The DEI Shift

Make use of the rare opportunity to hear the voices of a highly underrepresented voice in Occupational Therapy, learn about his very unexpected path into his career, and brainstorm strategies that all of us, whether in healthcare or not, can work to increase the recruitment and retention of underrepresented OTs.Learning Objectives:Recognize and understand the importance of listening to the diverse voices of an underrepresented healthcare field, such as occupational therapy. Analyze and brainstorm the various barriers to recruitment and retention of underrepresented OTs.Examine how the lessons learned from OT can be utilized to foster diversity and inclusion in all healthcare fields and enhance opportunities for underrepresented groups in all professions.Credits:Guest: Daniel Alison, ODT                                                                                                Host/Co-Executive Producer: Dr. Maggie Kozman                                                          Executive Producer: Dr. Tammy Lin                                                                                Co-Executive Producer: Dr. Pooja Jaeel                                                                                Senior Producer: Dr. Dirk Gaines                                                                                      Managing Producer: Joanna Jain                                                                                    Production Assistants: Clara Baek, Ann Truong, Sanika Walimbe                        Website/Art Design: Ann Truong                                                                                    Music: Chris Dingman https://www.chrisdingman.com

Join us for Part 2 of our conversation with Dr. Lisa Meeks, a leader on disabilities in medical education and our friend from the Docs with Disabilities podcast, which she founded and co-hosts. Dr. Meeks discusses the prevalence of disabilities across the training and career spectrum, the risks of disclosure that students and physicians with disabilities face, and the resources of which we should all be aware for ourselves and for those around us.Learning Objectives:Investigate the prevalence of disabilities among physicians at different stages of their training and careers.Recognize some of the challenges and risks associated with disclosure of one's disability.Build awareness of the repository of reliable resources on physicians with disabilities, disability access, accommodations, and stories that one can utilize for themselves and share with trainees with disabilities who are looking for resources.Credits:Guest: Dr. Lisa MeeksHost/Associate Producer: Dr. Candace SprottExecutive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie KozmanSenior Producer: Dr. DJ GainesProduction Assistants: Dr. Erynn Beeson, Dr. Andrea Anampa-Guzmán, Sanika WalimbeWebsite/Art Design: Ann TruongMusic: Chris Dingman https://www.chrisdingman.com

Join us as we learn from Dr. Lisa Meeks, a leader on disabilities in medical education and our friend from the Docs with Disabilities podcast, which she founded and co-hosts. Dr. Meeks discusses the multifaceted aspects of disability identity, centering persons with disability in our language and conversations, and the challenges posed by disclosure.Learning Objectives:Evaluate the multifaceted aspects of disability identity, considering societal perceptions and personal experiences, to gain a deeper understanding of the challenges faced by individuals with disabilities.Differentiate between identity-first and person-first language to foster inclusive and respectful interactions with individuals with disabilities.Investigate the prevalence of disabilities among physicians, critically analyzing research findings and recognizing the challenges associated with disclosure, particularly focusing on intersectional factors such as race and gender.Explore the intersectionality of disabilities within the healthcare context to gain insights into the unique challenges faced by individuals with multiple marginalized identities.Credits:Guest: Dr. Lisa MeeksHost/Associate Producer: Dr. Candace Sprott Executive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie KozmanProduction Assistants: Dr. Erynn Beeson, Dr. Andrea Anampa-Guzmán, Sanika WalimbeWebsite/Art Design: Ann TruongMusic: Chris Dingman https://www.chrisdingman.com

Whether at home or abroad, healthcare workers are constantly encountering patients and colleagues of varied and sometimes unfamiliar backgrounds, requiring continual growth in their cultural humility, language equity, and resourcefulness in collaboration. Join us as we learn from the unique first-hand experience that Dr. Lisa Camara and Christopher Chow have had in the Seafarer's Medical Clinic, a Honolulu-based outreach that serves fishermen in need of healthcare when their ships dock to deliver their catches.Learning Objectives:Define cultural competence and cultural humility, and contrast the two concepts.Apply the strategies of the guests' unique clinical model to one's own local underserved patient populations and healthcare system.  Strategize how to find and collaborate with local community groups and non-profit organizations in one's region to improve patients' access to healthcare.Credits:Guest: Dr. Lisa Camara, Christopher ChowCo-Hosts/Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie KozmanExecutive Producer: Dr. Tammy LinAssociate Producer: Dr. Candace SprottSenior Producer: Dr. Dirk GainesEditor/Assistant Producer: Joanna JainProduction Assistant: Ann TruongWebsite/Art Design: Ann TruongMusic: Chris Dingman https://www.chrisdingman.comOne of our guests uses the term “provider” to refer to their clinic's physicians. Though this term is used interchangeably by many in the medical community, The DEI Shift podcast team endorses and supports the use of “physician” in place of “provider” where applicable, as outlined in ACP policy. For more information, please refer to the article included in the Show Notes.

We're closing out Mental Health Awareness Month with the 2nd part of our discussion of burnout. Join us as we learn from Dr. Anand Jagannath, a clinician educator hospitalist who experienced burnout as an early career physician, and then learned strategies that individuals and institutions can implement to better recognize and combat burnout.Learning Objectives:Learn and be able to recognize potential sources of burnout.Learn various individual methods one can use to combat burnout. Identify various methods institutions can implement to help mediate burnout among their students, employees, and faculty. Credits:Guest: Dr. Anand JagannathCo-Hosts: Dr. DJ Gaines, Branden BargerExecutive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie KozmanAssociate Producer: Dr. Candace SprottSenior Producer: Dr. DJ GainesEditor/Assistant Producer: Clara BaekProduction Assistants: Nilgoun Farhadi, Leyna NguyenWebsite/Art Design: Ann TruongMusic: Chris Dingman https://www.chrisdingman.comInstagram: @thedeishiftX: @thedeishiftWebsite: https://www.thedeishift.comEmail: thedeishift@gmail.comContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

Burnout has unfortunately become an exceedingly common experience for healthcare workers, even independent of the COVID-19 pandemic. In this episode, we start a conversation about burnout, its signs/symptoms, and its potential repercussions with Internal Medicine resident Dr. Allison Ibarra.Learning Objectives:Define burnout according to the World Health Organization.Learn and be able to recognize common signs of burnout. Identify and recognize the potential consequences burnout can have on physicians' and medical trainees' physical and mental well-being.Credits:Guest: Dr. Allison IbarraCo-Hosts: Dr. DJ Gaines, Branden BargerExecutive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie KozmanAssociate Producer: Dr. Candace SprottSenior Producer: Dr. DJ GainesEditor/Assistant Producer: Clara BaekProduction Assistants: Nilgoun Farhadi, Leyna NguyenWebsite/Art Design: Ann TruongMusic: Chris Dingman https://www.chrisdingman.comInstagram: @thedeishiftX: @thedeishiftWebsite: https://www.thedeishift.comEmail: thedeishift@gmail.comContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

In this compelling episode, Dr. Candace Sprott engages in a thought-provoking conversation with Dr. John Hall, a seasoned Internal Medicine physician with a unique perspective on disability in the medical field. Dr. Hall shares his remarkable career journey, highlighting the challenges he faced and the pivotal decision to transition from Obstetrics and Gynecology to Internal Medicine due to his physical disability. The episode explores the nuances of the day-to-day experiences of physicians and patients with disabilities and seeks to advance the conversation around strategies that promote inclusivity and celebrate intersectionality. Learning Objectives:Define the legal framework of disability as stipulated by the Americans with Disabilities Act (ADA). Identify strategies for person-centered care for people with disabilities, understanding the significance of tailoring interactions with these patients based on individual preferences.Examine the concept of intersectionality in healthcare, identifying how various aspects of identity, including disability, influence the patient-physician relationship and acknowledging the diverse ways individuals view their disabilities.Credits:Guest: Dr. John HallHost/Associate Producer: Dr. Candace SprottExecutive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie KozmanSenior Producer: Dr. DJ GainesProduction Assistants: Dr. Erynn Beeson, Andrea Anampa-GuzmánWebsite/Art Design: Ann TruongMusic: Chris Dingman https://www.chrisdingman.comInstagram: @thedeishiftX: @thedeishiftWebsite: https://www.thedeishift.comEmail: thedeishift@gmail.comContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

Pick up where we left off in Part 1 (Season 4, Episode 3) by applying the pediatric-to-adult transitions strategies we learned in that episode to a specific patient population: those with Intellectual and Developmental Disabilities (IDD), like Autism Spectrum Disorder (ASD). Transitions can be one of the most trying and health-destabilizing things a young person and their caregivers experience. In this episode, we learn from the experience and wisdom of Dr. Susan Hingle and Dr. Mai Pham, who have not only navigated this process with their patients, but with their own children as well. Their personal experiences have informed and fueled their wonderful professional work in this space as they demonstrate how we can provide and advocate for equitable care for this patient population.Learning Objectives:1. Define Intellectual and Developmental Disabilities (IDD), and the specific example of Autism Spectrum Disorder (ASD). Describe how these are diagnosed.2. Describe key issues that healthcare teams should keep in mind for patients with IDD, including ASD, as they transition from childhood to adolescence to adulthood.     a. In the clinic     b. In the ER/hospital3. Give examples of advocacy efforts for healthcare for members of this community.4. Strategize how one can create inclusive healthcare environments, spaces, and culture for people with IDD, including ASD.Credits:Guest: Dr. Susan Hingle, Dr. Mai PhamCo-hosts/Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie KozmanExecutive Producer: Dr. Tammy LinAssociate Producer: Dr. Candace SprottSenior Producer: Dr. DJ GainesEditor/Assistant Producer: Clara BaekProduction Assistants: Nilgoun Farhadi, Likitha AradhyulaWebsite/Art Design: Ann TruongMusic: Chris Dingman https://www.chrisdingman.comInstagram: @thedeishiftTwitter: @thedeishiftWebsite: https://www.thedeishift.comEmail: thedeishift@gmail.comContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

Join us in learning from our wonderful guests, Dr. Denise Connor (hospitalist and groundbreaking leader in curriculum development for diagnostic reasoning and anti-oppression) and Dr. Cristina Gonzalez (hospitalist and internationally renowned expert in the development of skills-based curricular interventions in implicit bias recognition and management). Dr. Connor and Dr. Gonzalez teach us how to define, identify, and mitigate disparities in diagnostic decision-making and reasoning in order to attain greater diagnostic equity for all patients.Learning Objectives1. Define disparities in diagnosis and diagnostic reasoning.2. Review contributing factors to disparities in clinical diagnosis.3. Outline steps individuals can take to reduce disparities in diagnostic reasoning.4. Discuss organizational strategies to mitigate diagnostic disparities to achieve diagnostic equity.Credits:Course Directors/Co-Hosts: Dr. Ricardo Correa, Dr. Elisa Choi                                 Guests: Dr. Denise Connor, Dr. Cristina M. Gonzalez                                            Executive Producer: Dr. Tammy Lin                                                                                               Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman                                     Senior Producer: Dr. DJ Gaines                                                                                          Associate Producer: Dr. Candace Sprott                                                                               Production Assistants: Erynn Beeson, Nikhil Thope                                       Website/Art Design: Ann Truong                                                                                           Music: Chris DingmanInstagram: @thedeishiftTwitter: @thedeishiftWebsite: https://www.thedeishift.comEmail: thedeishift@gmail.comContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://online2.snapsurveys.com/26b3mt 

Join us for Part 2 of our discussion on Climate Change! Climate change is shifting how we live across the globe, impacting some communities far more than others, and forcing us to continue working to mitigate the damage and adapt to a new and changing environment. Nowhere is this need more important than in healthcare. Listen in on the rest of our conversation with Dr. Robert McLean (rheumatologist, advocate for climate justice, former ACP President) and Dr. Erika Moseson  (pulmonary and critical care physician, founder of Air Health Our Health) about the impact of climate on health and the ways we can work toward climate justice.Learning Objectives:Explore the intersection between health, healthcare disparities, and climate change.Describe the breadth of the impact of climate change on historically marginalized and disinvested communities and individuals.Understand the various strategies to respond to climate change being adopted at the community level, frontline, and systems level in two different areas in the United States.Explore advocacy around slowing, mitigating effects of, and planning/adapting to climate change and climate change emergencies.Credits:Guests: Dr. Robert McLean, Dr. Erika MosesonCo-Hosts: Dr. Marianne Parshley, Dr. Elisa ChoiExecutive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie KozmanAssociate Producer: Dr. Candace SprottSenior Producer: Dr. DJ GainesEditor/Assistant Producer: Joanna Jain, Sanika WalimbeProduction Assistants: Leyna Nguyen, Dr. Erynn BeesonWebsite/Art Design: Ann TruongMusic: Chris Dingman https://www.chrisdingman.comInstagram: @thedeishiftTwitter: @thedeishiftWebsite: https://www.thedeishift.comEmail: thedeishift@gmail.comContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

Climate change is shifting how we live across the globe, impacting some communities far more than others, and forcing us to continue working to mitigate the damage and adapt to a new and changing environment. Nowhere is this need more important than in healthcare. Join us as we learn from Dr. Robert McLean (rheumatologist, advocate for climate justice, former ACP President) and Dr. Erika Moseson  (pulmonary and critical care physician, founder of Air Health Our Health) about the impact of climate on health and the ways we can work toward climate justice.Learning Objectives:Explore the intersection between health, healthcare disparities, and climate change.Describe the breadth of the impact of climate change on historically marginalized and disinvested communities and individuals.Understand the various strategies to respond to climate change being adopted at the community level, frontline, and systems level in two different areas in the United States.Episode Credits:Guests: Dr. Robert McLean, Dr. Erika MosesonCo-Hosts: Dr. Marianne Parshley, Dr. Elisa ChoiExecutive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie KozmanAssociate Producer: Dr. Candace SprottSenior Producer: Dr. DJ GainesEditor/Assistant Producer: Joanna Jain, Sanika WalimbeProduction Assistants: Leyna Nguyen, Dr. Erynn BeesonWebsite/Art Design: Ann TruongMusic: Chris Dingman https://www.chrisdingman.comInstagram: @thedeishiftTwitter: @thedeishiftWebsite: https://www.thedeishift.comEmail: thedeishift@gmail.comContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

Join us for Part 2 of the powerful discussion we started at the end of last season (Season 4, Episode 6), with our 2 experts on caring for people experiencing houselessness, James O'Connell, MD, MACP (Boston Healthcare for the Homeless) and Rachel Solotaroff, MD, FACP (Central City Concern- Portland, Oregon). From the HIV epidemic to the rise of multi-drug resistant TB and the opioid crisis, those caring for people experiencing houselessness and housing insecurity saw the rise of each of these epidemics in their patient populations long before the rest of us.  The devastating impact of the COVID-19 pandemic was particularly harsh for those in shelters or unhoused. Some say that caring for those experiencing houselessness reveals the fractures in our healthcare system earlier and more clearly than healthcare in other settings.  In our discussion, Drs. O'Connell and Solotaroff describe some of the obstacles faced by these patients and their healthcare providers in obtaining/delivering healthcare, and some of the opportunities to learn from and address these challenges.Learning Objectives:Identify challenges and lessons for both clinical teams and people experiencing houselessness in providing and accessing healthcare.Describe different models of housing support and healthcare delivery for which clinicians can advocate in order to support those experiencing and emerging out of houselessness, and to ultimately reach the goal of ending houselessness.Discuss some of the challenges facing houseless individuals who are seriously ill and/or at end-of-life, and facing those who are providing their end-of-life healthcare.Episode Credits:Guests: Dr. James O'Connell, Dr. Rachel SolotaroffCo-Hosts: Dr. Marianne Parshley, Dr. Elisa ChoiExecutive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Clara BaekProduction Assistants: Nilgoun Farhadi, Leyna NguyenWebsite/Art Design: Ann TruongMusic: Chris Dingman https://www.chrisdingman.comTwitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.comEmail: thedeishift@gmail.comContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available as an American College of Physicians national member benefit. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

From the HIV epidemic to the rise of multi-drug resistant TB and the opioid crisis, those caring for people experiencing houselessness and housing insecurity saw the rise of each of these epidemics in their patient populations long before the rest of us.  The devastating impact of the COVID-19 pandemic was particularly harsh for those in shelters or unhoused. Some say that caring for those experiencing houselessness reveals the fractures in our healthcare system earlier and more clearly than healthcare in other settings.  Join us for the first of 2 episodes with 2 experts on caring for this population, Dr. James O'Connell, MD, MACP (Boston Healthcare for the Homeless) and Rachel Solotaroff, MD, FACP (Central City Concern- Portland, Oregon). In our discussion of the obstacles faced by these patients and the opportunities to learn from them, Drs. O'Connell and Solotaroff describe the root causes of houselessness, the best terms to use when addressing people experiencing houselessness, and some of the challenges in delivering healthcare to these patients.Learning Objectives:Define houselessness/homelessness and housing insecurity.Explore and define root causes of the crisis of houselessness in the U.S.Understand the challenges to access and provision of healthcare to houseless folks.Episode Credits:Guests: Dr. James O'Connell, Dr. Rachel SolotaroffCo-Hosts: Dr. Marianne Parshley, Dr. Elisa ChoiExecutive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Clara BaekProduction Assistants: Nilgoun Farhadi, Leyna NguyenWebsite/Art Design: Ann TruongMusic: Chris Dingman https://www.chrisdingman.comTwitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.comEmail: thedeishift@gmail.comContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available as an American College of Physicians national member benefit. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

As the COVID-19 pandemic abates, migration across the globe has increased. Health care professionals are likely to encounter immigrant populations who have unique needs. Join us in learning with Dr. Lorena Bonilla (Internal Medicine Hospitalist and Assistant Professor at Florida University/Herbert Wertheim College of Medicine) about factors that influence the health care of immigrants, how to approach patients with cultural sensitivity, and ways physicians can incorporate advocacy into their practice to help support migrants.Definition of Terms:In this podcast, we use the terms migrants, immigrants, refugees and asylum. Here we wanted to define these terms. A migrant is an individual who migrates from one location to another usually seeking employment or education. An immigrant is an individual who seeks to live in another country permanently. A refugee is an individual who is forced to flee their home because of violence or persecution. Additionally, someone who applies for asylum is seeking protection from dangers in their home country and is awaiting their claim for refugee status to be legally determined. For further reference, rescue.org has an article outlining these terms. https://www.rescue.org/article/migrants-asylum-seekers-refugees-and-immigrants-whats-difference.Learning objectives:1. Identify key social determinants of health that affect immigrant populations.2. Recognize factors that influence the health care of migrants and refugees.3. Summarize a situation from your own clinical experience in which understanding the culture of a patient enhanced your ability to care for them. Identify how you can be consistent in ensuring that you consider the role that culture plays in the lives of your patients. Credits:Guest: Dr. Lorena BonillaCo-hosts/Producers:  Dr. Brittäne Valles, Dr. Ricardo CorreaExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Clara BaekProduction Assistants: Ann TruongWebsite/Art Design: Ann TruongMusic: Chris Dingman

The advent of the COVID-19 pandemic highlighted the negative effects medical misinformation and disinformation can have on our communities. Despite these not being new phenomena, health professionals have seen first-hand during the pandemic how difficult it is to combat these pervasive problems. Join us in learning with Dr. Tracey Henry (General Internist and Associate Professor of Medicine at Emory University) about what constitutes medical misinformation and disinformation, the psychological factors that drive their spread, and ways we can combat them.Learning ObjectivesDefine the terms misinformation, disinformation and malinformation. Describe the 3 psychological factors that drive the spread of misinformation and disinformation. Identify strategies physicians can use to combat misinformation and disinformation, such as psychological inoculation or “pre-bunking”.Credits:Co-Hosts/Producers: Dr. DJ Gaines and Branden BargerExecutive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. DJ Gaines, Dr. Maggie KozmanEditor/Assistant Producer: Emily HanProduction Assistants: Alexandra Babakanian, Leyna NguyenWebsite/Art Design: Ann TruongMusic: Chris Dingman

Transitions between pediatric and adult healthcare models can be one of the most trying and health-destabilizing things a young person and their caregivers experience. Healthcare professionals on both the sending and receiving ends of this transition need training in how to facilitate successful transitions. Resources like medical society recommendations and GotTransition.org can help, but there are many challenges to successful transition of which healthcare teams must be aware in order to assist their patients through the process.Learning Objectives:Define Healthcare Transitions. Describe two barriers that patients and families face in transitioning to an adult-centered model of care.Describe two barriers that healthcare professionals face in comprehensive transition. Identify specific challenges that patients with complex medical needs face during the transition process. Credits:Guest: Dr. Shirin Alonzo  Co-hosts/Producers: Dr. Pooja Jaeel, Dr. Maggie KozmanExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna Jain, Clara BaekProduction Assistants: Alexandra Babakanian, Leyna NguyenWebsite/Art Design: Ann TruongMusic: Chris Dingman

Trauma has an undeniable impact on our patients' health and illness, and resilience is vital to their ability to buffer that trauma. Join us in learning from Dr. Moira Szilagyi (President of the American Academy of Pediatrics) and Dr. Edward Machtinger (Internal Medicine physician and director of UC San Francisco's Center to Advance Trauma-Informed Healthcare) about the key elements of resilience, symptoms that develop when resilience factors are challenged, reframing trauma-informed care as resilience-informed care, secondary traumatic stress, and the fundamental role of trauma in creating/exacerbating health disparities.Learning Objectives:Define the term resilience in the context of trauma-informed care.List 3 key individual resilience factors, and identify the symptoms of trauma that may result from impairment in those resilience factors.Define secondary traumatic stress, and distinguish it from burnout.Consider how health disparities are caused and exacerbated by trauma, and therefore necessitate a trauma-informed approach to address disparities.Credits:Guests: Dr. Moira Szilagyi, Dr. Edward MachtingerCo-hosts/Producers: Dr. Maggie Kozman, Dr. DJ GainesExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna JainProduction Assistants: Nilgoun Farhadi, Sanika WalimbeWebsite/Art Design: Ann TruongMusic: Chris Dingman

Trauma has an undeniable impact on our patients' health and illness, but it is not often addressed in the clinical setting, even though many trauma survivors think their healthcare team should know about their trauma history. Join us in learning from Dr. Moira Szilagyi (President of the American Academy of Pediatrics) and Dr. Edward Machtinger (Internal Medicine physician and director of UC San Francisco's Center to Advance Trauma-Informed Healthcare) about the key features and signs of trauma, fundamental principles of trauma-informed care, and the impact of trauma and adverse childhood experiences (ACE) on our patients' health.Learning Objectives:Define the terms trauma, trauma-informed care, and adverse childhood experiences.Gain familiarity with SAMHSA's 3 E's of trauma and 4 R's of trauma-informed care.List 2 ACE (adverse childhood experiences), and describe how ACE screening/intervention fit within the larger framework of trauma-informed care.Credits:Guests: Dr. Moira Szilagyi, Dr. Edward MachtingerCo-hosts/Producers: Dr. Maggie Kozman, Dr. DJ GainesExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna JainProduction Assistants: Nilgoun Farhadi, Sanika WalimbeWebsite/Art Design: Ann TruongMusic: Chris Dingman

We are excited to share this recording of our live panel at the ACP Internal Medicine Meeting 2022 in Chicago! Experience this live discussion featuring medical student Ms. Jeshanah Johnson, Dr. Anais Ovalle, Dr. Quentin Youmans, and Dr. Lovelee Brown as they shared how to launch a successful diversity, equity, and inclusion initiative in a healthcare system. They discussed everything from doing a needs assessment, sustainability, and disseminating successful initiatives.Learning objectives:Define diversity, equity, and inclusion (DEI) initiatives in medicine.Identify a specific area within one's organization where education or programming to increase diversity and inclusion is needed.Discuss 2 recommended strategies for launching a DEI initiative.Review how to apply quality improvement principles to DEI initiatives and disseminate outcomes and strategies.Credits:Guests: Ms. Jeshanah Johnson, Dr. Anais Ovalle, Dr. Quentin Youmans, Dr. Lovelee BrownModerators/Co-hosts/Producers:  Dr. Brittäne Parker Valles, Dr. Sarah TakimotoExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesProduction Assistant: Alexandra BabakanianEditor/Assistant Producer: Joanna JainWebsite/Art Design: Ann TruongMusic: Chris Dingman

Dr. Chwen-Yuen Angie Chen is an associate professor at Stanford Medicine, internist-addiction specialist, and ACP California Northern chapter governor.  Dr. Linda Clever is board certified in Internal Medicine and Occupational Medicine, former ACP Northern California Governor, founding President of RENEW, a not for profit focused on energized and resilient healthcare workplacesKey messages: Pandemic era accommodations like childcare support and expanded telehealth practices should remain as able as we transition into the post-pandemic worldRefer to the ACP toolkit on advocating for credentialing applications that do not ask about mental health. Self care is self preservation. The conversation continues on Twitter with the #PTBGIM. For this episode, be sure to tag @theDEIShift.. Tell us why you're #ProudToBeGIM and share your perspectives, experiences, or tips on how becoming a physician advocate is a valuable skillset as a general internal medicine specialist.Resources:The DEI Shift: Patients as Physicians Show Notes and Resource listNational Academy of Medicine Action Collaborative on Clinican Well-Being and Resilience : https://nam.edu/initiatives/clinician-resilience-and-well-being/ACP Toolkit on Revising License and Credentialing Applications to Not Ask About Mental Health : https://www.acponline.org/practice-resources/physician-well-being-and-professional-fulfillment/advocacy-toolkit-revising-license-and-credentialing-applications-to-not-ask-about-mental-healthThe Fatigue Prescription: https://renewnow.org/books-reference/#ProudtobeGIM is a campaign from the Society of General Internal Medicine and the American College of Physicians aimed at encouraging medical students and residents to pursue General Internal Medicine. This special podcast series for #ProudToBeGIM Week, February 21-24, 2022, is sponsored by a #ProudToBeGIM honorarium and the American College of Physicians Southern California Region III Chapter. Read more about the campaign here: https://www.sgim.org/career-center/proudtobegim The DEI Shift podcast is proud to partner with SGIM in promoting #ProudToBeGIM week. This opportunity allows multiple ACP Chapters to showcase the expertise of their leaders and to provide a fresh look into some popular episodes. We are especially delighted to have members of our production team, many of whom are pre-medical students, contribute their voices to the conversation as well.Credits:Host: Dr. Pooja Jaeel (she/her/hers) and Likitha Arudhyala (she/her/hers)Guests: Dr. Angie Chen, Dr. Linda CleverProducers: Dr. Sarah Takimoto, Dr. Tiffany LeungExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producer: Dr. DJ Gaines, Dr. Maggie KozmanProduction Assistants: Ann Truong, Likitha ArudhyalaWebsite/Art design: Ann TruongMusic: Chris Dingman

Dr. Ricardo Correa, an endocrinology physician in ACP Arizona chapter, Chair-Elect Designee of the ACP Council of Early Career Physicians, and Associate Editor of SGIM Forum, and Dr. Priya Radhakrishnan, Chief Academic Officer/Vice President of Health Equity at HonorHealth, governor of ACP Arizona , and Governor-Elect Designee of the ACP Board of Governors, reflect on the topic of a previous episode of The DEI Shift: the minority tax (Season 2, Episode 1) and its relevance for generalist physicians and trainees. Key messages: The gratitude tax is a feeling of obligation that underrepresented minorities in medicine (URMM) faculty have to an academic institution and to future generations of URMMs for being given the opportunity to be a physician. Academic leaders can provide appropriate incentives for academic faculty to participate in internal (e.g., committee) service to mitigate the minority tax and gratitude tax.Scholarly work can take a variety of forms and can be recognized to give voice to URMMs. Affinity groups can offer an opportunity to promote advocacy, advancement, and education towards diversifying the internal medicine pipeline.Learn more at thedeishift.com.Follow us on Twitter and share why you are #ProudToBeGIM. Tag @theDEIShift @ArizonaACP! Tell us why you're #ProudToBeGIM and share your perspectives or tips on how to mitigate the minority tax and gratitude tax.#ProudtobeGIM is a campaign from the Society of General Internal Medicine and the American College of Physicians aimed at encouraging medical students and residents to pursue General Internal Medicine. This special podcast series for #ProudToBeGIM Week, February 21-24, 2022, is sponsored by a #ProudToBeGIM honorarium and the American College of Physicians Southern California Region III Chapter. Read more about the campaign here: https://www.sgim.org/career-center/proudtobegim The DEI Shift podcast is proud to partner with SGIM in promoting #ProudToBeGIM week. This opportunity allows multiple ACP Chapters to showcase the expertise of their leaders and to provide a fresh look into some popular episodes. We are especially delighted to have members of our production team, many of whom are pre-medical students, contribute their voices to the conversation as well.Credits:Host: Dr. Ricardo Correa (he/him/his) Guest: Dr. Priya Radhakrishnan (she/her/hers) Producers: Dr. Sarah Takimoto, Dr. Tiffany LeungExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producer: Dr. DJ Gaines, Dr. Maggie KozmanEditor: Dr. Tiffany LeungProduction Assistants: Ann Truong, Likitha ArudhyalaWebsite/Art design: Ann TruongMusic: Chris Dingman (www.chrisdingman.com)Disclaimer: The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated with.

Dr. Elisa Choi, ACP MA governor and Chair-Elect of the ACP Board of Governors, and Dr. Carole Vincent, general internal medicine specialist and founding member of the ACP MA Chapter JEDI Committee, reflect on a previous episode of The DEI Shift, Anti-racism in Healthcare Education (Season 2, Episode 3). In the previous episode, The DEI Shift Senior Producers, Dr. Maggie Kozman and Dr. DJ Gaines, interviewed Dr. Ryan Mire, ACP President-Elect, about what anti-racism means in healthcare education and how to bring about needed change in our learning and work environments.Key messages: Being antiracist is being proactive against racism and racist ideas; in contrast, being non-racist is a passive stance.Beware of biological anchoring of medical concepts that lack an appropriate evidence base: race is a social construct, not a biological construct. Being antiracist as a general internal medicine specialist means to listen to the patient's story without judgment or preconceived ideas or biases. Medical students and learners at all stages of general internal medicine specialty careers can be empowered and engaged in making change towards antiracism in medicine and healthcare education.Learn more at thedeishift.com.The conversation continues on Twitter with the #PTBGIM. For this episode, be sure to tag @theDEIShift @ACPMAChapter and @MAACPGovernor. Tell us why you're #ProudToBeGIM and share your perspectives, experiences, or tips on how being anti-racist is essential as a general internal medicine specialist or trainee.#ProudtobeGIM is a campaign from the Society of General Internal Medicine and the American College of Physicians aimed at encouraging medical students and residents to pursue General Internal Medicine. This special podcast series for #ProudToBeGIM Week, February 21-24, 2022, is sponsored by a #ProudToBeGIM honorarium and the American College of Physicians Southern California Region III Chapter. Read more about the campaign here: https://www.sgim.org/career-center/proudtobegimThe DEI Shift podcast is proud to partner with SGIM in promoting #ProudToBeGIM week. This opportunity allows multiple ACP Chapters to showcase the expertise of their leaders and to provide a fresh look into some popular episodes. We are especially delighted to have members of our production team, many of whom are pre-medical students, contribute their voices to the conversation as well.Credits:Host: Dr. Elisa ChoiGuest: Dr. Carole VincentProducers: Dr. Sarah Takimoto, Dr. Tiffany LeungExecutive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producer: Dr. DJ Gaines, Dr. Maggie KozmanEditor: Dr. Tiffany LeungProduction Assistants: Ann Truong, Likitha ArudhyalaWebsite/Art design: Ann TruongMusic: Chris DingmanDisclaimer: The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated with. 

Dr. Erynn Beeson, an Internal Medicine resident at Oregon Health Sciences University (OHSU) and a member of the Oregon chapter of ACP, and Dr. Ximena Levander, an assistant professor at OHSU and Addiction Medicine specialist, reflect on important topics from previous episodes of The DEI Shift, Health Policy and Advocacy (Season 3, Episode 7) and The Breadth of Addiction Medicine (Season 3, Episode 5).Key messages: Advocacy as a physician helps to alleviate daily stress or burnout by channeling frustration with the healthcare system into lasting change. Access to buprenorphine via telemedicine, houselessness, and social determinants of health are among many key policy issues relevant for the care of patients with addiction and substance use disorders.Engagement in professional organizations can provide physicians resources and updates on current health policies at the local, state, and national level.Learning scripts for advocacy, similar to learning scripts for patient communications, are small learnings that physicians and trainees can bring to their advocacy work. Connecting with community organizations can be an easy way to engage in local advocacy: as a physician, start by asking, “How can I help?”Learn more at thedeishift.com.The conversation continues on Twitter with the #PTBGIM. For this episode, be sure to tag @theDEIShift @OregonACP. Tell us why you're #ProudToBeGIM and share your perspectives, experiences, or tips on how becoming a physician advocate is a valuable skillset as a general internal medicine specialist.#ProudtobeGIM is a campaign from the Society of General Internal Medicine and the American College of Physicians aimed at encouraging medical students and residents to pursue General Internal Medicine. This special podcast series for #ProudToBeGIM Week, February 21-24, 2022, is sponsored by a #ProudToBeGIM honorarium and the American College of Physicians Southern California Region III Chapter. Read more about the campaign here: https://www.sgim.org/career-center/proudtobegim The DEI Shift podcast is proud to partner with SGIM in promoting #ProudToBeGIM week. This opportunity allows multiple ACP Chapters to showcase the expertise of their leaders and to provide a fresh look into some popular episodes. We are especially delighted to have members of our production team, many of whom are pre-medical students, contribute their voices to the conversation as well.Credits:Host: Dr. Erynn Beeson (she/her/hers)Guest: Dr. Ximena Levander (she/her/hers/ella)Producers: Dr. Sarah Takimoto, Dr. Tiffany LeungExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producer: Dr. DJ Gaines, Dr. Maggie KozmanEditor: Dr. Tiffany LeungProduction Assistants: Ann Truong, Likitha ArudhyalaWebsite/Art design: Ann TruongMusic: Chris DingmanDisclaimer: The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated with. 

Dr. Candace Sprott, a primary care general internal medicine physician in Southern California Region III Chapter of ACP, and Dr. Jasmine Smith, an assistant professor and hospitalist in Internal Medicine-Pediatrics at the Children's Hospital of Los Angeles, reflect on a previous episode of The DEI Shift: the hidden curriculum (Season 1, Episode 9) and its relevance for generalist physicians and trainees. Previously, Co-hosts, Dr. Brittäne Parker and Dr. Quentin Youmans, talked with Dr. Smith about the hidden curriculum.Key messages: With the hidden curriculum, one language is used to discuss medicine, diseases, and research, and another is used to demonstrate your competence as a clinician. Nonverbal cues can be an important part of the latter, along with verbal cues.Acknowledging the positive aspects of the hidden curriculum, like empathy and reflection, and intentionally spreading these through mentorship can be educational, although these are not yet universally done.For trainees, be observant, ask questions, identify examples of practice and communication styles that are desirable for your own practice.For mentors, faculty, and educators, give trainees timely and helpful feedback to adjust behaviors if needed.Learn more at thedeishift.com.The conversation continues on Twitter with the #PTBGIM. For this episode, be sure to tag @theDEIShift @ACP_SoCAL. Tell us why you're #ProudToBeGIM and share your perspectives, experiences, or tips on how to promote positive aspects of the hidden curriculum and mitigate the negative aspects of the hidden curriculum as a general internal medicine specialist or trainee.#ProudtobeGIM is a campaign from the Society of General Internal Medicine and the American College of Physicians aimed at encouraging medical students and residents to pursue General Internal Medicine. This special podcast series for #ProudToBeGIM Week, February 21-24, 2022, is sponsored by a #ProudToBeGIM honorarium and the American College of Physicians Southern California Region III Chapter. Read more about the campaign here: https://www.sgim.org/career-center/proudtobegimThe DEI Shift podcast is proud to partner with SGIM in promoting #ProudToBeGIM week. This opportunity allows multiple ACP Chapters to showcase the expertise of their leaders and to provide a fresh look into some popular episodes. We are especially delighted to have members of our production team, many of whom are pre-medical students, contribute their voices to the conversation as well.Credits:Host: Dr. Candace Sprott (she/her/hers)Guest: Dr. Jasmine Smith (she/her/hers)Producers: Dr. Sarah Takimoto, Dr. Tiffany LeungExecutive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producer: Dr. DJ Gaines, Dr. Maggie KozmanEditor: Dr. Tiffany LeungProduction Assistants: Ann Truong, Likitha ArudhyalaWebsite/Art design: Ann TruongMusic: Chris DingmanDisclaimer: The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated wi

This episode features Dr. Amber Brooks, a board certified anesthesiologist and comprehensive pain management physician. This episode examines the management of acute and chronic pain, focuses on bias that can manifest in treating those with chronic pain and how physicians can address disparities in people and communities facing barriers to adequate care.  Learning Objectives:      1.  Define Acute Pain and Chronic Pain       2. Describe different biases that can manifest in treating those with chronic pain       3. Summarize some of the ways we can address disparities in groups that have been historically marginalized, such as those with limited  English proficiency and Sickle Cell Disease       4. Explain how a mobile phone intervention can be used to address disparities in populations with limited transportation Course Director and Senior Producer: Dr. Dirk GainesCo-Hosts: Dr. Dirk Gaines and Dr. Candace SprottGuest: Dr. Amber BrooksProduction Assistants: Alex Babkanian, Clara BaekTheme Music: Chris DingmanSponsored by: American College of PhysiciansEducational Grant from: Pfizer, Inc.; in partnership with Lilly USA, LLCSpecial thanks to  Dr. Tammy Lin, Dr. Tiffany Leung, Dr. Pooja Jaeel, Dr. Maggie Kozman, Alex Babakanian, Clara Baek, Likitha Aradhyula, Cheryl Ruston, Clare Sipler, and Dr. Davoren Chick for helping to make this project possible.Claim CME-pendingCheck out the ACP's Pain Management curriculum at https://www.acponline.org/clinical-information/clinical-resources-products/pain-management-learning-hub

Join us in learning from guests Dr. Zoe Tseng and Dr. Ankita Sagar about the fundamental importance and role of advocacy and policy work in healthcare. Listen in to learn practical tools and strategies for advocacy at the local, regional, state, and national level, so that you can effectively incorporate this work into your career.Learning Objectives:1. Describe the role of advocacy in healthcare. 2. Describe the mission of ACP as a regional and national physician advocacy organization.3. Identify tools to effectively advocate for public policy at local, regional, state, and federal levels.4. Implement strategies for community and civic engagement, such as coalition building, social media engagement, and grassroots organizing. Twitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.comEmail: thedeishift@gmail.comEpisode Credits:Guests: Dr. Zoe Tseng, Dr. Ankita SagarCo-Hosts: Dr. Elisa Choi, Dr. Branden BargerExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna JainProduction Assistants: Alexandra Babakanian, Ann Truong, Likitha AradhyulaWebsite/Art Design: Ann TruongMusic: Chris Dingman https://www.chrisdingman.com Continuing Medical Education/Maintenance of Certification (CME/MOC) credits are available as an American College of Physicians national member benefit. To submit for CME/MOC credit for this episode, visit: https://assets.acponline.org/cgi-bin/moc-quiz?deip-20211215

Primary care is an essential and foundational part of our healthcare system, which is vital to transforming healthcare in the US to a just, equitable, affordable and accessible system. Through the advocacy of ACP in collaboration with other organizations, and through the lens of the COVID - 19 pandemic, attention has been increasingly focused on how to support primary care physicians and practices. In this episode we talk with two amazing champions of primary care, Dr. Darilyn Moyer and Dr. Sue Bornstein, and of  transformation of the US healthcare system about how robust, well supported primary care can address health disparities and ensure the health of our communities.Credits:Co-hosts/Producers: Dr. Elisa Choi, Dr. Marianne ParshleyExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Deepti YechuriProduction Assistants: Sanika Walimbe and Sarahy MartinezWebsite/Art Design: Ann TruongMusic: Chris Dingman

In this episode, we explore the broad and timely topic of addiction. Dr. Chwen-Yuen Angie Chen joins us for a robust discussion about the continuum of care in Addiction Medicine. We review where addiction treatment occurs and the longitudinal nature of care that is needed. Dr. Chen discusses effective screening for substance use disorder, destigmatization of addiction, patient advocacy and the unique challenges and impact that the COVID-19 pandemic has brought with regard to rising use of substances. Learning Objectives:1. Define the terms dependence, substance use disorder, and addiction.2. Summarize 3 practice settings where addiction treatment occurs.3. List 4 of the key components of the American Society of Addiction Medicine'smultidimensional patient assessment for developing an addiction treatment plan.4. Review some of the challenges with addiction in the setting of the COVID-19 pandemic.Twitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comEpisode Credits:Guest: Dr. Chwen-Yuen Angie ChenCo-Hosts: Dr. Marianne Parshley, Dr. Brittäne ParkerExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna JainProduction Assistants: Alexandra Babakanian, Ann Truong, Likitha AradhyulaWebsite/Art Design: Ann TruongMusic: Chris DingmanContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available as an American College of Physicians national member benefit. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/online-learning-center/the-breadth-of-addiction-medicine

In part 2 of this two-part series, we discuss some of the political factors that perpetuate food insecurity, what we can do to combat it, and some of the cool resources available to us.Learning Objectives: Define food insecurity and how it differs from hunger.State the prevalence of food insecurity in the US.Summarize some of the physical and psychological impacts of food insecurity.Describe how public school lunch programs can combat food insecurity. Credits: Guest: Dr. Suja MatthewsCo-hosts/Producers: Dr. DJ Gaines, Dr. Ricardo CorreaExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Emily Han and Deepti YechuriProduction Assistants: Clara Baek, Lynn NguyenWebsite/Art Design: Ann TruongMusic: Chris DingmanContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available as an American College of Physicians national member benefit. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/online-learning-center/food-insecurity-part-2

In part 1 of this two-part series, we introduce our wonderful guest Dr. Suja Mathew and review some of the basics of Food Insecurity, including some of its psychological and physical impacts.Learning Objectives: Define food insecurity and how it differs from hunger.State the prevalence of food insecurity in the US.Summarize some of the physical and psychological impacts of food insecurity.Describe how public school lunch programs can combat food insecurity. Credits: Guest: Dr. Suja MatthewsCo-hosts/Producers: Dr. DJ Gaines, Dr. Ricardo CorreaExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Emily Han and Deepti YechuriProduction Assistants: Clara Baek, Lynn NguyenWebsite/Art Design: Ann TruongMusic: Chris DingmanContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available as an American College of Physicians national member benefit. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/online-learning-center/food-insecurity-part-1

In this episode, The DEI Shift talks with Dr. Jorge A. Rodriguez, a hospitalist and health technology expert and equity researcher, about digital health equity and how to bridge the digital divide.Learning objectivesDefine digital health equity and the digital divide. Give examples of telehealth technologies used for patient care.Recognize how telehealth can help overcome health disparities. Recognize how telehealth can contribute to health disparities. Identify opportunities to mitigate health inequities attributable to telehealth. Twitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comEpisode Credits:Guest: Dr. Jorge RodriguezCo-hosts/Producers: Dr. Tiffany Leung, Dr. Sarah TakimotoExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna JainProduction Assistants: Clara Baek, Nilgoun FarhadiWebsite/Art Design: Ann TruongMusic: Chris DingmanContinuing Medical Education/Maintenance of Certification (CME/MOC) credits are available as an American College of Physicians national member benefit. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/online-learning-center/digital-health-equity-bridging-the-divide

We're excited to present the podcast recording of our special live podcast session at ACP's IM Future Experience! The podcast session features a roundtable discussion of ACP leaders and representatives from the three ACP Councils: the Council of Student Members (Amanda Collar), Council of Resident and Fellow Members (Dr. Jake Quinton), and Council of Early Career Physicians (Dr. Ricardo Correa). Guests Dr. Denise M. Connor and Dr. Omar Atiq join the session to talk about their leading work in advancing justice, equity, diversity, and inclusion in essential work of the American College of Physician and their institutions.Credits: Co-Hosts: Dr. Pooja Jaeel, Dr. Tiffany LeungEditors/Assistant Producers: Joanna Jain, Deepti YechuriProduction Assistants: Alexandra Babakanian, Lynn NguyenSenior Producers: Dr. DJ Gaines, Dr. Maggie KozmanExecutive Producer: Dr. Tammy LinWebsite/Art Design: Ann TruongMusic: Chris Dingman

Welcome to Season 3! To kick off this season, we hand off the mic to three incredible URiM (underrepresented in medicine) undergraduate pre-med students to share their journeys into the medical field. We hear about their common challenges, their strong sense of purpose to be a physician advocate for their community, and about their vision to improve the diversity and inclusivity of the medical field. This episode will leave you inspired!Episode Credits: Co-Hosts/Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman, Executive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. DJ Gaines, Dr. Maggie KozmanEditor/Assistant Producers: Emily Han, Joanna JainProduction Assistants: Likitha Aradhyula, Lynn NguyenWebsite/Art Design: Ann TruongMusic: Chris DingmanSpecial Thanks: Dr. Brittane Parker, Oye Bosompra, and Nyah Rodman

Incorporating culture and social determinants as we partner with patients with obesity, with dietician and epidemiologist Dr. Shreela Sharma and patient representative Ms. LaToshia Rouse.Learning Objectives:       1. Give an example of how one's culture can shape one's perceptions of weight.        2. List 3 potential questions that can be used to humbly and sensitively elicit a patient's individual and cultural perceptions of weight and their particular weight goals.       3. Compare and contrast certain cultural groups' variable receptivity to different obesity interventions.       4. Evaluate how adverse childhood experiences (ACEs) and social determinants of health can lead to obesity.       5. Describe some positive steps being taken by healthcare systems to address social determinants and improve their patients' ability to live healthy lives.Course Director and Senior Producer: Dr. Maggie KozmanCo-Hosts: Dr. Pooja Jaeel and Likitha AradhyulaGuests: Dr. Shreela Sharma and Ms. LaToshia RouseProduction Assistant: Lynn NguyenTheme Music: Chris DingmanSponsored by: American College of PhysiciansEducational Grant from: Novo Nordisk, Inc.Special thanks to Dr. Davoren Chick, Monica Lizarraga, Dr. Charles Hamori, Dr. Tammy Lin, Dr. Tiffany Leung, and Darian Harris for helping to make this project possible.Claim CME at https://www.acponline.org/clinical-information/clinical-resources-products/obesity-management-learning-hub/the-dei-shift-obesity-mini-series-episode-2-weight-and-cultural-considerationsCheck out the ACP's Obesity Management curriculum at https://www.acponline.org/clinical-information/clinical-resources-products/obesity-management-learning-hub

Digging deep into historical, structural, and individual bias in our care of patients with obesity, with obesity medicine physician-scientist Dr. Fatima Cody Stanford.Learning Objectives:       1. Define obesity.       2. Summarize concerns about the origin and use of BMI, and the need for modified utilization in some patient groups.       3. Describe why people-first language surrounding obesity is important.       4. Explain how bias, whether explicit or implicit, leads to health disparities between patients with and without obesity.Course Director and Senior Producer: Dr. Maggie KozmanCo-Hosts: Dr. Brittäne Parker and Sanika WalimbeGuest: Dr. Fatima Cody StanfordProduction Assistant: Lynn NguyenTheme Music: Chris DingmanSponsored by: American College of PhysiciansEducational Grant from: Novo Nordisk, Inc.Special thanks to Dr. Davoren Chick, Monica Lizarraga, Dr. Charles Hamori, Dr. Tammy Lin, Dr. Tiffany Leung, and Darian Harris for helping to make this project possible.Claim CME at https://www.acponline.org/clinical-information/clinical-resources-products/obesity-management-learning-hub/the-dei-shift-obesity-mini-series-episode-1-defining-obesity-challenging-weight-biasCheck out the ACP's Obesity Management curriculum at https://www.acponline.org/clinical-information/clinical-resources-products/obesity-management-learning-hub

Clinicians are often referred to as heroes for the long hours we work and the life saving work that we do. However, this idea of the "invincible" doctor often does a disservice to our profession and patients by creating the idea that disease and illness are only experienced by our patients. Our guests, Dr. Justin Bullock and Dr. Mansi Sheth, share their stories of going through medical training with a chronic illness and discuss the limitations of our medical system in doing so. Trigger warning: This episode discusses suicide and suicidal ideation. Learning Objectives: Define physical and mental disability as outlined by the Americans with Disabilities Act. List two criteria the ACGME requires residency programs to fulfill for residents with disabilities. Identify the most common types of clinical and didactic accommodations provided by institutions for physicians in training. Credits:Guest: Dr. Justin Bullock, Dr. Mansi ShethCo-hosts/Producers: Dr. Pooja Jaeel, Dr. Sarah TakimotoExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna JainProduction Assistants: Clara Baek, Likitha AradhyulaWebsite/Art Design: Ann TruongMusic: Chris Dingman

Episode Description: Religious and spiritual diversity is not always welcomed, or even tolerated, in healthcare. In our talk with Chaplain Ermanno Willis, we learn how vital it is to include a patient's spiritual beliefs into their care, and how to go about doing this using validated tools to collect a patient's Spiritual History, just like their Social or Sexual History. We also discuss the importance of creating a learning/work environment that allows for a diversity of belief systems among healthcare providers themselves.Learning Objectives:1. Summarize the evidence showing that many more patients want their spiritual lives addressed by their healthcare providers than are currently being addressed.2. Describe evidence-based examples of the positive impacts of religion and spirituality on health.3. Identify the steps of one of the validated tools for collecting a patient's Spiritual History (just like the Social and Sexual History).4. Assess how implicit biases contribute to how (un)welcoming learning and work environments are toward differing religious/spiritual belief systems.Show notes & Transcript available:https://www.thedeishift.com/episode-10.htmlTwitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comCredits:Guest: Mr. Ermanno WillisCo-hosts/Producers: Dr. Maggie Kozman, Dr. Brittane ParkerExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Deepti YechuriProduction Assistants: Clara Baek, Lynn NguyenWebsite/Art Design: Ann TruongMusic: Chris Dingman

Anti-racism has become a hot topic, but also a needlessly confusing and even taboo one. Dr. Kozman and Dr. Gaines hear from internist Dr. Ryan Mire about what anti-racism means in healthcare education and how to bring about needed change in our learning and work environments.Learning Objectives:Define the terms anti-racism and anti-racist.Give 3 examples of how current healthcare training fails to address, or contributes to, racism and race-based medicine.List anti-racist changes being implemented in healthcare institutions.Adopt strategies for changing one's learning/work environment to become more anti-racist.Show notes & Transcript available:https://www.thedeishift.com/episode-10.htmlTwitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comCredits:Co-hosts/Producers: Dr. Maggie Kozman, Dr. DJ GainesExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producer: Dr. DJ Gaines, Dr. Maggie KozmanEditor: Joanna JainProduction Assistants: Ann Truong, Likitha ArudhyalaWebsite/Art design: Ann TruongMusic: Chris Dingman

November is American Indian and Alaska Native Heritage Month. We invited Dr. Dan Calac, Chief Medical Officer of the Indian Health Council located in North County, San Diego, on the show to discuss health care of American Indian/Alaska Native peoples in the United States and the importance of medical education within this community.Learning Objectives:1. Describe the structure of the National Indian Health Service and the services it provides.2. Give examples of the unique healthcare needs and disparities experienced by American Indian/Alaska Native populations.3. Cite systemic barriers to the recruitment and retention of American Indian/Alaskan Native individuals  into medical and scientific careers and best practices to expand the workforce caring for these communities.Show notes & Transcript available here.Twitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comSeason 2, Episode 2 Credits:Co-hosts/Producers: Dr. Brittane Parker, Alec CalacExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producer: Dr. DJ GainesEditor: Joanna JainProduction Assistants: Sanika Walimbe, Sarahy MartinezWebsite/Art design: Ann TruongMusic: Chris Dingman

In this episode, we discuss the minority tax and the negative effects it can have on our wellbeing. Our guest, Evolve Benton, shares with us their insights on this topic and provides us with tips that we can use in order to overcome this tax so that we may be successful in our careers.Learning Objectives:1. Define the concepts of minority tax and majority subsidy.2. Identify ways minority tax can manifest during one's career and contribute to long-term burnout.3. Identify strategies allies can employ to alleviate the minority tax for underrepresented colleagues. 4. Identify the important role diversity in the workforce plays in alleviating minority tax. 5. Outline strategies that underrepresented minorities can use to balance multiple responsibilities and avoid the negative effects of minority tax. 6. Strategize ways to implement aspects of a “trauma” protocol model at their own institutions. Show notes & Transcript available here.Twitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comCredits: Co-hosts/Producers: Dr. DJ Gaines, Branden BargerExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. DJ Gaines, Dr. Maggie KozmanAssistant Producer/Editor: Deepti Yechuri Production Assistants: Sanika Walimbe, Darian Harris, Ann TruongWebsite/Art design: Ann TruongMusic: Chris Dingman

We are so excited to be back for season 2!! Cohosts Dr. Kozman and Dr. Jaeel recap the last season and preview what's coming up for season 2. 

This episode of The DEI Shift is a spotlight episode made possible because of an American Medical Association's Joan F. Giambalvo Grant Fund for Women Physicians. Today, we want to highlight for you two guests' experiences and views on women physicians who transition from their early to mid-career, Magali Fassiotto, PhD and Dr. Shikha Jain. Show notes & Transcript available: https://www.thedeishift.com/episode-10.htmlTwitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comSeason 1 Episode 10 Credits:Co-hosts/Producers: Dr. Tiffany Leung, Dr. Marianne Parshley Executive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producer: Dr. DJ GainesEditor: Deepti Yechuri Production Assistants: Sarahy Martinez, Emily Han  Assistant Producer: Deepti Yechuri Website/Art design: Ann TruongMusic: Chris Dingman

In this episode, we discuss the Hidden Curriculum with Dr. Jasmine Smith. Our guest highlights the informal curriculum that many students and resident encounter during their training. Dr. Smith shares powerful personal stories from her own journey and tips on how to navigate a new environment which can be used by professions in any industry.

In honor of Pride Month, we bring you an episode dedicated to fostering a more inclusive environment for our LGBTQ+ community. Join us as we have a compelling discussion with American Academy of Emergency Medicine President, Dr. Lisa Moreno-Walton and Sacramento LGBT Community Center Health Educator, Matías Castro about the simple, practical ways that individuals can help achieve this goal. In light of the recent HHS Rule removing discrimination protections for gender queer and trans patients in healthcare, this is a powerful discussion emphasizes exactly why those protections are necessary and the responsibility we have as healthcare providers to welcome our LGBTQ community into the healthcare system. 

We discuss the model minority myth, the bamboo ceiling, mentorship, leadership, and the effects of cultural stereotyping with Dr. Dobbin Chow and Dr. Steven Chan.This episode was recorded during Pan-Asian Heritage Month in May 2020. It is part of a series of episodes on related topics.

We discuss the model minority myth, glass and bamboo ceilings, mentorship, leadership, and the importance of representation with Dr. Antonia Chen and Dr. Elisa Choi. This episode was recorded during Pan-Asian Heritage Month in May 2020. It is part of a series of episodes on related topics.

Humans are inevitably biased, and these biases can also affect use of the electronic health record (EHR), data collection and analysis, algorithm development and deployment, machine learning and artifical intelligence, and other informatics work. Today, Dr. Sara Murray and Dr. Michelle Lin highlight the importance of understanding the limitations of data applications in routine healthcare delivery and patient care and why diversity and inclusion in informatics matters.   

COVID19 is exacerbating multiple pre-existing disparities in the U.S. that have been there for a long time. Join us in learning about one of these comorbidities in our healthcare system from Dr. Mohit Gupta and Dr. Ricardo Correa as they share their personal stories as international medical graduates (IMGs) and their advocacy work on behalf of others in their shoes.

In honor of Women's History Month, our team had the privilege of hearing stories from four incredible female physicians about the importance of representation in medicine. Our guests share powerful and personal examples of overcoming cultural expectations, racial barriers, and gender-based stereotypes to become the exemplary physicians they are today.

We discuss with Dr. Quentin Youmans the importance of recruitment and mentorship of underrepresented minorities in medicine (URiM), including supporting them through microaggressions (or worse) in the clinical setting. We then delve into strategies for how to do these things well.

Get to know the team members behind the podcast, who form an eclectic mix of people with one shared goal.