Podcasts about Health services research

Send us a textOn this episode of Shoreside, host Nicholas Merino speaks with Catherine Moore, director of the Health Professions Data System at the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill, about striking projections: by 2033, North Carolina may face shortages of 12,500 registered nurses and 5,000 licensed practical nurses if current trends continue. We explore regional disparities, challenges in retention and diversity, and state initiatives to expand programs, bolster faculty, and improve workplace conditions. We explore regional disparities, challenges in retention and diversity, and state initiatives to expand programs, bolster faculty, and improve workplace conditions. We learn how only decisive investment in recruitment, training, and retention will secure timely, equitable care for North Carolina communities. For listeners who want to explore the data and policy work behind these projections, here are ten key resources on the Cecil G. Sheps Center website:How has RN Retention in North Carolina Changed over Time? A detailed blog on registered nurse retention and exit trends from 2016–2023.: https://www.shepscenter.unc.edu/news_release/new-blog-post-how-has-rn-retention-in-north-carolina-changed-over-time/  Report on the North Carolina Advanced Practice Registered Nurse Workforce just released A comprehensive brief describing APRN demographics, practice settings, and regional distribution (2013–2022) https://www.shepscenter.unc.edu/news_release/report-on-the-north-carolina-advanced-practice-registered-nurse-workforce-just-released/  New NC Workforce Blog: Trends in the Racial and Ethnic Diversity of Health Professions Analysis of diversity shifts across eight key health professions using 2022 licensure data. https://www.shepscenter.unc.edu/news_release/new-nc-workforce-blog-2022-racial-ethnic-diversity/  Program on Health Workforce Research and Policy Overview of the PHWRP's mission, current projects, and expert work groups. https://www.shepscenter.unc.edu/program/health-workforce-research-and-policy/  Data & Publications Repository A searchable collection of manuscripts, policy briefs, and blog posts on health workforce topics. https://www.shepscenter.unc.edu/programs-projects/workforce/data-publications-resources/  Sheps Health Workforce NC: Interactive Visualizations County-level maps and charts tracking supply and distribution of 21 health professions. https://www.shepscenter.unc.edu/programs-projects/workforce/health-workforce-nc/  North Carolina Health Professions Data System (HPDS) The state's long-running licensure database, with a 27-year retrospective report on its evolution. https://www.shepscenter.unc.edu/hp/publications/NCHPDS_27yrbk.pdf   How does the racial and ethnic diversity of NC healtSupport the showwww.shoresides.org

In a conversation with CancerNetwork®, Leticia Nogueira, PhD, MPH, highlighted the findings and implications of a study she published that evaluated how exposure to wildfires affected post-operative length of stay (LOS) among patients who were recovering from surgery for non–small cell lung cancer (NSCLC). Data from this study showed that patients who underwent curative-intent surgery at facilities exposed to a wildfire disaster experienced a longer LOS compared with similar patients who received treatment during times when no disasters occurred. According to data published in Journal of the National Cancer Institute, the LOS was 7.45 days (SE, 0.22) for patients treated at facilities without wildfire exposure vs 9.42 days (SE, 0.25) among those who underwent surgery at facilities with exposure (P

Dr. Lorraine and Dr. Brie join HeHe to discuss the critical and often overlooked topic of obstetrical violence. In this eye-opening episode, they break down what obstetrical violence is, its impact on women globally, including psychological trauma and avoidable morbidity, and how it violates human rights. The discussion highlights the importance of informed consent, respectful maternity care, and midwifery as potential solutions. The duo also emphasizes the need for systemic changes within the healthcare system to prevent obstetrical violence and improve maternal outcomes. Tune in to learn about practical steps women can take to avoid birth trauma and the crucial role of midwifery in transforming maternity care.   Understanding Obstetrical Violence Examples and Impact of Obstetrical Violence Legal Recourse and Advocacy The Iceberg Analogy and Measurement Tools Respectful Maternity Care and Systemic Issues Transparency and Hospital Reporting Midwifery Care and Trauma Prevention Systemic Obstacles and Solutions Navigating the Complexities of U.S. Healthcare Challenges Faced by Healthcare Providers The Impact of Insurance on Birth Choices Midwifery Care and Its Benefits Policy and Systemic Barriers The Role of Consumer Advocacy Future Directions and Solutions Connecting and Collaborating for Change Guest Bio: Lorraine M. Garcia, PhD, WHNP-BC, CNM does research on the problem of obstetric violence in the US maternity care system and the public health and ethical duties to implement solutions. She also works as a Certified Nurse Midwife with experience in home birth, birth center, and hospital-based care. Lorraine is a reproductive justice advocate and frames most of her research with critical lenses from healthcare systems science, structural and organizational theories, and social justice in nursing. Her perspective on the systemic, normalized abuse and mistreatment of childbearing people is aligned with advocacy workers, interdisciplinary scientists, and all interested and affected parties working to end obstetric violence and achieve birth equity.   Dr. Brie Thumm is an Assistant Professor at the University of Colorado College of Nursing. She has been practicing midwifery domestically and internationally since 2001 when she completed her Masters in the Science of Nursing at Yale University. She obtained her MBA in Healthcare Administration at Baruch College in New York City and her PhD in health systems research at University of Colorado College of Nursing. Her area of research is perinatal workforce development to address disparities in maternal health outcomes and improve the well-being of health care professionals. Prior to her current position, Brie provided care at Planned Parenthood of New York City, served as the Assistant Director of the Sexual Assault Response Team for the Manhattan public hospitals, conducted mental and behavioral health research at the Rocky Mountain Regional Veteran's Affairs Medical Center, and led the clinical and research arms of the Maternal Mortality Prevention Program at the Colorado Department of Public Health and Environment. She continues to practice clinically at Denver Health. SOCIAL MEDIA: Connect with HeHe on IG    Connect with Lorraine on IG  Connect with Lorraine on LinkedIn   BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS: Lorraine's website: https://www.makingbirthbettertogether.com/ Lorraine's Online Store:https://makingbirthbetterstore.com/ Use code    References: Association of Women's Health, Obstetric and Neonatal Nurses. (2022). Respectful maternity care framework and evidence-based clinical practice guideline. Nursing for Women's Health, 26(2), S1−S52. https://doi.org/10.1016/j.nwh.2022.01.001 Beck, C. T. (2018). A secondary analysis of mistreatment of women during childbirth in healthcare facilities. Journal of Obstetric Gynecologic and Neonatal Nursing, 47(1), 94−104. https://doi.org/10.1016/j.jogn.2016.08.015    Borges, M. T. (2018). A violent birth: Reframing coerced procedures during childbirth as obstetric violence. Duke Law Journal, 67(4), 827−862.    Carlson, N. S., Neal, J. L., Tilden, E. L., Smith, D. C., Breman, R. B., Lowe, N. K., Dietrich, M. S., & Phillippi, J. C. (2019). Influence of midwifery presence in United States centers on labor care and outcomes of low-risk parous women: A Consortium on Safe Labor study. Birth, 46(3), 487-499. https://doi.org/10.1111/birt.12405    Chadwick, R. (2021). The dangers of minimizing obstetric violence. Violence Against Women, 29(9), 1899−1908. https://doi.org/10.1177/10778012211037379    Cohen Shabot, S. (2021). Why ‘normal' feels so bad: Violence and vaginal examinations during labour: A (feminist) phenomenology. Feminist Theory, 22(3), 443−463. https://doi.org/10.1177/1464700120920764   Cooper Owens, D. (2017). Medical bondage: Race, gender, and the oigins of American gynecology. University of Georgia Press.    Crear-Perry, J., Correa-de-Araujo, R., Lewis Johnson, T., McLemore, M. R., Neilson, E., & Wallace, M. (2021). Social and structural determinants of health inequities in maternal health. Journal of Women's Health, 30(2), 230−235. https://doi.org/10.1089/jwh.2020.8882    Davis, D. A., Casper, M. J., Hammonds, E. & Post, W. (2024). The continued significance of obstetric violence: A response to Chervenak, McLeod-Sordjan, Pollet et al. Health Equity, 8, 513-518. https://www.liebertpub.com/doi/10.1089/heq.2024.0093   Davis, D. A. (2019). Obstetric racism: The racial politics of pregnancy, labor, and birthing. Medical Anthropology, 38(7), 560-573. https://doi.org/10.1080/01459740.2018.1549389 Garcia, L. M. (2020). A concept analysis of obstetric violence in the United States of America. Nursing Forum, 55(4), 654−663. https://doi.org/10.1111/nuf.12482    Garcia, L. M. (2021). Theory analysis of social justice in nursing: Applications to obstetric violence research. Nursing Ethics, 28(7−8). https://doi.org/10.1177/0969733021999767   Garcia L. M. (2023). Obstetric violence in the United States and other high-income countries: An integrative review. Sexual and Reproductive Health Matters, 31(1), 2322194. https://doi.org/10.1080/26410397.2024.2322194   Garcia, L. M., Jones, J., Scandlyn, J., Thumm, E. B., & Shabot, S. C. (2024). The meaning of obstetric violence experiences: A qualitative content analysis of the Break the Silence campaign. International Journal of Nursing Studies, 160, 104911. https://doi.org/10.1016/j.ijnurstu.2024.104911   Hardeman, R. R., Karbeah, J., Almanza, J., & Kozhimannil, K. B. (2020). Roots Community Birth Center: A culturally-centered care model for improving value and equity in childbirth. Healthcare, 8(1). https://doi.org/10.1016/j.hjdsi.2019.100367    Howell, E. A., & Zeitlin, J. (2017). Improving hospital quality to reduce disparities in severe maternal morbidity and mortality. Seminars in Perinatology, 41(5), 266−272. https://doi.org/10.1053/j.semperi.2017.04.002    Jolivet, R. R., Gausman, J., Kapoor, N., Langer, A., Sharma, J., & Semrau, K. E. A. (2021). Operationalizing respectful maternity care at the healthcare provider level: A systematic scoping review. Reproductive Health, 18(1), 194. https://doi.org/10.1186/s12978-021-01241-5   Julian, Z., Robles, D., Whetstone, S., Perritt, J. B., Jackson, A. V., Hardeman, R. R., & Scott, K. A. (2020). Community-informed models of perinatal and reproductive health services provision: A justice-centered paradigm toward equity among Black birthing communities. Seminars in Perinatology, 44(5). https://doi.org/10.1016/j.semperi.2020.151267   Logan, R. G., McLemore, M. R., Julian, Z., Stoll, K., Malhotra, N., GVtM Steering Council, & Vedam, S. (2022). Coercion and non-consent during birth and newborn care in the United States. Birth (Berkeley, Calif.), 49(4), 749–762. https://doi.org/10.1111/birt.12641   Margulis, J. (2013). The business of baby. Scribner.    Mena-Tudela, D., González-Chordá, V. M., Soriano-Vidal, F. J., Bonanad-Carrasco, T., Centeno-Rico, L., Vila-Candel, R., Castro-Sánchez, E., & Cervera Gasch, Á. (2020). Changes in health sciences students' perception of obstetric violence after an educational intervention. Nurse Education Today, 88, https://doi.org/10.1016/j.nedt.2020.104364   Morton, C. H., & Simkin, P. (2019). Can respectful maternity care save and improve lives?. Birth (Berkeley, Calif.), 46(3), 391–395. https://doi.org/10.1111/birt.12444   Neal, J. L., Carlson, N. S., Phillippi, J. C., Tilden, E. L., Smith, D. C., Breman, R. B., Dietrich, M. S., & Lowe, N. K. (2019). Midwifery presence in United States medical centers and labor care and birth outcomes among low-risk nulliparous women: A Consortium on Safe Labor study. Birth (Berkeley, Calif.), 46(3), 475–486. https://doi.org/10.1111/birt.12407   Nelson, H. O. (2022). Conflicted care: Doctors navigating patient welfare, finances, and legal risk. Stanford University Press.    Niles, P. M., Baumont, M., Malhotra, N., Stoll, K., Strauss, N., Lyndon, A., & Vedam, S. (2023). Examining respect, autonomy, and mistreatment in childbirth in the U.S.: Do provider type and place of birth matter? Reproductive Health, 20(1), 67. https://doi.org/10.1186/s12978-023-01584-1    Oparah, J. C., Arega, H., Hudson, D., Jones, L., & Oseguera, T. (2018). Battling over birth: Black women and the maternal health care crisis. Praeclarus Press.    Salter, C., Wint, K., Burke, J., Chang, J. C., Documet, P., Kaselitz, E., & Mendez, D. (2023). Overlap between birth trauma and mistreatment: A qualitative analysis exploring American clinician perspectives on patient birth experiences. Reproductive Health, 20(1), 63. https://doi.org/10.1186/s12978-023-01604-0    Scott, K. A., Britton, L., & McLemore, M. R. (2019). The ethics of perinatal care for Black women: Dismantling the structural racism in "Mother Blame" narratives. The Journal of Perinatal & Neonatal Nursing, 33(2), 108–115. https://doi.org/10.1097/JPN.0000000000000394   Smith, D. C., Phillippi, J. C., Lowe, N. K., Breman, R. B., Carlson, N. S., Neal, J. L., Gutierrez, E., & Tilden, E. L. (2020). Using the Robson 10-group classification system to compare cesarean birth utilization between US centers with and without midwives. J Midwifery Womens Health, 65(1), 10-21. https://doi.org/10.1111/jmwh.13035    Smith, S., Redmond, M., Stites, S., Sims, J., Ramaswamy, M., & Kelly, P. J. (2023). Creating an agenda for Black birth equity: Black voices matter. Health Equity, 7(1), 185−191. https://doi.org/10.1089/heq.2021.0156    Thumm, E. B., & Flynn, L. (2018). The five attributes of a supportive midwifery practice climate: A review of the literature. Journal of Midwifery & Women's Health, 63(1), 90−103. https://doi.org/10.1111/jmwh.12707    Thumm, E. B., & Meek, P. (2020). Development and initial psychometric testing of the Midwifery Practice Climate Scale. Journal of Midwifery & Women's Health, 65(5), 643−650. https://doi.org/10.1111/jmwh.13142    Thumm, E. B., Shaffer, J., & Meek, P. (2020). Development and initial psychometric testing of the Midwifery Practice Climate Scale: Part 2. Journal of Midwifery & Women's Health, 65(5), 651−659. https://doi.org/10.1111/jmwh.13160  Thumm, E. B., Smith, D. C., Squires, A. P., Breedlove, G., & Meek, P. M. (2022). Burnout of the U.S. midwifery workforce and the role of practice environment. Health Services Research, 57(2), 351−363. https://doi.org/10.1111/1475-6773.13922    Williams, C. R., & Meier, B. M. (2019). Ending the abuse: The human rights implications of obstetric violence and the promise of rights-based policy to realise respectful maternity care. Sexual and Reproductive Health Matters, 27(1). https://doi.org/10.1080/26410397.2019.1691899    Yarrow, A. (2023). Birth control: The insidious power of men over motherhood. Seal Press.    Zhuang, J., Goldbort, J., Bogdan-Lovis, E., Bresnahan, M., & Shareef, S. (2023). Black mothers' birthing experiences: In search of birthing justice. Ethnicity and Health, 28(1), 46−60. https://doi.org/10.1080/13557858.2022.2027885  

Send us a textDr. Sudip Parikh, Ph.D. ( https://www.aaas.org/person/sudip-parikh ), is the Chief Executive Officer of the American Association for the Advancement of Science (AAAS) and Executive Publisher of the Science family of journals and has spent the last two decades at the nexus of science, policy, and business.Prior to joining AAAS, Dr. Parikh was senior vice president and managing director at Drug Information Association (DIA Global), a neutral, multidisciplinary organization for healthcare product development where he led strategy in the Americas and oversaw DIA programs that catalyzed progress globally toward novel regulatory frameworks for advanced therapies.Prior to DIA, Dr. Parikh was a vice president at Battelle, a multibillion-dollar research and development organization, where he led two business units with over 500 scientific, technical, and computing experts performing basic and applied research, developing medicines and healthcare devices, developing agricultural products, and creating advanced analytics and artificial intelligence applications to improve human health.From 2001 to 2009, Dr. Parikh served as science advisor to the Republican leadership of the U.S. Senate Appropriations Committee, where he was responsible for negotiating budgets for the National Institutes of Health (NIH), Centers for Disease Control and Prevention (CDC), Agency for Healthcare Research and Quality, Biomedical Advanced Research and Development Authority (BARDA), and other scientific and health agencies.As a key legislative liaison to the research and development ecosystem, Dr. Parikh was on the frontlines of many science policy issues debated during that time, including embryonic stem cell research, cloning, disease surveillance, bioterrorism, cyber security, and doubling the NIH budget.An active member of the scientific advocacy community, Dr. Parikh serves as a board member and officer for several impactful organizations, including Research!America ( https://www.researchamerica.org/ ), which he has chaired since 2023, Friends of Cancer Research, and ACT for NIH.  He also serves as co-chair of the Science and Technology Action Committee ( https://sciencetechaction.org/ ), Science CEO Group, and the Coalition for Trust in Health and Science ( https://trustinhealthandscience.org/ ).  He is also a member of the Board of Life Sciences of the U.S. National Academies of Science, Engineering, and Medicine.Dr. Parikh is an elected member of the American Academy of Arts and Sciences and the Council on Foreign Relations. He has also received multiple public service awards, including recognition from the Society for Women's Health Research, the American Association of Immunologists, the National AIDS Alliance, the Coalition for Health Services Research, and the Juvenile Diabetes Research Foundation.Early in his career, Dr. Parikh was a Presidential Management Intern at the NIH. He was awarded a National Science Foundation Graduate Research Fellowship while earning his Ph.D. in macromolecular structure and chemistry at the Scripps Research Institute in La Jolla, Calif.  There, he used structural biology and biochemistry techniques to probe the mechanisms of DNA repair enzymes.  Dr. Parikh completed undergraduate studies at the University of North Carolina at Chapel Hill, first as a journalism major before switching into materials science. #SudipParikh #AAAS #AmericanAssociationForTheAdvancementOfScience #Science #Policy #Business #DrugInformationAssociation #Battelle #ResearchAmerica  #ScienceAndTechnologyActionCommittee #CoalitionForTrustInHealthAndScience #Appropriations #Congress #ArtificialIntelligence #DrugDevelopment #ProgressPotentialAndPossibilitSupport the show

Public Health Careers podcast episode with Kene Orakwue, MPH

This episode features Professor Raymond Voltz (Department of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany; Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD), Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany; Center for Health Services Research, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany)   What is already known about the topic? The wish to hasten death is frequent in patients with serious illness and can associated with immense burden, potentially leading to suicidality or a wish for assisted suicide. Many patients retain their will to live throughout their entire illness trajectory, even in palliative stages and at the end of life. In some studies, both phenomena are found to be negatively correlated, yet simultaneous expressions of both a high wish to hasten death and a high will to live are possible.   What this paper adds? We confirm the negative correlation between the wish to hasten death and the will to live over the observation time of 4–6 week after an open conversation in the group analysis. However, there was a substantial number of outliers of this pattern with clinically relevant changes in both phenomen. Three illustrative cases show that factors like patient personality and individual situation influence uncommon trajectories of wish to hasten death and will to live.   Implications for practice, theory, or policy Clinical and research assessment should be aware of the fact that a wish to hasten death does not necessarily imply a low will to live and vice versa, thus both phenomena should be addressed simultaneously and proactively. The application of secondary analysis using an integrative mixed-methods-approach of validated questionnaires and in-depth interviews might be effective to reveal the nature of ambiguous or seemingly paradoxical phenomena such as double awareness of wish to hasten death and will to live. As the double awareness of the wish to hasten death and the will to live is common at the end of life, but can be hard to endure, health professionals should develop an open and accepting attitude to support patients in dealing with it.   Full paper available from:     https://journals.sagepub.com/doi/full/10.1177/02692163241269689   If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu:  a.nwosu@lancaster.ac.uk

[Apologies for the non-optimal sound quality] ‘Findings ways to self-regulate physical activity and other health behaviors to maximize well-being (during and beyond the Corona virus crisis)'. Dr. Adrian Taylor is Professor in Health Services Research at University of Plymouth. He was co-founding editor in chief with Guy Faulkner (UBC, Canada) for the international journal Mental Health and Physical Activity Journal in 2008 and remains Editor in Chief. https://www.journals.elsevier.com/mental-health-and-physical-activity --- ____________________________ This podcast episode is sponsored by Fibion Inc. | Better Sleep, Sedentary Behavior and Physical Activity Research with Less Hassle --- Collect, store and manage SB and PA data easily and remotely - Discover ground-breaking Fibion SENS. --- SB and PA measurements, analysis, and feedback made easy - Learn more about Fibion Research. --- Learn more about Fibion Sleep and Fibion Circadian Rhythm Solutions. --- Fibion Kids - Activity tracking designed for children. --- Explore our Wearables, Experience sampling method (ESM), Sleep,  Heart rate variability (HRV), Sedentary Behavior and Physical Activity article collections for insights on related articles. --- Refer to our article "Physical Activity and Sedentary Behavior Measurements" for an exploration of active and sedentary lifestyle assessment methods. --- Learn about actigraphy in our guide: Exploring Actigraphy in Scientific Research: A Comprehensive Guide. --- Gain foundational ESM insights with "Introduction to Experience Sampling Method (ESM)" for a comprehensive overview. --- Explore accelerometer use in health research with our article "Measuring Physical Activity and Sedentary Behavior with Accelerometers ". --- For an introduction to the fundamental aspects of HRV, consider revisiting our Ultimate Guide to Heart Rate Variability. --- Follow the podcast on Twitter https://twitter.com/PA_Researcher  Follow host Dr Olli Tikkanen on Twitter https://twitter.com/ollitikkanen  Follow Fibion on Twitter https://twitter.com/fibion  Check us on YouTube: https://www.youtube.com/@PA_Researcher 

Maggie Davis, ASTHO's Director of State Health Policy, examines recent state-level funding changes for public health; Dr. Pamela Mink, Director of Health Services Research at the Minnesota Department of Health, tells us about a report on the impact of the 2021 Minnesota Telehealth Act; and apply today to be part of ASTHO's next DELPH cohort. Minnesota Department of Health Web Page: MDH study finds telehealth continues to benefit Minnesotans ASTHO Blog Article: State Efforts to Bolster Funding for Core Public Health Services ASTHO Web Page: Stay Informed ASTHO Web Page: DELPH Applications  

The 2024 State of the Science Meeting from the Southeastern Coastal Center for Agricultural Health and Safety brought together several researchers and Extension professionals working at the intersection of agricultural health and safety research, policy, and outreach communication. In this episode, two speakers from the meeting reconvene to share a conversation about innovative rural health initiatives. Dr. Holly Cost, assistant vice president for University Outreach and Public Service at Auburn University, and Dr. Mark Holmes, director of the University of North Carolina at Chapel Hill's Cecil G. Sheps Center for Health Services Research, explore the challenges and disparities in healthcare access between urban and rural communities, touching on issues like hospital closures, limited specialty services, and the importance of local leadership. They emphasize the need for tailored healthcare solutions to address the unique needs of rural populations.

In this episode of #InAIWeTrust, Dr. Brennan Spiegel, Cedars-Sinai Director of Health Services Research and Chair of Digital Health Ethics, discusses his use of AI for increased efficiencies and to improve patient care, including co-founding Xaia, an AI mental health tool. He talks about the importance of human-centered design and how AI can enable doctors to better serve and care for patients. 

Nevena and Macca talk to Professor Tracy Comans, The Centre for Health Services Research, University of Queensland   The post Saturday, 28th, September, 2024:Professor Tracy Comans, The Centre for Health Services Research, Govt changes to Ageing Australians appeared first on Saturday Magazine.

In this episode, we talk to Dr Joe Hutchinson, who is a salaried GP and an academic GP working within the Centre for Primary Care and Health Services Research at the University of Manchester. Title of paper: Trends in full-time working in general practice: repeated cross-sectional studyAvailable at: https://doi.org/10.3399/BJGP.2023.0432General practice is under increasing pressure, in part due to a lack of GPs. There is contention as to the proportion of GPs working full-time. We find that average hours and sessions worked per week by GPs in England have declined, whilst average hours per session has increased. Over half (55%) of GPs work at least the NHS Digital standard full-time definition of 37.5 hours per week. Average hours worked per session in 2021 was 51% greater than the BMA standard definition of a session's duration. We recommend removing sessions as a definition of full-time working. However, if full-time work commitment continues to be defined in terms of the number of sessions worked, alignment with the NHS definition of 37.5 hours per week could be achieved by recognising that 6.0 sessions per week of 6.2 hours constitutes full-time work.

Suzanne Hagen, Professor of Health Services Research at Glasgow Caledonian University, and Dr. Barry O'Reilly, Clinical Professor of Obstetrics and Gynecology at University College Cork, discuss a new report into how childbirth can leave some women with lasting health issues.

Our guest for this episode of Mathematica's On the Evidence podcast is Dr. Aaron Carroll, a pediatrician, health researcher, and science communicator who recently assumed the post of president and chief executive officer at AcademyHealth, the leading national organization for convening and sharing information across health services researchers, policymakers, and health care practitioners. On the Evidence spoke with Carroll ahead of his organization's Health Datapalooza conference in mid-September. This year, the event is focused on data-driven solutions that address critical public health challenges. The conference's theme reflects a collaboration between AcademyHealth and the Centers for Disease Control and Prevention (CDC) to facilitate greater coordination and learning across health care and public health data systems. Mathematica is a member organization of AcademyHealth and a sponsor of the 2024 Health Datapalooza. In the episode, Carroll discusses what he has learned about effective science communication from blogging for The Incidental Economist, hosting the Healthcare Triage podcast, authoring several books, publishing research in peer-review journals, and contributing regularly to The New York Times. The interview covers a range of other topics as well, including the implications of climate change and artificial intelligence on health care and health services research; the need for greater interoperability among health and social services data systems; and the value of solutions for addressing the social determinants of health. Visit our website for a transcript of this episode: https://mathematica.org/blogs/aaron-carroll-on-the-future-of-health-services-research Watch the Healthcare Triage series on health and climate change: https://www.youtube.com/playlist?list=PLkfBg8ML-gInVPCl7zVMWvRX3SVwTRhgc Read Carroll's guest essay in The New York Times about lessons from other countries that could improve health care in the U.S.: https://www.nytimes.com/2023/06/13/opinion/health-care-reform.html Learn more about Mathematica's interdisciplinary climate practice: https://www.mathematica.org/sp/climate-change/climate-action Read a blog series by Mathematica staff about improving the quality and usability of social determinants of health data: https://www.mathematica.org/blogs/to-address-the-social-determinants-of-health-start-with-the-data Listen to a podcast about a federally-funded initiative to improve the collection of information from patients about their health-related social needs: https://www.mathematica.org/blogs/lessons-from-a-national-health-initiative-that-helps-address-social-needs Learn more about Mathematica's public health data modernization work, including recent projects for the Pew Charitable Trusts on public health data policies and practices in states, the Robert Wood Johnson Foundation on transforming public health data systems to advance equity, and operation of a Public Health Data Modernization Implementation Center for the CDC and Public Health Infrastructure Grant National Partners: https://www.mathematica.org/sp/public-health Learn more about Mathematica's Health Data Innovation Lab, which connects health care industry professionals with data scientists, social scientists, and technologists to address complex challenges within a health care organization or tackle broader issues related to fragmented care, social determinants of health, and health care inequality: https://staginginter.mathematica.net/sites/health-data-innovation-lab

On this episode of the Healthy, Wealthy, and Smart podcast, Dr. Jennifer Stevens-Lapsley and Dr. Kory Zimney, underscored the crucial role clinicians play in influencing the APTA research agenda. They emphasized that clinicians should be invested in the research agenda as it directly impacts their practice and the well-being of their patients. Here are key takeaways from the episode on how clinicians can actively contribute to the APTA research agenda: 1.     Data Collection: Clinicians are encouraged to start gathering outcomes data in their clinical settings. This data serves as a valuable resource for addressing research inquiries and refining clinical practices. By systematically collecting data on patient outcomes, clinicians can bolster the evidence base, guiding decision-making at both individual patient levels and broader research endeavors. 2.     Questioning: Clinicians are uniquely positioned to identify knowledge gaps and areas requiring further research. By posing questions based on their clinical experiences, clinicians can help shape research priorities and initiate meaningful research projects. Cultivating a curious mindset can lead to the formulation of research questions that tackle real-world clinical challenges. 3.     Collaboration with Researchers: Collaboration between clinicians and researchers is pivotal for advancing the field of physical therapy. Clinicians can collaborate with researchers by sharing clinical insights, participating in research studies, and engaging in discussions on research findings. Through joint efforts, clinicians and researchers can ensure that research remains relevant, practical, and directly applicable to clinical settings. 4.     Networking and Relationship Building: Clinicians are urged to network with researchers, academic institutions, and other healthcare professionals to foster collaborations and knowledge exchange. Establishing relationships with researchers can provide clinicians with opportunities to contribute to research projects, access resources, and stay abreast of the latest research developments in physical therapy. 5.     Promoting Evidence-Based Practice: Physical therapists are an evidence-based profession who rely on research to inform their clinical interventions. By actively engaging with the APTA research agenda and participating in research endeavors, clinicians can enhance the quality of care they deliver and contribute to the advancement of the profession. Time Stamps:  00:00:00 - Introduction and Guest Welcome 00:01:04 - Importance of the APTA Research Agenda 00:03:27 - Development Process of the Research Agenda 00:07:02 - Dissemination of the Research Agenda 00:11:56 - Overview of the Six Key Areas 00:12:14 - Population Health Research 00:12:59 - Mechanistic Research 00:13:19 - Clinical Research 00:17:19 - Education and Professional Development Research 00:21:16 - Health Services Research 00:22:18 - Workforce Research 00:24:36 - Relevance to Clinicians 00:30:05 - Encouragement for Clinician Involvement 00:32:11 - Final Thoughts and Takeaways 00:34:16 - Contact Information for Guests 00:34:42 - Advice to 20-Year-Old Self 00:36:12 - Conclusion and Sign-Off   More About Dr. Jennifer Stevens-Lapsley: Dr. Stevens-Lapsley serves as a Professor and the Director of the Rehabilitation Science PhD Program within the Physical Therapy Program at the University of Colorado Anschutz Medical Center. Additionally, she is the Associate Director of Research for the Eastern Colorado VA Geriatrics Research, Education, and Clinical Center (GRECC). She is dedicated to the advancement of evidence-based solutions in older adult rehabilitation, achieved through rigorous research methodologies and strategic partnerships. With 25 years of experience in clinical research, her specialization lies in post-joint arthroplasty care and medically complex patient populations.  Dr. Stevens-Lapsley's impactful clinical research has yielded 200 publications, garnered numerous awards, and secured $20 million in funding. She is a frequent presenter at both national and international forums, contributing significantly to the dissemination of her research findings.   More About Dr. Kory Zimney: Kory Zimney, PT, DPT, Ph.D. has been practicing physical therapy since 1994 following his graduation from the University of North Dakota with his Master in Physical Therapy. He completed his transitional DPT graduate from the Post Professional Doctorate of Physical Therapy Program at Des Moines University, Class of 2010. He also earned his Ph.D. in Physical Therapy from Nova Southeastern University in 2020. Dr. Zimney is an Associate Professor within the Department of Physical Therapy at the University of South Dakota and the Director of the Ph.D. in Health Sciences program at USD. He also serves as Senior Faculty with Evidence in Motion (EIM) and researcher with Therapeutic Neuroscience Research Group and USD Center for Brain and Behavior Research. His primary teaching, research, and treatment focuses are on pain neuroscience, therapeutic alliance, and evidence-based practice for orthopedic injuries of the spine and extremities. He has published multiple peer-reviewed research articles in these areas. Past work experiences have been with various community-based hospitals working in multiple patient care areas, including inpatient, skilled rehab, home health, acute rehab, work conditioning/hardening, and outpatient orthopedics.   He has completed the Advanced Credentialed Clinical Instructor program through the American Physical Therapy Association and is a Certified Spinal Manual Therapist and assisted in the development of the Therapeutic Pain Specialist program through the EIM certification program, and has a certification in Applied Functional Science through the Gray Institute. Resources from this Episode: APTA Research Agenda   Jane Sponsorship Information: Win a Ticket to See Lorimer Moseley in NYC Book a one-on-one demo here Mention the code LITZY1MO for a free month     Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

Is social media a force for good or evil? Find out in this week's podcast episode, where Jonathan and Brennan Spiegel, Director of Health Services Research at Cedars-Sinai Medical Center explore AI and social media, before discussing irritable bowel syndrome and the gastro-intestinal manifestations of COVID-19. Use the following timestamps to navigate this week's episode: (00:00)-Introduction (01:02)- Social media as a force for good or evil (07:36)-Artificial intelligence: preserving the humanity of healing (11:48)-Gastro-intestinal manifestations of COVID-19 (14:34)-Navigating the assault course of the GI tract (16:40)-Irritable bowel syndrome (20:26)-The flaws of healthcare systems, how can technology help? (24:55)-Brennan's 3 wishes

How can virtual reality improve patient care? Find out in this week's podcast episode, where Jonathan and Brennan Spiegel, Director of Health Services Research at Cedars-Sinai Medical Center discuss the philosophy of mind and the effects of virtual reality on the human mind. Timestamps: (00:00)-Introduction (02:33)- Brennan's spark towards the human body (04:11)-The philosophy of mind (05:08)-Effects of VR on human mind (08:01)-VR at Cedars (10:43)-Two sides of a coin (13:36)-The future of augmented reality (16:47)-The big picture of VR use

Speech Language Pathology: Continuing Education Courses by SLP Nerdcast Course Title: Bridging the Research-to-Practice Gap Part 2: We can make it betterGet .1 ASHA CEUs and view the full course landing page: https://courses.slpnerdcast.com/courses/bridging-the-research-to-practice-gap-part-2-abje0133Earning Speech-Language Pathology CEUs Online is Simplified with SLP Nerdcast. On SLP Nerdcast you'll find SLP Continuing Education Courses, Masterclasses and Clinical Resources. To learn more about our services visit ▶ https://bit.ly/SLPNERDCAST To learn more about our membership and save 10% on your first year of membership visit ▶ https://bit.ly/SLPNerdcastMembership use code “YouTubeNerd” to save.Learning Objectives:Describe levels of involvement for researchers and non-researcher invested parties depending on the projectList the five key dimensions of Research to Practice PartnershipsList at least two real world examples of Research to Practice Partnerships in actionReferences & Resources:IAP2Family Guided Routines Based InterventionImplementation Science ConferenceResearchGateAlonzo, C. N., Komesidou, R., Wolter, J. A., Curran, M., Ricketts, J., & Hogan, T. P. (2022). Building sustainable models of research–practice partnerships within educational systems. American Journal of Speech-Language Pathology, 31(3), 1–13. https://doi.org/10.1044/2021_ajslp-21-00181 Baumann, A. A., Shelton, R. C., Kumanyika, S., & Haire‐Joshu, D. (2023). Advancing Healthcare Equity through dissemination and implementation science. Health Services Research, 58(S3), 327–344. https://doi.org/10.1111/1475-6773.14175

In this month's episode, we talk heart health with Dr. Gbenga Ogedegbe, renowned cardiologist and founding director of the Institute for Excellence in Health Equity at NYU Langone Health. Dr. Ogedegbe provides an overview of how exactly the heart works and shares the good news and the not-so-good news about heart disease. He reviews the target numbers we should all aim for and offers simple steps we can take to keep our hearts in good working order. And because stress is a major risk factor for heart disease, Dr. Ogedegbe shares some of his own stress-busting strategies he practices daily.     The Takeaway  Find out where you stand heart-wise by making an appointment with your primary care physician. Don't have one? Find one at our Provider Directory: www.1199SEIUBenefits.org/find-a-provider.    Visit the Healthy Living Resource Center for wellness tips, information and resources; www.1199SEIUBenefits.org/healthyliving.  Get to know your numbers at www.1199SEIUBenefits.org/healthyhearts.    Join WeightWatchers at a discounted rate of just $8 a month; $0 if you are living with diabetes or prediabetes: www.1199SEIUBenefits.org/ww.  If you are living with type 2 diabetes, find out more about our partner Virta's diabetes reversal program: www.1199SEIUBenefits.org/news/virta.   Get inspired by fellow members through our new Members' Voices series: www.1199SEIUBenefits.org/healthyliving/membervoices.   Stop by our Benefits Channel to join webinars on managing stress, building healthy meals and more: www.1199SEIUBenefits.org/videos.  Visit our  YouTube channel to view a wide collection of healthy living videos: www.youtube.com/@1199SEIUBenefitFunds/playlists.  Sample our wellness classes to exercise body and mind: www.1199SEIUBenefits.org/wellnessevents.     Guest Bio  Gbenga Ogedegbe, MD, MPH is the inaugural and founding director of the Institute for Excellence in Health Equity (IEHE) at NYU Langone Health. He is the Dr. Adolph & Margaret Berger Professor of Medicine and Population Health at NYU Grossman School of Medicine. He is a leading NIH-funded scientist in health equity research. He has led numerous NIH-funded studies for cardiovascular disease risk reduction with a focus on developing and evaluating clinic-community linkage models of care to address inequities in health outcomes.   Dr. Ogedegbe is a member of the National Academy of Medicine and the United States Prevention Services Task Force (USPSTF). He is a Fellow of many scientific organizations including the American Heart Association, American College of Physicians and the Academy of Behavioral Medicine.   After obtaining his MD degree in Ukraine, Dr. Ogedegbe completed his residency in internal medicine at Montefiore Medical Center, followed by a fellowship training in Health Services Research and Clinical Epidemiology at Cornell University, during which received his MPH from Columbia University Mailman School of Public Health. Prior to his current position, he was a faculty member at both Cornell Weill Medical College and Columbia University College of Physicians and Surgeons. 

This week, Emily Bazelon, John Dickerson, and David Plotz discuss the Republicans' beginning and end of both the border bill and the impeachment of Secretary Alejandro Mayorkas; the criminal conviction of a mother for a school shooting by her son; and the D.C. Circuit Court decision on presidential immunity and the Supreme Court argument on the presidential ballot.    Here are some notes and references from this week's show: Rachael Bade for Politico: Schumer presses forward with Ukraine Plan B as GOP leaders reel and Burgess Everett: Behind the border mess: Open GOP rebellion against McConnell Cleve R. Wootson Jr. for The Washington Post: Biden vows to make GOP defeat of a conservative border bill a campaign issue and Jacqueline Alemany, Amy B Wang, Marianna Sotomayor, and Paul Kane: In stunning vote, House Republicans fail to impeach Secretary Mayorkas Former Rep. Charlie Stenholm in The Hill in 2015: How Tip O'Neill and Ronald Reagan would make this Congress work Tresa Baldas for the Detroit Free Press: Jennifer Crumbley guilty: Understanding involuntary manslaughter charge, possible sentenceand Paul Egan: Michigan's gun laws change: Background checks, storage, temporary removal Michael Barbaro and Lisa Miller for The New York Times The Daily podcast: A Guilty Verdict for a Mass Shooter's Mother Rachel Weiner for The Washington Post: Trump has no immunity from Jan. 6 prosecution, appeals court rules Ian Millhiser for Vox: The Supreme Court is about to decide whether to sabotage Trump's election theft trial Amy Howe for SCOTUSblog: Supreme Court to decide whether insurrection provision keeps Trump off ballot   Here are this week's chatters: John: Ian Sample for The Guardian: AI helps scholars read scroll buried when Vesuvius erupted in AD79; Pierina Pighi Bel for the BBC: Bodegas: The small corner shops that run NYC; David Blank in the Stanford Encyclopedia of Philosophy: Philodemus; Moss and Fog; and Institute of Politics at Harvard Kennedy School: Theodore H. White Lecture with John Dickerson Emily: Sofia Resnick for News From The States: Study cited by Texas judge in abortion pill case retracted and Sage Publishing: A note from Sage on retractions in Health Services Research and Managerial Epidemiology David: Patrick Radden Keefe for The New Yorker: A Teen's Fatal Plunge Into The London Underworld Listener chatter from Patrick Johnson in Anchorage, Alaska: Rhonda McBride for KNBA - Anchorage: Anchorage's white raven becomes a local legend as a tracked trickster   For this week's Slate Plus bonus segment, David, John, and Emily discuss “Fast Car,” Tracy Chapman's 1988 original, and Luke Combs's 2023 cover.   In the latest Gabfest Reads, John talks with Brad Stulberg about his book, Master of Change: How to Excel When Everything Is Changing – Including You.   Email your chatters, questions, and comments to gabfest@slate.com. (Messages may be referenced by name unless the writer stipulates otherwise.) Podcast production by Cheyna Roth  Research by Julie Huygen Learn more about your ad choices. Visit megaphone.fm/adchoices

This week, Emily Bazelon, John Dickerson, and David Plotz discuss the Republicans' beginning and end of both the border bill and the impeachment of Secretary Alejandro Mayorkas; the criminal conviction of a mother for a school shooting by her son; and the D.C. Circuit Court decision on presidential immunity and the Supreme Court argument on the presidential ballot.    Here are some notes and references from this week's show: Rachael Bade for Politico: Schumer presses forward with Ukraine Plan B as GOP leaders reel and Burgess Everett: Behind the border mess: Open GOP rebellion against McConnell Cleve R. Wootson Jr. for The Washington Post: Biden vows to make GOP defeat of a conservative border bill a campaign issue and Jacqueline Alemany, Amy B Wang, Marianna Sotomayor, and Paul Kane: In stunning vote, House Republicans fail to impeach Secretary Mayorkas Former Rep. Charlie Stenholm in The Hill in 2015: How Tip O'Neill and Ronald Reagan would make this Congress work Tresa Baldas for the Detroit Free Press: Jennifer Crumbley guilty: Understanding involuntary manslaughter charge, possible sentenceand Paul Egan: Michigan's gun laws change: Background checks, storage, temporary removal Michael Barbaro and Lisa Miller for The New York Times The Daily podcast: A Guilty Verdict for a Mass Shooter's Mother Rachel Weiner for The Washington Post: Trump has no immunity from Jan. 6 prosecution, appeals court rules Ian Millhiser for Vox: The Supreme Court is about to decide whether to sabotage Trump's election theft trial Amy Howe for SCOTUSblog: Supreme Court to decide whether insurrection provision keeps Trump off ballot   Here are this week's chatters: John: Ian Sample for The Guardian: AI helps scholars read scroll buried when Vesuvius erupted in AD79; Pierina Pighi Bel for the BBC: Bodegas: The small corner shops that run NYC; David Blank in the Stanford Encyclopedia of Philosophy: Philodemus; Moss and Fog; and Institute of Politics at Harvard Kennedy School: Theodore H. White Lecture with John Dickerson Emily: Sofia Resnick for News From The States: Study cited by Texas judge in abortion pill case retracted and Sage Publishing: A note from Sage on retractions in Health Services Research and Managerial Epidemiology David: Patrick Radden Keefe for The New Yorker: A Teen's Fatal Plunge Into The London Underworld Listener chatter from Patrick Johnson in Anchorage, Alaska: Rhonda McBride for KNBA - Anchorage: Anchorage's white raven becomes a local legend as a tracked trickster   For this week's Slate Plus bonus segment, David, John, and Emily discuss “Fast Car,” Tracy Chapman's 1988 original, and Luke Combs's 2023 cover.   In the latest Gabfest Reads, John talks with Brad Stulberg about his book, Master of Change: How to Excel When Everything Is Changing – Including You.   Email your chatters, questions, and comments to gabfest@slate.com. (Messages may be referenced by name unless the writer stipulates otherwise.) Podcast production by Cheyna Roth  Research by Julie Huygen Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, we talk with Joe Benitez on working in specialized departments. Joe is an Assistant Professor in the Department of Health Management & Policy at the University of Kentucky College of Public Health. His research focuses primarily on the impact of public policy changes on access to care, medically underserved populations and the role of the health care safety net, and the Medicaid program. He has been published is Health Affairs, Health Services Research, and Medical Care, and featured on NPR and U.S. News & World Report. In 2016, he was funded by AcademyHealth's New Investigator Small Grant Program to study the implications of Medicaid expansion for safety net hospital financing. More recently, Dr. Benitez received funding from the Robert Wood Johnson Foundation to study Medicaid use and participation among transitionally poor households. He is also on the editorial board of Medical Care Research & Review, and he will soon start as a member of the advisory board for the construction of a Medicaid Equity Database to be developed by the University of Minnesota's State Health Access and Data Assistance Center (SHADAC). Dr. Benitez received his PhD in Health Policy from the University of Illinois at Chicago, and he was awarded an R36 Dissertation Grant from the Agency for Healthcare Research & Quality to study the long-run effects of the Medically Underserved Area designation program. Sebastian Tello-Trillo is an Assistant Professor of Public Policy and Economics at the Frank Batten School of Leadership and Public Policy in the University of Virginia. Alex Hollingsworth is an Assistant Professor of Economics at the O'Neill School of Public and Environmental Affairs in Indiana University. --- Send in a voice message: https://podcasters.spotify.com/pod/show/hidden-curriculum/message

House Committee on Veterans' Affairs “Rural Access: Is VA Meeting All Veterans Where They Live?” Thursday, January 11th, 2023, at 10:00 am 360 Cannon House Office Building WITNESS LIST Panel 1 The Honorable Shereef Elnahal Under Secretary for Health Veterans Health Administration U.S. Department of Veterans Affairs The Honorable Joshua Jacobs Under Secretary for Benefits Veterans Benefits Administration U.S. Department of Veterans Affairs Accompanied by: Mr. John Boerstler Chief Veterans Experience Officer Veterans Experience Office U.S. Department of Veterans Affairs Ms. Alyssa Hundrup Director Health Care U.S. Government Accountability Office Panel 2 Dr. Buu Nygren President The Navajo Nation Mr. Jon Lovald Chief Operating Officer Minnesota Assistance Council for Veterans Ms. Marisa Schultz Illinois Veteran Dr. Mark Holmes Director Cecil G. Sheps Center for Health Services Research and North Carolina Rural Health Research Center The University of North Carolina at Chapel Hill Committee Documents: https://docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=116705

House Committee on Veterans' Affairs “Rural Access: Is VA Meeting All Veterans Where They Live?” Thursday, January 11th, 2023, at 10:00 am 360 Cannon House Office Building WITNESS LIST Panel 1 The Honorable Shereef Elnahal Under Secretary for Health Veterans Health Administration U.S. Department of Veterans Affairs The Honorable Joshua Jacobs Under Secretary for Benefits Veterans Benefits Administration U.S. Department of Veterans Affairs Accompanied by: Mr. John Boerstler Chief Veterans Experience Officer Veterans Experience Office U.S. Department of Veterans Affairs Ms. Alyssa Hundrup Director Health Care U.S. Government Accountability Office Panel 2 Dr. Buu Nygren President The Navajo Nation Mr. Jon Lovald Chief Operating Officer Minnesota Assistance Council for Veterans Ms. Marisa Schultz Illinois Veteran Dr. Mark Holmes Director Cecil G. Sheps Center for Health Services Research and North Carolina Rural Health Research Center The University of North Carolina at Chapel Hill Committee Documents: https://docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=116705

House Committee on Veterans' Affairs “Rural Access: Is VA Meeting All Veterans Where They Live?” Thursday, January 11th, 2023, at 10:00 am 360 Cannon House Office Building WITNESS LIST Panel 1 The Honorable Shereef Elnahal Under Secretary for Health Veterans Health Administration U.S. Department of Veterans Affairs The Honorable Joshua Jacobs Under Secretary for Benefits Veterans Benefits Administration U.S. Department of Veterans Affairs Accompanied by: Mr. John Boerstler Chief Veterans Experience Officer Veterans Experience Office U.S. Department of Veterans Affairs Ms. Alyssa Hundrup Director Health Care U.S. Government Accountability Office Panel 2 Dr. Buu Nygren President The Navajo Nation Mr. Jon Lovald Chief Operating Officer Minnesota Assistance Council for Veterans Ms. Marisa Schultz Illinois Veteran Dr. Mark Holmes Director Cecil G. Sheps Center for Health Services Research and North Carolina Rural Health Research Center The University of North Carolina at Chapel Hill Committee Documents: https://docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=116705

House Committee on Veterans' Affairs “Rural Access: Is VA Meeting All Veterans Where They Live?” Thursday, January 11th, 2023, at 10:00 am 360 Cannon House Office Building WITNESS LIST Panel 1 The Honorable Shereef Elnahal Under Secretary for Health Veterans Health Administration U.S. Department of Veterans Affairs The Honorable Joshua Jacobs Under Secretary for Benefits Veterans Benefits Administration U.S. Department of Veterans Affairs Accompanied by: Mr. John Boerstler Chief Veterans Experience Officer Veterans Experience Office U.S. Department of Veterans Affairs Ms. Alyssa Hundrup Director Health Care U.S. Government Accountability Office Panel 2 Dr. Buu Nygren President The Navajo Nation Mr. Jon Lovald Chief Operating Officer Minnesota Assistance Council for Veterans Ms. Marisa Schultz Illinois Veteran Dr. Mark Holmes Director Cecil G. Sheps Center for Health Services Research and North Carolina Rural Health Research Center The University of North Carolina at Chapel Hill Committee Documents: https://docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=116705

House Committee on Veterans' Affairs “Rural Access: Is VA Meeting All Veterans Where They Live?” Thursday, January 11th, 2023, at 10:00 am 360 Cannon House Office Building WITNESS LIST Panel 1 The Honorable Shereef Elnahal Under Secretary for Health Veterans Health Administration U.S. Department of Veterans Affairs The Honorable Joshua Jacobs Under Secretary for Benefits Veterans Benefits Administration U.S. Department of Veterans Affairs Accompanied by: Mr. John Boerstler Chief Veterans Experience Officer Veterans Experience Office U.S. Department of Veterans Affairs Ms. Alyssa Hundrup Director Health Care U.S. Government Accountability Office Panel 2 Dr. Buu Nygren President The Navajo Nation Mr. Jon Lovald Chief Operating Officer Minnesota Assistance Council for Veterans Ms. Marisa Schultz Illinois Veteran Dr. Mark Holmes Director Cecil G. Sheps Center for Health Services Research and North Carolina Rural Health Research Center The University of North Carolina at Chapel Hill Committee Documents: https://docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=116705

House Committee on Veterans' Affairs “Rural Access: Is VA Meeting All Veterans Where They Live?” Thursday, January 11th, 2023, at 10:00 am 360 Cannon House Office Building WITNESS LIST Panel 1 The Honorable Shereef Elnahal Under Secretary for Health Veterans Health Administration U.S. Department of Veterans Affairs The Honorable Joshua Jacobs Under Secretary for Benefits Veterans Benefits Administration U.S. Department of Veterans Affairs Accompanied by: Mr. John Boerstler Chief Veterans Experience Officer Veterans Experience Office U.S. Department of Veterans Affairs Ms. Alyssa Hundrup Director Health Care U.S. Government Accountability Office Panel 2 Dr. Buu Nygren President The Navajo Nation Mr. Jon Lovald Chief Operating Officer Minnesota Assistance Council for Veterans Ms. Marisa Schultz Illinois Veteran Dr. Mark Holmes Director Cecil G. Sheps Center for Health Services Research and North Carolina Rural Health Research Center The University of North Carolina at Chapel Hill Committee Documents: https://docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=116705

House Committee on Veterans' Affairs “Rural Access: Is VA Meeting All Veterans Where They Live?” Thursday, January 11th, 2023, at 10:00 am 360 Cannon House Office Building WITNESS LIST Panel 1 The Honorable Shereef Elnahal Under Secretary for Health Veterans Health Administration U.S. Department of Veterans Affairs The Honorable Joshua Jacobs Under Secretary for Benefits Veterans Benefits Administration U.S. Department of Veterans Affairs Accompanied by: Mr. John Boerstler Chief Veterans Experience Officer Veterans Experience Office U.S. Department of Veterans Affairs Ms. Alyssa Hundrup Director Health Care U.S. Government Accountability Office Panel 2 Dr. Buu Nygren President The Navajo Nation Mr. Jon Lovald Chief Operating Officer Minnesota Assistance Council for Veterans Ms. Marisa Schultz Illinois Veteran Dr. Mark Holmes Director Cecil G. Sheps Center for Health Services Research and North Carolina Rural Health Research Center The University of North Carolina at Chapel Hill Committee Documents: https://docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=116705

House Committee on Veterans' Affairs “Rural Access: Is VA Meeting All Veterans Where They Live?” Thursday, January 11th, 2023, at 10:00 am 360 Cannon House Office Building WITNESS LIST Panel 1 The Honorable Shereef Elnahal Under Secretary for Health Veterans Health Administration U.S. Department of Veterans Affairs The Honorable Joshua Jacobs Under Secretary for Benefits Veterans Benefits Administration U.S. Department of Veterans Affairs Accompanied by: Mr. John Boerstler Chief Veterans Experience Officer Veterans Experience Office U.S. Department of Veterans Affairs Ms. Alyssa Hundrup Director Health Care U.S. Government Accountability Office Panel 2 Dr. Buu Nygren President The Navajo Nation Mr. Jon Lovald Chief Operating Officer Minnesota Assistance Council for Veterans Ms. Marisa Schultz Illinois Veteran Dr. Mark Holmes Director Cecil G. Sheps Center for Health Services Research and North Carolina Rural Health Research Center The University of North Carolina at Chapel Hill Committee Documents: https://docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=116705

House Committee on Veterans' Affairs “Rural Access: Is VA Meeting All Veterans Where They Live?” Thursday, January 11th, 2023, at 10:00 am 360 Cannon House Office Building WITNESS LIST Panel 1 The Honorable Shereef Elnahal Under Secretary for Health Veterans Health Administration U.S. Department of Veterans Affairs The Honorable Joshua Jacobs Under Secretary for Benefits Veterans Benefits Administration U.S. Department of Veterans Affairs Accompanied by: Mr. John Boerstler Chief Veterans Experience Officer Veterans Experience Office U.S. Department of Veterans Affairs Ms. Alyssa Hundrup Director Health Care U.S. Government Accountability Office Panel 2 Dr. Buu Nygren President The Navajo Nation Mr. Jon Lovald Chief Operating Officer Minnesota Assistance Council for Veterans Ms. Marisa Schultz Illinois Veteran Dr. Mark Holmes Director Cecil G. Sheps Center for Health Services Research and North Carolina Rural Health Research Center The University of North Carolina at Chapel Hill Committee Documents: https://docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=116705

House Committee on Veterans' Affairs “Rural Access: Is VA Meeting All Veterans Where They Live?” Thursday, January 11th, 2023, at 10:00 am 360 Cannon House Office Building WITNESS LIST Panel 1 The Honorable Shereef Elnahal Under Secretary for Health Veterans Health Administration U.S. Department of Veterans Affairs The Honorable Joshua Jacobs Under Secretary for Benefits Veterans Benefits Administration U.S. Department of Veterans Affairs Accompanied by: Mr. John Boerstler Chief Veterans Experience Officer Veterans Experience Office U.S. Department of Veterans Affairs Ms. Alyssa Hundrup Director Health Care U.S. Government Accountability Office Panel 2 Dr. Buu Nygren President The Navajo Nation Mr. Jon Lovald Chief Operating Officer Minnesota Assistance Council for Veterans Ms. Marisa Schultz Illinois Veteran Dr. Mark Holmes Director Cecil G. Sheps Center for Health Services Research and North Carolina Rural Health Research Center The University of North Carolina at Chapel Hill Committee Documents: https://docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=116705

House Committee on Veterans' Affairs “Rural Access: Is VA Meeting All Veterans Where They Live?” Thursday, January 11th, 2023, at 10:00 am 360 Cannon House Office Building WITNESS LIST Panel 1 The Honorable Shereef Elnahal Under Secretary for Health Veterans Health Administration U.S. Department of Veterans Affairs The Honorable Joshua Jacobs Under Secretary for Benefits Veterans Benefits Administration U.S. Department of Veterans Affairs Accompanied by: Mr. John Boerstler Chief Veterans Experience Officer Veterans Experience Office U.S. Department of Veterans Affairs Ms. Alyssa Hundrup Director Health Care U.S. Government Accountability Office Panel 2 Dr. Buu Nygren President The Navajo Nation Mr. Jon Lovald Chief Operating Officer Minnesota Assistance Council for Veterans Ms. Marisa Schultz Illinois Veteran Dr. Mark Holmes Director Cecil G. Sheps Center for Health Services Research and North Carolina Rural Health Research Center The University of North Carolina at Chapel Hill Committee Documents: https://docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=116705

House Committee on Veterans' Affairs “Rural Access: Is VA Meeting All Veterans Where They Live?” Thursday, January 11th, 2023, at 10:00 am 360 Cannon House Office Building WITNESS LIST Panel 1 The Honorable Shereef Elnahal Under Secretary for Health Veterans Health Administration U.S. Department of Veterans Affairs The Honorable Joshua Jacobs Under Secretary for Benefits Veterans Benefits Administration U.S. Department of Veterans Affairs Accompanied by: Mr. John Boerstler Chief Veterans Experience Officer Veterans Experience Office U.S. Department of Veterans Affairs Ms. Alyssa Hundrup Director Health Care U.S. Government Accountability Office Panel 2 Dr. Buu Nygren President The Navajo Nation Mr. Jon Lovald Chief Operating Officer Minnesota Assistance Council for Veterans Ms. Marisa Schultz Illinois Veteran Dr. Mark Holmes Director Cecil G. Sheps Center for Health Services Research and North Carolina Rural Health Research Center The University of North Carolina at Chapel Hill Committee Documents: https://docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=116705

Rural America is facing a healthcare crisis. Home to 60 million people, rural areas face a 23% higher mortality rate compared to urban locations due to lack of infrastructure, lower socio-economic status and provider shortages. Indeed, rural areas have half as many primary care providers and an eighth as many specialists as urban locales.In this episode, Homeward's CEO, Jennifer Schneider discusses how her company uses remote monitoring, telehealth and a novel staffing model to re-architect care delivery in rural America with the goals of improving access and health outcomes.We discuss:Why Jennifer and her co-founder decided to make Homeward a B Corp.How Homeward uses technology and non-physician providers to expand access to care in rural America.Lessons from Homeward's early rollout in Minnesota.Jennifer says we often underestimate how large the rural healthcare market is:“I jokingly say [to] people when we started Livongo... we initially started in diabetes care. And people said, “That's amazing, it's going to be a huge business. There's 30 million people living with diabetes, so great that you did this nice little niche company for your next company”. And so well, how many people do you think live in a rural health care markets? [I] kind of get a blank stare. And the answer is – double the size [of] the population of people with diabetes… 60 million people live in… [a] rural market.“Relevant LinksHomeward websiteLack Of Access To Specialists Associated With Mortality And Preventable Hospitalizations Of Rural Medicare Beneficiaries [Article]U.S. Government Accountability Office: “ACCESSING HEALTH CARE IN RURAL AMERICA” [PDF]Forbes: “Healthcare In Rural America Isn't A Little Broken, It's A Lot Broken: A Conversation With Dr. Jennifer Schneider, Founder And CEO, Homeward Health”About Our GuestDr. Jennifer Schneider is the co-founder and chief executive officer of Homeward, a company focused on rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Previously, Dr. Schneider served as the chief medical officer and president of Livongo. She also served as chief medical officer of Castlight Health. Dr. Schneider has been honored by Modern Healthcare as one of the “100 Most Influential People in Healthcare” and by Fierce Healthcare as a “Woman of Influence” for her work empowering women and modeling diversity and inclusion in the workplace. Dr. Schneider is also on the boards of Maven and Jasper. Dr. Schneider completed her bachelor's degree in biology at the College of the Holy Cross. She went on to get her MD at The Johns Hopkins University School of Medicine and her master's degree in Health Services Research at Stanford University.Connect With UsFor more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and

Marko Vujicic currently serves as Chief Economist and Vice President of the Health Policy Institute at the American Dental Association. In this role he oversees a comprehensive research program focusing on the U.S. dental care system. Previously, he was Senior Economist with The World Bank in Washington D.C. where he focused on health systems reform in developing countries and directed the global health workforce policy program. He was also a Health Economist with the World Health Organization in Geneva, Switzerland. In all of these roles, Dr. Vujicic led large-scale strategic initiatives focused on bringing cutting edge data and research to specific health policy challenges. Dr. Vujicic has published extensively in peer-reviewed journals such as Health Affairs, The New England Journal of Medicine, JAMA, Health Services Research, Health Economics, Social Science and Medicine, and Medical Care. He is also the lead author of the book, Working in Health, which examines health workforce challenges globally and has written several book chapters on health care policy issues. His team's work has been cited by CNN, The New York Times, NBC News, CNBC, The Washington Post, The Wall Street Journal, Fox News, PBS NOVA, and The Atlantic. He has been invited to provide testimony to federal and state legislative committees. Dr. Vujicic holds several academic appointments. He is adjunct senior fellow at the Leonard Davis Institute of Health Economics, University of Pennsylvania and affiliate faculty at the Center for Health and the Social Sciences, University of Chicago as well as the Center for Health Services and Policy Research at the University of British Columbia. He is an adjunct professor at the University of Toronto and a visiting assistant professor at Tufts University. Dr. Vujicic obtained his Ph.D. in Economics from the University of British Columbia and a Bachelor's degree in Business from McGill University in Montreal. Dr. Raymond Cohlmia is currently serving as Executive Director of the American Dental Association. He graduated with a Doctor of Dental Surgery Degree from the University of Oklahoma College of Dentistry in 1988. He was in private practice for 27 years with his father and brother, while also holding a faculty appointment at the College of Dentistry. He served as Assistant Dean for Clinical Operations from 2013 to 2015 and was appointed as Dean of the University of Oklahoma College of Dentistry from 2015 to 2021 and concurrently remained in the practice of dentistry during that time. Dr. Cohlmia has served as a delegate to the American Dental Association and 12th District Trustee from 2015 to 2019. Along with his involvement and leadership in academia, he has served in many capacities, including presidencies at the local and state level, served on many national councils, committees, and task forces for the American Dental Association, as well as many other dental organizations.

Teams and teamwork were the themes for our November Journal Club. In this special episode, Ben and Vic were joined by Eve Purdy to review four articles that took us on a deep dive into team science, team training using simulation and researching teamwork.   This is the first of a series on teamwork that we will be releasing over the next 12 months at Simulcast. Our motivation is to give simulation practitioners a deeper understanding of teamwork and to enable more nuanced conversations about team performance and improvement in the debriefing room and beyond. We want to go beyond simple concepts and buzzwords about teamwork.   Relax though, if you are not a teamwork nerd……in 2024 our Simulcast Journal Club will run every month with our usual eclectic mix of literature, and our teamwork thread episodes will be additional.  So, this month we embarked on the journey with some classics:  Rosenman et al. Changing Systems Through Effective Teams: A Role for Simulation. Academic Emergency Medicine 2017  Hicks and Petrosoniak. The Human Factor Optimizing Trauma Team Performance in Dynamic Clinical Environments. Emerg Clin N America 2018  Bolton et al. Revisiting Relational Coordination: A Systematic Review. Journal of Applied Behavioural Science 2021  Anderson et al. Understanding adaptive teamwork in health care: Progress and future directions. Journal of Health Services Research and Policy 2021  We also reflected on some great offerings from Eve and Ben with their talks on Relational Coordination and transactive memory systems at DFTB22.    Also – don't forget – Simulation Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open now!     Happy listening    vb 

The podcast episode will tell specific stories to illustrate the wide range of work members of the interest group are conducting on the impact of human-animal interaction and aging. The members of this group represent the interdisciplinary nature of both gerontology and anthrozoology (i.e., the field of human-animal interaction). The podcast will be comprised of three main topics: 1. Gerontologists' role in establishing the field of anthrozoology in the 1970s and 1980s; 2. The establishment of the interest group in 2016; 3. Current work being conducted by members of the group around the world.          Guests: Nancy R. Gee, PhD, C-AISS, Professor of Psychiatry & Director of the Center for Human-Animal Interaction, Virginia Commonwealth University School of Medicine Mai Takase, PhD Student, Department of Aquatic Bioscience, The University of Tokyo, Ingeborg Pedersen, PhD, Associate Professor, Department of Public Health Science, Norwegian University of Life Sciences (NMBU) Katharina Rosteius, PhD Student, Department of Health Services Research, Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University Co-Hosts:  Jessica Bibbo, PhD, Senior Research Scientist, Center Research and Education, Benjamin Rose Institute on Aging (GSA Human-Animal Interaction Interest Group Convener) Ashley Taeckens, MSW, Director of Research, Hope Squad

Dr. Steven J. Spear (DBA MS MS)Principal, HVE LLCSr. Lecturer, MIT Sloan SchoolSr. Fellow, Institute for Healthcare ImprovementCreator, See to Solve Gemba and Real Time Alert SystemsSSpear@MIT.edu www.SeeToSolve.com Steve@HVELLC.comKnowing how to get smarter about what you do and better at doing it, faster than anyone else, is critical, a bona fide source of sustainable competitive advantage.How so? All organizations share a challenge. They're trying to coordinate people—sometimes a few, sometimes many thousands—towards shared purpose, somewhere on the spectrum from upstream conceptualization and discovery, through development, design, and ultimately delivery. The problem is, particularly at the startof any undertaking, no one really knows what to do, how to do it, nor can they do it well. All that has to be invented, created, discovered…figured out. So, those who solve problems faster, win more. After all, if your team and mine chase similar goals (or we face off as adversaries), you succeed (or win) because you come to your moments of test better prepared than I do. Since knowhow and skills are not innate, you won because you solved your problems, better and faster than I didmine, gaining edges in relevance, reliability, resilience, and agility.Spear's work focuses on the theme of leading complex collaborative situations, imbuing them with powerful problem solving dynamics. The High Velocity Edge earned the Crosby Medal from ASQ. “Fixing Healthcare from the Inside” won a Harvard Business Review McKinsey Award, and five of Spear's articles won Shingo Prizes. “Decoding the DNA of the Toyota Production System” is a leading HBR reprint and part of the “lean” canon. He's written for medical professionals and educators in Annals of Internal Medicine, Academic Medicine, and Health Services Research, for public school superintendents in Academic Administrator, and for the general public in the New York Times, the Boston Globe, Fortune, and USA Today. High velocity learning concepts have been tested in practice, helping building internal capability for accelerated improvement and innovation at Alcoa—which generated recurring savings in the $100s of millions, Beth Israel Deaconess, a pharma company—with compressions by half in a key drug development phase, Intel, Intuit, Pittsburgh hospitals, Memorial Sloan Kettering, Mass General, Novartis, Pratt and Whitney—which won the F-35 engine contract with its pilot, DTE Energy, US Synthetic, and the US Army's Rapid Equipping Force. The Chief of Naval Operations made high velocity learning a service wide initiative, and Spear was one of a few outside advisors to the Navy's internal review of 2017's Pacific collisions. He was also an advisor to Newport News Shipbuilding bout introducing innovative systems on the Gerald Ford, the first in a new generation of aircraft carriers. The See to Solve suite of apps has been developed to support introducing and sustaining high velocity learning behaviors.At MIT, Spear teaches Leaders for Global Operations and Executive Education students, has advised dozens of theses, and is principal investigator for research titled “Making Critical Decisions with Hostile Data.” Spear's work history includes Prudential-Bache Capital Funding, the US Congress Office of Technology Assessment, the LongTerm Credit Bank of Japan, and the University of Tokyo. His doctorate is from Harvard, his masters in mechanicalengineering and in management are from MIT, and he majored in economics, at Princeton, to earn his bachelors.Spear lives in Brookline with his wife Miriam, an architect, and their three children, where he is on the board of the Maimonides School.Link to claim CME credit:

In this Behavioral Sciences and Health Services Research podcast, Dr. Henry Brems (fellow, Johns Hopkins University) interviews Dr. Sanja Stanojevic, who is the current chair of the ATS of Pulmonary Function Testing committee and an Associate Professor in Department of Community Health and Epidemiology at Dalhousie University. They discuss GLI-Global -- the reference equation recently recommended for spirometry interpretation by the ATS -- including how it was developed, what it means for spirometry interpretation, and how it may impact racial disparities in respiratory disease. 

This edition of the Prioritizing Equity series follows recent policy adopted at the AMA's House of Delegates meeting in June 2022 as panelists will discuss gender equity in medicine and how COVID-19 has exacerbated experiences for people identifying as women. The episode will also explore both historical and present inequities in medical education, employment, and leadership opportunities. Panelists Dr. Tania Jenkins is an assistant professor in the department of sociology at the University of North Caroli both historical and present inequities in medical education, employment, and leadership opportunities. na-Chapel Hill and a faculty research fellow at UNC's Cecil G. Sheps Center for Health Services Research.  Twitter: @TaniaMJenkins Jasmine Brown is a 4th year medical student at the University of Pennsylvania, a Rhodes Scholar and the author of TWICE AS HARD: The Stories of Black Women Who Fought to Become Physicians from the Civil War to the 21st Century.   Dr. Deena Shin McRae, MD, is the Associate Vice President of Academic Health Sciences for University of California and serves as a faculty member in the Department of Psychiatry at UC Irvine School of Medicine  Moderator Aletha Maybank, MD, MPH, Chief Health Equity Officer, Senior Vice President, Center for Health Equity, American Medical Association - Twitter: @DrAlethaMaybank

In this episode, we talk with Dr. Glyn Elwyn and Danielle Schubbe about the ethical imperative of including patients in the decision-making process. They discuss how patient goals inform treatment decisions and the challenge of making choices for a “future self” with the lived experiences and preferences of today. Glyn and Danielle talk about this process for early stage breast cancer and some of the tools they've created to help both clinicians and patients navigate shared decision-making, including the three-talk model. Key Highlights: The art of combining clinical guidelines and patient preference to make the best treatment decision. The role of patient goals in making decisions and realizing that decisions are being made for a “future self” using “current self” experiences. Exploring the three-talk model of decision making: team talk, option talk and decision talk. About our guests: Glyn Elwyn BA MD MSc PhD FRCGP is a clinician, researcher, and innovator. He is a tenured professor at The Dartmouth Institute for Health Policy and Clinical Practice, USA, and at the Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Center, Netherlands. He has Visiting Professor positions at University College London, UK, and at the University of Lausanne in Switzerland. After reading the humanities he qualified in medicine, completed a Masters in Education, and obtained his doctorate at Radboud University, Nijmegen, Netherlands, with Professor Richard Grol. Glyn Elwyn studies coproduction, shared decision making, and the application of machine learning to digital recordings of clinical encounters. Danielle Schubbe joined the Coproduction Laboratory in September 2017. She is an external PhD student of Health Services Research at Radboudumc in Nijmegen, Netherlands. She has worked on multiple PCORI-funded studies about shared decision making and the implementation of shared decision making in diverse clinical contexts. Key Moments: 19 minutes: On integrating patient preference with clinical guidelines. “I think most discerning clinicians understand how to work within guidelines, and I think most expert clinicians would say I bring in patient preference as well as know what the rules are saying or what the guidelines are saying.” 31 minutes: On the challenge of making a decision for your future self. “Your decision today about that future is gonna be misinformed because you've never experienced that future yourself.... We cannot predict you in three years' time. How will you feel? We can only ask you to do your best to predict how you feel in the future… and you will be wrong.” 49 minutes: Using the three-talk method of decision making. “Then there's the option talk. That's when you present if there is more than one option for the patient to consider for their treatment. That's when you go over all the nitty gritty of the pros and cons of the two surgical treatment options, in our case for early stage breast cancer,  in a way that is hopefully not really overwhelming for the patient.” This episode was supported by the Patient Centered Outcomes Research Institute (PCORI) and features these PCORI studies by Dr. Glyn Elwyn & Danielle Schubbe - Study 1 and Study 2. Visit the Manta Cares website  Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their health care professionals for any such conditions. --- Support this podcast: https://podcasters.spotify.com/pod/show/manta-cares/support

Dr. Shannon Westin, Dr. Abbas M. Hassan, and Dr. Leticia Nogueira discuss the impact of heatwaves on cancer care delivery and what can be done about it. TRANSCRIPT The guests on this podcast episode have no disclosures to declare. Dr. Shannon Westin: Hello, everyone, and welcome to another episode of JCO After Hours, the podcast where we get in-depth on manuscripts that are published in the Journal of Clinical Oncology. I am your host, Shannon Westin, GYN Oncologist and Social Media Editor for the Journal of Clinical Oncology. I'm so excited to be here today to discuss a very thought-provoking manuscript. This was published on June 10, 2023, in the Comments and Controversies section of JCO, and it's entitled “Impact of Heatwaves on Cancer Care Delivery: Potential Mechanisms, Health Equity Concerns, and Adaptation Strategies.”  And I am thrilled to tell you I am joined today by two of the authors of this very important manuscript. Dr. Abbas Hassan is an intern in the Division of Plastic Surgery, Indiana University School of Medicine. Already reaching for the stars, publishing in the JCO as an intern, that has to be a record. Congratulations and welcome, Dr. Hassan. Dr. Abbas Hassan: Thank you for having us. Appreciate it. Dr. Shannon Westin: And with Dr. Hassan is Dr. Leticia Nogueira. She is now the Scientific Director of Health Services Research at the American Cancer Society. Welcome, Dr. Nogueira. I'm so excited to have you. Dr. Leticia Nogueira: Excited to be here. Dr. Shannon Westin: Let's get right to it. This topic is very timely. We are currently enjoying several weeks of greater-than-100° weather here in Texas, where I am, and across the United States. Why don't we start by just defining heatwaves in general and what their global impact is on morbidity and mortality? Dr. Abbas Hassan: Yeah. So, I mean, it's the Texas heat, right? It's hard to ignore it when you're sweating buckets, right? So this kind of extreme heat isn't just a Texas problem. It's happening everywhere, so from Australia to Europe and across the US. And what we're experiencing, my friends, are heatwaves. They're like the unwanted guests at a barbecue, showing up uninvited, hanging around for at least two straight days. Now, defining a heatwave isn't straightforward as it might sound, with various different definitions across studies and policies. But one thing that is clear: heatwaves aren't just about discomfort. They're deadly. They're claiming more than 5 million lives globally every year.  Now, let's just imagine for a moment the year 2020. Not exactly a walk in the park. And on top of that, everything else, heatwaves cost over $4.5 billion in damages in the US. And that's probably just the tip of the melting iceberg, considering the tricky task of identifying exact heatwave periods. Dr. Shannon Westin: And you said it's really hard to define, so I imagine that that makes it really difficult to study. Hopefully, I think we've already gotten our first call to action is coming up with some type of consistent definition so we can truly look at this in a scientific fashion. I guess I'm asking you to predict, but I'll do it anyway. What do we expect to happen over the next 30 years in regards to the climate change we're seeing and maybe overall temperatures across the globe? Dr. Abbas Hassan: The way things are going, we're probably going to need a lot more sunscreen and a lot more ice cream. In all seriousness, the outlook is pretty stark. By 2023, we're looking at 8.1 million of our fellow Americans facing temperatures hotter than 125°F. And fast-forward to 2053, the number skyrockets to like 100 million. So that's a 13-fold increase. Remember when we thought 2014 was hot? And then 2015 came in, then 2016, and now all the way to 2020. Each year seemed to outdo the last, making the past seven-year span the warmest we've ever experienced. So we're not just dealing with a few off years. We're in the midst of a trend that's heating up our planet and impacting our health at an alarming rate. Dr. Leticia Nogueira: Yes, I would like to add to that, exactly what Dr. Hassan said. We don't really need to worry about or focus on what temperatures are going to be in 30 years. It is here now. The threats of climate change are here now, threats of extreme heat, no matter how we define it, right? Because it could be number of days above a certain temperature threshold, and that threshold is usually established by the previous 30 years. And we've already seen these jumps in temperatures in the previous 30 years, especially in most recent years. So these hazards, these threats, are already here. No future projections necessary to understand the hazards and the detrimental consequences of exposure to extreme heat due to climate change. Dr. Shannon Westin: Well, let's talk a little bit about that. And specifically, I would love to hear kind of what we've been seeing as far as the impact of heatwaves on health outcomes. I think our group would be interested in knowing, what are some of the things that you're seeing and you're experiencing? And then further, what are the things that make people more vulnerable, let's say, to the climate hazards? Dr. Abbas Hassan: Yeah, let's dive in a bit more into what makes us vulnerable to these heatwaves. When you think about vulnerability, the key elements are, one, increased exposure; two, increased sensitivity; and three, decreased ability to adapt. So think about it this way: Let's say you're—not sure if you guys play this—let's say you're playing a game of tag, and the sun is it. Now the sun is pretty good at tag, so anyone spending a lot of time outside—that's increased exposure—is more likely to get tagged. Then you have some players who are, for various reasons, they're slower or less agile. So this can be due to age, health conditions, or other factors that make them more sensitive to heat. They're not able to dodge the sun as quickly. So that's increased sensitivity. And finally, imagine some players are dressed up  in heavy clothing, unable to change into something cooler. They don't have the resources to adapt. So that represents that decreased adaptive capacity. While everyone playing this game can feel the burn, there are some who are more at risk.  So, for example, individuals with cancer are particularly at risk because they have various physical, psychological, socioeconomical consequences of their diagnosis, treatment, and even their path to survivorship. And this can include everything from weight loss to tumor, compromised immunity, side-effects from medications, and even financial stressors, making their game of sun tag especially challenging. So when we talk about the impact of heatwaves on health, it's not a one-size-fits-all issue. Our vulnerability is a complex combination of various factors that can leave some of us more at risk than others. And it's this understanding that can help shape our approach to tackling the challenges that climate change brings. Dr. Shannon Westin: That was very well stated, and I think I want to dig in a little bit deeper on some of the broad factors you covered, especially as it relates to patients with cancer, who obviously fit in the category of vulnerable to really all those pieces. So I'd love to dig in a little deeper. So let's talk a little bit more about age. I know that certainly patients with cancer can be any age, but it does seem to affect patients that are older or more elderly. How might that impact sensitivity to these heatwaves? Dr. Abbas Hassan: Okay, so dig a little deeper here. The reality is that getting older comes with its fair share of challenges, and one of them is increased sensitivity to heat. So as we age, we become more susceptible to heat. And this is particularly true for individuals over the age of 65, many of whom are also dealing with a cancer diagnosis. In fact, the number of seniors with cancer is expected to nearly double by 2060. So heat sensitivity in this group is due to several factors. First, our body's ability to regulate heat, or thermoregulation, declines with age, much more like an old car cooling system not working as it once did. So this means we're less able to handle extreme heat, making us more vulnerable during heatwaves. And this vulnerability is especially concerning for older cancer patients because some cancer treatments can cause additional complications, such as kidney injury, which can impair our cooling systems even further.  Additionally, these treatments can lead to dangerously high levels of hypernatremia and hyperkalemia, and this can lead to serious complications like cardiac arrhythmias. So in other words, the aging process coupled with cancer and its treatment can make older folks more susceptible to the harsh impacts of heatwaves. Dr. Shannon Westin: That makes sense. So you started to touch a little bit on comorbidities with discussing heart disease and arrhythmias and how that might impact. Are there other comorbidities that are certainly quite common in patients with cancer that can impact health conditions related to climate change? Dr. Leticia Nogueira: Yes. So, in addition to, as Dr. Hassan mentioned, some chemotherapy drugs inhibiting thermoregulation makes it harder for people to control their body temperature, several cancer treatments also impact kidney function, and kidneys are important organs for body temperature regulation. Even some cancer treatment drugs also lead to cognitive impairment, which makes it harder to recognize heat stress and heatstroke symptoms. It could also impair mobility and the ability to go look for a cooling, safe space. There are several other cardiorespiratory comorbidities that can also impact sensitivity to extreme heat. And we cannot forget that cancer diagnosis treatment comes with socioeconomic consequences as well, because it impacts the ability of individuals to remain employed or maintain the same level of income. And these socioeconomic consequences also impact the adaptive capacity that Dr. Hassan was mentioning, such as installing air conditioning or improving insulation during a heatwave or throughout the year, which makes individuals diagnosed with cancer more vulnerable to these threats. Dr. Shannon Westin: You had mentioned some of the economic challenges here. I'd love to speak a little bit more about that, and I think we certainly see this in vulnerable populations just in general, being able to receive their cancer treatment or make it on time for their treatments. In addition to that, are there limitations around accessing resources or things that would help protect people during these heatwaves? Dr. Leticia Nogueira: Yes, we see a lot of barriers in access to resources in communities that have been targeted for marginalization or they are experiencing barriers in access to resources. Right? We can start with some of the ways that our urban centers are built. Concrete and asphalt trap heat in urban centers, leading to this effect called the urban heat island. So you see almost a 20° difference between urban centers and more suburban or rural areas when it comes to these hot days. And that, of course, increases exposure to extreme heat, which is one of the components of vulnerability.  Then you have sensitivity. If there are barriers in access to healthy resources, healthy foods, places to exercise, and there are, for example, an increase in targeted advertising for tobacco or alcohol outlets in the neighborhood, that has been shown to be associated with an increased prevalence of several chronic health conditions. And as we were discussing, these chronic health conditions also increase sensitivity to climate hazards.  And then, of course, there is adaptive capacity. We were mentioning the challenges faced by people who have been diagnosed with cancer in being able to afford some of the infrastructural updates that are necessary to cope with extreme heat. And the same challenges apply for people who are experiencing other types of socioeconomic distress, making it harder for these communities to prepare and respond to the challenge posed by heatwaves.  Oh, there's one more thing. I just wanted to mention that this is a concern, the adaptive capacity, not only for these communities that are facing barriers in access to resources. With climate change, there's been an increase in power outages. So, even if you can afford to use AC, it does not mean you're going to be able to use it during a heatwave because these power outages are becoming more frequent, especially as people turn up their AC and overwhelm the electric grid. So this is a concern for all US residents, not just people from lower socioeconomic levels or cancer patients. Dr. Shannon Westin: You are speaking my language, coming from Texas, where our grid is a constant source of-- Dr. Leticia Nogueira: I lived in Texas for a while. Yes. Dr. Shannon Westin: I know you did. I saw that in your bio. Okay, well, I think we got the scope. I'm appreciative of the level of detail that you all were able to cover in such a short period of time. So I think now let's move towards the kind of action items, like what can we do? How can we mitigate some of these issues, or all of these issues? Start wherever you think your lowest hanging fruit is, I would say. Dr. Abbas Hassan: Okay, absolutely. So addressing the challenges that climate change presents, especially for vulnerable groups like cancer patients, is, I would say, a lot more like putting together a jigsaw puzzle. It requires us to work on multiple fronts at once and fit all the pieces together to form a complete picture. So let's walk through this puzzle together. So picture this: Our first puzzle piece involves upgrading our healthcare infrastructure. We need to gear up our systems with surveillance, monitoring, and even staffing to swiftly detect and respond to heatwaves. The second part of the puzzle is that our healthcare workers, or providers, need to become more aware of climate change. They need to provide guidance to their patients that suits their cultural context and language, discussing things like what they need to wear during a heatwave, the best way to travel, even what changes to make in their diet. But how would our healthcare providers turn into these warriors? Well, that brings us to our next piece, like continuing medical education. So, by providing education opportunities into medical and public health curriculums, we can create a force of well-prepared healthcare providers and professionals ready to fight the challenges of climate change.  And also considering how heatwaves can affect our medications. As temperatures rise, we need to think about developing thermostatic medications that can withstand the hotter conditions. It's like equipping our medications with their own little heat shields. Lastly, I think, which is perhaps most importantly, we need to be stewards of our own environment with our own healthcare systems. This includes reducing our carbon footprint and advocating for heat equity. So a concept that ensures that everyone, irrespective of their socioeconomic status, has access to and protection from heatwaves' related risks. So, just like that jigsaw puzzle, every piece plays a crucial role. By working on those front lines simultaneously, we can build a more resilient, equitable healthcare system ready to face the rising temperatures. Dr. Shannon Westin: Okay, you absolutely win on JCO After Hours for the best examples. The puzzle pieces. I'm just—I am, like, obsessed. This was—you're amazing. Dr. Leticia Nogueira: Playing tag, right? He's a natural. Dr. Shannon Westin: Playing tag, the sun exposure. I was like, this is like… I have to say you are very well suited for this type of work. Dr. Abbas Hassan: You're too kind. Thank you. Dr. Shannon Westin: And honestly, I think when you put it like that—sometimes these kind of problems seem so big and overwhelming, but when you kind of break it down into those chunks, it does seem doable. And I think almost every time on this podcast I bring this up, but I'm going to do it again. What can we do to change policy, right? We need a policy change. Like, some of what you mentioned is medical education, things like that. But really, what about lawmakers? What do we need to be talking to our lawmakers about so that we can get broad-based policy changes that will help us enact some of these strategies that you just so well described? Dr. Leticia Nogueira: I also wanted to add something I think is relevant to both here, and that is that the United States healthcare system is the second largest industry when it comes to emissions in the US. Emissions from the US healthcare system alone surpass emissions from the entire United Kingdom. So there is a big component of this strategy here to recognize that it is anthropogenic, manmade emissions that are causing climate change and leading to these detrimental health consequences. In our role, there are only so many Band-Aids we can put on this side before we start evaluating how we're actually contributing to the problem.  And here is where this jigsaw puzzle and the policy and “I'm getting overwhelmed” kind of all comes together because there are several different efforts that are both climate mitigating and also improve climate adaptation. For example, switching towards clean energy sources that are generated on-site at healthcare systems can decrease the emissions of these institutions and also make them more resilient to power outages that, as we talked about, are only becoming more frequent. And there are several other examples. And you were asking about policy. I think that one of the recent advances when it comes to policy-level interventions comes from the Inflation Reduction Act, where we have a lot of incentives for shifting towards more clean energy sources and decreasing our environmental impact with our professional activities that we need to keep in mind as we're trying to protect the health and safety of cancer patients. Dr. Shannon Westin: Great. Thank you so much. And I guess that we're getting towards the end of this. It's gone by very fast, and I personally am writing down my to-do list of things I need to do tomorrow. What is next for you all for your work in this space? Dr. Leticia Nogueira: I think that, as a researcher, there's a few different things that we can do. Similarly, as you are a clinician or a psychooncology or any of these other professions. One of them goes back to Dr. Hassan was saying surveillance and measuring the effects because that increases awareness and provides the background evidence that's necessary for developing and implementing solutions, right? And then, of course, being champions within our own institutions so that we are both trying to solve the problem when it comes to protecting the health and safety of patients. Is it possible to use electronic health records to identify those who are most vulnerable? Can we expand on data sharing and information sharing so we can build on lessons learned from previous heatwaves and do better next time? And then how, of course, can we contribute to reducing the emissions from our own institutions so we stop contributing to the problem we're trying to solve? Dr. Shannon Westin: Well, this was so educational, and I am so pleased that we had an opportunity to talk to you about this really important paper. I just want to thank, again, Dr. Hassan and Dr. Nogueira for taking the time to review this and really for thinking through this very important problem. And I hope it inspires all of you to look at what your institutions are doing and determine what strategies you might be able to utilize to start to mitigate some of these problems.  Again, we were discussing the Comments and Controversies manuscript “Impact of Heatwaves on Cancer Care Delivery: Potential Mechanisms, Health Equity Concerns, and Adaptation Strategies,” which was published in the Journal of Clinical Oncology June 10, 2023. If you haven't read it, run, don't walk, to do so. And please do check out our other JCO After Hours podcasts on our website. And if you have any problems, reach out to me on Twitter. I'd love to chat. Have a great day. 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.  

Two things push Medicaid to the front of every equity conversation. First, its scale and focus. Second, its bold moves to improve equity through coverage expansions and addressing social drivers of health. Claudia chats with Dr. Aditi Mallick about Medicaid's three-part agenda to improve equity, implement whole person care and expand coverage. Dr. Mallick — the Chief Medical Officer for Medicaid & CHIP at CMS — shares the deeply personal experience that fuels her push for health equity and access to care for all Americans. We discuss: Why addressing social needs is key to achieving Medicaid's agendaThinking in new ways about maternal and infant healthTwo perennial challenges: workforce and data sharing Where to draw the line on what Medicaid should fundAditi reminds us that pure technology plays will never work in this space:“I think there is a tremendous role for technology here and tech enablement here when done thoughtfully. I think a pure technology business in this space that doesn't have humans or service layered on top of it will not work, frankly, because so much of the implementation success around health related social needs will be predicated on being able to bring together people from a community setting and trusted voices… as opposed to building and throwing something at the community.”Relevant LinksCMS guidance on covering in Lieu of Services through Medicaid managed care [PDF]CMS framework for covering health-related social needs through Section 1115 demonstrations [PDF]CMS “unwinding” websiteMACStats: Medicaid and CHIP data book [PDF]About Our GuestDr. Aditi Mallick is a physician, strategic policy advisor, and former management consultant, who is driven to serve and create a more inclusive, innovative, and responsible healthcare system. She is the Chief Medical Officer for Medicaid and the Child Health Insurance Program at the Centers for Medicare and Medicaid Services. Before joining CMS, she was Director of the COVID-19 Response Command Center at the North Carolina Department of Health and Human Services. A board-certified internist, Dr. Mallick has previously held clinical faculty positions at George Washington University and Johns Hopkins University. Dr. Mallick earned her BA with honors from Harvard College, including a Certificate in Healthcare Policy; her Medical Degree from Stanford University with a concentration in Health Services Research and Policy; and completed Internal Medicine Residency training at Massachusetts General Hospital and Harvard Medical School.Connect With UsFor more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on Twitter @claudiawilliams and

Rebecca N. Dudovitz, MD & Dr. Dennis Johnston Talk About Connections Between Student Participation in AVID and Better Health Behaviors Among High School Students. This is episode 548 of Teaching Learning Leading K12, an audio podcast. Rebecca Dudovitz, MD, MSHS is an Associate Professor in General Pediatrics at the David Geffen School of Medicine. Dr. Dudovitz graduated from the David Geffen School of Medicine at UCLA in 2005 and completed her residency training in the UCLA Pediatric Community Health and Advocacy Training (CHAT) program in 2008. After residency, she served as a chief resident before entering a health services research fellowship through the UCLA Robert Wood Johnson Clinical Scholars program. Through the Clinical Scholars Program, she gained expertise in community based participatory research and received a master's degree in health services from the UCLA Fielding School of Public Health. Following her fellowship training she joined the faculty in the division of General Pediatrics. In addition to seeing patients, she supervises resident physicians and medical students, and directs Health Services Research for the Department of Pediatrics. Her research focuses on school health and how academic achievement and school environments influence health behaviors. Dr. Dennis Johnston is responsible for overseeing AVID Center's research agenda and coordinating evaluation efforts of the various components of the AVID College and Career Readiness System. Prior to joining AVID, Dr. Johnston served as Director of Assessment, Accountability and Research at the San Diego County Office of Education; was the Director of Assessment and Evaluation for the Grossmont Union High School District; the Senior Research Associate of the Comprehensive Adult Student Assessment System; and was part-time faculty at the College of Education at Temple University and the University of Pennsylvania. Our focus today is a report titled, "The AVID program leads to lower substance use, better health behaviors among high school students, UCLA-led research suggests." What an awesome discussion! So much to learn! Before you go... Could you do me a favor? Please go to my website at https://www.stevenmiletto.com/reviews/ or open the podcast app that you are listening to me on, and would you rate and review the podcast? That would be Awesome. Thanks! If you are listening on Apple Podcasts on your phone, go to the logo - click so that you are on the main page with a listing of the episodes for my podcast and scroll to the bottom. There you will see a place to rate and review. Could you review me? That would be so cool. Thank you! Hey, I've got another favor...could you share the podcast with one of your friends, colleagues, and family members? Hmmm? What do you think? That would so awesome! Thanks for sharing! Thanks for listening! Connect & Learn More: www.AVID.org https://www.k12dive.com/press-release/20221216-the-avid-program-leads-to-lower-substance-use-better-health-behaviors-amon/   Length - 41:10

Does your irritable bowel syndrome (IBS) flare-up on airplanes, amusement park rides, or while hiking up to higher altitudes? Gravity could be the reason. Dr. Brennan Spiegel, Director of Health Services Research at Cedars-Sinai joins us to discuss a hypothesis he published in the American Journal of Gastroenterology about the effects of gravity on irritable bowel syndrome. Dr. Spiegel explains what we already know about IBS, connects the dots with patient experiences and calls for research in order to determine whether IBS, as well as other gastrointestinal conditions, could result from the body's inability to manage gravity. He also helps us imagine the possible implications for new treatments based on new understandings of the role of gravity on the gut.

As a mom who has had a sick child in the NICU, and later in the follow-up clinic, I cannot imagine how different our journey would have been if I had not received the help and care that I did from Mattea's medical team. Being in the NICU with your child can be an extremely scary experience and their support makes a world of a difference. It's my pleasure to introduce you to the doctors that completely changed my experience, Dr. Bree Andrews and Dr. Joanne Lagatta. These wonderful ladies are training the next generation of “helpers” and I'm so grateful to have them talk about what caregivers can expect from their time in the NICU and follow-up clinic. And most importantly, how everyone in the hospital has the power to “help the helpers”. Even in situations where help is not directly offered to you: all you have to do is ask. Dr. Bree Andrews is a neonatologist and the Chief Wellness and Vitality Officer for University of Chicago Medicine. Her area of expertise is NICU follow-ups, where she helps families as patients head home and navigate life after the NICU. Dr. Joanne Lagatta is a neonatologist with a Master's Degree in Health Services Research. She especially enjoys her role in the NICU advocating for patients and families who are trying to coordinate plans between multiple healthcare providers and transitioning home from the NICU. Today, they're sharing their best advice on how to feel a little more confident as a NICU caregiver, including advice for parents that don't feel engaged with their medical team. They touch on topics like emotional depletion, being overwhelmed at the hospital, and speaking your fears out loud as a family. They remind us of the power of reaching out to other parents going through a similar journey, as well as sharing your accomplishments as a parent, no matter how small. These ladies made my experience in the hospital feel much less scary, and I hope today's episode leaves you feeling a little more confident in your journey as a helper. Key Takeaways with Dr. Bree Andrews and Dr. Joanne Lagatta Navigating life in the NICU and follow-up clinics as a caregiver to a sick child. How everyone in the hospital is a helper, and how to ask for help if it is not directly offered to you. Transitioning home from the NICU and finding a “new normal”. Advice for parents that don't feel engaged with their medical team. A simple reminder that medical care practitioners can't read your mind and it's okay to talk about your worries to show doctors your areas of concern. Finding a child life expert and how they can help you through this journey. The importance of reaching out to other parents, finding community, and celebrating the small wins. How the PreeMe+You app is helping parents be more active at the bedside. Dealing with emotional depletion and making space for your feelings. Being ready to see the good side, even when things are not going well. Show Notes: Get Full Access to the Show Notes by visiting: MatteasJoy.org/41. Rate & Review If you enjoyed today's episode of The Joy In The Journey, hit the subscribe button on Apple Podcasts, Spotify, Stitcher, or wherever you listen, so future episodes are automatically downloaded directly to your device. You can also help by providing an honest rating & review over on Apple Podcasts. Reviews go a long way in helping us build awareness so that we can impact even more people. THANK YOU!

On this episode of INCOGNITO the podcast, Michael interviews Dr. Kimberly Narain! Dr. Narain completed her residency in Primary Care Internal Medicine at the University of California, San Francisco. Following fellowships at Harvard Medical School and UCLA, Dr. Narain served as a Specialty Training Advanced Research Fellow in the Department of General Internal Medicine & Health Services Research at UCLA, where she later earned a Ph.D. in Health Services from the UCLA Fielding School of Public Health, and is now an Assistant Professor In-Residence at the UCLA School of Medicine. In this conversation, Michael and Dr. Narain discuss the importance of creating work environments in which everyone can contribute, seeing yourself as in relationships of mutual benefit with others as opposed to in competition with them, and looking for the win-win in every situation. Dr. Narain shares what inspired her to write her new book, The Cycle of a Dream: A Kid's Introduction to Structural Racism in America, and the many benefits of seeking out different perspectives and untold stories at all ages. Key Takeaways: Everyone has something to contribute when under the right circumstances Practice humility; think of others first Don't be wedded to the strategy, be wedded to the goal Stop seeing yourself in competition with others, remove hierarchy Ask: What's missing, can I help? Appreciate people's time Lead with self-reflection instead of blame Look for the win-win: setting aside oneself to serve others will ultimately benefit everyone Seek out different perspectives, look for untold stories Start small Dr. Narain's Media Recommendations: The Ezra Klein Show, “We Build Civilizations on Status. But We Barely Understand It.” (Podcast) __ Find Dr. Narain's work Dr. Narain's book: The Cycle of a Dream: A Kid's Introduction to Structural Racism in America __ For more of Michael's work, visit our website www.incognitotheplay.com or follow us on Instagram @incognitotheplay __ Thanks to Ned Doheny for providing our podcast music! You can find him and his music on Spotify. Editing and co-production of this podcast by Nina Kissinger. Email info@incognitotheplay.com with questions or comments about the show!

Intro: Dr. Thomas Varghese Jr. is the Associate Chief Medical Quality Officer and Chief Value Officer at the Huntsman Cancer Institute, and Chief of General Thoracic Surgery at the University of Utah. Dr. Varghese is a national leader in minimally invasive applications for general thoracic surgery, recognized by Castle Connolly as one of America's “Top Docs”, and is ranked in the top 10% of the nation by Press Ganey for patient satisfaction scores. His research interests bridge the world of Educational Research and Health Services Research, specifically in the arena of optimizing performance at the patient, surgeon and system levels. He created the Strong for Surgery program, which is now a formal Quality Improvement program of the American College of Surgeons, and active at 331 clinical sites across the nation and 3 state surgical collaboratives.Dr. Varghese holds national leadership positions in the Society of Thoracic Surgeons, Thoracic Surgery Directors Association, American College of Surgeons, and the Society of University Surgeons. Dr. Varghese is active on social media and is the Deputy Editor of Digital Media and Digital Scholarship for the Annals of Thoracic Surgery.Questions We Asked: Where did your passion for leadership come from? Who were your mentors and what made that relationship special? Have you found your mentors formally or informally? How can you create a good formalized mentorship program? How do mentors effectively help their mentees find their career path? How do you create a good mentor/mentee relationship? How can those in the majority be allies to minority groups in medicine and science? How do you be comfortable saying “I don't know”? Quotes & Ideas: “Never stop looking for best practices” You can and should have different mentors for the various areas of your life (academic, career, social, spiritual, etc.) “Mentorship is someone with a particular knowledge or skills that shares them with someone else who does not have it on their own.” “A mentor does not always have to be older than you.” Identify OKR (objectives and key results) and set a time deadline for it “An ally is someone who builds a culture of inclusion” and “A leader is someone who betters the culture of those they lead”. Leaders need to be allies. “Are we better today than we were yesterday, and are we going to be better tomorrow than we were today and how do we achieve that.” “Diversity doesn't end because you hire the next diverse faculty. You have to make sure they thrive in their position.” “You don't know, doesn't necessarily mean you don't act.” “MD means make decisions.” “We are living in the greatest time in history.” “Seek your tribe members” Books Suggestions: The 4 Disciplines of Execution by Sean Covey Peter Drucker Start With Why by Simon Sinek Adam Grant 

Dr. Katrina Ignacio discusses the emerging subspecialty of health services research (HSR).