Podcasts about lorna breen heroes' foundation

According to a recent article by Christina Frangou in the Guardian, "doctors are dying by suicide at higher rates than the general population. Somewhere between 300 to 400 physicians a year in the US take their own lives, the equivalent of one medical school graduating class annually." This sobering statistic from the eye-opening Guardian article (aptly titled "US surgeons are killing themselves at an alarming rate. One decided to speak out") resonated with Your Doctor Friends, and we are fortunate enough to have the inspiration of that article, Dr. Carrie Cunningham HERE WITH US! Dr. Cunningham is an endocrine surgeon at Massachusetts General Hospital and holds a professorship at Harvard. She was recently elected President of the Association of Academic Surgery. Her Presidential Address at the AAS 2023 National Meeting, titled “Removing the Mask” created quite a stir, as she shared her personal struggles with depression, anxiety, substance use disorder, and her connection to a friend and colleague (Dr. Christina "Tina" Barkley) who died by suicide. Imagine getting up in front of thousands of your colleagues and baring the most vulnerable parts of yourself. It took tons of courage, and the YouTube video of her address went viral. This week we try a bit of a “hybrid” format for Health Headlines. We just had to capitalize on this fantastic opportunity to speak directly with the subject of the article, and get her take straight from the source! Thanks for listening to this one, friends, it means a lot :) Resources from the episode include: The Guardian article, "US surgeons are killing themselves at an alarming rate. One decided to speak out." YouTube link to Dr. Carrie Cunningham's Presidential Address at the 2023 Academic Surgical Congress, titled "Removing the Mask." The 1973 JAMA article, "The Sick Physician. Impairment by Psychiatric Disorders, Including Alcoholism and Drug Dependence." The Dr. Lorna Breen Heroes' Foundation website. The Association of Academic Surgery's website. Dr. Cunningham's professional MassGen profile. For more episodes, limited edition merch, or to become a Friend of Your Doctor Friends (and more), follow this link! This includes the famous "Advice from the last generation of doctors that inhaled lead" shirt :) Also, CHECK OUT AMAZING HEALTH PODCASTS on The Health Podcast Network   Find us at: Website: yourdoctorfriendspodcast.com  Email: yourdoctorfriendspodcast@gmail.com  Connect with us: @your_doctor_friends (IG) Send/DM us a voice memo/question and we might play it on the show! @yourdoctorfriendspodcast1013 (YouTube) @JeremyAllandMD (IG, FB, Twitter) @JuliaBrueneMD (IG) @HealthPodNet (IG)

Welcome to Difficult Conversations. You may have  heard the story of Dr. Lorna Breen, who was an accomplished physician that tragically took her own life during the spring of 2020. Today, Dr. Orsini and Liz Poret-Christ are honored to introduce guest, Corey Feist, who is the co-founder, and President of the Dr. Lorna Breen Heroes' Foundation. Corey dives into his personal journey, driven by the tragic suicide of his sister-in-law, Dr. Lorna Breen, and his mission to transform the healthcare system to support the well-being of healthcare professionals. The Dr. Lorna Breen Heroes' Foundation's work includes awareness efforts to break the stigma surrounding mental health issues, advocating for changes in licensing laws and credentialing questions to protect healthcare workers' rights, and advancing solutions that aim to improve the overall well-being of the healthcare workforce.Corey shares insights into the challenges within healthcare, such as electronic medical records and burnout, which prompted him to take action.  He discusses the “All in Wellbeing First for Healthcare” initiative, that includes grants to fund well-being solutions, a starter kit for healthcare systems to kickstart well-being initiatives, and a focus on removing barriers to mental health access. We'll also hear the significant progress the foundation has made, including the passing of the Dr. Lorna Breen Healthcare Provider Protection Act and the creation of the All In Champions Challenge Badge program,. Corey emphasizes the importance of healthcare professionals reaching out for help and clarifies that the most reliable source for information on the status of physician licensing and mental health concerns is their website because the foundation regularly updates this information. He also discusses the need to remove questions about past mental health issues from peer reference forms, stressing the importance of creating a supportive environment and ensuring confidentiality for healthcare workers seeking help.  If you enjoyed this podcast, please hit the subscribe button on your favorite podcast platform and download this episode to hear more! Hosts:Dr. Anthony OrsiniLiz Poret-Christ Guest:Corey FeistFor More Information:Difficult Conversations PodcastThe Orsini WayThe Orsini Way-FacebookThe Orsini Way-LinkedInThe Orsini Way-Instagramdrorsini@theorsiniway.comIt's All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony OrsiniResources J. Corey Feist LinkedInDr. Lorna Breen Heroes' FoundationDr. Lorna Breen Heroes' Foundation YouTubeNational Physician Suicide Awareness DayDr. Lorna Breen Heroes' Foundation ToolkitAll In: Caring For Caregivers988 Suicide & Crisis Lifeline

Sensitivity warning: In today's episode we talk about Suicide Prevention Awareness. We discuss aspects of NPSA National Physician Suicide Awareness Day, and the Lorna Breen Act, which  is now the Lorna Breen law. My guests are Corey Feist,  Co-Founder of the Dr. Lorna Breen Heroes' Foundation, and Dr. Stef Simmons, CMO of the Dr. Lorna Breen Heroes Foundation.  The Dr. Lorna Breen Heroes' Foundation's mission is to reduce burnout of health care professionals and safeguard their well-being and job satisfaction. We envision a world where seeking mental health services is universally viewed as a sign of strength for health care professionals.  Episode guests include CMO Stefanie Simmons, MD and Co-Founder J. Corey Feist, JD, MBA 

The fourteenth episode of MedCast features, Mr. Corey Feist, Chief Executive Officer and Co-Founder of the Dr. Lorna Breen Heroes' Foundation. In this episode, Mr. Feist talks about his sister-in-law's story and physician mental health.

High vacancy and turnover rates in our healthcare workforce are today's well-documented reality putting safe, affordable, quality healthcare at risk for everyone. In this episode, recorded live at Aspen Ideas: Health, an expert panel led by nurse economist Shawna Butler, RN, MBA, vividly describes how many of our health workplaces and practices are exhausting, overly burdensome, and causing moral distress and early career departures of our talented, dedicated, and overworked healthcare professionals. Kathy Howell, MBA, BSN, RN, NEA-BC, Chief Nurse Executive, UCHealth; Corey Feist, President and Co-Founder, Dr. Lorna Breen Heroes' Foundation; and Iman Abuzeid, CEO and Co-Founder, Incredible Health, provide insight into what healthcare talent is seeking from their careers, how forward-leaning health executives are responding to market conditions and workforces that have dramatically shifted, and the readily available system level policy changes urgently needed to support and sustain a thriving health workforce. To learn more, visit our website at www.seeyounowpodcast.com or contact us at hello@seeyounowpodcast.com.

The Chief Medical Officer of Dr. Lorna Breen Heroes' Foundation joins to discuss the realities of physician burnout and shares advice on seeking mental health services as a healthcare professional. Stefanie Simmons, MD, is also an emergency department physician and vice president of clinician engagement for Envision Healthcare's national medical group. American Medical Association CXO Todd Unger hosts.

Find out what to do if you're unhappy in your medical training programme from Dr Ashiq Zaman, who shares his story of pivoting from neurology resident doctor to occupational medicine.   Topics we discuss:   The impact of sleep deprivation and long hours on functioning and how this differs for different people The stigma of talking about mental health in medicine and what is changing (in the UK and the US) The lesser spoken expectations of a doctor's character and how these can be harmful to a doctor's wellbeing The impact of feeling shame within medicine Lessons from leaving a traditional medical pathway  What it's like working in occupational medicine    Resources mentioned in this episode:   Research shows that being awake for 17 hours is similar to having a BAC of 0.05% and being awake for 24 hours is similar to having a BAC of 0.10%. Source: The Centers for Disease Control and prevention (CDC) website)   Wellness wonder: The Dr Lorna Breen Heroes' Foundation   Need help? Read publications from the Dr Lorna Breen Heroes' Foundation and others about the rising support for doctors and their mental health.   Want to help?:  Get recognition for work to protect clinician's wellbeing , check out the All In Wellbeing First for Healthcare Campaign or donate here.    Other resources:   Samaritans UK Samaritans USA Doctors in Distress NHS Practitioner Health   See more episodes: thefullywelldocpod.podbean.com   Email us: fullywelldocpod@gmail.com   Find us on social media:   Instagram @fullywelldocpod Twitter @fullywelldocpod   Looking for coaching? Reach out for a free call with one of us:   Emily - www.fullybecoaching.com Natasha - www.thewelldoctor.org   You can also connect with Emily or Natasha on social media:   Emily is on Instagram and LinkedIn Natasha is on Instagram and Twitter   Photography by Antony Newman Music by Alex_MakeMusic from Pixabay

Find out how Envision Healthcare is working with the Dr. Lorna Breen Heroes' Foundation, which seeks to reduce burnout of healthcare professionals and safeguard their well-being and job satisfaction.

This year, The Conduit has partnered with the Johnson & Johnson Center for Health Worker Innovation to create a podcast series that explores the meaning of care in different communities around the world. From physicians to directors, community workers to advocates, we will be talking to individuals on the ground to discover answers to the question, “what is the point of care?”  In this episode Paul is joined by Corey Feist and Stefanie Simmons.Corey is a healthcare executive with over 20 years of experience and is the co-Founder of the Dr. Lorna Breen Heroes' Foundation. He also served as the Chief Executive Officer of the University of Virginia Physicians Group, a medical group of more than 1,200 physicians and advanced practice providers. Corey has authored numerous publications on the need to support the well-being of the healthcare workforce. Dr. Stefanie Simmons is a board-certified emergency medicine physician with over 15 years of clinical practice. She focuses on the research, development and implementation of programs designed to strengthen the relational skills of clinicians, enhance professional well-being among clinicians, and engage teams in the practice of medicine.

Recorded and produced by StoryCorps Studios, Voices From the Frontlines is a project created by #FirstRespondersFirst, an initiative of Harvard T.H. Chan School of Public Health, Thrive Global, and Creative Artists Agency Foundation that takes a whole human approach to healthcare worker well-being. Additional support is provided by the Dr. Lorna Breen Heroes' Foundation.  In this conversation, colleagues and friends Soren Glassing and Fran Heller talk about their experience working together in a hospital palliative care unit throughout the COVID-19 pandemic and the therapeutic power of art.   To listen to more stories and access resources, visit allinforhealthcare.org See omnystudio.com/listener for privacy information.

Recorded and produced by StoryCorps Studios, Voices From the Frontlines is a project created by #FirstRespondersFirst, an initiative of Harvard T.H. Chan School of Public Health, Thrive Global, and Creative Artists Agency Foundation that takes a whole human approach to healthcare worker well-being. Additional support is provided by the Dr. Lorna Breen Heroes' Foundation.  In this conversation, Filipina and nurse practitioner Riza Mauricio talks to her three adult children Rina Mauricio and Rica Buchanan — both doctors — and Regie Mauricio, an economist, about her experiences with racism and sexism in the medical profession, and the importance of advocating for yourself and your community. To listen to more stories and access resources, visit allinforhealthcare.org See omnystudio.com/listener for privacy information.

Recorded and produced by StoryCorps Studios, Voices From the Frontlines is a project created by #FirstRespondersFirst, an initiative of Harvard T.H. Chan School of Public Health, Thrive Global, and Creative Artists Agency Foundation that takes a whole human approach to healthcare worker well-being. Additional support is provided by the Dr. Lorna Breen Heroes' Foundation. In this conversation, Dr. Mona Masood and her friend and colleague Dr. Nancy Burkey discuss the creation of the Physician Support Line during the COVID-19 pandemic and their ongoing mission to provide mental health support to physicians, residents, and medical students throughout the United States. To listen to more stories and access resources, visit allinforhealthcare.orgSee omnystudio.com/listener for privacy information.

The practice of medicine involves a hidden culture that includes aspects such as clinical pressures and expectations, a mismatch between demands and resources, and psychological phenomena such as perfectionism or imposter syndrome. In this episode, we talk with J. Corey Feist JD, MBA who is the President and Co-Founder of the Dr. Lorna Breen Heroes' Foundation, an organization dedicated to supporting the well-being of our healthcare workforce. Tune in to hear about factors that prevent healthcare workers from seeking help, including 6 barriers to mental health care, essential systemic changes needed across health systems, and policy initiatives / legislation that are vital to improve physician wellness and reduce physician suicide rates and help clinicians thrive, both in their professional and private lives. Learn more about Physician Distress and find more resources. •https://drlornabreen.org/ •https://drlornabreen.org/first-wave/ Read Transcript CME Information: https://stanford.cloud-cme.com/medcastepisode48 Claim CE: https://stanford.cloud-cme.com/Form.aspx?FormID=1330

During September, we're adding our support to National Suicide Prevention Month by listening to Sending Out an SOS, taking this moment to raise awareness of this stigmatized, and often taboo topic to shift public perception, spread hope, share vital information about suicide prevention, and that 988 is the new nationwide, simple, and easy-to-remember number to call or text for help with mental health, substance use, and suicide crises. On April 26, 2020 as New York City was reeling from the first, unrelenting wave of the coronavirus pandemic in the US, Dr. Lorna Breen died by suicide. Despite being aware of and having published on the risks and phenomenon of burnout in emergency care medicine, Lorna was afraid to seek help out of fear it would irreparably damage the career she had spent her entire life building. Her death spurred global awareness, a movement, and national legislation, led in part by her sister and brother-in-law, to reduce burnout of health care professionals, safeguard their well-being, and restore joy to the healing professions.  In this episode, we meet Jennifer and Corey Feist, co-founders of the Dr. Lorna Breen Heroes' Foundation, US Senator Tim Kaine, co-sponsor of the Dr. Lorna Breen Health Care Provider Protection Act, and nurse and researcher Christopher Friese, a national authority on the nursing workforce and healthcare workplace safety to learn about ending the culture of fear regarding seeking mental health support within healthcare, the urgent need for healthcare organizations to build cultures that protect our healers, the importance of making sure that our workforce feels valued and supported at work, and the need to take care of each other and the vulnerabilities that we all have. Email us at hello@seeyounowpodcast.com

We can all help prevent suicide. The National Suicide Prevention Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals in the United States. Help is available: Just call 988  https://suicidepreventionlifeline.org/For more information on Dr. Haru Okuda, visit https://camls-us.org/about/leadership/.  For more information on Corey Feist, visit https://drlornabreen.org/about-the-founders/ .For more information on The Dr. Lorna Breen Heroes' Foundation, visit https://drlornabreen.org/Have questions, comments, or suggestions? Email us at ipep@usf.edu. For more information on USF Health, visit https://health.usf.edu/.

We're discussing Mental Health Support for the Frontline this week. For the conversation, we are joined by Corey Feist, President & Co-Founder of Dr. Lorna Breen Heroes' Foundation, and Joel Palau, Manager of Employee Health and Wellness at ChenMed! In this episode of Faisel & Friends, we're breaking the stigma around mental health for healthcare workers. Some topics include strategies to address workplace burnout, the need for suicide prevention training and access to mental health resources, and legislating health care provider protection.This conversation includes mention of suicide. Help is available 24 hours, National Suicide Prevention Lifeline: 800-273-8255For more resources please visit drlornabreen.org and npsaday.org.Being a doctor is your calling because you couldn't imagine doing anything else. Let's talk about your career goals in medicine. Connect with us and tell us how you dream of practicing medicine. Want to learn more about how we do healthcare? Visit our resource center and check out how we are transforming healthcare. Don't forget to subscribe to ChenMed Rx to receive the latest news and articles from ChenMed.

Death by suicide is now twice the national average (physicians and nurses) prior to the COVID-19 pandemic. The Dr. Lorna Breen Heroes' Foundation's mission is to increase awareness, advance solutions, and promote advocacy at the Federal, state, and local levels. In this episode, Mike Sacopulos interviews J. Corey Feist, JD, MBA, the Co-Founder of the Dr. Lorna Breen Heroes' Foundation. They discuss the mission of the Foundation, Dr. Lorna Breen's tragic story, and review sources available at https://drlornabreen.org/ Corey recently served as the Chief Executive Officer of the University of Virginia Physicians Group, the medical group practice of UVA Health comprised of 1200+ physicians and advanced practice providers. The Foundation has been doing good work, as evidenced by the recent passage of The Dr. Lorna Breen Health Care Provider Protection Act.  Dr. Lorna Breen Heroes' Foundation https://drlornabreen.org/ https://npsaday.org/ Learn more about the American Association for Physician Leadership at www.physicianleaders.org

Death by suicide is now twice the national average (physicians and nurses) prior to the COVID-19 pandemic. The Dr. Lorna Breen Heroes' Foundation's mission is to increase awareness, advance solutions, and promote advocacy at the Federal, state, and local levels. In this episode, Mike Sacopulos interviews J. Corey Feist, JD, MBA, the Co-Founder of the Dr. Lorna Breen Heroes' Foundation. They discuss the mission of the Foundation, Dr. Lorna Breen's tragic story, and review sources available at https://drlornabreen.org/ Corey recently served as the Chief Executive Officer of the University of Virginia Physicians Group, the medical group practice of UVA Health comprised of 1200+ physicians and advanced practice providers. The Foundation has been doing good work, as evidenced by the recent passage of The Dr. Lorna Breen Health Care Provider Protection Act.  Dr. Lorna Breen Heroes' Foundation https://drlornabreen.org/ https://npsaday.org/ Learn more about the American Association for Physician Leadership at www.physicianleaders.org

AMA CXO Todd Unger discusses the passage of the Dr. Lorna Breen Health Care Provider Protection Act with Corey Feist, co-founder and president of the Dr. Lorna Breen Heroes' Foundation, and what it means for physicians. To learn more about All In: WellBeing First for Healthcare and access additional resources, visit: https://www.allinforhealthcare.org/

On April 26, 2020 as New York City was reeling from the first, unrelenting wave of the coronavirus pandemic in the US, Dr. Lorna Breen died by suicide. Dr. Breen spent the three weeks before her death recovering from her own COVID-19 infection, working a nearly unbroken string of 12-16 hour shifts treating COVID-19 patients—often without adequate supplies, PPE, and support—all while being exposed to an unfathomable amount of death and human misery. Despite being aware of and having published on the risks and phenomenon of burnout in emergency care medicine, Lorna was afraid to seek help out of fear it would irreparably damage the career she had spent her entire life building. Her death spurred global awareness, a movement, and national legislation, led in part by her sister and brother-in-law, to reduce burnout of health care professionals, safeguard their well-being, and restore joy to the healing professions. In this episode we meet Jennifer and Corey Feist, co-founders of the Dr. Lorna Breen Heroes' Foundation, US Senator Tim Kaine, co-sponsor of the Dr. Lorna Breen Health Care Provider Protection Act, and nurse and researcher Christopher Friese, a national authority on the nursing workforce and healthcare workplace safety to learn about ending the culture of fear regarding seeking mental health support within healthcare, the urgent need for healthcare organizations to build cultures that protect our healers, the importance of making sure that our workforce feels valued and supported at work, and the need to take care of each other and the vulnerabilities that we all have. If you or someone you know is in crisis, please call the National Suicide Prevention Lifeline at 800.273.TALK (8255). It's confidential and available 24/7. Email us at hello@seeyounowpodcast.com For additional resources, visit our website at www.seeyounowpodcast.com

Carol A. Bernstein, MD is a Professor of Psychiatry and Behavioral Sciences and Obstetrics and Gynecology and Women's Health at the Montefiore Medical Center and the Albert Einstein College of Medicine.  She is also a Senior Scholar in the Department of Education and Organizational Development for the Accreditation Council for Graduate Medical Education a member of the National Academy of Medicine's Action Collaborative on Clinician Wellbeing and a Past President of the American Psychiatric Association. J. Corey Feist, JD, MBA is a health care executive with over 20 years of experience. Corey is the Co-Founder of the Dr. Lorna Breen Heroes' Foundation and Corey currently serves as the Chief Executive Officer of the University of Virginia Physicians Group, the medical group practice of UVA Health comprised of 1200+ physicians and advanced practice providers. Corey also holds an adjunct faculty appointment at the UVA Darden School of Business where he recently taught a course entitled “Managing in a Pandemic: The Challenge of COVID-19″. Corey is also the Chair of the Board of the Charlottesville Free Clinic. Corey holds his Masters in Business Administration from the UVA Darden School of Business, his Juris Doctorate from Penn State Dickinson School of Law and his Bachelors degree from Hamilton College The Dr. Lorna Breen Health Care Provider Protection Act, (S. 610  and HR 1667) which unanimously passed the US Senate on August 6, 2021, the Health subcommittee of the House Energy and Commerce Committee on October 26, 2021 and the full Energy and Commerce Committee on November 17, 2021 aims to reduce and prevent suicide, burnout, and mental and behavioral health conditions among health care professionals. Health care professionals have long experienced high levels of stress and burnout, and COVID-19 has only exacerbated the problem. While helping their patients fight for their lives, many health care professionals are coping with their own trauma of losing patients and colleagues and fear for their own health and safety. This bill helps promote mental and behavioral health among those working on the frontlines of the pandemic. It also supports suicide and burnout prevention training in health professional training programs and increases awareness and education about suicide and mental health concerns among health care professionals.Further reading: https://www.congress.gov/bill/117th-congress/senate-bill/610?q=%7B%22search%22%3A%5B%22S.+610%22%5D%7D&s=1&r=1 https://drlornabreen.org/about-the-legislation/ A Key Differential Diagnosis for Physicians-Major Depression or Burnout? Transcript: SUMMARY KEYWORDSstigma, people, burnout, talk, lorna breen, mental health, physicians, psychiatrist, mental health services, depression, burn out, challenges, medicine, feel, healthcare professionals, heard, licensure SPEAKERSResa Lewiss, Corey Feist, Carol Bernstein  Carol Bernstein. 00:02We really are a long way from where we were. You may know that in 2003, the AMA brought together a panel of experts and issued a consensus statement on physician well being and said this was a big problem and that physician mental health needed to be prioritized and it went nowhere. But we are at a different point in time. And this is about seize the moment.  Resa Lewiss  00:54Hi, audience. Thanks so much for joining me. In today's episode, we are going to speaking about health care, professional mental health, suicide prevention, burnout, depression in all sorts of things in the healthcare professional world. I'm going to start framing the episode by reading you a little blurb from the Dr. Lorna Breen heroes Foundation website. Healthcare professionals have long experienced high levels of stress and burnout and COVID-19 has only exacerbated the problem. While helping their patients fight for their lives. Many healthcare professionals are coping with their own trauma of losing patients and colleagues in fear for their own health and safety. So with that, as a start, you're going to hear a lot about stigma, the stigma surrounding mental health talking about mental health seeking help for mental health. My two guests are Dr. Carol Bernstein, and attorney Corey Feist. Carol is a psychiatrist. She's a Professor of Psychiatry and Behavioral Sciences and obstetrics and gynecology and Women's Health at the Montefiore Medical Center and the Albert Einstein College of Medicine in the Bronx. She is also the past president of the American Psychiatric Association. Attorney Corey Feist is a healthcare executive. He's the co founder of the Dr. Lorna brain heroes foundation. He's the brother in law of Dr. Lorna Breen. And he currently serves as the chief executive officer of the University of Virginia Physicians Group. Now, the topic is serious, and it can be triggering for some of you. If at any point, you want to take a break, take a pause, turn off the episode, please do so. And now, let's get to the conversation. When we start, Carol is talking about physician suicides in New York City, and how that was a pivotal moment for talking about health care, professional mental health. Here we go. Carol Bernstein  02:40In 2014, there were two interns who died by suicide in New York City wasn't someone at my institution, but I knew colleagues of the people who were involved. And at the time, I was sitting on the ACGME board of directors. And at our September 2014 board meeting, we had an extensive conversation about what was going on. And as I was listening, and I happened to be the only psychiatrist in the room at the at that time, I'm listening and I'm thinking, oh my goodness, if we can get doctors to look inward at themselves, they'll do a much better job at looking outward at the mental health issues that affect our patients. And that was the stimulus for me. I mean, I'd been involved in graduate medical education my whole career. But depression and suicide per se, had not been an overt interest of mine, although clearly the well being of my trainees had been very important to me throughout my career. But that was the driver. And that was really the kickstart because our we set up a task force at the ACGME that I co chaired with Tim Brigham. And that was really the stepping stone for what subsequently became the action collaborative at the National Academy of Medicine, the action Collaborative on clinician well being, and all of a sudden, I found myself really, really invested in that, particularly because my passion throughout my life has been making good physicians. And if we have physicians who are burned out depressed, anxious, miserable, for whatever reasons, they're not going to be able to give good care to our patients to say nothing of their own lives. Resa Lewiss  04:27Cory You come to the conversation wearing many hats. Why don't we jump right in: Update the audience on the Dr Lorna Breen heroes Foundation, and most recently the health care provider Protection Act. Corey Feist  04:41So Resa, thank you so much for having me today and thanks for having me back. This is this past year we have done so many podcasts and speaking engagements, but this is the first one I've been invited back to so it's really a pleasure to be here with you today. The last 20 months of the Dr Lorna Breenheroes Foundation have been incredibly fruitful in terms of making an impact in the areas of awareness, advocacy, and education of the challenges that the healthcare workforce has right now. In the past 20 months, and since we talked 12 months, we have now reached over 150 million people with the story we've published in the last year, six additional national publications, including an academic publication on physician suicide. We've launched a website called NPSA.org, which is now stands for National physician suicide awareness day.org, which is chock full of resources for hospitals and institutions. We have now been published over 300 articles that all accumulate to the 100 and 50 million people that we've reached. More importantly, though, we have heard from countless physicians, family members of physicians, nurses, family members of nurses about the impact of this storytelling and how the behavior change is followed. In addition to that, we have heard from mental health professionals who have commented about how important it was for us to share the information about Dr. Breen's concerns with regard to her license stigma so that they could pick it up in the language that their physician patients were sharing. weave in. So in that way, we've heard from many that that this work has been life saving, and enabled others to take care of each other. Advocacy has been something that we have spent a tremendous amount of time in as well. The Dr. Lorna Breen, healthcare provider Protection Act unanimously passed the Senate. The House of Representatives currently is voting on the legislation, it unanimously passed the House Energy and Commerce Subcommittee on Health, it is about to be voted on by the full Energy and Commerce Committee. And then the full committee, I'm sorry, the full House of Representatives, we will have law by the end of the calendar year. And on top of that, because the many of the grant provisions in this new law were already funded in the American rescue plan, which was in the spring, a really early late winter, early spring of 2021. HERSA is already allocating the dollars associated with the Lorna Breen act. So we've made tremendous progress there. I'll end by saying our advocacy work has also extended to states hospitals. On the September 9, we published an article in US News and World Report, which identifies six barriers to stigma. So I'll pause there by saying that we have spent a lot of time and advocacy and awareness. At some point in this podcast. I also get to tell you about our educational work, too, because it's cascading the country. Resa Lewiss  08:14Carol, you have been shaking your head, agreeing, knowing thinking, What is your reflection? Carol Bernstein  08:21Well, first of all, I want to thank both of you both Resa for inviting me and Cory to this podcast and for all of the work that you've both done in educating the general population about these challenges. Certainly, they've been true forever. Cory, I'm really sorry, for the loss that your family experienced. I think it is amazing that you've been able to grab this and use it and turn it into something that from what I've heard about your sister in law, she would be so proud of that you've been able to take it and move it into something that's meaningful and productive for everyone. And that will help not only other doctors, but all of our patients as well. This stigma there, the annual meeting of the American Psychiatric Association always has a theme. Usually it's a whole lot of words like you hear in a strategic planning mission. The one the one Sentinel word that I ever heard to describe a meeting somebody theme was a psychiatrist named Paul Fink in the 90s. And his theme was overcoming stigma. That is the only that is the only language that I remember from all of the American Psychiatric Association meetings that I ever went to for a theme to show you how long it's certainly been around. It's been around much longer than that. I mean, the stigmatization against mental illness is endemic for millennia. You know, people were always sequestered and hidden and it was shameful. It even took me Most of my career to talk openly about my mother's bipolar illness, and I was president of the American Psychiatric Association, and still never thought to make a public statement about that, because everybody's been impacted in one way or another by some family member who has struggled with a psychiatric illness. And given the macho tradition and culture in medicine. You know, it's certainly been hidden and shameful, and a real problem for those of us in the medical profession as it has been throughout the country for everyone. And I think if we can see people that we admire, and respect and look up to talk openly about the challenges that they have faced, that that will make a difference, and will make it possible for all of us to be more tolerant of each other and to help each other out, which is something that I think, sadly, we've lost in the country in general, and that the COVID pandemic has clearly made much worse. Resa Lewiss  11:04Rather than talking about the stigma of the past, let's talk about the stigma that is still present today, because I just recorded an episode on gun violence with the Chair of trauma surgery at the University of Chicago, and a former emergency medicine chief medical officer, and everybody who's saying yes, like physician should get treatment. Yes, physicians should address their mental health. It's very important for trainees. I think we're hearing people say that more people in leadership position, but I don't know how people feel they can really actualize it because of the stigma that still exists. So Carol, I'm wondering if you can address that. And Cory, please weigh in on what you've learned your thoughts. Carol Bernstein 11:45Well, you're completely right Resa. And I can't even tell you the stories that all of us in psychiatry have heard, which is, if you're a good student, they say to you what, why are you going into psychiatry, you should be going into XYZ. I mean, the good news is, as stigma against about mental illness is reducing, and it's very different now than when I finished medical school, more and more, that we were seeing a huge uptick in the number of students selecting psychiatry as a career. So that's really the very good news. But I think that people are ashamed, you know, we doctors feel very strongly about having to be the best do the best jump through hoops in order to go to medical school, and we are used to succeeding. And when we can't succeed, the shame and embarrassment, and, you know, just feeling really awful is quite profound. And so I think that that's contributory. And the fact that applications for licensure is you know, for credentialing. And I'll tell you, if we have time a little later, I'll talk about a very neat initiative that may come through the AMA House of Delegates, but there are stigmatizing questions on licensure examinations, they question questionnaires, they say, Have you ever been treated for a psychiatric illness? They don't say, Have you ever seen your general practitioner? So it's embedded in our culture, that mental illness seeking help for depression, for anxiety, for suicidal thinking, that all of that is something to be ashamed of, and to be hidden? And that we should know, just pull up your bootstraps? Don't ask for help. It's not okay. And that's through our families through our culture, through the population in general. Corey Feist  13:38I would add three, three points to that. The first is like any, any change initiative starts from the top and then maybe at the bottom, the behavior has to be modeled, right. So the more that we can get the frankly the senior physicians to start talking about their experiences, because I will tell you since the New York Times, first article on Dr. Breen's passing the day after she died, I have heard from more senior physicians about their personal private struggles, then, then about any other group that we've heard from other than their families. And so the more that we can get those at the top of that hierarchy, which is in that hierarchy and medicine, speaking, and then modeling the behavior would be is is one critical piece. The second I would say is that the expectation of our learners about the environment that they're going to mature into is very different. They have different expectations, and this has been evolving. I've been in healthcare over 20 years and I've heard about the evolution of, you know, work life balance and the demands by the future Gen. But I do think that particular to mental health, the expectations, and the openness, which this generation that is coming up is speaks about their mental health is a little different, is a little different. The third thing I would say, and this is to Carol's point, and this was the article that we published in US News and World Report, we found these six areas where stigma is, is really institutionalized or incorporated into questionnaires. It's incorporated into the medical plan, design of map of the medical plan that you have as a doctor at a hospital where it requires you to use the same services of your hospital. But when it comes to mental health, that just reinforces stigma. We've heard about it when it comes to your mental health medical records, being able to be subpoenaed in a malpractice case that you're a defendant. So then there's and then there's the credentialing and the licensure and all the questions. And one of the things that we've done, though, and I truly, I've heard that, that this is already making an impact is just to ask hospitals to publish for their own what the current state is in your hospital. In New York, you're in New York, does licensure require disclosure in New York? It does not. And I know that because Dr. Breen was convinced it did. She was convinced beyond any doubt that by obtaining mental health treatment for the first and only time in her life, that she was going to lose her license. So for us, this is personal. But just by publishing a report card to those who you work with, you know, knowledge is powered in this case, it can it really, it can allow folks to obtain, you know, it removes a barrier to obtaining access to mental health care that otherwise, otherwise would, you know, would be there, absent that knowledge. So, so those are the three points that I would make, I'm totally in agreement on the stigma thing. I'm also very, I would just say hopeful that where we are now, and maybe some of the some of the silver lining of the pandemic, is, I don't know anybody who doesn't have a mental health challenge right now for the pandemic, regardless of your walk of life. And so maybe just maybe it comes becomes part of the common conversation more common than it was before? Carol Bernstein  17:32Well, I'm, I'm hoping this is a tipping point, I actually thought before COVID That we were at a tipping point, because of all the changes in medicine, I wanted to make at least one other point, which is, and it relates obliquely, to the stigma thing. And by the way, just so everyone knows that the Federation of State medical boards published a template for what the question should be on licensure exams that are not stigmatizing. And in many states who had stigmatizing questions have changed their licensure requirements. So that's really important. And Cory, you're absolutely right about New York, there isn't a single stigmatizing question on our licensure application. I do want to say that reimbursement for mental health services from Medicare for Medicaid from our commercial insurance companies is abysmal. A GI Doc can do a colonoscopy that takes them 10 minutes, I'm making up the numbers gets $3,000 to do it, and we get $100 for spending 45 minutes with a patient. So stigma really impacts directly the access to care issues, which is another part of the problem. It's not just the stigma. It's having people available, who can provide the mental health services and we don't have enough. And part of the reason that we don't have enough is because the system the system that we live in, believes that it's more appropriate to reimburse for cardiology procedure than it is for a mental health service. Resa Lewiss  19:08Yeah. You mentioned about something coming through the AMA House of Delegates. Carol Bernstein  19:13Well, I'm very, I was very excited about this, because it's in a teeny little way, it may be a way to address some of the stigma issues. So now that we've conquered licensure, which I think we have, now it moves into credentialing. And if you look at your own our own institutions, there are still stigmatizing questions on the credentialing applications. And I think I hope it makes its way through the AMA house of delegates that Kim Templeton at the University of Kansas is pushing forward a resolution that would say to Jayco to CMS, that you will ding hospital systems that have discriminatory questions on their credentialing applications. So it's not even saying it's taking the regulatory advice. MIT and turning it on its head and say, you're going to get dinged, you're not going to get payment, you're going to get a problem if you continue to have stigmatizing questions on your credentialing applications. And I think that's a big way to start to make change where it has to happen, besides the amazing, incredible advocacy work that Corey has been able to do with Congress, which is astonishing to me, and thank you. Corey Feist  20:27It's my pleasure Carol truly is. Resa Lewiss  20:31So Carol, before the show, I typed your name into PubMed, and I looked at that on what you've published, and a few titles caught my attention. One specifically was the differential diagnosis between major depression and burnout among physicians and can you walk Resa Cory and the audience through these distinctions? Carol Bernstein  20:54Well, thank you very much for that Resa. I in several of my colleagues, I think that piece I wrote with Laurel Mayer and Maria Oquendo. And Maria happens to be the chair at Penn Laurel runs the resident mental health services at Columbia. And she was directly involved after Dr. Breen's untimely death. So we've talked a lot about what that means. And what's important is that the symptomatology can be similar what you feel when you're depressed, sad, apathetic, isolated, no energy, loss of interest, loss of appetite, difficulty sleeping, all of those symptoms you can be experiencing when you're burned out. But at least from you know, we talk about burnout as being a response to the environment. And it's kind of a simple way to make a distinction, but usually burnout will respond to rest time away, time with friends, colleagues, and you'll feel better, and we don't know yet that it responds to any depressant medication. And, and it is the response to systems are better at issue, not your own personal physiology, which may contribute to depression. Depression, on the other hand, can look the same. But if you're feeling depressed, no matter what you do, or where you go, you're still going to feel terrible. And what's really important to distinguish between the two is that burnout looks to the system for the solution. And depression looks to mental health for the solution. Now, there it is a Venn diagram, there is an interface, but you don't want to be saying to somebody who's depressed, oh, we just have to adjust the regulatory environment in the hospital. Conversely, you don't want to be saying to somebody who's burned out, go see a psychiatrist. So we want to be as careful as we can and understanding what the differences are. And that the two can work synergistically. People who are depressed can be experiencing burnout worse, and people who are burned out, can if they're susceptible, if they have a, what we call a diathesis. for depression, they can get depressed, given the circumstances. Resa Lewiss  23:15You said something about if someone is burnt out, you don't want to send them to a psychiatrist. Can you just clarify that a bit? Carol Bernstein  23:21Well, I'm talking in in a purely linear fashion, I'm very much about for burnout, trying to look at systemic solutions, and not putting the onus on the individual to feel better, which is, which is why I say that. But of course, if you're burned out, seeking mental health treatment may help you find some individual solutions to the situation since we know that systemic change is very hard to manage. We need efforts like the one Cory has initiated with Congress to really do it on a large scale, and what's happening with the National Academy. But so I don't want to say you shouldn't go to see a psychiatrist. I'm just saying, we want to be sure a not to miss depression, when it's really happening, and get treatment for people who need it. And if people are burned out not to forget that the bigger issue here is the system, and that we don't want to put the onus on the individual to fix it. Resa Lewiss  24:20Yeah. Thanks for that clarification. Go ahead, Cory. Corey Feist  24:22Yeah, I'd like to reinforce with what Carol just said there, because if I've heard from one doctor, I've heard from probably 1000, that when it comes to burnout, we don't need more meditation apps. That is That is literally a quote I have heard hundreds of times and let me be clear, I love meditation apps. I meditate all the time. I learned about meditation when I went back to business school and it was very stressful. So it is definitely very effective. But to Carol's point, and this is the big challenge that the entire healthcare industry has here is that it is found itself in a in a position where it The way that healthcare delivery is designed, burns out right now 55% of the workforce. And that is not a sustainable delivery system. So we have to redesign the coal mine. And what I've heard from those physicians and nurses who have said, If you give me another meditation app, I'm going to shove it right back in your face is redesigned my workplace so I can do my job. So I can thrive. So I can feel valued, by shifting by telling me that I just need to go get a meditation app, or do yoga, or even take the day off, what you're telling me is, this is my problem to solve. And you have abdicated or in some ways, just put a bandaid on the solution. And that's where I think we've got to do both we absolutely because right now the workforce is really, really struggling. And so we've got to give them interventions right now to support them in whatever that that fashion. But our longer term play, or I should say, maybe our intermediate and longer term play is gonna be to redesign this so that we prevent these in the future. Carol Bernstein  26:08And just to add completely, completely agree with Corey, that the challenge that we have is that the individual solutions are the easier ones to talk about. It is much harder to say no. I mean, I like the idea of Chief wellness officers, sorry, one person is not going to fix the system. We need an army of people. And they're different. They're different in different specialties. The challenges, they're different in different workplaces. They're different for different disciplines, nurses have certain challenges, physicians have others. The Transport Workers have others. I mean, there are multiple layers to this, that all require targeted solutions at on a systemic level. But people get so overwhelmed by that, that they say okay, here's another meditation and I'm like, No, I'm, I'm sorry, I haven't managed to do meditation yet. i People say would probably help. It probably would. But I'm very much about the system. And I'm about linking mental health services and adequate good accessible services to the system for the people who need it. Resa Lewiss  27:23People that still feel a stigma yet want to reach out and seek services, the surfaces that Corey referred to that sort of went unfilled, you know, the free therapy that was available throughout the pandemic. How would you help people and encourage them? Carol Bernstein  27:42Well, first of all, I think it's getting better. I think people are more will as we talk about it. And the narratives, the stories hearing about Dr. Breen hearing about our own struggles as people, people we respect and look up to, I mean, I remember even when Victor Dzau at one of the National Academy meetings, talked about wanting to change specialties, and how demoralized he felt in the work he was doing to a room of 4000 people, this very powerful person, admitting that he had struggled, that's huge. So that's a big way that we can do it. But it's still challenging. I mean, people, I feel that some of the future for my field is working alongside our colleagues in emergency medicine, and in medicine, and in surgery, so that we can sort of whisper in your ears, because people still feel shamed and embarrassed about going to see a psychiatrist. So it's getting better, though it really is. Corey Feist  28:45One of my hypothesis, Carol, and this is backed by the data from the American Medical Association's coping with COVID-19 survey, is that because of the stigma, many physicians would feel more comfortable in a peer support type of model. So it'd be helped me understand a little bit about your thoughts on whether a peer support model would be at least an intermediate step along that spectrum. Carol Bernstein  29:09It's not just intermediate, Cory, actually, thank you for asking the question. Because I have become increasingly interested and intrigued by the concept of peer support. I think that that's useful again, in any field, not I mean, law, okay. You're a lawyer, right? I think teachers I think all of us you know, when we're especially you truck drivers, whomever, you know, that we gain a lot from connecting to our peers. And as I don't think that most people in health care are going to need to be referred to psychiatrists or mental, other mental health professionals because of their burnout. But I think to the extent that we can connect with each other, and have peer support that that's wonderful, and I know that the Health and Hospitals Corporation in New York City really rolled out a huge initiative to try to develop programs that would enable people who are interested in having peer support, whether it was someone in your discipline someone of your age, someone older, someone in a different site. So yes, and yes, and yes, I think that I don't think it's just intermediate. I think that that is a potential solution, that that will be very helpful, both in the short term and the long term. Resa Lewiss  30:30Amazing. Now I knew Carol had expertise but I actually didn't understand that breadth and the depth of her expertise until doing some background reading and research for the show, and having her join for this conversation. I'm deeply appreciative that there are healthcare professionals focused on dealing with the health of healthcare professionals. Amazing work by both Cory and Jennifer of the Dr. Loner Breen heroes Foundation. They have been tireless in what they're doing and it's amazing to see how they have moved the needle. Coming up, we have some episodes on Health Design, which is one of my favorite topics on which to speak. And I have a conversation that's been pending with Dr. Aletha Maybank. Stay tuned, and we'll see you next week. 

In recognition of National Physician Suicide Awareness Day, AMA CXO Todd Unger discusses physician suicide with Corey and Jennifer Feist, founders of the Dr. Lorna Breen Heroes' Foundation that aims to reduce burnout of health care professionals and safeguard their well-being.

Four hundred physicians die each year by suicide, a statistic that is both tragic and personal for advocates like Corey Feist, JD, MBA. In April 2020, his sister-in-law, Dr. Lorna Breen, took her own life shortly after recovering from COVID-19. She worked in emergency medicine, which has one of the highest rates of suicide of all medical specialties. To recognize Physician Suicide Awareness Day, Corey joined Northwell's Patricia Flynn and Mayer Bellehsen, PhD, to discuss barriers to seeking help, suicide prevention, and physician burnout, as well as sharing and expanding resources.  Meet the experts Patricia Flynn, assistant vice president of wellness and employee assistance. Mayer Bellehsen, PhD, director, Center for Traumatic Stress, Resilience, and Recovery. Corey Feist is a health care executive and co-founder of the Dr. Lorna Breen Heroes' Foundation. Watch episodes of 20-Minute Health Talk on YouTube.

This episode of VHHA's Patients Come First podcast features an interview with Corey Feist, JD, MBA, the CEO of UVA Physicians Group and a co-founder of the Dr. Lorna Breen Heroes' Foundation, about the Foundation, its namesake, and the work being done in her memory to implement workplace and policy reforms to support frontline health care workers experiencing burnout or mental health challenges. Send questions, comments, or feedback to pcfpodcast@vhha.com or contact us on Twitter or Instagram using the #PatientsComeFirst hashtag.

This episode of VHHA's Patients Come First podcast features an interview with Corey Feist, JD, MBA, the CEO of UVA Physicians Group and a co-founder of the Dr. Lorna Breen Heroes' Foundation, about the Foundation, its namesake, and the work being done in her memory to implement workplace and policy reforms to support frontline health care workers experiencing burnout or mental health challenges. Send questions, comments, or feedback to pcfpodcast@vhha.com or contact us on Twitter or Instagram using the #PatientsComeFirst hashtag.

According to the American Foundation for Suicide Prevention, the rate of suicide among male physicians is 1.41 times higher than among men in the general population. For women, the risk is 2.27 times greater. If we prioritize the mental health of medical professionals who are caring for some of our most vulnerable patients, and encourage help-seeking behaviors for mental health concerns and substance use disorders by reducing stigma, increasing resources, and having open conversations about mental health- maybe we can change the culture. Visit afsp.org/actioncenter to learn more about the Dr. Lorna Breen Health Care Provider Protection Act (H.R. 7255/S. 4349). Learn more about the Dr. Lorna Breen Heroes' Foundation. Why Do Female Physicians Keep Dying By Suicide At Mount Sinai St. Luke's Hospital? Unspoken: Doctor Depression and Suicide Jennifer Breen Feist  is an attorney in Charlottesville, VA specializing in finance, real estate and wealth management. She is the Co-Founder of the Dr. Lorna Breen Heroes' Foundation.  J. Corey Feist,  is a health care executive with over 20 years of experience. Corey is the Co-Founder of the Dr. Lorna Breen Heroes' Foundation. He serves as the Chief Executive Officer of the University of Virginia Physicians Group, the medical group practice of UVA Health. He holds an adjunct faculty appointment at the UVA Darden School of Business where he currently teaches a course entitled “Managing in a Pandemic: The Challenge of COVID-19″.  Jessica (“Jessi”) Gold, MD, MS, is an Assistant Professor and the Director of Wellness, Engagement, and Outreach in the Department of Psychiatry at Washington University in Saint Louis. She works clinically as an outpatient psychiatrist and primarily sees college graduate students, as well as faculty, staff, and hospital employees. In her administrative role, Dr. Gold is helping her university and hospital's overall mental health response to covid for faculty and staff and finding acute and sustainable ways to take care of our own. Daniel J Egan MD is the program director of the Harvard Affiliated Emergency Medicine Residency Program in Boston. Prior to Boston, Dr. Egan worked at several sites in NYC where he was involved in residency leadership as APD and PD and most recently a Vice Chair of Education.   If you or someone you know is suicidal, please, contact your physician, go to your local Emergency Department, or call the suicide prevention hotline in your country. For the United States, the numbers are as follows. The National Suicide Prevention Lifeline at 800-273-TALK (8255), or message the Crisis Text Line at 741741. Both programs provide free, confidential support 24/7. Project Parachute   In cooperation with Eleos Health, the project provides pro-bono therapy for front line health care professionals. The Emotional PPE Project is a directory that provides contact information of volunteer mental health practitioners to healthcare workers whose mental health has been impacted by the COVID-19 crisis. Frontline workers counseling project The Frontline Workers Counseling Project (FWCP), formerly called the COVID-19 Pro Bono Counseling Project, is an initiative that helps connect frontline workers with free, confidential psychotherapy and counseling. The project is now open to all frontline and essential workers in the following counties: Alameda, Contra Costa, Marin, Napa, Sacramento, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Solano, Sonoma, and Yolo. Change the culture: Reframing Health Licensure Questions