Podcasts

Science Communication: SARS-CoV-2 Vaccine Edition, with Matthew Facciani, PhD

Matthew Facciani, PhD, is a postdoctoral researcher at Vanderbilt University in the Medicine, Health, and Society Department. His research interests include LGBTQ health, social networks, political polarization, and misinformation. We discuss science communication and how to find ways to make complicated science easier to understand. This is particularly relevant because of the SARS-CoV-2 vaccine, so we need to be sure we can effectively communicate how it works and any potential risks. We even get into how to effectively conceptualize and communicate risk. I fumbled during the interview to think of a quote from Neil deGrasse Tyson, which is “The good thing about science is that it’s true whether or not you believe in it,” but Dr. Facciani makes the point that even science is not without politics, so we discuss this and how because of politics, the traditional antivaxxer isn’t the same as the SARS-CoV-2 antivaxxer.

Dr. Facciani received a BA in Psychology from Westminster College and MA and PhD in Sociology from The University of South Carolina. Facciani’s writing and research has appeared in The Conversation, Snopes, Salon, Mother Jones, and other outlets. Facciani has also given talks about his research to audiences around the country and has provided scientific testimony to policy makers.  Find him at MatthewFacciani.com and his podcast Social Science Hour.

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Consent-Driven Care with Dr. Crystal Beal

Dr. Crystal Beal is a non-binary femme physician, who provides high-quality, expert, and individualized queer and #genderaffirming medical care through QueerDoc.com. QueerDoc’s mission is to raise the bar and lower the barriers to accessing #genderaffirmingcare. Dr. Beal discusses just how frequent trauma is and how what they call “consent-driven care” is an extension of #traumainformedcare. For more on trauma-informed care, see my episode with Dr. Megan Gerber.

As #physicians, we shouldn’t just assume that we have permission to touch our #patients in a way that we deem appropriate. We may assume that it is implied that if they are in the office for a thyroid exam, we can just examine their neck, but keep in mind, there may be a #traumahistory. They teach us at what point during the visit we should be asking for consent for parts of the #physicalexam and even the way we ask some parts of the history. This can help us #buildtrust with patients who may have had experiences with the #healthcaresystem that has given them cause for mistrust. We also discuss when it is necessary to have a chaperone.

Dr. Beal attended Florida State University College of Medicine. They completed their training at Valley #FamilyMedicine #Residency achieving Board Certification in Family Medicine. Continuing to see gaps in care for their #LGBTQ+community, Dr. Beal sought extensive additional training in #sexualhealth, #queerhealth, and gender affirming care including self-study, continuing medical education trainings, and shadowing experts at Seattle Children’s #GenderClinic.

While starting QueerDoc, Dr. Beal supported their #privatepractice through work providing care for people with #substanceusedisorder. Working in this field has continued to ignite Dr. Beal’s passion for #equityinhealthcare and advocacy for vulnerable populations. Now board-eligible in #AddictionMedicine, Dr. Beal plans to sit for the exams in 2021.

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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.

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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.

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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.

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VRx: How Virtual Therapeutics Will Revolutionize Medicine, Dr. Brennan Spiegel

Brennan Spiegel, MD, is director of health-services research at Cedars-Sinai Medical Center, where he directs the Center for Outcomes Research and Education, which maintains one of the largest and most widely cited therapeutic virtual reality programs in the world. Spiegel is also professor of medicine and public health at UCLA. He wrote ACING the GI Board Exam, but he’s on the show today to discuss his book, VRx: How Virtual Therapeutics with Revolutionize Medicine.

Dr. Spiegel shows how a simple VR headset lets hospitalized patients escape the four walls of their isolation room to visit Icelandic fjords, empowers patients with schizophrenia to confront the demons in their head, offers dementia patients a new way regain function in a life-sized virtual town, and enables burn victims to manage their pain by traversing snowy virtual landscapes. Scientists are starting to uncover these surprising benefits, and not so far in the future, we may have doctors specializing in virtual medicine with its own ACING the VR Board Exam Review Book. In an unexpected way, VR is also strengthening the humanity in healthcare: vivid simulations of patients’ experiences can make us more empathic.

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Benefits of the Presence and Consequences of the Absence of DEI with the DEI Shifters

The DEI Shift, Diversity, Equity and Inclusion, is a podcast whose mission is to focus on those issues in medicine, spark discussion and provide practice-changing data, stories and useful information to help healthcare practitioners to improve their practices and environments, gain empathy, cultural competency, and humility, and to learn more about emerging D.E.I. concepts. They discuss issues related to gender, race, sexuality, religion, ability, socioeconomics, and so much more. There are many professionals responsible for producing their informative and engaging content and on today’s show, we were honored to have Dr. Maggie Kozman, a Med-Peds hospitalist and Senior Producer and Cohost, Dr. Brittäne Parker, an academic hospitalist, Producer and Cohost; Deepti Yechuri, a recent graduate of UCSD undergrad and currently applying to medical school and Assistant Producer and Sarahy Martinez, a UCSD undergrad and Production Assistant.

We discuss why it is necessary to create their show and some interest and disturbing statistics behind the lack of diversity in medicine. We also discuss some of the consequences to our patients of that lack of diversity.

Each member of the DEI shift then goes through a personal experience with the healthcare system that demonstrates an untoward effect of lack of diversity and the highlights a positive experience because of the presence of it. 

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Should the Doctor Write a Book? with DocSwiner

Dr. Nicole Swiner is a family physician, 6-time best-selling author, blogger, speaker, wife and mother in Durham, North Carolina. How does she do it all? That’s how we start the interview! With her company, Swiner Publishing Company, she helps authors become best-sellers, from start to finish. We talk about why doctors should write books, why they shouldn’t, why they should self-publish and why publishing with her is really self-publishing and organizing events in the age of COVID and after.  

Dr. Swiner attended Duke University and went to medical school at the Medical University of South Carolina. She’s has lived in the Triangle of Durham, NC since finishing residency at UNC-Chapel Hill and continues teaching as an Adjunct Associate Professor with the Family Medicine department with interests in Minority Health, Women’s Health, Self-Care and Female Entrepreneurship. When she’s not treating patients at Durham Family Medicine, she’s spending time with her family, speaking nationally, freelancing for WebMD and teaching others to self-publish. Find her at DocSwiner.com.

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Get the Keys to the C-Suite with Sandy Scott

Sandy Scott is a physician and executive coach who has coached over 500 physicians and healthcare executives. Sandy’s vision is to transform the lives of all physician leaders into meaningful and high-performing journeys by teaching us the strategies and tactics we need to lead and live with purpose.

We discuss how to get to the C-suite and this requires a lot of self-reflection. The key is being able to identify your strengths and playing to those strengths in order to get to a goal that you may have never previously considered. This is all about big picture and big thinking in order to have a transformative experience. She gives us some steps that can build the foundation to start moving in that direction.

She is a Fellow of the American College of Healthcare Executives, a Board and Professional Certified Coach, and a Certified Physician Development Coach, with an Executive Master’s in Public Administration, from the University of Colorado.

You can find her at SandyScottLLC.com and on her podcast High Impact Physicians, where I was featured here: Stay Flexible by Playing with Your Kids (Dr. Brad Block) (buzzsprout.com)

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