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What Fresh Hell: Laughing in the Face of Motherhood | Parenting Tips From Funny Moms
This Deep Dive series is all about why motherhood is so gosh darn hard. Turns out there are sociopolitical forces at play that make motherhood way harder than it needs to be. Listen to the full playlist on Spotify. Mothers have long been held at fault for anything that might occur in their children's lives, from autism ("refrigerator mothers") to colic, and everything in between. Why is there such a long history of blaming everything on Mom? In this episode, we discuss how mom blame has manifested in both psychology and parenting advice over the years, and how we can start to push back on it in our own lives. Here are links to some of the resources mentioned in the episode: Joseph E. Davis, PhD for Psychology Today: "For a Moratorium on Parent Blaming" Mitzi M. Waltz, PhD for the AMA Journal of Ethics: "Mothers and Autism: The Evolution of a Discourse of Blame" Rosjke Hasseldine for Medium: "How Mother Blaming Harms the Mother-Daughter Bond" Bonnie Zucker for Scary Mommy: "From a Psychologist: No, It's Not All Mom's Fault" We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on our website: https://www.whatfreshhellpodcast.com/p/promo-codes/ What Fresh Hell is co-hosted by Margaret Ables and Amy Wilson. mom friends, funny moms, parenting advice, parenting experts, parenting tips, mothers, families, parenting skills, parenting strategies, parenting styles, busy moms, self-help for moms, manage kid's behavior, teenager, toddler, baby, tween, child development, family activities, family fun, parent child relationship, decluttering, kid-friendly, invisible workload, default parent Learn more about your ad choices. Visit podcastchoices.com/adchoices
In a unique episode, today we're talking about voter registration in 1965.More information on Jimmie Lee Jackson:-via Southen Poverty Law CenterMore information on James Orange:-via NY TimesMore information on the Medical Committee for Human Rights:-via AMA Journal of EthicsLouisiana Literacy Test via SlateRegister to vote, or check your registration at wearevoters.turbovote.orgTake the pledge to be a voter at raisingvoters.org/beavoterdecember. - on AmazonSubscribe to the Substack: kimmoffat.substack.comA full transcript (with links) is available at kimmoffat.com/hwh-transcriptsAs always, you can find me on Instagram/Twitter @kimmoffat and TikTok @kimmoffatishere
In this episode, Susan Wise Bauer and Susanna Jarrett debunk some of the most popular myths about how the brain works. If you take a sip of coffee every time Susanna says “pigeon-hole” throughout this episode, you will end up well caffeinated for the day! We encourage you to look up these neuromyths on your own! Below are just a few articles (and a video) to start your research: Show Notes: Research: Persistence of Neuromyths in Educational SettingsMyth 1: News Article: Right brain/left brain, right? Via Harvard Health PublishingFull Research Study: An Evaluation of the Left-Brain vs. Right-Brain Hypothesis with Resting State Functional Connectivity Magnetic Resonance ImagingMyth 2: News Article: Debunking the Learning Style Neuromyth Via ForbesRound-up of Research: Learning Styles as Myth via YaleMyth 3: News Article: Why There is No Such Thing as a Normal Brain via BBC Research Article: The Myth of the Normal Brain: Embracing Diversity via The AMA Journal of EthicRethinking School: How to Take Charge of Your Child's Education by Susan Wise BauerMyth 4: Article: Why a high IQ doesn't mean you're smart via Yale School of ManagementVideo: The Dark History of IQ Tests via TedEd (00:00) - Debunking Learning Myths (02:24) - Left-brained vs. right-brained (05:01) - The power of figures of speech (10:34) - Break (12:11) - Matching instruction to learning style (22:32) - Learning discorders (28:11) - IQ scores (35:29) - Outro
In this episode, Lyell K. Jones Jr, MD, FAAN, speaks with Ariane Lewis, MD, who served as the guest editor of the Continuum® June 2024 Neurocritical Care issue. They provide a preview of the issue, which published on June 3, 2024. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Lewis is a professor of neurology and neurosurgery and director of the Division of Neurocritical Care at NYU Langone Medical Center in New York, New York. Additional Resources Continuum website: ContinuumJournal.com Subscribe to Continuum: shop.lww.com/Continuum More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @LyellJ Full episode transcript Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, a companion podcast to the journal. Continuum Audio features conversations with the guest editors and authors of Continuum, who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article by visiting the link in the show notes. Subscribers also have access to exclusive audio content not featured on the podcast. As an ad-free journal entirely supported by subscriptions, if you're not already a subscriber, we encourage you to become one. For more information on subscribing, please visit the link in the Show Notes. Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum: Lifelong Learning in Neurology. Today, I'm interviewing Dr Ariane Lewis, who recently served as Continuum's guest editor for our latest issue on neurocritical care. Dr Lewis is a Professor of Neurology and Neurosurgery at NYU, where she serves as the Director of the Division of Neurocritical Care. Dr Lewis, welcome. Thank you for joining us today. Why don't you introduce yourself to our listeners? Tell us a little bit about yourself. Dr Lewis: Thank you so much for having me, Dr Jones. It was a pleasure to be an editor of this issue, and I'm really excited for it to come out. As you mentioned, I'm a Professor of Neurology and Neurosurgery at NYU. I'm also a fellow of the American Academy of Neurology and a fellow of the Neurocritical Care Society. I serve on the Ethics Law and Humanities Committee for the AAN. I was a past chair of the Ethics Committee for the Neurocritical Care Society and also the past chair of the Ethics Committee at NYU. Dr Jones: So, pretty diverse professional interests. And I was going to ask you about the ethics - that feels like something that ties in pretty well to neurocritical care. I imagine that expertise comes in handy, right? Dr Lewis: Yes, absolutely. My area of expertise is related to brain death and ethical, social, and legal complications related to brain death determination. Dr Jones: Got it. And when we were talking before we started recording here, you're from the New York area and a lifelong Yankees fan, is that right? Dr Lewis: Yes, that's correct. Dr Jones: How are they going to do this year? Dr Lewis: We're hoping we're going all the way. Dr Jones: Okay. Dr Lewis: In a while. Dr Jones: Our listeners heard it here first. So, the issue – let's get into the neurocritical care topics – phenomenal issue, full of detailed diagnosis and management strategies for patients with, you know, all manners of severe neurologic disorders requiring critical level of care. With your perspective (which is a unique perspective) - you've just edited a full issue on neurocritical care, you got to delve into all the topics - what were you most surprised to learn, Dr Lewis? Dr Lewis: Well, you know, I think that one of the most exciting things about this issue is the fact that, in addition to dealing with the typical topics related to neurocritical care - like hypoxic ischemic brain injury and stroke and intracerebral hemorrhage and subarachnoid hemorrhage, of course - the issue delves into some very unique topics related to neurocritical care. There's an article written by Dr Barry Czeisler that focuses on emergent management of tumefactive and aggressive demyelinating disorders, Dr Casey Albin wrote about neuromuscular emergencies, and doctors Maciel and Busl wrote about neuroonc emergencies – and I think that these areas are really important areas for neurologists and trainees to know about, and they're not talked about all that often. And these topics are often focused on, of course, by other subspecialties, but the perspective of a neurointensivist related to these topics is infrequently addressed. So I think that these are really the most exciting aspects of this issue, because it's something so unique in terms of the spin on these topics. Dr Jones: Fantastic. And what else can we look for in this issue? What other topics can our listeners and readers expect to find there? Dr Lewis: So, the issue starts off with the examination and workup of the neurocritical care patient. Dr Sarah Wahlster and Nick Johnson from the University of Washington did an awesome job really bringing the reader into the topic of neurocritical care as they address an overview of neuroemergencies, red flags related to life-threatening conditions, herniation syndromes, vascular territories, and mechanisms and management of acute neurodeterioration, and they summarize monitoring modalities in neurocritical care and clinical and radiographic scales and scores that are commonly used in neurocritical care – and that's a really nice overview to introduce the reader to this issue. The rest of the issue focuses on a wide range of topics pertaining to the emergent management of neurocritical care issues, including hypoxic ischemic brain injury (which was addressed by Dr Steinberg from the University of Pittsburgh), management of stroke due to large vessel occlusion (which was addressed by Dr Leslie-Mazwi from the University of Washington), management of ICH (addressed by Dr Murthy from Weill Cornell), and then also management of spontaneous subarachnoid hemorrhage (addressed by Dr Soojin Park). Dr Clio Rubinos addressed emergent management of status epilepticus. Emergent management of TBI and spinal cord injury was addressed by Dr Podell and Dr Morris from the University of Maryland. And then neuroinfectious emergencies – which, again, is another unique topic in this issue – was addressed by Dr Reynolds from Mount Sinai. And then the issue concludes with a paper that focuses on prognostication and neurocritical care by Dr Susanne Muehlschlegel from Johns Hopkins University. Dr Jones: Yeah. And what a great list of authors and expertise. And really, you know, having seen these articles, really just phenomenal guidance on a lot of different subtopics. And I imagine – you know, this is a dynamic area, there's a lot of evidence – but, you know, sometimes, there are controversies or debates or unresolved questions in the field. Having just reviewed and edited the issue, what do you think the biggest debate or controversy is in neurocritical care right now? Dr Lewis: So there's definitely a lot of controversies that are addressed in each of these individual articles. For example, in the paper on subarachnoid hemorrhage, Dr Soojin Park provides a summary that compares the guidelines on management of subarachnoid hemorrhage that were written by the Neurocritical Care Society and the American Health Association / American Stroke Association in 2023 and really walks through what's similar and what's different between these guidelines. For the most part, they are very similar, but there are areas of differences. Additionally, in terms of management of acute neuroemergencies related to neuromuscular issues (in some cases, it's not clear whether to treat patients with IVIG or with plasmapheresis), Dr Casey Albin creates a nice summary addressing these issues in terms of what are the pluses and minuses associated with each of these medications. Additionally, there are a number of novel therapies that are not traditionally considered for various neuroemergencies that are walked through in each of the individual articles. For example, in the paper that focuses on management of status epilepticus, Dr Rubinos addresses alternative therapies, like immunomodulatory agents or neuromodulation, for management of super-refractory status epilepticus. So, I think, in addition to addressing the more traditional therapies for various neuroemergencies, the issue really goes above and beyond to address novel interventions. Dr Jones: That's fantastic. And obviously, it continues to be a rapidly evolving area. When you look out to the horizon – and the next generation of care for patients with critical neurologic illness – what do you see on the horizon? What should our listeners and readers be aware of to watch out for? Dr Lewis: I think one thing that is really important to be aware of related to patients with neuroemergencies is the Curing Coma Campaign (which is organized by the Neurocritical Care Society), which focuses on research in terms of improving the clinical management, the prognostication, and the care of patients and addresses the goals for improving recovery for patients who are comatose. And obviously, coma can be due to a wide range of different etiologies (many of which are described in this issue), and so I think that their work as we move ahead will be incredibly important and interesting to see how things evolve in that domain. Dr Jones: We will be on the lookout for the Curing Coma Campaign – sounds like a great initiative. And, I think, medicine is a team endeavor, right? We were talking about the Yankees earlier (baseball) as a team sport – so is medicine. When you think about the importance of teams, it's hard to imagine a setting where it's more critical to have, you know, well-functioning teams than in the neuro ICU. But there's also parts of the team (people on the team) who are outside the neuro ICU – and I'm thinking of other neurologists, our listeners and readers who might work in the inpatient setting, but not in this really specialized environment. When you think about those neurologists, is there a key message for those hospitalist neurologists or inpatient neurologists that you would want to share from your perspective as a neurocritical care specialist? Dr Lewis: So, I think it's imperative for all neurologists to have an understanding of the existence of various neuroemergencies and the identification of when a patient is having a neuroemergency so that they can escalate the management if it's something beyond their skills or expertise to somebody who is capable of appropriately managing the patient. Each of these articles walks through the differential diagnosis, the identification of the neuroemergency, the first steps in terms of management, the laboratory workup, and then the subsequent steps as well. And I think that, you know, for all neurologists, really, the key things to know about (even if you're not specializing in neurocritical care) is how to identify a neuroemergency and what needs to be done as the first steps in terms of intervening and diagnosing these emergencies. Dr Jones: Great message, and that's one of the key things we learn in training, right, is when to recognize that someone's sick and you need to escalate their level of care. What about – you know, I imagine the neurocritical care field is a relatively small community, and you know a lot of these folks – any key message that you would want to share with that audience? Dr Lewis: So, I think that this issue is still really important for all neurointensivists (in addition to for general neurologists and trainees), because of the fact that every article really addresses in depth each of these aspects of neurocritical care and provides tidbits of information that not every neurointensivist would know. So, I think that the issue is beneficial both for trainees, general neurologists, and people who have expertise in the field of neurocritical care. Dr Jones: That's a great point. I think the fact that it is such a rapidly changing and broad field (you mentioned all the different article topics that are in the issue), it's a challenge to stay up to date on everything. And I think that's what this issue really brings to the neurointensivist – is, you know, this is all (as of what's the latest in 2024) for the care of patients with critical illness. It's all there, right? Dr Lewis: Absolutely. I think, you know, the issue is unique because neurocritical care is unique in that our role involves taking care of patients with a wide range of different neurologic disorders. So, the issue touches upon stroke (both ischemic and hemorrhagic). It touches upon seizure management. It touches upon management of traumatic brain injury. It addresses demyelination (so types of aggressive MS and other demyelinating disorders), neuromuscular issues, neuroonc issues – so I think that, really, there are so many subspecialties within neurology that it's important for them to have awareness of the emergencies that can emerge within their individual field. Dr Jones: So, we know that neurocritical care is pretty specialized work, and I imagine the expertise and the resources are not necessarily going to be available in every community. Are you aware, Dr Lewis, of any disparities in access or outcomes to neurointensivist expertise? Dr Lewis: Yeah, absolutely. Unfortunately, as you look internationally, first, there are many places that don't have neurointensivists, so patients with neuroemergencies are being taken care of, in some cases, not even by general neurologists, but by specialists just in medicine. Additionally, the resources are often not available in terms of having an intensive care unit, having nurses with a good ratio to care for neurocritical care patients, having access to therapists who can participate in rehab and promote rehab, for patients having access to medications that are necessary, having access to various interventions (such as access to neurosurgeons who can do neurosurgical procedures or placement of an external ventricular drain), or other monitoring modalities are not available and accessible. So, all of these issues – in terms of resources, in terms of funding, in terms of other issues related to the existence of protocols as to how to manage patients in the neuro ICU – all impact the outcome for patients in neurocritical care. Additionally, social issues and cultural issues can impact the outcome for patients in the neuro ICU. So, there's a lot of issues pertaining to equity in terms of the management of neurocritical care patients around the world. Dr Jones: Those are great points. I know you and I both work with trainees in our field, and when I talk to residents who are interested in neurocritical care, I think part of what draws them in is when they are exposed to it and they see how much, you know, the value of what their expertise brings to the outcome for that patient. I mean, it really does make a difference to understand the brain when you're caring for people with these critical neurologic disorders – and I think that's part of the appeal, right? Dr Lewis: Yeah, absolutely. I think that people who are interested in going into the field of neurocritical care are interested in the more fast-paced aspect of neurology, rapid decision making, dealing with emergencies, also dealing with prognostication, discussions (unfortunately, at end of life) – so that's really the kind of individual who turns to the field to specialize in. Dr Jones: And what about you, Dr Lewis? What drew you to this, you know, pretty high-pressure, intense, dynamic environment? Dr Lewis: So I think, actually, you know, all the buzzwords you just used are really the things that made me want to go into neurocritical care. I am interested in much more fast-paced management of patients, and, you know, unfortunately, obviously emergencies happen, and I find them to be exciting to be able to manage patients in that setting. And, you know, as you mentioned earlier, in the neuro ICU, it's a very multidisciplinary team, and I really enjoy being able to work with nursing, social work, care management, therapists, a variety of consultants – and addressing very acute issues with these individuals as a team in the ICU setting is really very rewarding. Dr Jones: Yeah, and I hear that from others who are drawn to the field, and I think you really have to have kind of a broad skill set to manage actively, you know, critically ill patients, but also do the communication competencies and other things that are necessary. So, anecdotally, I would say I see more interest among trainees in this field. I don't know if you've seen the same thing in your world. Dr Lewis: Yeah. I think that, you know, as you mentioned, it's really important to emphasize that being a neurointensivist does not just require expertise in the medical aspects of care for these patients, but really, also it's very important to ensure that we promote education related to communication and neuroprognostication. So, our last article on this issue (by Dr Susanne Muehlschlegel) addresses prognostication and includes a variety of different details about how to address uncertainty, how to implement family and patient-centered prognostication and promote shared decision-making – and these topics are so important for everyone to know about when they're communicating with patients and families to address goals of care and to prognosticate. Dr Jones: Yeah. Thank you. And before we wrap up our discussion here, Dr Lewis, in addition to being a neurointensivist and being an expert on ethics and all of your clinical and research work, you do editorial work. You have editorial responsibilities not only for this issue of Continuum, but also at Seminars in Neurology and at “The Green Journal”. For our listeners who might be interested in that career pathway, how did you get into that? Dr Lewis: I very much enjoyed writing, and so I published a lot. And then I think that, you know, making connections is incredibly important and really looking out for those types of opportunities. Once you build a semblance of expertise in an area, then that often tends to lead to opportunities. So, I'm a Deputy Editor for the Disputes and Debate section of the Neurology journal. I'm also a Deputy Editor of Seminars in Neurology. I edited a book with Dr Jim Burnett on advances in neuroethics related to death determination by neurologic criteria, areas of controversy and consensus. And then I've also been a Guest Editor for a number of other journals, like the AMA Journal of Ethics that focused on socially situated brain death, a neurosurgical focus issue on primary and secondary infections of the brain, and a issue of Seminars in Neurology focused on ethics in neurology. Dr Jones: You must have like a twenty-eight or twenty-nine-hour day, Dr Lewis. I don't know how you do all that. I wasn't even aware of all those things that you do, but I can tell you, having looked at this issue, your editorial skills are off the charts. I really want to thank you not just for a wonderful issue, but for joining us today and for such a thoughtful, fascinating, and thorough discussion on the field of neurocritical care. Dr Lewis: Thank you so much. I'm so excited for all the readers to look at our issue and learn about all of these different topics. Dr Jones: Again, we've been speaking with Dr Ariane Lewis, Guest Editor for Continuum's most recent issue on neurocritical care. Please check it out. And thank you to our listeners for joining today. Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practice - and right now, during our Spring Special, all subscriptions are 15% off. Go to Continpub.com/Spring2024, or use the link in the episode notes to learn more and take advantage of this great discount. This offer ends June 30, 2024. Thank you for listening to Continuum Audio.
This is the AHRMM Power Up Podcast with Mike Schiller and hosted by Justin Poulin. Every month, we highlight trends, strategies, and solutions from the field to advance the healthcare supply chain industry. In this episode, Mike and Justin share insights and updates from April '24: Human Trafficking Article Published in AMA Journal of Ethics. Check out their website to read the full article. AHRMM ‘24 Registration is Now Open! NEW “One Member Pricing” and Military Partner Benefits -- more details to follow! Spring Summit is In the Books -- sessions now available ON-DEMAND! Chinese Manufactured Syringes and FDA Warning Letters – be on the lookout! #AHRMM #PowerSupply #Podcast #HealthcareSupplyChain #AprilUpdate ________ Power Supply is proud to partner with AHRMM, the leading professional membership group for the healthcare supply chain. Through this collaboration, Power Supply offers Continuing Education Credit (CEC) approved podcast episodes to the healthcare supply chain audience.
This is the AHRMM Updates Podcast with Mike Schiller and hosted by Justin Poulin. Tune in every month as we highlight trends, strategies and solutions from the field to advance the healthcare supply chain. And now, Mike and Justin… April ‘24 Update: - Human Trafficking Article Published in AMA Journal of Ethics - AHRMM ‘24 Registration is Open * One Member Pricing * Military Partner Benefits * Communication is Coming - be on the lookout - Spring Summit is In The Books - Content is available On Demand - Chinese Manufactured Syringes and FDA Warning Letters
What Fresh Hell: Laughing in the Face of Motherhood | Parenting Tips From Funny Moms
Mothers have long been held at fault for anything that might occur in their children's lives, from autism ("refrigerator mothers") to colic, and everything in between. Why is there such a long history of blaming everything on Mom? In this episode, we discuss how mom blame has manifested in both psychology and parenting advice over the years, and how we can start to push back on it in our own lives. Here are links to some of the resources mentioned in the episode: Joseph E. Davis, PhD for Psychology Today: "For a Moratorium on Parent Blaming" Mitzi M. Waltz, PhD for the AMA Journal of Ethics: "Mothers and Autism: The Evolution of a Discourse of Blame" Rosjke Hasseldine for Medium: "How Mother Blaming Harms the Mother-Daughter Bond" Bonnie Zucker for Scary Mommy: "From a Psychologist: No, It's Not All Mom's Fault" We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on our website: https://www.whatfreshhellpodcast.com/p/promo-codes/ mom friends, funny moms, parenting advice, parenting experts, parenting tips, mothers, families, parenting skills, parenting strategies, parenting styles, busy moms, self-help for moms, manage kid's behavior, teenager, toddler, baby, tween, child development, family activities, family fun, parent child relationship, decluttering, kid-friendly, invisible workload, default parent Learn more about your ad choices. Visit megaphone.fm/adchoices
Dr Sophia Görgens joins Ethics Talk to discuss this month's issue of the AMA Journal of Ethics: “Belonging, Placement, and Turfing.” Recorded September 8, 2023. Read the full December Issue for free at JournalOfEthics.org
Gillian is from the larger Philadelphia area and initially studied Philosophy and Psychology at the University of Scranton and worked in social services as a Case Manager after college. She then transitioned to Vaccine Development NIH-funded research as a clinical coordinator at the University of Vermont while taking pre-med classes. She attended medical school at Penn State College of Medicine, where she also earned her Masters in Education and was recognized with the Leonard Tow Humanism in Medicine award and the Gold Humanism Honor Society. During medical school, she also held multiple statewide and national positions such as Chair for the Committee on Bioethics & Humanities for the American Medical Association-Medical Student Section, Board of Trustee for the Pennsylvania Medical Society, State Director on the Pennsylvania Political Action Committee Board of Directors for the Pennsylvania Medical Society. She was served as an Editorial Fellow with the AMA Journal of Ethics in 2019. She matched at TJUH in Internal Medicine where she was recognized with multiple teaching awards including Hobart Amory Hare Resident Teaching Award, Alpha Omega Alpha Honor Society and teaching award, and the Darilyn Moyer, MD, FACP Professionalism Award for Trainees in Southeastern PA. She is interested in a career in academic hospital medicine and medical education crafting curriculum that incorporates health system science and humanism topics in medicine.___0:00 - Intro1:29 - Statistics About Internal Medicine3:55 - What Is Internal Medicine?7:25 - Why Internal Medicine?15:18 - What Was IM Residency Like?17:23 - Plans for Designing a Curriculum19:22 - Shooting Incident at the Hospital23:02 - Best Thing About Being an IM Doctor26:09 - Worst Thing About Being an IM Doctor27:14 - Work Intensity and an Average Day as a Resident34:14 - The Best Year of Residency35:19 - An Average Outpatient Day/Week38:32 - If I Give You $100 Million, What Would You Do?43:56 - Things You Wish You Knew Before Coming Into IM45:33 - Characteristics of a Student Best for IM50:00 - Advice for People Looking Into Internal Medicine51:22 - Maximizing Competitiveness Going Into IM Residency54:03 - Things Learned From Residency56:53 - Common Mistakes1:00:49 - Positive Qualities & Characteristics You Admire1:03:05 - Closing Message1:04:14 - Outro__Resources___View the Show Notes Page for This Episode for a transcript and more information: zhighley.com/podcast___Connect With ZachMain YouTube: @ZachHighley Newsletter: https://zhighley.com/newsletter/Instagram: https://www.instagram.com/zachhighley/?hl=enWebsite: https://zhighley.comTwitter: https://twitter.com/zachhighleyLinkedln: https://www.linkedin.com/in/zach-highley-gergel-44763766/Business Inquiries: zachhighley@nebula.tv___Listen for FreeSpotify: https://open.spotify.com/show/23TvJdEBAJuW5WY1QHEc6A?si=cf65ae0abbaf46a4Apple Podcast: https://podcasts.apple.com/us/podcast/the-zach-highley-show/id1666374777___Welcome to the Zach Highley Show, where we discuss personal growth and medicine to figure out how to improve our lives. My name is Zach a Resident Physician in Boston. Throughout these episodes, I'll interview top performers from around the world in business, life, and medicine in hopes of extracting the resources and techniques they use to get to the top.The best way to help the show is to share episodes on any platform. If you think a friend or family member will like a certain episode, send it to them!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In a unique episode, today we're talking about voter registration in 1965.More information on Jimmie Lee Jackson:-via Southen Poverty Law CenterMore information on James Orange:-via NY TimesMore information on the Medical Committee for Human Rights:-via AMA Journal of EthicsLouisiana Literacy Test via SlateAs always, you can find me on Instagram/Twitter @kimmoffat and TikTok @kimmoffatishere
In this episode, UVA Law students Mary Beth Bloomer and Anu Goel join me to talk to Kara W. Swanson, a Professor of Law and Affiliate Professor of History at Northeastern University and a visiting scholar at Princeton University's Institute For Advanced Studies. Professor Swanson is an accomplished scholar, legal practitioner and scientist whose chief interests are in intellectual property law, gender and sexuality, the history of science, medicine, and technology and legal history. In 2021, she was selected for the Law & Society Association's John Hope Franklin Prize, which recognizes exceptional scholarship in the field of race, racism and the law. Professor Swanson's research has been supported by the Mellon Foundation, the National Science Foundation, the National Endowment for the Humanities and the Lemelson Center for the Study of Invention and Innovation, among other funding organizations. We're discussing her 2014 book, Banking on the Body: The Market in Blood, Milk and Sperm in Modern America, published by Harvard University Press. Further Reading Kara Swanson, Banking on the Body: The Market in Blood, Milk and Sperm in Modern America (Harvard University Press, 2014). Kara Swanson, “Rethinking Body Property,” 44 Florida State University Law Review 193 (2016). Almeling, Rene. Sex cells: The medical market for eggs and sperm. Univ of California Press, 2011. Krawiec, Kimberly D. "Sunny samaritans and egomaniacs: price-fixing in the gamete market." Law & Contemp. Probs. 72 (2009): 59. Krawiec, Kimberly D. "Egg-donor price fixing and Kamakahi v. American society for reproductive medicine." AMA Journal of Ethics 16.1 (2014): 57-62. Krawiec, Kimberly D. “Gametes: Commodification and The Fertility Industry” forthcoming in The Routledge Handbook of Commodification, Vida Panitch and Elodie Bertrand eds.
In a re-release of one of my favorite episodes, today we're talking about voter registration in 1965.More information on Jimmie Lee Jackson:-via Southen Poverty Law CenterMore information on James Orange:-via NY TimesMore information on the Medical Committee for Human Rights:-via AMA Journal of EthicsLouisiana Literacy Test via SlateAs always, you can find me on Instagram/Twitter @kimmoffat and TikTok @kimmoffatishere
In this 188th in a series of live discussions with Bret Weinstein and Heather Heying (both PhDs in Biology), we discuss the state of the world through an evolutionary lens. In this episode we discuss medicine, scientific publishing, and just how bad things have gotten. The New England Journal of Medicine declined to publish a letter that would have provided valuable scientific context for a paper they recently published, and we discuss Bret's reserve capacity hypothesis regarding the evolution of senescence and the relationship of telomere length to both aging and cancer. Then we discuss uterine transplants. What can be done for women who are born without uteruses who want to bear children of their own? What about for men who present themselves to the world as women? How about women who have transitioned “into” men but have decided that they would like to bear children after all? And who can get Continuing Medical Education credits from the American Medical Association for pretending that up is down, male is female, and reality is a thing of the past? You can! ***** Our sponsors: Mindbloom: at-home ketamine therapy. Use code DARKHORSE at www.Mindbloom.com to receive $100 off your first six session program. Sundays: Dog food so tasty and healthy, even husbands swear by it. Go to www.sundaysfordogs.com/DARKHORSE to receive 35% off your first order. PaleoValley: Wide array of amazing products, including SuperFood Golden Milk and beef sticks. Go to https://paleovalley.com/darkhorse for 15% off your first order. ***** Our book, A Hunter-Gatherer's Guide to the 21st Century, is available everywhere books are sold, including from Amazon: https://a.co/d/dunx3at Heather's newsletter, Natural Selections (subscribe to get free weekly essays in your inbox): https://naturalselections.substack.com Like this content? Subscribe to the channel, like this video, follow us on twitter (@BretWeinstein, @HeatherEHeying), and consider helping us out by contributing to either of our Patreons or Bret's Paypal. Looking for clips from #DarkHorseLivestreams? Check out our other channel: https://www.youtube.com/channel/UCAWCKUrmvK5F_ynBY_CMlIA Theme Music: Thank you to Martin Molin of Wintergatan for providing us the rights to use their excellent music. ***** Q&A Link: https://rumble.com/v3avyq9-your-questions-answered-bret-and-heather-188th-darkhorse-podcast-livestream.html Mentioned in this episode: DeBoy et al 2023. Familial Clonal Hematopoiesis in a Long Telomere Syndrome. New England Journal of Medicine. https://www.nejm.org/doi/full/10.1056/NEJMoa2300503 DarkHorse Livestream #172 (“20 Years Later”): https://www.youtube.com/live/CcgzrMrnBUE Weinstein & Ciszek 2002. The reserve-capacity hypothesis: evolutionary origins and modern implications of the trade-off between tumor-suppression and tissue-repair. Experimental gerontology, 37(5): 615-627.http://176.9.41.242/doc/longevity/2002-weinstein.pdf Castellón et al 2017. The history behind successful uterine transplantation in humans. JBRA assisted reproduction, 21(2): 126: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5473706/pdf/jbra-21-02-0126.pdf Murphy & Mumford 2023. Should Uterus Transplantation for Transwomen and Transmen Be Subsidized? AMA Journal of Ethics, 25(6): 431-436. https://journalofethics.ama-assn.org/article/should-uterus-transplantation-transwomen-and-transmen-be-subsidized/2023-06 Continuing Medical Education credits through the AMA: https://www.ama-assn.org/education/ama-pra-credit-systemSupport the show
Audiey Kao, MD, PhD, talks about the Journal of Ethics' theme topics and their annual call for students, residents, and fellows to apply as guest editors of issues with themes that are relevant to them, the process, the stipend, upcoming issues, podcasts resources, and the benefits of being a gues editor with Barbara Lewis, MBA.
It's the last weekend before the election - what will you do about it?More information on Jimmie Lee Jackson:-via Southen Poverty Law CenterMore information on James Orange:-via NY TimesMore information on the Medical Committee for Human Rights:-via AMA Journal of EthicsLouisiana Literacy Test via SlateAs always, you can find me on Instagram/Twitter @kimmoffat and TikTok @kimmoffatishere
In a unique episode, today we're talking about voter registration in 1965.More information on Jimmie Lee Jackson:-via Southen Poverty Law CenterMore information on James Orange:-via NY TimesMore information on the Medical Committee for Human Rights:-via AMA Journal of EthicsLouisiana Literacy Test via SlateAs always, you can find me on Instagram/Twitter @kimmoffat and TikTok @kimmoffatishere
Natasha Sood joins Ethics Talk to discuss this month's issue of the AMA Journal of Ethics: “Health Care Waste.” Recorded August 16, 2022. Read the full issue for free at our site: JournalOfEthics.org
Dr Noelle Driver joins Ethics Talk to discuss the status of health care workers earning low-wages and Pheobe Cohen shares how her own experience in health care helps motivate her artistic practice as a comic maker. Recorded May 19, 2022. Read the full September issue of the AMA Journal of Ethics, "What We Owe Health Workers Earning Low Wages," for free at our site: JournalOfEthics.org.
The pandemic called attention to disparities in the American healthcare system. So, what can we do to build a better, more equitable system? How do we design healthcare policy that works in the real world?Natalie Davis is the Cofounder and CEO of United States of Care, a nonpartisan nonprofit organization committed to ensuring that every American has access to quality, affordable healthcare. Natalie's career in healthcare began in 2005, and she worked in the Center for Consumer Information and Insurance Oversight at the Centers for Medicare and Medicaid Services under the Obama Administration before building USOC in 2018. On this episode of HLTH Matters, Natalie joins hosts Dr. Gautam Gulati, Dr. Jordan Shlain and Patricia Bradley to discuss the four goals for the healthcare system USOC identified by talking to people across the country. She describes the concerns Americans have around continuity of health coverage and the cost of care, offering insight on how to build policy solutions that work in the real world. Listen in to understand what Natalie has learned about using language that resonates with people and find out how you can help USOC build a healthcare system that is understandable and easy to navigate.Topics CoveredHow Natalie's unique background in art and sociology informs her work in healthcareUnited States of Care's mission to ensure that everyone has access to quality, affordable healthcareThe 4 goals for the healthcare system identified through USOC's interviews with people across the countryThe concerns Americans have around continuity of health coverage through life changesHow USOC is working to make legislative changes and start a new conversation around what it means to have a healthcare system that works for peopleUSOC's research methodology of asking open-ended questions to identify themes before looking to qualitative and quantitative researchWhy people see it as a unique failure of their own when they can't navigate the healthcare systemWhat USOC has learned about people's concerns re: prescription drug costsHow Natalie thinks about using language that resonates with people (e.g.: caregiver)Natalie's insight on building policy and private sector solutions that work in the real world Connect with Natalie DavisUnited States of Care Connect with Dr. Gautam Gulati and Dr. Jordan ShlainHLTHDr. Gulati on TwitterDr. Gulati on LinkedInDr. Shlain on LinkedInDr. Shlain on Twitter ResourcesAffordable Care ActHealthCare.govAndy SlavittCenters for Medicare & Medicaid Services‘Pain and the Paintbrush: The Life and Art of Frida Kahlo' in the AMA Journal of EthicsUnited States of Care Voices of Real Life CouncilAlex DraneUSOC Entrepreneurs CouncilUSOC Health System Leadership CouncilLiz Fowler at CMMIThe Birth of the Clinic: An Archeology of Medical Perception by Michel FoucaultLiz Gilbert on Your Elusive Creative Genius Introductory Quote[7:12] “We are a young organization—nonpartisan, nonprofit—with a mission to ensure everyone has access to quality, affordable healthcare. We believe that policy change is one of the ways that we need to ensure that everybody does have that access to quality care, and so, a lot of our work is at the state and federal level to change policy and legislation to ensure that people can have the access to care that they need.”
This time on “Gathering Ground,” Mary meets with Dr. Diana N. Derige, Vice President of Health Equity Strategy & Development at the American Medical Association's Center for Health Equity, to discuss her role and the health disparities that are impacting Latinx and intersecting identities. Recently, alongside two of her colleagues, Diana edited and contributed to April's volume of the AMA Journal of Ethics titled Health Equity in US Latinx Communities. This issue of the Journal includes articles like "Should Clinicians be Activists?" "Latino Invisibility in the Pandemic," and "Language and Health (In)Equity in US Latinx Communities."
Dr. Thomas Armstrong, Ph.D. is the Executive Director of the American Institute for Learning and Human Development, and an award-winning author and speaker who has been an educator for over forty-five years. Over 1.3 million copies of his books are in print in English on issues related to learning and human development. He is the author of nineteen books including: - If Einstein Ran the Schools: Revitalizing U.S. Education - The Myth of the ADHD Child, Revised Edition: 101 Ways to Improve Your Child's Behavior and Attention Span Without Drugs, Labels, or Coercion - Neurodiversity in the Classroom: Strength-Based Strategies to Help Students with Special Needs Succeed in School and Life; - Multiple Intelligences in the Classroom, 4th Edition - The Power of Neurodiversity: Unleashing the Advantages of Your Differently Wired Brain (published in hardcover as Neurodiversity) His books have been translated in ninety foreign editions into twenty-eight languages, including Spanish, Chinese, Hebrew, Danish, and Russian. He has written for Ladies Home Journal, Family Circle (where he received awards from the Educational Press Association, and the National Association of Secondary School Principals, Parenting (where he was a regularly featured columnist for four years), Mothering (where he was a contributing editor), The AMA Journal of Ethics, many other periodicals, journals, and edited books. He has appeared on several national and international television and radio programs, including NBC's “The Today Show,” “CBS This Morning,” “CNN,” the “BBC” and “The Voice of America.” Articles featuring his work have appeared in The New York Times, The Wall Street Journal, The Washington Post, USA Today, Investor's Business Daily, Good Housekeeping, and hundreds of other newspapers and magazines around the country. Dr. Armstrong has given over 1000 keynotes, workshop presentations, and lectures on six continents in 29 countries, and 44 states in the past thirty years. His clients have included Sesame Street, the Bureau of Indian Affairs, the European Council of International Schools, the Republic of Singapore, and several state departments of education. For more information on Dr. Armstrong, please visit https://www.institute4learning.com/thomas-armstrong/ For more information on our podcast, please visit www.adhdisover.com
This week Tina is joined by Leah, a nurse with CBD Stat, and together they tell of the horrific circumstances a medical team at Memorial Hospital in New Orleans found themselves in after the levees broke during hurricane Katrina. The episode continues with the story of Danyel Teague, a woman who with God's strength survived the many storms in her life to become a nurse. Credits: Bailey, R. (2010). The Case of Dr. Anna Pou: Physician Liability in Emergency Situations. AMA Journal of Ethics, 12(9), 726–730. https://doi.org/10.1001/virtualmentor.2010.12.9.hlaw1-1009. David, M. (2018). Dr. Anna Pou: Hero, Criminal, or Victim? Women Leading Change: Case Studies on Women, Gender, and Feminism, 3(2). https://journals.tulane.edu/ncs/article/view/1344 Fink, S. (2009, August 25). The Deadly Choices at Memorial (Published 2009). The New York Times. https://www.nytimes.com/2009/08/30/magazine/30doctors.html Fink, S. (2016). Five days at Memorial : life and death in a storm-ravaged hospital. Broadway Books. Guardian staff reporter. (2014, February 7). Hurricane Katrina: after the flood. The Guardian; The Guardian. https://www.theguardian.com/world/2014/feb/07/hurricane-katrina-after-the-flood https://www.facebook.com/nurseslabs. (2017, September 13). Hurricane Katrina and the Deadly Choices at Memorial Medical Center: A Look Back. Nurseslabs. https://nurseslabs.com/hurricane-katrina-deadly-choices-memorial-medical-center/ NBC Universal. (2008, July 20). Doctor cleared in Katrina deaths recounts scene. NBC News; NBC News. https://www.nbcnews.com/id/wbna25762235#.UxalHE2PJwU New Orleans Doctor, Nurses Charged with Murder. (2006, July 18). NPR.org. https://www.npr.org/templates/story/story.php?storyId=5566057 Struck, D. (2005, September 13). 45 Bodies Found In La. Hospital. Washingtonpost.com. https://www.washingtonpost.com/wp-dyn/content/article/2005/09/12/AR2005091202035.html The Times-Picayune. (2010, July 9). Orleans DA testifies that he believes patients were killed at Memorial Medical Center after Katrina, but he can’t prove it. NOLA.com. https://www.nola.com/news/crime_police/article_26cf5557-48bb-5dee-849c-751cc9df1ed6.html
Rebecca W. Brendel, MD, JD, and Allen R. Dyer, MD, PhD, join guest host Carol A. Bernstein, MD, to discuss the ethical challenges that have been occurring during the COVID-19 pandemic. Dr. Brendel is director of law and ethics at the Center for Law, Brain, and Behavior at Massachusetts General Hospital, Boston. She also serves as director of the master of bioethics degree program at Harvard Medical School, Boston. Dr. Brendel has no disclosures. Dr. Dyer is professor of psychiatry and behavioral sciences at George Washington University, Washington. He also serves as vice chair for education at the school of medicine and health sciences. Dr. Dyer has no disclosures. Dr. Bernstein, a past president of the American Psychiatric Association, is vice chair for faculty development and well-being at Montefiore Medical Center/Albert Einstein College of Medicine, New York. She has no disclosures. Take-home points Medical ethics often deal with decisions between doctors and patients, but during the COVID-19 pandemic, the medical community has been forced to reckon with ethics on a population scale. Examples of ethical challenges include issues of scarcity, justice, transparency, and navigating distrust of the medical system. In the beginning of the pandemic, individuals such as Dr. Brendel and Dr. Dyer participated in ethical planning so that hospital systems would be prepared to deal with scarcity of resources that could result in some individuals going without lifesaving interventions. During times of scarcity, transparency and accountability are necessary, because the community will ask questions about the fairness and justice of specific outcomes. The philosophy of utilitarianism is a reason-based decision-making model that strives to maximize the greatest good for the greatest number, and it has been commonly used as a template for ethical discussions during the pandemic. Yet, utilitarianism calculus is complicated by questions of how to define “good” and the challenge of accurately predicting the outcomes. Summary In situations of urgency, demand, and scarcity, ethics usually turns to utilitarianism with the intention of maximizing the greatest good for the greatest number. Inevitably, people or populations are harmed. Especially in the beginning of the COVID-19 pandemic, American society grappled with the issue of scarcity and allocation of medical resources, ranging from personal protective equipment, ventilators, medical staff, ICU space, and the vaccine. Now we must think about the ethical decisions influencing COVID-19 vaccination, including weighing the risks and benefits of who gets the vaccine and when – and how certain vaccine schedules forestall the spread in the population. For example, institutionalized individuals are at great risk of contracting COVID-19, yet society debates the “good” of vaccinating elderly in nursing homes versus incarcerated individuals. Question of defining good and grappling with the consequences are present throughout the entire vaccination algorithm. Communities contend with the question of who in their ranks are essential workers: Health care workers? Teachers? Restaurant staff? Factory workers? Justice and transparency are commonly discussed ethical principles, especially when we think about the algorithms created to allocate resources. Transparency is required to foster trust in the public health system, and actors within the system must demonstrate their accountability through being honest about the evidence behind policy decisions, following set parameters, and acknowledging historical reasons for distrust. The pandemic has pushed society to think about the ethics of community solidarity and reflect on governmental and individual responsibility of protecting the health and well-being of the community. As the pandemic ravaged the U.S. economy and further disadvantaged already vulnerable communities, we must use this opportunity to reexamine the ethics of how health care is distributed in the United States, and work toward a just and equitable system. References Ethics and COVID10: Resource allocation and priority-setting. 2020 World Health Organization. AMA Journal of Ethics. COVID-19 Ethics Resource Center. Emanuel EJ et al. N Engl J Med. 2020 May 21. doi: 10.1056/NEJMsb2005114. Dyer AR and Khin EK. Int Encycl Soc Behav Sci. 2015;63-70. The principles of medical ethics with annotations especially applicable to psychiatry, 2013 edition. American Psychiatric Association. American Psychiatric Association. Ethics.psychiatry.org. * * * Show notes by Jacqueline Posada, MD, associate producer of the Psychcast; assistant clinical professor in the department of psychiatry and behavioral sciences at George Washington University in Washington; and staff physician at George Washington Medical Faculty Associates, also in Washington. Dr. Posada has no conflicts of interest. For more MDedge Podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com
Thomas Armstrong, Ph.D. is the Executive Director of the American Institute for Learning and Human Development, and an award-winning author and speaker who has been an educator for over forty-five years. Over 1.3 million copies of his books are in print in English on issues related to learning and human development. He is the author of nineteen books including: - If Einstein Ran the Schools: Revitalizing U.S. Education - The Myth of the ADHD Child, Revised Edition: 101 Ways to Improve Your Child’s Behavior and Attention Span Without Drugs, Labels, or Coercion - Neurodiversity in the Classroom: Strength-Based Strategies to Help Students with Special Needs Succeed in School and Life; - Multiple Intelligences in the Classroom, 4th Edition - The Power of Neurodiversity: Unleashing the Advantages of Your Differently Wired Brain (published in hardcover as Neurodiversity) His books have been translated in ninety foreign editions into twenty-eight languages, including Spanish, Chinese, Hebrew, Danish, and Russian. He has written for Ladies Home Journal, Family Circle (where he received awards from the Educational Press Association, and the National Association of Secondary School Principals, Parenting (where he was a regularly featured columnist for four years), Mothering (where he was a contributing editor), The AMA Journal of Ethics, many other periodicals, journals, and edited books. He has appeared on several national and international television and radio programs, including NBC’s “The Today Show,” “CBS This Morning,” “CNN,” the “BBC” and “The Voice of America.” Articles featuring his work have appeared in The New York Times, The Wall Street Journal, The Washington Post, USA Today, Investor’s Business Daily, Good Housekeeping, and hundreds of other newspapers and magazines around the country. Dr. Armstrong has given over 1000 keynotes, workshop presentations, and lectures on six continents in 29 countries, and 44 states in the past thirty years. His clients have included Sesame Street, the Bureau of Indian Affairs, the European Council of International Schools, the Republic of Singapore, and several state departments of education.
This is the first episode of Ethically Sourced. An off-shoot of The Black Doctors Podcast, his mini-series will discuss concepts of medical ethics, healthcare disparities and culturally competent care. This episode discusses the dangers of assuming and incorporating race in clinical presentations. This episode was inspired by my own clinical experiences. The AMA Journal of Ethics June 2014 edition presented an excellent case study that can jumpstart your reading on this important subject. I welcome your feedback. What are your thoughts on the subject matter? Do you like the background music? Please leave a rating or comment. Please send constructive criticism using my website. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. "Ethically Sourced" is a supplement to TBDP. A resource for improving medical decision-making and culturally-competent care. If you are thinking about starting your own podcast, check out my 30 Minutes To Podcast masterclass on my website www.StevenBradley,MD.com --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
Get ready for a cold dose of reality. On this episode, we're talking with Neil Carpenter, VP of Strategic Planning at Array Advisors and former health system Chief Strategy Officer, about how health systems think. This behind the scenes look at health system strategy, decision-making, and purchasing tells you much of what you need to know as a startup/vendor trying to sell into this market. You won't like everything you learn, but it'll give you a much more productive way to look at your product or service and how you fit into the cold-hard reality of health systems. You'll learn: Health systems are permission oriented and consensus driven. What does that mean and how does it affect your sales strategy? The difference between the big-name systems and their scrappy competitors down the road. What is the role of a Chief Strategy Officer at a health system and how can you work with them to get your foot in the door? Why health systems are so focused on what's happening right now and struggle to look to the future. That most decisions are driven by personal, and not organizational interests, and how that impacts your ability to make deals How to avoid the common pitfall of focusing on your solution, and not taking the time to truly understand your buyer Why it's easier for health systems to buy from established players than small shops NOTE: We touched on this in Episode 148: Partnering with Payers too Why health system executive compensation and performance expectations make innovation difficult Why the “local monopoly” strategy is so common for health systems and why telemedicine is so threatening to that model How to get to know health systems you're trying to sell to What are the two primary power centers within the health system and how to work with each of them? Which solution spaces are overcrowded and should be avoided? Which solution spaces are wide-open and ready for new solutions? Why a good spreadsheet may be your most potent sales tool This one is densely packed and full of fire. You may want to listen twice. Neil Carpenter Neil Carpenter is a health care strategy and innovation consultant– he advises clients from health systems (e.g., on the future of precision medicine, ambulatory planning) to the State of Maryland (e.g., COVID-19 planning). Neil's thought leadership, where he is the VP of Strategic Planning at Array Advisors modeling the impact of COVID-19 on the US health care sector has been cited by the Wall Street Journal, the Washington Post and several industry publications (e.g., Health Leaders). In his career, Neil has been a system leader and senior advisor to health system leaders and boards. Neil was the Chief Strategy Officer for LifeBridge Health, a $2billion+ integrated health care delivery system in Maryland with over 400 employed providers and assets across the entire continuum of care. In that role, Neil had wide-ranging responsivities, including helping lead the clinically integrated physician network which had one of the highest ACO savings in the country for several years, launched the first in the nation, offshore command center, the first bioincubator inside a community hospital in the country and new patient engagement technologies aimed at some of the most socio-economically patient populations in the country. Neil also spent a decade at leading consulting firms. Neil's clients included Kaiser Permanente, Sisters of Mercy Health System, Steward, UnityPoint, Trinity, Dana Farber, the Military Health System, Montefiore, and the University of Virginia among many others. Prior to entering consulting after business school, Neil focused on global reengineering, financial analysis and process improvement at GE and American Express. Neil has a Master's Degree in business from Georgetown University and a Bachelor's in Business from the University of Massachusetts at Amherst. Neil has served on various state task forces related to Health System planning, taught at John's Hopkins Carey School of Business and has been published papers on technology transformation in forums such as Digital Biomarkers and AMA Journal of Ethics. LinkedIn: https://www.linkedin.com/in/neil-carpenter-924a40/ Array Advisors We understand that asking the right questions positively affects your Health System's goals. Our purpose is to ask the questions that turn your goals into tangible realities. Array Advisors has the expertise to help position your organization for success in tomorrow's uncertain market. As your trusted partners in Strategy Development, Organizational Transformation, and Building Informatics, we can help you solve strategic business problems and develop methods to improve efficiency and utilization. We approach each problem from a unique angle, providing a plan tailored to help you overcome your toughest challenges. Having dedicated our careers to healthcare innovation, our objective viewpoint and industry-wide knowledge provide you the decision support you need. Website: https://array-advisors.com/ COVID-19 Resource Hub: https://info.array-architects.com/en-us/covid-19 Market Disruption Study: https://array-architects.com/press-release/array-models-healthcare-disruption-top-111-markets/ Links and Resources Episode 103: Selling to Health Systems: Advice for Digital Health Startups (Part 1) Episode 105: Selling to Health Systems: Advice for Digital Health Startups (Part 2) Episode 85: Lessons on Selling in Healthcare w/ Dom Cappuccilli The #HCBiz Show! is produced by Glide Health IT, LLC in partnership with Netspective Media.
This is the audio version of and Ethics Talk video interview conducted by the AMA Journal of Ethics' editor in chief, Dr Audiey Kao, with organizers of MIT Hacking Racism in Healthcare about design thinking as a way to find solutions to combat structural racism and advance health equity.
Did you know there is a tattoo service that takes an average of 15-20 minutes that many tattoo artists are NOT interested in doing? It’s true! Black, fine line minimalist tattoos are very popular option among clients looking for a delicate and simple style without a lot of coverage. And according to @ladylisadoll, Permanent Makeup Artists already use many techniques required for minimalist tattoos. Want to know more? Tune in to today’s episode of PMU School! Lisa Doll is an accomplished Tattoo and Permanent Makeup artist and has been tattooing since 2011, and Permanent Makeup since 2013. In 2014, Lisa opened her own 2,800 sq ft studio, Rose Red Tattoo & Permanent Makeup in Ellicott City, MD and quickly grew a reputation as being a highly skilled and reputable artist with a strong business sense. With the combination of body art experience and permanent makeup training, Lisa is known for versatile designing, less discomfort and time during the procedure, easy healing process, and long lasting results with permanent makeup. Her advanced skills in tattooing body art designs over mastectomy scars attracted national attention from NPR and she is a published author in the AMA Journal of Ethics. Her award winning tattooing has been featured and published in various tattoo media publications and has attracted convention invites and a tattoo supplier sponsorship by Painful Pleasures. Today, Lisa has built Rose Red Tattoo & Permanent Makeup to be one of the best sought after studios in Maryland, known for it's forward thinking, professional artists, excellent client service, and quality work. She is a SPCP Certified Permanent Cosmetic Professional (CPCP), SPCP Trainer Member, and member of the Coalition for Tattoo Safety. Lisa will be incorporating her own training center to mentor and offer fundamental and continuing education training to permanent makeup artists that combine tattoo techniques and knowledge from both sides of the industry to empower students with a strong foundation and advanced techniques. Recently, Lisa has created her online course Minimalist Tattoos for PMU Artists. Check it out on lisadollpmu.com
#011 - Join host Dr. Red Hoffman as she speaks with surgeons Drs. Sara Scarlet, Pringl Miller and Kim Kopecky about surgical ethics, particularly those surrounding Do Not Resuscitate Orders in the operating room. All three completed a fellowship in medical ethics and Drs. Miller and Kopecky are also fellowship-trained in Hospice and Palliative Medicine. Dr. Scarlet served as the co-editor of the April 2020 issue of the AMA Journal of Ethics which focused on the relationship between surgeons and anesthesiologists. Together, we review the basic principles of medial ethics, discuss why we seem to focus so much on autonomy and reflect upon how training in both ethics and palliative medicine have affected how we practice as surgeons. We talk about some of the common challenges which exist within the surgeon-anesthesiologist relationship and ways in which we can better navigate our differences. Finally, we review what the various societies have to say about upholding DNR orders in the OR (spoiler alert: there are NO policies which insist that patients rescind their DNR orders before going to the OR) and talk about some tips and tricks that work when having these sometimes difficult and nuanced conversations. To learn more about the Maclean Center Fellowship in Medical Ethics, click here.To read the AMA Journal of Ethics: April 2020 Anesthesiologist-Surgeon Relationships, click here.Statements on DNR in the OR:American College of SurgeonsAmerican Association of AnesthesiologistsAssociation of Perioperative Nurses To learn more about the surgical palliative care community, visit us on twitter @surgpallcare
Many of the same techniques used in body art tattooing are now being used for permanent makeup and the merging together of these two worlds mean more fundamental techniques are being shared and utilized – which is great! @ladylisadoll has been walking the two worlds for years and on today’s episode of PMU School she discusses key similarities and differences. Lisa Doll is an accomplished Tattoo and Permanent Makeup artist and has been tattooing since 2011, and Permanent Makeup since 2013. In 2014, Lisa opened her own 2,800 sq ft studio, Rose Red Tattoo & Permanent Makeup in Ellicott City, MD and quickly grew a reputation as being a highly skilled and reputable artist with a strong business sense. With the combination of body art experience and permanent makeup training, Lisa is known for versatile designing, less discomfort and time during the procedure, easy healing process, and long lasting results with permanent makeup. Her advanced skills in tattooing body art designs over mastectomy scars attracted national attention from NPR and she is a published author in the AMA Journal of Ethics. Her award winning tattooing has been featured and published in various tattoo media publications and has attracted convention invites and a tattoo supplier sponsorship by Painful Pleasures. Today, Lisa has built Rose Red Tattoo & Permanent Makeup to be one of the best sought after studios in Maryland, known for it's forward thinking, professional artists, excellent client service, and quality work. She is a SPCP Certified Permanent Cosmetic Professional (CPCP), SPCP Trainer Member, and member of the Coalition for Tattoo Safety. Lisa will be incorporating her own training center to mentor and offer fundamental and continuing education training to permanent makeup artists that combine tattoo techniques and knowledge from both sides of the industry to empower students with a strong foundation and advanced techniques.
Amy Vandenbroucke, JD Executive Dir., National POLST Karl Steinberg, MD, HMDC, CMD, President-Elect, AMDA References: Marshall B. Kapp, MPH, JD, "Overcoming Legal Impediments to Physician Orders for Life-Sustaining Treatment", AMA Journal of Ethics, 2015. National POLST Recording Date: 5/5/2020 Available Credit: 0.25 CMD-Clinical
V tejto Pravidelnej dávke budeme pokračovať v našej diskusii o využití strojového učenia a umelej inteligencie v medicíne. Akým prekážky stoja v ceste využitia strojového učenia v medicíne? A čo musia inžineiri a lekári robiť, aby niektoré z nich odstránili? ----more----Referencie:[1] Ching, T., Himmelstein, D. S., Beaulieu-Jones, B. K., Kalinin, A. A., Do, B. T., Way, G. P., … Greene, C. S. (2018). Opportunities and obstacles for deep learning in biology and medicine. Journal of the Royal Society Interface, 15(141). https://doi.org/10.1098/rsif.2017.0387[2] Komorowski, M., Celi, L. A., Badawi, O., Gordon, A. C., & Faisal, A. A. (2018). The Artificial Intelligence Clinician learns optimal treatment strategies for sepsis in intensive care. Nature Medicine, 24(11), 1716–1720. https://doi.org/10.1038/s41591-018-0213-5[3] Rigby, M. J. (2019, February 1). Ethical dimensions of using artificial intelligence in health care. AMA Journal of Ethics. American Medical Association. https://doi.org/10.1001/amajethics.2019.121[4] Yu, K. H., & Kohane, I. S. (2019, March 1). Framing the challenges of artificial intelligence in medicine. BMJ Quality and Safety. BMJ Publishing Group. https://doi.org/10.1136/bmjqs-2018-008551[5] Kelly, C. J., Karthikesalingam, A., Suleyman, M., Corrado, G., & King, D. (2019). Key challenges for delivering clinical impact with artificial intelligence. BMC Medicine, 17(1), 195. https://doi.org/10.1186/s12916-019-1426-2[6] Badgeley, M. A., Zech, J. R., Oakden-Rayner, L., Glicksberg, B. S., Liu, M., Gale, W., … Dudley, J. T. (2019). Deep learning predicts hip fracture using confounding patient and healthcare variables. Npj Digital Medicine, 2(1). https://doi.org/10.1038/s41746-019-0105-1[7] Chen, I., Johansson, F. D., & Sontag, D. (2018). Why Is My Classifier Discriminatory? Retrieved from http://arxiv.org/abs/1805.12002 ***Dobré veci potrebujú svoj čas. Pomohla ti táto dávka zamyslieť sa nad niečím zmysluplným? Podpor tvoj obľúbený podcast sumou 1€, 5€ alebo 10€ (trvalý príkaz je topka!) na SK1283605207004206791985. Ďakujeme! Viac info o podpore na pravidelnadavka.sk/#chcem-podporit
V ďalšej epizóde Pravidelnej dávky si s Mirom povieme niečo o strojovom učení, jeho výhodách a o jeho využití v medicíne. Je to prvá zo série zameranej na strojové učenie a umelú inteligenciu v medicíne.----more---- Referencie:[1] Ching, T., Himmelstein, D. S., Beaulieu-Jones, B. K., Kalinin, A. A., Do, B. T., Way, G. P., … Greene, C. S. (2018). Opportunities and obstacles for deep learning in biology and medicine. Journal of the Royal Society Interface, 15(141). https://doi.org/10.1098/rsif.2017.0387[2] Komorowski, M., Celi, L. A., Badawi, O., Gordon, A. C., & Faisal, A. A. (2018). The Artificial Intelligence Clinician learns optimal treatment strategies for sepsis in intensive care. Nature Medicine, 24(11), 1716–1720. https://doi.org/10.1038/s41591-018-0213-5[3] Rigby, M. J. (2019, February 1). Ethical dimensions of using artificial intelligence in health care. AMA Journal of Ethics. American Medical Association. https://doi.org/10.1001/amajethics.2019.121[4] Yu, K. H., & Kohane, I. S. (2019, March 1). Framing the challenges of artificial intelligence in medicine. BMJ Quality and Safety. BMJ Publishing Group. https://doi.org/10.1136/bmjqs-2018-008551[5] Poplin, R., Varadarajan, A. V., Blumer, K., Liu, Y., McConnell, M. V., Corrado, G. S., … Webster, D. R. (2018). Prediction of cardiovascular risk factors from retinal fundus photographs via deep learning. Nature Biomedical Engineering, 2(3), 158–164. https://doi.org/10.1038/s41551-018-0195-0[6] Day, N., Hemmaplardh, A., Thurman, R. E., Stamatoyannopoulos, J. A., & Noble, W. S. (2007). Unsupervised segmentation of continuous genomic data. Bioinformatics, 23(11), 1424–1426. https://doi.org/10.1093/bioinformatics/btm096***Dobré veci potrebujú svoj čas. Pomohla ti táto dávka zamyslieť sa nad niečím zmysluplným? Podpor tvoj obľúbený podcast sumou 1€, 5€ alebo 10€ (trvalý príkaz je topka!) na SK1283605207004206791985. Ďakujeme! Viac info o podpore na pravidelnadavka.sk/#chcem-podporit
This podcast, “Rights Disappear When US Policy Engages Children as Weapons of Deterrence” was written and read by Rev. Craig B. Mousin. It originally appeared in the AMA’s Journal of Ethics (AMA J Ethics. 2019;21(1):E58-66). This podcast was recorded with the permission of the ABA Journal of Ethics. All references are footnoted in the Journal article which can be found at: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3317913 That entire issue of the AMA Journal of Ethics addressed immigration and refugee issues from a medical or ethical perspective. You can find the full journal at: https://journalofethics.ama-assn.org/issue/health-care-undocumented-immigrants
For research topics, Andy and Dave discuss the task-agnostic self-modeling machine from Columbia University, a robotic arm that learns to build an approximate model of itself and then interact with the world; they also discuss the over-hyped reporting of the research. A much less hyped, but possibly more groundbreaking research from MIT results in a robot that can play the tower-block game Jenga, using multisensory fusion to do so. More research from MIT attempts to synthesize probabilistic programs for automatic data modeling. Research from the University of Tubingen shows that approximating convolutional neural nets with bag-of-local-features modeling yields decent results with ImageNet. And University of Washington and the Allen Institute for AI announce the Atlas of Machine Commonsense (ATOMIC), a collection of 877k textual descriptions of inferential knowledge, which allows more accurate inference for previously unseen events. In announcements of the week, DARPA announces the Competency-Aware Machine Learning (CAML) program for ML systems to assess their own performance; and Measuring Biological Aptitude (MBA) attempts to link genotype to phenotype in order to improve recruiting, training, and other aspects. The U.S. Navy’s Sea Hunter drone ship completes an autonomous trip from San Diego to Hawaii and back. The “Papers with Code” archive attempts to collect and link ML-related papers, code, and evaluation tables. The U.S. Army activates its AI Task Force at Carnegie Mellon. And the International Conference on Learning Representations (ICLR) 2019 has been announced for 6-9 May 2019. In media of the week, the World Intellectual Property Organization releases its report on the Technology Trends of 2019; the AMA Journal of Ethics publishes an entire (open-access) issue devoted to AI in health care; the Congressional Research Service updates its report on AI and National Security; Dan Simmons provides a hefty tome on Evolutionary Optimization Algorithms; and Julian Togelius publishes a book on Playing Smart. Wake Word is the Game of the Week, and in videos, Super Bowl ads provided a variety of glimpses into life with robots.
Florence Nightingale stands as one of the most important reformers of 19th century medicine -- a woman whose belief in the power of reason and statistical thinking would critically shape the both the fields of epidemiology and nursing. This episode discusses the fascinating story of Nightingale’s legacy -- how modern nursing was born out of the horrors of war, medical theories about poisonous air, the outsize influence of the average man, the first graph in history, and how a woman who died over a century ago presciently foresaw some of the most important scientific and social issues in medicine that are still with us today. Plus, a new #AdamAnswers about the doctor-nurse relationship. Sources: Beyersmann J and Schrade C, Florence Nightingale, William Farr and competing risks, Journal of the Royal Statistical Society: Series A (Statistics in Society) Volume 180, Issue 1 Fagin CM, Collaboration between nurses and physicians: no longer a choice. Academic Medicine. 67(5):295–303, May 1992. Fee E and Garofalo ME, Florence Nightingale and the Crimean War, Am J Public Health. 2010 September; 100(9): 1591. Garofalo ME and Fee E, Florence Nightingale (1820–1910): Feminism and Hospital Reform. Am J Public Health. 2010 September; 100(9): 1588. Halliday Stephen, Death and miasma in Victorian London: an obstinate belief. BMJ. 2001 Dec 22; 323(7327): 1469–1471. Hardy A, The medical response to epidemic disease during the long eighteenth century. Epidemic Disease in London, ed. J.A.I. Champion (Centre for Metropolitan History Working Papers Series, No.1, 1993): pp. 65-70. Jahoda G, Quetelet and the emergence of the behavioral sciences. Springerplus. 2015; 4: 473. Keith JM, Florence Nightingale: statistician and consultant epidemiologist. Int Nurs Rev. 1988 Sep-Oct; 35(5):147-50. Kopf EW, Florence Nightingale as statistician.. Res Nurs Health. 1978 Oct; 1(3):93-102. Kramer M, Schmalenberg C. Securing “good” nurse–physician relationships. Nurs Manage 2003;34(7):34-8. McDonald L Florence Nightingale and the early origins of evidence-based nursing Evidence-Based Nursing 2001;4:68-69. McDonald L, Florence Nightingale, statistics and the Crimean War, J. R. Statist. Soc. A (2014)177, Part 3, pp. 569–586. McDonald L, Florence Nightingale at First Hand, London and New York: Continuum, 2010. Oyler L, “It’s Really Sickening How Much Florence Nightingale Hated Women,” Vice Broadly, retrieved online at https://broadly.vice.com/en_us/article/kb4jd3/its-really-sickening-how-much-florence-nightingale-hated-women “Rank for Nurses,” The American Journal of Nursing, Vol. 20, No. 3 (Dec., 1919), pp. 241-24. Rowen L, The Medical Team Model, the Feminization of Medicine, and the Nurse's Role. AMA Journal of Ethics, Virtual Mentor. 2010;12(1):46-51. Soine AH, From Nursing Sisters to a Sisterhood of Nurses: German Nurses and Transnational Professionalization, 1836-1918, Published Dissertation, August 2009. Stein LI. The doctor–nurse game. Arch Gen Psychiatry 1967;16(6):699-703. Stein LI, et al. The doctor–nurse game revisited. N Engl J Med 1990;322(8):546-9. Young D A B. Florence Nightingale's fever BMJ 1995; 311 :1697.
Clinicians have an ethical obligation to provide high-quality care to incarcerated and justice-involved patients, which means being knowledgeable and empathic about challenges these patients face. For a patient perspective, AMA Journal of Ethics editor Amelia Thomson-DeVeaux talks with Troy Williams about what it’s like to seek medical care in a prison. We also discuss the benefits of incorporating correctional health care into medical education with Dan McGuire, a physician assistant student. Finally, we turn to Dr. Lisa Puglisi for practical strategies primary care clinicians can use in caring for patients transitioning back to communities.
Sometimes, life-saving treatments have serious negative consequences. This month, AMA Journal of Ethics editor Amelia Thomson-DeVeaux discusses strategies for communicating about iatrogenic outcomes with Dr. Robert Nelson, a senior pediatric ethicist with the Food and Drug Administration, with a particular focus on how to enlist parents as allies in high-stress pediatric cases. Later in the episode, we talk with Gigi McMillan, the mother of a pediatric brain tumor survivor who founded We Can, Pediatric Brain Tumor Network, who discusses how networks of peer mentors can help families navigate these painful situations.
This month, AMA Journal of Ethics theme editor James M. Wilkins, MD, a geriatric psychiatry fellow at Partners Healthcare, interviewed Beth Soltzberg, MBA, MSW, about innovative ways to promote health and social engagement among people living with dementia. Soltzberg is director of the Alzheimer’s/Related Family Disorders Support Program at Jewish Family and Children’s Service.
This month, AMA Journal of Ethics theme editor Subha Perni, MD, a recent graduate of the Columbia University College of Physicians and Surgeons, interviewed Elizabeth Epstein, PhD, RN, about strategies for understanding and address moral distress in clinical settings. Dr. Epstein is an associate professor of nursing at the University of Virginia.
This month, AMA Journal of Ethics theme editor Renee Mao, a third-year medical student at the George Washington University School of Medicine and Health Sciences, interviewed Dr. Tarris Rosell, PhD, DMin, MDiv, about strategies for incorporating spiritual care into oncology. Dr. Rosell is clinical professor in the Department of History and Philosophy of Medicine at the University of Kansas.
This month, AMA Journal of Ethics theme editor James Aluri, a third-year medical student at Johns Hopkins University, interviewed Dr. Autumn Fiester, PhD, about strategies for defusing “difficult” patient-clinician relationships. Dr. Fiester is assistant chair for education and training in the Division of Medical Ethics at the University of Pennsylvania’s Perelman School of Medicine.
This month, AMA Journal of Ethics theme editor Zujaja Tauqeer, a third-year medical student at Harvard Medical School, interviewed Donald A. Barr, MD, PhD, about caring for patients with limited English language and health literacy schools. Dr. Barr is a professor in the Department of Pediatrics and the Graduate School of Education at Stanford University.
This month, AMA Journal of Ethics theme editor William R. Smith, a third-year medical student at Emory University School of Medicine and a doctoral candidate in philosophy at the University of Notre Dame, interviewed James Mohr, PhD, about how the medical profession has been regulated—and regulated itself—over the course of American history. Dr. Mohr is College of Arts and Sciences Distinguished Professor of History and Philip H. Knight Professor of Social Sciences at the University of Oregon.
This month, AMA Journal of Ethics theme editor Terri Davis, a third-year MD student at West Virginia University School of Medicine, interviewed Ranit Mishori, MD, about how to respond to incidents of suspected human trafficking in health care settings. Dr. Mishori is a professor of family medicine and the director of the Department of Family Medicine’s Global Health Initiatives at Georgetown University School of Medicine.
This month, AMA Journal of Ethics theme editor Jacquelyn Nestor, a fifth-year MD/PhD student at Hofstra-Northwell School of Medicine, interviewed Allen Buchanan, PhD, about how we can safely explore cutting-edge biomedical enhancements. Dr. Buchanan is the James B. Duke Professor of Philosophy at Duke University.
This month, AMA Journal of Ethics theme editor Cameron Waldman, a second-year medical student at Albany Medical College, interviewed Aron Janssen, MD, about how healthcare professionals can better serve their transgender patients. Dr. Janssen, clinical assistant professor of child and adolescent psychiatry at NYU School of Medicine and the director of the Gender and Sexuality Service at NYU Langone Medical Center’s Child Study Center.
This month, AMA Journal of Ethics theme editor Sarah Waliany, a fourth-year medical student at Stanford University School of Medicine, interviewed Louise Andrew, MD, JD, about mental health challenges for physicians and medical students and some strategies for colleagues to assist and intervene. Dr. Andrew is a fifth-generation physician attorney who deals with physicians in many kinds of crisis situations.
This month, AMA Journal of Ethics theme editor Colleen Farrell, a fourth-year medical student at Harvard Medical School, interviewed Lachlan Forrow, MD, about the benefits of interprofessional collaboration and the importance of biopsychosocial approaches to patient care. Dr. Forrow is an associate professor of medicine at Harvard Medical School.
This month, AMA Journal of Ethics theme editor Margaret Cocks, MD, PhD, a third-year resident at Johns Hopkins Hospital, interviewed Theonia Boyd, MD, about ethical issues pathologists face when conducting autopsies and obtaining specimens. Dr. Boyd is an associate professor of pathology at Harvard Medical School.
This month, AMA Journal of Ethics theme editor Abraar Karan, MD, and MPH candidate at the Harvard TH Chan School of Public Health, interviewed Agnes Bingowaho, MD, PhD, about practical challenges Rwanda overcame and ethical questions it faced while motivating better health outcomes for its people. Dr. Binagwaho is the minister of health of Rwanda.
This month, AMA Journal of Ethics theme editor Marguerite Reid Schneider, a fourth-year medical student at University of Cincinnati College of Medicine, interviewed Srijan Sen, MD, PhD, about how mental health care and medical culture can be changed to benefit medical trainees. Dr. Sen is an associate professor of psychiatry at University of Michigan Medical School.
This month, AMA Journal of Ethics theme editor Karel-Bart Celie, a second-year medical student at Columbia University School of Medicine, interviewed Joseph J. Fins, MD, about the work of ethics committees and consultants as they pursue professionalization and respond to changes in health care organization and practice. Dr. Fins is the E. William Davis, Jr., MD, Professor of Medical Ethics and a professor of medicine at Weill Cornell Medical College of Cornell University.
This month, AMA Journal of Ethics theme editor Emily Johnson, a fourth-year medical student at the University of Colorado School of Medicine, interviewed Susan Mizner, JD, about some merits, drawbacks, and alternatives to guardianship. Susan Mizner is disability counsel for the American Civil Liberties Union.
This month, AMA Journal of Ethics theme editor Arina Evgenievna Chesnokova, MPH, a third-year medical student at Baylor College of Medicine, interviewed Megan Sandel, MD, MPH about how physicians can establish partnerships with attorneys. Dr. Sandel is the medical director of the National Center for Medical-Legal Partnership and addresses the need for and barriers to medical-legal partnerships.
This month, AMA Journal of Ethics theme editor Natasha Dolgin, an MD/PhD candidate at the University of Massachusetts School of Medicine, interviewed Dorry Segev, MD, PhD, about organ allocation policy and geographic disparities in access, possible ways to maximize equity, and advice physicians should give their patients between policy changes. Dr. Segev is an associate professor of surgery at Johns Hopkins University School of Medicine.
This month, AMA Journal of Ethics theme editor Trisha Paul, a second-year medical student at the University of Michigan Medical School, interviewed Kelly Parent about what makes patient- and family-centered care an inclusive approach to health care delivery and how this approach is being implemented. Kelly Parent is the patient- and family-centered care program specialist for quality and safety at the University of Michigan Health System.
This month, AMA Journal of Ethics theme editor Cynthia Tsay, MPhil, a second-year medical student at the Yale School of Medicine, interviewed Robert Levine, MD, about changes in clinical research guidelines, problems with IRB documentation, and the top ethical challenges facing clinical researchers today. Dr. Levine is a professor of medicine at the Yale School of Medicine and a Hastings Center fellow.
This month, AMA Journal of Ethics editor-in-chief Audiey Kao, MD, PhD, interviewed Wendy Levinson, MD, about the efforts of the Choosing Wisely initiative to foster cultural change in medicine cross-nationally by stimulating dialogue about overuse of tests and treatments. Dr. Levinson is professor of medicine at the University of Toronto and leads Choosing Wisely Canada and International.
This month, AMA Journal of Ethics theme editor Nikhil A. Patel, MS, a fourth-year medical student at the Mayo Medical School, interviewed Joia Mukherjee, MD, MPH, about Partners In Health’s mission to strengthen low-income countries’ health care systems and lessons learned from the Ebola crisis. Dr. Mukherjee is the chief medical officer of Partners In Health and an associate professor at Harvard Medical School and Brigham and Women’s Hospital.
This month, AMA Journal of Ethics theme editor W. Miller Johnstone III, MD, PhD, a resident in obstetrics and gynecology at the University of Buffalo, interviewed Kate M. Lally, MD, about patient-centered management of end-of-life care, the unique care needs of women with advanced gynecologic cancers, and how to prepare medical students and residents to hold difficult conversations with patients. Dr. Lally is the director of palliative care for Care New England Health System and a clinical assistant professor of medicine at the Warren Alpert Medical School of Brown University.
This month, AMA Journal of Ethics editor-in-chief Audiey Kao, MD, PhD, interviewed Peter A. Ubel, MD, about factors contributing to the high cost of health care, how to bend the cost curve, and the compatibility of cost containment and profit seeking. Dr. Ubel is the Dennis T. McLawhorn University Professor at the Duke University Fuqua School of Business.
AMA Journal of Ethics theme editor Amanda Xi, MD, a transitional year resident at Henry Ford Hospital, interviewed Donald M. Berwick, MD, shortly before the Supreme Court’s decision in King versus Burwell. Dr. Berwick discussed progress in meeting the health care goals of the ACA and the Institute for Healthcare Improvement and next steps for improving patient care. A former head of the Centers for Medicare and Medicaid Services, Dr. Berwick is a senior fellow and president emeritus at the Institute for Healthcare Improvement.
This month, AMA Journal of Ethics theme editor, Gaurav Jay Dhiman, a third-year medical student at the University of Miami Leonard M. Miller School of Medicine, interviewed Jonathan D. Moreno, PhD, on the role of bioethicists in military research and ethical issues in research on people with disabilities. Dr. Moreno is the David and Lyn Silfen University Professor of Ethics at the University of Pennsylvania.
This month, AMA Journal of Ethics theme editor, Nadi N. Kaonga, a medical student and predoctoral candidate at Tufts University in Boston, interviewed Gordon D. Schiff, MD, on reframing professional boundaries in the patient-physician relationship. Dr. Schiff, author of "Crossing Boundaries—Violation or Obligation?," is a primary care physician and activist and a safety and quality improvement researcher at Harvard University and Brigham and Women’s Hospital.
This month, AMA Journal of Ethics theme editor Kathleen K. Miller, MD, a first-year resident in pediatrics at the University of Wisconsin-Madison, interviewed Deborah R. Barnbaum, PhD, on the theory of mind and its implications for treatment of people with autism. Dr. Barnbaum is chair of the Department of Philosophy at Kent State University and coordinator of the department’s Health Care Ethics program.a
AMA Journal of Ethics editor Audiey Kao, MD, PhD, interviewed Kenneth Sands, MD, about harms to patient dignity caused by unintentional disrespect and about initiatives for measuring, tracking, and correcting such harms. Dr. Sands is chief quality officer at Beth Israel Deaconess Medical Center in Boston.
This month, AMA Journal of Ethics theme editor Matthew Edwards, a third-year medical student at the University of Texas Medical Branch School of Medicine, interviewed Douglas R. Bacon, MD, MA, on the development of anesthesiology and the "balanced anesthesia" approach. Dr. Bacon is chairman of the Department of Anesthesiology at the University of Mississippi Medical Center.
AMA Journal of Ethics editor Audiey Kao, MD, PhD, interviewed Richard Pan, MD, MPH, about how, as a physician and legislator, he seeks to protect public health in light of recurrent outbreaks of vaccine-preventable infectious diseases. Dr. Pan is a pediatrician and California state senator who has contributed to community development and increasing oversight of government health programs.
This month, AMA Journal of Ethics theme editor Marta Michalska-Smith, a second-year medical student at the Loyola University Chicago Stritch School of Medicine, interviewed Linda Brubaker, MD, MS, and Marc G. Kuczewski, PhD, about Stritch’s admissions policy welcoming applications from students of DACA status and the challenges and promise of implementing this strategy. Dr. Brubaker is dean of the Stritch School of Medicine and Dr. Kuczewski is director of the Neiswanger Institute for Bioethics and Health Policy and chair of the Department of Medical Education at the Stritch School of Medicine.