Podcasts

Discussing Flipping the Script on Health Disparities with Max Jordan Nguemeni Tiako

Max Jordan Nguemeni Tiako is a 4th year med student (out of 5) at the Yale School of Medicine and hosts his own podcast, Flip the Script, about healthcare disparities. He starts out discussing how some of what we learn about race being a risk factor for some diseases are a product of social constructs, not genetic predisposition. We then discuss racial disparities in substance-use disorder treatment. We then pivot from health disparities to physician training disparities. We learn about the hardships faced by minority medical students from microaggressions from students and faculty to disparities in grading and how this can affect career trajectory. He ends by discussing some pearls he has learned from his own podcast.

Mr. Tiako grew up in Yaounde, Cameroon, and moved to the US to attend Howard University, got a BS in in civil and environmental engineering and then a Masters in Bioengineering from the Georgia Institute of Technology. He is currently doing research connecting his civil/environmental engineering background to identify elements of urban design that can be leveraged to improve health outcomes and move the needle towards health equity. His research fellowship is at the Center for Emergency Care & Policy research at the University of Pennsylvania. He spends his free time writing about racism and medical education in the medical student magazine InTraining.

His Twitter handle: @MaxJordan_N

His podcast can be found here:

iTunes: https://podcasts.apple.com/us/podcast/flip-the-script/id1402777078

Soundcloud: https://soundcloud.com/yaleuniversity/sets/flip-the-script

Spotify: https://open.spotify.com/show/1judlJj8gLg8OnVJtpXv7O?si=snZWGMbaRiafUfJZajHRyw

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Cutting the Crap on the Gut Microbiome with Frank Cusimano, PhD

Dr. Frank Cusimano, PhD, has a doctorate in Nutrition and Metabolic Biology from Columbia University and is currently a medical student at the Arizona College of Osteopathic medicine. Having done his PhD on the gut microbiome, a hot topic, we dive into the science of prebiotics, probiotics, postbiotics and antibiotics. What can we actually recommend to patients to help them with GI upset while on antibiotics? How does the microbiome influence inflammatory bowel disease? How can the gut actually influence our brains? A previous guest discussed how the colon is the window to the soul. Turns out there’s science behind that!

Having been a sponsored athlete as an adult, Dr. Cusimano is currently a medical student uniquely blending his understanding of biochemistry with human physiology and human potential. In College he received both a BS and BA from SMU in Chemistry and Biology and then went on to complete a MS from Johns Hopkins University in Biotechnology concentrating in Bioinformatics, all in addition to his PhD. He is the host of the Surviving Medicine Podcast and a regular contributor for Medscape and Doximity.

Instagram: https://www.instagram.com/dr.cusimano/

Twitter: https://twitter.com/frank_cusimano

Instagram: https://www.instagram.com/surviving.medicine/

Website: http://survivingmedicine.org/

Podcast: http://itunes.apple.com/us/podcast/surviving-medicine/id1276029472?mt=2

Healing People, Not Patients with Jonathan Weinkle, MD

Jonathan Weinkle, MD, is a general internist and general pediatrician who came to medicine after deciding against careers as a philosopher or a rabbi and is the author of Healing People, Not Patients. He starts off by teaching us how he was able to write a book about his patient interactions without violating HIPAA. His book illustrates the many ways in which it is important to really know our patients as people in order to effectively treat them. The paradox of this is that there never seems to be enough time to do this well, so Dr. Weinkle teaches us how to connect without losing efficiency. While cultural competency is usually discussed, Dr. Weinkle believes that cultural humility really the key – recognizing we don’t know what we don’t know about someone else’s culture. How to keep moving through a visit if you are really listening “with both ears,” but the patient continues to repeat themselves as if you aren’t listening. He also discusses the importance of allowing the patient to set the agenda and then establishing limits to that agenda at the start of the visit.

He practices primary care medicine at the Squirrel Hill Health Center, a Federally Qualified Health Center and certified Patient Centered Medical Home, providing comprehensive care to patients of all ages with and without insurance and representing a broad diversity of languages, faiths, cultures, native lands, and socioeconomic backgrounds.  In addition, Dr. Weinkle serves as a medical advisor to the Closure project of the Jewish Healthcare Foundation (JHF), a project intended to improve the quality of care and change the individual experience at end-of-life.  Under the auspices of the JHF, he is crafting a program to help clinicians master the core competency of respectful communication with patients and families, based largely on the ideas in this book and the research underlying it.  Finally, Dr. Weinkle serves as Clinical Assistant Professor in the Departments of Pediatrics and Family Medicine at his alma mater, and as Medical Director of the Physician Assistant Studies Program at Chatham University.  Driving all of these endeavors is a strong commitment to infusing his interactions with patients with the core values of his Jewish faith, beginning with the idea that both patient and provider are created in the Divine image and must act and be treated accordingly. He can be found at http://healerswholisten.com and @healerswholistn on Twitter.

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Physicians in Recovery, Part II, with Dr. Sean Fogler

Sean Fogler, MD is the Community Outreach Coordinator at the Pennsylvania Harm Reduction Coalition (PAHRC), a person in long-term recovery, physician and certified recovery specialist. He has over 15 years of experience in the healthcare industry working as a physician, and with patients, administrators, and insurance organizations. This is the second part of the interview. In this portion, we start off discussing how to effectively help friends and colleagues with substance use disorder, the importance of language in this area, and then he tells his story.

Dr. Fogler is active in the recovery community and has a special interest in trauma and substance use disorders in professionals. He volunteers as a peer support specialist for Lawyers Concerned for Lawyers and works to improve public health policy for mental health and substance use disorders. Through his lived experience, he educates, informs, and works to battle the shame and stigma that keeps the disease of addiction alive. Sean’s role at PAHRC involves engagement, education, writing, speaking, fund raising and expanding knowledge of the disease of addiction and harm reduction. Sean holds a bachelor’s degree from The University of Toronto, and a Doctor of Medicine degree from Ross University School of Medicine. He completed an internship in Internal Medicine and a residency in Anesthesiology at Hahnemann University Hospital in Philadelphia, Pennsylvania.

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https://www.paharmreduction.org/ 

https://www.healthprosinrecovery.com/

https://twitter.com/sean_fogler 

https://www.instagram.com/sean_fogler/

https://www.facebook.com/profile.php?id=100019053703530  

https://www.linkedin.com/in/sean-fogler-md-2602aa12b/ 

Physicians in Recovery, Part I, with Dr. Sean Fogler

Sean Fogler, MD is the Community Outreach Coordinator at the Pennsylvania Harm Reduction Coalition (PAHRC), a person in long-term recovery, physician and certified recovery specialist. He has over 15 years of experience in the healthcare industry working as a physician, and with patients, administrators, and insurance organizations. This is a two-part episode. In this first part, we talk about how common a substance use disorder is among physicians and why we are at higher risk than the general public. He then gives guidance on where to go to seek help if you have a substance use disorder. We discuss Physician’s Health Programs and some of the positives and areas for improvement of those programs. He then discusses some critical elements to recovery.

Sean is active in the recovery community and has a special interest in trauma and substance use disorders in professionals. He volunteers as a peer support specialist for Lawyers Concerned for Lawyers and works to improve public health policy for mental health and substance use disorders. Through his lived experience, he educates, informs, and works to battle the shame and stigma that keeps the disease of addiction alive. Sean’s role at PAHRC involves engagement, education, writing, speaking, fund raising and expanding knowledge of the disease of addiction and harm reduction. Sean holds a bachelor’s degree from The University of Toronto, and a Doctor of Medicine degree from Ross University School of Medicine. He completed an internship in Internal Medicine and a residency in Anesthesiology at Hahnemann University Hospital in Philadelphia,

Pennsylvania.

Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com

Please be sure to leave a five-star review, a nice comment and SHARE!!!

https://www.paharmreduction.org/ 

https://www.healthprosinrecovery.com/

https://twitter.com/sean_fogler 

https://www.instagram.com/sean_fogler/

https://www.facebook.com/profile.php?id=100019053703530  

https://www.linkedin.com/in/sean-fogler-md-2602aa12b/ 

Private Practice Efficiency Matters

On today’s episode we speak to Dr. Phil Boucher, pediatrician, podcaster, physician coach, blogger, and physician efficiency expert. We discuss ways to make sure the private practice physician is maximizing the use of their time. That doesn’t mean no naps! He mentions scheduling nap time into one of his days! The key is to plan as much of your day as possible, schedule in some flex time for unexpected events, and be as proactive as possible about doing your work at times in which you are most efficient – when nobody else is around or awake. Make it happen! This was a great conversation with someone many of you already know from his large online footprint.

Dr. Phil Boucher is a board-certified pediatrician in Lincoln, NE and business consultant. He helps private practice owners design a thriving practice and fulfilling life. Phil is an expert on marketing, branding, and organizational systems specifically for physicians, and his passion is helping tired, overworked private practice physicians climb out of the trenches to work less and earn more. He is the host of private practice matters, which can be found at privatepracticematters.com

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Overcoming Our Racial Biases to Better Serve Our Patients

Dr. Uché Blackstock is an emergency medicine physician who is passionate about addressing the detrimental effects of structural racism on health outcomes. We discuss the origins of structural racism and how this continues to influence the health outcomes of minorities. She then gives us some tools for reflecting on our own biases and how we can work to address them. In addition to patient care, we talk about improving the diversity of faculty, and the importance of mentorship and sponsorship. We end by discussing something each of us can start doing tomorrow in order to address our own biases.

Dr. Blackstock went to Harvard for both undergrad and medical school, did her emergency medicine residency at SUNY Downstate/ King’s County Hospital Center and then a fellowship in ultrasound at St. Luke’s Roosevelt.  She is now associate professor at NYU as well as the faculty director of recruitment, retention and inclusion at the office of diversity affairs at the medical school.  She recently started her company Advancing Health Equity, which aims to partner with healthcare organizations to address some of the critical factors that contribute to health inequity, through educational trainings and racial equity culture analytics.  She can be found at advancinghealthequity.com and on Twitter @dr_uche_bee.

The implicit bias test that she discussed can be found here: https://implicit.harvard.edu/implicit/takeatest.html

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Rheumatology Made Ridiculously Simple

Adam Brown, MD, is a rheumatologist at Cleveland Clinic and the host of the Rheuminations podcast. For the med students out there, we discuss why someone would choose rheumatology and why they are frequently the smartest doctors in the hospital. We discuss the basics of arthritis, how to interpret an ANA and why we shouldn’t be so laser-focused on our own organ systems if a patient isn’t improving as expected. We also discuss why gout is such an underappreciated phenomenon.

Dr. Brown went to med school at the University of New Mexico and then did residency Georgetown in Internal Medicine. He then did fellowships in rheumatology and vasculitis, both at Cleveland Clinic, where he currently practices. He authored Rheumatology Made Ridiculously Simple, a herculean feat for such a complex specialty.

Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com

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Facing Adverse Outcomes and Malpractice Litigation, Part 2

This is part two of the interview with Dr. Stacia Dearmin. She builds on the idea of the physician’s second victim status in bad outcome and potentially in litigation. The plaintiff’s attorney can weaponize our empathy against us after a bad outcome and she teaches us how to defend against that. She builds on ideas on how to recover that were discussed in the first episode.

She is a speaker, coach, consultant and blogger on the topic. She went to medical school at Case Western Reserve and has a masters in religion and ethics from Vanderbilt. She did her residency in pediatrics at Akron Children’s Hospital and worked as a general pediatrician for a few years. She has worked as a pediatric emergency medicine physician since 2004. After working at Case Western Rainbow Babies, she is back at Akron Children’s Hospital. She is the founder of thrivephysician.com, where she focuses exclusively on the well-being of physicians facing adverse outcomes and malpractice litigation. Her experience in practice raised her awareness of the deep pain and isolation that physicians experience after an adverse outcome or in the midst of a lawsuit. She alleviates that isolation and provides insight and support around some of the toughest experiences many physicians will face in their careers. She draws on her personal story to illuminate the experience for physicians and to educate about the needs of physician defendants.

She has created a course to help us at deposition. “Deposition Magic” is a new course designed to give physician-defendants exactly what they need to know to soar at their own deposition. In a series of brief, friendly videos, you’ll explore the nature and purpose of deposition, the goals and tactics of the opposing attorney, and most importantly, the high-integrity mindset and strategies that will serve you as a physician-defendant. Together, we’ll exchange confusion and anxiety for clarity and calm, and help you to level the playing field at deposition. Available to you online on-demand, “Deposition Magic” confers up to 3 hrs Category I CME.

Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com

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Facing Adverse Outcomes and Malpractice Litigation, Part 1

Dr. Stacia Dearmin can help us get through adverse patient outcomes and malpractice litigation. She has been through it herself. She is a speaker, coach, consultant and blogger on the topic. She went to medical school at Case Western Reserve and has a masters in religion and ethics from Vanderbilt. She did her residency in pediatrics at Akron Children’s Hospital and worked as a general pediatrician for a few years. She has worked as a pediatric emergency medicine physician since 2004. After working at Case Western Rainbow Babies, she is back at Akron Children’s Hospital. She is the founder of thrivephysician.com, where she focuses exclusively on the well-being of physicians facing adverse outcomes and malpractice litigation. Her experience in practice raised her awareness of the deep pain and isolation that physicians experience after an adverse outcome or in the midst of a lawsuit. She alleviates that isolation and provides insight and support around some of the toughest experiences many physicians will face in their careers. She draws on her personal story to illuminate the experience for physicians and to educate about the needs of physician defendants.

We start out discussing the statistics about how frequently physicians are sued and why we never talk to each other about it. Her own experience with an adverse outcome and lawsuit led to the creation of thrivephysician.com. We learn about the second victim and how being a second victim can take its toll on physicians especially amidst the isolation put upon us by the legal system. We learn how to start recovering.

She has created a course to help us at deposition. “Deposition Magic” is a new course designed to give physician-defendants exactly what they need to know to soar at their own deposition. In a series of brief, friendly videos, you’ll explore the nature and purpose of deposition, the goals and tactics of the opposing attorney, and most importantly, the high-integrity mindset and strategies that will serve you as a physician-defendant. Together, we’ll exchange confusion and anxiety for clarity and calm, and help you to level the playing field at deposition. Available to you online on-demand, “Deposition Magic” confers up to 3 hrs Category I CME.

Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com

Please be sure to leave a five-star review, a nice comment and SHARE!!!