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Dr. David Shulkin was appointed by President Obama, then promoted to the Cabinet to head the Department of Veterans Affairs and eventually fired by President Trump. Now in the private sector he's a dogged advocate for veterans and involved in everything from drug pricing to living to 100.In this episode, Dr. Shulkin joins CareTalk to discuss everything from rural health to improving veteran care in the US.
Difficult Conversations -Lessons I learned as an ICU Physician
Welcome to a special Memorial Day Tribute of Difficult Conversations - Lessons I Learned as an ICU Physician. This week, we will pause and take a moment to honor the men and women who gave the ultimate sacrifice for our country and to also remember our commitment to all of those who have served. This week I chose to replay a previous interview with the Honorable Dr. David Shulkin, who was the 9th Secretary of the US Dept of Veteran Affairs. He was nominated by President Trump to serve his cabinet. Prior to serving as Secretary of the VA, he served as Under Secretary for Health under President Obama. Dr. Shulkin represented 21 million American veterans and was responsible for the nation’s largest integrated healthcare system with over 1,200 sites of care, serving over 9 million Veterans. Prior to coming to the VA, Secretary Shulkin was a widely respected healthcare executive having served as Chief Executive of leading hospitals and health systems such as Beth Israel in New York City and Morristown Medical Center in New Jersey. His book, It Shouldn’t Be This Hard to Serve Your Country: Our Broken Government and the Plight of Veterans. is one of the best books about our VA System ever written. Dr. Orsini mentions his first encounter with Dr. Shulkin, and remembered how genuine, down to earth, extremely friendly, and very engaging he was. We find out what made Dr. Shulkin take the medicine path and what led him into the leadership role. Dr. Shulkin tells us the single most difficult conversation that he had, and he gives us advice on his approach to communicating bad news. There are so many problems with medical education training right now with communication, and Dr. Shulkin shares with us how we can fix this. Dr. Shulkin’s dedication in his book impressed Dr. Orsini, and he talks about his dad, who was a psychiatrist on an Army base, and if he influenced him in any way. We learn about when he takes on his new position as Under Secretary at the VA in 2015, and what he realized he had in front of him with the wait time issues that were going on. Also, we find how he fixed the issue so quickly. Since he served with both Trump and Obama, we find out the game plan he had to navigate through the two different environments and succeed at it. Dr. Shulkin has been called the “Champion of Patient Experience ” and he shares with us how he was able to start the Patient Experience Program at the VA. Telemedicine is discussed and whether or not it’s here to stay or if we keep doing more and more Telemedicine, if we’re going to miss that patient relationship. Host: Dr. Anthony OrsiniGuest: Dr. David ShulkinFor More Information:The Orsini WayThe Orsini Way-FacebookThe Orsini Way-LinkedinThe Orsini Way-InstagramThe Orsini Way-TwitterIt’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony OrsiniResources Mentioned:David J. Shulkin, MD TwitterShulkin SolutionsIt Shouldn’t Be This Hard to Serve Your Country: Our Broken Government and the Plight of Veterans by David Shulkin
Today, more cabinet picks loom for the Biden administration, the Felix Sater money laundering case is moving forward, Rudy Giuliani holds a “hearing” in Arizona as they certify their results today for Biden, Trump claims the FBI and DoJ rigged the election against him, and the second half of my interview with my former boss the former Secretary of the Department of Veterans Affairs David Shulkin, plus Dana Goldberg (@DGComedy) joins AG to do the Hot Notes and Good News. Follow our guests on twitter: Steve Vladeck (@steve_vladeck) Nat.Sec.L. Podcast (@NSLpodcast) co-host David J. Shulkin, MD (@DavidShulkin) Former Secretary of Dept. of Veterans Affairs First half of the interview from 2019 https://apple.co/39wv5qC Want to support the show and get it ad-free and early? https://dailybeans.supercast.tech/ Or https://patreon.com/muellershewrote Have some good news, a confession, or a correction to share? https://bit.ly/2ShareGN Promo Codes If you want to turn things around and get in the best shape of your life, check out ECHELONFIT.COM today! Special offer for DAILYBEANS listeners, get 10% off your first month at betterhelp.com/DAILYBEANS PrettyLitter.com - use promo code DAILYBEANS for 20% off your first order Learn more about your ad choices. Visit megaphone.fm/adchoices
Difficult Conversations -Lessons I learned as an ICU Physician
Caring for Our Veterans with the Honorable Dr. David ShulkinWelcome to the Difficult Conversations with Dr. Anthony Orsini. This week my extra special guest is the Honorable Dr. David Shulkin, who is currently CEO of Shulkin Solutions. He was the Ninth Secretary of the US Dept of Veteran Affairs, nominated by President Trump to serve his cabinet. Prior to serving as Secretary of the VA, he served as Under Secretary for Health under President Obama, and unanimously confirmed twice by the US Senate. Dr. Shulkin represented 21 million American veterans and was responsible for the nation’s largest integrated healthcare system with over 1,200 sites of care, serving over 9 million Veterans. Prior to coming to the VA, Secretary Shulkin was a widely respected healthcare executive having served as Chief Executive of leading hospitals and health systems such as Beth Israel in New York City and Morristown Medical Center in New Jersey, which is where Dr. Orsini first met him. He has also previously been named 100 most influential people in American Healthcare by Modern Healthcare. Dr. Shulkin’s recently published book is called, It Shouldn’t Be This Hard to Serve Your Country: Our Broken Government and the Plight of Veterans. Dr. Orsini mentions his first encounter with Dr. Shulkin, and remembered how genuine, , and very engaging he was. We find out what made Dr. Shulkin take the medicine path and what led him into the leadership role. Dr. Shulkin tells us the single most difficult conversation that he had, and he gives us advice on his approach to communicating bad news. There are so many problems with medical education training right now with communication, and Dr. Shulkin shares with us how we can fix this. Dr. Shulkin’s dedication in his book impressed Dr. Orsini, and he talks about his dad, who was a psychiatrist on an Army base, and if he influenced him in any way. We learn about when he takes on his new position as Under Secretary at the VA in 2015, and what he realized he had in front of him with the wait time issues that were going on. Also, we find how he fixed the issue so quickly. Since he served with both Trump and Obama, we find out the game plan he had to navigate through the two different environments and succeed at it. Dr. Shulkin shares with us how he was able to start the Patient Experience Program at the VA. Telemedicine is discussed and whether or not it’s here to stay or if we keep doing more. Find out what Dr. Shulkin is most proud of career wise. If you enjoyed this podcast, please hit the subscribe button to find out more about what we do and how we teach communication. Go ahead and download this episode now!Host: Dr. Anthony OrsiniGuest: Dr. David ShulkinFor More Information:The Orsini WayThe Orsini Way-FacebookThe Orsini Way-LinkedinThe Orsini Way-InstagramThe Orsini Way-TwitterIt’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony OrsiniResources Mentioned:David J. Shulkin, MD TwitterShulkin SolutionsIt Shouldn’t Be This Hard to Serve Your Cou
Before the career diplomats working in Ukraine discovered a “highly irregular” power structure around President Trump determined to undermine and derail them, a Trump cabinet secretary said the same thing happened to him.Today, David J. Shulkin, former secretary of Veterans Affairs, speaks about his experience with “a dual path of decision making in the White House” and how falling out of favor with President Trump’s political appointees ended his tenure. Guest: David J. Shulkin, a former secretary of the Department of Veterans Affairs in the Trump administration. For more information on today’s episode, visit nytimes.com/thedaily. Background listening and reading:Mr. Shulkin’s story matches a pattern described that career diplomats have described to the impeachment inquiry. Here’s a “Daily” episode about their testimony.Back channels to the White House are at the heart of the investigation.
Headlines on Elon Musk deleting SpaceX and Tesla pages from Facebook, ousted Veterans Affairs Secretary David J. Shulkin writing an NY Times op-ed, and Arizona suspending Uber self-driving car tests did not make the top ten this week per your interaction with our social media. Find out what stories did make the list in the Weekly Wrap-Up Show for the week ending 3/31/2018.
A study released by the Department of Veteran’s Affairs (VA) on September 15, 2017, continues to shed light on information about Veterans committing suicide. The recent VA examination included 50 states Puerto Rico and the District of Columbia. It's widely known there are at least 22 Veteran suicides per day across the United States. According to the VA, findings show there is variability across the nation in the rates and numbers of deaths by suicide among Veterans. Overall, the Veteran rates mirror those of the general population in the geographic region, with the highest rates in Western states. While we see higher rates of suicide in some states with smaller populations, most Veteran suicides are still in the heaviest populated areas. The suicide rate among middle-aged and older adult Veterans remains high. In 2014, approximately 65 percent of all Veterans who died by suicide were age 50 or older. After adjusting for differences in age and sex, the risk for suicide was 22 percent higher among Veterans when compared to U.S. non-Veteran adults. After adjusting for differences in age, the risk for suicide was 19 percent higher among male Veterans when compared to U.S. non-Veteran adult men. After adjusting for differences in age, the risk for suicide was 2.5 times higher among female Veterans when compared to U.S. non-Veteran adult women. “These findings are deeply concerning, which is why I made suicide prevention my top clinical priority,” said VA Secretary Dr. David J. Shulkin. “I am committed to reducing Veteran suicides through support and education. We know that of the 20 suicides a day that we reported last year, 14 are not under VA care. This is a national public health issue that requires a concerted, national approach.” Veterans who are in crisis or having thoughts of suicide, and those who know a Veteran in crisis, can call the Veterans Crisis Line for confidential support 24 hours a day, seven days a week, 365 days a year. Call 800-273-8255 and press 1, chat online at VeteransCrisisLine.net/Chat, or text to 838255. In the third edition of Lima Charlie’s VETERANS [Ep. 03 – Suicide], host Don Johnston welcomes California National Guard Chaplain, CPT Nathan Graeser, Community Program Administrator, of Research for the University of Southern California (USC) Center for Innovation and Research on Veterans & Military Families (CIR). Among the many things CIR does, is it works to strengthen the support network of veterans and military families. CIR is a part of the USC Suzanne Dworak-Peck School of Social Work. [Read more @ www.limacharlienews.com/usc-cir]. Lima Charlie News is the proud official Media Sponsor for the USC CIR “State of the American Veteran Conference 2017“, this year in Los Angeles, California, Sept. 28-29. Listen in to Lima Charlie VETERANS, Ep. 03 (24 min.) [Originally recorded September 19, 2017] [Edited by: James Fox] Lima Charlie podcasts are available on iTunes and Soundcloud. Don’t forget to subscribe and leave a 5 star rating and review. Follow Lima Charlie on Twitter @LimaCharlieNews
I hope everyone had a pleasant President's Day weekend. This week's podcast is an exciting one as it features our new Secretary, Dr. David Shulkin. This is the first interview Secretary Shulkin conducted after swearing in as Secretary of Veterans Affairs. The Honorable David J. Shulkin was nominated by President Trump to serve as the ninth Secretary of Veterans Affairs (VA) and was confirmed by the United States Senate on February 13, 2017. Prior to his confirmation as Secretary, Dr. Shulkin served as VA’s Under Secretary for Health for 18 months, leading the Nation’s largest integrated health care system, with over 1,700 sites of care serving nearly nine million Veterans. Covered in Episode 19: YouTube Live town hall with SECVA Interview with Secretary David Shulkin Taking job as SECVA The importance of the Veteran community Serving Veterans Continuing to improve VA Treating patients Follow Secretary Shulkin on Twitter @SecShulkin #VeteranOfTheDay Army Veteran Sharon Vargas