“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.
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. Where this focus on medical students in the essay came from
2. Was the early graduation of medical students a helpful intervention in dealing with Covid19 and what are the markers of success?
3. The need for qualitative study of what the experience was like for the early graduates
4. 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
5. The “confidence = competence” heuristic and the complexity of how to assess learners
6. Where things stand with research around time-variable training
7. How are we taking care of residents and fellows during the Covid19 pandemic?
8. The response to the article
9. What are the next steps forward to create a better continuity between medical school and residency
“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
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. Imagine yourself in a Covid-19 isolation room trying to listen to your patient’s lungs
2. 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
3. Thinking of POCUS as additive, supportive, and a powerful accelerant of collaboration instead of something that “replaces” anything else
4. Renee’s new leadership role as CMO of Vave Health
5. Breaking through inertia & imposter syndrome
6. Acknowledging & moving past the “selling out” concept
7. Determining purpose using “what am I good at, what does the world need, what can I get paid for, what am I passionate about”
8. Being your authentic self when stepping forward for a new role
9. Potential impact not just in the role, but in allows others to observe and learn from her journey
“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.
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. The intersection of Adam’s book and the Covid19 pandemic, especially how our profession has failed to create effective structures around wellness and inclusion.
2. Attrition Mindset and how it has been normalized in medicine
3. The “Pained Look” and a personal story of mine
4. How medicine has normalized suffering in silence
5. Why “wellness” lacks any meaning without intention
6. Where is the low hanging fruit for an institution to being changing culture around mental health and substance use disorders
7. The critical need to normalize mental health for physicians and healthcare professionals during a pandemic
8. Being on the anxiety rollercoaster of Covid19
9. Creating space for someone to tell you they are not ok
10. The gap in physician training around processing death and grief and how it can impact us downstream
11. Dissecting the cover of “Long Walk Out Of The Woods”
12. Staying in a Recovery Mindset while still helping others
13. How Adam has leveraged social media as a platform for sharing his journey
“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”
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 was the spark for this topic
2. Just because there isn’t a category for it doesn’t mean interviewers don’t want to see your Covid-19 contributions
3. Acknowledging the hardships that medical students and residents have dealt with and why the inclusion is a form of self-validation
4. Demonstrating respect and admiration for medical students and residents by encouraging them to share what they’ve done
5. The importance of a narrative of contribution and investment in an application
6. The holistic review & shaking up the evaluation process
“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.
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. 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
2. The multiple challenges borne of structural racism the article tackles in a small literary space
3. Urgency, being at a crossroads, and the importance of taking action
4. Juxtaposing waste and squander with urgency and action
5. The importance and value of highlighting inequitable practices in patient care
6. The critical need to properly assign value and make people whole when they are asked to do work around diversity and inclusion
7. The frustration that comes when asked to do work around diversity without the proper time and compensation protections in place
8. How do we keep our buckets full and how this connects to allyship
9. The impact allyship from leaders and supervisors can have, especially in cultivating an antiracist environment
10. Broadening our thinking when it comes to promotions
11. Being grounded to purpose & learning to say no
“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.
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. Introductions, thank you’s, and a few words from the wonderful Gabby Giffords
2. Introducing the panelists: Congressman Mike Thompson, Dr. Megan Ranney, Congressman Ted Lieu, and Congresswoman Robin Kelly
3. The panel discussion on steps to reduce gun violence in America
“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.
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. Feeling invisible
2. The origins of #ShareTheMicNowMed
3. Why David chose to participate in #ShareTheMicNowMed
4. Platform sharing as an exercise in breaking down social media silos
5. What can we do better with #ShareTheMicNowMed
6. How David shared the innumerable challenges he faced growing up & the responses he received after the day
7. Giving a voice to financial literacy on social media
8. Going deep on coffee, social media, & #MedGrind
“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
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. The genesis of Bob’s outstanding Covid focused Twitter threads in the early days of the pandemic in America
2. How being a Generalist helps to process the multidimensional nature of the Covid19 pandemic
3. Adding phantosmia to the myriad impacts Covid19 has on the human body with a stunning example
4. The incredible pivot in how we communicate now to the public and the critical need for effective communication with a lay audience
5. Corollaries to being a Hospitalist and being a Covid19 Generalist
6. Assessing the level of trust the public has in the information they are getting
7. What kind of a teacher is Covid19? (This is absolutely fascinating)
8. What is the greatest Covid19 risk factor for the Bay Area, and any other region that has successfully flattened the curive?
“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.
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. Why saying “No” can be critically important
2. Understanding what you want to say No to in the first place
3. The relief that comes with saying No, and how it makes saying Yes that much more satisfying
4. How we in medicine are encouraged to say Yes to more and more without any sense of tangible compensation
5. Skills that come with being whole around taking on an activity
6. Seizing the current moment as an inflection point
7. Working within organizations to create an equitable culture
8. How the launch of Advancing Health Equity has been a validation & vindication
9. Keeping a record of the times her kids join her Zoom meetings
“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!
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. Why transforming the conversation around gun violence is the key paradigm shift we need
2. The journey to get physicians to acknowledge gun violence is a public health problem
3. The tools and strategies that are effective at helping people understand that gun violence is a public health issue
4. Prioritizing various work projects amidst a world in upheaval
5. 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
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