Month: January 2021

Legal Issues Around Vaccines from Lawsuits to Mandates with Professor Dorit Reiss, PhD

Professor Dorit Rubinstein Reiss’ undergraduate degree in Law and Political Science is from the Faculty of Law in the Hebrew University of Jerusalem where she served as Editor-in-Chief of the Law Review. Increasingly, her research and activities are focused on legal and policy issues related to vaccines. She writes about school mandate, policy responses to non-vaccinating, tort issues and administrative issues related to vaccines. She is a member of the Vaccine Working Group on Ethics and Policy.

We discuss a lot of the legal arguments made by the antivaccine community, like the Vaccine Injury Compensation program, why the SARS-CoV-2 doesn’t actually apply and why it should. She also teaches us about mandates, exemptions and why the EUA status makes for dicey legal territory for a SAR-CoV-2 vaccine mandate. As someone who has been targeted and threatened by the antivaccine community, she also gives a lawyer’s perspective on responding to those threats. Given that she got into vaccines because of her children, it was fitting that they made a brief appearance.

Following graduation from law school, Professor Reiss clerked for a year and a half in the Israeli Ministry of Justice’s Department of Public Law, working on a variety of constitutional and administrative law issues. She received her Ph.D. from the Jurisprudence and Social Policy program in UC Berkeley, writing her dissertation on accountability in the liberalized telecommunications and electricity sectors in England, France and Sweden.  Professor Reiss’ initial research examined accountability of agencies at the state, national and international level, with agencies studied including the CPUC, the FAA, and other agencies in the United States and Europe.

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Cognitive Biases in Vaccine Decision Making with Jonathan Howard, MD

Jonathan Howard, MD, is double boarded in Neurology and Psychiatry and as he puts it in his Twitter profile, the author of several non-bestselling neurology textbooks. That’s not why he’s being interviewed. He also co-authored a book chapter entitled “The Anti-Vaccine Movement: A Litany of Fallacy and Errors,” in the book Pseudoscience: A Conspiracy Against Science and wrote his own book on fallacy and errors in medicine entitled, Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine.

We discuss some of the cognitive biases that people use when they decline vaccines, like the nirvana fallacy, anecdotal fallacy, and conspiracy theories. In some ways, the decision to vaccinate or not can be inordinately complicated, almost as if every step of the scientific processes needs to be vetted by each individual getting the vaccine. Our goal as physicians should be to ease the cognitive load of the decision-making, so we talk about how we can accomplish this.

Dr. Howard did his residency and fellowship at NYU, where he is now an associate Professor of Neurology and Psychiatry, specializing in Multiple Sclerosis. He is the neurology clerkship director and director of neurology at Bellevue. He can be found on Twitter at @JHowardBrainMD.

Find this and all episodes on your favorite #podcastplatform at PhysiciansGuidetoDoctoring.com

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Moving the Needle on SARS-CoV-2 Vaccine Fence-Sitters with Jordan Harbinger

Jordan Harbinger is a recovering Wall Street lawyer, turned podcaster. He’s actually been podcasting for longer than we’ve had smart phones. So why would I be asking him about vaccines? I’m not. We’ll get to that. His previous podcast and company focused on dating, but he realized that the skills that they were teaching regarding that specific social interaction actually applied to other aspects of life and so he pivoted his podcast and now his podcast really applies to anyone interested in personal development.

His expertise focuses more on entrepreneurship, networking and social engineer and that last one is the reason he’s on the show today. The decision to vaccinate may seem straightforward to some, but if you are considering all of the knowns, unknowns and unknowables, as many vaccine-hesitant patients tend to do, it can be inordinately complicated. As physicians, it should be our job to lighten the cognitive load of that decision and he is going to help us make sure we optimize any interaction with our families, friends, patients and communities.

His main point is that for many who are hesitant about the vaccine, they may just want to avoid making the decision. It is easier to sit on the fence, so we need to clarify that by not getting the vaccine, they aren’t deferring the decision, but deciding to not get the vaccine. We also need to press upon them that given that scarcity of the vaccine, but deferring now, it is unclear when they’ll have access again.

Find this and all episodes on your favorite #podcastplatform at PhysiciansGuidetoDoctoring.com

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Deep Listening – Impact Beyond the Exam Room, with Oscar Trimboli

Oscar Trimboli is passionate about using the gift of listening to bring positive change in homes, workplaces and the world. Through his work with chairs, boards of directors and executive teams in local, regional and global organizations, Oscar has experienced firsthand the transformational impact leaders and organizations can have when they listen beyond the words and he helps us bring this skill into the exam room. He talks about giving attention instead of paying attention, how to frame questions so they won’t be perceived as judgmental, how to utilize silence, and when it is actually ok to interrupt our patients!

Oscar is a marketing and technology industry veteran with over 30 years’ experience across general management, sales, marketing and operations for Microsoft, PeopleSoft, Polycom, Professional Advantage and Vodafone. During his time as a marketing director at Microsoft, he was accountable for the five-year journey to move Microsoft Office from DVDs to the Data Centre. He consults to organizations including 20th Century Fox, AstraZeneca, Google, HSBC, PayPal, Qantas, Reebok, TripAdvisor and Universal Music. He can be found at oscartrimboli.com and there you can find his podcast, Deep Listening: Impact Beyond Words.

Find this and all episodes on your favorite #podcastplatform at PhysiciansGuidetoDoctoring.com

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A proud member of the Doctor Podcast Network!