Greyscale

We check in with our Class of 2025 as they are halfway through their residency training.

We continue our journey with Swedish First Hill Family Medicine Residency's Class of 2025 now that they have nearly completed their first year in residency.

The first part of a new series titled "CO25". We are introduced to 5 new residents who we will follow throughout their residency journey.

Heavyweight, Episode #37 - "John": https://open.spotify.com/episode/6QYP10F2Hwevc7XLdKGqT2?si=5537f5cf778c4fb9

We kick off Season 4 with Dr. Kimberly Dao who shares some of what made them resilient through a tumultuous 2020.

Eve Ewing’s “Affirmation”Audre Lorde’s “A Woman Speaks”Alice Walker’s “The Nature of This Flower is to Bloom”PodcastsNATAL: A docuseries about having a baby while Black in the United StatesBirth Stories in ColorBiasMFM survey of providers in which 29% somewhat or strongly agree that bias affects how they care for patientsLimited impact of implicit bias trainingDoulasEmerald Doula group arranges feedback to providers with problematic behaviorsRebecca PolstonDemetra SerekiImpact on adverse pregnancy outcomes and breast or chestfeedingHistorical and ethnographic scholarshipDr. Deirdre Cooper Owens’ Medical Bondage: Race, Gender, and the Origins of American GynecologyDr. Khiara Bridges’ Reproducing Race: An Ethnography of Pregnancy as a Site of RacializationDr. Dorothy Roberts’ Killing the Black Body: Race, Reproduction, and the Meaning of LibertyDr. John Hoberman’s Black & BlueRace-based medicineWorld Health Organization’s recommendations on pelvimetryObstetrics & Gynecology article on pelvis MRIs and possible link to outcome disparitiesVBAC calculator criticismStatistical sources:CDC 2019 Vital Signs reportSevere Maternal MorbidityRace, ethnicity, and nativity differentials in pregnancy-related mortality in the United StatesWashington State 2019 maternal death reviewExploration of causalityFailure to rescue, including in postpartum hemorrhageImpact of delivery outside the hospitalPersonally-mediated racismExposure to low socioeconomic status while in uteroImpact of perceived discriminationReview of social determinants of health impact on prenatal care utilization and maternal outcomesCamara Jones’ articles on social determinants of equity, on not exploring the 'why' of disparitiesGeneral impact of structural racism on health disparitiesMedian wealth differentialsHealth impacts of mass incarcerationConsidering birth setting: systematic review 2018, systematic review 2019, UK guidelines by diagnosis for delivery locationSystemic interventionsCentering voices of colorSPEAK UP campaign from Institute for Perinatal Quality ImprovementAIM Patient Safety Bundles from the Council on Patient Safety in Women’s Health Care, including bundle targeting disparitiesMaternal Early Warning System from the Council on Patient Safety in Women’s Health CareSociety for Maternal Fetal Medicine’s Call to Action, education subcommittee's report, and AJOG's 5 year report cardEvidence for safety bundles, including CMQCC’s VTE toolkitCalifornia’s broad care collaborative to create change at scaleImportance and examples of maternal mortality review panel that recommend system interventionsImportance of simulation trainingUse of quality improvement metrics and approachesStrengthening the postpartum transition of care, creating a new postpartum paradigmRole for family medicine physiciansNeed for paid maternity leaveWorking together to get patients to the appropriate level of careAddressing anemia to reduce disparitiesPolicy statementsACOG’s Committee Opinion on disparitiesLetter from the AAFPMomnibus overview

We invite nurses Edna and Chris to share a story of a complicated patient

Chris Drumm, Family Physician from Pennsylvania, joins us remotely to discuss an experience of a dying patient and her husband.Doc and the Deacon podcast: https://podcasts.apple.com/us/podcast/doc-and-the-deacon/id1386908429

Faculty and residents share their stories at a recent Narrative Medicine workshop about a time they experienced a loss of control.

"Laughter is the closest distance between two people". In our first two-guest episode, Laura Blinkhorn and Joe Breuner discuss navigating encounters with a beloved yet disruptive patient who battles mental illness.

Carrie Rubenstein shares a story of an older patient at the end of her life and maintaining the balance of being both PCP and primary decision-maker.

Anna McDonald brings us a story about finding a way to contribute even when feeling out of your element.

Kevin Wang, faculty at Swedish First Hill Family Medicine Residency, discusses his journey through the medical education system as we get a glimpse of how LGBTQ healthcare and medical education has evolved and where it can continue to improve.Swedish LGBTQ - Trans Healthcare Symposium: https://www.swedish.org/for-health-professionals/cme/conferences/trans-healthCultural Awareness Training & LGB Education· Fenway Institute: https://www.lgbthealtheducation.org/lgbt-education/learning-modules/· Cardea Services: http://www.cardeaservices.org/training/providing-culturally-proficient-services-to-transgender-and-gender-nonconforming-people.html· Gay & Lesbian Medical Association: http://www.glma.org/index.cfm?fuseaction=Page.viewPage&pageId=1025&grandparentID=534&parentID=940&nodeID=1· His Health: https://www.hishealth.org/· Fenway Institute: https://www.lgbthealtheducation.org/lgbt-education/webinars/ Trans Medical Care & Statistics· National Transgender Discrimination Survey: https://transequality.org/issues/national-transgender-discrimination-survey· University of California San Francisco Center of Excellence for Transgender Health Guidelines: http://transhealth.ucsf.edu/trans?page=guidelines-home· Cedar River Clinics Trans Toolkit: http://www.cedarriverclinics.org/transtoolkit/· Callen Lorde Trans Protocols: http://callen-lorde.org/transhealth/· World Professional Association of Trans Health Standards of Care Version 7: http://www.wpath.org/site_page.cfm?pk_association_webpage_menu=1351&pk_association_webpage=3926· Fenway Health Trans Guidelines: http://www.lgbthealtheducation.org/wp-content/uploads/COM-2245-The-Medical-Care-of-Transgender-Persons.pdf Other· HealthyPeople 2020: https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health· LGBT Health Journal: http://www.liebertpub.com/lgbt· Transgender Health Journal: http://www.liebertpub.com/overview/transgender-health/634/

Jorge Garcia shares 3 separate stories that each highlight the complexity of human life.

In this episode, we hear an all-to-familiar story of a physician running late in clinic. What happens when a patient conflict occurs in the middle of this busy clinic day that leads to potentially irreparable harm? AFP Episode: https://itunes.apple.com/us/podcast/bonus-episode-6-october-13-2017-afp-american-family/id1064701549?i=1000393503552&mt=2

Joe Breuner joins us to discuss a delayed diagnosis in the distant past that continues weigh on his mind years later.

Alex Langley, third year Family Medicine resident physician, shares his story about struggling to break bad news. The Break Podcast: https://itunes.apple.com/us/podcast/the-break/id1101789524?mt=2 Running Waters by Audionautix is licensed under a Creative Commons Attribution license (https://creativecommons.org/licenses/by/4.0/) Artist: http://audionautix.com/ Outro: Wayne Shorter - Speak No Evil

Carolyn Wakeman, Chief resident at Swedish First Hill Family Medicine Residency, guides us through her story of a tumultuous labor induction.

Kaeley Kaplan, second year Family Medicine resident at Swedish First Hill Family Medicine Residency, shares her story about a dying patient and a magic pill.

Eliza Hutchinson, second year Family Medicine resident physician, shares her story of going the extra mile to make a potentially significant change in her patient's life. But is it worth the personal cost that it comes at?

Elizabeth Hutchinson, fellow faculty at Swedish First Hill Family Medicine, joins me in this episode where we discuss patient autonomy and the gravity that continuity of care can sometimes provide.

In this episode, we welcome Camille Fleming, who shares a story about reconciling a "gut feeling" versus sticking with evidence based medicine.

In this, the pilot episode of Greyscale, we take a look at what happens when a patient and their physician's agenda collide and what we can take away from a bad outcome. Features Ben Davis and Camille Fleming, faculty at Swedish First Hill Family Medicine Residency