The Takeaway

Through Dr. Camara Jones' allegories on race and racism, we learn how to go dismantle racism through courage, curiosity, collective action, and building community. This episode is part four of a four-part series as we acknowledge that we can act to dismantle racism. Faculty: Camara Jones, MD, MPH, PhD Resident: Denise Powell, MD

This episode is part three of a four-part series as we acknowledge that racism saps the strength of the whole society. Through Dr. Camara Jones' allegories on race and racism, we learn not only how racism impacts those who experience it but also appreciate that everyone is negatively impacted when we operate in a system of racism. Faculty: Camara Jones, MD, MPH, PhD Resident: Andrew Sudler, MD, MPH

This episode is part two of a four-part series as we acknowledge that racism is a system. Through Dr. Camara Jones' allegories on race and racism, we learn how to go beyond the individual and interpersonal aspects of racism and focus on its systemic drivers. In this episode, we will explore how residents and fellows can be leaders through confronting racism denial.  Faculty: Camara Jones, MD, MPH, PhD Resident: Saniya Kishnani, MD

This episode is part one of a four-part series as we acknowledge that racism exists in health care. Through Dr. Camara Jones' allegories on race and racism, we learn how to recognize and name racism in our health care settings. In this episode, we explore how residents and fellows can be leaders through confronting racism denial. Faculty: Camara Jones, MD, MPH, PhD Resident: Michelle Caunca, MD, PhD

We can enhance value to patients by advocating for social justice. Focusing on the issue of food insecurity, an important social determinant to health, we explore how residents and fellows can be leaders through value-based care. We learn how to screen for food insecurity and advocate for healthier food choices on behalf of our patients. We also look at the Food Pharmacy at UCSF, which provides an innovative way to address food insecurity in a clinical setting. Faculty: Gina Moreno-John, MD, MPH Resident: Zoe Kopp, MD

Diagnostic reasoning occurs through pattern recognition and the use of heuristics. The use of a cognitive autopsy can be a powerful way to learn from diagnostic errors after mistakes are made. In this episode, we explore how residents and fellows can be leaders through diagnostic reasoning and deconstruct how clinicians make decisions. We learn how expert clinicians are able to appreciate that biases exist in the heuristics we use to make decisions and acknowledge the conditions that make us susceptible.  Faculty: Gurpreet Dhaliwal, MD Resident: Anna Fretz, MD

Being an inclusive leader means embracing a growth mindset and developing competence in awareness of bias, curiosity, cultural intelligence and humility, collaboration, and commitment and accountability. In this episode, we learn how inclusive leaders foster a culture in which all stakeholders feel a sense of belonging and valued. Faculty: Elizabeth Harleman, MD Fellow: Lurit Bepo, MD, MPH

Promoting a culture of psychological safety in teams, a culture in which all team members have the courage and rewards to share their uncertainties and vulnerabilities, can make teams more effective and enjoyable and reduce patient errors. In this episode, we explore how residents and fellows can be leaders through interprofessional collaboration. We learn how to promote psychological safety through framing the work, promoting situational humility, modeling curiosity, and responding productively to suggestions. Faculty: Maria Wamsley, MD Fellow: Jessie Werner, MD

Giving effective feedback is a skill that everyone values in health care education yet one that is incredibly difficult to master. Some educators are shifting how we think about Feedback with a capital “F” to a less loaded idea of feedback as a quick conversation in everyday practice to help learners recognize what they do well and where their growth edges are. In this episode, we learn how to take the fear out of feedback and instead think of it as a brief, focused, coaching conversation. Faculty: Sandrijn van Shaik, MD Resident: Sean Jenvay, MD

Creating a positive learning climate for students is foundational for effective teaching and learning. We discuss three ways residents and fellows can be leaders in creating a positive learning climate through building rapport and inclusion, fostering a growth mindset amongst team members, and setting clear expectations.  Faculty: Geoffrey Stetson, MD Resident: Justin Bullock, MD, MPH

Sustaining a physician workforce that provides excellent patient care requires wellbeing strategies at the individual, system, and cultural levels. In this episode, we explore how residents and fellows can be leaders in promoting wellbeing. Our wellbeing approaches have evolved substantially over the past decade, and trainees and faculty can constantly nurture and foster a culture of wellbeing. Faculty: Starr Knight, MD Resident: Oluwatosin Adenuga, MD

In this episode, we explore how residents and fellows can be leaders in promoting value-based care. Eliminating waste and promoting sustainable practices is a critical skill for all clinicians; in addition to appreciating the health impacts of climate change, we must acknowledge that the health care industry itself contributes to climate change and discuss opportunities to eliminate waste. We discuss how to continually explore our use patterns and how to advocate for more sustainable practices. Faculty: Seema Ghandi, MD Resident: Sherry Liou, MD, MBA

Reducing out-of-pocket costs for patients is a critical skill for all clinicians. In this episode, we explore how residents and fellows can be leaders through promoting value-based care. It can be useful to think of unnecessary costs to patients as financial toxicity, and to understand the impacts of financial toxicity on the health of patients. We also discuss how to have cost conversations with patients and how to advocate for healthcare value. Faculty: Ari Hoffman, MD Resident: Michael Trainer, MD