“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.
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
1. Welcome and the most wonderful introductions of our panelists for “The Pluripotent Hospitalist”
2. Pluripotency and diverse skill sets as a mindset for a Hospitalist and as a whole person
3. Orchestration as an aspirational skill and the value of being a Generalist
4. Thinking beyond the walls of the hospital
5. Seeking autonomy, mastery, and purpose so we can continue to enjoy our careers
6. How much do we share our whole selves with our teammates and with patients
7. What skill did each panelist have to develop to move through the Covid-19 pandemic?
8. Maintaining mental health and uplifting it within the profession
9. Unique challenges faced by medical students, residents, and fellows
“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.
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
1. Recording in the wake of another extreme weather event
2. The resuscitation analogy & the critical window for climate action
3. Multiple parallels between the response to Covid19 and climate change
4. The connections between structural racism, health equity and climate change
5. Activating others by making climate change personal and more visible through their health
6. The huge impact physicians and nurses can have in overcoming cognitive barriers with the population around climate change
7. Launcing the “Climate Crisis In Clinical Practice Initiative”
8. The profound mental health impacts of these converging crises
9. “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)
“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.
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
1. When did they begin thinking about moving to New Zealand & how has the settling-in process gone?
2. The process of moving to New Zealand during Covid-19
3. Would they ever come back to the United States?
4. The return of Dr. Jessie Teska with “Aftershock” and what this collaborative process felt like
5. Why “Aftershock” is a dark story
6. How they want to shape the world for Jessie Teska in future books
7. How their books are impacting career choices
8. Appreciating how New Zealand continues to respond to science
9. Deciding whether or not Covid19 will enter a subsequent book plot
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.
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
1. Why rivers speak to Dr. Gilliar
2. What is an “Open Systems Thinker” and how does it translate into education
3. Reconciling complaints and criticism as a learned skill
4. Addressing anti-DO sentiment, the background behind it, and the road forward
5. Why osteopathic medicine is similar to jazz & what Dr. Gilliar’s vision for the next-generation physician looks like
6. Focusing on point of care ultrasound as a tool to improve perinatal health outcomes in Nevada and getting portable ultrasounds to Touro medical students
“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.
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
1. Learning about “Work smarter, not harder”
2. Starting with the Self and thinking about how to move from where you are now to where you want to be in 5 years
3. Replacing the myth of work-life balance with the reality of self-compassion
4. Time, caring for Self, and getting a bagel and coffee
5. Assessing how you use your time and how their HBR paper fits into that assessment
6. Getting comfortable with saying No and the 3 criteria Dr. Landry uses
7. Dr. Lewiss’ pathway to becoming a point of care ultrasound (POCUS) expert
8. How POCUS served as a springboard for Dr. Landry and seeing what speed & efficiency can look like
9. The ways POCUS changes the physician-patient dynamic
10. Having an impact on the question of “what’s taking so long?”
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
1. Dr. Spector’s pluripotent journey into leadership and ELAM
2. Recurring points of friction and recognizing structural issues that exist in academia
3. The “invisibility” of mid-career female physicians & identifying the time of greatest vulnerability
4. How homogeneity remains a huge barrier at the top for women and particularly women of intersectionality
5. Why allyship is so critical as opposed to this being solely a women’s issue
6. Calling out wage gaps and Equal Pay Day
7. How outdated information sharing platforms in academic publishing are a barrier to progress
8. Why Promotions and Tenure is ripe for an overhaul, with special attention paid to public influence and impact, particularly during Covid19
9. Making it clear that the Council of Deans must address the issue of Promotion and Tenure during Covid19
10. Examining “The Fauci Effect” and medical school applications
“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
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
1. The evolution of the digital health space and how it led Christina to make a career change
2. Leveraging a personal network to gather understanding & have a point of view
3. What does it mean to be in Venture Capital?
4. The failure of hubris & the need for fresh perspectives
5. Moving away from disruption toward collaboration
6. Why risk aversion is a problem when a tech company hires a physician
7. The importance of maintaining a sense of empathy
8. Why Christina hones in on behavioral health in the United States
9. Why Christina is getting more pings from doctors looking for an exit from the profession
“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
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
1. Handing off America, the struggling patient, from one administration to another
“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.
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
1. What it’s like to be a medical student during a pandemic
2. The burden of worrying whether a program or the medical system will properly support trainees
3. How social media has been essential to airing concerns & raising attention
4. The skill set and pattern recognition that allows someone to move forward in an academic setting
5. Valuation of trainees and recognizing everyone has something to contribute
6. The horrifying impetus for writing the JAMA paper & why it felt vindicating to publish
7. Why the article needs to be a call to action
8. The origins and founders of Get Us PPE Chicago
9. The cloak-and-dagger nature of collecting and distributing PPE
10. Why nursing homes and homeless shelters are a PPE priority
“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”
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
1. Understanding that ideas are everywhere, implementation is everything through “Shark Tank”
2. Laying out the frustrating part of what we’ve experienced
3. What is a supply chain an supply chain management
4. The essential need for the Federal government to drive the supply chain and vaccine process
5. Horizontal and vertical coordination within a supply chain
6. Why “Backwards Scheduling” is Dr. Sanders’ top priority going forward
7. Identifying and dealing with bottlenecks in the supply chain
8. Rebuilding public confidence in the vaccine supply chain and the vital need for messaging
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