if that’s not in a way that, you know, we sh we, we would have to categorize it if we handled it differently in society. Andrew, I think that comes around to this whole notion of identifying as something like, if you identify as disabled, you’re calling attention to the stigma of the barriers, though, whatever that you face and saying, Hey, this is me. I’m here. It’s not a bad thing, but I do need X because of it.
Mark Shapiro (13:47):
So it’s a complex tapestry just, and hearing you and hearing you lay it all out, right? You lay these things out in parallel, but they’re in parallel, they’re in series, they’re intersecting, they’re up and down. And then we have another element that I learned from you recently in this article that you wrote in stat news around this concept of the, and it’s a term that you use in it. And I was struck by how frequently you use the term in the essay, hidden disabilities, walk us through it. Cause when I, again, I mean, it’s, it popped up, I want to say five or six times in a, in a relatively short essay unlock the term hidden disabilities for us.
Harry Paul (14:26):
Yeah. I’d love to, you know, I think there was this whole category of disabilities that we used to call and some people still call invisible disabilities, right. Things ranging from hearing loss, you know, where you wouldn’t know that someone around you has hearing loss or is deaf, unless they, they told you, or unless, you know, you saw them using sign language or, or whatever, down to what I sort of was talking about in the piece, which is these disabilities that it’s hard to ever see because they are really symptoms. Right? So in medical school, we learn a lot about symptoms and trying to classify them into different diseases and what they might point to so that we can diagnose and treat like the medical model of disability. Something like fatigue, something like nausea, vomiting, pain, these things can be experienced by anyone. And they can be for a short period of time.
Harry Paul (15:37):
Right. And people likely don’t think twice about it, but for some people when it’s not short-lived and when there was not a treatment and when there’s not an understanding of where that comes from, things get really messy really quickly because in medicine, there is an inherent bend towards, we have to diagnose it in order to treat it. And if we can’t do either of those things, then maybe it doesn’t exist. And it’s hard for me to say that, like, because I’m a medical student and I don’t want to blame, you know, medicine for something I’m, I’m certainly, you know, thrilled to be in medicine, but you just have to go online and look up, you know, a few different patient portals or patient communities to see that there are hundreds and hundreds of people who have been basically written off by medicine because they, we don’t know how to help them.
Harry Paul (16:42):
Right. And so I use the term hidden, first of all, because I think it’s really important for us to realize that these sorts of disabilities are not invisible in the sense that we can’t see them. It’s that you have to look to see them. Like you have to see the little grimness of someone in pain. The fact that someone who’s, you know, as trouble balancing will often walk closer to the wall so that they can grab hold. The fact that someone with hearing loss often, you know, will, or who is hearing impaired or deaf will preferentially turn towards one side, you know, if they have better hearing in a, in one of their ears. So these are things that like being, you know, a really astute clinician, once you join the disability community and start getting to know more disabled people, you start becoming a tuned to, but general society unfortunately does not recognize these things.
Harry Paul (17:41):
And when we don’t recognize them, we don’t support them and we don’t accommodate them. Right. So within schools, businesses, it’s really hard to ask for accommodations or receive accommodations for something like fatigue, right? Oh, you’re tired. I’m sorry to hear that. Do you want some coffee? Like that’s not, that’s not what fatigue is. Right. And when we talk about something like chronic fatigue syndrome, right. And, and it’s hard to know what the answer is there right too often, we say, Oh, well, you can’t work. Okay. Let’s, you know, let’s get you on “disability” and you’ll get paid. And, and the fact of the matter is many, many disabled people who are on disability want nothing more than to work. Right. They, they miss having that aspect of their lives, not to say that the choice to go on disability, isn’t a valid one for some people, but it’s about that choice.
Harry Paul (18:38):
It’s about, you know, being able to do with your life, what, what you want. And so I wrote this article in the context of, of COVID-19 because, you know, as someone who kind of sorta looks disabled, but no one really knows what my thing is or what it’s from or what causes it or what it does to me. And, you know, I do find, but I look different. And what does that mean? I had a really hard time explaining to people that, you know, me being short and me being a little funny shaped in the torso is because of scoliosis and that scoliosis constricts my lungs and that constriction of my lungs means that if I get sick with, you know, a respiratory infection, it will be harder for me to fight. That doesn’t mean I’m immunocompromised, right? Because even within COVID and talking about risk, we often go to, we need to protect older adults and we need to protect the immunocompromised, but that’s what people say in their guidelines and on TV and whatever.
Harry Paul (19:47):
And immunocompromised means something specific, right. We know what that means in medicine, right? You’re, you’re more likely to catch infections. You’re more likely to transmit infections because of a deficiency in your immune system or an insult, you know, from something like chemotherapy. I am at the same risk of getting an infection as someone, you know, as anyone else without an immune compromise. But it’s what happens that if I get that, and so these are two different kinds of risks. Why? Because I am not a risk to the patients that I go and see, but when I’m hanging out with my friends or going for a walk, I need everyone around me to be wearing masks, if not more, to be keeping their distance to, I can’t, you know, do anything inside, even if it’s, you know, just a couple of people, you know, these, all these things we’ve been talking about have in, in COVID in the world at large, have started to affect me in ways that my disability never used to.
Harry Paul (20:52):
I used to deal with for lesser years, right. The fact that I’m short. And so I need to be able to reach things. And that was basically the main symptom that I still felt from my disability. Right. As a kid, obviously there were, there were tons of things. I was, you know, a wheelchair user for a while. There was a lot of pain, you know, et cetera. But this is what I mean about context right now, when COVID-19 happened. And I had to start thinking about this risk, trying to explain that whisk, when people don’t understand it is really hard. And even the effort to try to call attention to that, if someone is not already thinking about it is even harder, right? And so that’s why I wrote this article because we need to become aware of the spectrum of disabilities that’s all around us.
Harry Paul (21:48):
So that the people who are disabled themselves don’t have to do as much teaching when we’re going on rounds in the hospital. We shouldn’t just by default say sprint, you know, sprint up the stairs to the next floor, because there can be someone with, you know, Charcot Marie Tooth who might not look disabled. But if they sprint up three flights of stairs, they’re going to get really weak and, you know, can, can fall and have an accident. And, and we don’t want to stigmatize them by making them say that out loud, where they might not want to, to explain why they can’t let up the stairs or why they are going to take the elevator. And so then we get into these complex, complex interpersonal and societal relationships where we started making value judgments. You know, we tell someone, well, it’s healthy to run up the stairs. Well, it’s healthy to run up the stairs for some people it’s not healthy to fall on your head, right? Like they are there. We all have different bodies. We all have different minds. And so I decided to use the term hidden, um, because it’s been talked about more and more within the disability community that, you know, the onus has to be on society to start looking. And when we call it invisible, we make it okay not to look.
Mark Shapiro (23:17):
So when we start from this place, that of this is a societal problem, I also will note that you identify some very striking examples of what can happen inside a hospital when we’re making rounds. Not that it can’t happen anywhere else, but obviously that example resonates. So then let’s get to that mindset of how do we start to make this better? How do we start to improve? How do we build a toolbox to at least begin to talk about it? Where are the places would like to see us? And when I say us, I mean our profession or shared profession, and maybe let’s just take it into the hospital. Let’s just start there. When we’re rounding in the hospital together, where are the places you would like to see us begin to move on the journey of progress?
Harry Paul (24:01):
Oh, this is, I mean, this is the million dollar question, right?
Mark Shapiro (24:06):
It’s a million dollar question for you.
Harry Paul (24:09):
I think. So. I think all the changes we have to make, but I can run through like a really quick list, right? Like we need to check that the doors that are supposed to be, you know, accessible actually are, we need to make sure that there’s braille signage on all the signs in the hallways and all the room noise. We need to make sure that our electronic medical records are accessible. If somebody is, is vision impaired and needs to increase the font, or if they are, you know, they need to use a screen reader that, you know, reads it out loud to them. We need to, you know, know how to access, sign language. We need to know when the phone rings and we hear a click that that’s actually someone trying to use adaptive technology to make a phone call. And if we just hang up on them, then we’re later going to say, well, we don’t need to do the acts because we don’t have any disease, any deaf patients. Well, no, you’re just hanging up on all your deaf patients before they have a chance to get connected, right? So like all of these, there are all of these things and I can keep on going, but they all come back to do we understand the spectrum of disabilities that exist, what those disabilities are like and what value is exist to keep disabled people out of these spaces or to make their experience worse in the space.
Mark Shapiro (25:42):
So then let me ask you the question in a different way. What does leadership in this work look like? Acknowledging that there is probably a, a lengthy list of boxes. We need to check to make sure the work is being done. Right. What does leadership in this space look like?
Harry Paul (25:58):
Couple of key things. I think one support and amplify the voices of disabled leaders in medicine who have been doing this work, especially those with other marginalized or minoritized identities gather the data, right? When every forum in, in school, in clinical trials, in employment that asks about race and gender and socioeconomic status. I can’t remember the last time that I saw, do you identify as disabled on one of those forums? I drove, we’re not asking it. We’re not going to know it’s there. It means that our spaces, academia need to be talking about this. When we talk about social determinants of health, when we talk about oppression, right? Because the intersection of racism and ableism has a long, long history. And it’s going to be really hard to, to fully get rid of one without getting rid of the other, you know, just to call out an example, not that not that disability doesn’t intersect with other identities, but, but the intersection of blackness and disability, especially when we start thinking about prisons and about our on house population is, is something we are not doing anywhere near enough. And it means that kind of to sum up that people just need to talk about disability. We dance around the edges so often, but it must be
Mark Shapiro (27:41):
Exhausting. I agree with you. I, I probably do it myself cause that’s just, we’re so acculturated to that, it must be really exhausting being on the other side of it.
Harry Paul (27:52):
It is. And I, and I, I definitely have had times over the last year or so where I have gotten incredibly frustrated, but I also, I derive so much joy and, and, and pleasure from, from doing this work with the people that, that I am with because the community is, is a fantastic one. And we have also, I mean, I’ll, I try to, I try to give credit where credit is due. And even in the last year or two, I’ve seen that so many more people are, are beginning to understand this when I talk about it, but I used to get a lot of blank stares. Yeah. Now I get, Oh yeah. I, I, yeah, you’re right.
Mark Shapiro (28:42):
So that may be, hopefully that’s indicative of the needle moving just a little bit.
Harry Paul (28:46):
Yeah. Now we need to go the next app of me walking into a room and hearing someone else talking about it. Right. That’s the, that’s kind of the goal.
Mark Shapiro (28:56):
There’s another term that I would like to ask for your insight around, because I think I understand it, but I’m not totally sure. My understanding definitely get to the point where it’s something that I think we want to be mindful of, if not try to avoid entirely. And that’s the concept, especially on social media of ableism, but I think it would be helpful just again, making sure that we’re not assuming knowledge or making sure that we have shared understanding, give us, give us your understanding of what that term ableism means.
Harry Paul (29:35):
Absolutely. So this is, this is also a hard question and I, I do not presume to have, you know, definitive knowledge or control of the definition. Sure. The way that I think about ableism is, is I think of it as the systems that we have built in our world that are built by and for abled people, right? So people without disabilities have the body or mind, and that’s important because it means two things. It means one that the values are there. We don’t put all text on our images online. We don’t have ramps in our buildings or elevators. We, you know, don’t caption our lecturers and videos, all that sort of stuff. And then it also means that when we say things, whether in writing and social media, in conversation, that act as if disabled people aren’t there. Right? So that means making jokes about a patient or saying something about a patient’s, uh, you know, poor outcome, you know, likely poor outcome without recognizing that one of the students or residents or doctors you’re talking to could have that same likelihood of poor outcome. Like, so it’s within medicine. It’s this belief that, well, if we’re in medicine, everyone around us must be able to, and the more you start to look at it, the more you start to think about it. And this happens for me all the time. I start seeing it in places I never ever would before. Right. Like I was talking to a friend just last night that, um, who’s an autistic med student. And she was saying that she did, uh, an OSCE, you know, and observed, standardized, clinical exam.
Harry Paul (31:41):
And yeah, one of the things on, on her evaluation was doesn’t make eye contact. Right? We have this inherent assumption that making eye contact is part of being a good physician and providing good patient care for someone who’s autistic, that can be hard. And for a patient who’s autistic, that can be hard. And so when we make that, the standard we’re making it harder for both autistic patients and autistic physicians when we don’t need to be right. Why, why do we need to be granular, right. Like that. Like, why can’t it just be about, we need to create really good spaces to care for our patients in whatever way that means for some patients that’s going to be eye contact for some patients that’s going to be please not force eye contact upon them. Right.
Mark Shapiro (32:42):
So a level of sophistication that would then allow for a more dynamic, sensitive interaction.
Harry Paul (32:49):
Exactly. And I brought that example up because it’s, you know what, I just, you know, it was last night, but I think that there are so many examples. I mean, I got, I got a text from a friend at another medical school, uh, you know, just a few weeks ago that she was in ethics class and her professor said something like, you know, and I’m paraphrasing here. Um, you know, if I, if I had to be wheelchair bound, I would kill myself. Right. And so then, then we look at why there are very few doctors who use wheelchairs, first of all, but wheelchair bound is so do arbitrary. And then there’s assumption that being a wheelchair user is, is something bad. Something that, you know, you, no one would walk. Right. I think what we need to get to is I would, if I was a wheelchair user, I would hate to have the people around me not recognize what things I needed to make my life, you know, to give me the same equity in life as, as other people.
Harry Paul (33:57):
Right. And they are, there are dozens and dozens of examples of this. I could go on and on. But I think that that Abel is in, is this is three parts to sum up one, the belief that being disabled is bad to the fact that our society and our systems are built for people without disabilities. And then three, that when we’re talking about these things, we sort of have a tendency to Gaslight disabled people and say, well, you know, you’re overreacting, or that’s not what I meant, or it was a joke or whatever else we say to excuse away. The fact that our society, our world is not built for disabled people, both in our interactions and our spaces. And it’s not enough to just say, Oh, sorry, that was offensive. Right? It’s you have to start thinking about what that means before you say it. And this isn’t, this isn’t politically correct stuff. This isn’t cancelled culture. This isn’t any of that. Those things are words that have been created by people who don’t like thinking about other people’s emotions to excuse a way their own lack of thinking about those emotions, right? These things matter because they matter to someone and if they matter to someone, they should matter to you too.
Mark Shapiro (35:26):
I think that that’s a great way to call to action around this. And I think what I’m taking away from this as our first call to action is for us just to understand the words that we do see flying around and that sometimes trend on social media and are making their way into public discourse that we at least have a beginning of shared understanding of what they mean. And then for those of us who work in healthcare to again, understand what they mean in the context of providing care and being part of a team and leading teams and recruiting it’s, it’s gonna be a lengthy and long challenge because we have multiple generations of physicians and healthcare professionals that have, I might even think at best, a limited or moderate amount of education around this, but most probably have very little to none. And that is a sturdy challenge for us as we go forward.
Harry Paul (36:22):
Yeah. And I, on a, on a sort of positive note, I think that a lot of this, the groundwork is already there for, right. Yeah. Yeah. I got really, really good clinicians, really good people already know that understanding the context of someone’s life is important. They already know that getting at what is troubling, someone is important and working to alleviate those things. So, so I think there are a lot of people who are helping out on providing good care to disabled patients and to their disabled colleagues without knowing it. What I think is important to talk about that says, because it’s not an isolated incident, right? So in order to get at the systemic change, we need to go from, this is the really nice thing I do for my patient who’s in a wheelchair to, well, what are we missing? And there was never, ever been a more important time for us to be talking about this than right now, because you know, health is quite literally on the line in this election.
Harry Paul (37:44):
Right? And, and I bring up ableism not to make any political statements, but because whenever we’re talking about a candidate or about a policy, just as, it’s not enough to say, Oh, that was meant as a joke. It’s also not enough to say, Oh, you know, this is really helpful for some, you know, we’re sorry that it leaves out disabled people, right? We, we can’t, we cannot keep writing off disabled people. What disabled people need, what things are going to be really harmful to disabled people. It’s if we want to move towards a more, just a more equitable, a better world for everyone, we have to talk about this and, and it’s not selfish, a more accessible world. It has been shown in the research is better for everyone. When we start putting elevators into buildings, people who are fully able bodied seal really appreciate that when their arms are full of groceries, right. People who are trying to watch a continuing medical education credit on the subway, you know, when we used to take the subway, really appreciate if there are captions on that, if it’s hard to hear, you know, without, without any hearing impairment, right? So accessibility is better for everyone. And I just wished that people would start seeing that rather than as you put it, taking that defensive stance of, well, we’ll provide this if you know, we, you reach out, uh, well, you know, we’re not sure how many people it would help.
Mark Shapiro (39:28):
I think that you’ve provided the right call to action with that as well. And I will also say, and one of the things that I’ve really enjoyed and learned a great deal from is you also put the information out there for us to learn from and get better. We’re going to have a variety of Twitter threads and other links that you’ve created that’ll be in our show notes of how to use alt texts, which I learned from you and a variety of other really powerful tools. Those will all be in the show notes though. And where else though, do you like to direct people who want to learn more about this and where do people find you if they want to follow you?
Harry Paul (40:02):
Yeah. So I do most of my disability advocacy work on Twitter. It’s been such a fun community to become a part of both, you know, in the medicine and diagnostic reasoning and, and science world. And mostly in, in disability, which is what I post about. I’m @_harrypaul_. And I, I think that more than just, you know, me, there’s sort of a two part thing, right? Look up, read about, visit the websites. The Twitter handles the books and, and, and, and TV and movies about, and by disabled people, like that’s the first thing, right? Read our actual words, just like with any other movement in an equity or social justice, right. Listened to the people actually affected by it. Especially within disability, you will find that there are many people who talk about disability, who have no idea what they are talking about because they are not disabled themselves.
Harry Paul (41:01):
Right? So they, they, they make these movements to say, you know, things like, don’t let your disability define you. What if your disability does define you, right. Why not work to make that define you in a good way? Why not work to recognize that it is defined for you by the society we live in than to try to erase it by saying, don’t let it define you. You know? And so I think, I think be very wary when you read or listen things about disability and think about what is the angle of the person who’s saying those things. And then beyond sort of that, you know, reading homework, like everyone listening or reading this show after knows disabled people. I guarantee it a hundred percent. But if you don’t talk to them about it, if you don’t make your own existence, one that seems open to, to hear from those people. You’re not going to know it. And so in your own lives, make space to talk about that and you will learn a tremendous amount.
Mark Shapiro (42:09):
Here’s the thing I like about you being visible, too. And like you said, people who have listened to this or read it, guarantee they know someone. Yeah. Cause they know you now. And I think that that’s exciting. And so obviously I, I w I’ve learned a tremendous amount from you. I found you through Twitter. I would encourage everyone else to access the stuff that you’re doing and the people that your thread directs us to as well. Because look, we are starting out on this road. It is going to take some time, but we all know someone now. And I think for a lot of those people, the first one that might come to mind is you. And I would submit that that is great. It’s a challenge, but it’s great. And I’m grateful to you that you came on the show to talk about it, that you are as open and transparent with your writing and with your work on social media, as you are down the road, we’ll have you back and we can reconvene and see where progress has been made and see what impacts policy making and elections are having on this work.
Mark Shapiro (43:05):
But Harry, thank you very much. I really enjoyed this.
Harry Paul (43:08):
It’s been an absolute pleasure. I love the show. Great to talk to you as always. And thanks everyone for tuning in, and don’t hesitate to reach out if there’s any questions I can answer, or if you just want to chat, I love talking to people.
Mark Shapiro (43:22):
I can confirm he, you are available and you are helpful for all those things, man. Thank you so much.
Harry Paul (43:28):
Have a good one. Take care.
Mark Shapiro (43:30):
My thanks once again, to Harry for joining us on this episode of Explore The Space Podcast and definitely check out the links that he has shared with us there in the show notes, please take a look, some great opportunities for learning and definitely check out his article in stat news, which is also linked in the show notes. Thank you to Laurie Baedke and Creighton University for sponsoring this episode of Explore The Space Podcast. Learn more about Creighton’s executive MBA and executive fellowship programs at www.creighton.edu/CHEE. Thanks to you so much for listening to this episode as well. Really appreciate you taking the time. We will be back soon with more great content in the meantime, make sure to wash your hands, wear your mask, maintain physical distancing, get registered, make your voting plan and get ready to vote or vote early if you have the opportunity. We will see you soon. Bye bye.
“We are making sure voters really understand how important leadership is”
Dr. Joe Sakran is a Trauma Surgeon and a co-founder of Doctors For Biden. He joins us amidst the most bizarre and unsettling election season in our memory to discuss why more doctors and healthcare professionals are engaging in the political process, the growth of Doctors For Biden, and the sense of energy & community that comes from being a grassroots organization
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Sponsor: Vave Health believes that personal ultrasound is the future of medicine, with an aim to empower both clinicians and patients. Check out their website for details on their free virtual ultrasound educational events and more, at www.vavehealth.com/live
Key Learnings
Some situational awareness of when we recorded this episode
The mindset of a physician who is openly engaging in political discourse and endorsement because of issues that make it impossible to stay silent
Acknowledging that physicians are whole people and having a political voice is part of that
Who makes up Doctors For Biden and why they’re there
Creating a runway for people who might feel hesitant about sharing their voice and opinion
How a community has formed in this space
The stories of people joining the movement who have not done something similar before
The growth of Doctors For Biden
Why Doctors For Biden stays independent from the Biden/Harris campaign
Making non-physicians feel welcome in joining Doctors For Biden
Links
Twitter: @DoctorsForBiden, @JosephSakran
Doctors For Biden website
Virtual Conversation with Doctors
“When I’m looking for change I try not to wait for an unnecessary landmark. I just start now.”
Dr. Dara Kass is an Emergency Medicine physician, the founder of FemInEM and a nationally-sought after expert for all topics related to COVID19. She joins us the break down the calendar fallacy and her extraordinary mindset around creating change amidst chaos. We also get into how & why the media space is becoming more representative and the vital need to those doing the work to be compensated and supported.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
The calendar fallacy and the need to feel like things will be better when the year changes
Celebrating the Jewish New Year (Shana Tova everyone) while acknowledging the calendar change isn’t going to drive change
The origins of the advanced mindset Dr. Kass carries around maintaining a sense of control amidst chaos
Dealing with exhaustion and input fatigue
The impact of not having to travel for work anymore
The childcare crisis, gender bias, and the Covid19 pandemic
Why Dr. Kass is prioritizing the need for people to verbalize their own voting plan this election season
The critical need to make a voting plan
The confluence of Vogue Magazine and being Covid19 positive
How the ability to film from home has been critical to elevating so many diverse voices during the Covid19 pandemic & is it sustainable?
The critical need for proper compensation and support for physicians who are doing work in media while publicizing the organization they work for
Links
Twitter: @darakass
“Our policies are the way we deliver healthcare. If we don’t have a say in that, then what are we doing?”
Dr. Stella Safo is an HIV Primary Care physician & Assistant Professor of Medicine at Mt. Sinai Health System as well as a founding member of VoteHealth 2020. She joins us on National Voter Registration Day to discuss the barriers physicians & healthcare professionals face around talking about & activating around voting. We also jump into the remarkable work being done by VoteHealth 2020 and The Morning Report Initiative.
If you would like a VoteHealth 2020 physician to virtually join any meeting you’ve got for a <5 minute, nonpartisan, free presentation on voter activation with 1 slide you can share, please email info@votehealth2020.com
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Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
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Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Stella’s journey seeing colleagues and teammates struggling during early days of the Covid19 pandemic
Understanding the tool of voting in advocacy work
The barriers that physicians feel around voting and talking about voting
Advanced techniques for talking to patients about voting
The art of nonpartisan voter activation
The genesis of VoteHealth 2020 & the critical need for tempo in building a movement
Honing the VoteHealth 2020 value proposition to an audience that is already incredibly busy
The Morning Report Initiative
Would Dr. Safo ever run for office?
Links
Twitter :@AmmahStarr, @votehealth2020
https://www.votehealth2020.com
“A lot of this work we expect women to do, it’s uncompensated & often unappreciated”
Dr. Shikha Jain is an Oncologist, Assistant Professor of Medicine at U of Illinois & co-founder/Chair of the Women in Medicine Summit. We discuss what empowerment for women in medicine looks like now, the absurd barriers to progress & impact of Covid19, as well as the virtual structure of the upcoming summit Oct 9-10.
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Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
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Sponsors
Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Vave Health believes that personal ultrasound is the future of medicine, with an aim to empower both clinicians and patients. Check out their website for details on their free virtual ultrasound educational events and more, at www.vavehealth.com/live
Key Learnings
The evolution of empowerment for women in medicine
The barriers presented by being in a hierarchical system
Explaining the Third Shift
Does the public understand the impact that diversity has on health outcomes?
Curating diverse speakers for Women In Medicine Summit
How much is Covid-19 impacting the goals of the conference
The focus of the #HeForShe allyship track
Pivoting to the virtual platform
Links
Twitter: @ShikhaJainMD, @WIMSummit
Register here: Women In Medicine Summit homepage
Position Paper: Covid19 Contributions on a Professional CV
https://www.womeninmedicinesummit.org
“It’s there for us to enjoy, & the people who are playing it, they’re doing their jobs”
Rod Brooks leads the “Tolbert, Krueger, & Brooks Show” on KNBR, the Bay Area’s leading sports radio station, & is one of the finest sports talk-radio hosts in America. He joins us to discuss the power of money when it comes to Covid testing, are people enjoying professional sports this year, “The Last Dance”, & why it’s ok to engage with sports while acknowledging this is all very bizarre.
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Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
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Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
The challenge of making & keeping new friends as an adult
Feeling disinterested and disconnected from professional sports
How a new priority set has changed the way we engage with sports
The anger that comes with the excess Covid-19 testing that sports leagues have access to
Are professional sports providing a service to its fans or is that narrative nonsense?
Rod and I talked about “The Last Dance” , Jordan’s famous dunk and my goodness this segment is the best
Will leagues need to do some service recovery with their fans
What will happen with the return of the NFL?
The persisting and wildly frustrating issues with college sports
Do these seasons count?
How a friend can help change perspective
“One of the things that’s been lost is that complexity & the nuance that’s necessary to understand”
Dr. Angela Rasmussen is a virologist at Columbia Mailman School of Public Health who studies host response to viral infection. She is also a brilliant writer and communicator, particularly around Covid-19. We discuss communicating uncertainty with the public, dealing with failure as a scientist, specialization as a barrier, and false dichotomies.
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Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
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Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Starting off with complexity and uncertainty juxtaposed with the binary choices that frame Covid-19
The fear response to complexity and the demand for an answer
Defining a fundamental misunderstanding between the science community and the public at large with respect to communicating uncertainty
The challenge of misinformation and the terrible conflicts of interests that exist with those who are promoting it
Trust, transparency, and inspiration
Why the idea of “virus hunter” is steeped in exclusion and colonialism
Dealing with different types of failure when the stakes are high
How misinformation and lack of understanding may impact the Covid-19 vaccine process
Why specialization is a communication barrier & how we can make scientific discussions more inclusive
The origins of her superb article on false dichotomies and Covid-19
Links
Twitter: @angie_rasmussen
Dr. Rasmussen’s website
Covid-19 & False Dichotomies: Time to Change The Black-Or-White Messaging About Health, Economy, SARS-CoV-2 Transmission & Masks
“When we start to tell our stories, there’s a way that we change”
Margaret Shapiro is a writing coach, psychotherapist, and my Mom! She joins us for a very special 200th episode of Explore The Space Podcast. We discuss her immigration journey, maintaining a sense of optimism, and how the word “practice” informs her love of writing and her teaching style.
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Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
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Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Margaret’s experience leaving her family and emigrating to the United States from South Africa
How Margaret maintains a sense of optimism over the course of her life
Experiencing a “dark night of the soul”
What being married to a physician has been like
The importance of the word “practice” and why it’s in the name of her business “Sonoma County Writing Practice”
Teaching what you need to learn
What keeps Margaret fulfilled on a day to day basis, and how she’s sustained it during the Covid pandemic
Links
Sonoma County Writing Practice
“The is probably the most precious 2 minutes you can spend on completing your Hippocratic Oath”
Dr. Ankita Sagar is Assistant Professor and Director of Ambulatory Quality at Hofstra-Northwell who has had a profound impact on my mindset around physicians registering to vote. We discuss her advocacy in encouraging physicians and medical students to register, the barriers that have previously existed, and how and where to go to get registered. Really inspirational and motivating stuff!
This episode is stocked with great references, please check out all the links below in the shownotes
Click here to register to vote or to check if you’re eligible to register
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Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Dr. Sagar’s superb and profoundly influential presentation slide encouraging physicians to vote
The unspoken threat that has kept physicians from talking about voter registration or politics
How others can follow Dr. Sagar’s road to being vocal
The critical need for physicians to be civic-minded and engaged & how we can propel one another
The evidence of just how disconnected physicians are around their own voting practices
Places where physicians can make a change around their own engagement
Imagining how a medical school or medical school could support student, resident, and faculty registration to vote
Where Dr. Sagar has met resistance around physicians registering to vote
Would Dr. Sagar run for office?
The deadline of September 3rd to be sure if you register to vote and request an absentee ballot it will come in time
Links
Twitter: @Sagar_Ankita
Dr. Sagar’s wonderful infographic on physicians & voting
Annals article: https://doi.org/10.7326/M16-2470
SGIM article: https://doi.org/10.1007/s11606-007-0105-8
Vot-ER: https://vot-er.org
“Our healthcare systems are totally built in most places to rely on trainees as a cheap labor force”
Dr. Ben Kinnear is an Associate Professor & Pediatric Hospitalist at Cincinnati Children’s Hospital who joins us to discuss “Developing Trust With Early Medical School Graduates During The Covid-19 Pandemic”, published open-source in the Journal of Hospital Medicine. We cover measuring the impact of the intervention, readying for the next time, closing the gap between medical school & residency, & the potential value of time-variable training.
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Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
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Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Where this focus on medical students in the essay came from
Was the early graduation of medical students a helpful intervention in dealing with Covid19 and what are the markers of success?
The need for qualitative study of what the experience was like for the early graduates
What happens when the next surge doesn’t line up so neatly with the academic calendar and the idea of promoting based on competence, not on time
The “confidence = competence” heuristic and the complexity of how to assess learners
Where things stand with research around time-variable training
How are we taking care of residents and fellows during the Covid19 pandemic?
The response to the article
What are the next steps forward to create a better continuity between medical school and residency
Links
Twitter @midwest_medpeds
The Journal of Hospital Medicine article
“This is it, I’m going to have a contribution here, I’m going to do it”
Dr. Renee Dversdal is a national expert in point of care ultrasound (POCUS), the new Chief Medical Officer at Vave Health, & Associate Professor of Medicine at OHSU. She joins us to discuss the potential role for POCUS when treating patients with Covid19, as well as her fascinating journey to becoming a CMO.
Here is Dr. Dversdal’s first visit to Explore The Podcast
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Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
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Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Imagine yourself in a Covid-19 isolation room trying to listen to your patient’s lungs
The opportunity point of care ultrasound (POCUS) provides at the bedside, particularly for patients with Covid-19, to provide better, care, reduce possible exposures, preserve PPE, and more
Thinking of POCUS as additive, supportive, and a powerful accelerant of collaboration instead of something that “replaces” anything else
Renee’s new leadership role as CMO of Vave Health
Breaking through inertia & imposter syndrome
Acknowledging & moving past the “selling out” concept
Determining purpose using “what am I good at, what does the world need, what can I get paid for, what am I passionate about”
Being your authentic self when stepping forward for a new role
Potential impact not just in the role, but in allows others to observe and learn from her journey
Links
Twitter @DrSonosRD
Vave Health website
“That one person you thought was an “addict,” well, that’s me”
Dr. Adam Hill is a Pediatric Oncologist & Palliative Care specialist. He is also the author of the stunning book “Long Walk Out Of The Woods” which chronicles his downward spiral & ongoing recovery from alcohol use disorder. We discuss Attrition Mindset, the frightening ways Covid19 has exposed everyone’s mental health vulnerabilities, & the importance of being able to process grief.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
The intersection of Adam’s book and the Covid19 pandemic, especially how our profession has failed to create effective structures around wellness and inclusion.
Attrition Mindset and how it has been normalized in medicine
The “Pained Look” and a personal story of mine
How medicine has normalized suffering in silence
Why “wellness” lacks any meaning without intention
Where is the low hanging fruit for an institution to being changing culture around mental health and substance use disorders
The critical need to normalize mental health for physicians and healthcare professionals during a pandemic
Being on the anxiety rollercoaster of Covid19
Creating space for someone to tell you they are not ok
The gap in physician training around processing death and grief and how it can impact us downstream
Dissecting the cover of “Long Walk Out Of The Woods”
Staying in a Recovery Mindset while still helping others
How Adam has leveraged social media as a platform for sharing his journey
Links
Twitter @AdamHill1212
Adam’s website
Link to “Long Walk Out Of The Woods”
“This gives people a structure to say that you did something & to validate it”
Dr. Avi O’Glasser is Associate Professor of Medicine & Assistant Program Director for Scholarship & Social Media at Oregon Health Sciences University. She is also an amazing collaborator and she is back on Explore The Space Podcast to discuss our newest White Paper “COVID-19 Contributions on a Residency/Fellowship ERAS Application”
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
What was the spark for this topic
Just because there isn’t a category for it doesn’t mean interviewers don’t want to see your Covid-19 contributions
Acknowledging the hardships that medical students and residents have dealt with and why the inclusion is a form of self-validation
Demonstrating respect and admiration for medical students and residents by encouraging them to share what they’ve done
The importance of a narrative of contribution and investment in an application
The holistic review & shaking up the evaluation process
Anticipating response to this White Paper
Links
Twitter @AOGlasser
Explore The Space White Paper on Social Media, Podcasts & Blogs On A Residency/Fellowship ERAS Application
Dr. Vinny Arora on Explore The Space Podcast discussing Covid19 Contribution Matrix for your CV
“We in healthcare really need to reconcile where we are & how we can do better”
Dr. Ndidi Unaka is a Pediatric Hospitalist & Associate Pediatric Residency Director at Cincinnati Childrens Hospital. She joins Explore The Space Podcast to discuss “Truth In Tension: Reflections On Racism In Medicine” which is her remarkable & incisive Perspectives piece in Journal Of Hospital Medicine. We cover stepping into tension, the crossroads we are at, the urgency of the moment, and the power of allyship.
You can also hear Dr. Unaka on Monday July 20th at 1:30 PST/4:30 EST in a panel entitled “Impact Of Racism In Medicine” as part of the virtual Pediatric Hospital Medicine 2020 Annual Meeting.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Dr. Unaka’s use of the word “Tension” in the title of the essay, the tensions she feels and experiences as a Black woman in medicine, & the ways she stepped into those tensions writing this essay
The multiple challenges borne of structural racism the article tackles in a small literary space
Urgency, being at a crossroads, and the importance of taking action
Juxtaposing waste and squander with urgency and action
The importance and value of highlighting inequitable practices in patient care
The critical need to properly assign value and make people whole when they are asked to do work around diversity and inclusion
The frustration that comes when asked to do work around diversity without the proper time and compensation protections in place
How do we keep our buckets full and how this connects to allyship
The impact allyship from leaders and supervisors can have, especially in cultivating an antiracist environment
Broadening our thinking when it comes to promotions
Being grounded to purpose & learning to say no
Links
Twitter @NdidiUnaka
https://www.journalofhospitalmedicine.com/jhospmed/article/224391/hospital-medicine/truth-tension-reflections-racism-medicine
“We know this is a righteous issue. Our success will save lives”
The 3rd annual Rock The Ride Benefit to Prevent Gun Violence was an amazing experience. In this special episode of Explore The Space Podcast you can hear the remarkable panel discussion that was part of the program on June 27th, 2020.
I was fortunate to moderate a discussion with Congressman Mike Thompson, Dr. Megan Ranney, Congresswoman Robin Kelly, and Congressman Ted Lieu on this subject that is critical to the health of our nation. These are 4 of the most extraordinary leaders and role models in this work, you will really enjoy hearing from them in this wide-ranging conversation.
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Email feedback or ideas to mark@explorethespaceshow.com
Here is a link to the archive of gun violence related episodes of Explore The Space Podcast
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Introductions, thank you’s, and a few words from the wonderful Gabby Giffords
Introducing the panelists: Congressman Mike Thompson, Dr. Megan Ranney, Congressman Ted Lieu, and Congresswoman Robin Kelly
The panel discussion on steps to reduce gun violence in America
Links
Twitter: @meganranney, @RepThompson, @tedlieu, @RobinLynneKelly, @Everytown, @ResearchAFFIRM, @GiffordsCourage, @MomsDemand, @AlainasVoice
Rock The Ride website
“It’s hard to help someone if they don’t know you exist”
Dr. David Rhoiney is a General Surgeon, a graduate of the United States Naval Academy, and a former two sport NCAA athlete. He is also a person who has overcome incredible barriers and shares those stories on social media. He & I collaborated as part of the recent #ShareTheMicNowMed project, he joins me to discuss feeling invisible, the impact of #ShareTheMicNowMed, & how his story remainds unfinished. Also, coffee.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
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Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Feeling invisible
The origins of #ShareTheMicNowMed
Why David chose to participate in #ShareTheMicNowMed
Platform sharing as an exercise in breaking down social media silos
What can we do better with #ShareTheMicNowMed
How David shared the innumerable challenges he faced growing up & the responses he received after the day
Giving a voice to financial literacy on social media
Going deep on coffee, social media, & #MedGrind
Links
Twitter @Surgeon4aCure
“Even when we have these new channels to communicate effectively, do we know how to do that?”
Dr. Bob Wachter is Chairman of the Department of Medicine at UCSF & an outstanding commentator on the Covid19 pandemic. He returns to Explore The Space Podcast (previous episodes here) to discuss his Twitter threads, being a #Covid19 generalist, what kind of teacher Covid19 is & making hard decisions. A must-listen.
Please wear your mask, maintain physical distancing, & wash your hands. #MasksWork
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Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
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Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
The genesis of Bob’s outstanding Covid focused Twitter threads in the early days of the pandemic in America
How being a Generalist helps to process the multidimensional nature of the Covid19 pandemic
Adding phantosmia to the myriad impacts Covid19 has on the human body with a stunning example
The incredible pivot in how we communicate now to the public and the critical need for effective communication with a lay audience
Corollaries to being a Hospitalist and being a Covid19 Generalist
Assessing the level of trust the public has in the information they are getting
What kind of a teacher is Covid19? (This is absolutely fascinating)
What is the greatest Covid19 risk factor for the Bay Area, and any other region that has successfully flattened the curive?
Bob’s toolbox for making hard decisions.
Links
Twitter @Bob_Wachter
UCSF Grand Rounds with John Barry, author of “The Great Influenza”
“That culture ends up draining you. You’re overextended & overcommitted”
Dr. Uché Blackstock is an Emergency Medicine physician, founder of Advancing Health Equity, & a essential voice for change in America. She joins to discuss learning to say No, the professional hamster wheel within medicine, & helping organizations build an equitable culture.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Why saying “No” can be critically important
Understanding what you want to say No to in the first place
The relief that comes with saying No, and how it makes saying Yes that much more satisfying
How we in medicine are encouraged to say Yes to more and more without any sense of tangible compensation
Skills that come with being whole around taking on an activity
Seizing the current moment as an inflection point
Working within organizations to create an equitable culture
How the launch of Advancing Health Equity has been a validation & vindication
Keeping a record of the times her kids join her Zoom meetings
Links
Twitter @uche_blackstock
Advancing Health Equity
“The power of change comes from the power of community”
Dr. Megan Ranney is an Emergency Medicine physician, an expert on the public health epidemic of gun violence & one of the greatest communicators of science to a wide audience working today. She joins us to discuss the critical importance of transforming the national conversation around gun violence & the value of an activated health care professional coalition in this work. We also discuss the upcoming Rock The Ride event & fundraiser which we are both participating in!
Please learn more about Rock The Ride here and definitely join us on June 27th.
Here is Megan’s first appearance on Explore The Space Podcast
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Email feedback or ideas to mark@explorethespaceshow.com
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Why transforming the conversation around gun violence is the key paradigm shift we need
The journey to get physicians to acknowledge gun violence is a public health problem
The tools and strategies that are effective at helping people understand that gun violence is a public health issue
Prioritizing various work projects amidst a world in upheaval
Discussing Rock The Ride, the upcoming panel we are on together, and how this event and others like it give people agency in this issue of gun violence
Links
Twitter: @MeganRanney
Rock The Ride website Twitter @rocktheridegvo
AFFIRM Research website Twitter @researchAFFIRM
GetUsPPE website Twitter @getusppe
“There’s always this unwritten rule about evaluating a woman’s CV”
Dr. Vineet Arora is a Professor of Medicine at the University of Chicago and a co-author of the Women In Medicine Covid19 Contribution Matrix for your CV. Dr. Arora joins us to discuss the upheaval Covid19 has caused in career advancement across the profession of medicine, particularly for women and minorities. We explore the “Minority Tax” in promotions, how structural racism and sexism drive this disruption, and how critical it is for individuals to capture all of their work in their CV.
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Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
A strategic view of the upheaval Covid has caused for promotions & retention pipelines, particularly for women & underrepresented minorities
How structural racism and sexism in academic promotions drive the “minority tax”
The critical need for flexibility and support in reaching benchmarks in the promotions pipeline instead of the vicious cycle those who are vulnerable in the pipeline are facing
What people are seeing with regards to their futures instead of what they should be seeing from their institutions
The callous disregard for childbirth in the promotions process and how it is a perfect example of structural inequity.
Capturing the various contributions related to Covid and the story behind the WIM matrix
How grassroots efforts can impact decision-making at the committee level
Acknowledging that our jobs have changed and won’t be going back to where they were
Links
Twitter: @FutureDocs
LinkedIn: VineetArora
Women In Medicine Summit Covid19 CV Matrix
“There’s this connection between all of these events, and that is systemic racism”
Lashyra “Lash” Nolen is a medical student, President of the Class of 2023 at Harvard Medical School, and an accomplished author and social media voice. We discuss the intersection of Covid19, healthcare disparities, police violence, and systemic racism as well as the critical need for lifetime antiracism work, the destructive impact medical hierarchies have on Black medical students and much more.
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Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
Seeing the connections between the systemic racism ingrained in our nation with Covid19, the murder of George Floyd, and who we are as Americans
Our raw state and the need for lifelong work combatting racism and anti-Blackness in our country as an acute-on-chronic issue
Examples of how Covid19 laid bare so many disparities that are currently hard-wired in our nation, including her grandfather
The importance of not letting the dust settle in what will be the work of our lifetime against systemic racism
Avoiding the comfort zone while wading into this space and the importance of trying to do the work of an anti-racist advocate
The destructive impact medical hierarchies have on Black medical students and the horrid choice they will can be forced to make
Assessing the appetite for change within medical education and learning to prioritize
The right ways to mobilize medical students and healthcare professionals in general around anti-racism training
What starting the second year of medical school might feel like
Links
Twitter @lashnolen
Lash’s website
“These types of shifts don’t scare me”
Dr. Danielle Scheurer is the President of the Society of Hospital Medicine & a practicing Hospitalist. She took office right at the start of the #Covid19 pandemic & has skillfully navigated this critical organization (I am a proud SHM member, full disclosure) through the first part of the pandemic. We discuss the need for agility, growing SHM while under tremendous pressure, and leveraging decentralized engagement. Absolutely fascinating from a great leader.
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Key Learnings
How Danielle grew into medical leadership with Society of Hospital Medicine
The critical nature of agility when dealing with the Covid19 era
Reflecting on how SHM immediately became a convenor & distributor of information at the outset of the pandemic
Dealing with need for effective communication when information is coming in a flood and ensuring multiple platforms are available
Getting focused on retaining current members and reaching new members to ensure all Hospitalists are supported during the pandemic
How to repurpose all of the content that was canceled after the SHM Annual Meeting was postponed
How Covid is bringing the international Hospitalist community closer together
Bringing medical students and residents into the fold by emphasizing local chapter meetings in a decentralized engagement strategy
Social media as a critical engagement strategy for SHM
The critical need for a sound strategy to keep the organization running and solvent moving forward
Links
Society of Hospital Medicine
“This could lead to a lost generation of women falling off the path”
Dr. Samir Shah is a Professor of Pediatrics and is Editor-In-Chief of the Journal Of Hospital Medicine. Dr. Vinny Arora is a Professor of Medicine and is Social Media Editor for the Journal of Hospital Medicine.
In part 2 of our conversation (click here for part 1) we discuss JHM’s leadership in actively promoting diversity, the critical need for agility in how Promotion & Tenure committees operate, and ways we can track the work and be accountable.
This two-part podcast is produced in partnership with the Journal of Hospital Medicine, the Society of Hospital Medicine’s monthly peer-review journal. To read more on COVID-19 and its impact on hospital medicine, please visit www.journalofhospitalmedicine.com
All JHM content related to Covid19 is available open access to the public.
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Key Learnings
Highlighting the fact that women and underrepresented minorities remain underrepresented in senior faculty and leadership positions
How Covid19 is wreaking havoc on promoting women & underrepresented minorities in academic medicine. Dr. Arora’s superb Twitter thread is here
The desperate need for Promotion & Tenure committees to demonstrate agility in the face of Covid unmasking inequities and causing huge financial challenges
Acknowledging that Journal of Hospital Medicine has the ability to actually do something about this & how JHM leads by example
Breaking ground by being the 1st journal to collect demographic information from its authors to assess gender, race & ethnicity for first authors & senior authors
Turning awareness into action by giving agency to women and underrepresented minorities
Calling on P & T to adjust for the Covid pandemic when a promotions package is reviewed
How to track data, report it, and disseminate solutions
Links
Dr. Shah’s article laying out the challenge we face & JHM’s commitment to improve it
Dr. Arora’s Twitter thread from 4/26/2020
“There was just a thirst for information”
Dr. Samir Shah is a Professor of Pediatrics and is Editor-In-Chief of the Journal Of Hospital Medicine. Dr. Vinny Arora is a Professor of Medicine and is Social Media Editor for the Journal of Hospital Medicine.
In Part 1 of our interview we discuss the extraordinary May 2020 issue of Journal of Hospital Medicine that captures unique Covid-related perspectives, lessons and experiences from around the world. We also cover the incredible agility and leadership that JHM is demonstrating at a critical time.
This two-part podcast is produced in partnership with the Journal of Hospital Medicine, the Society of Hospital Medicine’s monthly peer-review journal. To read more on COVID-19 and its impact on hospital medicine, please visit www.journalofhospitalmedicine.com
All JHM content related to Covid19 is available open access to the public.
Please subscribe and rate Explore The Space on Apple Podcast or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
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Key Learnings
How the Journal of Hospital Medicine has ascended in importance
The genesis of the superb May 2020 issue of Journal of Hospital Medicine
Choosing to do a Perspective article on social distancing inside a hospital and getting information out quickly
The generalizability of these Perspective articles to a wide audience, particularly Vinny’s article on social distancing
Reaching a broader audience with the content in the May issue, especially with Mark Hertling’s wonderful essay
How a medical journal can humanize our profession and each other by helping build a sense of connection
Turning an article on crisis leadership around from submission to publication in less than 72 hours
Links
Twitter: @SamirShahMD @FutureDocs @JHospMedicine
The May 2020 issue of Journal of Hospital Medicine
Dr. Arora’s article on social distancing in the hospital
“Personal journeys are compelling & people respond to them because they see themselves”
Sarafina Nance is a graduate student in Astrophysics at UC-Berkeley who is incredibly skilled at sharing her life’s journey with passion, clarity, & honesty. We discuss her discovery of a supernova, dealing with entrenched sexism and misogyny in academia, her transparency around her BRCA + journey, and gaining confidence in doing all of this work.
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Key Learnings
On finding a supernova(!!!) and how to celebrate the event
Current state of being a woman in the sciences.
Dealing with entrenched racism and misogyny in academia & the profound negative impact it has
How do institutions deal with feedback and how the toxic power structure is so fatiguing and dangerous
Where Sarafina’s enthusiasm comes from, especially in the face of so many barriers
Leveraging transparency and enthusiasm when talking about her journey with being BRCA positive and having prophylactic surgery
The unindintended consequences of sharing so openly about her journey
Dealing with negativity when sharing a personal story and finding confidence in the work
Making the choice to have prophylactic mastectomy, moving through recovery and considering her future
Being an advocate for women’s health, educating the public, and removing stigma
Links
Twitter & Instagram: @starstrickenSF
“We need this response to succeed, & I just don’t see how that happens without effective federal leadership”
Jeremy Konyndyk is a Senior Policy Fellow at the Center for Global Development & a recognized expert on global outbreak preparedness. We discussed the unsettling response to the Covid19 pandemic from the US government thus far, the disruptive impact of magical thinking, & what a fierce sense of urgency looks like.
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Key Learnings
Why the current state of #Covid19 governmental response is so confusing
“Magical thinking” and its disruptive impact in our governmental response
Coming out of the Ebola experience with a fierce sense of urgency around preparedness 9:30 & seeing it all be disregarded in February 2020
The 2 critical questions that we should have been asking in January and February: “Could this happen here?” and “are we ready?”
What a fierce sense of urgency looks like and what’s missing now regarding response
The infuriating nature of the risk-shifting from the federal government to the governors of individual states, especially when juxtaposed against our Ebola response
Why targeting the World Health Organization (WHO is misguided and a risky approach, with some brilliant framing of WHO’s role.
What gives Jeremy hope right now
Some great people to follow
Links
Twitter: @JeremyKonyndyk
Jeremy’s webpage from Center for Global Development
Some of Jeremy’s recommended Twitter follows: @angie_rasmussen, @aetiology, @trvrb, @BethCameron_DC, @RebeccaKatz5, @joshmich, @jenkatesdc, @SaskiaPopescu
I am becoming more proficient at understanding each time when I make a piece of content, what is my purpose? What am I trying to accomplish?”
Dr. Mikhail Varshavski is a Family Practice physician who leads the way for healthcare professionals creating content on social media & managing their influence responsibly. In this remarkable conversation, Doctor Mike shares some superb insights around how not to cross “The Line”, understanding purpose behind content, and the value of restraint. If you are active on any social media platform, this is essential listening.
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Key Learnings
Defining “The Line” & the myriad elements to account for when creating healthcare content for the public
Impulsivity and how Mike deals with provocative content or inaccurate information
Two premium of examples of dealing with misinformation, especially when it makes you angry
Understanding the value proposition & what you’re trying to accomplish when deciding how to wield your influence
The importance of assessing your goals anytime you create content
Why physicians need to adjust to leveling of the field with patients
The problems with trying to break news on social media in a fast-moving news cycle
A reminder from Mike that every thing you put on social media is there forever
Staying humble, especially as your following grows
The compelling place where Mike wants to push past “The Line”
Links
Twitter: @RealDoctorMike
Instagram: doctor.mike
Doctor Mike’s YouTube channel
“What has happened now with this crisis is that healthcare providers are going into battle”
Lt. General Mark Hertling is back on Explore The Space Podcast in the wake of his superb article “Ten Tips for a Crisis: Lessons from a Soldier.” We discuss the analogy of healthcare providers as soldiers in a time of war, the inherent risks of glorification, the importance of having a “Battle Buddy” & so much more. This is essential content at a critical time for all of us.
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Key Learnings
The mindset Mark brings to helping physicians develop as leaders
The correlation between healthcare and war during the Covid19 pandemic
The normalization of terms used to describe war and soldiers at war being applied to healthcare providers
How glorification makes us both uncomfortable
Processing requests and writing the essay
What is a “Battle Buddy?”
Tempo, adapting workflows, & getting everyone into the fight so we can manage this pandemic
Recognizing the context and impact of graduating healthcare professionals early and bringing people out of retirement
Acknowledging that we are in a crucible and the difficult ways we will be hardened
Reflecting on the incredible Journal of Hospital Medicine Twitter chat from 4/7/2020 (search for #JHMChat
Seeing a reinvigorated trust in doctors and healthcare professionals
Links
Twitter: @MarkHertling
Mark’s essay in Journal of Hospital Medicine
Mark’s first appearance on Explore The Space Podcast: “Developing Leaders”
Mark’s second appearance: “Character, Resilience, and Leadership”
“The biggest struggle of my career has been people accepting that you can be two things at once”
Dr. Sasha Shillcutt is a Professor of Anesthesiology, founder of Brave Enough, & she’s the author of the superb new book “Between Grit and Grace.” We discuss how her Dad reacted to the book (awesome story alert!), hearing stories from her readers, being ok with discussing the book where she works.
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Key Learnings
Breaking down the book title “Between Grit & Grace”
Being comfortable with being oneself
How Sasha’s Dad reacted to her book
The tempo at which the book was written
Meeting her readers and hearing their stories
The difficulty of promoting her book at her home hospital
The power of Chapter 8 and dealing with imposter syndrome
Finding the right balance going forward
Links
Twitter – @RUBraveEnough
Instagram – @BecomeBraveEnough “Beyond Grit and Grace” Sasha’s recent essay around women physicians in the Covid19 pandemic
Happy Doctors Day! In this special episode, everyone’s favorite doctor-comedian Dr. Glaucomflecken joins us! We discuss his brilliant use of humor in the early days of the #Covid-19 pandemic, how he keeps the sadness and sense of service close while he is making us laugh, and some key thoughts on the spleen.
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Key Learnings
The mindset of being funny in the midst of a pandemic
Answering the call to serve, while joking about it at the same time
Breaking down Dr. G’s brilliant Twitter thread on managing a ventilator
Why his tweet about eye care in the ICU made me cry
How Dr. G’s real life practice is different
Keeping the sadness close to the humor
Who Dr. G enjoys on Twitter
Wherein we go deep on the spleen
Thyroid vs pituitary
Dr. G’s background with First Descents
Links
Twitter @DGlaucomflecken
First Descents
Dr. G’s homepage
“Diversity in medicine is something we need to achieve to save lives”
Dr. Quinn Capers is a Professor of Medicine, an interventional cardiologist, and Vice Dean for Faculty Affairs at The Ohio State University College of Medicine. He is also an incredible mentor, teacher and guide around implicit bias and the importance of diversity in medicine. We discuss “the leaky pipeline”, the critical need for diversity in medicine, and how we can learn about implicit bias.
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Key Learnings
Defining “The Leaky Pipeline” and how talent is lost from kindergarten to medical school
Why the pipeline starts in kindergarten
Tools to plug leaks, prevent them from springing, and the importance of praise
The current state of medical school outreach programs
The impact of a diverse physician workforce
Understanding implicit bias as a good place to start and the importance of taking the guilt out of it
Picking up and overcoming guilt around implicit bias training
Recognizing the huge role that “gatekeepers” play in moving students along the pipeline & the impact their implicit biases can have
Expanding the audience for your ideas with social media
Dr. Capers’ passion for his clinical work and telling them “this heart attack is over”
Calling medical school applicants to tell them they’ve been admitted
Links
Twitter @Drquinncapers4
Take the Implicit Association Test
Reducing implicit bias in admissions process
Diversity in healthcare video
Implicit bias article
“Every little effort counts, and it matters. We are all in this together”
Dr. Beth Linas is an Infectious Disease Epidemiologist who joins us at a pivotal moment in time as the world is gripped by the Coronavirus pandemic. We discuss the definition and work of an epidemiologist in this time, the critical importance of “flattening the curve”, and the aspirational fact that every single person has a part to play.
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Key Learnings
What is epidemiology?
Defining the toolbox for an epidemiologist in studying Covid19
Contact tracing and its incredible value
The importance of trust when doing contact tracing
Moving from containment to mitigation
What does “Flattening The Curve” mean?
The aspirational nature of having agency over flattening the curve
The consequences of not flattening the curve
What is Beth’s wish list for next few months
Links
Twitter @bethlinas
New York Times article on flattening the curve
“If people have the right to spread disinformation on social media, then it’s equally my right to spread information”
Dr. Ryan Marino is a medical Toxicologist and a power voice against medical disinformation on social media. We discuss the multiple roles a toxicologist plays, the battle against “detox” products, & pushing back against false narratives on social media. Ryan is outstanding at this work, there is much to learn from him. #DoctorsSpeakUp
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Key Learnings
Managing “the poisoned patient” as a medical Toxicologist
The wonder of Poison Control
What makes up bread and butter clinical toxicology
Engaging with the public as a toxicologist and the level of understanding
The insidious way “toxins” have infiltrated public discourse
What techniques has Ryan found helpful in discussing vaccines with people who are hesitant and what to avoid
Why Ryan is so committed to pushing back against false narratives on Twitter
Recognizing that changing one mind and impacting one person’s behavior is a tremendous victory
Links
Twitter @ryanmarino
American College of Medical Toxicology website
“You’re gonna have to be fearless”
Caitlin Thompson is back! She is the co-founder of the splendid Racquet Magazine. More than that, she is an emerging leader and powerful social commentator. We discuss how industries like healthcare and professional tennis have opportunities to address climate change and what happens when they do. Hot takes abound!
Here’s Caitlin’s previous appearance on Explore The Space Podcast episode 126
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Key Learnings
Acknowledging how our industries are drivers of climate change
What transpired at the Australian Open and how it helped shape Caitlin’s view of the impact of climate change
Why Caitlin is disappointed in the approach taken by professional tennis around climate change to date.
How does eco-anxiety drive inertia?
Identifying areas where tennis is innovating and taking action around climate change
What happens if Roger Federer breaks from a sponsor because of climate change and fossil fuels?
The parallels between tennis players and doctors finding their voice
Some premium tennis talk with a brilliant mind for the sport we love
Links
Twitter @caitlin_thomps
Racquet Magazine: https://racquetmag.com
Racquet Podcast episode w/ Nicole Gibbs
“I believe that art and visual imagery is innate. Anyone can understand it”
Dr. Mike Natter is a 3rd year Internal Medicine resident and a stunning artist. Like truly wonderful. We discuss using art as a teaching tool, how he reflects and critiques residency training through his art, and our shared love for Calvin & Hobbes. This is so much fun, enjoy!
Don’t miss your chance to nominate a guest for Explore The Space Podcast and win a fantastic coffee-centric prize! Contest closes 2/28 at 8am PST
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Key Learnings
Using art as a teaching tool
Does Mike use his art for other subjects or just medicine
How the process of art is beneficial, not the end-product
Tools of the trade
The things that Mike feels compelled to draw at any opportunity
How Mike reflects the challenges and hardships of residency in his art
What does a day off look like
The art that Mike enjoys
The growth of graphic art and medicine
Why talking about our shared hobbies at work is a challenge
Calvin and Hobbes. That’s it
Merging and sustaining more than one passion
Links
Twitter @mike.natter Instagram: @mike_natter
Mike’s ArtSugar page: https://artsugar.co/collections/mike-natter
“The interests of the public are greater than the interests of special interest groups that oppose it”
Ken Berlin is the President & CEO of The Climate Reality Project, an essential organization working against climate change. We discuss how to spur individual & organizational movement on climate, why the political lever is the most crucial one to pull in 2020, and how to become a Climate Reality Leader.
The Explore The Space Podcast archive of climate change-related episodes can be found here
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Key Learnings
The strategic view of the current state of climate change activism and advocacy
How large organizations from the business world are being engaged
Examining the disproportionate impact of climate change on economically disadvantaged communities
How Climate Reality tries to be agile in a changing climate environment
Spurring movement on climate change: showing it’s an issue people must pay attention to and that there are solutions available
Dealing with climate change denial
Levers to maintain and propagate a sense of hope and progress
Acknowledging the importance of the 2020 US election in driving towards progress on climate change, getting people to vote, and helping politicians understand there is a mandate for change
What happens when an athlete or celebrity divests from a company over climate change response
Why Ken came to the world of climate change advocacy
Why having doctors and healthcare professionals engaging in climate change advocacy is some vital
Becoming a Climate Reality Leader
Links
Twitter @climatereality, Instagram @climatereality
The Climate Reality Project
Becoming a Climate Reality Leader
“It was a thinking about how we could use a journal as an instrument for social change”
Dr. Richard Horton is a physician & the Editor-in-Chief of The Lancet. He joins to discuss the extraordinary path towards social change this massively influential journal is walking, why physicians have an obligation to engage in nonviolent protest around climate change, & how he seeks to make the advancement of science for the good of society a primary goal amidst the commercialization of science
Here is a link to all of the climate change-related episodes of Explore The Space Podcast.
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Key Learnings
The meaning of responsibility and legacy
How The Lancet is reinventing itself as an instrument of social change and social action
Recognizing that climate change is the greatest existential threat we face
The long record of The Lancet advocating for physicians participating in peaceful, nonviolent protest
Dr. Horton’s statement on physician’s responsibility around climate change
How the National Health Service (NHS) is hardwired into the British mindset
Health, connection, and solidarity
Cross-over appeal and how The Lancet is seeking a broader audience and leverage social change
Hearing from people in China about coronavirus and the importance of elevating those voices in The Lancet
The importance of combining political power with evidence to leverage social change
Have any editors from other medical journals reached out to learn from The Lancet?
Wherein the founding documents of The Enlightenment are referenced
Moving away from the commercialization of science and towards Enlightenment aspirations of advancing the well-being of society.
Richard’s interest in examining the impact of capitalism on human health
Links
Twitter @richardhorton1, @thelancet
The Lancet Countdown report for 2020
“Action feels better than anxiety”
Jesse Spurr is an ICU nurse, Dr. Courtney Howard is an Emergency physician, and they are both essential parts of a new international healthcare conference: Coda 2020. We discuss both why and how Coda will focus on climate change, the unique approach to information sharing and collaboration it will engender, and just what is at stake.
Coda 2020 is going to be very special, and I am honored to announce that I will be participating as a member of the conference faculty. Please check out the website and stand by to register! Registration goes live on April 1, 2020. Coda takes place in Melbourne, Australia from Sept 28-Oct 2, 2020.
Click here for the archive of climate change-related episodes on Explore The Space Podcast
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Key Learnings
The resonance of viewing Earth as our sick patient in need of resuscitation
How Courtney learned about the connection between climate change & human health
Solistalgia and eco-anxiety
The origins of Coda as a collaboration to tackle global health issues starting with climate change and the excitement it engenders
How climate change can impact both health and health care systems and the thrill of engaging across disciplines to help solve the problem
Getting out of echo chambers and creating a diverse audience so Coda has a profound ripple effect.
The irreverent, iconoclastic style of the conference & The Four Pillars of Coda
Strategies for keeping the call to action from Coda sticky and resonant when we get home
What’s actually going to happen in the day to day at Coda, and why you should come
Links
Twitter @courtghoward @codachange @inject_orange
Coda 2020 homepage
Courtney’s website
“It’s really hard to look someone else in the eyes and say hey, here’s this moment for me that I’m broken about”
Mitochondrial Eve (not their real name) is a Critical Care RN and a prominent voice in the medical Twittersphere #MedTwitter. We discuss the concept of transparency on social media juxtaposed with transparency in the clinical setting.
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Key Learnings
Why Eve stays anonymous on Twitter
Navigating boundaries with patient and members of the care team
The importance of understanding transference when caring for patients
Leveraging personal experience to enhance communication with patients and families while respecting one’s own personal boundaries
The power of stillness and being able to absorb
How Eve responds when someone shares a personal or difficult thing with them via social media
Whether Eve writes on social media spontaneously or crafted before posting
Eve’s apex breads
Coffee and Aeropress vs French Press
Links
Twitter @browofjustice
Eve’s article “I Will Not Cry”
Eve’s favorite #BakingWithEve Twitter thread
“The only way that we can break down these barriers, that we can decrease the stigma associated with infertility is to actually talk about it”
Dr. Ariela Marshall is an Associate Professor of Medicine & Hematology at Mayo Clinic, she joins us to discuss the issue of physician fertility. 1 out of 4 female physicians deals with fertility issues (1 out of 4!) yet this issue is barely discussed or worked on. Ariela co-authored an outstanding paper “Physician Fertility, A Call To Action”; we discuss the genesis of this work, the causes behind the issue and barriers to progress, as well as solid thoughts on moving forward.
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Key Learnings
The desire to draw awareness to the subject of physician fertility
Why Ariela and her co-authors shared their own histories of infertility in the article
How the article has helped people begin to talk about physician fertility
Why there is a culture of silence around physician infertility & the impact of societal stigma
Speculation around reasons for the increased occurrence of infertility amongst female physicians
What is the the low-hanging fruit to move the needle on this issue and provide the necessary infrastructure for support
Engaging with men around infertility
Inclusivity, social media, and building awareness through storytelling
The staggering difficulties and barriers women physicians face when trying to overcome infertility issues while still practicing medicine
The importance of leadership in changing the environment around physician infertility
Which journals rejected the article
Links
Twitter @AMarshallMD
“Physician Fertility: A Call To Action”
Arghavan Salles’ article in Time Magazine
“I’ve lost the capacity for fear and anxiety. I just have this desire, this mission, this need.”
Fred Guttenberg became an impactful & important activist against gun violence in the immediate aftermath of his 14 year old daughter Jaime’s murder in the 2018 Parkland school shooting. We discuss how he stepped into his activist role, how he embraces connection, and how he has shed fear to do this work. We also dive into Orange Ribbons For Jaime and its remarkable upcoming fundraiser
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The Explore The Space Podcast archive of episodes on gun violence
Key Learnings
Where we are now as a nation around the subject of gun violence
How Fred became such an incredibly effective advocate in the immediate aftermath of Jaime’s murder
Shedding fear and anxiety and engaging with “very significant” people
Who are Fred’s allies in his work and what he believes draws them
Connection as a tool and the value of being open to new people
Why Fox Network won’t have Fred on their air
The growth and importance of physicians and healthcare professionals joining into advocacy work around gun safety
The origins and vision of Orange Ribbons For Jaime
Links
Twitter @fred_guttenberg @Ribbons4Jaime
Fred’s Parkland Vigil speech
The upcoming Orange Ribbons For Jaime fundraising event
“We never cut corners on the science”
Dr. Judy Melinek is a forensic pathologist and TJ Mitchell is a professional writer. Together they have released their second book, “First Cut” and they join to discuss the fun and power of collaboration in creating this wonderful book. This episode is packed with incredible insights around collaboration, creativity, and having fun with the process. No spoilers about “First Cut”, so definitely go read it for yourself!
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Key Learnings
What being on a press junket is like and the fun of #MOTTIRL (Met on Twitter, then in real life)
How collaboration drove the creation of “First Cut”
The importance of tempo, reading aloud, & food in an effective collaboration
Bringing a strong sense of reality into a work of fiction
7 CSI fails and how TV and movies get it wrong
Who Judy thinks is the archetype forensic pathologist (this is a great call)
Accurately reflecting what living in San Francisco looks and feels like
How Judy’s commitment to public health informs her storytelling, and her reflections around #ThisIsOurLane
Links
Twitter: @drjudymelinek, @TJMitchellWS
“What is the physiologic stress a surgeon goes through?”
Dr. Jamie Coleman is a Trauma Surgeon & Director of Communications and Outreach at Denver Health, & Associate Professor of Surgery at the University of Colorado School of Medicine. She is also a leader in studying the impact of physicians working long hours. We discuss her compelling work studying the impact of sleep deprivation as well as the impact of “Scarcity Mindset” in medicine.
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Key Learnings
Trauma surgery as a conversation starter & how working long hours is a place of curiosity
The lack of education around being “on call”
How Jamie feels after being on call and how long it takes to recover
The physical demands of being on call
The mindset Jamie carries into Trauma call
What is trauma call like?
How Jamie’s research is the first step towards getting better
The current state for Trauma surgeons
Recognizing the “supply issue” and impact of Scarcity Mindset
Links
Twitter @jjcolemanmd
Article on sleep deprivation in Journal of American College of Surgeons
MDEdge article
“I see you. I hear what you’re saying”
Dr. Kimberly Manning is a Professor of Medicine at Emory University and Grady Hospital. She is an essential guide, writer, teacher and voice, this episode is simply extraordinary. A brief summary of this episode will not suffice, please listen and enjoy.
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Key Learnings
Starting off with The Ragnar Relay and why Kimberly is a Ragnarian
Kimberly’s extraordinary ability to find common ground and draw people in
Wherein Kimberly shares some of her secrets: 30 seconds of attention, body language, and use of 1st names
The process by which Kimberly creates her incredible Twitter story threads
Finding your Whitney Houston
What feels aspirational for Kimberly heading into a New Year and new decade?
Links
Twitter: @gradydoctor
“We have the same heart, and we want the same objectives”
Dr. Amy Goldberg is a Trauma Surgeon & Professor of Surgery & Scott Charles is Trauma Outreach Coordinator at Temple University Hospital in Philadelphia. Together, they have collaborated on a remarkable hospital-based gun violence intervention & prevention program called Cradle To Grave. We discuss their collaboration and impact, as well as barriers they’ve faced & how they support and sustain one another. They are brilliant and engaging, this is a fantastic conversation.
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Email feedback or ideas to mark@explorethespaceshow.com
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Key Learnings
Amy’s desire to collaborate around the issue of gun violence
How Amy advocated for Scott’s role as full-time Trauma Outreach Coordinator
Developing trust & respect as a cornerstone of collaboration
The educational cornerstones of Cradle To Grave, especially in juxtaposition to how gun violence is portrayed in popular media
Why there are not many other similar programs around the country
Scott’s efforts and impact around distributing gun locks & the importance of safe storage
How Scott & Amy sustain the work and one another
Links
Scott’s Twitter: @thescottcharles
Amy’s Twitter: @AJGTempleSurg
Cradle To Grave website
Temple University Hospital Safety Net Programs
“We have to all see it as a problem before we can move forward”
Dr. Narjust Duma is an oncologist at University of Wisconsin specializing in lung cancer in women. She is also a brilliant teacher around unconscious bias & microaggressions. We discuss where these behaviors come from and the impact they have, as well as how we can assess our own biases and work to get better. She also shares the origin story of #LatinasInMedicine.
Please subscribe and rate Explore The Space on iTunes or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
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Key Learnings
Narjust’s reflections on being a 4th generation physician
Defining the term “Unconscious Bias”
Narjust’s paper on unconscious bias and the generalizable nature of it.
How microaggressions come with unconscious bias and the cumulative impact they have
Dealing with the “where are you really from” question
Where medical education around unconscious bias stands
The impact of unconscious bias on patients
Resources for learning more and getting better around unconscious bias
How unconscious bias can impair communication between patients and physicians (also, Attending Syndrome is real)
Wherein Narjust creates The Cheese Analogy, which is absolutely brilliant
Building a community with #LatinasInMedicine
Links
Twitter: @NarjustDumaMD
Evaluating Unconscious Bias: Speaker Introductions at an International Oncology Conference
Live stream for Narjust’s upcoming Grand Rounds http://live.videos.med.wisc.edu/
AAMC material about unconscious bias: https://www.aamc.org/what-we-do/mission-areas/diversity-inclusion/unconscious-bias-training
How Microaggressions Are Like Mosquito Bites
“I think what’s important is to model a lot of vulnerability”
Malika Siker is a Radiation Oncologist & Associate Dean for Student Inclusion & Diversity at Medical College of Wisconsin. We speak about the importance of relatability & vulnerability in cancer care as well as the mysterious world of radiation medicine. We also spend time on the importance of community work at a local level as opposed to chasing a national reputation and learning to prioritize. This is inspiring stuff from an important emerging leader.
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Key Learnings
Diving into the mystery of Radiation Oncology
The correct fantasy character comparison for Rad-Onc
“It’s because of the nature of the linear accelerator”
The importance of relatability & vulnerability
Healthcare literacy, health equity and fear in radiation treatment
Addressing cancer disparaties in the LGBTQ community & creating smoke-free environments at community events
Tension around national recognition and local activism
Developing the ability to say “No” & what she is prioritizing
Courage and its role in her work
The value of helping patients understand when a physician doesn’t know everything
A highlight of studying at the Sorbonne
We’re all battling our demons all the time. You can either shove them in the closet or just bring them out.”
Alex Anderson is an Anesthesiologist and a superb, thoughtful voice on social media. She shares wisdom around how and why she shares her inner voices, both positive and negative. We also discuss focusing on gratitude, dealing with death and fear in medicine, and the Beastie Boys. Her insight and wisdom on moving through life are incredibly compelling, and if it sounds like we were cracking up as the episode starts, we were.
Please subscribe and rate Explore The Space on iTunes or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Key Learnings
Why Alex is on social media
The things that bring about anxiety as a voice on social media
Where Alex feels comfortable sharing
Sharing her inner voice and befriending her demons
Responding to requests from followers and fans
How someone can have more than one focus that is “all-consuming”
Prioritizing a sense of gratitude and appreciation
Why Alex doesn’t keep track of every case anymore
Dealing with death and fear
Wherein we bring Anesthesia and The Beastie Boys together
What is next for Alex and her Inner Voice
Links
Alex on Twitter @AlexAndersonMD
“Shake Your Rump”
“We wear costumes until we don’t realize it’s a costume anymore”
Jared Yates Sexton is a political analyst and the author of “The Man They Wanted Me To Be: Toxic Masculinity and a Crisis of Our Own Making”, We discuss the underpinnings of Toxic Masculinity, its destructive impact and the importance of communication. This is a unique and important conversation.
Please subscribe and rate Explore The Space on iTunes or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
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Key Learnings
The intention behind “The Man They Wanted Me To Be”
Defining the roots and constructs of Toxic Masculinity
Jared’s own story and the impact of abuse
Toxic Masculinity and the holidays
Gateways towards radicalization
Bullying and insecurity
The privilege of white men being able to say and do things at a different level than the rest of society.
Handling the question: what are men supposed to be now?
The 5 “acceptable” characteristics: Athlete, Wealthy, Player, Farmer, Outlaw
How we wear “costumes” and perform a character until we forget it’s even a character
The impact of communication on American men and the story of Jared’s Dad
Links
Jared’s website
Twitter: @jysexton
“We actually do this well, and it’s good to be able to do this well when you’re the safe place for the community.”
Vicki White is the Chief Nursing Officer at Santa Rosa Memorial Hospital and she joins me to discuss navigating the Kincade Wildfire. Vicki is a smart, tenacious, and committed leader, skills that are essential when you’re helping lead a team that won’t quit at a hospital that will not evacuate. In the wake of leading through a second disaster in 3 years, Vicki’s perspectives on how to lead in an incredibly challenging environment are absolutely remarkable.
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Email feedback or ideas to mark@explorethespaceshow.com
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Key Learnings
How Vicki made her way back to Santa Rosa Memorial Hospital as Kincade erupted
The value of trusting your colleagues when you’re under extraordinary pressure
Reliability and the mindset needed to ensure we never close
How Vicki used compartmentalization as a coping tool during another disaster
The challenges of continuing to provide high-quality care in the setting of a disaster
The importance of family members of health care professionals during a disaster
The importance of personal touch in keeping a team moving
Why decompressing after a disaster is so difficult
Acknowledging that this may all come again and what Vicki focuses on now.
Links
“The #1 question that I have gotten over the past few years is ‘What gives you hope?'”
Dr. Katharine Hayhoe is a climate scientist and Professor at Texas Tech University. She is also one of TIME Magazine’s 100 Most Influential People and an extraordinary voice for climate action on every imaginable platform. She joins us to discuss the importance of talking about climate change & how to do it constructively. We also get her stunning description of the 9 ways climate change effects human health and how it is a Threat Multiplier.
We open with some of Explore The Space podcast host Mark Shapiro’s thoughts on the ongoing Kincade Wildfire. This disaster is not yet over, but some reflections needed to be shared.
Please check out www.norcalfiredonationlist.com if you’d like to make a donation towards wildfire relief.
Please subscribe and rate Explore The Space on iTunes or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
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Photo Credit: Martin Voelker
Key Learnings
The importance of talking about climate change & the cognitive dissonance surrounding it
Developing a skill set around talking about climate change
Understanding “dismissive” people and how rejecting the science of climate change is “a conscious part of their identity”
The value of starting conversations based around what we agree on, not what we disagree on
Why Dr. Hayhoe is so active on social media
The amazing origin story of her superb communication skills & the importance of showing respect in conversation
Climate change as a Threat Multiplier
Wherein Dr. Hayhoe walks us through the ways climate change impacts human health & the disproportionate effect on lower socioeconomic classes
Extreme heat
Air pollution and the staggering annual death toll associated with it
Impact on food quality, nutritional value, and cost of crop loss
How higher levels of CO2 effect plant growth
Water pollution and heavy precipitation
The ways in which increasing levels of carbon dioxide impact our cognitive function
Increased exposure to extreme weather events
Impacts on mental health and he disproportionate impact on women and children
The destabilizing impact climate change has on social structures
Wherein we close with where we can find hope
Links
Twitter @khayhoe
Dr. Hayhoe’s website
TEDTalk on Talking About Climate Change
Global Weirding
Project Drawdown
“We are incredibly passionate about it because we think it’s the future”
Dr. Renee Dversdal is an Associate Professor of Medicine & Director of Point of Care Ultrasound at Oregon Health & Science University. She is a true expert point of care ultrasound (POCUS) and it was a pleasure to tour her incredible facility and speak with her in person! We get into the incredible power of this technology, the way it impacts relationships with patients, and what the future holds. She also shares how having a passion for a project has been a protective mechanism against burnout.
Explore The Space + Nocturnists Live Show is coming up on Friday 10/18. This will be an amazing night, get your tickets now!
Please subscribe and rate Explore The Space on iTunes or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
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Key Learnings
Renee’s assessment of scope and scale of point of care ultrasound
How POCUS became a subject of tremendous emphasis
The ways in which POCUS is being taught, embraced, and amplified
Enriching patient interactions through point of care ultrasound
Barriers & pushback to POCUS implementation
“Lightbulb” moments and amplification of learning
How her ultrasound work serves as a burnout protective strategy
Renee’s desire to be a “superconnector”
Links
Twitter @DRsonosRD, @OHSUsimulation
“My approach is to give someone a chance to say Yes”
Dr. Umbereen Nehal is a pediatrican and physician executive. She is also the physician Jedi Master of LinkedIn, having been named a LinkedIn “Top Voice” and “Influencer” She joins us to better understand the opportunities this platform provides, the pitfalls to avoid, and how those in healthcare can effectively leverage LinkedIn to collaborate, learn and build their careers. This is an incredibly high-yield conversation!
Explore The Space + Nocturnists Live Show is coming up on Friday 10/18. This will be an amazing night, get your tickets now!
Please subscribe and rate Explore The Space on iTunes or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
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Key Learnings
Earning the LinkedIn gold box and being a “Top Voice”
Why LinkedIn?
The experience of having fun on LinkedIn
The experience of interfacing with LinkedIn platform
LinkedIn vs Twitter
How LinkedIn can be used for career transitions, especially through networking
LinkedIn as a recruiting tool and how to use it
What are the good manners of using LinkedIn
Building and curating your LinkedIn network
Resolving the worry that if you’re on LinkedIn, people will think you’re leaving your current job
LinkedIn as a tool for sponsoring other people
Levels of activity: like, comment, share, and original content (this is awesome)
How optics are leveraged on LinkedIn, particularly around disagreements
Wherein we bond over our shared experiences at Baylor College of Medicine
Links
LinkedIn: https://www.linkedin.com/in/usnehal/
Twitter: @usnehal
Umbereen’s LinkedIn Tips
As October is Breast Cancer Awareness Month, I would like to re-release an earlier episode of Explore The Space podcast featuring Jessica Shapiro. She’s a breast cancer survivor, the voice of the show, and she’s my wife. She speaks with candor and emotion. She is unsparing in describing the challenges she faced in her journey dealing with breast cancer. This is a deeply personal story, thank you for listening.
Explore The Space + Nocturnists Live Show is coming up on Friday 10/18. This will be an amazing night, get your tickets now!
Please subscribe and rate Explore The Space on iTunes or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
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“Our stewardship of this planet shouldn’t be a partisan matter.”
Michael Mann is a Distinguished Professor of Atmospheric Science at Penn State & is one of the most articulate and courageous scientists in the fight against climate change. A fantastic guest for #ClimateWeek! We discuss the power of misinformation as well as the insidious interests that push against necessary change, be it climate change or gun violence. Mike also discussed how he was forced into the public sphere, recognizing that science is under assault & lays out resources and skills for us to get better together.
Please subscribe and rate Explore The Space on iTunes or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
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Key Learnings
The best framing of the issue of climate change you will ever hear.
Mike’s wish list for steps to take to reverse climate change
Wherein Illusory Truth Effect & climate change are connected
The destructive impact of special interests & on our public policy
A premium name drop
How being attacked by conservative politicians and fossil fuel special interests helped Mike become effective at communicating science.
Recognizing that science is under assault and fighting back
Coaching scientists on how to communicate effectively with the public
The best steps to take to be effective and determining the message strategy that works best
A toolset for dealing with direct pressure from climate-change deniers
Leveraging collaboration and mentorship
Links
Twitter: @michaelemann, Instagram: @michaelmannscientist
Mike’s website: https://www.michaelmann.net
Skeptical Science: https://skepticalscience.com/ NCSE: https://ncse.com/ Climate Communication: https://www.climatecommunication.org/
“There’s something special about this”
Tony Breu is a Hospitalist and medical educator whom I have affectionately termed the Championship Belt Holder for creating threads of information on Twitter known as #MedThreads or #Tweetorials. These threads are brilliant, fun and are changing how we learn. Tony and I jump into the impact of these threads, tensions they’re generating, and what the future holds.
Tony just had an article published in the New England Journal of Medicine on this same subject, it can be found by clicking here
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Key Learnings
The origins of Tony’s style of teaching…The #MedThread and its founding
The engagement that Tony draws on social media #SoMe and how it outstrips any other forum like publications or speaking
The tension between putting premium scholarship on social media versus traditional publication pathways
PubMed Hell vs Twitter Hell
Peer review and scholarship on social media
Having agency over how we learn and having fun while we do it
Wherein Tony and I create the future of this kind of education and the challenge of doing it “in between” our regular jobs
The importance of agility & sponsorship in elevating and retaining educators like Tony
The future of the #MedThread Championship Belt Holder
Links
Twitter: @tony_breu
Tony’s New England Journal of Medicine article
The results of Tony’s survey regarding #MedThreads/#Tweetorials
Explore The Space White Paper on Social Media and CVs
“There’s something exciting about gathering together in a room and sharing that space”
Emily Silverman is the creator and host of The Nocturnists, which is wonderful and great and on a rocket ship to the moon. This is her second time on Explore The Space, we discuss getting out of the comfort zone, helping the profession of medicine become more inclusive for the public, and the thrill of taking the stage. We also discuss our upcoming live show!
Click here for our live show Friday 10/18 in San Francisco, tickets are available!
Please subscribe and rate Explore The Space on iTunes or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Key Learnings
Emily’s concentric rings of getting out of the comfort zone (I loved this take!)
The Lizzo analogy and the 3 components of success
Getting out of the comfort zone as a generalizable concept
Why learning about medicine is attractive to society as a whole
How old narratives keep physicians from receiving much sympathy from society
The new and different ecosystem of medicine
Emily’s sense of the importance of changing narratives about medicine and being a doctor
What happens in a live show and why there’s nothing else like it
Meeting on Twitter and IRL!
Links
Twitter @ESilvermanMD, @thenocturnists
Nocturnists website: http://thenocturnists.com
Emily’s first episode on Explore The Space podcast
“How can you converge to solve things in new ways, to get people to say “Yes, and?” That’s where the rocket fuel comes from”
Daniel Kraft is a Bone Marrow Transplant physician, as well as Founder & Chair of Exponential Medicine. This only scratches the surface of his incredible bio, so we discuss the impact of having multiple different interests & how surrounding yourself people from different backgrounds is rocket fuel for innovation. This episode is just pure fun and inspiration, enjoy!
Key Learnings
What pluripotency means to Daniel
Why comparing ourselves to someone else can be a negative
Surrounding yourself with others to help you up your own game and break down silos
The power of attention
Collaboration & having an exponential mindset
What is Exponential Medicine
Wherein I get to set up my betting shop to help determine what’s coming next
The value of curating connections when at a conference and getting out of your comfort zone at a conference
Using technology like QR codes to improve how we introduce ourselves
Twitter: @daniel_kraft
Daniel’s website: https://danielkraftmd.net
International Space University: http://www.isunet.edu
Exponential Medicine: www.ExponentialMedicine.com
“It’s very hard for people to see things happen and not have a reason”
Jessi Gold is an Assistant Professor of Psychiatry at Washington University, she joins us after a horrible string of mass shootings to discuss gun violence, illusory truth effect, and mental illness. We jump into the superb Time Magazine article she wrote alongside Megan Ranney, this is an essential look into the impact of talking points and obfuscation around gun violence. We also examine the damage caused by conflations and stigma, and the importance of psychiatrists finding their voice on this issue to overcome voices of obfuscation. This is an important episode on a crucial topic.
Key Learnings
Illusory Truth Effect and why the conflation of gun violence & mental illness is wrong
The gap between gun violence and mental illness and how stigma and conflation play out
Searching for realistic and actionable explanations in the face of horror
The dangerous impact of illusory truth effect to not only avoid real causes, but also divert away from solutions
Assessing impact of gun violence on survivors, families, and our communities, and the lack of research on these subjects
Dr. Patrice Harris’ superb statement on gun violence and the power of multiple expert voices speaking clearly and consistently
Barriers to speaking publicly on this issue felt by Psychiatrists
The importance of staying on message & not responding to Illusory Truth Effect & distraction
Links
Twitter: @drjessigold
Time Magazine article: https://time.com/5645747/gun-violence-mental-illness/
Jessi’s website: drjessigold.com
Moms Demand Action: https://momsdemandaction.org/resources/ AFFIRM: https://affirmresearch.org/ NAMI: https://www.nami.org/ APA: https://www.psychiatry.org/patients-families Jed Foundation: https://www.jedfoundation.org/ Megan Ranney on Explore The Space podcast: https://www.explorethespaceshow.com/podcasting/megan-ranney-on-ending-gun-violence/
“Scientists are becoming more and more aware of the need to communicate the importance of science ”
Susmita Pati is Chief Medical Program Advisor for the Alan Alda Center for Communicating Science at Stony Brook University as well as a Professor of Pediatrics at Stony Brook University. We discuss the importance of scientists being able to communicate with the public, what is at stake (credibility & funding), and the tools she and her team have to help us get better, including the upcoming Immersion program. The inclusivity and the importance of this work resonate!
Key learnings
How Susmita came to realize importance of clear communication as the child of immigrant parents
Emphasizing communication skills for when a scientist connects with the public
How aware are scientists about the gap between public expectations and their skill set
The expectation from those who fund science to have the findings be properly communicated to the public
What is at stake when we are asked to speak to the public: credibility and funding
The international impact of the Alda Center to date
Choosing the word “scientist” in creating the scope of this project
The value of creating experiential workshops along the dictum “see one, do one, teach one”
Learning “Yes, and…” along with the value of making your teammates look good
The components that make the workshops maximally effective
Where pushback comes from and what success looks like
The upcoming Medical Immersion and how to apply
Links
Twitter @aldacenter
More about Susmita: https://www.aldacenter.org/users/susmita-pati
The Alan Alda Center for Communicating Science: https://www.aldacenter.org
The Medical Immersion program: https://www.aldacenter.org/medical/immersion The General Medical Workshop page: https://www.aldacenter.org/medical
“In some ways, you’re picking for someone that you don’t yet know”
David Epstein is an investigative reporter and author who just released the exquisite and challenging #1 New York Times bestselling book “Range.” In this conversation we explore specialization in medicine, the importance of having range, & Match Quality, which is the smartest take on the origins of burnout I’ve heard. Absolutely fascinating barely describes David’s research and perspectives this was really fun.
Key Learnings
Walking into the Lion’s Den of specialization in medicine
Increasing specialization in medicine as inevitable, beneficial, but also riven with side effects
Wherein we discuss partial meniscus repair and orthopedic surgeon jokes
The problem with “years of acceleratingly narrow study” in a teacher-student relationship
Specialization as driver or mitigator of burnout in medicine
Match Quality and how it can change how we consider burnout in medicine
The error in thinking that specialized technologies can replace a human doctor
Diversity, pluripotency and our shared journey with Match Quality
The difference between having range and being a dilettante
Reaching outside the core of your normal network to become a better leader and colleague
Enabling range through technology
The concept of Talent-Based Branching and the importance of coaching to help optimize Match Quality
The time of fastest personality change and how it overlaps with when doctors choose their career
The origin of David’s interest in medicine and writing about Sudden Cardiac Death
Links
Twitter: @DavidEpstein
David’s website: https://www.davidepstein.com
Junto Club: https://conversational-leadership.net/junto-club/
“All you can do is deliver the best content”
Jen Gunter is the Internet’s Gynecologist, a New York Times contributor, and an amazing voice on social media. She is simultaneously releasing her highly anticipated book “The Vagina Bible” and her TV show “Jensplaining.” She joins me to discuss how authenticity and expertise brought her to this point, meeting people where they live, and the Jen Gunter Twitter Response Pyramid
Photograph by Chloe Jackson Photography
Key Learnings
The importance of mission-driven decision making in building a body of work
How Jen has become a physician-celebrity without changing her mission
The importance of facts and informed decision-making in Jen’s mission
Creating “The Vagina Bible” and how Jen writes like she talks
The Jen Gunter Twitter Response Pyramid & dealing w/ Twitter attacks
Writing and filming “Jensplaining”
Stepping into a new frontier.
Links
Twitter: @DrJenGunter
Jen’s website: https://drjengunter.com
“The Vagina Bible” https://drjengunter.com/social-media/
“Jensplaining” https://drjengunter.com/tv-show/
Shikha Jain is an Oncologist at Rush University who is an expert at many things: research, public speaking and podcasting. Where she is truly ascendant is in creating spaces for collaboration and community in the form of the Women in Medicine Summit. We have a spirited discussion about Heat-Checks, making conferences forward-facing to the public, and internet trolls.
Key Learnings
The Shikha Jain Heat-Check
The continuum of collaboration from social media to conferences
Origins of Women In Medicine Summit
Including men in conversations and conferences around gender bias
Lost opportunities when conferences are only for a live audience
Bringing conference content to a wider audience
Pluses and minuses around making conference material available live on social media
Inviting people to use social media during a presentation & the impact it has
Being ready for negative feedback & pushing through Imposter Syndrome
Dealing with Internet Trolls and eyebrow insults
Links
Twitter: @shikhajainMD
Shikha’s website: https://shikhajainmd.com
Women in Medicine Summit: https://www.womeninmedicinesummit.org
“I aspire to be the leader that I needed”
Laurie Baedke is Director of Healthcare Leadership Programs at Creighton University as well as an entrepreneur, leadership coach, author and speaker who has helped physicians, organizations and leaders of all stripes do one thing: get better. We tackle how she has dismantled stereotypes, what Growth Mindset means to her (Rose Lavelle’s World Cup goal is prominently featured) and the tension of administrator growth vs physician growth. An absolute treat to speak with her.
Key Learnings
Starting off a career in coaching and speaking
Getting past the stereotype that physicians resist outside input
Laurie’s expertise in building growth through seeking insight from her audience
The importance of the word “Growth” to Laurie
Rose Lavelle’s beautiful goal at Women’s World Cup as a representation of a Growth Mindset
Wherein we tackle The Graph and the growth of healthcare administrators juxtaposed against static numbers of physicians.
The importance of growing programs with more well-trained physicians, not simply leveraging more work on the existing workforce
Laurie’s upcoming heat-check (links are below)
Links
Twitter @lauriebaedke
Website: https://www.lauriebaedke.com
Growth Edge Podcast: https://growthedge.libsyn.com
Rose Lavelle’s goal: https://www.foxsports.com/soccer/video/1563791939863
The Graph: https://fee.org/articles/the-chart-that-could-undo-the-us-healthcare-system/
Brave Enough Conference: https://www.braveenoughconference.com
Women In Medicine Summit: https://www.womeninmedicinesummit.org
Career Advancement & Leadership Skills For Women In Medicine: https://womensleadership.hmscme.com
“I’ve never regretted having agency. I’ve only been ashamed of the times when I didn’t value my own voice.”
Rana Awdish is an ICU physician, Medical Director of Care Experience for Henry Ford Health System, and the author of the stunning book “In Shock.” In this discussion we go into the darkness and make our way back towards the light while discussing her lived experience and this extraordinary book. Rana is tough, brilliant, and amazing to speak with, this is important stuff.
Key Learnings
The unrelenting nature of Rana’s journey
Walking into the Darkness around the culture of medicine
Seeing the book become something foundational in repairing our culture
Findings partners with a vision to make healthcare better and do it in a scalable way
Exploring the concept of “assuredness” and recognizing it is a learned skill
Why saying someone does or does not have a good bedside manner can be a lie
Fostering values instead of demonstrating a checklist approach to communication
Safe spaces to communicate with ourselves and our teammates
Recognizing the extent of injury to physicians and the acceptance of it as “normal”
The act of firing a physician
Why Rana didn’t share the book with anyone until after publication
Which book is the fictional equivalent of “In Shock”
Parts of life that feel different now
Two amazing stories about letting your spouse edit your book and how illness illuminates a relationship
The role clinical medicine plays in her life & making the decision to go back to work
Links
Twitter: @RanaAwdish
Rana’s website: https://www.ranaawdishmd.com
“The new academic has the potential to release the research Kraken”
Teresa Chan is an Associate Professor of Emergency Medicine at McMaster University and Social Media Lead for the Department of Medicine. She is also a cornerstone in the emergence of digital and social media in the profession of medicine. We discuss her extraordinary list of achievements to date, the importance of job security, #SoMe as a leveler, and the fun of mentorship in this space. She is smart, accomplished, witty, and a true visionary.
Key Learnings
An incredible checklist!
Connecting digitally as a tool for driving creativity and research
Boardgames!
Job security as an accelerant of social media use
Leveling the professional playing field on social media
How employers, journals & professional societies are adapting to the new social media landscape
Folding Instagram into the current #SoMe workflow
Excitement around mentorship in the social media world and the thrill of elevating others
Links
Twitter @TchanMD
Google Scholar: Teresa Chan
Teresa’s website: www.TChanMD.com
“I’m in the unique position to say things that physicians can’t.”
Janae Sharp is the founder of The Sharp Index and a powerful voice for physician well-being in the wake of her husband’s suicide. She is a remarkably strong person and an incredible physician advocate. We cover the current state around physician burnout, what makes us angry, creating The Sharp Index, and her wish list to make things better including a proper Next-Level Bonkers idea (23:20)
Key Learnings
Coming to decision to share her story around physician suicide
Places where things are getting better around physician suicide and burnout.
Frustrations and anger around blame-shifting & lack of attention for survivors
Why the voice of non-physician is so resonant in speaking on behalf of physicians around burnout and suicide
The seed crystal idea behind creating The Sharp Index and demonstrating the maxim “perfection is the enemy of progress”
Learning about the impact of electronic health records with her health IT background.
Wherein Janae drops a Next-Level Bonkers idea!
The challenge of tempo
Links
Twitter: @CoherenceMed
The Sharp Index: https://sharpindex.org
“We have to be sure we create the world where everybody is heard, everybody has value, & we embrace everybody”
Tom Varghese is the Executive Medical Director of The Huntsman Cancer Institute and a Cardiothoracic Surgeon. He is also an incredibly kind and positive ambassador for the profession of Medicine on stage, in the OR, and on social media. We discuss a new day in surgical culture, being a He for She ambassador, and how men can be allies in the fight for gender equality in medicine
Key Learnings
Tom’s evolution on social media and impact of positive communication
How’s Tom’s approach reflects on a new era of building culture in the profession of surgery and in the operating room
The apex of the hubris pyramid and the epic Alec Baldwin “I am God” monologue
Appreciating every person and role that participates in surgical care
Being a #HeForShe ambassador and the culture of accountability & transparency that accompanies this work
The pushback Tom has received for his advocacy work
Women that we can all look up to in the world of surgery
Wherein Tom takes the stage to help men learn to be advocates for gender equality
Links
Twitter: @tomvarghesejr
Women in Medicine Summit, Chicago: https://www.womeninmedicinesummit.org/
Association of Women Surgeons Annual Meeting: https://www.womensurgeons.org/page/AnnualConference
“Uncertainty never goes away. You just cultivate this beautiful, terrible relationship with it over time”
Jennifer Best is Associate Professor of Medicine and Associate Dean of Graduate Medical Education at University of Washington. She joins us after spending several weeks serving as supervising attending physician for a multidisciplinary team including a group of new Internal Medicine interns. We discuss helping change mindset from medical student to physician, building a relationship with uncertainty & answering the question “does this get easier?”
Key Learnings
The mindset needed for an attending to help interns settle in and create group expectations
An exercise in team-building that resonates and why Medicine Team A is hired
Recurring tension points that Jennifer is alert for working with new interns (this is gold!)
Why its time to retire “Intern” as a label
The value of direct language in a team structure
Building a relationship with uncertainty
Superstitions & nutrition points that are passed down through the generations
Does this get easier?
Links
Twitter: @drjenniferbest
“This required a grassroots presence that we now have in every single state, this army of badass women fighting every single day.”
Shannon Watts is the founder of Moms Demand Action, author of “Fight Like A Mother” & a generationally-important activist on the issue of gun violence. We discuss the extraordinary progress made by her and her team in the past 6.5 years against the National Rifle Association & towards a safer gun culture in the United States, as well as look into the creation of one of the largest grassroots movements in American history
Key Learnings
Shannon’s vision of where the movement is and identifying where and how to play offense and play defense
Why Shannon, her team, and the entire movement will not be intimidated & will stay on message
The importance of being a non-partisan organization which welcomes anyone into the coalition
Barriers to progress aside from the NRA
Preparing for the 2020 Presidential election cycle & seeing candidates mirror the message of Mom’s Demand Action
Which convention would Shannon prefer to speak at?
Leveraging her memory and her training to tell high impact stories and hold people accountable
The value of social media and the value of going back to print
Creating one of the largest grassroots organizations in our nation’s history & the concept of “Mothers & Others” to expand the movement
The importance of self-care in being an activist
Other leaders and influencers that Shannon is inspired by
Links
Twitter & Instagram: @shannonrwatts
Mom’s Demand Action: https://momsdemandaction.org
Fight Like A Mother: https://www.harpercollins.com/9780062892560/fight-like-a-mother/
Esther Choo is an Emergency Medicine physician, a founder of TimesUp Healthcare, and a cornerstone voice driving progress in our profession. She is a remarkable voice on social media, on stage, and in the press. Her research, creativity, and passion are rocket fuel for change; she is highly sought-after and after speaking with her it is clear why!
Key Learnings
Being one of the key influencers for our profession on social media and beyond
The moment her social media presence took off and comparing impact to writing for academic publication
Reconciling tension between effort and visibility
How Esther deals with, learns from, and ignores criticism on social media
The art of sharing controversial and provocative takes and trusting your audience will provide guidance on “bad” takes
Her path to becoming a student, expert, and spokesperson around issues of gender bias
The formation & mission of TimesUp Healthcare and the historical foundation it is built upon
Sharing stories of curtailed opportunity, gender-based discrimination, and the loss of so many talented women who left the profession
Speaking outside of the echo chamber to audiences on challenging subjects and her techniques for disarming a crowd
Starting Equity Quotient and developing metrics and measurements around discrimination and harassment
The sensation of being “in demand” and turning it into an opportunity to elevate others
12.
Links
Twitter: @choo_ek
TimesUp Healthcare: https://www.timesuphealthcare.org
Equity Quotient: https://www.eqmedicine.com
“I remember him turning to me and saying ‘Hey Doc, you ready?'”
Claudia Schaffner is one of the first women in our nation’s history to be awarded the Combat Medical Badge, which she earned for her service as a medic under fire with the 1st Armored Division during Operation Iraqi Freedom. She joins us to discuss her experiences in combat and being a groundbreaking woman in the United States Army. She also shares how the CMB connects her to her Grandfather, who won the same award during World War II. This is a remarkable conversation with a brave soldier and great leader.
Key Learnings
Preparations and training for her first deployment in Iraq and realizing that she would be going into combat
The moment she first answered the call for aid in combat
One story…
The meaning of the Combat Medical Badge
Hearing that she was initially not receiving a CMB while men who had done the same work were receiving one, then subsequently learning she was receiving one as well
The “Stars & Stripes” article summarizing the award ceremony where Claudia and her teammates received the CMB
The connection between Claudia and her Grandfather who also received a Combat Medical Badge during World War II
The conversation she had with her Grandfather and learning about his own incredible story
Her journey over 4 tours in Iraq, moving into a leadership role, and her perspective on leading in medicine
The work she is doing now to heal, regroup, and move on with her life.
The importance of staying in touch with the men and women she served with and led during her time in the Army
Links
Twitter: @SchaffnerCK
Stars and Stripes article: https://www.stripes.com/news/1st-ad-medics-given-combat-medical-badges-during-baghdad-ceremony-1.17948
“This is about trying to shatter all myths, all notions about gender equity within these institutions of medicine, of science, of global health”
Jocalyn Clark is the Executive Editor of The Lancet and has her PhD in public health and women’s studies. She joins us to discuss how to drive international change around gender equity & the exceptional 2/9/19 Lancet issue, the impatience she and her team feel, and why change must come from institutions.
Key Learnings
A snapshot of The Lancet’s background, the current pivot in content, and the dedication to providing excellence in science along with analyzing the world’s most pressing issues.
How The Lancet has become a leader in gender equity and the fantastic February 9th, 2019 issue
Constructing an special issue that is intentionally forward facing (it’s free) and available/designed for a broad audience
Ways the editorial staff at The Lancet push one another to drive towards excellence and change
Leading towards change in traditional institutions by breaking out of silos and integrating new thinking
The value and importance of showcasing medical voices to culture at large on a consistent basis
What the response for this work has been from traditional audiences and new audiences
The Lancet’s superb editorial on abortion and the call for other journals to step forward and show leadership as well.
How Jocalyn is expressing her leadership
What is coming next from The Lancet
Links
Twitter: @jocalynclark, @TheLancet
Lancet issue on gender equity: https://www.thelancet.com/issue/S0140673619X00069
Lancet editorial on abortion:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31182-1/fulltext
Nick Watts & Lancet Countdown on Explore The Space https://www.explorethespaceshow.com/podcasting/nick-watts-on-climate-change-human-health/
Jeffrey Drazen on Explore The Space: https://www.explorethespaceshow.com/podcasting/jeffrey-drazen-on-the-interface-between-medicine-society/
“The Case for Desegregation” https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31353-4/fulltext
Avital O’Glasser is back to discuss our recent Explore The Space White Paper addressing the question of social media on the ERAS application for residency and fellowships in medicine. The demand for how we can all modernize the way we promote ourselves including our social media work is growing quickly, this second White Paper plays an important role.
Links:
White Paper 1: https://www.explorethespaceshow.com/podcasting/white-paper-on-social-media-cvs/
White Paper 2: https://www.explorethespaceshow.com/podcasting/white-paper-on-social-media-eras-application-for-residency-fellowship/
Avi on Twitter: @aoglasser
“My favorite speeches are when I go to places that aren’t receptive to the climate justice message and I can just school them.”
Jamie Margolin is the founder of Zero Hour, creator of the upcoming World Climate Summit, and one of the world’s most important climate activists. She’s also getting ready for her senior year of high school. We discuss how she rose to prominence, the goals of the World Climate Summit, her incredible Teen Vogue article, and her ability to seek out and handle confrontation. An amazing conversation with an exceptional leader.
Key Learnings
Seeing natural beauty juxtaposed with clear evidence things are wrong with the environment
Sharing a feeling of existential dread
Getting some reps in local politics and building off how the 2016 presidential election made her feel
How Jamie started with social media and learning to leverage those tools to drive her work
Creating a vision for a youth climate march and executing on the vision to create (link) youth climate march
The incredible leadership skill set she has developed
The goals of the Youth Climate Summit
Applying for college and her remarkable Teen Vogue article
Her ability and desire to step out of echo chambers and confront people and organizations
Dealing with all of this work and still being a high school student
Links
Zero Hour: http://thisiszerohour.org/miami/
The Youth Climate Summit: http://thisiszerohour.org/miami/
Twitter, Instagram, Facebook: @thisiszerohour, @jamie_margolin
Seth Hain is Vice-President of Research & Development and Chris Mast is a Family Medicine physician & Vice-President of Clinical Informatics at Epic. They join for a candid and broad conversation of the current state and future goals of Epic. We also cover their understanding and perspective of challenges and frustrations coming from end users. Epic staff very rarely do any kind of press, it was absolutely fascinating to get behind the curtain.
Key Learnings
Background on rise and growth of EHRs, affirming that we are not going back to paper charting, and identifying points of tension
What is their sense of the “temperature” of the end-users of Epic and the barriers keeping us from the ideal future state
Closing the training, implementation, and experience gap
Steps to build and rebuild perceptions and trust
What they see and hear from the peer-reviewed literature and social media regarding the work they do
Wherein we discuss this JAMA paper
The connection of physician and health care provider burnout and EHRs
Social media commentary and how much of a role does this play in driving work they do
Receiving and integrating individual physician voices who reach out to Epic with concerns and the importance of local Epic champions.
Warren Binford is a Professor of Law at Willamette University and an internationally recognized children’s rights scholar and advocate. She was part of a group that recently toured the Customs and Border Patrol Detention Center in Clint, Texas where hundreds of children who have been separated from their families are being held. In this episode we discuss what she saw, what she heard from the children, and where concerned people can channel their energy to help drive change.
Links
Twitter: @childrightsprof
Raices: https://www.raicestexas.org
ACLU: https://www.aclu.org
“You can’t lead others until you understand how to lead yourself”
Mark Hertling returns to Explore The Space to discuss leadership through the prisms of character and resilience. His insights from a career as an officer & 3-star General in the US Army and his current work training physician leaders are truly remarkable. We cover character, servant leadership, resilience, and many other essential elements of leadership.
Key Learnings
The value of getting reps & being humble, positive and reinforcing when starting out on a new media journey
Building new cultures with the inclusion of many different cultures and perspectives to get the best ideas to move forward
Defining leadership through an individual’s character and what character means
Understanding your own character and when you are ready to lead by harvesting feedback and perceptions from others
Being a 22 year old Lieutenant leading a tank platoon, then 40 years later leading US Army-Europe as a 3-Star General and how character drives decision making in either setting
Our shared central dogma of decision-making: patient first, team second, individual third, also known as servant leadership
The stressors of competing requirements that can push against a central dogma, and how character and self-reflection can help keep someone on tract
Some excellent social media usage rules to live by
Wherein we tackle the concept of resiliency and the challenge of trying to define the term
How resiliency is and is not connected with burnout
Why Mark says being a doctor is harder than being a military officer
Links
Twitter @markhertling
“The best antidote to a feeling of despair is progress, and that’s what we are seeing now”
David Wallace-Wells is a Deputy Editor & climate change columnist with New York Magazine & the author of “The Uninhabitable Earth” a book which caused a tremendous stir around where our planet is heading due to climate change. We discuss overcoming complacency, why we should end fossil fuel subsidies, and the importance of progress and discussion to overcome despair. His sense of urgency and clarity of message is incredibly compelling!
Key Learnings
How the book has been received, and how it’s a reflection of how serious climate change is being viewed
Honing in on the impact the book and the response has had on David himself
The ripple effect from the UN Report on Climate Change using alarming and clear language and how his book has served as an accelerant
Being both a journalist and an activist
Reflecting on how we viewed climate change during the 1990s, how complacency reigned, and how complacency can be overcome
Data behind the horrifying trajectory of natural disasters including wildfires in California, the warming track we are on now, and the projected toll on human life
Why ending fossil fuel subisidies is David’s first step towards rapid change
Why we need to focus on large scale changes we can enact through new policies and the vital need for individuals to participate in driving political action around climate change
Resources for learning more and the importance of talking about climate change with one another!
Links
Twitter @dwallacewells
UN Report on Climate Change 10/2018 https://www.un.org/en/sections/issues-depth/climate-change/
New York Magazine article on California wildfires http://nymag.com/intelligencer/2019/05/los-angeles-fire-season-will-never-end.html
Carbon Brief: www.carbonbrief.org
350.org: www.350.org
“Each and every one of us, we have a story to tell. Using that narrative to change the hearts and minds of Americans, that’s what will move the needle forward. ”
Joseph Sakran is a gun violence survivor and a Trauma surgeon at Johns Hopkins. He helped launched #ThisIsOurLane in November of 2018 and has since been a lightning-bolt advocate around stemming the gun violence epidemic. We talk about driving change, creating an inclusive movement, and changing the narrative around gun violence. An amazing discussion with a vital leader.
Key Learnings
A quick word about our new Instagram feed @explorethespaceshow and also about Rock The Ride
Learning to appreciate the power of his personal story as a driver of change
The rise of #ThisIsOurLane and how the issue of gun violence came to the forefront with physicians & healthcare workers
Overcoming the unofficial gag rule around physicians discussing gun violence and feeling inspired by this movement
Identifying a disparity between the gun lobby and gun owners along with recognizing the importance of word choice.
Helping people understand the many different ways they can engage with this issue
The introduction of @Dontlookaway to ensure the whole story is told by using images of gunshot wounds on ammunition boxes
How to maintain a sustainable tempo in activist work and serving as a “circuit-closer” to grow this movement
Links
Twitter @josephsakran
“There’s a lot more listening and amplifying that needs to happen that doesn’t involve a white man’s perspective”
Caitlin Thompson is the creator and publisher of Racquet Magazine and host of Racquet Magazine podcast. She joins us to discuss the parallel path, tennis and healthcare are on around elevating creativity and new voices, resolving ongoing issues with gender bias, and her spectacular viewpoint on what makes a growth mindset. She is an incredible voice for change!
Key Learnings
Caitlin’s evolution as an athlete, journalist, publisher, and advocate
Finding overlap around bringing people together under one umbrella and elevating something we love
The importance of staying on mission and the recognition that operant words are interchangeable
A few words about Roger Federer & players who engage with fans and society at a high level
The parallel roads professional tennis and healthcare are walking around gender bias, and tennis as microcosm of the challenges faced
The importance of Title IX and moving towards gender parity in her publications to find new storytellers and fresh storylines
Reflecting on how we are over-indexed for people who look a certain way instead of a proper representation of population
The need to get out of our own way and the build-in challenges women face
Gender-based compensation disparities overlapping in tennis and in healthcare
Finding the toughness to press past being told “you can’t do this” and defining her growth mindset
Links
Twitter: @caitlin_thomps, @racqetmagazine
Instagram: @_caitlin_thompson, @racquetmag,
Racquet Magazine: www.racquetmag.com
Racquet Magazine Podcast: https://racquetmag.com/podcast/
“I don’t think anyone expected the rates of melts that we found. It’s really alarming”
Rob Larter is a marine geophysicist with the British Antarctic Survey who studies ice sheet history and climate change. He joins us to discuss his research as part of the International Thwaites Glacier Collaboration, being on the front lines of climate change science in the Antarctic and making the connection between his work and the potential impact on human health
Key Learnings
What it’s like to be a scientist and explorer in Antartica on board a ship
Focusing on rapid and accelerating ice loss in West Antarctica, which is the biggest unknown in predicting sea level rise
The experience of watching a glacier shatter
The way research seasons in Antarctica work and the layering of research
When he noticed a shift in rhetoric around climate change and the debate moving towards “what can we do about it”
Connecting his research and the impact of sea level rise, climate change & human health
Wherein we take a deep dive into the Thwaites Glacier, the rate of ice loss that is occurring and have we passed the point of no return in the West Antarctic ice sheet. This is scary…
Waiting to get back to the glacier and what’s next in his work
Recommended depots of information on climate change and Antarctica and our shared struggles with paywalls and PubMed hell
Links
Rob’s British Antarctic Survey page: https://www.bas.ac.uk/profile/rdla/
British Antarctic Survey: www.bac.ac.uk
International Thwaites Glacier Collaboration: www.thwaitesglacier.org
Twitter: @rdlarter, @BAS_News, @GlacierThwaites
“I am in a unique position to be a voice where some people may not feel empowered to be that voice because of all that they have gone through”
Jasmine Marcelin is a prototype modern physician, she wears many hats which are deeply mission-driven. She joins us to discuss the impact of diverse teams on patient care, where her focus comes from, &dealing with bias as a woman of color & and as a foreign medical graduate.
Key Learnings
Defining the skill set for the 21st Century physician as Pluripotent
How to avoid perception of “dabbling” when doing many different things
The importance of recognizing our patient’s diversity and how it positively impacts care
How Jasmine’s practice and outlook were informed by her mother’s breast cancer diagnosis & subsequent treatment
Teaching the “hidden curriculum” in medicine and the value of “In Shock” by Rana Awdish
The importance of ensuring patients feel like they’re being taken seriously and avoiding labeling a patient as “difficult”
Becoming a doctor as a black women, and when she first began to experience racial bias and microaggressions
Wherein Jasmine speaks Pure Fire. Just pure fire
A painful & important discussion around bias and aggression aimed at foreign medical graduates
The value proposition of diversity in medical leadership, and the next phase of Jasmine’s career
“My favorite part of the job is finding something that City Hall is doing wrong that’s negatively affecting regular people who live here and hammering them over and over until they fix it.”
Heather Knight is a columnist with the San Francisco Chronicle who covers The City from street-level. She shares stories from the hardest edges up to the halls of power and her columns are superb. We discuss pushing powerful people towards change, leveraging individual stories, responding to calls of “Fake News, and the fun side of #TotalSF
Key Learnings
The power of having access to political leaders especially when writing about Social Determinants of Health and the problems facing a city.
Heather’s favorite part of the job and why she cares so much.
The impact of social media on the stories she writes, with an incredible column about car break-ins in San Francisco
Writing about the unfair billing practices at San Francisco General Hospital and learning about the connection with the Board of Supervisors for the city.
Putting a spotlight on the issues of homelessness & drug dealing in San Francisco and wanting to see the city take proactive steps to address them.
The power of stories from the streets, including “Alice who lived at the Burger King doorway.”
Setting these social issues as something aspirational and as educational tools for future generations of physicians and healthcare professionals
Dealing with calls of “Fake News” and current challenges of being a journalism
What’s coming up on Heather’s agenda. (Here’s the incredible story since published after this interview)
Showing the wonder, the fun, and the dynamic side of San Francisco through #TotalSF
Links
San Francisco Chronicle: www.sfchronicle.com/subscribe
Twitter: @hknightsf
San Francisco City Insider Podcast: https://projects.sfchronicle.com/tools/podcasts/
“Be able to acknowledge the limits of knowledge, be authentic, and invitational to other perspectives on the edge of the unknown”
Alexa Miller is an artist and creator of Arts Practica, which builds experiential learning opportunities that allow leaders, practitioners, and teachers in healthcare to be more effective and mindful in uncertainty. She joins us to discuss the incredible rise of her work, the impact it’s having, and the ways we can liberate our powers of observation.
Key Learnings
A reading and discussion on the importance of a curious spirit
Understanding the ripple effect of her work and seeing the lineage grow
The rapid growth of art, observation, and medicine and what makes our profession want to be so agile around this topic.
Data, impact, and response to using these tools
How a tour with Alexa begins and a discussion of the value of space
The ways in which art and the power of observation at the edge of uncertainty applies to other industries
Being a Fellow for the Society to Improve Diagnosis in Medicine
The wonder of dotMD
What we should do with liberated energy as a tool for getting better?
Links
Arts Practica: http://www.artspractica.com
Twitter: @artspractica
dotMD conference: http://www.dotmd.ie
Looking with Uncertainty (Instagram): https://www.instagram.com/lookingwithuncertainty/
“We have a human right to have a child, to not have a child, and to parent a child in safe and healthy communities.”
Dani McClain is a journalist and writer who has been covering the issues of reproductive justice and the black maternal health crisis. She joins us to discuss her experiences being pregnant, the impact of implicit bias in medicine, & the importance of cultural congruence through the prism of her incredible essays and her new book, “We Live For The We.”
Key Learnings
Dani’s reporting background in reproductive rights and reproductive justice
Deciding to report on the black maternal health crisis
Step into the tension of Dani’s experience entering her doctor’s office
How shame can enter into the narrative and perceptions for women of color when they seek healthcare
Assessing the connection between maternal health & implicit bias
Hearing from young black women who feel “terrified” to have a child and how it informs her reporting and storytelling.
The importance of cultural congruence & the impact it has on driving trust and information sharing. Basically, the answers to the test are provided
Where Dani sees her role in the work going forward.
Good places we can all look for information for better decision, including her incredible book “We Live For The We” and the origins of that
Wherein Dani recognizes her role as a leader in the work of reproductive justice and demonstrates the right kind of comfort in promoting her superb writing
Acknowledging the increased fear and anxiety carried by black parents around keeping their children safe in America, and her incredible article in Time magazine on the subject.
Links
Dani McClain’s website: www.danimcclain.com
Her new book: “We Live For The We: The Political Power Of Black Motherhood”
Twitter: @drmcclain, Instagram: @dani_mcclain
The Nation: https://www.thenation.com/article/what-its-like-to-be-black-and-pregnant-when-you-know-how-dangerous-that-can-be/
Time Magazine: http://time.com/5586869/black-children-joy/
Rebecca Kotch is the Director of Rock The Ride, which is a fundraiser for gun violence prevention efforts taking place this June. She stepped into being an activist around gun violence after the Yountville VA Home shooting and she joins us to discuss becoming an activist, levers anyone can pull to join in a fight that meaningful, and how people can support Rock The Ride.
Key Learnings
The origin of Rebecca’s activism around gun violence
The importance of being resolute and saying “we’re doing this”
How gun violence has invaded all of our lives
Levers to help individuals break the inertia around become active in a cause that’s important to them
Learning about the myriad groups and individuals working on gun violence projects
How people who live locally and far away can all participate and engage with Rock The Ride and the 3 non-profits that benefit
The importance of including and learning from younger generations in activist work
Dealing with pushback, the impact of changing minds, and breaking out of an echo chamber
Opportunities to expand the reach of Rock The Ride and leaving every guest with 2 action items they can walk away with
The importance of activating physicians and healthcare workers, and the numbers that are turning out to support Rock The Ride
Links
Rock The Ride: www.rocktheridenapa.com
Facebook @rocktheridenapa
Instagram @rocktheride
Twitter: @rocktheridegvp
Moms Demand Action: https://momsdemandaction.org
Giffords: https://giffords.org
Team 26: http://www.team26.org
The Yountville VA Home shooting: https://www.nytimes.com/2018/03/09/us/yountville-veterans-home-shooting.html
“The key is always trying to get better, do better and be better and figure out how to bring people along on the journey.”
Arghavan Salles is a surgeon and a PhD who has an incredible fan base on social media & was the most-requested guest when I posed the question several months ago. She joins us for an amazing discussion of her authenticity around gender discrimination, being a perfectionist, and the art of saying No.
Key Learnings
Why does Arghavan think she was so heavily requested by #MedTwitter
Where her motivation to talk openly about her personal struggles come from
The most powerful tools for sharing stories & how she selects where to publish, including her superb article in USA Today on women’s anger & gender discrimination
The ripple effect of writing in Time Magazine about egg freezing and infertility and hearing from many other women who had been struggling in silence
The tension between pouring energy and years into an academic article which quickly fades, being in a mainstream article that persists for years, and what this means for academic journals
The current dynamic that occurs wherein physicians are forced to publish in academic journals that exist solely as a repository of this material
Where her awareness of gender discrimination came from during her training, learning about stereotype threat, and being advised not to research gender discrimination
Are the ranks of those who work to make things different growing?
Being a perfectionist and fearing failure as a physician, mentor and teaching
One aspect of teaching Arghavan does not enjoy and how her desire for perfection interferes with her ability to teach
The resonance of Arghavan’s approach of always wanting to get better, knowing that she won’t always succeed, and doing it anyway
Times where carrying heavy weight feels like it’s too much and how she cares for herself
The art of saying “No”
Wherein I share one of my Imposter Syndrome reflexes
Step into the tension for an oral surgical exam question with Dr. Arghavan Salles!
Links
USA Today article: https://www.usatoday.com/story/opinion/voices/2018/10/24/angry-women-voting-discrimination-column/1696287002/
Time Magazine article: http://time.com/5484506/fertility-egg-freezing/
Arghavan’s Behind The Knife podcast episode: https://behindtheknife.libsyn.com/159-mock-orals-9-upper-gi-and-bariatrics-with-dr-arghavan-salles
“All we are doing here is feeding the squeeze if we don’t turn this thing back”
Eric Topol is one of the great bell-weathers in medicine, his new book “Deep Medicine” looks to the future and he joins us to discuss. You will not hear the trumpets of how great artificial intelligence and machine learning are, in this conversation we sound the alarm for both physicians and patients & discuss the tension of whether new tech is margin vs patient-centered.
Key Learnings
Being a bell-weather
The value of feeding on one another’s interests, fears and hope to build common purpose and activism
Why “Deep Medicine” is a warning about a potentially destructive and dangerous future for medicine
Pushing back against discourse saying AI can and should shrink the physician workforce
The need for physicians to have a say in what and how gets shifted and changed by new technologies
Wherein we debate a rational first phase of deploying this new technology
The tension around margin-driven vs patient-driven technology and the need for physicians to be “relentless”
Wherein we get one another all fired up
Eric gives a nice summary of elements that are currently FDA approved and are moving forward
Why Deep Medicine is a powerful warning
Links:
Twitter: @erictopol
“Being courageous is taking that step confidently without any guarantee of a result”
Valorie Kondos-Field is one of the greatest coaches in history at any level, ever. She won 7 NCAA championships, 15, PAC-12 championships & coached hundreds of extraordinary athletes over nearly 3 decades as Head Coach of the UCLA Women’s Gymnastics team. She joins us & shares incredible wisdom around creating a high performing team, taking teammates to another level of performance, and sharing her breast cancer diagnosis as well as the best questions to ask children as they enter competitive sports.
Key Learnings
When Mark first interviewed Coach Val 22 years ago
Building in a dynamic wherein new teammates can buy in quickly, find their voice, and take ownership
How to encourage a Growth Mindset as a leader without it sounding like a platitude.
Coach Val’s approach to remediation and the single most important step to changing behavior
Taking extraordinarily talented people to a higher level than they thought possible
Using her own leadership tools as a way to move through her breast cancer diagnosis in 2014
Sharing personal challenges with your team as a leader, and how Coach Val informed her team she had breast cancer
The power of courage and transparency in sharing her cancer diagnosis and treatment with her athletes.
The next phase of her career and sounding the call for how we challenge and support children around sports and competition.
Links
Coach Val’s website: www.officialmissval.com
Coach Val’s Twitter: @OfficialMissVal
Megan Ranney is an Emergency physician & a national leader in the gun violence prevention movement. She joins us after working overnight in the ED to discuss this growing movement, the gag rule on gun violence discussion since 1996 & the Dickey amendment, and her wish list to keep building momentum. Megan is an extraordinary leader & this is a vital discussion
Key Learnings
Why Megan is my kind of leader
Getting physically, mentally, and emotionally ready to deal with gun trauma
The effect a bullet has on the team taking care of the person who’s been shot.
An epiphany around how we haven’t been talking about prevention with respect to gun violence in medical education
Wherein Megan shares being told she was not allowed to talk about gun violence and we learn about an unofficial gag order after The Dickey Amendment
Important turning points in igniting firearm research like Sandy Hook
Creating hope around gun violence prevention and sharing the weight in this heavy work
Breaking the false dichotomy of being against gun violence meaning you’re anti-Constitution and learning from Congressman Mike Thompson that physicians must stand up
Levers we can pull to help bring other people aboard
The absurdity of gun violence prevention being a partisan issue
Speaking about Rock The Ride as an example of the growing movement
Megan’s wish list (this is awesome!)
Links
Affirm Research: www.affirmresearch.org, @researchaffirm
Rock The Ride: www.rocktheridenapa.com
House Resolution 8: https://www.congress.gov/bill/116th-congress/house-bill/8
“Doctors are looking for a place to put bigger ideas”
Bryan Vartabedian is a bon vivant physician on social media. He’s been active on Twitter for over a decade, he blogs, he podcasts. This is a wide ranging chat on hype cycles, technological determinism, & getting rid of stupid stuff. Fantastic stuff w/ tons of links below, enjoy!
Also, Bryan will be onstage at the upcoming dotMD festival, widely reputed to be the most fun, interesting, and all-around wonderful medical conference on the planet.
Key Learnings
The value of the unscripted podcast interview
On being an early physician adopter on Twitter, as Bryan started in 2008
Twitter use, overuse, and finding the sweet spot.
The explosion of social media and medicine and how we can engage with non-physicians who are seeking to learn more.
The fun & value of interacting with people who aren’t physicians on Twitter
An epic battle over getting our best stuff out there and dumb medical journal publishing guidelines
The hierarchy of where to publish content for best reach and best effect
Importance of tempo in publication in the 21st century: White Paper w/ Vinny Arora (@futuredocs) & Charlie Wray (@wraycharles) as example
We deep-dive on long Twitter threads w/ educations view (#MedThreads), including the masterful work by Tony Breu (@Tony_Breu on Twitter)
Social media hierarchies & capacity for influence
Why this is the most interesting time to be in medicine & being at the apex of a hype cycle (why this episode needed to be unscripted!)
EHRs, frustration, and “Getting Rid of Stupid Stuff”
Wherein Mark learns about “Technological Determinism”
Links
Bryan’s blog: https://33charts.com
The Exam Room Podcast: http://touchpoint.health/shows/the-exam-room/
The Gartner Hype Cycle: https://www.gartner.com/en/research/methodologies/gartner-hype-cycle
Avi O’Glasser’s (@aoglasser) episode on Explore The Space discussing physicians and social media
Vinny Arora & Charlie Wray on Explore The Space discussing social media & professional CVs
“On the path to achieving something extraordinary, you will do extraordinary things.”
Rob Mitchell spent a career serving in the Navy SEALs & the CIA. He has since built a lengthy list of completed endurance events and ultramarathons. He joins me for a fascinating conversation around accessing toughness in different situations, staying calm in a crisis & not comparing your toughness to your perception of anyone else’s.
Key Learnings
Rob’s initial reactions to his being described as “tough” or having “toughness”
Different pathways that would call on someone to exhibit characteristics of toughness: internal & external
Walking an internal pathway where you can test yourself and your own toughness moving towards a goal & committing to an outcome.
How to tap necessary levers of toughness to walk towards a goal & fulfilling a commitment
What makes up the essence of focus
The other path requiring toughness where time is compressed & the need for toughness is thrust upon them by external factors.
Are the skills to move along the second pathway similar to those of the first?
The importance of staying calm and having faith in oneself as part of a crisis response
How a support team impacts the journey and the vital nature of infrastructure, clarity, & accountability
The euphoria that can accompany the journey and the importance of not comparing one person’s journey to your own.
Shawna Pandya is pluripotent. Whether it’s medicine, spacesuit testing, diving, or martial arts, she stays out on the sharp edge & has made a life out of pushing limits. Her stories and approaches to pushing past individual boundaries are that rare mix of accessible and inspiring. Another unique highlight: hearing her parakeets respond to her enthusiasm
Key Learnings
Some quick-hitter questions
When did the spirit of adventure strike?
Living by the credo “this looks fun, let’s try it, and I’m still here so let’s do the next thing”
Mark’s skydiving story (thanks Dave) & Shawna’s skydiving story. Hers is crazier
How pushing one’s limits helps define one’s character
Pursuing boundaries so you can see what lives beyond them
Living according to Newton’s Laws of Motion
Shawna’s approach to fighting & this image
The importance of building fundamentals, setting goals, & focusing on values
The physiology of aerobatic flight and discussing this picture (and the parakeets went bonkers!)
A deep-dive into concepts of resilience and how physicians can take agency over the component that can help drive success & fulfillment
Is Shawna’s goal to be an astronaut?
Links
Shawna Pandya’s website: http://shawnapandya.com
Twitter: @shawnapandya
I was fortunate to present a talk entitled “Hospitalists In A Disaster” at the 2019 Society of Hospital Medicine Annual Meeting on March 25th, 2019. This is the audio version of that talk. The slides associated with it are in the Links section below. While the talk was directed towards Hospitalists, it is easily generalizable to any division or department within a hospital.
Links
Slides associated with the talk in PDF form:
Hospitalists In A Disaster SHM final 2
“Hospital Leader Blog” post I wrote in advance of the talk:
https://thehospitalleader.org/hospitalists-in-a-disaster/
“The Hospitalist” article published after the talk
https://www.the-hospitalist.org/hospitalist/article/197476/mixed-topics
Bret Scher is a Cardiologist, author, and host of Diet Doctor podcast who has found a vital path in helping people understand the complex world of food through conversation and science. He joins us to discuss the importance of food discussion across all demographics, dealing with cravings and cheat days, and developing a sustainable individualized approach to eating that helps optimize health
Key Learnings
Tracking just how frequently people ask doctors about food and how confusing this area has become
Going up against the central dogma of the carbohydrate-based food pyramid from when we were kids
How Bret moved from feeling disillusioned to motivated as a practicing Cardiologist
Identifying the opportunity we now have to better connect patient and provider on a subject of tremendous interest and importance
The great breakthroughs that come with inquiring about the foods people like and why they like them
The correlation between nutrition and belief and the browbeating and arguments that follow
Splurging, cheat days, cravings, and how we can consider and handle them
The sustainability of modern nutritional approaches through the development of an individualized approach
Reflecting on a very powerful and vivid conversation Bret and I had nearly a decade ago around finding sustainable career paths
Links
Bret’s website: www.lowcarbcardiologist.com
Bret’s Twitter: @bschermd
Amitha Kalaichandran is a physician and a journalist who wrote a provocative and impactful piece in The Boston Globe about bullying in medicine. She joins us to discuss the astounding response to the article, writing as a physician who crosses into the public sphere, and levers to pull to reduce bullying behaviors
Key Learnings
Understanding that the article is going to be a big deal
The surprising revelations that came her way in the wake of the article & being preparing for those stories
A key way that medicine and journalism are similar
Pitching the story to the Boston Globe editorial team
Writing an article that crosses over into universal readership as opposed to one that goes either behind a paywall or into PubMed hell
The impact of low psychological safety in a hospital
Does the nature of a hospital setting enable behaviors that are otherwise not tolerated
How “hot spots” and malignant sectors of medicine are able to develop wherein bullying can occur
The levers to pull to improve a disruptive culture and change bullying behaviors and the power of showing there is a different way
Support local journalism!
Links
Amitha’s Boston Globe article on Bullying in Medicine
Twitter: DrAmithaMD
Avital O’Glasser is a leading physician on Twitter who is helping to drive a rapidly evolving revolution in medical information exchange. She is also Associate Professor of Medicine & Associate Program Director for Scholarship & Social Media at Oregon Health Sciences University. She joins us to discuss how Twitter & social media can help harness the positive & overturn outdates norms in communication and education.
Key Learnings
What is actually happening in medicine with social media, using conferences as a specific example
How #MedTwitter has “harnessed the positive” of social media
The power dynamic change where student and teacher on social media are completely reversed in the hospital & how old norms are being detonated
Wherein Mark admits he doesn’t know what “meta” means
Accessing conversations and personalities from all around the world just by using a hashtag
The standard way information in medicine is presented and the opportunity social media provides to upend this
Tracking metrics and measuring impact on social media vs journal articles vanishing into PubMed hell
The new reality of social media & medicine as reflected in new leadership posts and the incredible bandwidth a single tweet can get
Ways in which social media can drive change in medicine around gender equity & underrepresented minorities
Getting a sense of what is starting to happen here
Links
Avi’s Twitter feed: @aoglasser
Alin Gragossian was in the middle of her 3rd year as an Emergency Medicine resident when she became critically ill & required a heart transplant. She joins us 10 weeks after surgery to discuss her extraordinary journey. I laughed the hardest and cried the most I ever have during a podcast. She’s a wonderful storyteller & this story is like no other.
Key Learnings
What it feels like to go into cardiogenic shock & think you’re about to die
Being in the prime of life, and then a cough starts…
In the ED, knowing something is very wrong and not wanting to accept it
The experience of having doctors she knew and worked with and how she wanted the communication to work
Living like an anaerobe
Being “lined up”
Learning there’s a heart for her and actually going to the OR for transplant
High-fives to Linda
What it feels like to breathe and to walk again
How a near-death experience changed how she looks at life & showed how much a human being can overcome
Links
Alin’s Twitter feed: @ag_em33
Alin’s blog: www.achangeofhe.art.com
UPDATE: The Social Media and Professional CV White Paper can be found here! Feedback is welcomed
White Paper- Social Media, Podcasts and Blogs on a Professional Curriculum Vitae
Vinny Arora and Charlie Wray, both hugely important scholars and personalities in the world of Hospital Medicine, join to discuss a hotly debated topic: do Social Media activities belong on a professional CV? We set out to write the White Paper, we were successful. This is an outstanding and important discussion!
Key Learnings
The origins of the debate around putting social media activity on a professional Curriculum Vitae
Leveraging impact as a major determinant of whether to place something on a CV
Changing the academic “coin” of how to differentiate yourself when applying for a position
The fundamental categories that could and should be included from social media onto your CV
The single most important thing you can do with content and your CV
Deep-diving into how to evaluate impact of Twitter feeds & contributions, along with a serendipitous paper reference!
The key elements needed to determine whether or not Twitter contributions should be used on a CV
Shoutout to the wonderful work of @tony_breu on Twitter & an elegant discussion of how content contributions build off one another and “mission-based tweeting”
Why early Twitter adopters like @seattlemamadoc, @doctor_V, @kevinMD & @futuredoc all used monikers instead of their real names
Elements to avoid putting on a CV because either not appropriate or not ready for prime-time
Identifying potential conflicts of interest, particularly among product endorsements
The importance of leveraging a CV as a tool to differentiate yourself from other candidates
What should this section be titled on a CV and where on the CV should it land?
The importance of social media as a tool to move a field of work and the wave of change that is coming
The White Paper findings!
Links
How to find Charlie on Twitter: @wraycharles, @JHospMedicine
How to find Charlie and Vinny’s Twitter Chats: #JHMchat
How to find Vinny: Twitter: @futuredocs, LinkedIn: VinnyMArora, YouTube
Dr. Arora’s co-authored paper on social media analytics
https://pmj.bmj.com/content/postgradmedj/91/1080/551.full.pdf
Emily Gottenborg, Christine Jones, Marisha Burden and Anna Maw are Hospitalists at the University of Colorado and all have had children at some point during their careers. They came on the podcast to discuss their paper “You Can’t Have It All” which looks at the inequities and problems women face when they have children while practicing medicine. An unsparing and inspiring conversation, just like the paper itself.
Note: co-authors Li-Kheng Ngov & Anastasiya Ponomaryova were not able to join this interview
Key Learnings
The origins of this incredible paper, especially their shared memories around parental leave (or lack thereof)
Framing the paper as a scientific article, then rapidly evolving to one sounding an alarm
Using qualitative research and allowing the stories to guide the conclusion
The emotional rollercoaster of collecting data, doing the study and identifying inequities in the system
The impact of feeling like having children is a choice therefore all the inequities that followed are the fault of the mother for making that choice
Releasing the article and embracing the response and the catharsis
Dealing with the fear of losing jobs around bringing this material forward and moving past just “being a good soldier” and being a “troublemaker”
The unique challenges of being in medical training and starting a family
Immediate feedback when the paper was presented at Grand Rounds
Progress around paid time off, resources and space for pumping, and work still to be done
Crossing from publishing research into becoming activists
Moving forward into progress on a huge problem, finding solidarity and sharing information
Creating connections across the country through different parts of the work moving forward and where do we find examples of places doing this work well
Attrition of great minds and talents from medicine due to gender inequity
Links
The article “You Can’t Have It All” https://www.journalofhospitalmedicine.com/jhospmed/article/189543/hospital-medicine/you-cant-have-it-all-experience-academic-hospitalists
Division Of Hospital Medicine at University of Colorado: http://www.ucdenver.edu/academics/colleges/medicalschool/departments/medicine/GIM/ClinicalCare/HospitalMedicine/Pages/HospitalMedicine.aspx
Vivek Wadhwa is a Silicon Valley futurist, renaissance man, & raconteur. He joins us for an provocative & rollicking discussion of artificial intelligence in healthcare, the current and future state of health data privacy, & how his personal journey spurs his work. He brings a sense of urgency and enthusiasm to this topic, and shares why he feels that way. Caution: hot takes ahead!
Key Learnings
Laying out the underpinnings of a revolution in the next 5-10 years
The idea of having sensors on our bodies measuring and tracking our biometircs
Miniaturization and nano-bots providing targeted therapy
Genomics and the impact of massively decreased costs
Connecting these three components with artificial intelligence to build a data-driven revolution in healthcare
Are tech companies putting patients or plunder at the center?
Vivek gives the most succinct assessment of privacy concerns and health data you’ll ever get.
How we can get a “Democratization of diagnostics”
Helping to define AI as a tool for pattern recognition and data analytics
What the role of the physician will be in this brave new world and how do people begin to learn about this
How the illness of a loved one has spurred Vivek’s interest in this work the impact of having yourself or a loved one be “deep water sick”
Links
Vivek Wadhwa’s homepage: www.wadhwa.com
How health apps feed your data to Facebook
Christina Farr covers digital health for CNBC and, between her scoops, her writing, and her epic Twitter feed, is the clear leader in this work. She is back for her 4th visit to Explore The Space; we discuss Apple’s current moves, the difference between selling hardware and selling data, and some great biohacking stories.
Key Learnings
The company and technology that is moving the needle the most in the digital healthcare space
The ways that Apple is wading into healthcare beyond wearable tech, including the one Christina thinks is “the holy grail”
Is the patient or the profit margin at the center of the pursuit of the holy grail of medical tech?
Why is Apple hiring doctors?
The difference between selling data and selling hardware in the medical-tech space
Concerns around the sale of patient data and her story on Facebook contacting hospitals to aggregate data on social determinants of health
Topics and scoops that draw Christina’s interest and how she is able to diversify the reporting for her audience
Ways in which push-back toward health-tech and the hype machine manifests
Christina’s forays into biohacking subculture, using the “Keto-Kazoo” and eating lots of cheese
Links
Twitter: @chrissyfarr
Article on Facebook seeking patient data from hospitals
Article on biohacking and the keto diet
This episode contains adult language
Garth Mullins is the host and executive producer of Crackdown Podcast. He also has opioid use disorder and a long struggle with heroin. He joins us for a unvarnished look at the opioid epidemic from street level and working as an activist. He also provides the most brutal description of dope sickness you’ll ever hear as well as the importance of the physician/patient relationship for those struggling with recovery. Vital lessons for all, an important episode.
Key Learnings
Garth shares how “the howling alienation that had become the wallpaper of your life is gone” when he did heroin for the first time
How societal organization generates the precursors for problems people seek to solve with drugs
3, Carrying the fear of death, incarceration, & dope sickness
Crackdown Podcast as an activist model, a response to the frequent death of friends, and a pushback to media portrayal of opioid use disorder
Drawing parallels between the AIDS epidemic and the opioid epidemic to learn survival and activism skills and deal with the associated “lightning bolt of fear”
Crackdown Podcast as an investigative tool, a storytelling device, and an activism acclerator in vulnerable communities
Using humor as connective tissue for anyone dealing with a deep, dark struggle in life
The physical and mental torture of dope sickness and the importance of managing it properly with OAT (opioid agonist treatment)
How lowering the barriers to OAT and giving agency and self-determination back to those with substance use disorder can help drive recovery
Why relationships with physicians must be tended like a garden to ensure your OAT doses aren’t changed and the skewed power dynamic this brings
The danger of doctors using their prescription pads punitively & the opportunity to help people “reduce the hell of my life”
Links
Website: www.crackdownpod.com
Twitter: @crackdownpod, @garthmullins
Whether you’re in healthcare or seeking healthcare, the electronic medical record will impact your experience. We are joined by the anonymous creator of the viral and hilarious @EPICparodyEMR Twitter account to discuss this brilliant satire, the impact the EMR has on every encounter between provider and patient and the central tension: billing platform vs communication tool
Key Learnings
Just what the heck is going on with this account?
Being anti “bad electronic medical record”
The shared experience and the data demonstrating how much the EMR pulls doctors and patients apart
Connecting the EMR, learned helplessness, and physician burnout
Workflow disruption and being at odds with colleagues and patients due to the EMR
How it feels to be sent into “duplicate order hell” and being evaluated based upon what goes into an EMR instead of outcomes
The fundamental problem with electronic medical records
Why this will never become repetitive
Links
Twitter: @EPICparodyEMR
Adam Rodman is a Hospitalist, a podcaster, and host of Bedside Rounds. His podcast is the most wonderful journey into the history of medicine, connecting all of us in and out of medicine with our shared past. We talk about creating resonant content, sharing bizarre stories, & how social media allows us to elevate medical history out of the doldrums
Key Learnings
The origin story of Bedside Rounds and the removal of Episode Zero
Filth Parties and finding resonance not just through the bizarre, but also through events that inform what we’re doing now
The need for medicine to elevate our shared history as something reflective of our shared ethos
The American Civil War as a test case for extraordinary, innovative history
Battlefield trauma as a direct link, with the minie ball as the connective tissue
How Adam moved from sharing interesting anecdotes to using history to elevate his experience in medicine (with a fun Tulane story thrown in)
Responses from people who are hospitalized as they learn about the history of medicine in the moment
Juxtaposing modern therapies with origin therapies
Physician as both historian and storyteller and are we good at these skills?
Meeting people where they live to help spread information about healthcare
Using social media as a new form of medical communication, mirroring when medical journals began to be published in 20th century
Links:
Bedside Rounds: http://bedside-rounds.org
Adam on Twitter: @adamrodmanMD
Des Shapiro is a physician with a 40-plus year career in medicine and an incredible legacy under his belt. He’s also my Dad and I’m delighted to have him join me for the 100th episode. We discuss finding joy in medicine, being a Foreign Medical Graduate, and the extraordinary manner in which he always put patients at the center.
Key Learnings
A few words to celebrate Episode 100 of Explore The Space podcast
The 4 Pillars of Explore The Space
What the future holds for the podcast
Introducing the guest for Episode 100, my father Des Shapiro
How Des started his journey into medicine and starting medical school at 16
Realizing early on that medicine was a calling and never looking back
A crazy story about handwashing and the world’s first heart transplant
The impact of a commitment to observation, physical exam and narration in becoming an excellent physician and elevating connection to patients
Ensuring the beauty and importance of holding a patient’s hand as connection, as exam, and as a privilege
Sharing concerns around Foreign Medical Graduates being targets for derision and the importance of welcoming physicians to the United States
What was exhilarating and what was scary about building a life as a physician?
Possessing the ability to feel what patients are feeling in a manner that is sustainable while avoiding compassion fatigue
The single most important lever that both physicians and patients have a responsibility to pull and protect.
A pathway for finding joy with every patient encounter and in the practice of medicine
The importance of evolving as a physician and seeking to understand new challenges like physician burnout
Crowning achievements in his career and how fun it is when I see one of his previous patients
The most important lesson I learned from my Dad and an incredible story to illustrate the point
Reiterating a recurrent theme on Explore The Space: physician as activist
Nick Watts is a physician & Executive Director of Lancet Countdown. He joins us to discuss a defining issue for humanity: climate change. We discuss how climate change is a threat multiplier to human health, the role of the individual in responding to climate change, & how Game of Thrones & climate change are interconnected.
Key Learnings
How climate change became Nick’s calling after finishing medical training
Defining the scope of Lancet Countdown and goals of the project
Recognizing how climate change is a threat multiplier of determinants of human health and the response can serve as an enormous opportunity to impact health
The role of the individual in driving humankind’s response to climate change & tangible steps we can all take today
The incredible carbon footprint that healthcare has and the positive impact of reducing emissions in the industry
Increasing recognition that a low carbon footprint has a positive effect on public health
Why I don’t care about pushback to this effort or addressing climate change denial
Ways the Lancet is getting to a wider and wider demographic to increase engagement
How climate change is working its way into pop culture
The similarities between Game of Thrones and climate change
Our shared stories around the impact of climate change as a stimulus for change
A call to action, because it’s Go Time!
Links
Lancet Countdown: http://www.lancetcountdown.org
We Are Still In: https://www.wearestillin.com
NHS Sustainable Development Unit: https://www.sduhealth.org.uk
I’ve been waiting for the right time and person to discuss the importance of coffee to our daily lives. Larry Istrail is a Hospitalist and a coffee aficionado (like your faithful podcast host) who has started a new coffee roasting company called Pheo Coffee. We discuss coffee as a ritual in medicine, connecting to our shared past through coffee, and the laudable intentions behind his business.
Key Learnings
What’s in our cups as we start the episode
The role of coffee in the day-to-day in the hospital
Why coffee is so tightly bound into the culture of healthcare
Surprising someone with a coffee
The origin of Pheo Coffee and the importance of social impact
Being affiliated with Watsi to help fund surgical procedures overseas & connecting each coffee purchase with a patient’s story
How Larry tries to make coffee delivery part of the overall experience of enjoying coffee & honoring medical history
Creating awesome coffee-medical fusion swag, especially the caffeine deficiency diagnosis code cup
The importance of fresh-roasted coffee and the joy of home roasting
Enjoying the wonderful ritual of coffee cupping
Larry’s tips for brewing a perfect cup on coffee, complete with video!
Connecting doctors and nurses to our shared past and our predecessors through the same wonderful drink they enjoyed
The road forward for Pheo Coffee and selecting the right roast for you
Links
Pheo Coffee: www.pheocoffee.com
Twitter: @PheoCoffee Instagram: @PheoCoffee Washington Post article can be found here Sweet Maria’s (everything you need to roast coffee): www.sweetmarias.com
Shoshana Ungerleider is a Hospitalist, founder of End Well & an educator focusing on end-of-life care. She joins us to discuss the evolution of her career, changing the narrative around how we talk about death, and her Oscar-nominated documentary “End Game.”
Key Learnings
The origins of Shoshana’s work and interest in end of life care and her feelings of “moral distress” in the ICU
Evolving from having an awakening to what’s important to something scalable and impactful on a population level
How she broke from the usual way messages are exchanged in healthcare into public speaking, writing, and movie-making
Medical lingo and how it derails communication with patients
Is she experiencing any pushback to her work around end-of-life care?
The goal behind End Well and creating documentaries like “End Game”
The difficulty that comes when a patient is sick & there is lack of clarity around goals of care
Barriers posed by social determinants of health, racial and gender biases associated with end of life care
What it’s like to find out you’ve been nominated for an Oscar
How the film has allowed for the creation of a toolset for discussing end of life care as part of a larger call to action
Links
Shoshana’s home page: https://www.shoshanaungerleider.com
End Well: https://www.endwellproject.org
End Game movie: http://endgame-documentary.com
Aimee Gardner has a PhD in Organizational Psychology and is Assistant Dean of Evaluation & Research at Baylor College of Medicine. She joins us for a provocative discussion of how residency programs select medical students. This is a fraught issue for our profession and the concepts around recruiting are generalizable across any organization.
Key Learnings
How we connected during the controversy surrounding standardized tests for medical students.
The major criteria that make a candidate attractive to a residency program
Defining Step 1 of the USMLE and the stakes and stress associated with it
How the exam moved from a standard pass-fail to a variety of purposes it is neither intended nor designed for.
The rational steps that should be taken when assessing whether a candidate is right for any type of organization
The implications that the mis-application of USMLE has on fairness and diversity as well as why other industries stay away from standardized tests
The risks and stresses that USMLE Step I puts medical students through
The challenges that programs making selections face in this same equation
A hard look at the unstructured way resident selection is done now
Building a selection process built around a fair, equitable and scientific manner
The components & metrics of a rigorous selection process that apply to medicine and across any industry
Facing the harsh reality around effectiveness of what is currently compiled by medical students in their applications
The search for new criteria and where to look, including a place you might not expect
How much enthusiasm is there to change the current processes
Ensuring proper attention is paid to socioeconomics, gender and racial equity in how residency classes are selected
Links
Aimee’s Twitter feed: @aimeeGthePHD
AAMC Best Practices for Conducting Residency Program Interviews: https://www.aamc.org/download/469536/data/best_practices_residency_program_interviews_09132016.pdf
Society for Industrial & Organizational Psychology: https://www.siop.org/
SurgWise: https://surgwise.com/
Ingrid Nembhard is an Associate Professor of Health Care Management at the University of Pennsylvania and she is the definition of a pluripotent researcher, teacher & mentor. She studies and coaches around how we can improve team-based culture & organizational learning. We discuss the importance of feeling part of a high-performing team, how team-based culture forms, and how it translates into patient-centered care. This is riveting stuff & her insights are amazing!
Key Learnings
What gets Ingrid up in the morning and what brought her to healthcare
Being a pluripotent scholar, what “Eureka” moments her down the path of healthcare?
The experience of stepping into healthcare organizational improvement and the reception when she starts working with a new team
Why it’s important to be at the front lines when she starts a project
The creativity that comes from “dissatisfied” people and the value of context
Understanding an organization’s culture to determine what’s possible, relevant, and useful
Organizational learning and the impact of new knowledge, especially in healthcare
How the intersection of organization culture and learning intersect to help drive progress
Why team-based culture is a common topic Ingrid is called to help with and a pivotal issue in the success of a healthcare organization
Hierarchy vs teamwork and the impact of how team members feel about their work
The challenge for a physician who trained in a hierarchical environment who now is joining an organization that focuses on teamwork
The vital nature of leadership in driving psychological safety and developing culture
Recurring strengths that healthcare organizations can build on
The central dogma of decision-making in healthcare
Ingrid’s goals for the future and places where her impact will be greatly felt
Links
Ingrid’s UPenn page: https://hcmg.wharton.upenn.edu/profile/ingridn/#research
Mark Hertling dedicated 37 years of service to the United States Army, serving in two wars before retiring as a Lieutenant General. He then stepped into developing physician leaders and has found tremendous success in this crossover. His book “Growing Physician Leaders” is superb and is applicable across many fields, not just medicine. We discuss his unique post-Army career, where the tension points exist within medical leadership, and how his curriculum works.
Key Learnings
1 Transitioning from the United States Army into medical leadership development
Why a retired General would be a good fit for medicine, according to Disney
First impressions looking under the hood & the importance of serendipity
The value of interdisciplinary learning to develop trust
First impressions of leadership in healthcare as he started his work, especially what is not working
Gaps and tension points in healthcare leadership and the reasons they exist
Overcoming “What the hell is the hospital trying to make us do?”
The value of continuing, lifelong leadership training
Helping physicians reclaim the aspirational part of their work as a component of leadership training
Examining tension between servant leadership (physicians) vs transactional leadership (administration)
The importance of “We”
The granular components of learning and connecting in healthcare leadership training (I loved this part!)
The extraordinary opportunity medicine has to tap into a deep and broad well of potential leaders
How leadership training ripples into every component of life including relationships and burnout mitigation
Links
Florida Hospital page:
https://www.floridahospitalpublishing.com/authors/detail/mark-hertling
Mark’s book: “Growing Physician Leaders”
Mark’s Twitter feed: @markhertling
Peter Hotez is a Professor of Pediatrics at Baylor College of Medicine and Dean of the National School of Tropical Medicine. He is the world’s authority on vaccine science not simply because of scientific background, but because of his active and valuable advocacy work across many platforms. He joins us to discuss the measles explosions in the United States and Europe, the devastation wrought by the anti-vaccine movement
Key Learnings
Why your faithful host is angry
The 3 vaccines that are being marginalized in the United States
The 3 major forces behind the current public health crisis
The power of the anti-vaccine movement & the lack of clarity behind it’s goals and funding
The impact of vaccine exemptions at the state level
The lack of a powerful & organized pro-vaccine advocacy
Dr. Hotez’ evolution from scientist to advocate, finding his voice, & telling a very personal story
The pressing need for healthcare providers to become savvy with TV, writing, and social media
Realizing the incredible power that physicians have when they step forward on social issues
What’s it’s like to go up against the anti-vaccine lobby and the need for more support from physicians who may be either disinterested or afraid.
The next steps needed to begin to stem the tide
The value of educating the next generations of healthcare providers in policy, advocacy, media & importance of meeting them where they live.
The alarming trajectory of measles and the concern it will move through Europe, Asia, Africa, and South America
Links
Dr. Hotez’ website: www.peterhotez.org
Dr. Hotez on Twitter: @peterhotez
New York Times article: https://www.nytimes.com/2019/02/06/us/measles-outbreak.html
Crafting Your Scientist Brand: https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.3000024
Dr. Hotez’ book “Vaccines Did Not Cause Rachel’s Autism” : https://www.amazon.com/Vaccines-Did-Not-Cause-Rachels-Autism/dp/1421426609
Laurie Garrett is a Pulitzer Prize-winning journalist who wrote an extraordinary article in The British Medical Journal on gender equity in healthcare called “The Trouble With Girls.” She joins us to discuss the deep inequities she describes, the drivers behind them today and the extraordinary response the paper engendered.
Key Learnings
The impetus behind writing “The Trouble With Girls”
The steps required for advancement and the demonstrable gender bias associated with each one laid out in the article
Applying historical context with the stories of Elizabeth Cady Stanton and Eunice Foote to an immediate & current problem
The challenge of resistance in researching the article
Experiencing a roller-coaster getting the article published in the annual BMJ satire issue
The article goes viral…
Ms. Garrett’s powerful and informative personal experience that underwrites this article
Laying out the differing drivers for gender discrimination in healthcare & science in decades past and today
How gender bias and racial bias are closely linked in healthcare and what “assumed superiority” looks like
The incredible responses and stories the article brought forth
Calling out “Manels”
What the tempo of change looks like
A word about Ebola, mineral mining, and cell phones from the world’s expert
Links
The article (open access) https://www.bmj.com/content/363/bmj.k5232.full
@Laurie_Garrett on Twitter
www.LaurieGarrett.com
It’s Super Bowl week, so it’s time to discuss Chronic Traumatic Encephalopathy in NFL players. Visar Berisha is an Associate Professor of Engineering at Arizona State University, focusing on speech and hearing science. He and his team completed an amazing study looking at changes in language complexity in NFL players. We discuss the study, it’s findings, and the extraordinary potential for this work in neurodegenerative disease.
Key Learnings 1. The cloud that hangs over the National Football League 2. Looking at neurological health and searching for biomarkers of cognitive decline through the complexity of speech generation 3. Creating a philosophy of lab as incubator for multidisciplinary neurodegenerative disease 4. Breaking down the study “Longitudinal Changes In Linguistic Complexity In Professional Football Players” 5. The two key markers: vocabulary size and idea density, what should happen over time, and what the study demonstrates happened to the NFL players. (The study even looks at impact on language of number of times an NFL quarterback is sacked) 6. The findings… 7. Response to the paper since publication 8. Using these tools both as a predictive model for CTE and a return-to-play modality for concussion 9. Ongoing study with the NCAA and outreach from former NFL players 10. What comes next with this study template across multiple disease processes 11. How Dr. Berisha and I connected in the first place Links The study in “Brain and Language:” https://auralanalytics.com/wp-content/uploads/2018/09/Longitudinal-changes-in-linguistic-complexity-among-professional-football-players.pdf The New York Times article: https://www.nytimes.com/2017/05/29/health/cte-brain-inuries-football.html Dr. Berisha’s website: http://www.public.asu.edu/~visar/
Kristin Wikelius is a Senior Policy Director with United States of Care and she joins us to discuss the vision of the organization, how illness and sickness can provide common ground for progress, and why Medicaid at the state level is a good place to start
Key Learnings
What is United States of Care and what is the mission & vision
Health and illness as a societal leveler independent of any other considerations
Initial goals of shifting healthcare debate from something defined by a single policy or party to something mission-driven
Defining Medicaid as a cornerstone of American healthcare
Dispelling misconceptions and negative connotations of Medicaid through personal stories.
Why a focus on Medicaid at the state level is the right approach in the near-term
How states are responding to possibility of Medicaid buy-in approach
What does success look like in this first phase & what’s working so far
Where has pushback come from & how are physicians responding
Recognizing that partisan divides at state level are much less pronounced than federal level & how this is an accelerant for progress
The value of elevating the stories we all carry around healthcare as a driver of progress
Links
United States of Care: www.unitedstatesofcare.org
Twitter: @usofcare
Grace Farris is a Hospitalist, Chief of Division of Hospital Medicine at Mount Sinai West, and an accomplished cartoonist with works featured in Annals of Internal Medicine & Buzzfeed. She joins us to discuss the role cartooning plays in her career, the potential of graphic art as an accelerant to learning, and some serious comics discussion. A unique conversation with an incredibly talented physician!
Key Learnings
Follow Grace Farris here:
Website: https://farrisgrace.com
Instagram: coupdegracefarris
Twitter: @gracefarris
Hashtags
Robert Pearl is a physician leader in the United States of the highest order. He is widely published and frequently featured on multiple TV networks. He joins us in our first episode of 2019 to lay out the great challenges facing physicians and patients in America, his incredible passion to drive change, and how we can move the needle in the right direction.
Key Learnings
How his personal experiences with the problems of American healthcare led to the creation of his Forbes article
What it feels like to have doctors confessing their fears and frustrations to him in the wake of his book
Some of the limitations and barriers physicians deal with when trying to provide great care for patients
The passion and optimism that Dr. Pearl brings to the table and where he draws it from
The 5 fears doctors confess to other doctors
The great sense of loss that physicians have to deal with
Describing the 3 historical eras of medicine as a central dogma
Feedback Dr. Pearl has received from people outside of medicine, and how it connects with his own personal experiences
What are the key functions and entities needed to drive meaningful change?
Links
Dr. Pearl’s book “Mistreated”
Forbes article: What Doctors Confess To Other Doctors
Tags
In our final episode of 2018, we have a proper A-list MD, Dr. Gurpreet Dhaliwal, joining us. He is a master diagnostician who never fails to dazzle an audience with his process for evaluating and solving the most challenging cases. We discuss how he learns and trains, the need to look for “desirable difficulty” and how his mistakes are his most valuable tool.
This is our first Grand Slam episode! All 4 Pillars of Explore The Space are fully engaged in this conversation!
Key Learnings
Why Dr. Dhaliwal should be an A-list celebrity in medicine
Is Sherlock Holmes the right popular culture comparison for Dr. Dhaliwal?
What Dr. Dhaliwal does that gets such a response from an audience
How practice and his training program allow him to reach his maximal potential
Shifting information from short term memory to long term memory and how to extract it when needed
What is the number #1 enemy of learning…
The importance of tempo in optimizing his process to provide patient care in a busy environment
Extrapolating the skills Dr. Dhaliwal uses into any profession where someone wants to do their work better
Diagnostic error and why Dr. Dhaliwal keeps track of each case where he got the diagnosis wrong
The value of discussing mistakes and the opportunity we miss in medicine when we don’t do this.
Anchoring bias and how it plays into error creation
Does he make diagnoses while walking around with the public?
Links
New York Times article by Katie Hafner
The Mechanics of Reasoning
Diagnostic Excellence
Tags
Dr. Keith Murray is an Emergency Physician at University of Pittsburgh Medical Center and serves as Medical Director for Pittsburgh SWAT. He was a part of the first responder units that entered the Tree Of Life Synagogue during the mass shooting that occurred there on October 27th. He joins us to discuss becoming a SWAT Medical Director as well as his experiences before, during and after the shooting.
Key Learnings
Defining the role of a Medical Director for a SWAT team
Finding a niche in being part of a First Responder unit as a physician
The scope of responsibility for a SWAT Medical Director
The things Dr. Murray carries when going into the field
Drilling and training for a mass shooting
Notification about the Tree Of Life Synagogue shooting
What allows Dr. Murray to drive towards danger
Arriving at Tree Of Life and entering the building
Ready to fight versus ready to save lives: tactical versus medical awareness
Assessing the wound patterns from an AR-15 assault rifle
Rescuing two wounded SWAT officers and the end of the engagement
The post-incident debriefing and recovery process
What feels different in Pittsburgh after the shooting
Back to work in the ED the next day
Eric Byrnes comes back after writing a book and completing the Triathlon Across America. We cover transitioning from Major League Baseball, how his definition of mental toughness has changed, and creating Team Go-Hard.
Key Learnings
Eric & I start the podcast saying nice things about one another
Being asked to talk about The Mental & Physical Edge
How Eric using triathlons to dig out of a post-baseball career rut
The Triathlon Across America: 55 days from San Francisco to Manhattan
Creating Let Them Play Foundation to help address the lack of physical activity programs for America’s children
Dopamine Jumps in Philadelphia!
Eric’s definition of mental toughness
How we create a feeling of confidence in ourselves
“Don’t Take Your Feelings So Personally”
Eric’s personal philosophies and how his father helped define them
The book, the blog, the Tri Across America, and what’s coming up for Team Go-Hard
What Eric and I will discuss next time he comes on the show (hint: ankle the size of a watermelon will be heavily featured)
Rabbi George Gittleman is the Senior Rabbi at Congregation Shomrei Torah in Santa Rosa, CA. Over the course of navigating crises like September 11th, the Sonoma County Wildfires, and the recent Tree of Life Synagogue shooting, he has run the gamut of experiences in leadership under pressure. He joins us to discuss the extraordinary insights he has gathered and the tools he uses to be at his best when it is needed most.
Key Learnings
Recognizing when the normal parameters around leadership go away
Learning to handle a community crisis and his own fight or flight response
Dealing with his community needs after 9/11 and what he learned to do differently
The desire to flee when the Sonoma County Wildfires broke out and how he pushed through
How Rabbi George overcomes the flight response so he can lead effectively
The power of using the emotion within an environment as a leadership tool
How self-discovery informs effective leadership
Recognizing and dealing with leadership failures
Disruptive behavior and how he overcomes it
The impact of mental agility and emotional stability in a crisis
The impact and evaluation of the recent Interfaith Ceremony
What professions would be good to cross-pollinate with around leadership
The personal cost of leadership, how he restores himself, and the importance of a good work environment
The Interfaith Solidarity Service can be viewed here.
Dr. Taylor Brana is a Psychiatry resident and the host of The Happy Doc podcast. He joins us to discuss bringing fresh eyes to key challenges facing physicians, some key drivers of happiness & fulfillment, and creating his fantastic new project.
Key Learnings
The origins of The Happy Doc and asking the question “are there happy doctors?”
Focusing on both rebuilding and maintaining physicians at all stages of their careers, especially early on
What is consistent among medical students, residents, and attendings who are still happy in medicine
How the evolution of confidence, especially at career transition points, can build or erode happiness
Moving from an awareness phase to a solution phase
The importance of rebuilding culture through teams in medicine
The Happy Doc and emphasizing happiness, regardless of your profession
The Voice Project and expanding ways we can learn
Dr. Mary Brandt is a Professor of Surgery, Pediatrics, and Medical Ethics at Baylor College of Medicine in Houston, Texas and is in full-time clinical practice as a Pediatric Surgeon at Texas Children’s Hospital in the Texas Medical Center. She joins us to discuss the rapidly growing physician response to a tweet around gun violence in America and the #thisismylane movement.
Key Learnings
The power of doctors sharing pictures of the aftermath of gun violence with #thisismylane, #itisourlane, #itisourlane
What really enraged physicians in the wake of the NRA’s tweet about physicians and gun violence.
Using the power of these stories to move the conversation about gun violence from a political issue to a public health issue.
Stories of gun violence from a Pediatric Surgeon.
The disconnect between the perception and reality of what bullets do to a human body
How managing bullet trauma degrades physician wellness
The steps needed to push this movement forward in the right direction
The importance of setting a template of kindness around the conversation of gun control
Resolving the quandary raised by impulsive behavior, access to firearms, and gun-related death
What happens when a physician has a conversation around access to guns with their patients
Dr. Brandt creates the next viral hashtag! #asktosavealife
Dr. Brandt’s blog, www.wellnessrounds.org
Here is the recent American College of Physician article on reducing firearm injuries & deaths in the United States.
Per Gunviolencearchive.org on 11/14/2018: 12,746 deaths due to firearms in the United States
We’ve tackled gun violence on Explore The Space before, here’s ACP President Jack Ende in episode 63
Dr. Nina Shapiro is a Professor of Surgery specializing in Pediatric Otolaryngology at UCLA. She is also a highly sought-after speaker on medical topics across the media spectrum. She joins us to discuss her new book “Hype” and how we discuss controversial topics with the public and with patients.
Key Learnings
Dealing with the question of “who are you to write a book about general health issues?”
The rocket fuel of hype in medicine and choosing the title of her book.
The value of rational conversations physicians can have with patients on topics their patients feel are important.
The missed opportunity of not explaining the science behind a medical recommendation.
Similar skills for communicating to a general audience and in the office with patients.
Avoiding a “me against them” dynamic and building one of shared decision-making.
What’s been the most popular topic for discussion on her book tour and are we training doctors to answer that question.
A surprising topic she was rarely asked about when meetings fans of her book.
Responding when doctors are told to “stay in your lane,” particularly around gun control advocacy.
Important takeaways and the road forward in dealing with the new world of medical information.
The article by The Jewish Nurse in the wake of the Pittsburgh synagogue shooting referenced in this episode can be found here.
Dr. Shapiro also released an article in Forbes Magazine just after our interview, please read it here.
We are proud to welcome you to the new home of Explore The Space. The url is the same, the site is entirely different. We’ve defined the 4 Pillars of Explore The Space, we’ve got the entire archive of 80 shows, there’s a new blog, more social media, and resources from the interface of healthcare and society. Please come look around www.explorethespaceshow and let us know what you think by emailing mark@explorethespaceshow.com. Please subscribe to the show and leave a rating and review on iTunes or wherever you download episodes. We couldn’t be happier with the new site and are delighted to have you stay on this great adventure with us.
Dave Berke is a retired Marine fighter pilot and Top Gun instructor who now is a part of the leadership team at Echelon Front. He is back for a fourth time on Explore The Space to continue our exploration of team based culture. Every time we have these conversations, I’m fired up for the next one.
Key Learnings
Lizzie Johnson is a reporter for the San Francisco Chronicle who covers wildfires in California. She joins us on the eve of the one-year anniversary of the Wine Country Wildfires of 2017 to reflect on what happened, how the community has rallied, and the challenges still facing the recovery.
Key Learnings
Emily Silverman is a Hospitalist and the creator of “The Nocturnists” podcast and live show. If you love stories from the dark corners of medicine, and the light and lively corners as well, “The Nocturnists” is an amazing place to spend some time. We cover the origins of the show, how stories humanize physicians and healthcare, and the amazing growth of her project.
Key Learnings
Maureen Bisognano is a nurse who has held many roles over her extraordinary career in healthcare, most recently as President of the Institute for Healthcare Improvement. She now serves as Chair of the Advisory Board for the Well-Being Trust, which is a national foundation dedicated to advancing the mental, social, and spiritual health of the United States. She joins us for a remarkable conversation about the origins of the Well-Being Trust, the work done thus far to address “diseases of despair”, some truly amazing program ideas, and the first steps forward.
Please note, at the top of the episode we share a few words upon hearing of the suicide of Dr. Bongani Mayosi.
Key Learnings
Links
The Well-Being Trust: http://wellbeingtrust.org
The National Suicide Prevention Lifeline: https://suicidepreventionlifeline.org
Call & Check Visits program from Jersey Post
The Badwater 135 is one of the toughest footraces on the planet, Michelle West is preparing to run it for the third time. We caught up with her less than 24 hours before she starts running 135 miles through Death Valley, CA and had an amazing conversation with someone on the cusp of an extraordinary challenge. This is an incredibly unique discussion just before she embarks on one of the hardest physical tests that exists.
Key Points
Links
Badwater 135 race site
Badwater 135 race webcast
National Multiple Sclerosis Society
Dr. Mona Hanna-Attisha is a Pediatrician who brought the epidemic of lead exposure in the water supply of Flint, Michigan to national exposure in 2015. She has become an example for physicians and scientists of how and why they can and must stand up on social issues. She joins us to discuss her incredible work, the importance of courage and how to build it, and her wonderful new book “What The Eyes Don’t See.” She reminds us too, that the strength she displays “is in all of us. This is all of our jobs.”
Key Points
Sarah Sellers is a Certified Registered Nurse Anesthetist who shocked the world this past April when she came out of nowhere to finish in 2nd place at the Boston Marathon. She joined us to discuss her remarkable achievement, the importance of being in the moment, and how her work in healthcare and her marathon training are bound together.
Key Topics
Dr. Colleen Kraft is the President of the American Academy of Pediatrics and she has been a pivotal voice in helping us understand the scope of the immigrant child separation crisis. She joins us to discuss the physical, emotional, and developmental harm these children are exposed to as well as where things stand with reuniting them with their families.
Key Topics
Links
ProBAR
RAICES
American Academy of Pediatrics Statement on child separation
Sam Quinones is an investigative journalist who wrote an extraordinary book about the opioid epidemic in America called “Dreamland.” He joins us to talk about the tremendous challenges he found in writing the book, how the book helped break the story of the opioid epidemic, and his brilliant insights on the road forward in this epidemic. In parts frightening and inspiring, this is an amazing discussion
Key Points
Pamela Wible is a Family Practice physician who has taken on the cause of physician suicide. We discuss the acuity of the problem and the disconnect between public understanding and the reality of the problem. Sadly, Dr Wible is probably correct when she surmises that almost every physician in America knows someone in medicine who killed themselves. The conversation also moves through how the problem can begin to move towards improvement.
Key Learnings
Links
Dr. Wible’s home page
“What I’ve learned from 949 doctor suicides”
Do No Harm film site
Dave Berke is back and we continue our deep-dive into assessing and building team culture. In our 3rd conversation, we get into the importance of selflessness in driving culture, ensuring a team has a sense of purpose and creating shared experience to bring people together. Plus, another round of Quick Hitters!
Show Notes
Zack Shinar is an Emergency Medicine physician, an international expert on resuscitation and highly sought-after speaker who is launching a new conference called Emerge. This conference is designed to introduce high school students interested in medicine to some of the most amazing things that doctors get to do on a daily basis. We dive into the incredible opportunity this conference provides to help light a fire under the next generation of physicians.
Show Notes
Tags: high school, conference, medicine, emergency medicine, ECMO, Badwater, ultramarathons, reanimate, mentorship, hands-on, diversity, medical school, residency, cardiothoracic surgery, #beadocinadecade, stories, storytelling
Meg Tirrell is a reporter with CNBC focusing on biotech and pharmaceuticals, and she joins us to discuss CNBC’s new conference “Healthy Returns”. The conference brings together powerhouse minds from healthcare, business and tech; Meg will be right in the thick of it. Our conversation covers politics, the opioid epidemic, and how to ensure the patient voice is heard. A fascinating discussion of what is sure to be a truly unique event.
Steve Beeson comes back on the the podcast to discuss the power of coaching in medicine. Steve was my coach early in my career after residency; there is no one better to speak on how to use coaching to pull the main levers for human contentment and the way we can turn simple skills like narrating a physical exam into a wave of cultural transformation.
Dr. David Troxel is the Medical Director for The Doctor’s Company, which is the largest physician-owned medical malpractice insurer in the United States. He joins us to help demystify one of the most anxiety-provoking topics in healthcare for both physicians and patients, as well as explore the value of transparency when reviewing cases and discussing errors.
David Berke is back to help us harvest hard-won lessons in leadership from his career as a fighter pilot and Top Gun instructor. We build on his previous appearance to look at how to assess a team’s culture and the key steps needed to reveal some hard truths. There’s also a new “quick-hitters” question batch at the end featuring medicine vs military including pop culture, late night eats, and sleep deprivation.
Jack Ende is the President of the American College of Physicians, the largest medical specialty organization in the United States, and he joins us to discuss gun violence. We cover approaching gun violence as a public health issue, the statement released by the ACP in the wake of the Las Vegas shooting, and the importance of discussing guns with patients.
ACP statement after the Las Vegas shooting can be found here.
ACP 2015 Call To Action can be found here
Article from Dr. Wintemute can be found here.
The Curbsiders Podcast, made up of Matt Watto, Stuart Brigham, and Paul Williams, is changing the way we learn about medicine and education. The 3 docs behind the microphones join us to discuss how they came together, the power of making education fun, and the rise of The Curbsiders.
Christina Farr joins us as the first 3-time guest on the podcast to discuss breaking health tech stories for CNBC and the impact Apple and Amazon are having on digital health.
As the magnitude of the North Bay Wildfires have become clear, the necessity of looking towards recovery has become imperative. Todd Salnas, who is President of Providence-St Joseph Health Sonoma County, joins us to discuss the transition from disaster to recovery, the importance of maintaining a full battery of energy, and the value of being present for one another during a disaster
Over the past 11 days, Santa Rosa and much of the North Bay of California has been in the grips of several destructive wildfires. Chad Krilich is the Chief Medical Officer at Santa Rosa Memorial Hospital, and he joins us to discuss disaster leadership, building trust in a crisis, and the value of little wins during dark times.
Rob Patel is an ED physician who deployed to Houston with a FEMA Search and Rescue team in the wake of Hurricane Harvey. He joins us to share the unbelievable experiences he had as well as what draws First Responders to the task and what holds them together.
David Berke is a retired Marine aviator, Top Gun instructor, and pilot of next generation F-22 and F-35 fighter planes. He joins us to discuss his article on redefining perfection and we get into an extraordinary conversation on accountable leadership, the importance of discussing mistakes with teammates and the importance of organizational culture.
Elisabeth Rosenthal is the author of a provocative and powerful book on healthcare delivery in the United States called “An American Sickness.” She joins us during a nationwide debate over healthcare reform to evaluate our current state and how to move forward.
Michelle West is tough. 135 miles through Death Valley in 120 degree heat tough. She is running the Badwater 135 Ultramarathon for the second time in a few days, her discussion of mental toughness, teamwork, and overcoming extraordinary challenges has something for everyone.
BJ Miller is a Palliative Care physician who has rapidly become an essential voice in helping us change the way we think, feel, and talk about death. This is an amazing opportunity to hear a world leader open up and explore a subject guaranteed to effect each of us.
Amber Moore is a Hospitalist who joins us to discuss her experiences as a patient after being struck by a car. She takes us through that whirlwind, and also through her work as part of a Patient-Family Advisory Council (PFAC) & a member of Society Of Hospital Medicine’s Patient Experience Committee
Justin Legg @gorillafrog is a retired Navy SEAL officer who is no stranger to frightening situations. From combat in Iraq to acute leukemia to lung transplantation, Justin has overcome obstacles far beyond the normal human experience. He shares his insights on overcoming fear, communicating with your medical team, and appreciating life.
Eric Byrnes has made a remarkable and unique transition from playing Major League Baseball to becoming an ultra-endurance athlete. He joins us to discuss the skills and discipline he used in both pursuits, his pathway to completing the Western States 100, and the outstanding movie “Diamond To The Rough”, which captures his journey.
Karl Meltzer holds the record for most 100 mile race wins and recently completed the 2,190 mile Appalachian Trail in a record 45 days, 22 hours, 38 minutes. He joins us to discuss his suffer-fest on the AT and overcoming the demon between the ears.
Michael Cheatham is a Trauma Surgeon at Orlando Regional Medical Center and he joins us to discuss the shocking events following the June 12th mass shooting at Pulse Nightclub in Orlando. This incredible conversation looks at the extraordinary teamwork and dedication required to save so many lives, the challenge of informing and reuniting families, and the vital role of drilling in disaster preparedness.
ZDoggMD (aka Zubin Damania) comes back on the show to discuss his evolution from satire to activism, the Healthcare 3.0 movement, and getting pushback from doctors.
Jeffrey Drazen is the editor-in-chief of the New England Journal of Medicine, the foremost medical publication in the world. He joins us to discuss how the Journal helps discern the interface between society and medicine, getting presidential candidates to submit an editorial, and how to cover a public health emergency.
Jessica Shapiro, the voice of Explore The Space, joins us during Breast Cancer Awareness Month to discuss her diagnosis at age 30, the rollercoaster of fighting cancer, and adapting to life afterwards.
Dr. Sanjeev Arora is the Founder and Director of one of the most innovative health care delivery programs in the world, Project ECHO. He joins us to discuss how Project ECHO works, the impact it is already having around the world, and the far-reaching effects it will have beyond patient care.
Peter Pronovost is a professor of Critical Care medicine and is an international leader in improving the safety of hospitalized patients. He joins us for a remarkable discussion on how physicians, patients, and their families can bridge gaps in understanding patient safety and how we all can participate in caring for a loved one.
Dr. Matthew Matava is an Orthopedic Surgeon who was team MD for the LA Rams for 17 years, as well as immediate past president of the NFL Physician Society. He joins us to discuss public perceptions of NFL player medical care, how standards of care are provided, and the external pressures NFL team physicians must handle.
Dr. Ricardo Nuila comes back to the podcast to discuss his recent New Yorker article “Poor and Uninsured in Texas.” Our conversation digs into the incredible story he was part of and the process of creating such a provocative and powerful document.
Travis Good is the founder and CEO of Catalyze. In addition to having his MD and MBA, he’s an expert on safety and security of health data. This is a riveting conversation on a subject that effects every one of us.
Mark Johnson is a long-time sports journalist who joins us just in time for the 2016 Summer Olympics to discuss issues around doping in sports. His new book entitled “Spitting In The Soup” takes us on a deep dive into the evolution of the problem and what it has done to the sports we love.
Paddy Barrett is host of the very popular podcast The Doctor Paradox, and he joins us to discuss the phenomenon of professional, not just physician, burnout. This is not a “woe is me” discussion, this is a forward thinking toolbox to help us all enjoy our professional work more.
Peter Grinspoon joins Explore The Space to discuss his frightening and compelling journey as a physician who became addicted to prescription pain medication.
Dr. Debra Houry is an Emergency MD who works at the CDC as Director of National Center for Injury Prevention and Control. She joins us to discuss the scope of the opioid epidemic and the new CDC guideline for prescribing opiates for chronic pain. We also tackle the multiple challenges and difficulties we face in taking on this complex problem as well the potential for making an impact.
Kevin Pho, founder and editor of KevinMD.com, is the pre-eminent voice helping physicians and patients understand the power, potential, and future of social media and healthcare. We cover the explosive growth of social media within healthcare and potential ways it can connect all parts of the healthcare equation.
Jessica Deree is a full-time General Surgeon and simultaneously a competitive ultra-triathlete. On the heels of her amazing performance at Ultraman Florida, where she was the female champion and 10th place overall, she joins us to discuss surpassing limits, mental toughness, and maintaining balance.
Scott Weingart, an Emergency Department and Critical Care physician, hosts EMCrit, one of the most popular medical podcasts on the planet and is an internationally sought-after speaker. He is on the front line of an educational revolution and he joins us to discuss teaching, speaking, and engaging with learners at a brand new level.
Mark Rudolph is a Senior Fellow in Hospital Medicine and chairman of the Patient Experience Committee for the Society of Hospital Medicine. He joins us to discuss the concept, value, and importance of improving experiences for patients. His article in “The Hospitalist” can be found by clicking here.
David Wexler is the Director of the Relationship Training Institution and he joins us to discuss guilt vs shame and how to overcome destructive behaviors.
Christina Farr is an award-winning digital health and technology journalist with Fast Company; she rejoins us to examine the fallout from the Theranos controversy, the need for rigorous evaluation of healthcare start-ups, and potential unexpected consequences of genetic testing.
Paul Knoepfler is a widely recognized expert on CRISPR, a DNA editing tool that allows for rapid and inexpensive modification of DNA with staggering implications. He joins us to help understand what CRISPR can do and what it means for humankind.
Scott Reeves is a world-renown social scientist and professor of Interprofessional Research. He joins us to discuss how best to implement and manage complex change.
Barron Lerner is a physician, historian, and widely published writer who joins us to discuss gaps between generations and professions, and how to bridge them.
Richard Baron, president of the American Board of Internal Medicine, joins us to discuss the multiple controversies surrounding the ABIM and the massive paradigm shift of moving from being an authority-based organization to one based upon co-creation and channeling community standards. (note, minor feedback issues resolved after first 2 minutes)
Jocko Willink, Navy SEAL and co-author of “Extreme Ownership: How Navy SEALs Lead And Win” joins us to discuss a wide array of leadership perspectives ranging from activating resistant leaders to his fantastic and productive take on managing disruptive behavior.
Dr. Lord Lockwell (not his real name), co-founder and co-editor of www.gomerblog.com, joins us to talk about the origins, growth, and importance of the funniest medical website out there. Satire at its very finest!
Stephen Beeson is a national leader in organizational improvement and physician coaching as well as an extraordinary public speaker. He joins us to talk about the the frustrating effect of regulatory pressure, the concept of “shared purpose”, and tools to generate positive change in medicine and beyond. We also discuss The Physician Effectiveness Project and www.practicingexcellence.com (note: I serve as Hospitalist contributor.)
Bob Wachter rejoins us to discuss the powerful response to his book “The Digital Doctor” and issues around hype in medicine, conflict disclosure, and his upcoming work with the National Health Service in the United Kingdom. For more on “The Digital Doctor” check out episode 3 in the archive, where Bob discussed the book on the eve of its’ release.
Chris Herren is an ex-NBA basketball player, a recovering drug addict, and one of our greatest resources for learning about substance abuse and how to approach it and help those in need. He is an incredible speaker and reaches audiences from all walks of life; his experiences and insights are an invaluable tool for everyone to share.
Dr. Joanne Conroy is the CEO of Lahey Hospital and Medical Center and is also a co-founder of Women of Impact. She joins us to discuss the formation of Women of Impact, the power of finding shared purpose, and changing contexts in healthcare.
Erik Reinertsen is part of a new generation of medical students who are also helping drive the med-tech-business nexus. He joins us to discuss walking a very unique path; pursuing his MD/PhD while helping run Forge.
Zubin Damania (aka ZDoggMD) joins us for a wide-ranging, frequently hilarious conversation on being an iconoclast, creating medical satire, and the value of risk-taking.
Dr. Josh Minuto, a friend and an Infectious Disease physician, joins us just after the beginning of season 6 of The Walking Dead to explore our society’s fascination with zombies, apocalypse stories, and how we respond to real infectious threats.
We continue with Dr. Ricardo Nuila on the challenges of discussing death, an issue that is always emotionally charged, as well as explore his article in The Atlantic on this subject, which you can find here.
Conversations about end of life care are never easy, whether it’s about you, your loved one, or your patient. Dr. Ricardo Nuila joins us to consider these difficult but vital discussions, as well as his recent article on the subject in The Atlantic, which you can read here.
Dr. James Muller is a renown Cardiologist and a founding member of International Physicians for the Prevention of Nuclear War (IPPNW), which was awarded the Nobel Peace Prize in 1985. He joins us to discuss his work helping to prevent nuclear war, teaming up alongside those perceived as the enemy, and the double-edged sword of technology.
Jeff Reznick and Ken Koyle from the National Library of Medicine join us to discuss their wonderful New England Journal of Medicine article “Combat and the Medical Mindset: The Enduring Effect of Civil War Medical Innovations.” Ranging from disaster management, formulary development, and a look into the future, this is a fantastic conversation on a little-studied aspect of contemporary American health care. The historian within rejoices! Find the article here.
In part 2 of our interview with Christina Farr from KQED’s “Future of You” project, we further dissect the scope and implications of the healthcare technology revolution for consumers, patients, and providers.
The collision of technology and healthcare is causing seismic change on a daily basis. Christina Farr from KQED’s website “Future of You” joins us to help make sense of this rapidly accelerating revolution.
Less than 4 hours after completing the Badwater 135, known as the toughest footrace on Earth, Josh Talley and Michelle West sat down to discuss their unbelievable adventure. Compelling lessons lie within that can be adapted by anyone. Relentless forward motion!
The Badwater 135 is a footrace made up of 135 grueling miles through Death Valley in the hottest part of summer. Two competitors, Michelle West and Josh Talley, join Explore The Space less than 2 weeks before the start to discuss the mental and physical challenges ahead in one of the toughest human endeavors on the planet.
Dr. Faye Reiff-Pasarew joins Explore The Space to discuss how the arts and humanities can indelibly connect patients and doctors. We also dive into her remarkable podcast “The Art of Medicine” and the best places for caffeine in San Diego and Manhattan.
In the second part of our interview with Regina Holliday, we hear about the scope of the Walking Gallery movement, how pop culture fits into her work, and meeting President Obama. Part 2 of 2
Regina Holliday, a nationally recognized patient advocate and founder of The Walking Gallery, joins Explore The Space to discuss her meteoric rise and the power of protest art, social media, and true passion as tools for bringing tangible change. Part 1 of 2.
In the second part of our conversation about his experiences battling Ebola in Sierra Leone, Dr. Guy Bizek tells stories both devastating and uplifting from this very real human tragedy. Part 2 of 2.
Fresh from his return from Sierra Leone, Dr. Guy Bizek joins Explore The Space to discuss his experiences working with people and communities devastated by the Ebola epidemic. A harrowing and important conversation. Part 1 of 2.
Dr. Eric Topol joins Explore The Space to discuss the rapidly evolving world of patient empowerment through access to personal health data.
Dr. Wachter returns to discuss his experiences on the front lines during the early days of the AIDS epidemic.
Dr. Bob Wachter, recently named the Most Influential Physician Executive in America by Modern Healthcare, joins the podcast to discuss his new and provocative book “The Digital Doctor”.
We are up and off the ground! Explore The Space is dedicated to finding important issues in healthcare and connecting with the universal experiences we all have wrestling with these issues. This is a podcast designed for all interested listeners, you don’t need to be in the healthcare field, you just need to have a bit of curiosity and a sense of adventure. Episode 1 of the podcast is a short introduction to Explore The Space as well as to me, your host. Please be sure to subscribe to the podcast on iTunes.
And yes, the name of this podcast is a hat tip to Christopher Walken’s line in the famous SNL “Cowbell” skit.