We live in the most amazing days since Jesus walked the earth. The global church is sprinting toward the finish line of the 2000-year Great Commission race, and by God’s grace, our generation may be the one to finish it. In this session, Douglas Cobb of The Finishing Fund will explain the global effort to get the gospel for the first time to the world’s last few unengaged people groups and will present the amazing promise of Matthew 24:14 that the completion of the Great Commission will open the door to the return of Christ.
This episode features Dr. Stefano Bini, Professor of Orthopaedic Surgery at University of California, San Francisco (UCSF) & Board Member at StartUp Health. Here, he discusses his background, what he is seeing with artificial intelligence, AR, 3D printing, & robotics in orthopedics, and more.
Spirituality is an important component of health, and assessing a patient's spirituality is a cultural competence of healthcare professionals. This session will review the scientific evidence for links between spirituality, religious practice and health outcomes, consider what medical and nursing association guidelines say about incorporating spiritual assessments into medical practice, and describe a practical, context-appropriate framework for assessing patient spirituality in medical and nursing practice.
The Health Disparities Podcast
Episode 137. Following on from a workshop titled “JEDI Journey: This is the Way,” our diverse panel discusses the importance of processes such as integrating the social determinants of health (SDOH) into information systems via Z codes to advance Justice, Equity, Diversity & Inclusion (JEDI) & anti-racism. With episode host Charla Johnson, DNP, and guests Tonya Jagneaux, MD, Holly Pilson, MD, and Daytheon Sturges, PhD. The group also explores achieving workforce diversity in general and orthopedic surgery specifically, which is the least diverse specialty of all. With current trends it will take 217 years to reach parity in terms of race and gender representation, and the group shares strategies for accelerating the pace. We hear how part of the challenge is getting diverse students into schools, but once this is achieved the environment must be set up for success. Otherwise, tokenism can lead to isolation and burnout. With pointers towards actionable steps and resources, this episode takes DEI up a notch. © Copyright Movement is Life 2022-2023 Host: Charla Johnson, DNP, RN-BC, ONC Secretary, Board of Directors, Movement is Life System Director, Nursing Informatics Franciscan Missionaries of Our Lady Health System Baton Rouge, LA Featuring: Tonya Jagneaux, MD, MSHI, FCCP Chief Medical Information Officer – OLOL Associate Professor of Clinical Medicine, Pulmonary/Critical Care, Louisiana State University Health Sciences Center, Baton Rouge Campus Holly Pilson, MD, FAAOS, FAOA Associate Professor of Orthopaedic Trauma, Vice Chair of Social Impact, Co-Director of Diversity and Inclusion, Co-Director of Clinical Research, Department of Orthopaedic Surgery and Rehabilitation, Affiliate Faculty of Maya Angelou Center for Health Equity, Atrium Health Wake Forest Baptist, Wake Forest University School of Medicine Daytheon Sturges, PhD, MPAS, PA-C, DFAAPA, CHES® Assistant Professor of Family Medicine, Vice Chair for JEDI, Associate Program Director for Regional Affairs and Academic Affairs, JEDI, MEDEX Northwest Physician Assistant Program, University of Washington School of Medicine Physician, University of Washington Primary Care – Northgate Producer/Editor/Writer: Rolf Taylor Resources: USING Z CODES: The Social Determinants of Health (SDOH) Data Journey to Better Outcomes: https://www.cms.gov/files/document/zcodes-infographic.pdf Advancing excellence in PA education through leadership, scholarship, equity, and inclusion. DEI Toolkit & Best Practices Guide: https://paeaonline.org/diversity-equity-inclusion Fewer Words, More Action: Cultivating an Anti-Racist Environment Strategies/Solutions (CARES) Framework for Physician Assistant Education. Carl Frizell et al: https://pubmed.ncbi.nlm.nih.gov/34817435/ Excerpts: We need to do a rebranding and a paradigm shift, so that we don't view diversity as a risk, but we view it as a strength, and we view it as beautiful. I use that term because this is not only hard work it is heart work, and there is some emotional exhaustion that comes with that.” ~ Daytheon Sturges PA-C “It's voluntary in 2023 then mandatory in 2024 to be screening for social determinants of health for Medicare and Medicaid for reimbursement. So, people really need to understand the importance of this, and it can't be just another check the box. At Our Lady of the Lake we have a marketing slogan, “we listen, we heal,” – which is perfect alignment with integrating social determinants of health.” ~ Charla Johnson, DNP “Just like we look at things like A1C, I'd like to see Z codes be reviewed routinely so we ask the questions, have we resolved food insecurity, have we resolved homelessness, and we can report on that and close that loop. And I really appreciate a provider wanting to use Z codes.” ~ Tonya Jagneaux, MD “From the vantage point of the good, the bad, and the ugly, the good is that the trend for gender and race diversity is that orthopedic surgery has got better. But the bad is that we remain, year after the year, the least gender, race and ethnically diverse specialty in all of medicine, recruitment efforts alone have not reversed that. To get to parity at the present rate would take 217 years.” ~ Holly Pilson, MD “I liked how you laid it bear that your zip code is more of a social determinant than your genetic code, and speaking of codes, I really like that you introduced the Z codes as well because that introduces a level of accountability. When you document it, you then have to have a plan about it.” ~ Daytheon Sturges PA-C “We had two great talks from Cara McLellan and Frank McLellan, and I am going to start using that term: The power of the purse. Until you incentivize it, it does not become a priority. When people see a target then they see this is the journey we are taking.” Tonya Jagneaux, MD “My part of the session was about workforce diversity, particularly in orthopedic surgery, and what better specialty to talk about in terms of workforce diversity than the one that struggles the most with it.” ~ Holly Pilson, MD “When you fix policy at the system level then you are able to see more results. We need to look at policy with a JEDI lens, so Justice, Equity, Diversity, and Inclusion, but I also add in anti-racism, to become anti-racist we have to center and discuss race. We are looking at our policies using an equity impact tool, and we are looking as possible harm as well as alternative approaches.” ~ Daytheon Sturges PA-C “One of the quotes I heard recently is “Nothing about us without us,” it takes bringing those stakeholders to the table, working alongside them and with them, to figure out how we get to more equity in this space.” ~ Holly Pilson, MD “It's important that the minority people who are leading these efforts are doing it alongside and with the majority members of our departments and institutions, because it takes both together. “It's important to equip the champions and provide education. I have my lived experience as a gender and racial ethnic minority, but I'm not a (DEI) expert.” ~ Holly Pilson, MD “Medical students have consistently said that orthopedics as a specialty is less welcoming. I don't know if it's the surgical culture, some the other specialties mentioned as being less welcoming were also surgical.” ~ Holly Pilson, MD “I like to offer a DEI toolkit that the Physician Assistant Education Association (Diversity and Inclusion Advancement Commission) has developed. It's 6 steps of a quality improvement loop.” ~ Daytheon Sturges PA-C “Target the leadership structure: what is the racial composition? What voices are there? Do you have buy-in? These are the people who are yielding and wielding power. We need to look at admissions and ask how can we kick the door open and look at our applicants holistically, because this is where the gatekeeping is. We will never have a diverse medical workforce if the schools are not admitting these students.” ~ Daytheon Sturges PA-C
In this episode of the PRS Global Open Keynotes Podcast, Dr. Rizzo and Nelson discuss the role of open reduction and internal fixation versus k-wire fixation in the management of metacarpal fractures. This episode discusses the following PRS Global Open article: A Comparison of Outcomes following Plate versus Pin Fixation of Metacarpal Shaft and Neck Fractures by Benjamin A. Nelson, Taylor P. Trentadue, Vivek Somasundaram, Priya Patel, John T. Capo and Marco Rizzo. Read the articles for free on PRSGlobalOpen.com: https://bit.ly/PlatevPin Dr. Marco Rizzo is a professor in the Department of Orthopaedic Surgery at the Mayo Clinic. Dr. Benjamin Nelson is an orthopedic surgery resident at Walter Reed National Military Medical Centre. Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Surgery at the University of Sydney in Australia. #PRSGlobalOpen #KeynotesPodcast #PlasticSurgery
Easy Reider: A Conversation with Bruce Reider, MD
Edward M. Wojtys, MD, William S. Smith Collegiate Professor, Department of Orthopaedic Surgery, University of Michigan Medical School, and Editor-in-Chief, Sports Health, shares his research on ACL injuries, team approach to orthopaedic medicine, work on the NFL Injury and Safety Panel, archery bear hunting, and more.
The missional landscape has changed. The recent global events, the shifting distribution of Christians, and the realities of what God is allowing; are presenting a whole new missional landscape. What then are the new structures, approaches, and strategies that are proving effective for missions in our days? This will be shared with a special emphasis on the emerging role of medical missions and the strategy for partnerships. https://bit.ly/gmhc2022_florencemuindi_ourcurrentmission
Highlights from the newly published Practice and Compensation survey from the PAs in Orthopaedic Surgery. Specific to PAs practicing in orthopedics, the annual survey is a great tool for negotiating a salary or a raise. Kevin Whorton shares what trends he is seeing in the profession based on PAOS members and non-members who completed the survey in 2022. This publication is included in membership to the PAOS.
RUSK Insights on Rehabilitation Medicine
Dr. Baumhauer is a tenured Professor and serves as the Senior Associate Dean of Academic Affairs for the University of Rochester School of Medicine and Dentistry. She also is the Associate Chair of Academic Affairs within the Department of Orthopaedics at the University of Rochester. In addition to providing clinical care and performing surgery, she holds the position as the Director of the Clinical Health Informatics Core for the UR Healthcare System and is a board of director of Accountable Health Partners, ACO for the Rochester Region. She received her Doctorate of Medicine from the University of Vermont College of Medicine. She completed orthopaedic residency at the Medical Center Hospital of Vermont and a Fellowship in Foot and Ankle Surgery at the Medical College of Wisconsin. She also completed a Masters in Public Health degree from the University of Rochester. Dr. Baumhauer is the past president of the American Board of Orthopaedic Surgery, American Orthopaedic Foot and Ankle Society (AOFAS), and Eastern Orthopaedic Association. She currently is the President of the Patient-Reported Outcomes Measurement Information System (PROMIS) Health Organization and has published over two hundred peer reviewed papers and book chapters. In Part 2, Dr. Baumhauer described research showing that patients who were able to report at times that were important to the patient ended up visiting the emergency room less and were experiencing more favorable outcomes. She discussed how data are used. The first time seeing a patient, it is important to know what their baseline values are, e.g., mild depression and moderate symptoms for physical function and pain. Trends can be noted that make it possible before meeting with a patient to look at the PROMIS scores and be able to anticipate how much time to spend with this individual. It enables the physician to triage, which patients appreciate. Patients also are asked anchoring questions, such as general health status questions that make it possible to link the medical visit. An example is are you worse, better, or the same since your last visit? Another question is can you live with your symptoms? She also discussed how patients can ask questions, such as whether there will be substantial improvement as a result of surgery. If such an outcome is unlikely, surgery should not occur. Another question patients ask is which of various treatment options should be selected? It is important to know what the patient wants to measure.
In this episode Maxwell Cooper, MD interviews Brian Cole, MD, MBA, Managing Partner of Midwest Orthopaedics at Rush, Associate Chairman of Orthopaedic Surgery at Rush University Medical Center, and Head Team Physician for the Chicago Bulls of the NBA, Chicago White Sox of the MLB, and several other professional and collegiate teams. Dr. Cole gives an overview of his practice as a orthopedic surgeon specializing in sports medicine and caring for professional athletes. He also gives an overview of the business operations of Midwest Orthopaedics at Rush, a physician run, independent fully comprehensive orthopaedic practice that also serves as the academic orthopaedics department for Rush University. Dr. Cole discusses how Midwest Orthopaedics at Rush is optimized with many sources of revenue beyond a high-volume surgical practice and how the practice is able to conduct high-level clinical and basic science research. Lastly, Dr. Cole discusses his podcast, Sports Medicine Weekly where he interviews a variety of guests to provide education to the community covering sports medicine, health and wellness, and many more topics. *Views expressed in this podcast are those of the individuals, not their respective institutions Thank you to our sponsor Doc2Doc Lending, the Personal Lending platform designed for Doctors, by Doctors. Check out https://doc2doclending.com/davinci to learn more today. Brian Cole,