Ariela Marshall On Physician Infertility

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“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

1. The desire to draw awareness to the subject of physician fertility

2. Why Ariela and her co-authors shared their own histories of infertility in the article

3. How the article has helped people begin to talk about physician fertility

4. Why there is a culture of silence around physician infertility & the impact of societal stigma

5. Speculation around reasons for the increased occurrence of infertility amongst female physicians

6. What is the the low-hanging fruit to move the needle on this issue and provide the necessary infrastructure for support

7. Engaging with men around infertility

8. Inclusivity, social media, and building awareness through storytelling

9. The staggering difficulties and barriers women physicians face when trying to overcome infertility issues while still practicing medicine

10. The importance of leadership in changing the environment around physician infertility

11. Which journals rejected the article

Links

Twitter @AMarshallMD

“Physician Fertility: A Call To Action”

Arghavan Salles’ article in Time Magazine 

#infertility, #IVF, #genderequity, #stigma, #inclusion, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

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“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

1. Where we are now as a nation around the subject of gun violence

2. How Fred became such an incredibly effective advocate in the immediate aftermath of Jaime’s murder

3. Shedding fear and anxiety and engaging with “very significant” people

4. Who are Fred’s allies in his work and what he believes draws them

5. Connection as a tool and the value of being open to new people

6. Why Fox Network won’t have Fred on their air

7. The growth and importance of physicians and healthcare professionals joining into advocacy work around gun safety

8. 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 

#gunviolence, #guns, #Parkland, #advocacy, #OrangeRibbonsForJaime, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

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“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

1. What being on a press junket is like and the fun of #MOTTIRL (Met on Twitter, then in real life)

2. How collaboration drove the creation of “First Cut”

3. The importance of tempo, reading aloud, & food in an effective collaboration

4. Bringing a strong sense of reality into a work of fiction

5. 7 CSI fails and how TV and movies get it wrong

6. Who Judy thinks is the archetype forensic pathologist (this is a great call)

7. Accurately reflecting what living in San Francisco looks and feels like

8. How Judy’s commitment to public health informs her storytelling, and her reflections around #ThisIsOurLane

Links

Twitter: @drjudymelinek, @TJMitchellWS

#collaboration, #fiction, #creativewriting, #forensics, #forensicpathology, #pathology, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

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“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

1. Trauma surgery as a conversation starter & how working long hours is a place of curiosity

2. The lack of education around being “on call”

3. How Jamie feels after being on call and how long it takes to recover

4. The physical demands of being on call

5. The mindset Jamie carries into Trauma call

6. What is trauma call like?

7. How Jamie’s research is the first step towards getting better

8. The current state for Trauma surgeons

9. 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

#trauma, #traumasurgery, #sleepdeprivation, #mindset, #allnighter, #scarcitymindset, #sleep, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

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“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

1. Starting off with The Ragnar Relay and why Kimberly is a Ragnarian

2. Kimberly’s extraordinary ability to find common ground and draw people in

3. Wherein Kimberly shares some of her secrets: 30 seconds of attention, body language, and use of 1st names

4.  The process by which Kimberly creates her incredible Twitter story threads

5. Finding your Whitney Houston

6. What feels aspirational for Kimberly heading into a New Year and new decade?

Links

Twitter: @gradydoctor

#teaching, #writing, #WhitneyHouston, #pluripotent, #NewYear, #decade, #aspiration, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

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“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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Key Learnings

1. Amy’s desire to collaborate around the issue of gun violence

2. How Amy advocated for Scott’s role as full-time Trauma Outreach Coordinator

3. Developing trust & respect as a cornerstone of collaboration

4. The educational cornerstones of Cradle To Grave, especially in juxtaposition to how gun violence is portrayed in popular media

5. Why there are not many other similar programs around the country

6. Scott’s efforts and impact around distributing gun locks & the importance of safe storage

7. 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

#guns, #gunviolence, #prevention, #gunsafety, #gunfail, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

 

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“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.

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Key Learnings

1. Narjust’s reflections on being a 4th generation physician

2. Defining the term “Unconscious Bias”

3. Narjust’s paper on unconscious bias and the generalizable nature of it.

4. How microaggressions come with unconscious bias and the cumulative impact they have

5. Dealing with the “where are you really from” question

6. Where medical education around unconscious bias stands

7. The impact of unconscious bias on patients

8. Resources for learning more and getting better around unconscious bias

9. How unconscious bias can impair communication between patients and physicians (also, Attending Syndrome is real)

10. Wherein Narjust creates The Cheese Analogy, which is absolutely brilliant

11. 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

#bias, #unconsciousbias, #microaggressions, #oncology, #lungcancer, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

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“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

1.  Diving into the mystery of Radiation Oncology

2. The correct fantasy character comparison for Rad-Onc

3. “It’s because of the nature of the linear accelerator”

4. The importance of relatability & vulnerability

5. Healthcare literacy, health equity and fear in radiation treatment

6. Addressing cancer disparaties in the LGBTQ community & creating smoke-free environments at community events

7. Tension around national recognition and local activism

8.  Developing the ability to say “No” & what she is prioritizing

9. Courage and its role in her work

10. The value of helping patients understand when a physician doesn’t know everything

11. A highlight of studying at the Sorbonne

#radiation, #radiationoncology, #relatability, #vulnerability, #cancer, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

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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.

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Key Learnings

1. Why Alex is on social media

2. The things that bring about anxiety as a voice on social media

3. Where Alex feels comfortable sharing

4. Sharing her inner voice and befriending her demons

5. Responding to requests from followers and fans

6. How someone can have more than one focus that is “all-consuming”

7. Prioritizing a sense of gratitude and appreciation

8. Why Alex doesn’t keep track of every case anymore

9. Dealing with death and fear

10. Wherein we bring Anesthesia and The Beastie Boys together

11. What is next for Alex and her Inner Voice

Links

Alex on Twitter @AlexAndersonMD

“Shake Your Rump”

#gratitude, #appreciation, #anesthesia, #livertransplant, #transplant, #Thanksgiving, #beastieboys, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

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“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.

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Key Learnings

1. The intention behind “The Man They Wanted Me To Be”

2. Defining the roots and constructs of Toxic Masculinity

3. Jared’s own story and the impact of abuse

4. Toxic Masculinity and the holidays

5. Gateways towards radicalization

6. Bullying and insecurity

7. The privilege of white men being able to say and do things at a different level than the rest of society.

8. Handling the question: what are men supposed to be now?

9. The 5 “acceptable” characteristics: Athlete, Wealthy, Player, Farmer, Outlaw

10. How we wear “costumes” and perform a character until we forget it’s even a character

11. The impact of communication on American men and the story of Jared’s Dad

Links

Jared’s website

Twitter: @jysexton

#toxicmasculity, #masculinity, #gender, #sex, #costume, #whitemaleprivilege#podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician