Podcasts about residency director

Guest: Ashwin Basavaraj, MD Guest: Keren Bakal, MD Guest: Nathan Falk, MD, MBA, FAAFP Guest: Amy Springer, NP Often mistaken for COPD or asthma, bronchiectasis and nontuberculous mycobacteria (NTM) can be difficult to recognize and test for, often delaying diagnosis and effective treatment. However, an emphasis on education and research can help address these diagnostic gaps, and involving a multidisciplinary care team can improve treatment plans and patient outcomes. Joining Dr. Ashwin Basavaraj, Associate Professor of Medicine at NYU Grossman School of Medicine, to talk about how we can optimize the diagnosis and management of bronchiectasis and NTM are Dr. Keren Bakal, Dr. Nathan Falk, and Ms. Amy Springer. Dr. Bakal is a pulmonologist specializing in critical care medicine at Overlook Medical Center and Morristown Medical Center in New Jersey, Dr. Falk is a Professor and the founding Residency Director for Family Medicine at Florida State University, and Ms. Springer is a Senior Nurse Practitioner at NYU Langone Health. This program is produced in partnership with the American College of CHEST Physicians, and is sponsored by Insmed Incorporated.

Special Guest: Dr. Richard Safeer -- Author, Speaker, Workplace Health Pioneer, and Thought Leader Show Highlights · The power of journaling in sustaining healthy habits and positive thinking · The value of journaling during the workday to support health and well-being. Biography Richard Safeer, MD, earned his BS in Nutritional Biochemistry at Cornell University under the tutelage of T. Colin Campbell, author of the China Study, before attending medical school at State University of New York at Buffalo. Dr. Safeer is the Chief Medical Director of Employee Health and Well-being at Johns Hopkins Medicine, where he leads the Healthy at Hopkins employee health and well-being strategy. He also holds faculty appointments in the School of Medicine and Public Health at Johns Hopkins University. Prior to arriving at Hopkins, Dr. Safeer practiced family medicine in Northern Virginia. He was then on faculty at the George Washington University, serving as the Residency Director of Family Medicine in his last year at the institution. He was the Medical Director of an Occupational Health Center in Baltimore and Wellness Director for the Mid-Atlantic region of the parent company, just before starting at CareFirst BlueCross BlueShield in Baltimore, Maryland as the Medical Director of Preventive Medicine. He has been credited by some for bringing ‘wellness’ in to the realm of responsibilities of the managed care industry. He also led CareFirst BCBS to be among the first cohort of health plans to be accredited for Wellness by NCQA. He holds faculty appointments in both the Johns Hopkins School of Medicine as well as the School of Public Health. He continues to see patients one day a week in the Pediatric Cardiology department. Dr. Safeer is a fellow of the American Academy of Family Practice, The American College of Lifestyle Medicine, and the American College of Preventive Medicine. He served on the board of directors for the American College of Lifestyle Medicine. He is on the New England Journal of Medicine Catalyst Insight Council. Dr. Safeer has hiked and camped in the Andes, Alaska, Australia and across the Western United States. He lives in Columbia Maryland with his wife and three children, and their dog Kami. Website: RichardSafeer.com Book: https://amzn.to/3bG1q1D Training Program CreatingAWellbeingCulture.com A Cure for the Common Workday A Cure for the Common Company Social Media https://www.linkedin.com/in/richardsafeer/Support the show: http://www.cooleyfoundation.org/See omnystudio.com/listener for privacy information.

Drs. Jensen and Richey welcome back Dr. Patrick DeHeer to Dean's Chat! The discussion centers around Dr. DeHeer's residency program, his mission trips, the Foundatoin for Podiatric Medical Education, and the podiatric profession! Dr. DeHeer serves as a Trustee on the APMA Board of Trustees. He practices in Central Indiana as part of the national supergroup Upperline Health. Dr. DeHeer serves as the residency director of the podiatric surgical residency program at Ascension St. Vincent Hospital in Indianapolis. In addition, he served as the team podiatrist for the Indiana Pacers for thirty years, from 1992 to 2022. Dr. DeHeer, DPM, is a member of the American Podiatric Medical Association (APMA) and a fellow of the American Society of Podiatric Surgeons (ASPS), and American College of Foot and Ankle Surgeons (ACFAS).  He is also a member of the Royal College of Physicians and Surgeons of Glasgow. Dr. DeHeer is a Diplomat of the American Board of Foot & Ankle Surgery certified in foot surgery and reconstructive foot and ankle surgery. He is the inventor of The Equinus Brace™ and a partner in IQ Med. He is the President and Founder of Step-By-Step Haiti and Foot Aid. Dr. DeHeer's passion for teaching and providing lower extremity healthcare in developing countries culminated in recognition by the 2014 International Federation of Podiatrists Humanitarian Award and the 2011 APMA Humanitarian of the Year Award.   Dr. DeHeer also shares his interests outside of his work life. He expresses a love for intellectual pursuits and aesthetics, such as music, particularly the Grateful Dead, and various forms of art and culture. He enjoys engaging with theater, movies, reading, and visiting museums. Tune in to hear about Dr. DeHeer's appreciation for intellectual pursuits and artistic expressions.  www.explorepodmed.org https://podiatrist2be.com/ https://higherlearninghub.com/

Dr. Burns earned his bachelor's degree from the University of Pittsburgh, graduating with honors in biological sciences. He then graduated summa cum laude from the Dr. William M. Scholl College of Podiatric Medicine in Chicago. He returned to the University of Pittsburgh to complete his surgical residency, and joined the Foot and Ankle Division of the University of Pittsburgh Department of Orthopedic Surgery where he worked for 17 years before recently joining West Virginia University Medicine as part of their foot and ankle reconstructive team.  Join us as we discuss all things podiatric medicine as we talk with Dr. Burns about his experience educating students, residents and fellows. He has written and lectured extensively regarding External fixation and Charcot neuroarthropathy as well as issues related to the diabetic foot. Tune in as we discuss his Fellowship in Kurgan Russia as well as his role as Co-Chair of the International External fixation Symposium.    Dr. Burns also participates in local, state, and national committees and associations and has been named to the “Most Influential” DPM's across the country twice and has been given the “Distinguished Service Award” by the Pennsylvania Podiatric Medical Association for his work in education. He is considered a thought leader within the profession and has served in various leadership positions including medical director for UPMC Mercy Hospital. Listen in, as he describes the importance of relationship building and how trying to be 1% better each day can translate into future opportunities.  Dr. Burns is board certified in foot surgery and reconstructive rearfoot and ankle surgery. He is a member of the American Podiatric Medical Association and a diplomate of the American Board of Foot and Ankle Surgery. Dr. Burns is the Associate Editor of the surgical section of the Journal of the American Podiatric Medical Association, Clinics of Podiatric Medicine and Surgery and the Foot and Ankle Specialist He also has served on the editorial board of several other publications including UpToDate, and functioned as the Editor in chief for Diabetic Foot and Ankle. His interests include complex foot and ankle deformity and preservation techniques. He has extensive experience with complex foot and ankle surgery, revision surgery, trauma and fracture care, Charcot neuroarthropathy and limb preservation.  https://wvumedicine.org/wheeling/education/podiatric-medicine-and-surgery-residency/ https://www.acfas.org/ https://www.abfas.org/residents https://www.aofoundation.org/aona https://www.apma.org/  

Dean's Chat host, Dr. Jeffrey Jensen welcomes Dr. Kristine Hoffman to Dean's Chat. Dr. Hoffman is currently the director of the Denver Health Podiatric Medicine and Surgery Residency Program, Chief of Podiatry, and an attending physician in the Department of Orthopedics at Denver Health Medical Center. Additionally, she is an Assistant Professor in the Department of Orthopedics at the University of Colorado School of Medicine. Kristine is a Colorado native who received her Bachelor of Arts degree with distinction from the University of Colorado at Boulder. She completed her Doctorate in Podiatric Medicine at Rosalind Franklin University of Medicine and Science in 2007. She returned to Colorado for her post-graduate training and completed her 3-year surgical residency at the North Colorado Medical Center Program based in Greeley, Colorado. Following her post-graduate studies, Kristine joined a podiatry group in Boulder, Colorado where she worked from 2010 to 2016. She transitioned her career to academic medicine in 2016 when she joined Denver Health – a leading academic hospital, Colorado's primary safety net hospital, and level-one trauma center. Outside of podiatry, Kristine enjoys trail running and fly fishing. She is a four-time “Troutwoman” – having successfully completed this challenging event that involves running at least 26.2 miles with a minimum of 3000 feet of elevation gain and catching all 4 species of Colorado trout in under 12 hours. Kristine is currently the president of Running Rivers a nonprofit organization with the mission to conserve and restore native fish ecosystems by educating and inspiring recreationists to engage in conservation. She also has a long history of competitive rock climbing which enabled her to travel the world and compete. She currently lives in Boulder, Colorado with her husband, daughter, 2 dogs, and 11 chickens. Dr. Jeffrey Jensen chats with Dr. Kristine Hoffman and they reflect on her leadership roles and success in the field, highlighting the importance of training in shaping her career. Dr. Hoffman emphasizes the pride podiatrists should take in their work and the life-changing interventions they provide.  Dr. Hoffman also discusses the diverse experiences and opportunities within podiatric medicine, citing cases at Denver Health ranging from severe infections to neurologic injuries. This showcases the wide range of conditions podiatrists can address. She also highlighted the collaborative training environment at Denver Health, where residents work alongside other specialties like general surgery, fostering strong relationships and mutual respect among healthcare professionals. Furthermore, Dr. Hoffman's involvement in the Running Rivers nonprofit organization demonstrates how podiatrists can extend their impact beyond clinical practice. By participating in events like the flyathlon, podiatrists can contribute to environmental and community initiatives, showcasing the multifaceted nature of the profession. Dr. Hoffman's experiences underscore the fulfilling aspects of podiatric medicine, from providing essential care to engaging in community-focused activities. Podiatry offers a unique blend of clinical challenges, professional growth, and opportunities to positively influence individuals' lives, making it a rewarding and impactful career choice. https://www.denverhealth.org/provider-directory/h/hoffman-kristine-m https://explorepodmed.org/ Dean's Chat Website Dean's Chat Episodes Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician https://lelandjaffedpm.com  

Dean's Chat hosts, Dr. Jensen, and Dr. Richey, interview a tremendous leader in podiatric medicine and surgery, Dr. Thanh Dinh. Dr. Dinh is the Residency Director for the Beth Israel Deaconess Medical Center Podiatric Surgical Residency. We discuss the residency program, teaching styles, giving valuable feedback to residents, and the clerkship experience. She is an Assistant Professor in the Department of Surgery, at Harvard University. She has been involved extensively in research including NIH-funded research and industry-funded clinical trials. As President of the American College of Foot and Ankle Surgeons in 2020-2021, Dr. Dinh provided valuable leadership and service to our profession during the COVID-19 epidemic. Dr. Dinh shares insights about her impressive career as an assistant professor at Harvard Medical School and residency director at Beth Israel Deaconess Medical Center. The conversation delves into the residency program at Beth Israel Deaconess, highlighting Tan's passion for training future podiatrists. Tune in for an engaging discussion with these podiatric experts! Dr. Jensen, Dr. Richey, and Dr. Dinh discuss how residency programs are essential in shaping the future of healthcare by training well-rounded physicians. Dr. Thanh Dinh emphasized the critical role of residency programs in training podiatric surgeons to excel not only in surgical skills but also in demonstrating care, talent, and a warm bedside manner. She stressed the importance of training physicians who are responsible members of the healthcare community, and capable of providing compassionate care to their patients. Dr. Dinh's approach to residency training focused on fostering curiosity and a willingness to question the status quo among residents. She encouraged residents to ask "why" and understand the reasoning behind their actions, rather than blindly following tradition. By creating an environment where residents are empowered to question and seek understanding, Dr. Dinh aimed to cultivate a sense of identity and purpose within the healthcare profession. Moreover, Dr. Dinh highlighted the significance of providing feedback to residents in a constructive and supportive manner. She emphasized feedback as a valuable tool that can help residents grow and enhance their skills. By promoting reflection and open communication, residency programs can assist residents in developing not only their clinical competencies but also their emotional intelligence and patient-centered care. Overall, the episode underscores the importance of residency programs in shaping well-rounded physicians who not only possess technical expertise but also demonstrate empathy, communication skills, and a commitment to patient care. By focusing on training physicians who are caring, talented, and have a warm bedside manner, residency programs can contribute to the development of healthcare professionals who are not only skilled clinicians but also compassionate caregivers. A lifelong learner, she also enjoys time with her family and is an avid runner. Join us for a fun discussion with Dr. Thanh Dinh! Enjoy! https://explorepodmed.org/ Dean's Chat Website Dean's Chat Episodes Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician https://lelandjaffedpm.com https://higherlearninghub.com  

Interview with Dr. Brian Mullis, Professor of Orthopaedic Surgery and Residency Director, Indiana University School of Medicine and Dr. Leilani Mullis, Assistant Professor of Clinical Anesthesia and Chair, Residency Selection Committee, Indiana University School of Medicine. We discuss their paper entitled “Orthopaedic Trauma and Anemia: Conservative versus Liberal Transfusion Strategy: A Prospective Randomized Study” in […]

It's common to overthink decisions and choices- especially if you are letting others' needs, wants and feelings guide you. In this episode we discuss how Perfectionsists, People Pleasers and Over Performers approach decisions, common pitfalls and how to reframe the internal conversation to make empowered decisions more easily. Sweta Chawla PharmD, MS is a Former Professor of Pharmacy and Clinical and Residency Director turned Speaker, Facilitator & Leadership Coach and Author. She supports organizations, highly driven professionals, creatives and entrepreneurs to reinvent how they work and lead. Through her well-resourced model, she guides her clients to create personal structures that leverage their natural brilliance--resulting in more authenticity, impact and balance. Dr. Sweta is the author of the book I Still Haven't Found What I'm LookingFor...Now What? and contributor to the award-winning Anthology She's Got This: Essays on Standing Strong and Moving On. View the Decision Matrix www.drswetachawla.com Learn more about coaching with Kristen: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.coachwithkristen.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow me:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/coachwithkristen⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/kristen.odegaard.coaching/⁠⁠⁠⁠

Join us as Doctors Jeffrey Jensen and Johanna Richey interview Dr. Ben Cullen! Dr. Cullen is currently the residency director for the San Diego Scripps Podiatric Surgical residency program. He completed his undergraduate degree from the University of California Santa Cruz with his Bachelor's degree in Arts, Economics, and Psychology. He completed his Doctorate in Podiatric Medicine at the California School of Podiatric Medicine- Samuel Merritt University in Oakland California in 2010. He then went on to complete his 3-year surgical residency training at Kaiser Permanente- Hayward Program. On this episode of Dean's Chat, host Dr. Jeffrey Jensen and co-host Jo are joined by Dr. Ben Cullen, a rising star in podiatric medicine. Dr. Cullen shares his journey from undergrad at the University of California, Santa Cruz to becoming the residency director for the Scripps Podiatric Surgical Residency Program in San Diego. Tune in to learn more about Dr. Cullen's experiences and the insights he brings to the field of podiatric medicine. Tune in as we discuss Dr. Cullen's experiences in global health as a child as well as a resident. Listen as he talks about his experience as the 1st resident to get to travel with Dr. Weinraub on a medical mission trip to Vietnam and the value of mentorship that he received in his residency training. He discusses how this has shaped his own perspective on his interactions with his residents. Join us as we talk “all things podiatric medicine” including community involvement in professional and political organizations. Dr. Cullen has been heavily engaged in his community serving in multiple leadership roles including President of San Diego County Podiatric Medical Society, Assistant Chairman for the Podiatry Institute conference which is held yearly in San Diego. In the podcast featuring Dr. Ben Cullen, the discussion emphasized the significance of being actively involved in the community and political aspects of the podiatry profession. Dr. Cullen stressed the importance of participating in local societies and engaging in legislative advocacy to promote the advancement of podiatry and protect professional rights. Dr. Cullen's leadership in the San Diego County Podiatric Medical Society highlighted the value of connecting with local organizations. These societies provide opportunities for podiatrists to network, collaborate, and stay informed about industry developments. Through participation in meetings, workshops, and events, professionals can contribute to the growth and unity of the podiatric community. Additionally, Dr. Cullen's involvement in political advocacy, such as attending the legislative leadership conference in Sacramento, exemplifies the proactive approach necessary to safeguard professional rights. By interacting with lawmakers and advocating for podiatric interests, practitioners can influence policy decisions that impact the field. This engagement is crucial for ensuring that podiatrists have a say in shaping regulations and laws affecting their practice. Dr. Cullen's comprehensive involvement in various aspects of the profession, including academic, research, and political organizations, underscores the holistic approach required for the advancement of podiatry. By actively participating in community initiatives and advocating for legislative changes, podiatrists can contribute to the growth, recognition, and sustainability of the profession. Dr. Cullen's dedication to these endeavors serves as a model for aspiring podiatrists to engage in community and political realms to drive positive change and progress in the field. Dr. Ben Cullen shares his experience of being multilingual, primarily fluent in Spanish. Dr. Cullen emphasized the importance of speaking Spanish in his practice, particularly in San Diego, where a significant portion of the population exclusively speaks Spanish. He highlighted how speaking Spanish has been crucial in his interactions with patients who may not be proficient in English, facilitating better communication and understanding of their medical needs. https://explorepodmed.org/ Dean's Chat Website Dean's Chat Episodes Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician https://lelandjaffedpm.com  

Dean's Chat hosts, Dr. Jeffrey Jensen and Dr. Johanna Richey, are joined by Dr. Travis Motley, a successful podiatric physician from Fort Worth, TX. Dr. Motley currently practices at the John Peter Smith Hospital in Fort Worth, TX. Dr. Motley graduated from Texas Christian University with both his Bachelors in Biology/chemistry as well as his Masters in Biology and then went on to the Des Moines University College of Podiatric Medicine and Surgery. Dr. Motley completed his surgical residency program with John Peter Smith Hospital where he now serves as the residency program director! Tune in for a fun discussion on the JPS Residency program, its structure, the clerkship experience, and his teaching style/philosophy. His passion for academics and research has helped support a career of lifelong learning and exploration. He has won many research grants and published numerous peer-reviewed papers. In this episode, he talks with us about being a principal investigator in clinical trials. We also discuss fellowship opportunities, the current trends, the benefits, and most importantly, which residents benefit the most. One unique aspect of the JPS program is its integration with other medical specialties within the hospital. Residents have the opportunity to rotate through various departments, including internal medicine, emergency medicine, general surgery, vascular surgery, and more. During these rotations, residents fully immerse themselves in the specialty they are working in, taking on the role of an internal medicine doctor or a vascular surgeon, for example. This approach allows residents to gain a broader understanding of different medical specialties and enhances their overall training. The program challenges residents from the very beginning. Rather than easing residents into the program, JPS takes a "drink out of a fire hydrant" approach, exposing residents to a high volume of cases and responsibilities right from the start. This intensive training is designed to push residents to their limits and help them develop strong clinical skills and time management abilities. Research and scholarly activity are also emphasized in the JPS program. Residents are required to complete a research project that is publishable by the end of their third year. The program provides funding and resources to support residents in their research endeavors, including access to statisticians and an office of clinical trials and research. This emphasis on research helps residents develop critical thinking and analytical skills and contributes to the advancement of podiatric medicine. While fellowship training is not a requirement, the JPS program has seen some residents pursue fellowships after completing their residency. Fellowship training provides additional specialized training and expertise in a specific area of podiatric medicine. The decision to pursue a fellowship is highly individual and depends on the resident's career goals and interests. Overall, the field of podiatric medicine offers a range of career paths that allow practitioners to specialize in specific areas and provide specialized care to patients. Whether it's wound care, trauma, hospitalist-based podiatry, or other options, podiatrists have the opportunity to pursue their interests and make a significant impact in the field. Enjoy!   https://explorepodmed.org/ Dean's Chat Website Dean's Chat Episodes Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician  

Mentioned in the episode:Handkerchief project: https://www.instagram.com/winnievanderrijn/ Symposium: https://marthacashman.com/international-symposiums/ Dada show: http://www.allisonbeda.com/fakegalleryFind Beulah online:https://www.instagram.com/beulahvanrensburghttps://www.instagram.com/atelier_chateau_orquevaux/ https://www.chateauorquevaux.com/ Beulah van Rensburg's Artist Statement: Since 2019 Beulah van Rensburg has been The Residency Director at Chateau d'Orquevaux. Beulah is a practicing artist herself and as Director she uses her vast experience working with artists for over 20 years to conduct studio visits with the artists at the residency which includes discussing career, direction and to offer critiques. Prior to joining The Chateau team, Beulah founded the Van Rensburg Galleries in Hong Kong and Australia. In 2012 Beulah opened a Gallery in Hong Kong and while representing 35 International artists, she started exhibiting at the Affordable Art Fair worldwide all the while curating collectors on an international level. Following the success of the art fairs, Van Rensburg Galleries established a regular Popup gallery in New York City followed by a gallery in Australia. Since 2021 Van Rensburg Galleries continues to operate under new ownership. In 2022 Beulah was invited to join the curatorial board at Artfinder, the leading online art platform. As a board member Beulah curates shows on the platform and finds appropriate artists to be represented. Host and artist Stephanie Scott breaks down the practicality of the art career with topics including: sustainable creative practices, social media skills, and the mindsets that keep it all together. New episodes every Tuesday!Instagram: https://www.instagram.com/stephaniescott.art/ Website: http://www.stephaniescott.art/brushwork Music by @winepot https://www.instagram.com/thewinepot/ YouTube: https://www.youtube.com/@stephaniescottart Podcast Cover photo by Maryna Blumqvist https://instagram.com/picturemaryna

In this episode of Dean's Chat, Dr. Jeffrey Jensen and Dr. Joanna Ritchie interview Dr. Kieran Mahan, a leader in podiatric medicine. They discuss Dr. Mahan's remarkable career and his extensive experience in the field. Dr. Mahan shares insights and perspectives on all things podiatric medicine, making for an informative and engaging conversation. Tune in to learn more about Dr. Mahan's background and his contributions to the field of podiatric medicine. To quote Dr. Mahan, “Although I've viewed my career as a surgeon/educator with a particular interest in trauma and peds, I've had a number of administrative appointments at the College: Surgery Department Chair, Residency Director, Clinical Dean, Associate Dean for Research, Academic Dean (twice), and the Interim President of PCPM. I co-chaired AO courses for 20 years and was faculty for more and the philosophy behind AO and the friendships I made, became a big part of my personal and professional life. I still have the program from the first AO course I attended in 1982 with Stephen Perren and Tom Ruedit! I was part of the three-person team that negotiated the merger of PCPM into Temple. I was very fortunate to have great mentors along the way, a true blessing in my career. On the personal side, I got a love of all things Irish from my father, particularly Irish music, and literature. I'm trying to learn the Irish language!” Dr. Kieran Mahan has had an exceptional career in podiatric medicine, with notable contributions in education, research, and leadership. Throughout the podcast episode, Dr. Mahan's extensive experience and impact on the field are highlighted. Dr. Mahan's journey began with his undergraduate degree from the University of Toronto in 1974. He then pursued a master's degree in biology at the University of Bridgeport and graduated from the Philadelphia College of Podiatric Medicine in 1980. Following his education, Dr. Mann completed a three-year surgical residency program at Doctors Hospital in Tucker, Georgia, under the guidance of renowned podiatrist John Rook. After his residency, Dr. Mahan returned to Philadelphia and became actively involved with the Pennsylvania College of Podiatric Medicine (PCPM). He held various roles at PCPM, including residency director, clinical dean, associate dean for research, chairman of the Department of Surgery, and dean of academic affairs multiple times. Dr. Mahan's dedication to education and leadership is evident in his long-standing involvement with the Podiatry Institute and the American Orthopaedic Association (AO), where he served as co-chair for over 20 years. Dr. Mahan's impact on the profession extends beyond his roles in education and leadership. He has actively participated in research and secured substantial grants for educational training programs. His commitment to advancing the field of podiatric medicine is evident in his leadership role as chair of the Council on Podiatric Medical Education (CPME) during the pandemic.   https://explorepodmed.org/ Dean's Chat Website Dean's Chat Episodes Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician  

Dean's Chat hosts, Dr. Jeffrey Jensen and Dr. Johanna Richey, are joined by Dr. Ellie Nasser, a successful podiatric physician from Scranton, PA. Dr. Nasser is currently practicing at the Geisinger Community Medical Center. Dr. Nasser graduated from the Temple University School of Podiatric Medicine and completed her medical and surgical residency training at the Geisinger Community Medical Center. She did a fellowship in Limb Salvage and Reconstructive Surgery at Northeast Regional Foot and Ankle Institute. Her passion for education is evident as Dr. Nasser is the Program Director for the Geisinger Community Medical Center and is one of approximately 15% of female Program Directors in the country. We also discuss fellowships, the current trends, the benefits, which residents benefit the most. Overall, the field of podiatric medicine offers a range of career paths that allow practitioners to specialize in specific areas and provide specialized care to patients. Whether it's wound care, trauma, hospitalist-based podiatry, or other options, podiatrists have the opportunity to pursue their interests and make a significant impact in the field. Dr. Nasser emphasizes the significance of being intentional and selective when it comes to saying yes or no to various opportunities. She highlights the fact that every yes inherently means saying no to something else. Therefore, when we choose to say yes to one commitment or opportunity, we are inevitably saying no to others. Reflecting on her own journey,  Dr. Nasser discusses how she learned to say no and prioritize her own happiness and fulfillment. Initially, she said yes to everything, but eventually realized that it was impossible to continue doing so. This realization prompted her to reflect on what truly brings her joy and fulfillment, both personally and professionally. Tune in for a fun discussion on the Geisinger Residency program, its structure, the clerkship experience, and her teaching philosophy.   https://explorepodmed.org/ Dean's Chat Website Dean's Chat Episodes Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician

Dean's Chat host, Dr. Jeffrey Jensen, is joined by Dr. Andrew Meyr from Philadelphia, PA. Dr. Meyr, DPM FACFAS is a Professor in the Department of Podiatric Surgery at Temple University School of Podiatric Medicine. He is also Director of the Temple University Hospital Podiatric Medicine and Surgery Residency Program. Clinically, Dr. Meyr is the Director of Temple University Hospital Limb Salvage.  Dr. Meyr received his Bachelor of Science, Exercise Physiology from the University of Florida, Gainesville, FL. He received his Doctor of Podiatric Medicine from the Temple University School of Podiatric Medicine. Dr. Meyr completed his residency training at Inova Fairfax Hospital Podiatric Surgical Residency Program in Falls Church, VA.  In this episode, Dr. Jensen and Dr. Meyr discuss Dr. Meyr's interests in various roles in the field of podiatry, including his work as a residency director and member of professional boards. They also engage in a thoughtful discussion about the importance of well-being, meditation, and stress reduction in the field of medicine. They both recognize the growing significance of these practices across all areas of healthcare and emphasize the need for their integration into medical care. Dr. Meyr shares his personal experience with meditation, specifically Zen meditation, as a means of relaxation and rejuvenation. He reveals that he dedicates time to meditate at least once a week, typically in the evenings. Additionally, he highlights the role of exercise in his well-being routine, striving to engage in physical activities such as running four to five times a week. The conversation also delves into the responsibility of healthcare professionals to prioritize their well-being and actively participate in stress-reducing activities. Dr. Meyer acknowledges that not everyone may have the inclination or inclination to adopt these practices, but for those who do, it is crucial to make them a priority. He expresses gratitude for his ability to take time off for meetings and volunteer work, as he believes it is his duty to contribute to the advancement of the medical field. A prolific author and researcher, Dr. Meyr has published two books, 10 chapters and 108 original maunuscripts/indexed publications. https://pubmed.ncbi.nlm.nih.gov/?term=Meyr+AJ&size=200 Dr. Meyr has eclectic interests; he is the curator for the Shoe Museum, a fan of art, French literature, and Dunkin Donuts coffee. Dr. Meyr is extremely creative, check out his original art at www.podiatricart.weebly.com -“Osteology_1” series (2020) -“Osteology_2” series (2020) -“DMO Sun” series (2020) -“Second Ray Flower” series (2020) -“Isaac's First” (2020) -“After Heel Strike” (2020) -“Across the Cycle” (2020) -“Weight Reception” (2020) -“Sagittal Splatter” (2020) -“Practice” (2020) -“Foot Doc” (2020) -“Ex Fix Eiffel” (2020) -“Ex Fix Leaning Tower of Pisa” (2020) -“Ex Fix Washington Monument” (2020) -“Ex Fix Egyptian Pyramid” (2020) -“Ex Fix Louvre day” (2020) -“Ex Fix Louvre_night” (2020) -“Ex Fix St. Louis Arch” (2020) -“Ex Fix Stonehenge” (2020) -“Ex Fix Buddha” (2020) -“Ex Fix Man Celebrating on the Philadelphia Museum of Art Steps” (2020) -“Ex Fix Men Walking Across a London Road” (2020) -“Ex Fix Colored Interlocking Rings” (2020)    https://explorepodmed.org/ Dean's Chat Website  Dean's Chat Episodes  Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician     

William Sarradet talks with Eric Schnell about what it's like to live, work, and run a ten-month residency program in Galveston. "Galveston is exactly the right size, where you can hold the whole island in your brain at one time. If it were bigger, that wouldn't be possible." See related readings here: https://glasstire.com/2023/10/22/art-dirt-talking-with-artist-galveston-artist-residency-director-eric-schnell If you enjoy Glasstire and would like to support our work, please consider donating. As a nonprofit, all of the money we receive goes back into our coverage of Texas art. You can make a one-time donation or become a sustaining, monthly donor here: https://glasstire.com/donate

Dean's Chat host, Dr. Jeffrey Jensen, is joined by Dr. Alan MacGill. Dr. MacGill is board-certified by The American Board of Foot and Ankle Surgery in foot surgery as well as reconstructive rearfoot and ankle surgery, the latter of which is only achieved by a fraction of the current practicing foot and ankle surgeons in the country.  Dr. MacGill is one of a handful of surgeons in the Miami area currently performing total ankle replacement with preoperative computerized tomography (CT) -guided navigation and custom cutting guides: a technological evolution that enhances implant position and ultimate longevity of the new joint.  He is a Fellow of the American College of Foot and Ankle Surgeons (ACFAS) and currently serves as a member of the Board of Directors as well as the Chair of the Regions Presidents Council. A native of Florida, Dr. MacGill grew up in Tampa and attended the University of Florida in Gainesville. He majored in Pre-Medical studies and minored in Sociology, earning his Bachelor of Science degree with honors. He then attended The William M. Scholl College of Podiatric Medicine at Rosalind Franklin University in North Chicago, Illinois. He graduated in the top 10th percentile of his class and matched with his first choice for residency at Florida Hospital in Orlando, Florida; a top-tier foot and ankle surgical residency in Florida by case volume and diversity.  During his residency, he completed numerous additional surgical training courses with an emphasis on adult and pediatric reconstructive surgery, external fixation, ankle arthroscopy, lower extremity trauma, and diabetic limb salvage. In 2007, Dr. MacGill was selected for the prestigious AO International Trauma Fellowship with Sigvard Hansen, Jr., MD, Chairman Emeritus-Orthopedics at the University of Washington's School of Medicine. Dr. MacGill completed his fellowship in the spring of 2009, gaining additional training in total ankle replacement as well as complex Charcot foot and ankle reconstruction.  Dr. MacGill is the Director of the Foot and Ankle Surgery residency program at Northwest Medical Center in Margate, FL and previously served as Assistant Director and Research Director for the Bethesda Health Foot and Ankle Surgery residency program in Boynton Beach, FL. He participates in weekly didactic lectures, surgical grand rounds, journal club meetings, and cadaver lab workshops with the residents and students. He has also published several articles in peer-reviewed journals, given award-winning case presentations at state scientific meetings, presented numerous scientific research posters, and lectured at both state and national conferences.  Dr. MacGill is also a Certified Wound Specialist (CWS) by The American Board of Wound Management and treats problematic lower extremity wounds both in the office and at the Broward Health Wound Care & Hyperbaric Medicine Center in Coral Springs, FL. The center achieved the “Center of Distinction” award for the 8th consecutive year and the “Center of Excellence” award for the 6th consecutive year. Both awards are given for exceeding benchmarks for healing and patient satisfaction.  Furthermore, Dr. MacGill is a member in good standing with the American Podiatric Medical Association, the Florida Podiatric Medical Association, and is a former officer of the Palm Beach County Podiatric Medical Association.  In his spare time, Dr. MacGill enjoys running, cycling, participating in triathlons, softball, golf, and going to the beach with his wife and two children. A fun discussion with a prominent leader in our profession! Enjoy! Dean's Chat Website  Dean's Chat Episodes  Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician   

CFTROU 0175: Developing Theologically Grounded Leaders In this episode, Dr. Mark Warnock, Family Church's Residency Director, and Angel Turbeville, Family Church Village's Campus Director, talk about developing leaders. Theological grounding is more important than ever. In this episode, we examine how people's beliefs can be formed by social media and how delving into theology in isolation can do more harm than good, particularly for those taking up leadership roles. In the face of polarization, followers of Jesus are called to prioritize unity and love. We stress the importance of heart formation, teaching the Bible, and building strong families rooted in the Bible. They also discuss the qualities and qualifications to be a community leader. Tune in for more valuable insights. Key Points From This Episode: Training individuals to start new churches. The need for spiritual development and helping people grow in their faith. The cultural changes and challenges pastors face in the current era of technology and secularization. The impact of social media on the formation of people's beliefs and the necessity of theological grounding. Biblical examples of people who maintained faithfulness to God in hostile cultures. The importance of teaching the Bible. Who should be developed to be leaders, according to the book Deep Discipleship. The role of leaders as undershepherds. The “qualifications” required of leaders, including the immersion in community, and the rejection of isolation. Why it's important for pastors to stay connected with their leaders and continually monitor their character and beliefs. We're in a season culturally where it is so much more important to theologically ground.Click To TweetThe Bible has a lot of examples of people who have lived out faithfulness to God in hostile, unfriendly cultures.Click To TweetLeaders need to immerse themselves so they're not living lives of isolation, they're living lives immersed in the community that they're leading.Click To Tweet Links Mentioned in Today's Episode: Mark on Twitter Angel on Twitter Deep Discipleship by J.T. English Jimmy on Twitter Leslee on Twitter Family Church Network Family Church on Facebook Family Church on Instagram Church for the Rest of Us on Twitter Get podcast updates delivered to your inbox. Subscribe for free and never miss out on an episode of Church for the Rest of Us. Subscribe via Email iTunes Google Play Stitcher RSS If you like us, rate us or leave a comment below. Hopefully, this episode has given you principles, strategies, and ideas that you can implement right now with the resources you have. If so, can you let others know? The best way to do that is to rate the podcast on iTunes or Stitcher and leave us a brief positive review! This will help us place the podcast in front of more pastors and ministry leaders. It also lets us learn from you. Thank you for taking the time to get the word out about Church for the Rest of Us.

There are many treatments available for cancer  but how do you make csre delivery equitable? Given the various types of cancers how can you allocate the right resources to create equal outcomes? Dr. Lori Pierce has made equity a primary focus of her career. She describes how physics and radiology inspired her to be an engineer (6:06), and the moment she decided to transition from engineer to oncologist (12;54) and achieving the position of Vice-provost at the University of Michigan (23:01). Speaker Disclosures Dr. David Johnson: Consulting or Advisory Role – Merck, Pfizer, Aileron Therapeutics, Boston University Dr. Patrick Loehrer: Research Funding – Novartis, Lilly Foundation, Taiho Pharmaceutical Dr. Lori Pierce:    Stock and Other Ownership Interests Company - PFS Genomics;  Patents, Royalties, Other Intellectual Property Company - UpToDate, PFS Genomics; Uncompensated Relationships - Bristol-Myers Squibb, Exact Sciences Resources  If you liked this episode, please follow the show. To explore other educational content, including courses, visit education.asco.org. Contact us at education@asco.org. Disclosures for this podcast are listed in the podcast page.   Pat Loehrer: Welcome to Oncology, Etc. This is an ASCO Education Podcast. I'm Pat Loehrer, Director of Global Oncology and Health Equity at Indiana University.  Dave Johnson: Hi, I'm Dave Johnson at UT Southwestern in Dallas, Texas. I'm a Medical Oncologist. If you're a regular listener to our podcast, welcome back. If you're new to Oncology, Etc., the purpose of the program is to introduce listeners to interesting people and topics in and outside the world of oncology; hence the ‘et cetera' in our name. Pat, we've got a great guest today. And we've got a great guest today. Pat Loehrer: Our next guest was able to do this despite living at a time when in the United States, certain groups of people faced tremendous barriers to achieve even the basic hint of equality. Our next guest is Lori Pierce. Dr. Pierce attended Duke University School of Medicine and completed a radiation oncology residency and chief residency at the Hospital of the University of Pennsylvania. She was then appointed as a senior investigator at the National Cancer Institute, the National Institutes of Health in Bethesda, Maryland, from 1990 to 1992. And in 1992, she joined the faculty at the University of Michigan, where she currently is a professor with tenure in Radiation Oncology.  Since coming to Michigan, she has served as Residency Director and Clinical Director in the Department of Radiation Oncology. In August of 2005, she was appointed by the University Board of Regents to be the Vice-Provost for Academic and Faculty Affairs, a position she still holds. In 2020, she was ASCO President, and while she ascended to the ASCO Presidency, that year COVID descended upon the Earth, and we may hear some stories about that. She's dedicated her career to the treatment of breast cancer patients. She's published over 200 manuscripts and book chapters and has received numerous teaching awards from the University of Michigan, multiple national organizations, and many national awards.  Dr. Pierce, thank you so much for joining us today.  Dr. Lori Pierce: I am so happy to join you both today. What an incredibly nice introduction. Thank you so much.  Pat Loehrer: You were born and raised in Washington, DC. And the family eventually moved to Philadelphia when I think you were in junior high school. Can you paint a picture of what schooling was like for you growing up? Dr. Lori Pierce: Well, schooling, education was just so important to my family and myself. And so, as you said, I was born and raised in DC. Moved to Philadelphia when I was just entering high school. And my parents, who are just the best people on the planet, didn't have an opportunity to go to college. At that point, a lot of people of color didn't really have that opportunity. So education was so important in my family. So if you think about the important issues in my life, there was our faith, our family, and education. And so my sister, who is four years older, she went to college first. After about two years, I transferred and actually graduated from the University of Pennsylvania, and I did that. It was my idea.  My parents at that point were living in Philadelphia. My mother was working at Penn, and so I would have free tuition if I went to Penn. And Penn is a great place as is Brown. My parents didn't ask me to transfer, but I did. And I received, obviously, an excellent education at both institutions. I majored in biomedical engineering and I minored in chemical engineering and was pre-med. I had to be strategic in how I was going to pay for my education because my parents and they took out loans, they covered everything, almost everything. My sister and I had some loans, but they took out most of the loans.  But they always had an agreement. And the agreement was that both my sister and I would have our college education covered by them. But anything in the graduate arena, we had to cover. So I had to be kind of strategic about that. So I actually applied to medical school and, as you know, got in, and deferred my admission so I could work and earn some money so I could pay for medical school. And I tell you, I did that specifically for the reason, for financial issues. But now this kind of thing is called a gap year. And in retrospect, it was the smartest thing I could have ever done because I took some time away, and during that time away, it made me even more motivated to apply my full attention to medicine.  And so education was very important. But I think sometimes you have to kind of step away to then regain the commitment that you need to move forward. And so by the time I started Duke, I was more than ready to be in medical school. Pat Loehrer: I know we talk about underrepresented minorities. I was a mechanical engineer at Purdue. And I can tell you, I don't think there was a single woman in engineering in most of my classes. There were just a few. So to be a woman in engineering is extraordinarily unique. So tell me a little bit about that decision-making and how you got into that. It may have been different in 10 or 15 years later, but were there a lot of women in engineering? Dr. Lori Pierce: No, not at all. And while there may have been two or three in biomedical engineering, there were hardly any in chemical engineering, and as you said, very few in mechanical engineering. So no. But I always was interested in physics. I liked those kinds of things, and hence I went into radiation oncology. It was a perfect blend of my studies and my interest. But no, I often was the only woman, or maybe one of two or three women in my classes, and I was certainly the only person of color in my classes. It taught you things though. It taught you to be comfortable being in that position and to know that you could do it just like anyone else could, and to know that probably a lot of eyes were on you to succeed. Some of that was self-imposed, but some of that was real. But I think learning those lessons then certainly came in handy when I went into medicine because while there are more women in medicine, especially now, compared to what it was when I came through, still, at that point, we were in the minority. And there were very few people of color in medical school where I went to. I was at Duke, and very few people there. You learned lessons early on, right?  Dave Johnson: Where did this interest in engineering originate? Dr. Lori Pierce: So it was really more of physics and radiology. So I, as a kid was a really thin kid, and I broke a couple of bones, and I ended up going to get X-rays. And I was fascinated by the X-rays. I was fascinated by this physics. I was fascinated by how you could push this button and these images would appear and I could see my broken bone. So that was really where it came from.  So I was pre-med. I did a lot of my pre-med work at Brown, and during the summers I was working in an industry. I was actually in Scott Paper Products industry outside of Philadelphia. And a couple of the other people there who I worked with closely were engineers. And I was just fascinated by it and seemed to be a good way of moving forward my own interest in the physics and the machinery and how it all worked. So I actually switched into engineering. So I switched from Brown to Penn. And being an engineer, it was a great way to make a good living for a year and a half. And I think as an engineer, and Pat, you can probably attest to this, you think in a certain way; you become very methodical in how you approach things. And while I'm sure there are a lot of other disciplines that will give you a similar type of approach, engineering really does—you're very objective in how you make decisions, and I think that serves well. And then, as I said, going into radiation oncology it was just a match made in heaven, so it all worked out great, I think. Pat Loehrer: I think I read that your sister was also into math, is that right?  Dr. Lori Pierce: My sister's a systems engineer with IBM. Incredibly gifted. Pat Loehrer: Yeah. Tell me about your parents. How did they guide you? What were your role models in terms of both you and your sister, in terms of math, physics, engineering? Dr. Lori Pierce: I already said my parents were incredibly hardworking and good people. They both had high school graduation education. My mother went straight through, but my father had to get an equivalency for his high school diploma because he was born and raised in North Carolina, had to work on the farm, and didn't get a chance to stay in school. But he got the equivalency of his high school degree.  It was interesting, my dad was just incredibly gifted for math. My father was just amazing in math. And my father and I always hung out. He was like my best friend and so I think my emphasis on math in part came from my dad. And I'll say that both my parents didn't, weren't able to get a college education, but they were two of the smartest people I ever knew. My father and my mother, but I just hang out more with my dad, had amazing common sense and whipsmart math. I'm sure that a lot of where I ended up is because of my dad.  Dave Johnson: You mentioned that you had family in North Carolina. I remember reading that you were influenced by some of the people you met in North Carolina with respect to your medical career. Can you tell us a little bit about that? I think a Dr. Weaver, was it?  Dr. Lori Pierce: That's right. Doc Weaver. That's right. So I used to spend a lot of my summers in North Carolina with my father's family. And Dr. Weaver was an African American family medicine doctor who took care of the vast majority of people of color in the town of where my father's family is from. Whenever anyone had issues and needed medical care, he came to the house. He was the doctor for people of color. I sat back- and take it in a lot when you're young - people never really know how much you're listening and seeing, but you take in a lot. And you see just how revered he was, and he should have been, because he was largely the face of medicine that a large part of that town saw. And that stuck with me. A couple of times, I went with him when he would see patients. Without a doubt, this factored into my wanting to go into medicine. I think that coupled with my interest in those x-rays and the physics of the x-rays, I think that's how it all came together, but Doc Weaver. Pat Loehrer: So you mentioned you did a gap year, which was somewhat unusual at that point. I did a gap year as well for the exact same reason - I wanted to not incur a lot of debt or at least try to defer the debt as much as possible. What did you do in your gap year, and how did that impact your medical training or did it?  Dr. Lori Pierce: It definitely did. My gap year was actually 18 months. I moved to Austin, Texas, and I worked in Round Rock, Texas, that was at a time when Round Rock was just a sleepy little town just north of Austin. I haven't been back since. I know Dell computers is now there and now it's almost you can't see a difference between Austin and ROund rock, but that was not the way it was on those days. And I worked in Round Rock because McNeil Consumer Products was there.  I worked at McNeil Consumer Products, they make Tylenol. I was the second-shift Glatt supervisor for Tylenol. So Glatt is the machine that mixes up all of the ingredients for Tylenol and it was something that I knew going in that it was only going to be short-lived so I could probably live almost anywhere. And I thought, okay, I'd been on the east coast all my life, let me see what the rest of, another part of the country is like.  It was an amazing experience. To go from Brown to the University of Pennsylvania, DC, and Philadelphia, to Round Rock, Texas. In retrospect, I couldn't have picked a better place. I mean I soaked up a little local color, went to some things that the Texans do, and rodeo, that kind of thing. But more importantly, I met people who I would've never met on the east coast. These were people who largely had not been outside of the Austin area. One person said she'd never seen a black person before. That kind of surprised me.  So it was a swath of America that I had not been exposed to. It was not easy. But in the end, it was the best thing, because you realize, people are people. And while you might be put off at first because they're put off with you and you put off with them, at the end of the day, it was a great experience of getting to know people who can further enrich your life. And I think that has helped me in medicine in terms of interacting with patients no matter where they're from, no matter what their background, what their financial situation is, people are people.     I was on my own. I was truly on my own. And that gap year was invaluable far more than helping me pay off medical school loans.  Pat Loehrer: You've focused into radiology and obviously there's diagnostic radiology and therapeutic radiology. How did you end up choosing the career that you eventually championed so well?  Dr. Lori Pierce: At the time I went to medical school at Duke, at Duke, radiation oncology was a division of radiology so they had not separated yet. While I was at Duke, they recruited in their first chair of radiation oncology into separation. So long story short, when you're at Duke in medical school, your third year is all research. You could go into a lab and do research. And so when I met with my radiology advisor and looked at the list of options of projects I could sign on to, the one that happened to be most interesting was being done by a radiation oncology researcher in radiology. And I thought, well, it looks interesting, but I don't want to do that because I want to go in radiology so I need to have a radiology project. And my advisor said, “No, it's okay. Radiology programs, they'll take radiation experiments. You can still use that and apply to radiology.” So I said “Okay, that looks really interesting.” So I opted to go with that choice and it was during that year that radiation oncology separated. A chair came in, Dr. Lenny Prosnitz from Yale, and he said, “Why don't you just come down and see what it is that we do?” So when my experiments were set up, I would run down into the basement because we're always in the basement, and I would follow him around and I just loved it because it gave me the physics that I wanted, I got really interested in cancer biology. And I think with my personality, I work well with patients. I love patients. That patient interaction is when I'm at my best. And I wouldn't have had that in radiology. With all due respect, radiology is so important, but you have to do what you gravitate toward, and those interactions when I was following him around with patients. So I never looked back, I changed at that point and decided to go into radiation technology.   So I was at Penn for residency and chief residency. When I was getting ready to leave to go to the NCI, the person, Barbara Fowble, who was a well-known breast radiation oncologist, took a sabbatical and asked if would I stay the year she was taking sabbatical to run the breast service. So I deferred going to the NCI to stay at Penn for an additional year as an attending and then went to the NCI when she came back from her sabbatical. I worked with Eli when I got to the NCI.  Pat Loehrer: And Norm Coleman, too? Dr. Lori Pierce: And Norm from a distance. He's great. He came in for comedic relief. It was in a while, but he and Eli and Tom Delaney. It was a great time to be at the NCI. It was shortly after that, about a year or so into that when things started changing, Eli left to go to UT Southwestern. But it was a great time to be at the NCI. Dave Johnson: So you've worked with some of the giants of radiation oncology for sure?  Dr. Lori Pierce: I did. And the NCI was known as the places where the giants launched. So the Allen Lichters, the Joel Teppers. I mean, I could go through a list. They all had worked with Eli, and Allen was no longer there. Allen had already gone to the University of Michigan. He subsequently recruited me to Michigan. But the radiation oncology branch, the Marc Lippmans of the world, it was a magic time. Even though some of them weren't there, their footprint, their stamp was on the program, and it was really good. And working with Eli was just great. Dave Johnson: So is that where you're working with Barbara where your interest in breast cancer or was it that you mentioned you had an interest in the biology? Where did that interest in breast cancer originate?  Dr. Lori Pierce: It came from working with Barbara. So it was a combination. Barbara, who is one of the most amazing people to this day, that I've ever worked with, her command of the data, her synthesis of the data, her interaction with patients. Most people don't appreciate of just how great a clinician Barbara Fowble was. And so it was admiration for that. So she was a part of it, but John Glick was the other part.  So John, of course, who everyone knows, the giant in the field, and I think at the time, not sure if when I was a resident, he was the president of ASCO. Even if he wasn't the president at that point, he was certainly highly integrated with ASCO, and he kind of took me under his wing. I'm not sure why, but I was very interested in breast cancer. So he would like bring me over to the Med On clinic and teach me more about chemotherapy. So I had John and I had Barbara, and then also the mammography group was very supportive of me. I would come in literally on weekends and meet with the head of mammography, who would test me on mammograms, reading mammograms. So it was just a very supportive environment. And certainly, breast cancer was the area that I wanted to focus on. It was a great group to train under. Pat Loehrer: Dave and I had the opportunity a short time ago to interview John Glick. And as you're talking, one of the wonderful things about our field of oncology is how it's a close-knit network and there's so much mentoring. And John took both Dave and I underneath his wings, and he had no really rationale for doing that. But Eli, I mean, there are so many wonderful people that we've had the opportunity of meeting. And you yourself have mentored so many other people in another generation. It's hard to explain to people outside of oncology about how special this field is, I think. Dr. Lori Pierce: It absolutely is. And it's an honor for me to serve as a mentor because once you're a mentor, you always mentor. I mean, John, I'll run things by John to this day. Once you develop that closeness and you know them and they know you, you savor that, it never goes away. Dave Johnson: What would you tell a junior faculty or fellow are the characteristics of a great leader? What do you think makes for great leadership?  Dr. Lori Pierce: That's a great question. First and foremost, you listen. You need to listen and understand what your mentee, what it is they're seeking, what it is that they want to study, where they feel they are somewhat inadequate, and they want to improve. What is it that they want to accomplish with that relationship? Because as you and Pat both know, mentors come in all shapes and sizes. Mentors come in all locations. You may have someone who is at your institution where they're coming to you to help to shepherd through your institution and the policies and understand the practice of your institution. You may have those that are mentoring you from afar, or perhaps in addition to content, but also getting a sense of what the outside environment is like. So I think first rule of mentorship is to really understand why that mentee has sought you out and whether you are the right person to fill that void, whatever void that they think that they have.  I think another part of mentorship is making the time for that individual. We're all very busy people. Most people aren't looking at you to mentor them two hours a day. They are going to be very judicious in what they ask, and you should make sure that what they need, you can accommodate that, and if you can't, perhaps arrange for someone else who can. But in most cases, there's a lot that we all can do for people who approach us.  And then I think really understanding, kind of putting yourself in their position, where are they in their trajectory toward greatness, and how can you work with that. And I think most of us have a lot that we can share, and a lot of times we may be sharing things, we don't even realize that what we're saying is impactful to those individuals. But I really think it's starting out by listening and being honored that you are actually asked to be a mentor. Dave Johnson: You've also received numerous teaching awards. You obviously have a gift for that. Tell us, what's the secret to being a good teacher? What are the characteristics of a really great teacher, different than mentoring? Dr. Lori Pierce: Yeah. You have straightforward conversations with your residents and your fellows. I'll give you an example. We have teaching conferences. And teaching conferences have evolved over the years. I've been at Michigan for a long time, since ‘92. And in the old days, the morning conference, you discussed the literature and you had a discussion, and now it's evolved to slides. The residents give the slides and I'm old school. I like to go back to the old school. Some people call that the Socratic method. I think the Socratic method has gotten a bad rap because you can do the Socratic method in not a threatening way, and you can ask questions to residents and expect for them to give an answer. And it was interesting, long story short, when I few years into becoming Vice-Provost here, I'm not able to come to morning conferences very often. And I got a knock on my door here in the cancer center, and I opened up and it was the three chief residents. And I said, “Okay. Hi. Come in. What can I do for you?” And so all male, and they said, essentially, “We miss you. Our residents, we all prepare more for your conferences than anyone else. And even though you ask us questions, we don't feel threatened by your questions. We want that type of style of learning.” And I was bowled over by that because I'm just a simple person, and I don't beat around the bush. I ask questions because these are the kind of questions that you have to know when you manage patients. These are the kind of questions that you have to know when you're in a tumor board and you interact with medical oncologists and surgical oncologists. You have to know the literature, and you have to be able to state it in a clear way that, obviously, physicians get it, but patients get it, and you have to be aware of your audience.   And so that little vignette of when those three knocked at my door told me that, clearly, going back to the basics and just asking questions is well received.  Pat Loehrer: I'm thinking about your parents who did not go to college, and here you are now a Vice-Provost at one of the most prestigious universities in the country. It's got to be, if you reflect on that really cool. Tell us a little bit about that journey and what it takes. Or was that accidental journey or was this a purposeful journey of leadership that you wanted to go to?  Dr. Lori Pierce: It was absolutely not purposeful, for sure. So I can thank my dear Dr. Lichter for that. So, Allen Lichter, after he was chair of radiation oncology, as you probably know became the dean of the medical school. Well, Allen, who had brought me to Michigan, got to know me pretty well. And so, when he became dean, Allen's so strategic. He realized that it would be important to have someone from the medical school to work in the provost's office because the medical school is the largest school on campus, and we're the different ones. We approach life somewhat differently.   And so to have that perspective in the provost's office would be very helpful. So he came to me and said, “Would you be interested in doing it?” I didn't know what a provost was. I'd heard about it when I was at Brown, but I was like, “No, I'm not interested.” And he said, “Well, just go and talk with them. Meet with the provost of Central Campus and just see.” So I went and decided not to do it. But they did ask, would you just be a special counselor to the provost? If we have questions, we can call on you. So I said, sure. So I did that for a year, and then by the end of the year, had a much better awareness, understanding of what they did in that office, and a much better understanding of who they were, and they me. So I said, “Okay, if I decide to do this, I want it so that you can fire me at any time, and I can fire you at any time, but I'm never giving up my day job in terms of seeing patients. This is always my night and weekend job.” And so that's how we did it.  And so I've been doing it now for a long time—since 2005, 2006. The reason I've done it so long is we do work with amazing people across campus. We have 19 schools and colleges, and I now am the Vice-Provost for Faculty Affairs for the Health Science Schools. And it allows you to not only look at the university as a whole—we tend to have silos, we tend to live in silos. And when you're the Vice-Provost, you can look beyond those silos and you can bring together people and schools for common threads of work. If I see the nursing school is focusing on certain aspects of cancer treatment XYZ, I can bring together people from the medical school, I can bring together the school of public health and put some funding to it to give them seed funds, to then synthesize something which hopefully will then translate into a larger grant.  So it is very rewarding in that regard. You oversee promotions, the hiring, and promotions of the faculty, and it further opens your eyes to what can be. And so much of what we do, obviously, in cancer is multidisciplinary, interdisciplinary. We're not just radiation oncology, medical oncology surgeons. So much of what we do in medicine, we interact with public health, we interact with dentistry, we interact with the other health science schools. It has been a very interesting ride in terms of what can happen when you bring like-minded people from different disciplines and you concentrate on a certain topic. And we've started some seed funding. We've had efforts where it really has grown into very significant NIH funding.  Pat Loehrer: What are you most proud of as a Vice-Provost or your leadership at the university that we wouldn't know about necessarily? Dr. Lori Pierce: Two things. One, I was one of the key worker bees in changing our policy for time to tenure. We used to have an eight-year tenure clock. And in medicine, we need longer. It's more difficult to get funding, it's more difficult to manage all of the missions that we do and still end up right where you want to be. And so we now have a tenure clock. And so I helped to make that possible.  In more recent years, probably the jewel for my provost time is getting maternity leave and parental leave. Many academic institutions don't have maternity leave. Women have to take sick leave. I'm sorry, being pregnant is not sick. That's not a sickness. If you're a dad, you want to have time for bonding, you want to have time to be there when your child is born or adopted. And so I and two other people established a policy of maternity leave and parental leave that was wildly accepted. The leadership of the university could not agree more readily. And now we have a very robust policy, and this is not just for faculty, it's for staff. And I get people who thank me all the time, whether they're staff or faculty, especially the dads, for giving them the time to be with their child. So that's an easy question to answer. I think that has been a change that has been received positively throughout.   And even if it's a case where when a person is gone for their parental leave or maternity leave, other people have to step up to cover for them. But people don't complain because everyone knows that that is the way it should be and that people should be given that time. So it's been one of those win-wins. You don't get win-wins very often, and that's been a win-win. Dave Johnson: Kudos to you and your colleagues for pushing that through and making that happen. That's got to be a huge recruitment advantage for Michigan.  Dr. Lori Pierce: It absolutely is. And this is something where industry has done a long time ago. But academia, we have been much slower to adopt those family-friendly policies. And obviously, we are well compensated in our careers. People don't leave usually for the money. It's usually the other pieces. And it's pieces like this where people are recognized and rewarded for being a whole person. And that isn't just bringing in grants, it's also respecting their family lives and their family time. Dave Johnson: For sure. That was certainly my experience serving as chairman of a department. The things that prompted departure, there were some academic issues, of course, but the main ones were personal. And oftentimes it was family-related, particularly amongst our female faculty, but increasingly so amongst the male faculty as well. Dr. Lori Pierce: I agree on both counts. That's exactly right. And it's great to see that men want to be present for their children. Having a woman be able to take maternity leave is great, but having a man to take that parental leave is great as well. Dave Johnson: For sure. So let's pivot over to ASCO. ASCO is a huge professional organization, largely, but certainly not solely comprised of medical oncologists. You're one of the few radiation oncologists to lead that organization. What was that experience like? Dr. Lori Pierce: Being President of ASCO is without a doubt the highest point of my professional career. ASCO has always been a place where I felt at home. I always felt that ASCO wanted everyone under the tent. So yes, I know it's primarily medical oncology, but ASCO brings everyone together because in order to move the needle in cancer, we all contribute to improved outcomes.   So then fast forward to becoming president. I never, ever thought I would be president of ASCO. It wasn't like something I was like, “Oh, I have to be President of ASCO.” No, I just wanted to be active in ASCO and do the right thing. And so you hear you've been nominated and you're very honored, but you're never going to be president, and you find out that you've been voted president. And my time was an unusual time because it was right in the midst of COVID. And so 2021 was completely consumed with COVID. So my predecessor, Skip Burris, he had a normal year up until about March of 2020, and that's when the world shut down. So of course, that was the first ASCO meeting that was virtual.   Then my year came and from start to finish, I often tell people, I hope I will be the only president in ASCO history to say that they'd never had an in-person meeting for the entire time that they were president. All my meetings, every single meeting, were via Zoom. Yeah, you're a little disappointed by that, but in some ways, it worked to my advantage because, long story short, when I was voted president and you pick a theme, this was long before COVID; long before we knew the world was going to change, and I wanted to have an equity theme, but I worried that it wouldn't resonate with people. So I said, “Okay, I'm going to do this and just hope that it works well with the membership.” Well, then you fast forward, and the world changes. You have COVID and you have all these senseless murders that are on TV every night. And so even those who perhaps had their head in the sand before, they got it during COVID: there are so many inequities, and that ended up being, I think, the right theme for that time. And not being able to meet people because of COVID—yes, I missed it, but it was the reason that we missed it because of COVID and the inequities that were borne out during COVID—that really hit home that equity needs to be first and foremost in everyone's mind.  So it's a long answer to your very short question. It was an amazing time. I think the organization has gotten stronger because of it. So much of work with ASCO was in equity before, but ASCO really upped its game, and equity is now one of those topics that is ingrained in every aspect of the organization, and that is what you have to have to truly affect change. I remember when I was president-elect, you go through all these interviews, these people want to interview you, and one question they ask or post is what do you want your legacy to be as president? And I was like, you can't make a legacy in a year with an orientation like ASCO. You make a legacy in a year if you have a lousy organization that you can actually make a huge difference in one year. So what you aspire to do is take a great organization and make it even better during your time as president. I think we did that. The world is inequitable. We get so many issues here and there and it all ends up with delivering inequitable care that those who have, can get the care and those who don't have it, cannot. And so I think the biggest challenge is to be able to bring the people to the table who can really make a difference and act on what needs to be done to improve equity in care. Dave Johnson: Pat has devoted a significant portion of his career to the whole issue of equity and I'm sure would agree with you. Pat Loehrer: I want to close with this thought, if you will. Dave or I usually just talk about our books that we've read. And one of the books that I mentioned that I just got through reading is entitled The Things We Make. It's by a chemical engineer and biomedical engineer from the University of Illinois, Bill Hammack. And the whole purpose of the book is really kind of defining the differences between science and engineering. He defines engineering as solving problems using rules of thumb that can cause the best change in a poorly understood situation using available resources.  And he says, in a really tangible way, the scientific method creates knowledge while the engineering method creates solutions. Much of what we do in oncology really is really more engineering than it is science. We're trying to create solutions. He went on to talk about this and it ties into the last comment. He talks about the various technological explosions, eras that have great change occurred when science took a step forward and provided better rules of thumb for the engineers. So there was the Bronze Age and the quantum physics age and even the digital age. I would love for us to come up with the health equity age for which we could work together, taking the advances of science, but using these methods of engineering to make things better with the available resources that we have. And I think if we can do that, I think this would be something that I think we can all be very proud of. Dr. Lori Pierce: What an amazing summary of that book. And first of all, what amazing work that you have done, and I'm not just saying that—you are walking the walk and talking the talk. And to your point, Dave, of what is the biggest challenge for ASCO, I couldn't have answered it better than what Pat just said. That is it. That's it. That's it. ASCO can do it, but we can't do it alone. ASCO can't do it. Health can't do it alone. This is all hands on deck and it's bringing the other parts of society to the table so that we all understand the enormity of the problem and we have an action plan. Pat Loehrer: Is there a book you're reading, Lori, that you want to share? Dr. Lori Pierce: There is. I'm reading a book now called In Shock. It's by Rana Awdish, I don't know if you heard of it. I haven't gotten to the end of it, but just briefly, I met her because she's an ICU Doc at Henry Ford in Detroit and she gave the medical school graduation speech at our graduation a couple of weeks ago. So, in advance of her coming, I wanted to read through her book. It's an autobiography.  In a nutshell, she had a just horrendous experience, essentially almost died when she was seven months pregnant as a fellow. And she basically bled out and I think it was related to a benign tumor in her liver, which is probably hormonally affected by her pregnancy. And she had sepsis, DIC, liver failure, adrenal failure. So, it goes through what it's like to be on the other side and to be in her own hospital. She wanted to go to her own hospital. She was in ICU in the place that she wasn't attending.  Her experience though, as a book, really ends up talking about the hope of medicine because now she's thriving. She's well, she and her husband, she lost the pregnancy, then she and her husband now have a child. She's back to being an ICU attending, and she gave her medical school graduation speech two weeks ago. But in that book, you are reminded of the pitfalls in medicine. You're reminded that we as providers often forget that the patient is sitting right there, and she talks about situations where when she's on the vent, someone saying she's sitting right there, “She's circling the drain.” “She's trying to die on us.” “Your kidneys aren't cooperating.” And one resident who came in eating food and took out his back pocket said, “Oh, I'm sorry, I just had a really bad night last night.” She's dying. It's just yet another reminder that we are in this honorable profession. We have the honor of taking care of patients, and we always need to make sure that we respect every patient that we interact with. And so, it's a very interesting book.  Also, there's another book that I read that's probably been out 15, 20 years, it's called The Art of Racing in the Rain. Do either of you know that? It was a New York bestseller. My husband bought this years ago, it was in our library in the house, and I happened to pull it out. It's about a dog. So, I'm a dog person. I've always had dogs. I love dogs with a passion. And this is a book written in the voice of the dog. It's about this dog named Enzo. And it's humorous, but it's also very emotional in places because it talks about what he does to help his owner, who's a wonderful man, and the wife who ends up dying of a brain tumor. As an oncologist, you could see symptoms, and you knew where that was going, and their daughter, and the things that a dog can do to uplift a human. And even when you're at your lowest point and you're about to give up, and the owner goes through just the most horrible, horrible experiences, and you realize that all of a sudden, something very small can make you then take notice of what is really important to you and can turn the tide. This is a great read. It's a quick read. I highly recommend it. It's called The Art of Racing in the Rain by Garth Stein. It really is an inspiring story about human resilience. It's a great book.  Pat Loehrer: Lori, thank you so much for taking time from your incredibly busy schedule to spend a few minutes with Pat and me. We really enjoyed it. And I also want to thank the listeners to Oncology, Etc. an ASCO Educational podcast, where we will talk about oncology medicine and beyond. So, if you have an idea for a topic or a guest you would like for us to interview, by all means, email us at education@asco.org.  To stay up to date with the latest episodes and explore other educational ASCO content, visit education.asco.org. Thanks again.  And before we go, I have a question for you, Pat. How many ants does it take to fill an apartment?  Pat Loehrer: I have to cry uncle on this. Dave Johnson: Ten, tenants. Pat Loehrer: Tenants. I thought crying uncle was a pretty good response. Dave Johnson: All right. Thank you, Lori. That was wonderful. Pat Loehrer: Thanks, Lori. It's terrific.  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.      

Dean's Chat host, Dr. Jeffrey Jensen, is joined this week by Dr. Patrick DeHeer. Dr. DeHeer serves as a Trustee on the APMA Board of Trustees, currently in his seventh year on the Board. He practices in Central Indiana as part of the national supergroup Upperline Health. Dr. DeHeer serves as the residency director of the podiatric surgical residency program at Ascension St. Vincent Hospital in Indianapolis. In addition, he served as the team podiatrist for the Indiana Pacers for thirty years, from 1992 to 2022. Dr. DeHeer, DPM, is a member of the American Podiatric Medical Association (APMA) and a fellow of the American Society of Podiatric Surgeons (ASPS), and American College of Foot and Ankle Surgeons (ACFAS).  He is also a member of the Royal College of Physicians and Surgeons of Glasgow. Dr. DeHeer is a Diplomat of the American Board of Foot & Ankle Surgery certified in foot surgery and reconstructive foot and ankle surgery. He is the inventor of The Equinus Brace™ and a partner in IQ Med. He is the President and Founder of Step-By-Step Haiti and Foot Aid. Dr. DeHeer's passion for teaching and providing lower extremity healthcare in developing countries culminated in recognition by the 2014 International Federation of Podiatrists Humanitarian Award and the 2011 APMA Humanitarian of the Year Award.   Dr. DeHeer shares his journey into the profession, starting with his initial interest in dentistry and his eventual decision to pursue podiatric medicine. He discusses his educational background and highlights his role as the team podiatrist for the Indiana Pacers for the past 30 years. Tune in to learn more about Dr. DeHeer's extensive experience and leadership in the podiatric profession. Dr. DeHeer expresses a strong preference for structure and order in both his daily life and professional practice. For example, he enjoys the familiarity of eating at the same restaurant for lunch, where the staff knows them well enough to anticipate his order. Furthermore, Dr. DeHeer's work life is characterized by a structured schedule. Dr. DeHeer also shares his interests outside of his work life. He expresses a love for intellectual pursuits and aesthetics, such as music, particularly the Grateful Dead, and various forms of art and culture. He enjoys engaging with theater, movies, reading, and visiting museums. Tune in to hear about Dr. DeHeer's appreciation for intellectual pursuits and artistic expressions. Dean's Chat Website  Dean's Chat Episodes  Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician 

Lots of programs and benefits most often don't lead to a more well employee. However, when employers install a culture of health in the workplace, employees are more than twice as likely to reach their well-being goals than employees who are still subject to a workplace wellness model that formed more than 60 years ago. Richard Safeer, MD, earned his BS in Nutritional Biochemistry at Cornell University under the tutelage of T. Colin Campbell, author of the China Study, before attending medical school at State University of New York at Buffalo. Dr. Safeer is the Chief Medical Director of Employee Health and Well-being at Johns Hopkins Medicine, where he leads the Healthy at Hopkins employee health and well-being strategy. He also holds faculty appointments in the School of Medicine and Public Health at Johns Hopkins University. Prior to arriving at Hopkins, Dr. Safeer practiced family medicine in Northern Virginia. He was then on faculty at the George Washington University, serving as the Residency Director of Family Medicine in his last year at the institution. He was the Medical Director of an Occupational Health Center in Baltimore and Wellness Director for the Mid-Atlantic region of the parent company, just before starting at CareFirst BlueCross BlueShield in Baltimore, Maryland as the Medical Director of Preventive Medicine. He has been credited by some for bringing ‘wellness' in to the realm of responsibilities of the managed care industry. He also led CareFirst BCBS to be among the first cohort of health plans to be accredited for Wellness by NCQA. He holds faculty appointments in both the Johns Hopkins School of Medicine as well as the School of Public Health. He continues to see patients one day a week in the Pediatric Cardiology department. Dr. Safeer is a fellow of the American Academy of Family Practice, The American College of Lifestyle Medicine and the American College of Preventive Medicine. He served on the board of directors for the American College of Lifestyle Medicine. He is on the New England Journal of Medicine Catalyst Insight Council. Timestamped Overview [00:07:30] Small things lead to big well-being. [00:09:13] Shared values improve employee engagement and success. [00:14:35] Ideas for leaders to improve well-being.[00:18:49] Put mask on first, emotions impact team. [00:21:01] "Right mindset needed for successful leadership." [00:26:35] Six well-being building blocks for teams. [00:31:01] $80k is comfortable; money loses impact after. [00:32:51] Six steps to success in workplace wellness. [00:37:36] Connect with team through personal bonding activities. [00:43:59] Best boss cares, leads, and markets. For the complete show notes be sure to check out our website: https://leaddontboss.com/264

Dean's Chat Host, Dr. Jeffrey Jensen, is joined by Dr. Jeffrey Page. Dr. Page has a storied career in Podiatric Medical Education! He was the Dean of the California College of Podiatric Medicine and founded the Arizona College of Podiatric Medicine. He served as Chief of Podiatry at the Carl T. Hayden Veterans' Administration Medical Center where he was also the Residency Director. His missionary work around the country and world with his beautiful wife, Kris, is discussed at length. A great discussion with one of the foremost educators in the profession! In this episode of Dean's Chat, Dr. Jeffrey Jensen interviews Dr. Jeffrey Page, a renowned leader in podiatric medicine. Dr. Page shares his impressive career journey, from his education at the California College of Podiatric Medicine to his role as Chief of the Podiatry Section at the Carl T. Hayden VA Medical Center. Dr. Jensen expresses his gratitude for Dr. Page's mentorship and discusses their long-standing professional relationship. Tune in for an insightful conversation about the world of podiatric medicine. Dr. Page discusses his leadership style, which he describes as a servant leader. He believes in leading by example and is committed to not asking others to do anything that he is not willing to do themselves. Dr. Page emphasizes the importance of demonstrating genuine interest and care for those he works with, including staff, faculty, and students. He firmly believes that authentic interest and a desire for others to succeed are crucial for effective leadership. Furthermore, Dr. Jensen and Dr. Page highlight their dedication to facilitating faculty development and helping individuals grow and improve, even if it means they ultimately leave for bigger and better opportunities. They firmly believe in providing positive reinforcement and feedback to encourage people to reach their full potential and not settle for mediocrity.  Dr. Jensen discusses the significance of recognizing and nurturing individuals' unique talents and skill sets. He acknowledges that everyone possesses different abilities and tendencies, and it is essential to challenge individuals to step out of their comfort zones and explore new areas. Dr. Jensen acknowledges that people often gravitate towards what they are comfortable with, but he firmly believes in pushing individuals to take a leap of faith and discover their potential in other domains. Dr. Jensen and Dr. Page find great fulfillment in witnessing students succeed and grow in their careers and personal development. They mention that one of the most rewarding aspects of being involved in podiatric medical education is observing students evolve into caring and capable providers. Dr. Jensen and Dr. Page believe in fostering growth and development at all levels, including staff, faculty, administration, and students. https://aacpm.org/ Dean's Chat Website  Dean's Chat Episodes  Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician

Dean's Chat Host, Dr. Jeffrey Jensen, is joined by Dr. Lee Rogers. Dr. Rogers has played a prominent role in advancing diabetic foot care worldwide. His entrepreneurial ventures include making shark movies and multiplying Amputation Prevention Centers around the USA. He is currently Chief of Podiatry at the University of Texas Health Science Center – San Antonio. In Dr. Rogers' spare time, he is the President of the American Board of Podiatric Medicine (ABPM), one of two certifying boards in our profession along with the American Board of Foot and Ankle Surgery (ABFAS).    In this episode of Dean's Chat, Dr. Jeffrey Jensen interviews Dr. Lee Rogers, an accomplished leader in the field of podiatric medicine. They discuss Dr. Rogers' academic journey, from growing up in a small town in Missouri to attending podiatric medical school and completing his residency in New York City. Tune in to learn more about Dr. Rogers' diverse experiences and his contributions to the field of podiatric medicine.   The episode of Dean's Chat explores the transformative power of engaging with experts from around the world, both personally and professionally. Dr. Jensen and Dr. Rogers emphasize that these interactions primarily involve meeting new individuals in their field, rather than just interacting with friends. Such exchanges enable them to learn from others, broaden their knowledge, and enhance their expertise. A significant focus of the episode is on the value of these interactions in the creation of clinical practice guidelines. By engaging with experts from different countries and practice settings, individuals can incorporate diverse perspectives and ensure the global applicability of the guidelines. This entails considering factors like resource availability and the specific needs of various healthcare systems. Overall, the episode underscores the importance of engaging with experts from around the world and the multitude of benefits that arise from these interactions in terms of personal growth and professional development. To create truly impactful clinical practice guidelines, Dr. Jensen and Dr. Roger stress the importance of considering additional factors, including patients' practice patterns, education and training in different countries, and the potential global impact of the guidelines. This necessitates extensive input and consideration from various stakeholders, including experts from around the world. The episode also highlights the importance of considering others, including patients, practice patterns, education, and training, when aiming for a global impact. Dr. Jensen and Dr. Rogers emphasized the need to assess whether clinical practice guidelines can be applied in different settings, such as in underprivileged regions or tertiary care hospitals. They stressed the significance of creating separate paths within the clinical practice guidelines if universal application is not feasible. Furthermore, the episode touches on the topic of standardizing the recognition of education and training for podiatrists internationally. The objective is to foster greater respect and mobility for podiatrists globally.  https://abpmed.org/ https://aacpm.org/ Dean's Chat Website  Dean's Chat Episodes  Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician  

We welcome back Foot & Ankle Specialist and Residency Director of Loyola University Medical Center, Dr. Adam Schiff, MD to discuss surgical versus nonsurgical management of Achilles tendon ruptures.  We review the study “Operative versus nonoperative treatment of acute Achilles tendon rupture: a propensity score-matched analysis of a large national dataset“ published in OJSM in February coming to us from Duke University.  In the study, Dr. Brian Lau and his team found an increased risk of complications with surgical versus nonsurgical care, no difference in reoperation rates, and increased costs with surgical care initially but an equalization of costs at 5 years post-injury.  The authors also report that over the study period from 2007-2015, there was little change in the rate of surgical repair, despite the widely published success of modern nonsurgical care.  Dr. Schiff lends his expertise on this topic, lays out the pros and cons of each approach, the historical perspective, what situations might be best suited for each treatment pathway, and the psychology he sees in his patients as they decide whether to have surgical repair of their Achilles tendon rupture. 

Dean's Chat host, Dr. Jeffrey Jensen, is joined by Dr. John Steinberg. A third-generation podiatrist, Dr. Steinberg has spent the past 11 years as the Residency Director at Medstar Health Podiatric Surgery Residency Program. He is a Past President of the American College of Foot and Ankle Surgeons. A graduate of Barry University School of Podiatric Medicine, he is currently on the Barry University Board of Trustees. Tune in for discussions on residency training, leadership qualities, fellowship training, and the future of Podiatric Medicine. In this episode of Dean's Chat, Dr. Jeffrey Jensen welcomes Dr. John Steinberg, a professor and full-time faculty member in the Department of Plastic and Reconstructive Surgery at Georgetown University School of Medicine. Dr. Steinberg is also the co-founder of the Center for Wound Healing at MedStar Georgetown University Hospital. Dr. Jensen and Dr. Steinberg discuss Dr. Steinberg's impressive career and his role as a leader in the field of podiatric medicine. Dr. Jensen and Dr. Steinberg delve into the significance of mentorship in professional development. They stress that mentorship is not a happenstance occurrence, but rather something that individuals must actively pursue and request. Dr. Steinberg shares valuable advice given to his residents and students, emphasizing that mentorship is purposeful and that individuals should not hesitate to approach someone who inspires them and express their desire to learn from them.  Dr. Steinberg also highlights that mentors are eager to guide and support, but if not approached, they may not realize that someone is seeking their mentorship. He encourages individuals to actively seek out mentorship and overcome any fear of asking for guidance and support. Dr. Steinberg underscores the impact of mentorship in his own career, noting that his mentors have not only shaped his present self but have also opened doors for his professional growth.  In this episode, Dr. Jensen and Dr. Steinberg emphasize the importance of seeking feedback for personal and professional growth. They assure listeners that they are always willing to provide feedback and make time for it, highlighting the willingness of mentors to offer guidance. They encourage listeners not to shy away from asking for feedback, as many people are willing to provide it but may not do so unless prompted. Asking for feedback is crucial because without doing so, individuals may never receive the valuable insights needed for improvement. Dr. Jensen and Dr. Steinberg encourage listeners to be proactive in their education and actively seek feedback to make the most of each day.    https://aacpm.org/ https://www.medstarhealth.org/education/residency-programs/podiatric-surgery-dc Dean's Chat Website  Dean's Chat Episodes  Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician

Dean's Chat host, Dr. Jeffrey Jensen, is joined by Dr. Andrew Cohen, Residency Director of the Podiatric Medicine and Surgery Residency at Central Michigan University. This episode includes interesting discussions on what makes a great student during a clerkship month, and what they look for in residents. Tune in for a discussion on mentors from the Civic/Kern Hospital days, including Dr. Earl Kaplan, Dr. Irv Kanat, Dr. William Todd, Dr. Guy Pupp, Dr. Stuart Bass, Dr. Robert Weinstock, Dr. Gary Kapla, and other leaders that shaped our profession. Dr. Cohen and Dr. Jensen were residents together at Kern Hospital 30 years ago.   In this episode of Dean's Chat, Dr. Jeffrey Jensen welcomes Dr. Andrew Cohen to discuss all things podiatric medicine. Dr. Cohen, hailing from Saginaw, Michigan, shares his journey from Boston University to the New York College of Podiatric Medicine, and his experience in podiatric surgical training at Kern Hospital. He currently serves as the director of the podiatric medicine and surgical residency program at Central Michigan University. Tune in to learn more about Dr. Cohen's career and his unique residency program in Saginaw. Dr. Cohen and Dr. Jensen discuss the definition of success and highlight the significance of finding fulfillment and satisfaction in one's work. They suggest that success is not solely measured by external factors such as wealth or status, but rather by the level of enjoyment and fulfillment derived from one's work. Additionally, they mention having someone to share their success with, implying the importance of interpersonal relationships and support systems in achieving success. This perspective on success aligns with the idea that true happiness and fulfillment come from pursuing one's passions and finding meaning in their work. They encourage students to prioritize their interests and cultivate strong relationships and connections.  Dr. Cohen suggests that the profession needs to make a better effort to expose potential students to podiatry at an earlier stage, even before college or postgraduate studies. He believes that waiting until college or postgraduate studies is too late. Dr. Cohen points out that many college students may not even know how to get to medical school or podiatry school, what classes they need to take, or what is important for their future careers in podiatry.  Dr. Cohen emphasizes that it is not solely the responsibility of organizations like AACPM or APMA to address this issue. He believes that every podiatrist has a responsibility to be an ambassador for the profession and actively engage with students in high school and the early stages of college. He suggests that podiatrists should educate students about the path to medical or podiatry school, the importance of certain classes, and the opportunities available in the field. Dr. Cohen believes that this grassroots effort from podiatrists themselves can help excel in student recruitment.   https://www.cmich.edu/academics/colleges/college-of-medicine/education/residency/podiatric-medicine-surgery https://aacpm.org/ Dean's Chat Website  Dean's Chat Episodes  Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician 

We welcome Foot & Ankle Specialist and Residency Director of Loyola University Medical Center, Dr. Adam Schiff, MD to discuss suture button versus screw fixation for ankle syndesmotic injuries.  We review the study “Comparison of Suture Button and Syndesmotic Screw for Ankle Syndesmotic Injuries: A Meta-Analysis of Randomized Controlled Trials“ published in OJSM in January coming to us from Southwest Hospital of Army Medical University in Chongqing, China.  In the study, Dr. Kang-Lai Tang and his team found no difference in terms of malreduction, however the suture button group had significantly lower rates of local irritation and unplanned reoperation.  Dr. Schiff lends his expertise on this topic, lays out the pros and cons of each approach, the historical perspective, and what situations might be best suited for each treatment construct. 

Dr. Laura welcomes her first guest of 2023, author and Chief Medical Director of Employee Health and Wellbeing at Johns Hopkins Medicine, Dr. Richard Safeer to the show. Dr. Safeer just released his first book, “A Cure for the Common Company” and he talks about his book and the benefits of workplace wellbeing with Dr. Laura. Richard Safeer wrote his book because he sees that what companies are doing may not be as effective as they thought. He believes there is a better way to use company time, energy, and resources to effect a greater culture of wellbeing. He explains the six building blocks of wellbeing, where the title of his book came from, and how employers are instrumental in the health of their employees in this inspiring conversation with Dr. Laura.“So, you know, one of the most common challenges I see workplaces have is that the employer takes this individual approach. Here are the resources, go ahead and use them and get better. As opposed to recognizing that we're all in this together, that our well being is a team sport and that we rely on each other to improve and maintain our health and well-being” - Richard SafeerAbout Dr. Richard Safeer:Dr. Safeer is Chief Medical Director of Employee Health and Wellbeing at Johns Hopkins Medicine. Dr. Safeer completed his B.S. in Nutrition at Cornell University before graduating from medical school at the S.U.N.Y. at Buffalo (magna cum laude). He completed his residency in Family Medicine and a Faculty Development Fellowship. He is certified in Clinical Lipidology. He's a fellow of the American Academy of Family Practice, the American College of Lifestyle Medicine, and the American College of Preventive Medicine.Prior to Hopkins, Dr. Safeer practiced family medicine in Virginia. He was then on faculty at the George Washington University, the Residency Director of Family Medicine in his last year. He was the Medical Director of an Occupational Health Center in Baltimore and Wellness Director for the Mid-Atlantic region of the parent company, just before starting at CareFirst BlueCross BlueShield as the Medical Director of Preventive Medicine. He has been credited by some for bringing ‘wellness' to the realm of the managed care industry. He also led CareFirst BCBS to be among the first cohort of health plans to be accredited for Wellness by NCQA. He holds an adjunct faculty appointment at the American University, where he taught “Organizational Health”.Amongst his responsibilities at Hopkins, includes leading the employee health and well-being initiative, Healthy at Hopkins. Dr. Safeer also advises the institution on matters related to health plan benefits, occupational health, and the employee assistance program. He has published many journal articles and his work is featured in many books. He regularly speaks to national audiences on the employee health and wellbeing space, more specifically on how to create healthy workplace cultures. He previously served on the board of the American College of Lifestyle Medicine, a professional organization he helped establish. In January 2023, Wiley will release his book, “A Cure for the Common Company”.Dr. Safeer enjoys most outdoor activities including biking and tennis.  He's hiked in the Andes, Alaska, and Australia as well in many national parks.  He lives in Columbia Maryland with his wife, three kids and their dog Kami.  Watch for his book, “A Cure for the Common Company”, coming in January 2023. Resources:Richard Safeer, MDRichard Safeer on LinkedIn“A Cure for the Common Company: A Well-Being Prescription for a Happier, Healthier, and More Resilient Workforce” by Richard Safeer, MD“Leading with Gratitude” by Adrian Gostick and Chester Elton“Anxiety at Work” by Adrian Gostick and Chester Elton“Drive” by Daniel H. PinkLearn more about Dr. Laura on her website: https://drlaura.liveFor more resources, look into Dr. Laura's organizations: Canada Career CounsellingCalgary Career CounsellingSynthesis Psychology

Macular degeneration can be devastating.  Our genetics can help guide risk assessment and follow up pathways for our patientsJoin us in this episode as we talk about macular degeneration with Dr. Steven Ferucci!

An essential element of becoming unleashed is knowing that we are leashed up in the first place. In this rich, engaging conversation with Dr. Sweta Chawla, we get to hear her story of going from a traditional, academic, high-achieving background to where she is today, living and working in her brilliance.    Going from Pharmacist and professor to Leadership Coach helping leaders, entrepreneurs and other professionals step into their own Natural Leadership (in the work and their life) was not a straight line, of course. But has been and continues to be one full of learning, growth and many tools to share.    In this episode, you'll hear: What inspired Dr. Sweta's sabbatical from academia all those years ago - and the fascinating shifts that space and time inspired in her life and career. How curiosity and experimentation has served her work personally and for her client in important ways. The interplay of identity and personal and professional growth How to think about creating your own trajectory for your life and work   Sweta Chawla PharmD, MS is a Former Professor of Pharmacy and Clinical and Residency Director turned Speaker, Facilitator, Leadership Coach and Author. She supports organizations, highly driven professionals, budding creatives and entrepreneurs to reinvent how they work and lead. Through her natural leadership model, she empowers her clients to create personal structures that leverage their natural brilliance. As a result they experience more passion, impact and meaning without compromising their integrity and well-being.   Dr. Sweta is the author of the book I Still Haven't Found What I'm Looking For...Now What? and contributor to the award-winning Anthology She's Got This: Essays on Standing Strong and Moving On. She has published articles and essays in several journals, magazines and has spoken on many stages and panels, including the White House.   You can get a free copy of Dr. Sweta's book plus the cool CASA tool she describes in this episode (and other surprise goodies!) at Dr.SwetaChawla.com/Unleashed 

With the wonders of technology in healthcare come tremendous improvements in patient outcomes and quality of life. On today's episode, we have two phenomenal guests chatting with us about osseointegration in the field of prosthetics, which helps individuals with limb deformities such as amputations move and function more optimally.Haris Kafedzic is an American Board Certified Prosthetist and Orthotist and Eschen's lead Manhattan Prosthetist and Residency Director. Dr. Robert Rozbruch is an orthopedic surgeon, the Chief of the Limb Lengthening and Complex Reconstruction Service since 2005, and Director of the Limb Salvage and Amputation Reconstruction Center at the Hospital for Special Surgery (HSS). On the show, our guests talk about the role of a prosthetist and an orthopedic surgeon along with the various other practitioners like physical therapists that contribute to a patient's care. They discuss typical patient cases like individuals with leg length discrepancies or limb amputations of all kinds. Currently, the United States' medical system hasn't fully caught up with the advancements in the field of prosthetics, which makes it difficult to refer appropriate patients to the right places. Both Haris and Dr. Rozbruch advocate for building awareness around osseointegration as they celebrate their patients' success stories. Dr. S. Robert Rozbruch, after graduating Magna Cum Laude from the University of Pennsylvania, attended Weill Medical College of Cornell University from which he graduated with honors in research. Residency training in Orthopedic Surgery at HSS was followed by two fellowships. He did specialized training in Trauma as an AO fellow at the University of Bern in Switzerland. Additional training in adult and pediatric limb lengthening followed at the Maryland Center for Limb Lengthening & Reconstruction. He is Professor of Clinical Orthopedic Surgery at Weill Medical College of Cornell University. He is a member of several national medical societies including fellowship in the American Academy of Orthopedic Surgeons, Orthopedic Trauma Association, and The Limb Lengthening & Reconstruction Society (LLRS) of which he was President 2012-2013. He has lectured on his clinical and research works at both national and international meetings and has authored over 150 articles in medical journals and chapters in orthopedic textbooks. He is the editor of 2 major textbooks: Limb Lengthening & Reconstruction Surgery and Limb Lengthening and Reconstruction Surgery Case Atlas.Haris Kafedzic received a Master's degree in Prosthetics and Orthotics from Northwestern University's Feinberg School of Medicine.  While attending Northwestern University, he was part of a small group of students selected to travel to Guatemala and provide orthotic and prosthetic care to underprivileged patients. Haris's personal story has greatly influenced him to focus on prosthetic care.  He started working for Eschen as a dual-discipline resident. Haris has advanced training in many aspects of prosthetic care including myoelectric upper limb prostheses and microprocessor knee and ankle units.  He has worked closely with Dr. Rozbruch the past four and a half years treating upper and lower extremity osseointegration patients.  He is committed to helping every patient achieve their maximum functional potential utilizing the latest technology and technique.  Connect with them at:Eschenpo.comhss.edu/limblengthening.asposseointegrationUSA.com

Dr. Sweta Chawla planned out her future, worked hard, and for a decade she had a career that she loved. But eventually, she began asking herself if there was something more she could be doing. Following that curiosity and seeking deeper fulfillment led her to a huge, unexpected life and career transition. It wasn't a perfect transition, but it brought back the passion and meaning she felt had been lacking in her previous career.Today, Dr. Sweta teaches us how we can find the courage to take action and move forward, even when we're not sure how it will work out in the end. She shares tons of tips and questions we can use to self-reflect and determine what it is that really drives us and gives us joy, as well as how we can decide on what values are important to us and our lifestyle.Listen in!About Dr. Sweta Chawla:Sweta Chawla PharmD, MS is a Former Professor of Pharmacy and Clinical and Residency Director turned Speaker, Facilitator & Leadership Coach and Author. She supports organizations, highly driven professionals, budding creatives and entrepreneurs to reinvent how they work and lead. Through her natural leadership model, she empowers her clients to create personal structures that leverage their natural brilliance. As a result they  experience more passion, impact and meaning without compromising their integrity and well-being. Dr. Sweta is the author of the book I Still Haven't Found What I'm Looking For…Now What? and contributor to the award-winning Anthology She's Got This: Essays on Standing Strong and Moving On. She has published articles and essays in several journals, magazines and has spoken on many stages and panels, including the White House.To  learn more, connect with Dr. Sweta on LinkedIn and Instagram.Mentioned In This Episode:Find more resources on Dr. Sweta's websiteMy Philosophy blog postWellness WebinarExpert in Hope

In this episode, I speak with Dr. Eric Keene.  He is it inventor of The Handulbar.  The Handulbar Eric describes Using Isometrics to Decrease Shoulder Pain, Improve Strength, and Regenerate Tendinopathy.  Eric Keene graduated from Long Island University Brooklyn Campus in 2014 with a Doctor of Physical Therapy where he received the Clinical Excellence Award. Since graduation, Eric specialized in Manual Therapy and Therapeutic Exercise treating Orthopedic and Sports patients in the outpatient setting. He completed Residency and Certification through the Institute of Physical Art at Elite Health Services in Old Greenwich, CT where he graduated with honors. Following residency, Eric stayed on as a Residency Director mentoring residents and treating patients for 4 additional years while adding to his skill-set knowledge through the Postural Restoration Institute, Spinal Manipulation Institute, the Gray Institute, Mobility WOD, and Board Certification in Orthopedics through the American Physical Therapy Association. Eric truly loves being able to help people who struggle with nagging aches and pains, have difficulty completing daily tasks, have had an injury or surgery, or who are hoping to avoid surgery altogether. Eric was a competitive athlete having played ACHA D1 Ice Hockey at West Chester University of Pennsylvania as well as competed on the 2009-2010 USA Men's Roller Hockey team. Eric is originally from outside of Philadelphia and you can find him exploring Rochester with his wife Kristie, playing with their son Joseph, staying active exercising, or playing Hockey.Connect with Ericwww.theHANDULbar.comhttp://facebook.com/theHANDULbar/

Dr. Krueger currently serves as the Commanding General of the Army Atlantic Regional Health Command    In this episode you will hear about how Dr. Krueger utilized her Public Health education to assist the healthcare mission in Afghanistan in 2003.  She shares some stories from her time at Fort Bragg as the Residency Director for Family Medicine taking care of the 82nd Airborne Division and other Special Operations communities.  She describes how Women's Health is incredibly important in Military Medicine and the unique challenges experienced in caring for this population.   In addition to being a stellar clinician, educator and military leader, Dr. Krueger talks about managing tradeoffs to also be success as a wife and mother of 5 children while on Active Duty. She also addresses what the Army is doing to address recent reports of limited clinical opportunities to maintain a ready medical force at Military Treatment Facilities. She shares many insights and lessons learned over a distinguished career and provides some valuable advice for all listeners.  You don't want to miss this episode!     Find out more about Dr. Krueger at wardocspodcast.com/guest-bios and visit our webpage and become part of Team WarDocs at wardocspodcast.com.     Please take a moment to follow/subscribe, rate and review WarDocs on your preferred Podcast venue.   Follow WarDocs on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast

Necrotising fasciitis is a scary disease for even the most experienced of emergency physicians. Dr Michael Gleenberg is an emergency physician and Residency Director at the Assuta Ashdod University Hospital in Israel, and he joins Todd to discuss the identification and management of this important disease process See omnystudio.com/listener for privacy information.

Repost Episode: A degree is pharmacy is incredibly versatile - from health-systems and long-term care facilities to community pharmacies and managed care - pharmacists are an integral part of healthcare. Sometimes, students may pursue additional training through residency programs.How can you prepare your students?Pearl 1: Preparing for an interview.Pearl 2: How to quickly evaluate a resume/CVPearl 3: Finding the first career step.Want more education on this topic? Visit these courses at www.CEimpact.comHelping Your Students Get Ready for InterviewsHelp your students and residents shine during the interview process. Learn how to coach your students to success, including tips on etiquette and preparation. Additionally, you'll hear from both an experienced Residency Director and Student Preceptor about what's worked well for them. How to Evaluate a CVHow can you help your students and residents prepare for their future? This brief course provides tips on how to critically review a CV. We spend time reviewing an example CV so you can learn what to look for and how to constructively share feedback. Leave this session with a tool to guide you through the process of CV evaluation.Rotations and Residencies and Jobs, Oh My! Helping Your Students Decide What's NextThis continuing pharmacy education course provides tools and guidance to preceptors and mentors on how to help students navigate their next steps into the profession. Participate in this course to discuss advanced pharmacy practice experience selection, position application preparation, and residency recruitment; as well as how to have meaningful discussions with students on how to manage these stressful processes and decisions.Writing Letters of Recommendation that MatterIt's a common scenario: an APPE student is applying to residency programs and asks you as a preceptor to write a letter of recommendation. How do you write a letter that stands out? This course offers practical strategies for writing a letter that is personalized and impactful. Hear tips on what to ask from the student requesting a letter as well as how to handle a situation where you don't feel comfortable writing a letter of recommendation.Become a member with our CEimpact Membership here! 

Repost Episode: A degree is pharmacy is incredibly versatile - from health-systems and long-term care facilities to community pharmacies and managed care - pharmacists are an integral part of healthcare. Sometimes, students may pursue additional training through residency programs.How can you prepare your students?Pearl 1: Preparing for an interview.Pearl 2: How to quickly evaluate a resume/CVPearl 3: Finding the first career step.Want more education on this topic? Visit these courses at www.CEimpact.com!Helping Your Students Get Ready for InterviewsHelp your students and residents shine during the interview process. Learn how to coach your students to success, including tips on etiquette and preparation. Additionally, you'll hear from both an experienced Residency Director and Student Preceptor about what's worked well for them. How to Evaluate a CVHow can you help your students and residents prepare for their future? This brief course provides tips on how to critically review a CV. We spend time reviewing an example CV so you can learn what to look for and how to constructively share feedback. Leave this session with a tool to guide you through the process of CV evaluation.Rotations and Residencies and Jobs, Oh My! Helping Your Students Decide What's NextThis continuing pharmacy education course provides tools and guidance to preceptors and mentors on how to help students navigate their next steps into the profession. Participate in this course to discuss advanced pharmacy practice experience selection, position application preparation, and residency recruitment; as well as how to have meaningful discussions with students on how to manage these stressful processes and decisions.Writing Letters of Recommendation that MatterIt's a common scenario: an APPE student is applying to residency programs and asks you as a preceptor to write a letter of recommendation. How do you write a letter that stands out? This course offers practical strategies for writing a letter that is personalized and impactful. Hear tips on what to ask from the student requesting a letter as well as how to handle a situation where you don't feel comfortable writing a letter of recommendation.Become a subscriber to our premium CE Service here! 

“I help people go from satisfaction to thriving in their work.” In this episode, Allison interviews Dr. Sweta Chawla. Sweta Chawla PharmD, MS is a Former Professor of Pharmacy and Clinical and Residency Director turned Speaker, Author and Life & Leadership Coach. She has been called a "copywriter for the soul" and serves highly-responsible individuals and groups who want to step further into their potential without compromising their integrity and well-being. Since 2013 she has guided professionals and budding creatives & entrepreneurs to recognize what holds them back from playing full-out in work & life. Dr. Sweta and Allison discuss how to thrive at work. Dr. Sweta shares how to grow and bring more joy into your life, her process for natural leadership, and the importance of naming what's holding you back. Connect with Dr. Sweta: www.drswetacoach.com Free Ebook: https://www.drswetachawla.com. :

A native of Toronto, Canada, Dr. Faisal Quereshy is a board-certified oral, maxillofacial, and facial cosmetic surgeon practicing in Cleveland, Ohio, as well as Professor and Residency Director for the Case Western Reserve University's Oral and Maxillofacial Surgery (OMFS) Program. As today's guest, Dr. Quereshy shares his unique perspective as a program director on interviews, externships, and ranking applicants, as well as his thoughts on running both a residency program and a successful private practice. He also shares his advice for dental students on showcasing your personality in interviews, respecting the hierarchy and etiquette within the residency program you choose, and using the externship experience to learn about the residency they want to attend. For all this and so much more, make sure to tune in today!Key Points From This Episode:A brief history of Dr. Quereshy's training and practice setup.He shares his thoughts as a program director on running a residency program as well as a successful private practice.The financial and surgical benefits that residents gain from a part-time academic model.Learn about the fast-paced structure of the five-year OMFS program at Case Western.What Dr. Quereshy looks for in applicants: self-motivation and the ability to multitask.Power tips for interviewing well and showcasing your personality during the interview.Why Dr. Quereshy says they are not trying to fit an applicant to the current resident pool.How the theme of diversity has been stressed and prioritized in the OMFS program.Dr. Quereshy shares his applicant ranking system and the essential attributes he looks for.Why externs should use the experience to learn about the residency they want to attend.Dr. Quereshy's advice for externs; respect the hierarchy and etiquette within the program.The value of fellowships for residents; a niche area of expertise in a sub-discipline.The educational and marketing benefits that social media can provide.Find out why Dr. Quereshy is currently pursuing an MBA and how he dodges burnout.Why Blue Ocean Strategy is the best book Dr. Quereshy has read in the past year.How daily prayer grounds his wellbeing and allows his to treat patients with honesty, sincerity, humility, and respect. Why Dr. Quereshy would use upper cowhorn forceps #88R to extract tooth number three.Ending on a quote: “You begin in the name of God, the most merciful, the most beneficent.”Links Mentioned in Today's Episode:Dr. Faisal Quereshy on LinkedIn — https://www.linkedin.com/in/faisal-a-quereshy-md-facs-5666551b/Dr. Faisal Quereshy on Instagram — https://www.instagram.com/facesurgeon/Case Western Reserve University — https://case.edu/Blue Ocean Strategy — https://www.amazon.com/Blue-Ocean-Strategy-Uncontested-Competition/dp/1591396190Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

On this episode of Leadership Lessons in Health-System Pharmacy you will hear from Marialice S. Bennett, RPh, FAPhA, recipient of the 2021 Remington Honor Medal, the highest honor bestowed by the American Pharmacists Association (APhA) and the profession's highest recognition. Marialice S. Bennett, RPh, FAPhA, BSPharm '69, is a Professor Emerita of Pharmacy Practice and Science and former Residency Director for The Ambulatory and Community Care Residency Programs at the Ohio State University (OSU) College of Pharmacy. She earned her BS degree from The OSU College of Pharmacy in 1969. Professor Bennett is recognized as a practice innovator and an agent of change. She was among the first clinical pharmacists to practice at the OSU Medical Center. Later, her practice team's contributed to the development of both the OSU College of Pharmacy Clinical Partners Program and the OSU University Health Connection, an innovative interprofessional health care clinic for faculty and staff of the university. She has been involved with several national practice-based research projects including Project Impact: Hyperlipidemia and Patient Self-Management: Diabetes. Professor Bennett loves to teach and to mentor. She strives to bring innovation and inspiration to all learners. Over the past 30 years she has contributed to the advancement of community residencies nationally and leaves a legacy of cutting-edge residency programs at OSU. She feels blessed to have mentored numerous practitioners, residents, and students during her career. Her service includes 2011-12 APhA President; 2007-2009 President of APhA-APPM and member of the APhA Board of Trustees; 2016-present Ohio Pharmacists Association Foundation Board, and contributor to numerous initiatives related to practice innovation and community residencies. Marialice and her husband, Jon, are grateful for their three sons and their families: Jay and Cayenne; Vincent, Stephanie, Jaxon, Tyson, and Lulu Rose; and Bryan, Jessica, Josie, and Hudson. This episode's guest was interviewed by Lauren M. Aschermann, PharmD, MS, BCPS, a 2021 graduate of OSU's MS-HSPAL program. Dr. Aschermann recently accepted a position at the University of Wisconsin (UW Health) as Pharmacy Manager, Pediatrics (American Family Children's Hospital), Adult Surgery and Nutrition Support.

Check out gracechurchsc.org/equip to access additional resources and coaching opportunities. If you have questions, need coaching, or just want us to discuss a topic on the podcast, please email us at equip@gracechurchsc.org. In episode 15, Chris Rivers speaks with Matt Kelley, Worship Pastor/Director of Leadership Development at Grace Church, and Davis Craig, Students' Advisor and Internship & Residency Director, about the concept of creating a downline. This discipleship strategy involves intentionally pouring into the lives of others with the goal of replicating future leaders. Matt shares his experience being the recipient of a downline and also building his own downline. He poses the question to listeners: Who are the 2-3 people in your life you need to be investing time into who could be the next person to take your role? Matt and Davis unpack the challenges involved in creating a downline including: seeing the process as a threat to your position, making the time to include people in your world, having flexibility with your schedule, creating opportunities for training and cleaning up the messes this may create, and loving people well enough to tell them the truth. This strategy, while difficult to flesh out, is an important and necessary step in the process of reproducing leaders. With an attitude of humility, patience, and intentionality, listeners can learn to build a discipleship culture that impacts the future of the church and those who will come behind. Many thanks to Lauren Bryant, Meg Gurley and Scott Beardsley for helping to produce this episode.

Chase DiMarco talks to Dr. Abdullah Chahin who is board certified in both infectious diseases and critical care medicine. He is also an assistant professor and the program director for internal medicine at Brown University's School of Medicine. He also holds a teaching position at Tufts University School of Medicine. Chase and Dr. Chahin discuss the current state of medical education, its challenges, and the changes that can be made it to improve it. [02:28] Biggest Challenge Facing Today's Residents [05:42] Managing Residents' Expectations [07:35] Residency Application & Medical Knowledge [14:32] How can International Medical Graduates Stand Out? [20:00] Dr. Chahin's Advice to Medical Students and Residents Full show notes

On this edition of DO or Do Not, we interview Dr. Melanie Jessen. Dr. Jessen is the Family Practice Residency Director at West Suburban Medical Center in Oak Park, Il.  Dr. Jensen serves as the second year Osteopathic Manipulative Medicine Course Director at the Chicago College of Osteopathic Medicine. She graduated from the University of Illinois at Champaign Urbana and subsequently attended the Chicago College of Osteopathic Medicine, where she also completed her internship, a neurology residency and family practice residency. Dr. Jessen has served as president of the Illinois Osteopathic Medical Society and was a  delegate for the American Osteopathic Association.I hope you enjoy her journey starting as a teacher of dance and music and ultimately pivoting direction to attend medical school and become an Osteopathic Physician.  Hosted by Tiffany CarlsonEdited by Thomas Jasionwski

In this episode, our guest is Marialice Bennett, a former APhA Past President and the 2021 APhA Remington Medal recipient. Marialice is a Professor Emerita of Pharmacy Practice and Science and former Residency Director for The Ambulatory and Community Care Residency Programs at the Ohio State University College of Pharmacy. She served as a co-founder and pharmacy director of University Health Connection, an innovative interprofessional health care clinic for faculty and staff of the university, from 1999 to 2011. She currently works with the American Pharmacists Association (APhA) and with the American Society of Health-Systems Pharmacists (ASHP) to advance community-based pharmacy practice and community-based residency programs. She earned her BS degree from The Ohio State University College of Pharmacy in 1969. Professor Bennett is recognized as a practice innovator and an agent of change. She was among the first clinical pharmacists to practice at the OSU Medical Center. Her practice team's contribution to the development of both the OSU College of Pharmacy Clinical Partners and the OSU University Health Connection resulted in 2005 and 2006 ASHP Best Practice Awards. She received the 1999 APhA Daniel B. Smith Practice Excellence Award for her contributes to practice, the 2011 OPA Beal Award for lifetime contributions to pharmacy, 2015 OSU College of Pharmacy Lifetime Achievement Award, and the 2016 Bowl of Hygeia Award for service to the community. She has been involved with several national practice-based research projects including Project Impact: Hyperlipidemia and Patient Self-Management: Diabetes. She has contributed to numerous projects and tools developed to implement medication therapy management (MTM) nationally as well as frequently speaking and publishing on practice innovation. She received the 2004 APhA Foundation, Jake Miller Award for her contributions to practice-based research. Professor Bennett loves to teach and to mentor. She strives to bring innovation and inspiration to all learners. Over the past 30 years she has contributed to the advancement of community residencies nationally and leaves a legacy of cutting edge PGY1 and PGY2 programs at OSU. She feels blessed to have mentored 108 residents and numerous students during her career. She is honored to be the recipient of several OSU teaching awards, the 2004 APhA Community Pharmacy Residency Excellence in Precepting Award, 2009 APhA Gloria Niemeyer Franck Leadership Mentoring Award, the 2013 Linwood F. Tice Friend of APhA-ASP Award, and the 2016 OSU Alumni Society Josephine Sitterle Failer Award for volunteer service to students. Her service includes 2011-12 APhA President; 2007-2009 President of APhA-Academy of Pharmacy Practice and Management and member of the APhA Board of Trustees; and member of numerous task forces, panels, and commissions related to MTM, practice innovation, and community residencies. Topics covered: Community based practice has been your passion Teaching & mentoring Telling the story of being a woman and an innovator in pharmacy. Addressing past and current barriers to women in leadership. Advice for overcoming some of the current barriers. Guest - Marialice Bennett, BSPharm, RPh, FAPhA LinkedIn - https://www.linkedin.com/in/marialice-bennett-60b39011/ Host - Hillary Blackburn, PharmD, MBA www.hillaryblackburn.com https://www.linkedin.com/in/hillary-blackburn-67a92421/ @talktoyourpharmacist for Instagram and Facebook @HillBlackburn Twitter

In this episode, STFM President Tricia C. Elliott, MD, presents the fourth of her President's Podcasts, which will be periodically released over the course of her term. “Addressing Health Equity and Caring for our Vulnerable Populations” features interviews with, Viviana Martinez-Biance, MD, FAAFP,  Evelyn Figueroa, MD and Alisahah J. Cole, MD.Guest Bios:Viviana Martinez-Bianchi is a Family Physician. She is the Director For Health Equity and former director of the Duke Family Medicine Residency Program. She joined the faculty of the Duke Department of Family Medicine and Community Health in 2006. Prior to joining Duke University she was a fellow in Faculty Development with Emphasis in Caring for Minorities and Underserved Populations at the University of Cincinnati in Ohio. She practiced full spectrum family medicine in Iowa from 1996 to 2005. Evelyn Figueroa MDAs a Professor of Clinical Family Medicine, I divide my time between direct patient care, community activism, teaching, and residency administration. Although I love being in clinic with my patients, I believe that Family Medicine is the answer and I am thrilled. A Chicago native, I have spent most of my life enchanted by the diversity of our city. Medical school extracurriculars helped solidify my desire to provide community-based health to women, children, and other vulnerable populations. After FM residency at Lutheran General Hospital, I worked for several years at an FQHC in Oakland, California expanding my knowledge of women’s health procedures, including reproductive health, ultrasound, and maternity care.I returned to my UIC roots in 2005 and chose UIC because of its social mission, patient diversity, and opportunities for professional development. I became part of the residency quickly after joining UIC DFM; I spent 2007-2015 as the Maternity Care Director and have been the Residency Director since 2014. In 2018, I founded and continue to direct the UI Health Pilsen Food Pantry, an open access food pantry open five days a week in the nearby Pilsen neighborhood.Alisahah J. Cole, MDSystem Vice President Population Health Innovation and Policy, CommonSpirit Health A musician, a physician, a mother, a volunteer, and a leader are just a few words to describe Dr. Cole. Above all, she is highly passionate about health equity, advocating that everyone should have the ability to achieve great health, no matter what they look like, how much money they make, or where they come from. Since serving the underserved had always been a priority, she completed her residency in Family Medicine at Carolinas Medical Center, where she was part of the Urban Track program. During that time, she received the Bryant L. Galusha Intern of the Year Award and served as Co-Chief Resident her final year. Since completing medical school, Dr. Cole has held multiple leadership roles including Medical Director of a rural health clinic in SC, Residency Program Director, and Chair of the Department of Family Medicine. She was named the first ever Chief Community Impact Officer at Atrium Health where she created the first Community Health Department, establishing the first Health Equity and Social Determinants of Health strategies. Most recently, Dr. Cole joined CommonSpirit Health as its first System Vice President of Population Health Innovation and Policy, with responsibilities for strategy development regarding vulnerable populations, health equity, and innovative care delivery models. 

About Dr. Steven Ferrucci: Dr. Steven Ferrucci, a 1994 graduate of the New England College of Optometry, completed his Residency in Primary Care/Hospital Based/Geriatric Optometry at the Sepulveda VA Hospital in Sepulveda CA. He is currently Chief of Optometry at the Sepulveda VA Ambulatory Care Center and Nursing Home. He is also the Residency Director at his sight, and a Professor at the Southern California College of Optometry at Marshall B. Ketchum University. Dr. Ferrucci has lectured extensively, with a special interest in Diabetes, Diabetic Eye Disease, Age-Related Macular Degeneration, and OCT. He has also published several articles in optometric journals, including The New England Journal of Optometry, Optometry and Vision Science, Optometry: Journal of The AOA and Review of Optometry. Currently, he serves on the Editorial Board for both Review of Optometry and Optometry Times. He is an active member in the American Optometric Association and the California Optometric Association, as well as a fellow in both the American Academy of Optometry and the Optometric Retinal Society. He is past-president of the ORS, as well as founding Chair of the Retina Special Interest Group of the American Academy of Optometry.

Dr. Michael Han is Program Director at the University of Illinois. Although he never had his sights set on teaching, he found fulfillment in the act and enjoys helping residents refine their skills to become the leading oral maxillofacial surgeons of the future. We kick off the show by hearing from Michael on his academic and professional history. After learning how he entered the world of academia and ultimately teaching, Michael shares what he enjoys about sharing knowledge with young hopefuls. He touches on how it has made him reflect on himself as a surgeon and the ways in which it has been a synergistic journey. We then ask Michael to tell us more about how he has refined his teaching techniques. He explains the importance of not making assumptions and encouraging your students to ask questions, especially as there are many solutions to one problem. Later, Michael shares a number of clinical pearls with us and expands on attractions and molts, and the reasons why he doesn’t allow his residents to deviate from routine. To conclude the show, Michael talks about which gadgets he enjoys as well as his one rule for using them. For a handful of clinical pearls, be sure to join us today!Key Points From This Episode:Introducing today’s guest, Dr. Michael Han.Michael shares his academic and professional history.How Michael made his decision to pursue academia.What Michael enjoys about teaching.Michael’s experiences letting his residents work on his real-life patients.How Michael has refined his teaching method.Michael’s teaching style and how it has changed recently.Michael talks about implant systems and which ones work for him.Get your fill on 3D printers and implants.Hear how Michael’s I&D technique has evolved over the years.Michael touches on his role as Program Director.Links Mentioned in Today’s Episode:Dr. Michael HanUniversity of IllinoisUniversity of CaliforniaUniversity of SeattleUICNobel BiocareStraumannAutodesk Meshmixer

Today on Boston Public Radio: We begin Monday's show by opening lines, talking with listeners about your experiences trying to get vaccinated for COVID-19 in Mass. TV expert Bob Thompson commemorated the life and career of groundbreaking actress Cicely Tyson, who died last week. He also reviewed HBO’s “The Little Things,” Netflix's “The Brooklyn Saints," and SyFy’s “Resident Alien.” GBH News analyst and GroundTruth Project CEO Charlie Sennott weighs in on protests in Russia around the detention of Russian opposition leader Alexei Navalny. He also gives a debrief on Monday's coup in Myanmar, vaccine distribution stumbles in the EU, and broader COVID-19 vaccine inequity around the globe. Irene Monroe and Emmett Price, hosts of GBH’s All Rev’d Up, talk about inaugural poet Amanda Gorman's Black Catholic parish in Los Angeles. They also weigh in on the contentious relationship between Reps. Cori Bush and Marjorie Taylor Greene, and discuss news that the Black Lives Matter movement has been nominated for a Nobel Peace Prize. Dr. Katherine Gergen Barnett talks about Mass. Gov. Charlie Baker’s methodology for the rollout of COVID-19 vaccines in the Commonwealth, and questions around vaccine efficacy. As always, she also responds to questions and comments from listeners. Gergen Barnett is the vice chair of Primary Care Innovation and Transformation and Residency Director in the Department of Family Medicine at Boston Medical Center and Boston University Medical School.

Dr. Katherine Gergen Barnett returned to Boston Public Radio Monday, offering some clarity on why Massachusetts lags behind the rest of the nation when it comes to the distribution of COVID-19 vaccines. According to a Washington Post vaccine tracker, the Bay State currently ranks 41st in the nation, with just under seven percent of residents having received their first dose. For comparison, Connecticut has managed to vaccinated almost 10 percent, while West Virginia has managed to get first-doses to close to 11 percent of residents. The Boston Medical Center official blamed a combination of factors for what she described as “several bottlenecks” in the state’s rollout. These issues include supply constraints, smaller-than-anticipated doses of vaccine per vile in the case of the Pfizer vaccine, and a lower-than-expected outtake among staff at long-term care facilities. “I think we are all, even those of us in healthcare, are feeling the effects of the rub here,” she said. Monday’s interview concluded with Gergen Barnett answering listener questions, on topics like vaccine efficacy, the possibility of mobile vaccine clinics, and why you shouldn’t cancel that dentist appointment. Dr. Katherine Gergen Barnett is the vice chair of Primary Care Innovation and Transformation and Residency Director in the Department of Family Medicine at Boston Medical Center and Boston University Medical School.

Ever wonder what Residency education looks like through a director's lens? Join your host, Dr. Nick Gulla, in welcoming Melissa Kidder, PT, DPT, OCS to the show. Among many other things, Mel is the Orthopedic Physical Therapy Residency Director at The Ohio State University Wexner Medical Center, a professor at Ohio State's Division of Physical Therapy, and an ABPTFRE onsite reviewer. Enjoy the conversation, follow us on social media for exclusive video content, and reach out to us if you would like to be on the show!

Today on Boston Public Radio: Dr. Katherine Gergen Barnett discusses news around the COVID-19 vaccines, from their slower-than-anticipated rollout in the U.S., to questions of whether vaccine skeptics are right to feel hesitant about getting their shot. She also responds to questions and comments from listeners. Gergen Barnett is the vice chair of Primary Care Innovation and Transformation and Residency Director in the Department of Family Medicine at Boston Medical Center and Boston University Medical School. Next, we open lines to talk with listeners about Tuesday’s runoff elections in Ga., and the possibility of an end to divided government in 2021.   Carol Rose, Executive Director of the ACLU of Mass., discusses upsides and drawbacks to Mass.' newly-signed police reform law. She also touches on the significance of the state's newly-passed ROE Act, which expands abortion protections in Mass, and talks about Gov. Charlie Baker's decision to veto it. Then, we return to listener lines to talk about your feeling on returning to office spaces in 2021. CNN’s John King breaks down the latest headlines on the national stage, from the dual Senate runoff elections taking place in Ga. Tuesday, to the dozens of congressional Republicans saying they’ll contest certifying President-elect Joe Biden’s election victory. NBC Sports Boston reporter and anchor Trenni Kusnierek talks about Tuesday’s fully-masked basketball game between B.U. and Holy Cross, a first in college basketball, and reflects on the Patriots’ losing 2020 season without quarterback Tom Brady.

Dr. Sarah Hart-Unger shares time management and productivity tips as well as ways on how to make your CV stand out for residency applications   [01:27] How Dr. Hart-Unger Is Changing Medicine for the Better [03:05] Planning for the Upcoming Academic Year [07:01] Clinical Experience and Residency Matching During COVID-19 [12:10] How to Make Your CV Stand Out [19:06] Productivity and Planning Tips   Full Show Notes

Today on Boston Public Radio: Filmmaker Mike Shum discussed his latest documentary for FRONTLINE, "American Voices: A Nation in Turmoil,” about the perspectives of Americans on the events of 2020, from Black Lives Matter protests to the coronavirus pandemic. Next, we opened our lines to ask listeners: do you think Joe Biden will be able to make good on his pledge to unite the country?  NBC Sports Boston reporter and anchor Trenni Kusnierek weighed in on news that the MLB is appointing its first-ever female general manager in Kim Ng, who’ll be managing the Miami Marlins. She also discussed how college sports leagues are navigating the pandemic, including plans to contain next year's March Madness to select stadiums in Indianapolis. Dr. Katherine Gergen Barnett returned to give an update on all things coronavirus. She discussed the latest news around a vaccine, the potential return of lockdowns to Mass., and responded to questions and comments from listeners. Gergen Barnett is the vice chair of Primary Care Innovation and Transformation and Residency Director in the Department of Family Medicine at Boston Medical Center and Boston University Medical School. Boston Globe business columnist Shirley Leung talked about Gov. Baker’s nomination of Serge Georges Jr. to the Supreme Judicial Court, worker layoffs at Boston's Mariott Copley Place, and her latest reporting for the Globe on why Mass. businesses can’t yet afford another lockdown on par with what we saw in the spring. CNN’s John King called in for his weekly politics debrief, where he weighed in President Trump’s refusal to concede his 2020 election loss, and a New York Times report that he sought options to attack Iran in the final months of his presidency. We closed out Tuesday’s show by opening lines to ask: is your cure for the pandemic blues busting out the holiday lights, candles, trees and music?

The Diversity, Inclusion & Community Building Town Hall SeriesNovember 10, 2020 Presenters: Paulette Wehner, MD - Vice Dean for Graduate Medical Education, Marshall University Joan C. Edwards School of MedicineGinger Boles, MS, PA-C - Program Director, Physician Assistant Program, Marshall University Joan C. Edwards School of MedicineJanet Wolcott, PharmD, CPC, ELI-MP - Clinical Pharmacy Specialist and Residency Director, Cabell Huntington Hospital; Certified Life CoachCynthia Jones, PhD - Assistant Professor & Director of Pre-Pharmacy Living Learning Community, Marshall University School of Pharmacy  

Today on Boston Public Radio:  We opened Tuesday’s show by talking with listeners about Monday’s confirmation of Amy Coney Barrett to the U.S. Supreme Court.  NBC Sports Boston reporter and anchor Trenni Kusnierek weighed in on the Patriots’ 2020 slump, Tom Brady’s success playing with Tampa Bay, and the road ahead for televised sports, which’ve seen huge revenue losses during the pandemic. Dr. Katherine Gergen Barnett explained the troubling spike in coronavirus cases throughout Massachusetts, talked prevention policy, and responded to questions from listeners. Gergen Barnett is the vice chair of Primary Care Innovation and Transformation and Residency Director in the Department of Family Medicine at Boston Medical Center and Boston University Medical School. Satirist P.J. O’Rourke lamented the toxic U.S. political climate and explained why he thinks modern-day rich people are “too comfortable," in a conversation about his new book, “A Cry from the Far Middle: Dispatches from a Divided Land.” Irene Monroe and Emmett Price, hosts of GBH’s All Rev’d Up, questioned the impact of recent endorsements for President Trump from Black entertainers. They also discussed Pope Francis’ endorsement of civil unions, and appointment of the first-ever Black U.S. cardinal.  CNN’s John King called in for his weekly politics roundup, discussing Monday's appointment of Amy Coney Barrett to the Supreme Court, and offering his take on where President Donald Trump and former Vice President Joe Biden stand in the days leading up to the presidential election. Closing out our show, we opened lines to talk with listeners about whether you’re concerned about election-night chaos. 

Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in 1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident. In 1992 Dr. Balentine started practicing Emergency Medicine at St. Barnabas Hospital in the Bronx where he served as Residency Director and Department Co-Director. Dr. Balentine served as Chief Medical Officer and Executive Vice President of St. Barnabas Hospital and Healthcare System in the Bronx until 2014. He is Past-President of the New York Chapter of the American College of Emergency Physicians and Vice Chair of the New York State Board of Medicine. He has authored and edited many web and textbook chapters and was the founding medical editor of newyorkmedicaljournal.org. Dr. Balentine is currently Dean, College of Osteopathic Medicine; Vice President, Health Sciences and Medical Affairs at the New York Institute of Technology.  

What makes a great preventive medicine physician? Dr. Remington, Director of the UW-Madison Preventive Medicine Residency Program, answers!

In this episode, Puja Gopal, MD and Mark Reiter, MD MBA MAAEM FAAEM discuss patient callbacks. Dr. Gopal is a resident at the University of Illinois in Chicago and '17-‘18 AAEM/RSA Education Committee Chair. Dr. Reiter is the Residency Director at the University of Tennessee-Murfreesboro/Nashville, a partner in Middle Tennessee Emergency Physicians, the CEO of Emergency Excellence, as well as the AAEM Immediate Past President.

Presented by Puja Gopal, MD, resident at the University of Illinois in Chicago and ’17-‘18 AAEM/RSA Education Committee Chair, and Mark Reiter, MD MBA MAAEM FAAEM, Residency Director at the University of Tennessee-Murfreesboro/Nashville, a partner in Middle Tennessee Emergency Physicians, the CEO of Emergency Excellence, as well as the AAEM Immediate Past President. Intro music by Akashic Records, Key to Success - Discover the Possibility" from the album Corporate Presentation - Key to Success, powered by JAMENDO.

Arielle Giordano is the Associate Director of Physical Therapy and Residency Director at the University of Delaware. We talked about a Clinical Practice Guideline (CPG) that will be published in early spring on the rehabilitation of concussion. This will will help to point us in the direction of how to treat concussion, what to look for and what tools are necessary.  Other guidelines focus on Primary Care, Sideline evaluation or Emergency department procedures but not treatment in those with chronic symptoms using Physical Therapy. The neck and the vestibular system are large areas of focus which we be reviewed in the Academy of Orthopedics Annual conference. Arielle will be presenting at the Annual Orthopedic Meeting from the Academy of Orthopaedic Physical Therapy April 3-4 in Minneapolis Minnesota. We got into the large focus on concussion treatment being brought to the forefront by the media, especially in football and collision sports. Many children play sports which is causing parents to focus on whether they should allow their son or daughter to play in these sports.  Concussion is even more prevalent in all age ranges due to motor vehicle collision, assaults and falls. Our conversation focused on: Resources Perception Outcomes Connect with Arielle:Twitter: @AirelleGiordanoInstagram: @airellehunter

Arielle Giordano is the Associate Director of Physical Therapy and Residency Director at the University of Delaware. We talked about a Clinical Practice Guideline (CPG) that will be published in early spring on the rehabilitation of concussion. This will will help to point us in the direction of how to treat concussion, what to look for and what tools are necessary.  Other guidelines focus on Primary Care, Sideline evaluation or Emergency department procedures but not treatment in those with chronic symptoms using Physical Therapy. The neck and the vestibular system are large areas of focus which we be reviewed in the Academy of Orthopedics Annual conference. Arielle will be presenting at the Annual Orthopedic Meeting from the Academy of Orthopaedic Physical Therapy April 3-4 in Minneapolis Minnesota. We got into the large focus on concussion treatment being brought to the forefront by the media, especially in football and collision sports. Many children play sports which is causing parents to focus on whether they should allow their son or daughter to play in these sports.  Concussion is even more prevalent in all age ranges due to motor vehicle collision, assaults and falls. Our conversation focused on: ResourcesPerceptionOutcomes Connect with Arielle:Twitter: @AirelleGiordanoInstagram: @airellehunter

Dr. Bega is the Director of the Neurology Residency Program at Northwestern Medicine. Today, he shares his experiences as a Movement Disorder specialist.

Will Hutnick is an artist and curator based in Wassaic, NY. He received his M.F.A. from Pratt Institute (Brooklyn, NY) and his B.A. from Providence College (Providence, RI). He has had recent solo exhibitions at Standard Space (Sharon, CT), St. Thomas Aquinas College (Sparkill, NY), One River School (Hartsdale, NY), and Providence College Galleries (Providence). Recent group exhibitions include: LVL3 Gallery (Chicago, IL), Tiger Strikes Asteroid (Brooklyn), Vox Populi (Philadelphia, PA), Paradice Palase (Brooklyn) and Geoffrey Young Gallery (Great Barrington, MA). Hutnick has curated exhibitions at SPRING/BREAK Art Show, Ortega y Gasset Projects, Trestle Projects, Wassaic Project, and Pratt Institute. He has been an artist-in-residence at Yaddo, the Hambidge Center, the Elizabeth Murray Artist Residency by Collar Works, DNA Gallery, Wassaic Project, Vermont Studio Center and a curator-in-residence at Benaco Arte and Trestle Projects. Hutnick is the Co-Director of Ortega y Gasset Projects, an artist-run curatorial collective and exhibition space in Brooklyn, and is currently the Residency Director at the Wassaic Project, a nonprofit organization that uses art and art education to foster positive social change. SOUND & VISION is sponsored by the New York Studio School and Golden Artist Colors.

Dr. Tom Biernacki is a Residency Director in podiatric medicine. Similar to MD (allopathic physician) and DO (osteopathic physician) degrees, the DPM degree requires four years of medical school. They also have a mandated three-year residency, which is similar to many specialties in MD/DO pathways. It holds the most overlap with the medical specialty of orthopedics. However, podiatry handles many chronic diseases of the foot and ankle without the emergency and trauma care scenarios that an orthopedic surgeon may.   He states that preceptors that are patient and understanding with their students provide a greater support structure and more clinical education benefit. Those that are frequently angry, hurried, and condemning of their students are still in existence, and it may be difficult for a student to navigate these educational environments. Retention of information from these poor preceptors will likely be hampered by this negative learning avenue. Compassion for your students ultimately leads to better education and often better patient care.   He cautions residents and new preceptors not to move too fast in their clinical practice. It is easy to see the seasoned and experienced physicians moving efficiently and swiftly and wishing to do the same. Much of this comes with experience and it’s more important that every clinical educator and physician moves at their own pace. Speed can lead to patient safety concerns and other mistakes. It’s alright for physicians to admit when they need to gather their thoughts, when they need a break, and when they need help.   Dr. Biernacki also recommends that students show humility to their preceptors, other students, and the staff. No one appreciates a student that shows off and attempts to demonstrate superior knowledge to other staff members. This attitude and work ethic reflects more poorly on the student than poor grades or weak exam scores. Being open to learning is the key to being a great student, as is supporting your team and colleagues. People skills and professionalism are increasing in importance during residency selection process as well. And, as always, remember that “perfection” is not the goal. Enjoy your clinical experiences and you will derive much greater total benefit from the time spent.   Students are there to learn, but Dr. Biernacki warns that some students may incorrectly think that asking many questions counts as academic engagement. This can become problematic and interrupt the day's routines. It is important to not become a burden to your preceptor or others around you. When you make your preceptor's job easier that allows them more time to focus on your education and guidance as well. If listeners and readers were to take one thing away from this interview it would probably be this: “be a pleasant person to be around.” This can go very far in displaying a positive work ethic and forming a support system with your colleagues.   Resources www.michiganfootdoctors.com

In this episode, Mitchell Zekhtser, MD and Christopher Doty, MD FAAEM discuss how to provide better care for the most vulnerable patients. Dr. Zekhtser, is an Emergency Medicine Resident at Albany Medical Center, as well as a past AAEM/RSA Medical Student Council Western Regional Representative, and a past AAEM/RSA Vice Chair of the Education Committee, and Dr. Doty, is the Residency Director of the Department of Emergency Medicine at the University of Kentucky, as well as a member of the AAEM Education Committee.

Presented by Mitchell Zekhtser, MD, Emergency Medicine Resident at Albany Medical Center, as well as the AAEM/RSA Medical Student Council Western Regional Representative, and AAEM/RSA Past Vice Chair of the Education Committee, and Christopher Doty, MD FAAEM, the Residency Director of the Department of Emergency Medicine at the University of Kentucky, as well as a member of the AAEM Education Committee. Intro music by Akashic Records, Key to Success - Discover the Possibility from the album Corporate Presentation - Key to Success, powered by JAMENDO. Show notes available.

Residency program director, author, entrepreneur, and family medicine physician, Ted O’Connell, joins us today to discuss precepting of both medical students and residents in a variety of medical settings. He has many years as both a clinical educator as well as authoring educational review textbooks for students. His free question bank allows students to study medically relevant topics without the burden of extra expenses. Ted acknowledges that a preceptor must have a strong desire and interest in teaching. Without this drive, it can be very difficult to adequately assess students and convey knowledge to their current level of comprehension. Keeping up with Faculty Development materials available within and outside of your institution can help keep updated on educational processes. He also believes that is it vitally important for students and preceptors to discuss their expectations for a clinical rotation in advance to provide a foundation for the medical experience. A student that is proactive in their clinical education will gain the most benefit from their time. This can even begin BEFORE the clinical rotation begins by reaching out to the Rotation Coordinator for advice and researching potential residents and attendings one might have. Doing a little research on their interest can open up the conversation later on and provide an avenue for closer bonds to be formed. Being proactive with patient care is also a student's strength that can increase the preceptor’s view of the student’s competency level. Reading the patient history and other records ahead of time allows students to demonstrate more ownership of their patients. This not only can save the preceptor valuable time, but you may catch a routine lab draw or vaccination that could have otherwise been missed. Students can prepare for clinical rotations by pretending they are on an isolated island and only they can save the patient. This may allow for more independent thinking and less reliance on residents or attendings for answers. They can also think aloud and explain their thought process as well, which allows for more exact feedback from their clinical preceptor. Independence in clinical tasks, being proactive, and following up on patients you have seen are things preceptor’s look for when a student asks for a Letter of Recommendation as well.   Read more of Dr. O’Connells work on his blog, including: Ten Actions to Ace Your Outpatient Rotations and How To Ask For A Great Letter Of Recommendation. Ted is also the co-founder of the FREE content at Exam Circle and the CCO of InsideTheBoards. Try the All Audio Q-Bank for iOS to study on the go!

FOX Geriatric Residency in Physical Therapy Director, Dr. William Dieter, PT, DPT, GCS, FSOAE, provides insight on how a residency program can help enhance your practice. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

FOX Geriatric Residency in Physical Therapy Director, Dr. William Dieter, PT, DPT, GCS, FSOAE, provides insight on how a residency program can help enhance your practice. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

FOX Geriatric Residency in Physical Therapy Director, Dr. William Dieter, PT, DPT, GCS, FSOAE, provides insight on how a residency program can help enhance your practice. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

In this month's Tuesday Topics in Health System Pharmacy Podcast Brent Bell from Confluence Health discusses the residency application process with PGY-2 Julie McCormick and Residency Director for Good Samaritan Hospital Dianna Gato. The reviewed key parts of a letter of intent, details on letters of recommendation including when and how to ask for one, the application timeline and what to do if you don't match this year.

Christine Gentry joins BBQ on the list of good things to come out of Texas. She holds a Ph.D. in English Education from Columbia University and currently serves as Visiting Assistant Professor and Residency Director for the NYU Teacher Residency in Corona, California. In what little spare time she has, Christine likes to write short stories, perform in oral storytelling shows, and produce/host shows around the country for The Story Collider. Her writing has been published in English Journal, The English Record, and Printer's Devil Review magazines, and her oral stories have been featured on the TEDx stage, The Moth Radio Hour, and This American Life. She is also a Moth Mainstage performer and two-time Moth GrandSLAM champion.   http://www.christinegentry.net/     StoryHinge http://storyhinge.com Where we dig deeper into story and story creation.  We amplify personal stories to consider more possibility and realize more potential and happiness in life.

Session 107 Emergency medicine residency training requires lots of interpersonal skills. Dr. David Snow has been out of training for 6 years now. Today, he tells us more about the acuity, variety, and steep learning curve in EM. Meanwhile, be sure to check out all our other resources on Meded Media. Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [01:15] Interest in Emergency Medicine Coming to the end of the third year in medical school, David was choosing between surgery, psychiatry, and emergency medicine. Ultimately, there were things about EM that appealed to him. [Related episode: What is Emergency Medicine?] [04:22] Traits that Lead to Become a Good EM Physician When you get to a shift, it can get as busy as any other time during any other shifts in their life. They sometimes work at 5 am and 11 pm and it doesn't matter what comes before that. They just have to be ready as they walk in the door. This is not unique to EM at all, but it is unique across all the fields of EM. As an EM doctor, you have to understand the unpredictable nature of the specialty.  Additionally, interpersonal skills are important as you could be speaking to patients from all walks of life. Alongside, you'd also be networking with clerks, nurses, medical students, and division chairmen. You have to be able to work with the challenges of that environment and do so with a smile on your face. David has been evaluating residency applications for 7 years now. A few years ago, they added a new piece to the application for emergency medicine called the Standardized Letter of Evaluation. In any of the rotations you do, you will have one of these letters written for you. This is a movement away from the Letter of Recommendation that students ask from an EM physician. It compares you to applicants from the current cycle and the previous year. The letter also lists a set of attributes that talk about your success within those attributes as well as your work ethic, professionalism, etc. There are also specific pretext parts to the document where people speak very candidly about the applicant. Emergency physicians are looking for the same things. They somewhat know what to write.  [Related episode: Looking at Emergency Medicine Match Data and Surveys] [10:50] Pass-Fail System Evaluating Students David thinks there are so many facets to a pass-fail system. He believes it could be hard from the student's standpoint as a sub-average USMLE Step 1 score can be very detrimental to an applicant. Programs can use filters based on USMLE or COMLEX scores and that one score can be very hard for them to move past to ensure the reviewer doesn't get stuck on that. There's no recommendation an applicant needs to have taken Step 2. But if the Step 1 score is below the mean, it's encouraged that they take Step 2 so they can work past that. This being said, it adds a lot of pressure to all of it. [Related episode: What Step 1 Score or Level 1 Score Should I Try to Get?] [13:40] How to Stand Out in Rotations David recommends getting in touch with EM faculty and to start interacting with them as early as possible so they can start asking questions. Most medical schools that have EM departments have some way to get shadow shifts with EM faculty. Nevertheless, he doesn't think there should be pressure for students to get in front of PD during their second or third year. You just have to do what has to be done to figure out that EM is for you. If meeting with a program is the way to do that then fine. But don't feel like you need to do that in order to bolster your application. Ultimately, just enjoy your rotations during third year as your learnings are all going to be very useful for your future training. Donald underlines understanding the key attributes of an EM physician. They are hardworking. They don't complain about the work before them. They try to enjoy as much as they can. It's important to have that positive outlook and the desire to come in and take care of patients. Be able to come in wiith those attributes without trying to be held back by your nerves. Understand you're still a student and not a resident yet so your level of knowledge is obviously below the residents. Donald notices how many students come in during rotations where they feel this need to prove they know what they're doing. He advises students to step back from this. ED is challenging itself. Just find your team and enjoy your time. Anything you can do to help out a resident would be golden. They would thank you and love you for that. Try not to think about the importance of the rotation and just be yourself. Be that motivated and driven medical student on the rotation who's there to learn and work. Being so focused on proving and performing would only limit yourself from feeling what it might be like to be that person in the field. [24:55] The Biggest Misconceptions About Emergency Medicine Many students are drawn into EM by trauma and acute resuscitation. Although this is a huge part of what they do, it's far from being a true EM clinical life. It's a big part but it's not a huge part of an EM physician's life. Another misconception about Emergency Medicine is the idea of burnout. David believes that so much of this is born out of the habits formed during residency. You might do all of that right and end up in a job that makes you very unhappy but then you must change jobs because if you don't, you'll fit in that burnout spectrum. David clarifies it's not a false label as this is what's being shown on the survey. But he doesn't think this should preclude you or stop you from going into a career in emergency medicine. [29:20] The Training Path What differentiates EM from other programs is that by Day 1, you may have the sickest patients of your residency training. In most programs, the system is set up to where you might not be going to an operating room or ICU during your first year. They would still build up your knowledge and experience before you're exposed to that. In emergency medicine, the learning curve is steep. It can be truly overwhelming in terms of the knowledge needed and every patient encounter you have for the first several months. But there will be an attending physician with them throughout the process. You will also be doing 5-7 off-service rotations during the first year. You will go to ICU's and do orthopedics, anesthesia, and obstetrics. On your second and third year, it will progress to increased patient care responsibilities. You will start to lead teams. There will be teaching and mentoring aspect to that. When you get to your third year, you will start to lead the areas you're working in. And when you're done with your training, you need to be able to handle whatever comes through those doors at any point of the day. [32:33] How Students Can Evaluate What Programs They Can Apply To David thinks the program has become so competitive that there's no standardized way of mentoring an applicant as no two applicants are the same. That said, the applicants themselves don't know where they stand on the bigger scale of applicants. Because of the varying degrees of mentoring, students are picking up a lot of interview spots early when they probably don't need to. Then they cancel a lot. So there's a whole bigger issue here. David recommends that students seek someone who has experience in reviewing applications. They can look at your file and compare you to other applicants to give you a clear sense of what's important and where you might fall on that spectrum. This way, you can start thinking about how many applications you should be submitting. Ultimately, David outlines two things to know if this is something for you. First is to get into EM if you really think that EM is right for you. Second, experience at least two different types of EM programs. This could be an affiliate with the college of medicine. Or there could be close ties between the medical school and the ER department. There's also a community program that doesn't have a medical school in the area. There are also hybrid models that exist. At the end of the day, see if the message of the chair is something you would put your faith in. Pay attention when they're speaking. Then try to see if you like the residents and you fit in. [39:30] Bias Against Osteopathic Students David doesn't think there is any negativity that needs to be overcome. He believes allopathic and osteopathic students are viewed in the same way. However, he feels there may be still some programs that will require a USMLE score. Because of this, it could be hard for them to mentor an osteopathic student and tell them they need a USMLE score. He hopes there is some way to measure this going forward where programs are moving away from requiring USMLE scores. [Related episode: 6 Myths of Osteopathic Medical School] [42:45] Final Words of Wisdom Don't be afraid to reach out to people and residency leadership to ask for advice. They want to find people that can do the work that's put before them. Most importantly, just be yourself and enjoy the time in the clinical setting. He assures you will get way more out of this. Links: Meded Media

Dr. Cabrera-Muffly is an ENT residency Program Director. She joins me to discuss the pathologies in otolaryngology, life as a resident, and more!

In this episode of SNP Podcast, we will be speaking to Sally LeCras, the Residency Director at Cincinnati Children's Hospital, and Jim Moore, the residency director at University of Miami. Our topic today is to get more information on a hot topic of physical therapy...residencies! In our conversation, we touch on what residencies entail, how students can boost their applications, and a little about the LEND program that residencies may be partnered with in order for students to have a more educated decision if they are contemplating applying. Thank you to our guests Sally and Jim for chatting with us about Pediatric Physical Therapy Residencies! We hope you enjoyed our conversation with Sally and Jim as much as we did! For more information about their programs, visit the links below. Cincinnati Children's: https://www.cincinnatichildrens.org/education/clinical/specialty/sub-res/pt-peds University of Miami: http://pt.med.miami.edu/academics/academic-programs/residencies/miamichildrenshospital For more information about the American Board of Physical Therapy Residency and Fellowship Education (ABPTRFE) please visit http://www.abptrfe.org/home.aspx Thanks for listening to SNP Podcast where we talk about all things pediatric physical therapy for students and new professionals! If you liked our show, subscribe so you never miss a new episode! To connect with us in more ways than just this podcast, follow us on Instagram (@snp_appt) Twitter (@snp_appt) or Facebook (APTA APPT Students and New Professionals) Host: Natalie Miller and Josie Kautsky Music by Scott Miller

The Rotations team welcomes back Ramzan Shahid, M.D., Residency Director in Pediatrics at the Loyola University Medical Center, for the second segment of a two-part discussion on emotional intelligence and its role in medical education. On this episode, the Rotations team gets into the implications of emotional intelligence on medical education and continued education among established physicians. How can emotional intelligence play a role in residency mentorship, and how should EI be integrated into the first two years of medical education? Rotations also welcomes back Laura Jensen, research coordinator in the Heritage College of Osteopathic Medicine and Dr. Sharon Casapulla, Director of Education and Research in Family Medicine at the Heritage College. This show was produced and hosted by Todd Fredricks, hosted (in absentia) by Nisarg Bakshi, engineered by Kyle P. Snyder and edited by Brian Plow. Rotations is a production of Media in Medicine, a family of medical storytelling initiatives developed by faculty and research staff from Ohio University’s Heritage College of Osteopathic Medicine and the Scripps College of Communication. Views and opinions expressed here are our own or those of our guests and do not necessarily represent those of the colleges or Ohio University. Follow us on Twitter @RotationsPcast or visit www.mediainmedicine.com to learn more about the show and what we’re up to.

Happy 4th of July from the Rotations team! Between backyard BBQs and fireworks, be sure to take a little time to listen in on this week's episode. The Rotations team welcomes Ramzan Shahid, M.D., Residency Director in Pediatrics at the Loyola University Medical Center, in the first segment of a two-part discussion on emotional intelligence and its role in medical education. What role does emotion have in building and defining a doctor’s relationship with patients and colleagues? How can teaching the management of emotions in those relationships promote better relationships, trust, patient satisfaction and possibly prevent physician burnout? What does the research say? Here’s our chance to touch base with an expert in this emerging trend, and see how “E.I.” can address some these more complex and non-linear dynamics in medical education. Rotations also welcomes Laura Jensen, research coordinator in the Heritage College of Osteopathic Medicine and Dr. Sharon Casapulla, Director of Education and Research in Family Medicine at the Heritage College. This show was produced and hosted by Todd Fredricks, hosted (in absentia) by Nisarg Bakshi, engineered by Kyle P. Snyder and edited by Brian Plow. Rotations is a production of Media in Medicine, a family of medical storytelling initiatives developed by faculty and research staff from Ohio University’s Heritage College of Osteopathic Medicine and the Scripps College of Communication. Views and opinions expressed here are our own or those of our guests and do not necessarily represent those of the colleges or Ohio University. Follow us on Twitter @RotationsPcast or visit www.mediainmedicine.com to learn more about the show and what we’re up to.

In this episode, Puja Gopal, MD, Anthony Busti, MD, and Linda Regan, MD, discuss evidence based medicine and how to use it in your practice. Dr. Gopal is a resident at University of Illinois at Chicago and '17-‘18 RSA Education Committee Chair. Dr. Busti is an Assistant Professor at University of Texas Southwestern. Dr. Regan is the Residency Director at Johns Hopkins.

Presented by Puja Gopal, MD, resident at University of Illinois at Chicago and ’17-‘18 RSA Education Committee Chair, Anthony Busti, MD, Assistant Professor at University of Texas Southwestern, and Linda Regan, MD, Residency Director at Johns Hopkins. Intro music by Akashic Records, Key to Success - Discover the Possibility from the album Corporate Presentation - Key to Success, powered by JAMENDO.

In this episode, Victoria Weston, MD, and Mark Reiter, MD MBA FAAEM discuss a guide to money for emergency physicians. Dr. Weston is a Resident at Northwestern University and a past president of RSA. Dr. Reiter is the Residency Director at the University of Tennessee - Murfreesboro/Nashville Emergency Medicine Residency, a partner in Middle Tennessee Emergency Physicians, CEO of Emergency Excellence, and the Immediate Past President of AAEM.

Presented by Victoria Weston, MD, Resident at Northwestern University and a past president of RSA, and Mark Reiter, MD MBA FAAEM, Residency Director at the University of Tennessee - Murfreesboro/Nashville Emergency Medicine Residency, a partner in Middle Tennessee Emergency Physicians, CEO of Emergency Excellence, and the Immediate Past President of AAEM. Intro music by Akashic Records, Key to Success - Discover the Possibility from the album Corporate Presentation - Key to Success, powered by JAMENDO.

In this episode, Victoria Weston, MD, and Mark Reiter, MD MBA FAAEM discuss patient satisfaction. Dr. Weston is a Resident at Northwestern University and a past president of RSA. Dr. Reiter is the Residency Director at the University of Tennessee - Murfreesboro/Nashville Emergency Medicine Residency, a partner in Middle Tennessee Emergency Physicians, CEO of Emergency Excellence, and the Immediate Past President of AAEM.

Presented by Victoria Weston, MD, Resident at Northwestern University and a past president of RSA, and Mark Reiter, MD MBA FAAEM, Residency Director at the University of Tennessee - Murfreesboro/Nashville Emergency Medicine Residency, a partner in Middle Tennessee Emergency Physicians, CEO of Emergency Excellence, and the Immediate Past President of AAEM. Intro music by Akashic Records, Key to Success - Discover the Possibility from the album Corporate Presentation - Key to Success, powered by JAMENDO.

Session 33 A lot medical students go through the process end up at a time where they have to submit their rank list and they have no clue what they want to do. And this is a lot of unneeded stress. In this podcast, I talk to a specialist that you can't get hold of so you can understand what is out there for you. Today's guest is Dr. Lauren Strauss, an academic Pediatric Neurologist who specializes in headaches. She is a DO at a large academic medical center for an allopathic residency program. She is currently the Residency Program Director at Wake Forest Baptist Medical Center for Pediatric Neurology. Listen to her thoughts on the field and what you should be looking into. Also check out our other podcasts at MedEd Media. [01:50] Interest in Pediatric Neurology Lauren has an interesting background having started in engineering. She did her major at UPenn in bio-engineering. She has always loved science and math. Her grandfather being an engineer and not having any doctors in the family, Lauren decided to do engineering. She thought bio-engineering would be offering her a big variety. What she found she loved the most was being able to do projects that brought them over to the hospital and allowed them to interact with clinicians. When she decided to do her senior engineering project, she ended up in the Neurology lab where they did research related to vertigo. At that time, she didn't know she wanted Neurology but she knew she liked other things outside of engineering. After graduating in engineering, she decided to take a year off while looking into medicine as an option. She worked at a pediatric practice for her pediatrician. She worked there for a summer which later turned into a whole year. Then she realized she wanted to go to medical school to be a pediatrician. It was during their pediatric subspecialty month that she could rotate through a lot of different specialties and neurology was one of them. It still didn't hit her at that point that it was what she was going to. When she picked a full month in a pediatric specialty, some subspecialties she signed up for were already filled except for pediatric neurology. She did the rotation anyway. "It was the perfect opportunity mixed with meeting the right people at the right time." Then she decided to apply to Pediatric Neurology. Lauren describes it as a hard decision to do.  Nowadays, most programs are categorical where you do your pediatrics and neuro in the same location. But at that time, there were still some where you could train at two separate places. Hence, it was a difficult process. When she talked to her medical school at New York College of Osteopathic Medicine, they never had anyone else who had done Pediatric Neurology. She is very happy she did take the plunge though. Where she ended up doing her training was pediatrics at a larger children's hospital at Long Island Jewish Medical Center. Then she did her child neuro training at Boston Children's Hospital. She then found out that a lot of people will pick an interest within Neurology and academics and go on and subspecialize with fellowship. She initially considered epilepsy since majority of the practice in pediatric neurology is developmental delay epilepsy and headache. Since she had an engineering background, she felt it was best for her to go into epilepsy. The reading of EEG's relies on physics. She soon discovered her love for patient interaction and taking a history from a patient and solving a puzzle. But she didn't love reading an EEG as much and sitting by herself. [06:18] Becoming a Pediatric Headache Specialist Lauren says a lot of people don't know you can subspecialize in headache. As a new emerging specialty, Headache Medicine is part of a UCNS (United Council for Neurologic Subspecialties) fellowship. A lot of people going into the field are adult headache specialists being the paved route. It's much easier from the adult side. "Headache is a new emerging specialty." Lauren notices that headaches in kids can be as young as age two but majority of them are in the pre-teen or teenager years. She loves the challenge of convincing the patient to give her that history. She also loves the overlap with some of the social dynamics and healthy living. She loves how to coach them back towards a better life. She also likes the fact that a lot of headache patients tend to get better if you have the right tools in place. She finds this very satisfying. So when she looked into Headache Medicine, she explored her other options including a pediatric pain fellowship as well as an adult pain fellowship. She likes procedures but realized she didn't like it to the extent that majority of her practice was going to be procedures. So she ultimately settled in doing a headache fellowship. She ended up doing an adult headache fellowship at the Brigham and Women's Hospital, one of the first headache centers established in the country. Their adult headache fellows were very interested that she was doing her child neurology training locally. So they got interested in collaborating with and training a future pediatric headache specialist. Lauren is actually one of the pioneers of the said field. She knew that when she graduated fellowship, she wanted to have all of the necessary tools. If she left the programs in Boston, then she would want to be at a center where there is no other pediatric headache specialist. She is currently at Wake Forest being one of the few fellowship-trained pediatric headache specialists in a several-state-region. Moreover, she is heavily involved, not only in patient interaction, but also in education and community efforts. She is streamlining protocols for the emergency room and educational materials for patients. It's very common but there is also a lot of need in headache since not everyone has gone onto this subspecialty level. [09:07] Traits that Make a Good Pediatric Headache Specialist Lauren illustrates that anyone interested in going to pediatrics has to be a little bit more patient and creative. "You have to be able to adapt to new situations." When you're examining children or taking a history from a child or family, you have to be willing to go out of order. The child might not let you examine at the beginning of the visit until the end of the visit. So you have to be able to charm people. You have to use your communication skills to warm up the child or the parents to what you're trying to ask and what the plan is going to be. In headache, those skills are taken into the extremes. The patients and their families are dealing with a situation where their child is very much in pain. They don't initially know other families are dealing with the same condition. So it can be very isolating and very anxiety-producing. It can be a huge struggle. Moreover, a lot of these patients can be very disabled by their condition. They can look like other children but they're dealing with special issues. They could miss school and have many other challenges. As a specialist, they have to be able to coach them and be firm at times on helping them get back. Hence, communication is very helpful. Lauren adds that you want to be a little bit of a problem-solver. You may want to ask a few more questions to make sure it's migraine and not something else. You have to be able to understand the exam and how that fits into the history. [11:15] Patient Types and Procedures In general neurology, they see all ages up to eighteen in pediatric neurology. In the outpatient setting, they will usually do evaluation for young children who are delayed in walking or talking. They try to understand if it's something they're going to catch up on. Or is it something related to a genetic condition or a metabolic condition? You need to assess if you need to do another workup. How do you help them get the right services they need so they can catch up on their milestones. Additionally, they see first time seizure patients or refractory seizure patients. They try to see how they can help diagnose the right epilepsy condition. They have a lot of patients that get better. They can make a diagnosis of a seizure disorder that they know by the time they're teenager, it may go away or in a few years. So they have to make not only a diagnosis but also be able know whether it fits into an epilepsy syndrome. This way you can help the family understand what the true prognosis is. So epilepsy is a big bulk as well as headache. Since her passion is headache, most of her outpatient practice over time has become headache. Headache patients come in various types. You can see someone with their first headache that may be had some interesting features to it. They can have a visual aura. Children, just like adults, can have very interesting aura symptoms for their migraines. They can see a cracked glass, speckled colors, sparkles, shooting stars and a whole gamut of things. And this can be very scary for the first time it happens. Part of Lauren's expertise is sorting out how consistent it is with migraine or if there's any workup needed. She also sees patients with repeated headaches or those that never go away everyday. Some of the typical medicines they would use over the counter won't seem to stop it. So it's also part of her practice to sort out which medicines they can use to help the patient. Or if there are certain things in your lifestyle that contribute to this such as overuse of caffeine found in local soda or sweet tea. "People don't even realize that they have a young child who's exposed to a lot of caffeine." They also focus on avoiding skipped meals, hydration, exercise, and addressing other concerns like bullying or other things going on at a school setting. Moreover, Lauren is also trained in procedures to help manage pain. They can do  a nerve block. The patient takes a numbing medicine and the specialist injects on the scalp to numb it and give it temporary or long-lasting pain relief. They also do Botox which is a muscle paralyzer which you can use in managing chronic migraine. You inject in 31 places on the scalp and the neck. It affects the nerves locally to prevent them from spreading neuropeptides and inflammatory markers to perpetuate pain. Lauren explains there are a lot of interesting ways to treat headache including coaching and procedure. This keeps her practice very interesting. [15:10] Choosing Academics versus Private Practice Lauren initially thought really long and hard about what she wanted her career to look like. She thought private practice was very attractive because you have more control over your schedule. You might see consistent types of patient population You might have more consistent hours. The reason she ultimately chose academics is she wanted a job where it could grow with her as her interests change. As a young faculty, she knows she loves education but she doesn't really know if that's her path. If she went into private practice, she thinks she would have missed a lot of things - being with the residents and medical students and seeing the collaboration and the discussing of interesting patients. Since she has been at Wake Forest, she started up a Headache Case Conference. They host it once a month where they get together and talk about their most fascinating headache patients. Because of this, they can get back up on patients they need more guidance on as well as be able to hear from other providers. She loves this kind of collaboration and learning all the time. Lauren is glad she chose academics. She has gotten so passionate about education that she is now the Residency Director for their Pediatric Neurology Program. She now helps design curriculum and make sure block schedules look nice. She looks into ways to improve the education for their residents at all stages. "I love education. I can't imagine, now in this role, going back into private practice." Another thing she likes about academics is that it allows you to be part of both the inpatient and outpatient sides of it. She loves being in clinic and it's the majority of what she does in headache managements. But she also loves being occasionally on inpatient service. You see so many different things there that by the time you see them on clinic, they've already been stabilized and they no longer have ongoing concerns. Academic allows you to be varied and depending on where you get hired, you can have all different types of job descriptions. [18:00] Work/Life Balance Lauren stresses this is something very important to look at when choosing a field not only for women, but for anyone when choosing their career. You never know what your home life is going to look like when you're making these big decisions. "Having flexibility or knowing what kind of support you have from your family is helpful." Lauren knew she was going to likely possibly leave the area where her family lived. She would be in an area without initial extended support and friends. She wanted to be in a place where she didn't have to work nights and weekends all the time. Lauren loves the balance in pediatric neurology. She generally works Mondays through Fridays and works one weekend every six weeks. She's not in-house for those calls and works from 9-11 doing patient rounds and then she goes home. She also answers pages from home on the weekends she's on. For Lauren, it's manageable because it ends up being an 8-5 job with lunch breaks. Then she can also squeeze the meetings. But in general, her practice is very manageable for having a family. [19:35] Residency Path and Fellowship Training Lauren explains that a lot of programs have moved towards combining your match into being able to apply once into both pediatrics and child neurology at the same hospital. At Wake Forest, you come for a two-day interview. You will be interviewed by the pediatrics group and then by the child neurology group. But when they make a decision and you get your match result, it's at one program. Lauren did her training at two separate places. It does have its benefits like being able to know all these different hospital systems. But she reckons it's nice to spend all five years (two in pediatrics and three in child neurology) in one place. It allows you to build connections much easier and you spend less time worrying about computer systems. Then you can focus more time on learning as you transition from pediatrics to child neurology. What's different in their field is you spend two years purely in pediatrics. Then when you transition over to child neurology, you will spend a bulk of that first year in adult neurology training. You're treated just like another adult neurology resident. Lauren describes this as a hard transition to go from general pediatrics to dealing with adult patients who may have internal medicine problems. Some of those conditions may have overlaps in pediatrics in ways. Moreover, programs approach problems differently. At their program, their pediatric neurology residents don't do in-house call on the adult neuro side. "You have to be careful when you choose programs that it's a match for your personality and what you're hoping to go into for your career." How competitive Pediatric Neurology is depends on where you want to practice. Some of the top five programs tend to be larger programs but they're biggest hits in the major cities. So several of those programs can be very competitive if you had your heart set on one of those programs. But in general, pediatric neurology every year will have a few spots that are unmatched across the country. Relative to some other specialty fields, Pediatric Neurology is less competitive. Compared to adult neurology, it's also less competitive. The fellowship training is a one-year program. There are programs that offer a two-year program depending on what your research interests are. But usually, it's a one-year clinical fellowship. Then you may add on a second year if you have plans to complete a certain type of research project by the end. [22:50] DOs, Primary Care, and Other Specialties As a DO, Lauren was very worried in some of the programs she was interviewed at being it could be something that was mentioned or asked about. At the program she settled at Boston Children's Hospital, she was worried about it being a Harvard-based program. She was afraid being an osteopath would be seen negatively. But it was a positive to them as their prior residents and chief residents have also been DO's. You would be sometimes be worried that it's going to be a problem in a program. But there are programs that you're unexpectedly amazed that they see that as a strength. She interviewed at a place in New York and she was asked why she didn't go to a real medical school. She thought it was a joke until she realized it was actually happening in real-time. "Your job is to seek out opportunities and use your skill set and your background to keep seeking out additional opportunities." Everyone will have things in their CV that they're very proud about or other people are going to question. If someone says something negative, Lauren says you just have to rise above and say you're proud of where you come from. Explain to them why they should be excited about what you've done in the past. Other than that on interview though, she has never experienced any negativity towards being a DO. She finds this as a huge strength in her clinical practice because she practices an OMM (Osteopathic Manipulative Medicine) or OMT (Osteopathic Manipulative Treatment). She tends to use it on the head and neck in some of her headache patients. And they really appreciate the hands-on approach. Lauren admits she's blessed and happy she chose the training she did. It has opened some doors that would have been opened for someone else. "You have to kill everything with possibility and realize to make decisions which are best for you." Working with primary care, Lauren says it's helpful that as you're going through training, seek out as many opportunities that might be out of your comfort zone. She recommends gaining as much information as you can during rotations. You never know when that knowledge is going to come back into play and be helpful for that one particular patient. She thinks that if you decide to  only do pediatrics, you may have opportunities where you're able to interact with a neurology patient during training. Lauren recommends taking the opportunity to do neurology month or take things you may not always deal with. You never know when you have that one patient in your practice and you feel very uncomfortable with. Moreover, Lauren says it would be helpful to say why you're worried and what you've already discussed to the patient. Other specialties she works the closest with include general pediatrics, neurosurgery, and neuroradiology. [28:33] What She Wished She Knew And What She Likes Best and Least Going into pediatric neurology and headache, what she wished she knew that she knows now is that they have a great work-life balance but their pay is less compared to other pediatric subspecialties or adult colleagues. Nevertheless, she is very happy with her work-life balance and her salary but she just didn't realize this was something in play. She thought that if you treated the same complicated type of cases that you'd be compensated the same. Lauren points out how resources account for this. You're very lucky in academics if you're at a children's hospital that is layered with different administrative support and fund raises. Lauren's favorite thing is when patients get better. She loves it when a patient comes back and they're doing really well. You can't cure everyone but she says it's very rewarding when you hear that someone's life was upside-down and now they're back on course. On the flip side, what she likes the least is the frustration of trying to help your patients but they can't see a path out. They're not willing to improve their lifestyle like cut caffeine or sleep better. If she had to do it all over again, Lauren says couldn't imagine what else that other career would be or what else would she be so excited about. She simply loves her job.There are times that anyone and any job can feel that have a frustrating day or interaction with someone. But in the end, she finds what she does as really fascinating and the opportunities are very rewarding. She says you don't get to have that kind of rewarding and intense job as much. But she would choose the same specialty all over again. "I get to do something really cool everyday and I get to be a part of someone else's life." [34:30] Lauren's Final Words of Wisdom No matter field you're looking at, Lauren says it's always about reaching out to areas you're thinking about and finding out what opportunities are available. It could be spending time with someone in clinics or in the operating room. It could be spending time on the inpatient side or in a research project. "Don't be afraid to reach out to people especially when you're in a training environment." Especially in academics, Lauren says everyone is excited when they have someone reaching out to them. When you see someone young and enthusiastic and looking at what you're doing, it can be contagious. So it's very important to be involved in that process and don't be afraid to reach out. Introduce yourself or maybe attach your resume so they can also understand your background. Be honest to say you don't know if neurology is for you. Then ask if you could schedule a time to be able to spend time with them in the clinic just to see how you're going to love that experience. [36:30] Breaking the DO/MD Stigma It seems that the DO and MD stigma is going away. Lauren is a DO at a large academic medical center for an allopathic residency program. Hopefully, you understand that being a DO is not holding you back. If you're listening to this as a DO student, there are some self-limiting beliefs that you don't actually need. If you are in the Wake Forest area and that triad of medical hospitals and universities looking at pediatric neurology, go reach out. See if there's an opportunity to shadow her or somebody else in the program in that department. [37:31] Compare and Contrast Two weeks ago, we did adult headache medicine and this week we did pediatric headache medicine. Now you're seeing some differences if you're thinking about headache and you're thinking about adults versus kids. Listen to these two episodes. Compare and contrast. If you have a specialist you would like for me to talk to, shoot me an email at ryan@medicalschoolhq.net. Links: UCNS (United Council for Neurologic Subspecialties) Wake Forest Baptist Medical Center adult headache fellowship at the Brigham and Women's Hospital Specialty Stories Episode 31: What Does a Headache Specialist’s Job Look Like? Brigham and Women's Hospital

Session 12 Dr. Chung is a solo private practice Facial Plastic Surgeon. He discusses his path through ENT residency and what he likes and dislikes about his job. Today's guest on Specialty Stories is a solo private practice facial plastic surgeon. It's a great specialty, super sub-specialized specialty of ear, nose, and throat surgeons, or otolaryngology. And Victor, or Dr. Chung, is going to join us and tell us all about it. [02:15] A Personal Choice to Be in Private Practice Dr. Chung practices facial plastics and reconstructive surgery as a subspecialty of otolaryngology; ear, nose and throat surgery. He considers himself as one of the rare breed of private practice, truly private practice solo by himself, the only physician in the office which is an interesting kind of hybrid situation. As a specialist, he is affiliated with a number of the hospitals in the San Diego area, however, he’s not officially on staff who who has to be in the hospital all the time. Nevertheless, he does consultation and coverage for call and operate at those sites. Out of all the fellows who graduated in his year, only two of them went into true private practice and are opening practices. The majority are either joining multi-specialty practice groups. He thinks even looking for academic jobs was a tradition that's fallen by the wayside. As to why he chose private practice, Dr. Chung had his personal reasons. He had phenomenal training and wanted to practice medicine the way he was trained to do. “When you become part of a bigger group or even as small as a partnership,  there's a level of compromise. Otherwise, there's no way for you to be successful.” He further explains that what he likes in private practice is having that freedom to practice without restriction in the sense of delivering care to the best of his ability that gets to order the more expensive supplies and equipment or employ a technique he knows well. So his choice was natural for him and he sees being in a personal situation that he could do it is a luxury. Although joining a bigger group or academics is not a complete compromise, Dr. Chung says that oftentimes, you find that your patient population or the group you're in will dictate your niche and your future. Then you may start doing things that don't make you necessarily happy anymore in medicine. You start doing fewer of the cases that you like to do or take care of the patients that you like. You can find that ideal situation in academics in larger groups, but it's just more challenging. Victor has been out in his own practice just over twelve months. It actually took him a number of months just to get his place set up which involved a lot of logistics as well as a lot of things they don't teach you in medical school, or residency, or fellowship about applying for business licenses, insurance, and all the other type of regulations that are necessary to own and run a successful and safe business. [05:36] His Interest in Facial Plastic Surgery Victor always knew he was going to do surgery when he was in medical school. He enjoyed the aspect of thinking, being hands-on, its culture, and the lifestyle. But honing into a particular specialty was tough. He was looking at a number of sub-specialties that operate in the areas of ophthalmology, neurosurgery, plastic surgery craniomaxillofacial, and the ENT subspecialty, which he found very appealing. “Even within a single focus of the human body, it was challenging. And although facial plastics is a sub-sub-specialty within it, it's still an integrated part.” You will go out in the community and meet physicians who are ENT-trained, but not fellowship-trained, but they are still practicing as facial plastic surgeons. This is actually encouraged by the overall academy. The types of procedures can be reconstructing cancer that may have been excised on just the skin level, but others are doing larger reconstructions or rhinoplasty and face lift based on their skillset and their comfort level. Victor adds that the specialty overall gives you all the skillsets you need, As an individual, you get to pick the things that you are comfortable with  or you really enjoy doing and focus on those. Additionally, you'll meet other physicians in your community who like doing the other procedures that you may feel less comfortable with or ones you don't like as much. Victor points out the good camaraderie that goes on there and you're a lot happier treating the disease states and doing the surgeries that you like to do. [07:50] Traits of a Good Facial Plastic Surgeon Victor explains that you need to be both left brain and right brain. On one hand, you need to be analytical, be very objective, and be able to understand proportions and direct measures and changes. On the other hand, you have to be someone who has an artistic component in how you think about things and how you view them. When Victor performs a rhinoplasty surgery, he is not only looking at this overall picture. So it's just not just a nose and a good-shaped nose, but he has the entire face prepped in the field exposed. He looks at the relationship of the nose to the chin, the forehead, proportions to how wide the eyes are, and that overall aesthetic. Moreover, as a confirmatory measure, he does all these different measurements as to how far the nose projects out, the angles, and those that are within accepted values. So you need to be able to mind both sides and not be locked into either one. It's right in the middle of your face, it's very obvious, so the stakes are a little bit higher. [09:28] Other Specialties in Mind Victor had not picked his residency specialty until very late in the process. He had gone through most of the clinical clerkships of my third year thinking that he was leaning toward orthopedic surgery as just a specialty within surgery. He didn't think he was going to do general surgery, but he knew it was some sort of surgical hands-on one. At that time too, interventional procedures were getting big. Interventional radiologists and cardiologists have very hands-on and very three-dimensional stereotactic type specialties as well. But thinking about which one to hone in on, Victor wasn’t exposed to it until the last quarter of the third year clinical clerkships. And it did turn around having interacted with some very stimulating cases as well as with nice residents and attending physicians who were open to sharing what they were doing and allowing him to participate. If you’re considering ENT, Victor recommends that you see if you're okay with boogers and earwax and all those bodily fluids. If you have no problem with them then you'll be okay. He explains how people have aversions to different things. So you have to pick what you’re comfortable with seeing everyday. You can't just base that purely on a good experience. You need to figure out what is the day-to-day kind of drudgery. “Pick what you are comfortable with seeing day to day, because if you don't like your day to day, you're not going to enjoy the highlights any more.” Victor tells students all the time check out the really dizzy patient that is struggling and you can't get a good exam on, but you still try to figure out how to treat them. It’s really, really tough sometimes to figure out if they're surgical or non-surgical, and yet they can take up more than a full appointment visit. So regardless of your specialty, be sure to examine, find those highlights, but also find what are the low points and if you're okay with those. [12:20] Patient Types and Typical Day in the Life of a Facial Plastic Surgeon Victor sees all kinds of patients, which is something that keeps him captivated and stimulated in his specialty. His patients range from very minor, very cosmetic to no medical emergency about it whatsoever, there's no urgency, it's purely elective, the changes are super subtle, super small, there's no life threatening thing that you're changing. Nevertheless, people gain quite a bit of benefit from them. Their attitudes change and their self-esteems improve with the subtle thing that bothered them that maybe no one else noticed. Moreover, Victor still participates in general ENT call. He does tracheostomies for people who have lost their airway or reconstructions for people who have lost major tissue from skin cancers or other disease or trauma. These are very drastic changes to improve someone's function and there's very little cosmetic aspect of that. So Victor likes that spectrum and he doesn’t see himself giving up on doing all those things. Overall, he likes the full gamut of complexity and simplicity because you can gain benefit for your patient on both ends. Being new in his practice, every day for him is pretty variable at this point in time. The idea is a clinic, a private-based practice, and so the majority of his patients would be seen in the office setting in a combination of consultations, follow-up visits, minor procedures, injections- injectables. Those types of visits are all in the office. “As the trends go, more and more surgeons are doing things in the office.“ Typically, a surgeon in his specialty will have block time or days set aside where they would be operating, maybe two days a week being in the operating room doing a number of cases. But the majority of them would be on the outpatient setting so most of those patients are going home. A select amount would be seen in the hospital as an inpatient and seen on multiple visits in the hospital before they're released. Moreover, Victor stresses how a lot of students and doctors don’t realize the business side of it. You can fill an entire day with administrative tasks, but it is about prioritizing and compartmentalizing. In his case, he picks one night a week where he does it until late of night and he doesn’t go home until everything on the administrative side is done then for the rest of the week, he sets up tasks and completes as many as he can. But when those tasks pile up, they will get all done on that one day. Otherwise, you can get pretty overwhelmed going from task to task to task so it's nice to have some structure in your day. [15:35] Taking Calls As a plastic surgeon, you don't have to take a lot of calls. It actually depends on where you are geographically located. Some hospitals require you to take a certain amount of call depending on the size of the call pool and how busy the hospitals are. But Victor is not required to take any call whatsoever, but it also depends. He explains that there are some financial compensation at some sites while others don’t so it's just part of requirement-maintaining privileges. Although there is no requirement in the San Diego area where he is practicing, Victor is participating. In terms of the percentage of patients he sees ending up in the operating room, his goal is close to 100%. He has seen surgeons who are well-established and basically they are turning patients away. “You want to get to that point in your career where you are selecting patients who they're the most appropriate, that you can exercise and perform the best surgeries for the best results.” Victor has patients who are not good candidates and he tells them that they are not appropriately going to be surgical patients. But he enjoys the fact that he gets to educate a lot of the patients coming in. He spends over an hour in his consultations with patients giving them all the facts including the raw details and the scary things that can happen in surgery in order for them to make an informed decision. At this point, he doesn’t feel that half of them are going to the operating room because they're just still in that information gathering stage. But as careers progress and you become very well known for particular surgeries or techniques, a lot of patients coming in have already done their homework and research. Especially with the availability of resources on the Internet, they've done their background on you. They know where you trained, they know what technique you do, and they've come specifically for that technique or procedure, and that ratio of conversion is much higher. [18:10] Work-Life Balance Victor describes having a good work-life balance whenever he chooses to have a good work- life balance. And that is very different from a lot of other physicians who are at the beck and call of their pager or their schedule, and therefore they don't have the same freedoms as he does. He can choose to work incredibly long hours or he can also choose not to be working those hours based on his specialty. There are still emergencies and so he won't operate for weeks before he goes out of town and out of the country on vacation, but that's the only limitation. Nevertheless, he can choose within his personal setting to take time off to tend to himself and his health. However, he is also participating in community volunteering and spends time with his wife which he thinks are two very important things. “When you start sacrificing your own personal health, your interpersonal relationships, then you're not going to be as healthy of an individual and therefore not a good doctor over the long run.” You're just going to get burned out, and that's an increasingly common phenomenon. Victor adds that good diet, nutrition, exercise, health maintenance, time with family, downtime are all things that should be scheduled and be consciously part of your day-to-day instead of things that are added on if you have time. [20:35] Residency and Fellowship Before you graduate to an otolaryngology head and neck surgery residency, it used to be an early match, and for many years now it's on time with everyone else's. It’s basically a five-year program which has an intern year but it's considered an integrated intern year. Typically at the same institution that you're doing residency, it does have general surgery components and rotations, however, increasingly more focused toward an ENT residency. The elective months would be Anesthesiology. You'll be in the ER and you'll be doing surgical ICU, all geared toward skillsets that will be beneficial for your residency versus a standalone general surgery or where you are on rotations that are purely dictated by the general surgery department. This is commonly seen in orthopedics and other surgical subspecialties. After which, there will be four years of ENT training. This may involve time at a children's hospital, at a VA institution, maybe a research block, but you'll be rotating through different sites and every year you're increasing your skillset. You're learning about all the systems, the ear, the nose, the throat, the different types of surgeries, seeing patients in clinic, and operating as well. But as you go through each year, your level of responsibility, and then as a Chief, you'll be running the service teaching and mentoring junior residents, and before you graduate you'll apply to a fellowship. This is typically within your fourth year. There are a number of fellowships you can pursue such as pediatrics, neuroethology, head and neck cancer, microvascular reconstruction, facial plastic reconstruction, and sleep medicine even. So the fourth year is an application that goes in around January through March and you interview between March and end of May, and then you'll match to a one-year fellowship program that would go after your graduation from your ENT residency. [23:37] An Alternative Route to Facial Plastic Surgery Outside of ENT Victor explains that if you wanted to just do plastics in the face area, you could definitely reach that goal through an alternative route, which is through plastic surgery. There are two pathways through plastic surgery. The first one is to complete general surgery and then apply to a plastic surgery program. The second one is an integrated plastic surgery program that you match right out of medical school knowing you're doing plastic surgery and that has a general surgery component to it. These programs are typically longer with research years as well. Victor believes it can last as long as seven years to finish those residencies. And then most individuals who want to operate in the face area will go ahead and do an additional fellowship on top of that. “You can reach the same goal in a sense, the same practicing setting, but you'll just have other skillsets bringing to that job as well.” [25:00] Competitiveness in Matching Victor describes matching in ENT has gotten to be one of the more competitive subspecialties to match. “I think all of the surgical sub-specialties have gotten difficult because it's just a pure numbers game, just from any type of academic application.” Kids are applying to more colleges. College students are applying to more medical schools. Medical students are applying to more residencies. Even when he was applying, he met people who applied to every single ENT residency in the country just to play the numbers. And so it's more applications on the Residency Director's table to leaf through and make a selection. In Victor’s case, they had a pretty small program. Only two residents are accepted per year, and maybe thirty people were applying per spot. Some programs only have one resident while big programs have four to five residents. And although some may say thirty people may not be a lot, but each one of those individuals have published research, phenomenal USMLE Step 1 score, letters of recommendation from the Chairman, have done research rotations, have really stacked their binder full of accolades. There’s now an ENT student interest group that starts guiding students from the first day they get to medical school. And so it has gotten increasingly competitive to apply to any of these residencies. Victor feels ENT has a popular swing recently. It had a big swing before he applied, but it's always been up there along with the other types of subspecialties that are maybe competitive to get into. [27:32] How to Be a Competitive Applicant Victor outlines that in order to be competitive goes down to all the basic things that everyone is always striving for. This means maintaining good grades regardless if you're a pass or fail system. Getting into AOA as another marker on your application showing that you stand higher in your class than other students. Then the USMLE Step 1 score. Before it was just about generally trying to get in some research but if you can get on a research project that is related to the residency that you want to apply to, that can only help more. Publications, participation, posters, presentations, attending meetings, getting involved in the department, attending conferences because there's always academic conferences every week within that department. Just make a personal connection with the attendings in that department. All of those things can make you more visible and create a level of investment, not necessarily to get you accepted into your home school's department, but also, they may be invested in getting you into their alma mater, or another program that they're aware of that would be a good match for you, or a geography that you're interested in. “It is a time investment because you're spending so much time already studying and trying to do all those basic things. But by investing yourself personally, that will give you an additional edge.” But there's also a gamble. Victors knows of people who've done that and then decided they wanted to actually do a different specialty too so you're not locked into it. But if you know early on, that will behoove you to create those. Create that rapport, create that link to those individuals early so they can really get to know your medical school career. [30:12] Osteopaths and Subspecialty Opportunities Victor says there are only very few osteopathic ENT physicians out there. He has interacted with some and they're all great, but within the world of facial plastic surgery, it is still a very small community. He thinks the majority are going down the MD path. However, the individuals operating in the head and neck facial area is growing. There are oral surgeons who perform cosmetic facial plastic procedures. There are general plastic surgeons who do those and there are those in the field of oculoplastic surgery who want to do face lifts and rhinoplasty. There are dermatologists who want to do more surgical procedures in the face. Then there are general surgeons, other surgeons who take cosmetic courses and get boarded under the Board of Cosmetic Surgery and perform those. “There is an increasing number of individuals out there who have not gone down a traditional path of training and are performing those procedures.” In terms of subspecialties available after ENT, there is a phenomenal opportunity to sub-specialize, not only by pursuing a fellowship but also many departments are strong in all fields within otolaryngology. It's not a necessity to have a fellowship training because it's not as formal. There isn't a required board certification for all the subspecialties, not all of them are ACGME certified either. You can pursue a fellowship in facial plastic and reconstructive surgery, head and neck cancer with or without microvascular reconstruction, pediatric otolaryngology, otology or neuroethology that involves an ear surgery, sinus rhinology, laryngology professional voice. If an individual has graduated and they've had strong training, they can go out and they can become a sub-specialist. They can focus their practice doing laryngology professional voice in an area that needs it and provide that care at that subspecialty level without fellowship as long as they're adequately trained and have a desire to pursue those patients. But Victor says this is rare. Most times, even those who are really focused, even nationally known for a particular field, those guys are always interested in doing other aspects of ENT as well. Some are doing more trauma, some may be doing head and neck cancer or they may be doing endocrine surgery but they're known for voice. They may be filling other roles within their group practice. Most of the otolaryngologists that Victor has met often miss doing other aspects, but find that, there’s no one else who's stronger in ear surgery so a lot of the ear cases go to that surgeon within the practice. Or someone else really enjoys sinus surgery, is savvy with it, is up with the latest techniques, and so that practitioner in that group will see more of those patients. But each and every one of the ENT doctors in that group is less likely to solely focus on a subspecialty and only, only do that. Most of the times it will be a little bit more well-rounded and be doing multiple aspects of ENT, but not necessarily all of them. Victor concludes it's getting tougher and tougher to be in overall general unless you're in a more remote area where there's fewer practitioners around. [35:06] Board Exams, Certifications, and Pass Rates Victor illustrates the board exam as consisting of a written and an oral exam component. The current format are separate examinations. At one point in time, they were done on the same setting, but currently you will take the written exam. I, it is a computer-based test that is administered in September following your June/July graduation from residency, and that is a multiple choice format test that tests all the aspects of ENT medicine and surgery. There is a pass/fail threshold for that test, and those who pass may go on to the April exam which is currently administered in Chicago. There are five rooms with a number of three or four modules in each one, and it's basically a mock simulation clinical case. They're integrating some technology CT scans. They used to give you photographs but now you can get a computer screen and you can flip through a couple slides of a CT scan, or lab tests, or histopathology, and you went through a case from, say, the patient presents as a child or an adult who had a car accident, or someone who's lost their voice, and then you ask questions, you proceed through the case, and you gain points based on your questions and responses. Then hey tally those up and then once you've passed both of those components then you're board certified for ten years. Through that ten years, you're doing maintenance certification through online modules every year, and then at the tenth year, you're re-certified again. So that is the board certification process for otolaryngology. You can also get board certified in neuroethology sleep and facial plastic surgery, and those consist of both of a written exam, an oral exam, and in some cases collecting case reports of patients that you've operated on in the first couple years of practice. The pass rates are pretty high for both exams. Although Victor doesn’t know the exact number, he thinks it’s less than 10% fail because there's quite a bit of preparation for these exams. [38:10] Working with Primary Care and Other Physicians Victor still gets to work with primary care physicians whenever he sees more of the general ENT type patients. He used to give a lecture to family medicine residents about HIV manifestations in the head and neck, and it's shockingly common, and this is from sores on the lip, to frequent sinus infections, to ear infections, skin lesions, lots of different changes in the head and neck area, and a primary care can pick them up if they're looking for them, and make the appropriate referral for both HIV specialists, infectious disease specialists, as well as an ENT doctor to get involved. So that's one of the things Victors thinks that can be missed, and it frequently is missed, but then can be detected and really initiate early care at that primary level. Other specialties he gets to work closely with depends on Victor personally. There could be dermatologists if they're removing skin cancers. This is the closest in his personal practice. However, there are a lot of ENT specialist surgeons who work with the head and neck cancer doctors that will interact with medical and radiation oncologists, the ear doctors. The neuroethology training will interact with neurosurgery for skull-based surgery. In the Intensive Care Unit where you're doing larger surgeries, the head and neck cancer surgeons will see patients again, admitted to the ICU for laryngectomy or tracheostomy management. “A fair number of patients are generally on the healthier side, and a number of procedures we’re doing are for improved quality of life, for better breathing, better functioning.” Victor adds that there is a close connection with ENT doctors in general with primary care doctors for sure. Absolutely, and oftentimes there's an unfair and sort of inverse ratio. There's tons of primary care doctors and you get a lot of their patients into ENT specialists and there are just very few ENT doctors available. And even with jam-packed schedules, there may be months' long wait lists. But all the time, he’d talk to primary care doctors who really need to get someone in urgently they will always make their best effort to get those in and not have them on the waitlist. [41:35] Special Opportunities Outside of Clinical Medicine Victor says there's always lots of research going on with the basic science level looking at wound care, tissue healing, in addition to the types of different injectable products, hyaluronic acids, botulism toxins. There's a lot of these things called PRP, Platelet Rich Plasma, and other types of different materials that are being injected for stability, safety, efficacy, improving them. There is a number of possibilities to pursue research and development of these types of products. Those who are more interested in the business side can become Chief Medical Officers for healthcare related corporations. There's actually a very small and probably should be more encouraged politically active doctors. “There's always lots of different opportunities that you can springboard from your specialty.” There are a lot of different opportunities based on what you're interested in. But there is always that idea of you're giving up that patient interaction and that normal typical doctor schedule, but maybe it's for more regular hours when you're becoming an executive in a corporation. [43:55] What He Wishes He Knew Then “One of the major deficiencies in a doctor's education is the business side.” Victor attended Tufts Medical School and they had a great health professional MBA integrated program that didn't really hold you back from graduating under four years. Although he didn't participate in it, he still thinks it should be part of more the regular curriculum. There are great doctors that can no longer practice because their practices get shut down and closed. Other individuals who have some phenomenal skillset and need to get out there, if there's this barrier that they can't set up their business and they don't think it's possible, or even you don't necessarily have to be a small business owner, but as a component within even an academic group or a multi-specialty group, if you don't understand the metrics of and the financial side of it, you can't practice effective medicine if you're running at a loss, and you're going to get shut down, and then what happens to all your patients? Hence, Victor thinks the economic side of medicine really needs to be a core component in addition to biochemistry, genetics, anatomy, and physiology because it's inevitable. Medicine has become more and more business. It may not be desired to be that way, but it's a reality and physicians really need to understand how to run it effectively and how to protect their business so they can continue to give great care to their patients. [46:05] The Best and Least Liked Part of Being a Facial Plastic Surgeon Victor loves the fact that he has the ability to look at something that a lot of people think they understand well, and bring just another level of understanding, another level of treatment to it. For example, when people talk about breathing through their nose, some may attribute it to allergy while others to structural issue like a deviated septum. Victor stresses that alone takes a higher level of understanding of nasal physiology, and the anatomy, and diseases that affect it. But a lot of really well trained people will stop at that point and they may treat the allergy, they may fix the deviated septum, and the patient still has a breathing problem going on. This is where Victor comes in and he loves understanding the true nuances of the facial structure. He says having that ENT background gives him the understanding of all the functionality, all the moving parts, all the components that need to work day-to-day being normal. “The additional training in facial plastics gives me the side of the aesthetics but also the skillset to create that structure, to improve the functionality while maintaining overall looks.“ Victor claims his best results are noses that have just gone away. The patient no longer notices that it's stuffy or they have difficulty breathing through it when they exercise, and they no longer stare in the mirror and look at their nose that they feel is so prominent, and some people feel like it makes them ugly. And so the greatest success for him is to see patients to have their nose essentially disappear and just be in harmony with the rest of their face. It's still their nose, it's not a beautiful or fantastic looking nose, it's just their nose. He loves the fact that they don't even have to think anymore about picking up a spray bottle, or an allergy pill because their nasal passageways are nice and open, and so they just go about and they do normal tests every day without a thought in their mind. Victor describes it as one of the pure joys of doing it that he notices and that the patient no longer has to worry about anything anymore. On the flip side, Victor thinks trauma is tough but there's a great opportunity to really make a major improvement. Someone breaks their jaw, or shatters their eye socket, but there is a limit of what the end result can be because of the nature of the original trauma. You can always make improvements but you can't really get them to a truly better place. “There’s a major psychological component related to trauma, so even with an improved physical state, mentally there's still a deficiency. There's still a pathology going on.” Victor thinks maybe a multi-specialty kind of care type of thing can get someone who's come back from major trauma to really get them healthy again, because mentally or physically there are just limitations from just those initial insults that they can't really get back to their baseline. If he had to do it all over again, Victor would still choose to do facial plastics. He loves what he does and he says he’s excited to get up every day to go and see what comes through the door and he thinks this will stimulate him for years and years. At the same time, he would look for other additional skillsets such as check out a neuroethology fellowship as well as other things that would complement what he already does. Or he may get into facial nerve reconstruction therapies and then advance outside of that. Victor feels blessed to be able to do this. He could have gone a lot of other ways and would have been fine, but if given the opportunity to go about this again, he would still pick the same residency, the same fellowship, and focus on the same things. Maybe small little tweaks here and there, but overall, that same path has been really beneficial for him. It has really played to his strengths and it has given him the skillset to be a successful practitioner. [52:15] The Future of Facial Plastic Surgery Victor isn’t sure if any major changes are coming to facial plastics whether in the technologies or just fundamental shifts in the way things are practiced. He admits though of being on social media, a lot of people are becoming aware of new products and technologies at a much faster rate. The initiation of that first treatment is getting younger and younger. There are twenty-year-olds getting Botox to prevent wrinkles and people getting surgery at a younger age. But the largest kind of shift going on around a lot of focus on non-invasive therapies such as energy devices, like injections to dissolve fat. “There’s a little bit of oversell on those stuff that get marketed as quick and easy, and when they add on cheap, quick, and easy, those results don't ever really match the promises of the outcome that they get.” They're often short-lived and have unforeseen complications. They affect your ability to do things later. They burn bridges in treatment pathway. One of the things is injection rhinoplasty. People are putting fillers in their nose, but fillers in the nose in that skin area don't behave as well or in the same way as it does in the other soft tissues of the face. Victor has even seen disastrous things like blood vessels being blocked off, and whole areas of the skin and tissue on the nose enclosing. And that can happen in other areas of the face. It will heal and leave with some scarring, but if it happens on the nose or near the eye, then you've lost more function. Victor thinks it’s revving up toward these office procedures, and some are great, but then they're being expanded to use in replacement of tried and true therapies, and he thinks it'll surge but then people will see so many issues with it and then it will come back. There will be better technologies, there will be better equipment, there will be safer mechanisms out there, and all for the good. Victor adds that's how medicine has always been. There's always been sort of a pioneering technology, or thought, or philosophy, and then new techniques come out, and then they kind of push the threshold of risk and complication, and they back off, and then there's a new push as new developments come on the horizon. But that's how you progress, and improve, and come up with new therapies for diseases that previously never had any treatment. So it has to be done but just in a careful way and more informed way. [55:30] Final Words of Wisdom from Dr. Chung Victor’s advice to patients is to take some art classes. It's one thing to understand the anatomy, but if you can translate that anatomy and the structures from your brain to your hands, and using your hands, those are all good basic skills that can translate into being a better surgeon, and choosing when not to upgrade. Everyone will study hard and everyone will get a high score on the test, and everyone will strive to get that letter, but you need to find one or two things like sculpting, or drawing, or it might be music, or something to really keep yourself active and in a unique sense to keep yourself motivated. You may bond with some big name doctor one day who's going to write you a letter based on that unique activity that you do that not everyone else is doing. [56:55] Final Thoughts If you are interested in ENT, or otolaryngology, or even the specialty or subspecialty of facial plastic surgery, I hope this episode was interesting to you. I love these conversations, I learn so much from them even as a physician, so I know that you as a premed or a medical student are going to get a ton of great information from these conversations to help steer you in the right direction for your career. Links: www.TheShortCoat.com

In this lecture Dr. Stephan G. Lynn, former Residency Director and Chair of St. Luke's-Roosevelt discusses the evolution of Emergency Medicine at ALLNYCEM6 at the New York Academy of Medicine. Download Episode