Podcasts about health sciences university

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Best podcasts about health sciences university

Latest podcast episodes about health sciences university

Ultim'ora
Studenti Emirati Arabi a Palermo, El-Tanani "Evento molto importante"

Ultim'ora

Play Episode Listen Later Mar 24, 2025 0:45


PALERMO (ITALPRESS) - "Questo evento è davvero molto importante per la nostra università. Abbiamo mandato qui i nostri studenti per fare esperienza, non solo in ambito accademico e clinico, ma anche culturale. I nostri studenti non vedono l'ora, davvero, di apprendere tutto e godersi il tempo, ed è molto importante. E consolida una collaborazione tra le due istituzioni per proseguire insieme e avviare in futuro lo scambio di studenti, e nel prossimo futuro, ci concentreremo anche sullo scambio di docenti. Inoltre, stiamo presentando molte richieste di finanziamento per sovvenzioni europee". Lo ha detto Mohamed El-Tanani, Vice-President Rak Medical and Health Sciences University degli Emirati Arabi Uniti, a margine della Winter School on Diabetes and Cardiometabolic Risk nella quale quaranta docenti e studenti della Qatar University di Doha e della RAK Medical & Health Sciences University degli Emirati Arabi Uniti parteciperanno a un programma intensivo di formazione e ricerca.xd8/vbo/gtr

Ultim'ora
Studenti Emirati Arabi a Palermo, El-Tanani "Evento molto importante"

Ultim'ora

Play Episode Listen Later Mar 24, 2025 0:45


PALERMO (ITALPRESS) - "Questo evento è davvero molto importante per la nostra università. Abbiamo mandato qui i nostri studenti per fare esperienza, non solo in ambito accademico e clinico, ma anche culturale. I nostri studenti non vedono l'ora, davvero, di apprendere tutto e godersi il tempo, ed è molto importante. E consolida una collaborazione tra le due istituzioni per proseguire insieme e avviare in futuro lo scambio di studenti, e nel prossimo futuro, ci concentreremo anche sullo scambio di docenti. Inoltre, stiamo presentando molte richieste di finanziamento per sovvenzioni europee". Lo ha detto Mohamed El-Tanani, Vice-President Rak Medical and Health Sciences University degli Emirati Arabi Uniti, a margine della Winter School on Diabetes and Cardiometabolic Risk nella quale quaranta docenti e studenti della Qatar University di Doha e della RAK Medical & Health Sciences University degli Emirati Arabi Uniti parteciperanno a un programma intensivo di formazione e ricerca.xd8/vbo/gtr

Becker’s Healthcare Podcast
Mohamed Nakeshbandi, Chief Medical Officer at SUNY Downstate Health Sciences University

Becker’s Healthcare Podcast

Play Episode Listen Later Feb 27, 2025 15:05


This episode, recorded live at the Becker's Healthcare 12th Annual CEO + CFO Roundtable, features Mohamed Nakeshbandi, Chief Medical Officer at SUNY Downstate Health Sciences University. He discusses the critical role of cybersecurity in protecting patient data, how AI-driven automation is enhancing clinical documentation and revenue cycle management, and the institution's key priorities for 2025, including operational efficiencies, quality improvement, and population health initiatives.In collaboration with R1.

The EdUp Experience
979: Disrupting Medical Education - with Dr. David Lenihan⁠, Founder & CEO, ⁠Tiber Health,⁠ & Past President of ⁠Ponce Health Sciences University⁠

The EdUp Experience

Play Episode Listen Later Nov 5, 2024 42:09


It's YOUR time to #EdUp In this episode, #979, President Series (Powered By ⁠⁠Ellucian⁠⁠) #314, & brought to YOU by the ⁠MSCHE 2024⁠ conference, & the ⁠InsightsEDU⁠ 2025 conference YOUR guest is ⁠Dr. David Lenihan⁠, Founder & CEO, ⁠Tiber Health,⁠ & Past President of ⁠Ponce Health Sciences University YOUR host is ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Dr. Joe Sallustio⁠⁠ How is Tiber Health revolutionizing medical school admissions through data analytics? Why does the average parental income of $42K vs $280K matter in medical education? How are global partnerships transforming healthcare education leadership? What role does AI play in the future of medical diagnostics & education? How can universities maintain quality while expanding access? Why is succession planning critical for institutional innovation? Ad-Free & extended conversation ONLY for #EdUp subscribers includes: David's insights on AI's impact on medical diagnosis How to balance technology & human interaction in healthcare Future trends in medical education & healthcare delivery Listen in to #EdUp! Want to accelerate YOUR professional development? Want to get exclusive early access to ad-free episodes, extended episodes, bonus episodes, original content, invites to special events, & more? Want to get all this while helping to sustain EdUp, for only $2.99 a month? Then subscribe today to lock in YOUR $2.99/m life long founders rate! This offer will end on December 31, 2024! ⁠⁠BECOME A SUBSCRIBER TODAY!⁠⁠ Thank YOU so much for tuning in. Join us on the next episode for YOUR time to EdUp! Connect with YOUR EdUp Team - ⁠⁠⁠⁠⁠⁠⁠Elvin Freytes⁠⁠⁠⁠⁠⁠⁠ & ⁠⁠⁠⁠⁠⁠⁠Dr. Joe Sallustio⁠⁠ ● Join YOUR EdUp community at ⁠⁠⁠⁠⁠⁠⁠The EdUp Experience⁠⁠⁠⁠⁠⁠⁠! We make education YOUR business!

Navigating the World with Your Aging Loved One
Shedding Light on Medication: Empowering Aging Well with Dr. Donna Bartlett, Board Certified Geriatric Pharmacist

Navigating the World with Your Aging Loved One

Play Episode Listen Later Feb 21, 2024 45:29


Have you considered the profound impact that medication can have on our well-being as we age? Over one-third of older adults take five or more medications, and at least one of them may be completely unnecessary. As a result, approximately 2 million adverse drug events requiring hospitalization occur every year. My guest today is Dr. Donna Bartlett, a board-certified geriatric pharmacist with over 17 years of clinical experience and 20 years in the retail pharmacy sector, she has made it her life's mission to tackle this issue. She is the author of Med Strong: Shed Your Meds for a Better, Healthier You - Aging Well with Less Prescribing. She is also a professor of pharmacy practice at the Massachusetts College of Pharmacy and Health Sciences University. In addition, she co-hosts a podcast called "The Med List," extending her expertise to a multitude of critical areas, including polypharmacy, medication access, and fall prevention. Today, we'll talk about the essential reasons why deprescribing is vital for both older adults and their caregivers, the complex factors contributing to medication overprescription, the practical ways we can become advocates for appropriate medication management, and we'll discover the medication optimization plan. We'll learn how we can ask important questions and work effectively with our healthcare providers. This conversation will give us a glimpse into medication management and empower you to make informed healthcare decisions. I've loved getting to know you, Donna, and I'm so grateful for your work and how you support others. Looking forward to cheering you on in all you do! Learn more at www.donnabartlett.com We are not medical professionals and are not providing any medical advice. If you have any medical questions, we recommend that you talk with a medical professional of your choice. willGather has taken care in selecting its speakers but the opinions of our speakers are theirs alone. Thank you for your continued interest in our podcasts. Please follow for updates, rate & review! For more information about our guest, podcast & sponsorship opportunities, visit www.willgatherpodcast.com

Pharmacist's Voice
Interview with Donna Bartlett, PharmD - Pharmacist Authors Series (Summer 2023)

Pharmacist's Voice

Play Episode Listen Later Jul 14, 2023 32:54


My guest today is Donna Bartlett, PharmD.  We're discussing her book MedStrong: Shed Your Meds for a Better, Healthier You - Aging Well Through Deprescribing.  This is part 11 of 15 in my Pharmacist Authors Summer Series.  If you're a pharmacist or pharmacy student who is interested in deprescribing or a professor at a school of pharmacy, you need to listen to this interview! Thank you for listening to episode 231 of The Pharmacist's Voice ® Podcast! To read the FULL show notes, visit https://www.thepharmacistsvoice.com/podcast.  Click on episode 231. Subscribe to or follow The Pharmacist's Voice ® Podcast to get each new episode delivered to your podcast player and YouTube every time a new one comes out!   Apple Podcasts   https://apple.co/42yqXOG  Google Podcasts  https://bit.ly/3J19bws  Spotify  https://spoti.fi/3qAk3uY  Amazon/Audible  https://adbl.co/43tM45P YouTube https://bit.ly/43Rnrjt Bio (2023) Dr. Donna Bartlett is a Board Certified Geriatric Pharmacist licensed in Massachusetts.  She received her BS in Pharmacy and her Doctor of Pharmacy degrees at Massachusetts College of Pharmacy and Health Sciences University-Boston.  Currently, Dr. Bartlett is an Associate Professor of Pharmacy Practice at the Massachusetts College of Pharmacy and Health Sciences University, and oversees an internal medicine clinical site at HealthAlliance Hospital in Leominster, MA. Dr. Bartlett has over 15 years' experience as a clinical pharmacist and over 20 years of retail experience. Education expertise and areas of interest includes polypharmacy, deprescribing, geriatrics, medication access and affordability, falls prevention, adherence, and community outreach. Dr. Bartlett hosts podcasts for the American Society of Consultant Pharmacists- The Senior Care Pharmacist Podcast and hosts her own website dedicated to deprescribing https://donnabartlett.com. She presented at the first International Deprescribing Conference in Denmark in the Fall of 2022. She is the author of MedStrong: Shed Your Meds for a Better, Healthier You-Aging Well through Deprescribing.

SHINING MIND PODCAST
Episode #115 Parent/caregiver-adolescent closeness protects against addiction. Dr Pandey, Assistant Professor of Psychiatry at State University of New York Downstate Health Sciences University

SHINING MIND PODCAST

Play Episode Listen Later Feb 7, 2023 53:25


The phrase "it takes a village to raise a child" is often used to emphasize the importance of community and support in the upbringing of a child. It's a reminder that parenting is not just the responsibility of a single individual, but a collective effort that involves everyone in the child's life.As a parent or care-giver or adult with children, it can be challenging to balance work, household responsibilities, and taking care of our children. However, it's important to remember that children have limited understanding of the world and everything they learn comes from seeing what people around them are doing. Adults have the largest role to play in creating the environment that lead to healthy and thriving children. When a child lacks the support and guidance of a strong network, they may resort to negative coping mechanisms to try and fill the void. This could involve engaging in risky behaviours, acting out, or even vandalising property and stealing cars to feel a sense of power or control. One of these is using alcohol to medicate trauma and stress that often lead to alcohol use disorders and addiction.  Addiction can have serious negative consequences on a person's health, relationships, and overall well-being. As a caregiver, you play a crucial role in helping prevent the development of alcohol use disorders.Dr Pandey, is an  Assistant Professor of Psychiatry at State University of New York Downstate Health Sciences University that recently published a paper showing that positive parenting/ caregiving environments offers a protective effect on adolescents brain  development,  neurocognitive function, risk, and resilience for alcohol use disorder (AUD) via both genetic and socio-  environmental  factors.  Children who experience poor parenting tend to have atypical brain development and greater rates of alcohol problems. Conversely, positive parenting can be protective and critical for normative development of self- regulation, neurocognitive functioning and the neurobiological systems subserving them.Link to the paper here:https://pubmed.ncbi.nlm.nih.gov/36680783/https://onlinelibrary.wiley.com/doi/epdf/10.1111/acer.14973?saml_referrerThe take home message is that it is important to understand that everyone in the Society has a role to play, regardless of their age, gender, or social status. A parent, caregiver, police, doctor, teacher, a coach, a neighbor, a grandparent, or a friend can all have a significant impact on a child's life that protects against addiction.Research shows that adult behaviours are the most important in shaping children's behaviour and in the effective development of their brain architecture, functions, and capacity. Across several studies, exposure to childhood maltreatment and poor-quality parenting and care-giving has been correlated with global changes in brain development as well as changes in circuitries that support higher-level emotional and cognitive functioning (Bick & Nelson, 2016; Teicher et al., 2016).It is hard for one person to take care of the health of children. It's essential that the we all step up and takes an active role in the life of a child/adolescent. This can include things like volunteering at schools, mentoring, or simply lending an ear when a child needs someone to talk to.  Providing a safe and supportive environment where a child can grow and develop is crucial for their future success.Embracing the idea of "it takes a village to raise a child," we build stronger communities and create a brighter future for the next generation. Support the showLearn more at www.profselenabartlett.com

MSx Podcast
#18 Adrián González: Medical Student at Ponce Health Sciences University

MSx Podcast

Play Episode Listen Later Jan 17, 2023 20:05


On this episode we speak with Adrián González a medical student at Ponce Health Sciences University.

gonz adri ponce medical students health sciences university
The Original Guide To Men's Health
Episode 59: What To Know About The 4 Silent Killer Diseases

The Original Guide To Men's Health

Play Episode Listen Later Jan 4, 2023 39:08


Learn what we know about these often undetected conditions. We look back to relevant episodes and some important comments from our experts.   We also asked our producer Sean Fox for some of his favorite episodes from the past year. Guests:              Episode 36.  Quick Virtual Workouts for Anywhere   Lauren Updyke, MS, American College of Sports Medicine Certified Trainer, Director of the University of Washington Whole U program.   Episode 6. Cardiovascular Health—How to Keep Beat with your Heart                 Eugene Yang, MD: Cardiologist, Clinical Associate Professor, Cardiology, UW School of Medicine; Medical Director for UW Physicians Eastside Specialty Center, Governor of the Washington Chapter of the American College of Cardiology; Director of the Cardiovascular Wellness & Prevention Program at University of Washington    Episode 15. What Everyone Should Know about Tobacco, Smoking and Vaping Sarah Ross Viles, MPH: Director of the Tobacco Studies Program University of Washington, former Chronic Disease Program manager Public Health, King County Washington. Tim McAfee, M.D. Affiliate Assistant Professor, Health Sciences University of Washington, Former Director, Office on Smoking and Health, Center for Disease Control and Prevention. Consultant with the CDC Anti Smoking Media Campaign   Episode 4.  Diet - Eat, Drink and Be Healthy            Marian L. Neuhouser, PhD, RD Fred Hutchinson Cancer Research, Program Head, Cancer Prevention Program Public Health Sciences Division, Affiliate Professor University of Washington, School of Public Health, Department of Epidemiology ALSO: Episode 27: Metabolic Syndrome, Diabetes and Other Common Endocrine Health Issues              Arthi Thirumalai, MD.  Assistant Professor, Endocrinology Division, University of Washington Episode 16. Mental Health: Part 1—General Depression; Part 2—Deeper Depression, Suicide and Suicide Prevention.               Daniel J. Singer Ph.D. Washington State Licensed Mental Health Therapist, Specialized in the Counseling and Treatment on Mental Health Diagnosis.  Dr. Jeffrey Sung M.D. University of Washington Instructor of Psychiatry and Behavioral Sciences, Board certified psychiatrist at the University of Washington, the Pioneer Square Clinic, and in private practice. Episode 10. Prostate Cancer:  A) Detection, Diagnosis and PSA, B) Surveillance and Treatments                Daniel W. Lin, MD, Professor Department of Urology, University of Washington School of Medicine, Chief of UW Urologic Oncology, and The Pritt Family Endowed Chair for Prostate Cancer Research.           Episode 52: Hiking, Backpacking and Staying Safe in the Wilderness   Lee Jacobsen, JD. Lee is a Seattle attorney and avid hiker and backpacker. He is a founder of the Washington Hikers and Climbers facebook group, an 8-years running FB hiking community of over 200,000 people in WA state. Tim Durkin MD. Tim is a physician with board certification in both emergency and sports medicine, based in Colorado. Dr Durkin is the chief medical officer for Base Medical, a wilderness medicine education company, as well as medical director for the San Juan National Forest, SAR program coordinator for Colorado Highland Helicopters, and a responder with La Plata County SAR in Colorado. He is a former paramedic and Eagle Scout, with over 25 years of technical wilderness SAR experience. Dr Durkin practices emergency medicine at a rural hospital serving Native Americans, and occupational medicine for public safety agencies. Opinions expressed today by Dr Durkin are his own and not official positions of any of his employers or affiliates.    Episode 47: Dental Health and Care    Gary Burt, DDS. Private practitioner for more than 35 years in the Seattle Washington USA area. Specializing in General and Family Dentistry, Esthetic Dentistry, and Complex Restorative & Cosmetic Dentistry.     Episode 44: Grief, Grieving and the End of Life Jennifer R. Levin, PhD, MPH, MFT.  Trauma and grief therapist, marriage and family counselor, with extensive experience in counseling and education on trauma, death and dying, bereavement, and loss.   Visit our website for all the podcasts, additional resources and social media links Website: theoriginalguidetomenshealth.org Facebook: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/

CCO Infectious Disease Podcast
Ending the HIV Epidemic: Persistence on ART

CCO Infectious Disease Podcast

Play Episode Listen Later Nov 14, 2022 20:09


In this episode, Linda-Gail Bekker, MBChB, DTM&H, DCH, FCP(SA), PhD​, discusses strategies for and importance of HIV care engagement and reengagement for those who have fallen out of care. Her overview includes:WHO Global Health Strategy on HIVLongitudinal HIV care trajectoriesPromotion of successful care and antiretroviral therapy (ART) adherenceDifferentiated service deliveryImproving care and ART adherence in high-risk groupsPatient perspectives on ART persistence Presenter:Linda-Gail Bekker, MBChB, DTM&H, DCH, FCP(SA), PhD​Director​Desmond Tutu HIV Centre​Past President​International AIDS Society​Faculty of Health Sciences​University of Cape TownCape Town, South Africa​Panelists:Nagalingeswaran Kumarasamy, MBBS, FRCP, PhD​Chief and DirectorVHS-Infectious Diseases Medical Centre​DirectorChennai Antiviral Research and Treatment (CART) Clinical Research Site​Voluntary Health Services​Chennai, IndiaChloe Orkin, MBChB, FRCP, MD​Professor of HIVQueen Mary, University of London​Consultant Physician​Lead for HIV ResearchBarts Health NHS Trust​The Royal London Hospital​London, United Kingdom​Babafemi Taiwo, MBBS​Gene Stollerman Professor of Medicine​Chief, Division of Infectious Diseases​Northwestern University Feinberg School of Medicine​Chicago, IllinoisContent based on an online CME program supported by an independent educational grant from Gilead Sciences.Follow along with the slides: https://bit.ly/3dSNoumLink to full program:https://bit.ly/3AE2AV1

CCO Infectious Disease Podcast
Ending the HIV Epidemic: Care Pathways After HIV Testing

CCO Infectious Disease Podcast

Play Episode Listen Later Aug 24, 2022 12:10


In this episode, Nagalingeswaran Kumarasamy, MBBS, FRCP, PhD, discusses the importance of linking people to care after a positive HIV diagnosis. His overview includes:HIV care continuumFactors that delay linkage to careOrganized strategies to improve linkage to care for people with HIVInterventions that may improve linkage to care for people with HIVPatient perspective on how to engage patients in their HIV care Presenter:Nagalingeswaran Kumarasamy, MBBS, FRCP, PhD​Chief and DirectorVHS Infectious Diseases Medical Centre​Director, Chennai Antiviral Research and Treatment (CART) Clinical Research Site​Voluntary Health Services​Chennai, IndiaPanelists:Linda-Gail Bekker, MBChB, DTM&H, DCH, FCP(SA), PhD​Director​Desmond Tutu HIV Centre​Past President​International AIDS Society​Faculty of Health Sciences​University of Cape TownCape Town, South Africa​Chloe Orkin, MBChB, FRCP, MD​Professor of HIVQueen Mary, University of London​Consultant Physician​Lead for HIV ResearchBarts Health NHS Trust​The Royal London Hospital​London, United Kingdom​Content based on an online CME program supported by an independent educational grant from Gilead Sciences.Follow along with the slides: https://bit.ly/3PJ4iJ8Link to full program:https://bit.ly/3AE2AV1

Friends of Franz
Emotional Dentistry with Dr. Tate Masunaga and Dr. Kevin Thanh Nguyen

Friends of Franz

Play Episode Listen Later Jul 18, 2022 54:39


When I think of the dentist, all I can remember is my countless visits to the office as a child for my endless cavities and root canals. I feel like I can still feel every needle-pinch of anesthesia, the pressure of the drill, and the tantalizing ache of piercing my pulp. That said, I developed a fear of dentists growing up. It was only recently that I realized the beauty behind dental care and the art behind individual practitioners' practice. Though this fear of dentists is a common sentiment amongst the general population, the field also brings another overpowering feeling: hope. Missing teeth, crooked alignment, discolorations...these are some presentations that can undoubtedly cloud someone's self-confidence. Thankfully, we have superheroes of the teeth who give others the reason to smile again.In this episode, we have two of these tooth fairies to speak to us about their wonder-working powers: Dr. Tate Masunaga and Dr. Kevin Thanh Nguyen. Receiving his Doctor of Dental Medicine degree from Oregon & Health Sciences University in 2017, Dr. Masunaga now practices as a general dentist in Seattle, Washington. Dr. Nguyen, on the other hand, also received his Doctor of Dental Medicine degree from the Western University of Health Sciences in 2020 and is now practicing in Huntington Beach, California.What are the risks of an unfilled cavity? Does charcoal toothpaste actually work? Are yellow and stained teeth normal? How necessary is flossing? Are bleeding gums of concern? Do at-home teeth whitening strips actually work? And a controversial question that took over TikTok...can dentists really tell if someone has done..."the deed"?

KoopCast
Sleep Deprivation Training for Ultramarathon with Chiara Gattoni PhD | Koopcast Episode 131

KoopCast

Play Episode Listen Later Jun 2, 2022 61:12 Very Popular


Chiara Gattoni ​​is a researcher and strength and conditioning coach. She holds aa BSc in Exercise and Sport Sciences (University of Verona, Italy), a MSc in Sport Sciences and Training Methodologies (University of Verona, Italy) and a MSc in Sport and Health Sciences (University of Exeter, UK). She completed her PhD program at the School of Sports and Exercise Sciences (University of Kent, UK), under the supervision of Professor Samuele Marcora. She currently works at the University of Kent as a Research Assistant and Research Associate. We obtained two research grants and worked on a project funded by the Ministry of Defence UK. Sleep Deprivation Training to Reduce the Negative Effects of Sleep Loss on Endurance Performance: A Single Case StudyBuy Koop's new book on Amazon or AudibleInformation on coaching-www.trainright.comKoop's Social MediaTwitter/Instagram- @jasonkoop

Womanity - Women in Unity
Professor Vanessa Steenkamp – Deputy Dean: Faculty of Health Sciences, University of Pretoria

Womanity - Women in Unity

Play Episode Listen Later May 18, 2022 39:56


This week on Womanity-Women in Unity, in our series on women in medicine, Dr. Amaleya Goneos-Malka talks to Prof Vanessa Steenkamp, the Deputy Dean of Teaching & Learning in the Faculty of Health Sciences at the University of Pretoria. As an active member of scientific organizations she holds among other an executive role as President of the South African Association of Basic and Clinical Pharmacology, President of the Federation of South African Society of Pathology and Vice-President of the Toxicology Society of South Africa. Her remit at the University of Pretoria encompasses 43 departments within Dentistry, Health Care Sciences, Health Systems and Public Health, and the School of Medicine. She emphasises that teaching and learning is an evolving process and institutions aim to equip students with skill sets to help future proof them for jobs which don't yet exist; instilling lifelong learning and embracing technology. We discuss a couple of recent initiatives geared towards the well-being of students. Namely a food parcel project, noting that at least 30% of students are food insecure and the other the UP Sight project which addressed students' vision. We highlight the fact that there are still low levels of women entering STEM (science, technology, engineering, mathematics) and remark on interventions to build a pipeline from school to university to the workplace. We also remark on the underrepresentation of women in leadership roles. Prof. Steenkamp encourages more women to embrace opportunities to rise to the top, urging women to stand together, support each other, join industry networks and participate in mentoring initiatives. Prof. Steenkamp shares her formulas for living life to the full, making space for family and a professional career. Tune in for more…

LabOpp Global Leaders: Lab Voices of the World
Episode 30: Special Future Leader Series 2022: Special Guests: Alhaji Foday Mahamud Bangura & Edward Tamba Maphinda

LabOpp Global Leaders: Lab Voices of the World

Play Episode Listen Later Apr 28, 2022 43:19


The LabOpp Global Leaders podcast is a series of conversations about Careers, the Lab Industry, Training, and People. After several episodes where we brought you national student associations and others where it is specific to 1 institution, we decided to present a combination of more than 1 student association in the same episode. In this episode, to get the picture of future leaders of the medical laboratory profession, we include two interviews we completed with different student associations active in Sierra Leone. We begin with Alhaji Foday Mahamud Bangura, President of the newly formed Association of the Laboratory Medicine Students – College of Medicine and Health Sciences – University of Sierra Leone. Our second guest of today's episode is Edward Tamba Maphinda. He is the President of the Sierra Leone Association of Public Health Students and is currently a student at the University of Makeni. Some of the organizations mentioned during this podcast: · College of Medicine and Allied Health Sciences – University of Sierra Leone http://usl.edu.sl/ · University of Makeni https://unimak.edu.sl/ · Sierre Leone Medical Laboratory Association (Website coming soon) If you have suggestions for future guests or comments about this podcast, please visit us at labopp.org/podcast Thank you for leaving a rating and review to help us share this podcast! --- Send in a voice message: https://podcasters.spotify.com/pod/show/labopp/message

ASCO eLearning Weekly Podcasts
Cancer Topics – Medical Aid in Dying

ASCO eLearning Weekly Podcasts

Play Episode Listen Later Apr 13, 2022 33:22


In this episode, moderated by Dr. Alissa Thomas (University of Vermont), patient caregiver Ms. Sandra Klima, hospice and palliative medicine physicians Dr. Gregg VandeKieft (Providence Institute for Human Caring) and Dr. Frank Ferris (Ohio Health), and medical oncologist Dr. Charles Blanke (Oregon Health and Science University) exchange perspectives on medical aid in dying, including legal, ethical and practical aspects. If you liked this episode, please subscribe. Learn more at https://education.asco.org, or email us at education@asco.org.   TRANSCRIPT Dr. Thomas: Hello, and welcome to the ASCO Education podcast series. My name is Dr. Thomas, and I'm a Neuro-oncologist at the University of Vermont Medical Center, and  Associate Professor in the College of Medicine in the Department of Neurological Sciences in Burlington, Vermont. As today's host, I will be moderating a discussion on medical aid in dying with four guest speakers, Dr. Gregg VandeKieft, who is a Palliative Care Physician, Clinical Ethicist and Executive Medical Director at Providence Institute for Human Caring in Olympia, Washington. Dr. Charles Blanke, a Medical Oncologist and Professor of Medicine at Oregon and Health Sciences University in Portland, Oregon. Sandra Klima, who is the partner and caregiver of a patient who passed away using medical aid in dying in Vermont. And Dr. Frank Ferris, who is a hospice and palliative medicine physician, as well as executive director of Palliative Medicine Research and Education at Ohio Health in Columbus, Ohio.     For consistency during this talk, we'll be using the term medical aid in dying or MAID to refer to death with dignity and physician-assisted dying. So, to begin the discussion, I'd love to hear from Sandra about your perspective as a caregiver. Can you share with us what it was like caring for your partner and what your reaction was when you learned about his wishes?  Sandra Klima: Yes. Thank you. I'm glad to participate. My partner had died of glioblastoma in April of 2018. When we found out, it was pretty shocking. The very first thing he brought up was Act 39. And initially I was very surprised and uncomfortable with it because I didn't want to think about death, I wanted to think about living. And he was very quick, Rob was very quick. We made an appointment at the funeral parlor. He wanted to get everything taken care of quickly. So I was shocked that he wanted to use Act 39. I did not feel that it was, as I said, appropriate to talk about, but he explained he had a friend who had glioblastoma and she did not take that action.  And she kept a diary and he said it was very difficult to read. And he did not want to go through that process that she went through. He didn't want to lose who he was. He wanted to die as himself instead of a short time later as a lesser person. And wanted the choice, and Act 39 gave that to him. And I respected and supported his decision once we talked about it. Cancer is a progressive disease and there comes a time when you will not be in control. Facing that and knowing it only goes downhill is scary. So having the option that looked out before the end phase is a blessing, and it is death with dignity, and that's how it feels to me.  Dr. Thomas: Thank you so much for sharing that experience. This has been a hot topic and I'd love to hear from our panel, what are some of the common misconceptions around medical aid in dying, and how is this different from concepts like euthanasia or assisted suicide?  Dr. VandeKieft: Well, for starters in the United States, all the states that allow aid in dying require the person to self administer the agent. So it's not euthanasia where somebody else administers the lethal agent. Our neighbors to the north in Canada actually do allow voluntary euthanasia and about 90% of their aid in dying individuals do it by voluntary euthanasia as opposed to self-administration. Another misconception is that it is heavily targeting the most vulnerable and disenfranchised, when in fact data from Oregon and Washington really indicate that it's mostly the well-educated, economically privileged who tend to utilize the aid and dying acts. And so there's actually been some questions in recent years about equity in rural areas and for other people who have difficulty accessing aid in dying,  Dr. Blanke: I'd love to reinforce that point. So, the Oregon data suggests that 74% of participants have at least some college, and almost 99% actually have medical insurance, although getting the insurance company to actually pay for the drugs is a different issue. I'd like to also suggest that opponents of death with dignity say that it violates the Hippocratic Oath, which I do not believe it does. Death with dignity deaths make up a tiny minority of overall deaths in any of the states where it is legal, and a good chunk of patients, somewhere between 30% and 60%, get the prescription and never even take it. So, I like to say that the act fights out of its weight class. A lot of people get the power and control of having that medication, but never actually need it.  Dr. Thomas: I understand there are a number of safeguards within the law to try to protect patients and help access and protect physicians. Would you be able to touch on the safeguards?  Dr. Blanke: I'll start there if okay, and most of the other states have modeled their law after Oregon's. So first the patient has to make multiple requests over time. They have to demonstrate a continued interest in death with dignity, and the law has built in cooling off periods. The patients have to clearly understand what will happen if they actually take these drugs, and what happens in 99.5% of cases is they will die as a result. The patients have to put in a witnessed written request for medications, and one of the witnesses cannot be related by blood or marriage, cannot be the patient's doctor, and most importantly can't be in a patient's will. They cannot have a financial interest in the death. So I think those are very reasonable patient safeguards.  Dr. VandeKieft: One exception I would call out is the state of Montana, which did not actually pass the legislation or a voter initiative to legalize aid in dying. But it was a state Supreme Court decision that said it was unconstitutional to prohibit it. So they actually don't have a regulatory framework in place, but they do offer protections to physicians. If they participate, they cannot be prosecuted. But all the other states in the US that have laws have a regulatory framework, much like Dr. Blanke just described.  Dr. Thomas: That's really helpful for the legal ramifications. What are the main ethical considerations around medical aid in dying?  Dr. VandeKieft: If you think of the classic ethical framework, autonomy tends to drive a lot of the conversation, that is the patient's right to self-determination. If they choose to pursue aid in dying, even if we morally disagree with the appropriateness of it, is it our position to prohibit them from following through with it? But then many others will also look at the concepts of beneficence, that is the obligation to do good for our patients, and non-maleficence, that is the obligation to not do harm for our patients. And people on both sides of the arguments will invoke those terms. People who oppose it would say the good is to prolong life. People who support it would say the good is to give people the right to choose the best quality of life and self-determination. People who oppose would say that the death, if it's self administered is actually a harm. The supporters would say the harm is making a person suffer, when in fact they have the potential to cut that suffering short on their own terms.  And so those ethics discussions tend to get into it fairly significantly, particularly around the public policy and social aspects. And then finally, at least within the health system I work, we've really shifted our focus away from a lot of the high-level legal and ethical debates and into what do you do for the patients who request it, and how do we make sure that there's non abandonment, accompaniment through the end of life, and that we seek out the reasons that they asked about aid in dying in the first place, and figure out how we can best serve the concerns that raised the question?  Dr. Blanke: I would love to actually strengthen that last point that Dr. V just brought up. A lot of patients use up three months of their expected six months survival barely finding me. Because what happens is they went to their primary provider, asked for death with dignity. Their physician says, "I don't do it. I don't know anybody who does. Good luck with it." This is a legal option in the state of Oregon, as well as about 11 other states. And the question as to whether or not providers have the obligation to at least refer, is a strong ethical point. A lot of the state's statutes say they can't hinder referral. They have to supply records if the patient asks for it, but I'm not aware that any of them have mandatory referral. And I think the physician is ethically obliged to offer that possibility, even if they don't want to write a prescription, which of course is totally okay.  Dr. Ferris: And if I might comment, I think the other obligation here is to, for the patient, particularly with cancer, but with anybody with any diagnosis who might be choosing this pathway is to ensure that they've had very early referral for palliative care services. That all their symptoms, any issues that are causing suffering are actually being addressed. And that as you have suggested, that they are clearly accompanied by somebody without bias, who understands how to unwrap and provide counseling in all the different realms psychological, social, spiritual counseling, to make sure that they and their families or their partners are in a really good place. Everybody's comfortable with the choice. The family lives on after a situation like this, and they need to have been comfortable with that. That the choice was the appropriate one for the person, and that what we're doing is we're respecting that person's choices and they're comfortable with it.  Dr. Blanke: I totally support that. The flip side of the coin is none of the states really say what to do if you are unable to offer death with dignity. They don't certainly mandate palliative care. I see a number of patients who really don't have terminal illnesses, or they have terminal illnesses that they are not expected to die within the mandatory six months. And I think we should ask ourselves, why are they seeking death with dignity? We have to ask ourselves, "Should we be referring these patients for psychiatric care?"  Dr. Ferris: Well, and if I could come back and emphasize that, I think oncology broadly has frequently had late referral patterns to palliative care services. I've got story after story, I'm a radiation oncologist by background, having done palliative care for the last 35 years. Even in the last couple of weeks, students learning with me have said, "We tried to get referrals and the oncologist wouldn't refer. Is there anything wrong with having a partnership?" So, the oncologist continues to do their wonderful work, at the same time we're managing the patient's experience and that people understand all their options, of which this is one of them, and they have a legal right to that in 11 states, so that we do the best possible care for people.  Dr. VandeKieft: I want to amplify your point. Dr. Ferris, if people choose aid in dying as the culmination of excellent palliative or end-of-life care, that's a very different scenario than if they're choosing it in lieu of palliative care because they don't have access. And so anybody who has access to aid in dying certainly should have access to the highest quality palliative care and hospice care and behavioral health, as Dr. Blanke pointed out, to make sure that they aren't despairing for something that could be treated more readily.  Dr. Ferris: And if I could add one more point, I think there's also a palliative care evangelist who says, "Well, if you just do this a little longer, everything's going to be wonderful." Except that we haven't made a difference. We as a community need to recognize when that's the case as well. So none of us are perfect, but it's the making sure we're a really comprehensive team and able to walk with people and honor and respect their choices.  Dr. Thomas: Thank you. We've spoken a lot about some of the logistics and legal and ethical aspects. I'd love to hear about what the experience is actually like. What are the barriers that patients face when they're trying to seek out medical aid in dying? We have a caregiver here who directly experienced this. How was it trying to access this and are their barriers either individually or systemically?  Sandra Klima: When Rob made his choice, we obviously had to go to the physicians and do the two interviews and get the approvals and wait the days in between and sign all the forms. But eventually we got to go pick up this medicine. But there was one pharmacy that had the medicine. We went, made a drive there. It was far from where we were. So we went over there. We had to plan it to be when there was a physician there who would give us the medicine. So that kind of struck me as strange. So you had to schedule everything and then you get there, and I don't know if it was my paranoia or what, but you feel like everyone's looking at you from behind the counter like, "Oh, you are the people coming to get that medicine?" And it was really just a little uncomfortable.  And you feel like you were almost doing something illegal. So that is the pressure I felt during that process about that. The only other piece is once you start this process in motion, we had the hospice people and the palliative care people contact us. We had several meetings with them. We talked about it with our cancer counselor, so I was very comfortable. And most importantly, Rob was comfortable to get the medicine that he would have to take and have it with him. It gave him peace of mind. It gave him freedom to enjoy his life.  Dr. Blanke: I'll add a few practical matters. The states that have death with dignity mandate that the patient takes it through their GI tract. That usually involves swallowing. We have a number of patients who are unable to swallow, or they have GI obstruction. They're allowed to take the medication through their rectum, although that eliminates a lot of the dignity from death with dignity. But we are not allowed to use intravenous formulations. Even if the patient self-administers. We also have patients and patients with Lou Gehrig's disease or amyotrophic lateral sclerosis make up about 11% of death with dignity users. Many of those patients do not have the use of their limbs. I had one young lady who was nearly completely paralyzed. She could move her head and she could move the pinky of one hand. And I spent somewhere north of four hours simply figuring out how she could fulfill the law by self administering a drug.  Finally we put in an NG and she was able to press a syringe plunger while I held a syringe, legal in Oregon, with that single pinky. I think the law is incredibly discriminatory against people with disabilities in the interest allegedly of protecting them. Next issue is we talked about the written request, which I do think offers safeguards, but sometimes it's hard. If patients want confidentiality, which the law allegedly is interested in, they may not want their neighbor to know that they're going to do this and they may not have somebody who is able to sign the form. Finally, we have talked a little bit about finding a participating provider. That continues to be an absolutely huge barrier, particularly because it's not just one provider, it's a prescribing physician and a consulting physician. They have to find two doctors, and if they're in say a Catholic health system or they're at the VA, sometimes it's nearly impossible for them.  Dr. VandeKieft: Loop back to Miss Klima's comment about the peace of mind that her partner experienced, and note that sometimes even just the conversation provides that. I've had numerous patients who brought the topic up, and they weren't actually asking for requests. They were just seeking information or in one instance, trying to let her family know how badly she was suffering and bringing this up was a way of demonstrating that to them. But I had a patient with ALS who brought the question up. The fact that I accepted it, spoke back to her in a respectful and supportive manner, provided her some relief.  But then when the doctors from End of Life Washington, the advocacy group who can help provide support to people in the home, came out and visited her, she responded that it alleviated her anxiety and her depression, didn't resolve them, but eased them. And that also she learned that she didn't have to act as early as she thought she would have on her own. And so I kind of jokingly said, "So meeting with doctors may have actually prolonged your life." And she laughed and said, "You know, doctor, it did, because I would've done it earlier if I hadn't met with them."  Dr. Ferris: If I can speak to what you just said back in the era of HIV and AIDS, when we had very little, I cared for more than 1,000 people out in the community. And I would say more than 60% of them asked me that question of when they got to a spot of intractable suffering, when I hastened their death. And of course that was illegal in those days. But what I was clearly able to do, is talk about palliative sedation for them, to be clear I would look after them, clear I would look after their families. And just as you have suggested, I think one of the huge issues is, "I have an option. I have an alternative here. Somebody is going to look after me. And if I've decided, if I'm going to go to medical aid in dying, if I'm going to go the palliative route, I don't have to experience the horrible part that I don't want to experience."  We need to talk about both of these openly with people, and be clear that they and their families will be accompanied in whatever the process and as you've suggested, without judgment, maintaining confidentiality. These are super important issues for people. I think about my own personal future, these things loom. I think it is people with lots of thoughts about what might happen, maybe a bit too much knowledge, who worry about the intractable nature of suffering, whatever it is, whether it's psychological, physical, spiritual. It's being able to accompany people appropriately and respect their choices.  Dr. Thomas: Right.  Dr. Blanke: So I'd like to add one more practical detail. We talked a little bit about finding providers and how difficult that is. And if you think about the challenge of finding two providers in Portland, you have to multiply that by about 100 to find any providers in Klamath Falls or Eastern Oregon. The good news is telemedicine has made our lives and the lives of our patients quite a bit easier.  Dr. Thomas: As I listen to the conversation, I'd be curious about your thoughts about health equity issues around this. You've alluded to the fact that somebody who has physical or neurologic disability may have challenges depending on where you live. It may be challenging to access. Are there other populations of patients where you worry about health equity and access to medical aid in dying?  Dr. Blanke: Well, I can comment that most of the patients find me or my colleagues who provide this through web searches. So, they have to have access to computers, which is not necessarily all that easy for all the rural residents of Oregon. Even though I told you that 99% of patients have insurance, we also mentioned that getting the insurance company to pay for the drug is very, very difficult. Hospice almost never wants to pay for it for the usual hospice- related reasons, and the drugs are about $700 in Oregon. That is a hindrance to a lot of my patients.  Dr. VandeKieft: I think being mindful of historic disenfranchised communities, people of color, Native Americans, that the healthcare system has not always treated fairly historically, and they have reasons to be suspect at times. Now this is something that usually they will seek us out as opposed to the healthcare system promoting it, but just being sensitive to the fact that we're doing something that could be perceived as problematic by communities who have historically been mistreated by the health system as well as other systems.  Dr. Thomas: I'd like to just have a better understanding of residency and the law. I think that there is written into most of these laws, you have to be a resident of the state where medical aid in dying is available. But what does that mean to be a resident, and how do states define that?  Dr. Blanke: So for us in Oregon, it's not like the classic situation where you have to demonstrate that you have a driver's license or you have to produce a gas bill in your name. The statute basically allows the prescriber to define residency in their own mind.  Dr. Thomas: What advice would you give to oncologists and other physicians who might have patients approach with questions about this? How do you talk with patients about this matter?  Dr. VandeKieft: The very first thing I respond to is... This is a very important question. I appreciate that you brought it up and that you have the [inaudible 00:20:35] and trust in me to raise the topic. But before I get into the details, I'd like to learn more about what led you to ask me about it. Would that be okay? And even that last phrase, would that be okay as intentional and that by asking permission, I'm making sure that they have agency, and demonstrating respect to them. But that approach has made a huge difference in that I have learned on many occasions, people have no intent of actually proceeding with it. As I mentioned earlier, they may simply be asking for information.  One gentleman, his response was, "Well, my buddies told me about it, and I didn't even know that was a law. And when I started to explain it, he said, oh, that sounds too much like suicide. I would never do that. And then the other woman, I referenced, she went through it and then looked at me and said, “Doctor, I would never do it.”, and looked at her daughter and son-in-law, “I just want my family to know how badly I'm suffering.” And so starting with that open-ended question is really crucial because if we make assumptions and if we start projecting our own biases onto them, we may completely miss what they're looking for and the opportunity to provide them the best services that we could.  Dr. Blanke: If I merely mention that this is an option, the patient is going to think that I'm recommending it, and I certainly don't see it that way. It's just one of many options. If we offer chemotherapy, we are not mandating that particular drug or even suggesting they get chemotherapy at all. Certainly, with the exception of palliative care, I recommend they seek that out, that I really want them to seek it out. But I think it's incumbent on the providers if they see a patient with a terminal illness to list this among the many options that are possible for the patient living in Oregon or those other 10 states. I know that's controversial.  Dr. Ferris: Well, I really want to highlight what you just said, Gregg, about the process of inquiry. To me, everybody practicing oncology, everybody practicing medicine needs to be able to model exactly the way you opened when asking any significant question, including prognosis, "When am I going to die? What about this therapy?" Because what we know, many of the times, patients aren't asking what the words specifically say, they're calling out their suffering and how can we help them? Or they've got a plan, they've got something they want to do. So that was beautiful modeling, Gregg.  Dr. VandeKieft: Dr. Blanke, he used that example of people not hearing. And one of the cases that I still struggle with a little bit, I work in a Catholic health system, so I'm not a participating physician. And we're really counseled that we shouldn't be the one to bring it up. And I had an elderly woman. I was doing a hospice home visit and she asked me how long I thought she had. And unfortunately, Dr. Ferris, I didn't think to ask her what led her to ask me the question on that occasion. And I probably should have, because I told her my prognosis and she looked at me with a profound look of disappointment and said, "I don't think I can suffer that much longer." And a couple of days later, she died very unexpectedly. She took an intentional overdose and the fact that I didn't inform her of the option of aid in dying still haunts me that I may have failed her.  Dr. Thomas: Thank you so much for sharing that. Ms. Klima, we've heard a lot from the experts. Is there advice you'd give patient to patient or caregiver to caregiver about what to ask your physicians?  Sandra Klima: You need to ask as many questions as you want and have the doctor answer you truthfully. I think when a patient is asking a doctor a question, they're asking the doctor, "What are my options?" I'm going to assume you're going to give me all the options. I'm not going to assume you're not going to tell me the options you don't like, because I want to know what are my options. I'm the one who's suffering. I'm the one who will have to make a choice. And I can tell you the choice Rob made, to use Act 39 in Vermont, was a blessing for us. It was a peaceful death that I cannot overemphasize. It was the right decision to make. It was for his decision, but it was the right decision to make.  And I think if a physician would not have told us of that option, I would be in the same situation that you felt, Gregg, where the lady took it upon herself. Because you thought through it, you had a plan, it was planned. It was a nice wind up to an ending. And I think that physicians owe it to their patients to tell them all of the options available and let the patient make a choice. I also think physicians owe it to the patient to be clear what the end phase of their life will be. Because it's not roses. If they don't do this, they have to live through that end phase, which sometimes it's horrific. And I think they need to have a clear understanding of what's to come and a clean list of all the options. And I think that should just be required, and personal choice of a physician is not on the table.  Dr. Ferris: So it's important that we explain all the options, I completely agree, that are available within the context of the law. And certainly in the Americas, in Europe, and I've been in many other countries where palliative sedation is one of those therapeutic options. Where the patients can have amnesia, the family can be well looked after. We need to describe all the available options that are within the law, in the jurisdiction in which we live. I completely agree.  Dr. Blanke: And I'll add that that actually also applies to some of the patients who want death with dignity, are suffering horribly but don't actually qualify because they have a chronic illness expected to live too long. I just saw a patient last week and we actually talked about VCED, the voluntary cessation of eating and drinking, which is something that many, many people fear, including providers, but if done properly is fantastic. She used VCED. She passed away. She died two days later and her family could not have been more thankful.  Sandra Klima: I'll chime in on that because the comparison between my father dying and Rob dying, it really just has an impression on my mind. My father did not have a diagnosis of X amount of months to live, but my father had chronic problems and he was suffering. And the death that I watched him go through and was with him for, was nothing like Rob's death. It wasn't peaceful. It haunts me today. It haunts me. My father should have been a candidate, but he wasn't. What was the point of living four more months in this miserable state?  Dr. Thomas: You know, it dawns on me that this is a very different kind of death. It is not suicide legally or medically. It's a different process than natural death from a terminal illness. And it's not even possible in every state or every country. And I imagine it is very different for the people who are left behind, for family members and caregivers to process this kind of death and bereavement after their loved one passes. Can you comment, Sandra, on how medical aid in dying affects the caregivers and affects the family and how you can prepare for bereavement and support in bereavement?  Sandra Klima: I felt that this death was anticipated, and my bereavement, the part that bothered me about Rob's end of life, was that I was unprepared for how quickly the decision was made. The decision was made quickly because he started getting paralyzed again on the side of his body. And he decided, "Today's the day." And it was three or four hours later, and it took me by surprise at how quickly the decision was going to be made. That's the only part I regret was I didn't have a strong enough plan about what was going to happen when that decision was made. That probably needs to be emphasized because you can plan all you want when it's not going to happen. But at the moment it happens, it's like a fire drill. You got to go through and get all those things lined up. And I can tell you, I felt worse for my father's death than I did for Rob's death. So even though it's a different kind of death, it was a peaceful death with dignity.  Dr. Blanke: In terms of the bereavement, I have seen all sorts of responses from patients' families initially, from those who could not be more supportive. Sometimes they even seem to want it more than the patient does, to those who actively oppose it. But in my experience, which now numbers about 205, the families are almost always on board at the end when they see how much the patient has been suffering and how much peace the actual control over the patient's life and death gives them. I always offer after the patient is gone to the family to contact me whether it's a week later or a month later, or a year later, if they have questions about the process, if they need any help in referrals. It's never happened a single time.  Dr. VandeKieft: I think back to the landmark article that Tim Quill published in the early 1990s about his patient, Diane, and how he highlighted that she ended up committing suicide. And there's kind of a shame, it's done in the shadows, and that when you have aid in dying as an option that can be brought out into a planned open manner in the way that Ms Klima is describing with her partner. And then also with the bereavement and the partners, I think we need to listen once again. I just had a case yesterday that somebody was telling me of a gentleman who got the prescription for aid in dying, but ended up not taking it and died of "natural causes."  His wife told the bereavement counselor afterwards, “That was such a relief because I was struggling terribly with the spiritual aspects of this. And I would've really had a hard time had he gone through with it.” She had not shared that with her husband or anyone else because she wanted to be so supportive of him. And it was only by the bereavement counselor, listening and opening up that she could really understand, "What are the true struggles that this family is going through and how can I meet their needs?"  Dr. Ferris: If I can comment, it doesn't matter whether people have chosen medical aid in dying. When people die, there's a loss for anybody who's a survivor. People can be comfortable with the process that occurred or not. They can perceive suffering or not. The loss leads to changes. And what we know is the transitions through the loss period that we call bereavement for different people are profound in different ways. And what we need to make sure is that people are connected with services. It's why with every patient I care for, whatever therapy provided, I do participate in ventilator withdrawal. I participate in palliative sedation. I've done this all my career. I make sure they're in the hospice system, in the United States, which provides people with 13 months bereavement support or more, because if a death occurs in a hospital without hospice care, then the patient gets a decedent phone call from the chaplain, if they're lucky, or they're lucky enough to have a physician like Dr. Blanke who says call me.  Most people don't make themselves available and you're out at sea. And we know that the suffering of a bereavement can lead to incapacitance, people depressed, not functional, people even get illnesses in the process. So there's a huge cost to society for not addressing this issue carefully. It's about the preparation, and what I try to do is get the bereavement conversation going before the person dies, so that we're talking about it and integrating it.  Sandra Klima: Right, I agree.  Dr. Thomas: Thank you all so much for this conversation. Thank you, Sandra Klima and Dr. VandeKieft and Dr. Blanke and Dr. Ferris. I think this was such an important conversation. Talking about death can be very difficult and I just appreciate the openness and sensitivity and your willingness to share these experiences. Thank you to all of our listeners. We appreciate you tuning into this episode of ASCO Education podcast.    Thank you for listening to the ASCO Education podcast. To stay up to date with the latest episodes, please click subscribe. Let us know what you think by leaving a review. For more information, visit the comprehensive education center at education.asco.org.  The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care, and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization activity or therapy should not be construed as an ASCO endorsement. 

Kairos Global Audio Magazine
TRUSTING IN BETTER PLANS | TANYA DENSIL | TEEN TALK, SEPTEMBER 2021(ISSUE 42)

Kairos Global Audio Magazine

Play Episode Listen Later Oct 27, 2021 6:40


Hi, my name is Tanya Densil and this is my testimony. I am now a college student at RAK Medical and Health Sciences University. I am 18 years old and I joined Jesus Youth when I was 13. First, I would like to express how grateful I am to share my experience, and to express my gratitude to the Lord for helping me during this testing time of my life. Read Online : https://eng.kairos.global/?p=10432 --------------------------------------------------------------------------------------------------------------------- Subscribe at : http://www.jykairosmedia.org Read Kairos Global Online : http://eng.kairos.global Facebook : https://www.facebook.com/ReadKairosglobal Twitter : twitter.com/readkairos Instagram : www.instagram.com/jy_kairos YouTube : https://www.youtube.com/c/KairosStudio1 Apple Podcasts : https://podcasts.apple.com/us/podcast/kairos-global-audio-magazine/id1501126301 Spotify : https://open.spotify.com/show/4IbehFD4Zfa0ZpS6o0Bjk3 Google Podcasts : https://tinyurl.com/c94688mu

Raise the Line
How to Increase Diversity in Healthcare – Dr. David Lenihan, Co-founder Tiber Health, and President of Ponce Health Sciences University

Raise the Line

Play Episode Listen Later Sep 30, 2021 25:36


In the ongoing effort to increase diversity in the healthcare workforce, Dr. David Lenihan believes one key factor is being overlooked: medical school admission policies that prevent a broad enough pool of applicants from being considered. That's why, when he was Dean of Touro College of Osteopathic Medicine in New York, “we pivoted hard.” Mindful that less privileged students often lack the benefits of a robust childhood education, they stopped considering freshman year GPA as just one of many changes. More recently, as he tells host Dr. Rishi Desai, Lenihan has applied the philosophy at Ponce Health Sciences University in Puerto Rico. In a nation where large swaths of people lack access to quality health care, Lenihan's long-term strategy rests on a simple theory: “If we want graduates to go back and practice in rural America or urban core America,” he says, “quite simply you have to select students from those areas.” Tune in to hear about Lenihan's plan for a medical school in St. Louis, his run for state senate, and what the MCAT's verbal section overlooks.

Becker’s Women’s Leadership
Helen Figge, Chief Strategy Officer at MedicaSoft and Adjunct Professor & Executive in Residence at Massachusetts College of Pharmacy and Health Sciences University

Becker’s Women’s Leadership

Play Episode Listen Later Aug 20, 2021 11:02


Helen Figge joins us again on the podcast to discuss the shift to virtual care and the future of data in healthcare. This episode is sponsored by MedicaSoft.

RNZ: Nine To Noon
Geography's affect on young people's mental health

RNZ: Nine To Noon

Play Episode Listen Later Aug 2, 2021 10:57


A new study assessing the relationship between young people's mental health and where they grow up could influence urban and rural planning. Researchers at the University of Canterbury are mapping localities and investigating whether living near gaming venues, takeaways and liquor stores, or green and blue areas like parks and rivers are linked to mental health. One in four young Kiwis have a mental health issue before they turn 18, with Māori and Pasifika over-represented. It's hoped this will help community advocates to persuade policy makers to take heed, and include findings from the two-year study in future planning. Co-investigator on this project, senior lecturer in public health at the Geo Health Lab at the School of Health Sciences University of Canterbury Matt Hobbs speaks with Lynn Freeman.

Becker’s Healthcare Podcast
Helen Figge, Chief Strategy Officer at MedicaSoft and Adjunct Professor & Executive in Residence at Massachusetts College of Pharmacy and Health Sciences University

Becker’s Healthcare Podcast

Play Episode Listen Later Jul 12, 2021 11:02


Helen Figge joins us again on the podcast to discuss the shift to virtual care and the future of data in healthcare. This episode is sponsored by MedicaSoft.

thinkfuture with kalaboukis
372 Health Care Innovation with Helen Figge @ MedicaSoft

thinkfuture with kalaboukis

Play Episode Listen Later Apr 25, 2021 56:24


Helen Figge, BS, Pharm.D. MBA, CPHIMS, FHIMSS Certified Six Sigma Black Belt, and Lean Sensei Helen is a passionate healthcare innovator and futurist with expertise supporting c suite executives and peers ensuring team unity. She excels in strategic global governance programs, building collaborations and client loyalty, and formulating global best practice solution portfolios. Helen has served in three Fortune companies and with non-profit organizations with exponential authority, She has successfully consulted and guided several start-up health IT entities. She has achieved HIMSS fellow and HIMSS certification status and is a Certified Six Sigma Black Belt and Lean Sensei. She had served on several national committees and Boards for the past several years including HIMSS, CHIME, Health 2.0, The Sullivan Institute for Healthcare Innovation, WEDI, SUNY's Global Institute for Health and Human Rights, the School of Public Health, and NAHDO. Helen serves in several senior advisory roles: Albany College of Pharmacy and Allied Health Sciences (President's Advisory Council); National Health IT Collaborative for the Underserved (Senior Advisor); HIMSS, NY State (Board Member, past Secretary and several Committee positions); Health 2.0 (Chair, Innovation Committee, past Chair, Chapter); I AM B.E.A.U.T.I.F.U.L. (Board Member - an award-winning program dedicated to building leadership capability in girls of all ages); MCPHS University (Executive in Residence); NAHDO (National Association of Health Data Organizations) (Board Member) to name a few. Helen's career awards include Becker's “Women to Watch in HIT 2020” and “70 Women Leaders in HIT to Know, 2020”; Health 2.0 “Ten Year Industry Leader”; Health Data Management (2016, 2017, 2018,2019) “Most Powerful Women in Healthcare IT”; Becker's prestigious “Women to Know in Healthcare IT” (2018, 2019); HIMSS NYS Chapter Women Health IT Mentor Award and HIMSS NYS Chapter Service Award; AmerisourceBergen's President's Club for Outstanding Performance. She publishes, lectures, and presents regularly on healthcare technology. She holds academic appointments, has a Baccalaureate in Science, Doctorate of Pharmacy, Healthcare Administration MBA, and completed a drug information research fellowship. Helen is a career mentor and passionate about supporting the environment. She volunteers for the Alzheimer Association; various community programs servicing seniors and youth and guides several start-up companies interested in positioning technologies in healthcare. Helen is Chief Strategy Officer, MedicaSoft based, Arlington, Va., and serves as Executive in Residence, School of Healthcare Business, Massachusetts College of Pharmacy & Health Sciences University, Boston MA. support the show: https://anchor.fm/thinkfuture/support --- Send in a voice message: https://anchor.fm/thinkfuture/message Support this podcast: https://anchor.fm/thinkfuture/support

New York Amsterdam News Podcast
12/17/20 Dr. Kitaw Demissie, Downstate Health Sciences University School of Public Health

New York Amsterdam News Podcast

Play Episode Listen Later Dec 17, 2020 30:34


Dr. Kitaw Demissie returns to the podcast to discuss the COVID-19 vaccine. (Photo by Scott Heins for the Office of Gov. Andrew M. Cuomo)

Becker’s Healthcare Podcast
David Berger, CEO of Chief Executive Officer University Hospital of Brooklyn at State University of New York Downstate Health Sciences University

Becker’s Healthcare Podcast

Play Episode Listen Later Nov 26, 2020 20:25


This episode features David Berger, CEO of University Hospital of Brooklyn at State University of New York Downstate Health Sciences University. Here, he discusses the COVID-19 situation in Brooklyn, his points of pride in the hospital, and more.

Becker’s Healthcare Podcast
David Berger MD, MHCM, CEO of Chief Executive Officer University Hospital of Brooklyn at State University of New York Downstate Health Sciences University

Becker’s Healthcare Podcast

Play Episode Listen Later Nov 26, 2020 20:25


This episode features David Berger MD, MHCM, CEO of University Hospital of Brooklyn at State University of New York Downstate Health Sciences University. Here, he discusses the COVID-19 situation in Brooklyn, his points of pride in the hospital, and more.

Revista MSP
Funcionarios Ponce Health Sciences University explican sobre la ceremonia virtual

Revista MSP

Play Episode Listen Later Jun 26, 2020 24:41


#AHORA I En minutos inicia la ceremonia de grado de los estudiantes del Ponce Health Sciences University, hablamos con el rector y otros integrantes de la comunidad educativa que nos contaron cómo trabaja la academia desde la #virtualidad y con uno de sus graduados para saber cómo recibe el grado. Más detalles http://ow.ly/3pjG50Adh7k #ExclusivoMSP #SomosCiencia #NoBajesLaGuardia #LosPacientesPrimero #DerechoSocialPR #DerechoaLaSaludenPR - - - Ver esta entrevista en Youtube: https://youtu.be/1JdZFZSTPTY - - - Visite nuestro sitio especializado: bit.ly/2Qbn67F - - - Visite nuestro portal de noticias: medicinaysaludpublica.com/ - - - Síguenos en Facebook: www.facebook.com/revistamsp/

Ray and Joe D.
Ray and Joe D: Health Issues

Ray and Joe D.

Play Episode Listen Later Jun 16, 2020 8:54


Karl E. Minges, Ph.D., MPH, Assistant Professor & Chair Department Of Health Administration & Policy Director, Mph Program School of Health Sciences University of New Haven. He calls in to discuss public health issues related to the pandemic as well as epidemiology, PPE, racial differences, perception of risk, return to school, and conducted his own research during COVID-19.

I AM WOMAN Project
Episode 215: Turn Blocks into Gates with Dr. Danielle Olson

I AM WOMAN Project

Play Episode Listen Later May 5, 2020 52:20


Catherine is here today with Dr. Danielle Olson. When faced with a diagnosis of a tumour that had caused blindness and infertility, Dr. Danielle Olson used this opportunity to transform a tragedy into triumph. Months after opening her first practice, she had to make a decision of whether or not to go through surgery. This type of tumour returned 80% of the time after surgical removal, and she realized that there had to be a reason as to why it developed in the first place. She had been fascinated by the power of the brain and spinal cord since she was 10 years old … after a friend was paralysed in a car accident. Even at that young age, Doctor Dani spent hours looking through the intricate drawings in her favourite book - Gray's Anatomy. This passion led her to pursue a major in Biology at Saint Olaf College and earn her Doctorate from North-western Health Sciences University. With determination to heal herself naturally, she went on a fast, prayed, meditated, and sought Cranial care. All of her hard work and focus to heal was a success when her tumour vanished in a matter of minutes during a Cranial session. A Divine encounter with an angel and her deceased father gave her the answer of WHY she developed this tumour, and she experienced, first-hand, the power that makes the body heal itself. Find Out More About Dr. Danielle Olson Visit Dr. Danielle Olson's Website Follow Dr. Olson on Facebook Connect with Dr. Danielle Olson on Twitter @RealDoctorDani Follow Dr. Danielle on Instagram @dr_dani_los_angeles It's now time to tune into this one very inspirational human being. ENJOY!

New York Amsterdam News Podcast
4/27/20 Dr. Kitaw Demissie of Downstate Health Sciences University discusses the latest in the COVID-19 outbreak

New York Amsterdam News Podcast

Play Episode Listen Later Apr 27, 2020 35:23


Dr. Kitaw Demissie returns to the podcast to give the latest medical updates on the COVID-19 pandemic. (Music by Chillhop Music, Track: Tesk - TWRK)

New York Amsterdam News Podcast
3/19/20 Dr. Kitaw Demissie of Downstate Health Sciences University School of Public Health discusses the coronavirus outbreak

New York Amsterdam News Podcast

Play Episode Listen Later Mar 20, 2020 26:31


The coronavirus continues to infect people in New York City and across the nation. People are being told to limit their time going out to help slow down the spread.

The Why Factor
Why do we care so much about games?

The Why Factor

Play Episode Listen Later Jul 22, 2019 23:13


The sports teams we support say something about who we are. Our identities are bound up with the men and women who play for our side – and we experience their success and failure as if they were our own. But, if supporting your team is so important, how can there be so many people who think these contests are of little consequence? Sandra Kanthal explores why we care so deeply about the outcome of a game. Michael Sandel, professor of Government Theory - Harvard University Dr Martha Newson, cognitive anthropologist - Oxford University Dr Alan Pringle, faculty of Medicine and Health Sciences - University of Nottingham Stephen Reicher, professor of Social Psychology -University of St Andrews Matthew Engel, sportswriter and author of That's the Way It Crumbles Nisha Nair, assistant professor of Business Administration – University of Pittsburgh (Photo: Pakistan cricket superfans. Credit: Mohammed Arif, ECB National Growth Manager, Diverse Communities)

care games medicine diverse communities michael sandel health sciences university sandra kanthal
The Original Guide To Men's Health
Episode 15. What Everyone Should Know about Tobacco, Smoking and Vaping

The Original Guide To Men's Health

Play Episode Listen Later Jun 21, 2019 44:13


Reasons, support, empathy, data, apps, and resources for not smoking or quitting smoking are abundant (thank you public health!), and covered in this episode. While tobacco use has declined, the use of high tech nicotine delivery devices—ecigarettes and vaping—are replacing it, especially among youth. There are a lot of unknowns about this new trend. Guests: Sarah Ross Viles, MPH: Director of the Tobacco Studies Program University of Washington, former Chronic Disease Program manager Public Health, King County Washington. Tim McAfee, MD Affiliate Assistant Professor, Health Sciences University of Washington, Former Director, Office on Smoking and Health, Center for Disease Control and Prevention. Consultant with the CDC Anti Smoking Media Campaign

The Bio Report
How a Leading Health Sciences University is Working to Address Homelessness

The Bio Report

Play Episode Listen Later Dec 6, 2018 27:51


Matt State is known for his work trying to understand the biology underlying psychiatric illnesses, but as the chairman of the University of California, San Francisco's Department of Psychiatry, part of his job has been to help address the city's homelessness crisis. Homelessness is a complex issue, but the role mental health plays in the problem is often overlooked. With about 10,000 people who are homeless in San Francisco, more than a third of these people have a psychiatric or substance abuse problem. We spoke to State about the connection between homelessness and mental health issues, UCSF's efforts in this area, and how it fits with the mission of a leading public institution.

MLM Nation
208: What To Say To Your Prospect To Successfully Transition Them Into The Perfect 3-Way Call And How To Orchestrate The Whole Process by Babette Teno

MLM Nation

Play Episode Listen Later Jul 24, 2016 55:08


To visit show notes page and resources, go to: www.MLMNation.net/208 Who is Babette Teno? Asides from being a top MLM leader at her company, Babette Teno is a mother, nutritionist, an entrepreneur, a coach, a writer and a speaker. She does a lot of outreach and volunteer work, and is currently forming a Non-Profit Organization to provide tools, training and resources for women who have been abused. Babette was first introduced to Network Marketing 20 years ago. Without any experience or success to speak of, she was re-introduced nearly 3 years ago. Since then, Babette quickly became one of the top women in her network marketing company while building her business part-time, serving as a Director at a Health Sciences University; working and commuting 16 hours a day!

Archive 1 of MLM Nation
208: What To Say To Your Prospect To Successfully Transition Them Into The Perfect 3-Way Call And How To Orchestrate The Whole Process by Babette Teno

Archive 1 of MLM Nation

Play Episode Listen Later Jul 24, 2016 55:08


To visit show notes page and resources, go to: www.MLMNation.net/208 Who is Babette Teno? Asides from being a top MLM leader at her company, Babette Teno is a mother, nutritionist, an entrepreneur, a coach, a writer and a speaker. She does a lot of outreach and volunteer work, and is currently forming a Non-Profit Organization to provide tools, training and resources for women who have been abused. Babette was first introduced to Network Marketing 20 years ago. Without any experience or success to speak of, she was re-introduced nearly 3 years ago. Since then, Babette quickly became one of the top women in her network marketing company while building her business part-time, serving as a Director at a Health Sciences University; working and commuting 16 hours a day!

MLM Nation
208: What To Say To Your Prospect To Successfully Transition Them Into The Perfect 3-Way Call And How To Orchestrate The Whole Process by Babette Teno

MLM Nation

Play Episode Listen Later Jul 24, 2016 55:08


To visit show notes page and resources, go to: www.MLMNation.net/208 Who is Babette Teno? Asides from being a top MLM leader at her company, Babette Teno is a mother, nutritionist, an entrepreneur, a coach, a writer and a speaker. She does a lot of outreach and volunteer work, and is currently forming a Non-Profit Organization to provide tools, training and resources for women who have been abused. Babette was first introduced to Network Marketing 20 years ago. Without any experience or success to speak of, she was re-introduced nearly 3 years ago. Since then, Babette quickly became one of the top women in her network marketing company while building her business part-time, serving as a Director at a Health Sciences University; working and commuting 16 hours a day!

Dentistry Uncensored with Howard Farran
190 Endo Innovations with Rodrigo Cunha : Dentistry Uncensored with Howard Farran

Dentistry Uncensored with Howard Farran

Play Episode Listen Later Oct 14, 2015 60:05


Rodrigo Cunha discusses: •The Importance of Dentin Preservation - An Evidence Based Approach •Using technology in order to preserve tooth structure during Endodontic treatment •TRUShape files and Dentin Preservation     Rodrigo Sanches Cunha DDS MSc PhD FRCD(C) Associate Professor and Division Head of Endodontics, at the College of Dentistry, Faculty of Health Sciences - University of Manitoba, Canada.  Department Head, Restorative Dentistry Guest speaker at many events in Brazil, Argentina, Canada, UAE and USA.  Published a multitude of papers and abstracts in several peer reviewed journals Participated as the author and co-author of several Book Chapters in Endodontics Textbooks. Member of the Scientific Board for both the IEJ and JOE. Private practice limited to Endodontics since 1995 Member of the American Association of Endodontics (AAE) Member of the Canadian Academy of Endodontics (CAE) Member of the International Association of Dental Traumatology