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Interviewer: Dr. Lisa Meeks
Interviewees:
· Abbey MacLellan
· Zachary Ford
· Marihan Farid
· RJ Roggeveen
· Michael Quon
· Lynn Ashdown
Description:
Episode 108: ICAM Panel – Facing Ableism: What's Our Role in Building Inclusion 🎙️ Live from the International Congress on Academic Medicine (ICAM)
Ableism in medicine isn't always loud—but it's everywhere. In this special live episode, host Dr. Lisa Meeks moderates a powerful conversation with residents, clinicians, and advocates who challenge the structures and assumptions that exclude disabled people from medicine.
Recorded at ICAM in Halifax, this panel features the brilliant minds behind the award-winning book Am I Ableist?—Drs. Abbey MacLellan, Marihan Farid, and Zachary Ford—alongside dynamic advocates and clinicians RJ Roggeveen, Dr. Lynn Ashdown, and Dr. Michael Quon. Together, they unpack how ableism—both overt and subtle—shows up in admissions, clinical training, patient care, and everyday interactions.
Through stories, reflections, and real-time audience engagement, the panel explores:
· How internalized and structural ableism shape perceptions and policies
· The dangers of diagnostic overshadowing and inaccessible care
· What it means to call in, not call out, and to reflect on your own biases
· Concrete examples of advocacy, inclusive design, and collective action
· Why disability pride, not just accommodation, should be the goal
This conversation is essential for anyone training, teaching, or working in healthcare. It's not just about awareness—it's about action.
🎧 Tune in, reflect honestly, and join us in reimagining a future where all bodies and minds belong in medicine.
Transcript available here: Transcript
Bio's:
🔑 Keywords
Produced by: Dr. Lisa Meeks
Digital Media: Lisa Meeks
Resources:
📚 Featured Book
📝 Academic Articles
Structural Change & Physician Inclusion
Ableism in Medical Education
Policy & Licensure
🎧 DocsWithDisabilities Podcast Episodes
🧰 Professional & Policy Resources
📦 Shared Resource Drive
📱 Social Media and More
Interviewer: Dr. Lisa Meeks
Interviewees:
· Abbey MacLellan
· Zachary Ford
· Marihan Farid
· RJ Roggeveen
· Michael Quon
· Lynn Ashdown
Description:
Episode 108: ICAM Panel – Facing Ableism: What's Our Role in Building Inclusion 🎙️ Live from the International Congress on Academic Medicine (ICAM)
Ableism in medicine isn't always loud—but it's everywhere. In this special live episode, host Dr. Lisa Meeks moderates a powerful conversation with residents, clinicians, and advocates who challenge the structures and assumptions that exclude disabled people from medicine.
Recorded at ICAM in Halifax, this panel features the brilliant minds behind the award-winning book Am I Ableist?—Drs. Abbey MacLellan, Marihan Farid, and Zachary Ford—alongside dynamic advocates and clinicians RJ Roggeveen, Dr. Lynn Ashdown, and Dr. Michael Quon. Together, they unpack how ableism—both overt and subtle—shows up in admissions, clinical training, patient care, and everyday interactions.
Through stories, reflections, and real-time audience engagement, the panel explores:
· How internalized and structural ableism shape perceptions and policies
· The dangers of diagnostic overshadowing and inaccessible care
· What it means to call in, not call out, and to reflect on your own biases
· Concrete examples of advocacy, inclusive design, and collective action
· Why disability pride, not just accommodation, should be the goal
This conversation is essential for anyone training, teaching, or working in healthcare. It's not just about awareness—it's about action.
🎧 Tune in, reflect honestly, and join us in reimagining a future where all bodies and minds belong in medicine.
Transcript available here: Transcript
Bio's:
🔑 Keywords
Produced by: Dr. Lisa Meeks
Digital Media: Lisa Meeks
Resources:
📚 Featured Book
📝 Academic Articles
Structural Change & Physician Inclusion
Ableism in Medical Education
Policy & Licensure
🎧 DocsWithDisabilities Podcast Episodes
🧰 Professional & Policy Resources
📦 Shared Resource Drive
📱 Social Media and More
This episode addresses mental health issues, including research and personal narratives on suicide. Please take care while engaging with it and only proceed if you feel safe doing so. If you, or someone you love, is having thoughts of suicide, please contact 988. Help is available.
InterviewerDr. Lisa Meeks
IntervieweesJohn Ruddell Jennifer Ruddell
Narrator
Dr. Joseph Murray
TranscriptLink:
[https://docs.google.com/document/d/1aH2bYIfs63VeVnABRj4NrhpwffUjGmRSB3qaP9-bm4U/edit?usp=sharing]
KeywordsSuicide Prevention Medical Education Mental Health Postvention Grief and Healing Wellness in Medicine Advocacy Systemic Reform Burnout Depression Anxiety Disabilities in Medical Training Culture
Description of Series
DWDI Special Series: Suicidality in Medical Training dives into the critical conversations around mental health, well-being, support systems, and the intense pressures faced during medical training. Through the power of storytelling, the series intertwines these broader themes with the deeply personal story of Dr. Jack Ruddell, a promising medical student who tragically died by suicide. Jack's journey—his strengths, struggles, and the complexities leading to his untimely death—forms the emotional core of this five-part series, giving voice to the loved ones often excluded from these conversations.
Alongside Jack's story, the series incorporates expert insights and data from the literature, offering a human perspective on burnout, depression, and suicide among medical trainees. With a commitment to improving mental health awareness and reducing the stigma around seeking help, the series presents a novel approach by centering personal narratives alongside expert analysis. It also explores actionable strategies for improving medical training environments and highlights the importance of institutional responses after a loss by suicide.
Our mission is to reduce shame, encourage help-seeking among medical students struggling with depression, and ensure that every medical school is aware of the postvention resources offered by the American Foundation for Suicide Prevention (AFSP).
Experts for the Series
Christine Moutier, MD – Chief Medical Officer, American Foundation for Suicide Prevention
Jessi Gold, MD – Chief Wellness Officer, University of Tennessee System; Author of How Do You Feel?
David Muller, MD – Director, Institute for Equity and Justice in Health Sciences Education; Dean Emeritus, Icahn School of Medicine at Mt. Sinai; Author of the NEJM essay, Kathryn
Srijan Sen, MD, PhD – Director, Eisenberg Family Depression Center; PI of the Intern Health Study
Justin Bullock, MD, MPH – Fellow, University of Washington; Author of the NEJM article, Suicide, Rewriting My Story
Stuart Slavin, MD, MEd – Vice President for Well-Being, ACGME
Episode Release Schedule:
September 17: Episode 102 – Honoring Dr. Jack Ruddell: A Story of Joy, Compassion, and Mental Health in Medical Training.
September 17: Episode 103 – Suicide and Suicidality in Medical Training: Understanding the Crisis and its Causes.
September 24: Episode 104 – Silent Struggles: Mental Health and Medical Education.
September 26: Episode 105 – Repairing the System: How Do We Create Safe Environments?
September 30: Episode 106 – Responding to Loss: Postvention and Support After a Suicide.
Executive Producers:
Lisa Meeks
Rylee Betchkal
John Ruddell
Jennifer Ruddell
Sound production:
Jacob Feeman
Mark Koha
Next Day Podcast
Consult Psychiatrist
Joseph Murray, MD
Resources:
24/7 Suicide & Crisis Hotline Call or text 988 or chat 988lifeline.org.
The American Foundation for Suicide Prevention
https://afsp.org
Intern Health Study
https://www.internhealthstudy.org
https://www.srijan-sen-lab.com/intern-health-study
How are you? By Jessi Gold
https://www.drjessigold.com/how-do-you-feel-book-by-jessi-gold-md/
Make the Difference: Preventing Medical Trainee Suicide
https://www.youtube.com/watch?app=desktop&v=I9GRxF9qEBA&feature=youtu.be
Time to Talk About It: Physician Depression and Suicide" Video/Discussion Session for Interns, Residents, and Fellows
https://www.mededportal.org/doi/10.15766/mep_2374-8265.10508
Action Collaborative on Clinician Well-Being and Resilience
National Academy of Medicine
https://nam.edu/action-collaborative-on-clinician-well-being-and-resilience-network-organizations/
Jennifer and Jack Ruddell Essay in JAMA Internal Medicine
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2829194
Dr. Lotte Dyrbye Invited Commentary responding to the Ruddell's essay
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2829200
This episode addresses mental health issues, including research and personal narratives on suicide. Please take care while engaging with it and only proceed if you feel safe doing so. If you, or someone you love, is having thoughts of suicide, please contact 988. Help is available.
InterviewerDr. Lisa Meeks
IntervieweesJohn Ruddell Jennifer Ruddell
Narrator
Dr. Joseph Murray
TranscriptLink:
[https://docs.google.com/document/d/1aH2bYIfs63VeVnABRj4NrhpwffUjGmRSB3qaP9-bm4U/edit?usp=sharing]
KeywordsSuicide Prevention Medical Education Mental Health Postvention Grief and Healing Wellness in Medicine Advocacy Systemic Reform Burnout Depression Anxiety Disabilities in Medical Training Culture
Description of Series
DWDI Special Series: Suicidality in Medical Training dives into the critical conversations around mental health, well-being, support systems, and the intense pressures faced during medical training. Through the power of storytelling, the series intertwines these broader themes with the deeply personal story of Dr. Jack Ruddell, a promising medical student who tragically died by suicide. Jack's journey—his strengths, struggles, and the complexities leading to his untimely death—forms the emotional core of this five-part series, giving voice to the loved ones often excluded from these conversations.
Alongside Jack's story, the series incorporates expert insights and data from the literature, offering a human perspective on burnout, depression, and suicide among medical trainees. With a commitment to improving mental health awareness and reducing the stigma around seeking help, the series presents a novel approach by centering personal narratives alongside expert analysis. It also explores actionable strategies for improving medical training environments and highlights the importance of institutional responses after a loss by suicide.
Our mission is to reduce shame, encourage help-seeking among medical students struggling with depression, and ensure that every medical school is aware of the postvention resources offered by the American Foundation for Suicide Prevention (AFSP).
Experts for the Series
Christine Moutier, MD – Chief Medical Officer, American Foundation for Suicide Prevention
Jessi Gold, MD – Chief Wellness Officer, University of Tennessee System; Author of How Do You Feel?
David Muller, MD – Director, Institute for Equity and Justice in Health Sciences Education; Dean Emeritus, Icahn School of Medicine at Mt. Sinai; Author of the NEJM essay, Kathryn
Srijan Sen, MD, PhD – Director, Eisenberg Family Depression Center; PI of the Intern Health Study
Justin Bullock, MD, MPH – Fellow, University of Washington; Author of the NEJM article, Suicide, Rewriting My Story
Stuart Slavin, MD, MEd – Vice President for Well-Being, ACGME
Episode Release Schedule:
September 17: Episode 102 – Honoring Dr. Jack Ruddell: A Story of Joy, Compassion, and Mental Health in Medical Training.
September 17: Episode 103 – Suicide and Suicidality in Medical Training: Understanding the Crisis and its Causes.
September 24: Episode 104 – Silent Struggles: Mental Health and Medical Education.
September 26: Episode 105 – Repairing the System: How Do We Create Safe Environments?
September 30: Episode 106 – Responding to Loss: Postvention and Support After a Suicide.
Executive Producers:
Lisa Meeks
Rylee Betchkal
John Ruddell
Jennifer Ruddell
Sound production:
Jacob Feeman
Mark Koha
Next Day Podcast
Consult Psychiatrist
Joseph Murray, MD
Resources:
24/7 Suicide & Crisis Hotline Call or text 988 or chat 988lifeline.org.
The American Foundation for Suicide Prevention
https://afsp.org
Intern Health Study
https://www.internhealthstudy.org
https://www.srijan-sen-lab.com/intern-health-study
How are you? By Jessi Gold
https://www.drjessigold.com/how-do-you-feel-book-by-jessi-gold-md/
Make the Difference: Preventing Medical Trainee Suicide
https://www.youtube.com/watch?app=desktop&v=I9GRxF9qEBA&feature=youtu.be
Time to Talk About It: Physician Depression and Suicide" Video/Discussion Session for Interns, Residents, and Fellows
https://www.mededportal.org/doi/10.15766/mep_2374-8265.10508
Action Collaborative on Clinician Well-Being and Resilience
National Academy of Medicine
https://nam.edu/action-collaborative-on-clinician-well-being-and-resilience-network-organizations/
Jennifer and Jack Ruddell Essay in JAMA Internal Medicine
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2829194
Dr. Lotte Dyrbye Invited Commentary responding to the Ruddell's essay
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2829200
Content Warning:
This content addresses mental health issues, including research and narratives on suicide. Please take care while engaging with it and only proceed if you feel safe doing so. If you, or someone you love, is having thoughts of suicide, please contact 988. Help is available.
Interviewer
Interviewees
Narrator
Transcript
Keywords: Suicide, Postvention, Prevention, Aftermath, Proactive, Support, Parents, Peers, Memorial, Staffing, Response from School, Medical School, Depression, Mental Health, Support, Trauma, Depression, Anxiety, Self-compassion, Disabilities, Medical education, Crisis response, Contagion, Memorial service
Description
In this poignant fifth episode of the series on suicidality in medical training, John and Jennifer Ruddell share their heartbreaking journey after losing their son, Jack, to suicide during his medical education. The discussion focuses on how institutions can respond in the aftermath of such tragedies, with an emphasis on the AFSP Postvention Toolkit, which offers compassionate and actionable guidance for schools. The episode underscores the importance of fostering open conversations around mental health, implementing proactive institutional support, and creating environments that encourage students to seek help.
Join the conversation by sharing this episode and participating in discussions to help protect and support future healthcare providers.
Description of Series
DWDI Special Series: Suicidality in Medical Training dives into the critical conversations around mental health, well-being, support systems, and the intense pressures faced during medical training. Through the power of storytelling, the series intertwines these broader themes with the deeply personal story of Dr. Jack Ruddell, a promising medical student who tragically died by suicide. Jack's journey—his strengths, struggles, and the complexities leading to his untimely death—forms the emotional core of this five-part series, giving voice to the loved ones often excluded from these conversations.
Alongside Jack's story, the series incorporates expert insights and data from the literature, offering a human perspective on burnout, depression, and suicide among medical trainees. With a commitment to improving mental health awareness and reducing the stigma around seeking help, the series presents a novel approach by centering personal narratives alongside expert analysis. It also explores actionable strategies for improving medical training environments and highlights the importance of institutional responses after a loss by suicide.
Our mission is to reduce shame, encourage help-seeking among medical students struggling with depression, and ensure that every medical school is aware of the postvention resources offered by the American Foundation for Suicide Prevention (AFSP).
Experts for the Series
Christine Moutier, MD – Chief Medical Officer, American Foundation for Suicide Prevention
Jessi Gold, MD – Chief Wellness Officer, University of Tennessee System; Author of How Do You Feel?
David Muller, MD – Director, Institute for Equity and Justice in Health Sciences Education; Dean Emeritus, Icahn School of Medicine at Mt. Sinai; Author of the NEJM essay, Kathryn
Srijan Sen, MD, PhD – Director, Eisenberg Family Depression Center; PI of the Intern Health Study
Justin Bullock, MD, MPH – Fellow, University of Washington; Author of the NEJM article, Suicide, Rewriting My Story
Stuart Slavin, MD, MEd – Vice President for Well-Being, ACGME
Episode Release Schedule:
September 17: Episode 102 – Honoring Dr. Jack Ruddell: A Story of Joy, Compassion, and Mental Health in Medical Training.
September 17: Episode 103 – Suicide and Suicidality in Medical Training: Understanding the Crisis and its Causes.
September 24: Episode 104 – Silent Struggles: Mental Health and Medical Education.
September 26: Episode 105 – Repairing the System: How Do We Create Safe Environments?
September 30: Episode 106 – Responding to Loss: Postvention and Support After a Suicide.
Executive Producers:
Lisa Meeks
Rylee Betchkal
John Ruddell
Jennifer Ruddell
Sound production:
Jacob Feeman
Mark Koha
Next Day Podcast
Consult Psychiatrist
Joseph Murray, MD
Resources:
24/7 Suicide & Crisis Hotline Call or text 988 or chat 988lifeline.org.
The American Foundation for Suicide Prevention
https://afsp.org
Intern Health Study
https://www.internhealthstudy.org
https://www.srijan-sen-lab.com/intern-health-study
How are you? By Jessi Gold
https://www.drjessigold.com/how-do-you-feel-book-by-jessi-gold-md/
Make the Difference: Preventing Medical Trainee Suicide
https://www.youtube.com/watch?app=desktop&v=I9GRxF9qEBA&feature=youtu.be
Time to Talk About It: Physician Depression and Suicide" Video/Discussion Session for Interns, Residents, and Fellows
https://www.mededportal.org/doi/10.15766/mep_2374-8265.10508
Action Collaborative on Clinician Well-Being and Resilience
National Academy of Medicine
https://nam.edu/action-collaborative-on-clinician-well-being-and-resilience-network-organizations/
Content Warning:
This content addresses mental health issues, including research and narratives on suicide. Please take care while engaging with it and only proceed if you feel safe doing so. If you, or someone you love, is having thoughts of suicide, please contact 988. Help is available.
Interviewer
Interviewees
Narrator
Transcript
Keywords: Suicide, Postvention, Prevention, Aftermath, Proactive, Support, Parents, Peers, Memorial, Staffing, Response from School, Medical School, Depression, Mental Health, Support, Trauma, Depression, Anxiety, Self-compassion, Disabilities, Medical education, Crisis response, Contagion, Memorial service
Description
In this poignant fifth episode of the series on suicidality in medical training, John and Jennifer Ruddell share their heartbreaking journey after losing their son, Jack, to suicide during his medical education. The discussion focuses on how institutions can respond in the aftermath of such tragedies, with an emphasis on the AFSP Postvention Toolkit, which offers compassionate and actionable guidance for schools. The episode underscores the importance of fostering open conversations around mental health, implementing proactive institutional support, and creating environments that encourage students to seek help.
Join the conversation by sharing this episode and participating in discussions to help protect and support future healthcare providers.
Description of Series
DWDI Special Series: Suicidality in Medical Training dives into the critical conversations around mental health, well-being, support systems, and the intense pressures faced during medical training. Through the power of storytelling, the series intertwines these broader themes with the deeply personal story of Dr. Jack Ruddell, a promising medical student who tragically died by suicide. Jack's journey—his strengths, struggles, and the complexities leading to his untimely death—forms the emotional core of this five-part series, giving voice to the loved ones often excluded from these conversations.
Alongside Jack's story, the series incorporates expert insights and data from the literature, offering a human perspective on burnout, depression, and suicide among medical trainees. With a commitment to improving mental health awareness and reducing the stigma around seeking help, the series presents a novel approach by centering personal narratives alongside expert analysis. It also explores actionable strategies for improving medical training environments and highlights the importance of institutional responses after a loss by suicide.
Our mission is to reduce shame, encourage help-seeking among medical students struggling with depression, and ensure that every medical school is aware of the postvention resources offered by the American Foundation for Suicide Prevention (AFSP).
Experts for the Series
Christine Moutier, MD – Chief Medical Officer, American Foundation for Suicide Prevention
Jessi Gold, MD – Chief Wellness Officer, University of Tennessee System; Author of How Do You Feel?
David Muller, MD – Director, Institute for Equity and Justice in Health Sciences Education; Dean Emeritus, Icahn School of Medicine at Mt. Sinai; Author of the NEJM essay, Kathryn
Srijan Sen, MD, PhD – Director, Eisenberg Family Depression Center; PI of the Intern Health Study
Justin Bullock, MD, MPH – Fellow, University of Washington; Author of the NEJM article, Suicide, Rewriting My Story
Stuart Slavin, MD, MEd – Vice President for Well-Being, ACGME
Episode Release Schedule:
September 17: Episode 102 – Honoring Dr. Jack Ruddell: A Story of Joy, Compassion, and Mental Health in Medical Training.
September 17: Episode 103 – Suicide and Suicidality in Medical Training: Understanding the Crisis and its Causes.
September 24: Episode 104 – Silent Struggles: Mental Health and Medical Education.
September 26: Episode 105 – Repairing the System: How Do We Create Safe Environments?
September 30: Episode 106 – Responding to Loss: Postvention and Support After a Suicide.
Executive Producers:
Lisa Meeks
Rylee Betchkal
John Ruddell
Jennifer Ruddell
Sound production:
Jacob Feeman
Mark Koha
Next Day Podcast
Consult Psychiatrist
Joseph Murray, MD
Resources:
24/7 Suicide & Crisis Hotline Call or text 988 or chat 988lifeline.org.
The American Foundation for Suicide Prevention
https://afsp.org
Intern Health Study
https://www.internhealthstudy.org
https://www.srijan-sen-lab.com/intern-health-study
How are you? By Jessi Gold
https://www.drjessigold.com/how-do-you-feel-book-by-jessi-gold-md/
Make the Difference: Preventing Medical Trainee Suicide
https://www.youtube.com/watch?app=desktop&v=I9GRxF9qEBA&feature=youtu.be
Time to Talk About It: Physician Depression and Suicide" Video/Discussion Session for Interns, Residents, and Fellows
https://www.mededportal.org/doi/10.15766/mep_2374-8265.10508
Action Collaborative on Clinician Well-Being and Resilience
National Academy of Medicine
https://nam.edu/action-collaborative-on-clinician-well-being-and-resilience-network-organizations/
Content Warning:
This content addresses mental health issues, including research and narratives on suicide. Please take care while engaging with it and only proceed if you feel safe doing so. If you, or someone you love, is having thoughts of suicide, please contact 988. Help is available.
Interviewer: Lisa Meeks
Interviewees
John Ruddell
Jennifer Ruddell
Roja (friend of Jack Ruddell)
Dr. Stuart Slavin
Dr. Christine Moutier
Dr. Srijan Sen
Dr. David Muller
Dr. Justin Bullock
Dr. Jessi Gold
Narrator
Dr. Joseph Murray
Transcript
Keywords: Mental health, Medical training, Stress, Well-being, Jack Ruddell, Depression, Suicidality, Financial counseling, Career counseling, Transferable skills, Medical errors, Medical culture, Opt-Out, Trust, Vulnerability, Open Discussions, Sharing Stories
Description
In this episode, we address the urgent issue of suicidality in medical training, reflecting on the personal and systemic challenges that contribute to this crisis. Building on episodes 102, 103, and 104, we continue to explore the deep impact of these challenges.
We begin by examining the need to address both individual and systemic factors, emphasizing the importance of cultural shifts within medical environments and advocating for meaningful systems change.
As the episode concludes, our experts highlight actionable steps medical schools can take to better support mental health, including fostering open dialogue, ensuring accessible resources, and creating a culture of vulnerability. In memory of Dr. Jack Rudell, we close with a piece of his music—a poignant reminder of the personal nature of this issue and the critical need to keep every trainee's light shining.
Description of Series
DWDI Special Series: Suicidality in Medical Training dives into the critical conversations around mental health, well-being, support systems, and the intense pressures faced during medical training. Through the power of storytelling, the series intertwines these broader themes with the deeply personal story of Dr. Jack Ruddell, a promising medical student who tragically died by suicide. Jack's journey—his strengths, struggles, and the complexities leading to his untimely death—forms the emotional core of this five-part series, giving voice to the loved ones often excluded from these conversations.
Alongside Jack's story, the series incorporates expert insights and data from the literature, offering a human perspective on burnout, depression, and suicide among medical trainees. With a commitment to improving mental health awareness and reducing the stigma around seeking help, the series presents a novel approach by centering personal narratives alongside expert analysis. It also explores actionable strategies for improving medical training environments and highlights the importance of institutional responses after a loss by suicide.
Our mission is to reduce shame, encourage help-seeking among medical students struggling with depression, and ensure that every medical school is aware of the postvention resources offered by the American Foundation for Suicide Prevention (AFSP).
Experts for the Series
Christine Moutier, MD – Chief Medical Officer, American Foundation for Suicide Prevention
Jessi Gold, MD – Chief Wellness Officer, University of Tennessee System; Author of How Do You Feel?
David Muller, MD – Director, Institute for Equity and Justice in Health Sciences Education; Dean Emeritus, Icahn School of Medicine at Mt. Sinai; Author of the NEJM essay, Kathryn
Srijan Sen, MD, PhD – Director, Eisenberg Family Depression Center; PI of the Intern Health Study
Justin Bullock, MD, MPH – Fellow, University of Washington; Author of the NEJM article, Suicide, Rewriting My Story
Stuart Slavin, MD, MEd – Vice President for Well-Being, ACGME
Episode Release Schedule:
September 17: Episode 102 – Honoring Dr. Jack Ruddell: A Story of Joy, Compassion, and Mental Health in Medical Training.
September 17: Episode 103 – Suicide and Suicidality in Medical Training: Understanding the Crisis and its Causes.
September 24: Episode 104 – Silent Struggles: Mental Health and Medical Education.
September 26: Episode 105 – Repairing the System: How Do We Create Safe Environments?
September 30: Episode 106 – Responding to Loss: Postvention and Support After a Suicide.
Executive Producers:
Lisa Meeks
Rylee Betchkal
John Ruddell
Jennifer Ruddell
Sound production:
Jacob Feeman
Mark Koha
Next Day Podcast
Consult Psychiatrist
Joseph Murray, MD
Resources:
24/7 Suicide & Crisis Hotline Call or text 988 or chat 988lifeline.org.
The American Foundation for Suicide Prevention
https://afsp.org
Intern Health Study
https://www.internhealthstudy.org
https://www.srijan-sen-lab.com/intern-health-study
How are you? By Jessi Gold
https://www.drjessigold.com/how-do-you-feel-book-by-jessi-gold-md/
Make the Difference: Preventing Medical Trainee Suicide
https://www.youtube.com/watch?app=desktop&v=I9GRxF9qEBA&feature=youtu.be
Time to Talk About It: Physician Depression and Suicide" Video/Discussion Session for Interns, Residents, and Fellows
https://www.mededportal.org/doi/10.15766/mep_2374-8265.10508
Action Collaborative on Clinician Well-Being and Resilience
National Academy of Medicine
https://nam.edu/action-collaborative-on-clinician-well-being-and-resilience-network-organizations/
References:
Hogan, W. B., Del Re, A. M., & Daniels, A. H. (2021). A Voice, Singing: Reflections on Losing a Colleague to Suicide. Rhode Island Medical Journal, 104(6), 68-69.
Knaak, S., Mantler, E., & Szeto, A. (2017, March). Mental illness-related stigma in healthcare: Barriers to access and care and evidence-based solutions. In Healthcare management forum (Vol. 30, No. 2, pp. 111-116). Sage CA: Los Angeles, CA: SAGE Publications.
Malone, T. L., Zhao, Z., Liu, T. Y., Song, P. X., Sen, S., & Scott, L. J. (2021). Prediction of suicidal ideation risk in a prospective cohort study of medical interns. PLoS One, 16(12), e0260620.
Meeks, L. M., Cleary, J., Horwitz, A., Pereira-Lima, K., Zhao, Z., Fang, Y., & Sen, S. (2022). Analysis of depressive symptoms and perceived impairment among physicians across intern year. JAMA Network Open, 5(1), e2144919-e2144919.
Slavin, S. J., & Chibnall, J. T. (2016). Finding the why, changing the how: improving the mental health of medical students, residents, and physicians. Academic Medicine, 91(9), 1194-1196.
Tandon MD, H. K., Kratochvil, M. D., Taylor, J., Keiser, M. S., LIMHP, K. L., Kent BS, N. J., ... & Gold, J. P. (2024). UNMC Quick Checks: An "Opt-Out" Model for Health Profession Student Appointments with Mental Health Counseling Services. Innovations in Health Sciences Education Journal, 2(1), 2.
Content Warning:
This content addresses mental health issues, including research and narratives on suicide. Please take care while engaging with it and only proceed if you feel safe doing so. If you, or someone you love, is having thoughts of suicide, please contact 988. Help is available.
Interviewer: Lisa Meeks
Interviewees
John Ruddell
Jennifer Ruddell
Roja (friend of Jack Ruddell)
Dr. Stuart Slavin
Dr. Christine Moutier
Dr. Srijan Sen
Dr. David Muller
Dr. Justin Bullock
Dr. Jessi Gold
Narrator
Dr. Joseph Murray
Transcript
Keywords: Mental health, Medical training, Stress, Well-being, Jack Ruddell, Depression, Suicidality, Financial counseling, Career counseling, Transferable skills, Medical errors, Medical culture, Opt-Out, Trust, Vulnerability, Open Discussions, Sharing Stories
Description
In this episode, we address the urgent issue of suicidality in medical training, reflecting on the personal and systemic challenges that contribute to this crisis. Building on episodes 102, 103, and 104, we continue to explore the deep impact of these challenges.
We begin by examining the need to address both individual and systemic factors, emphasizing the importance of cultural shifts within medical environments and advocating for meaningful systems change.
As the episode concludes, our experts highlight actionable steps medical schools can take to better support mental health, including fostering open dialogue, ensuring accessible resources, and creating a culture of vulnerability. In memory of Dr. Jack Rudell, we close with a piece of his music—a poignant reminder of the personal nature of this issue and the critical need to keep every trainee's light shining.
Description of Series
DWDI Special Series: Suicidality in Medical Training dives into the critical conversations around mental health, well-being, support systems, and the intense pressures faced during medical training. Through the power of storytelling, the series intertwines these broader themes with the deeply personal story of Dr. Jack Ruddell, a promising medical student who tragically died by suicide. Jack's journey—his strengths, struggles, and the complexities leading to his untimely death—forms the emotional core of this five-part series, giving voice to the loved ones often excluded from these conversations.
Alongside Jack's story, the series incorporates expert insights and data from the literature, offering a human perspective on burnout, depression, and suicide among medical trainees. With a commitment to improving mental health awareness and reducing the stigma around seeking help, the series presents a novel approach by centering personal narratives alongside expert analysis. It also explores actionable strategies for improving medical training environments and highlights the importance of institutional responses after a loss by suicide.
Our mission is to reduce shame, encourage help-seeking among medical students struggling with depression, and ensure that every medical school is aware of the postvention resources offered by the American Foundation for Suicide Prevention (AFSP).
Experts for the Series
Christine Moutier, MD – Chief Medical Officer, American Foundation for Suicide Prevention
Jessi Gold, MD – Chief Wellness Officer, University of Tennessee System; Author of How Do You Feel?
David Muller, MD – Director, Institute for Equity and Justice in Health Sciences Education; Dean Emeritus, Icahn School of Medicine at Mt. Sinai; Author of the NEJM essay, Kathryn
Srijan Sen, MD, PhD – Director, Eisenberg Family Depression Center; PI of the Intern Health Study
Justin Bullock, MD, MPH – Fellow, University of Washington; Author of the NEJM article, Suicide, Rewriting My Story
Stuart Slavin, MD, MEd – Vice President for Well-Being, ACGME
Episode Release Schedule:
September 17: Episode 102 – Honoring Dr. Jack Ruddell: A Story of Joy, Compassion, and Mental Health in Medical Training.
September 17: Episode 103 – Suicide and Suicidality in Medical Training: Understanding the Crisis and its Causes.
September 24: Episode 104 – Silent Struggles: Mental Health and Medical Education.
September 26: Episode 105 – Repairing the System: How Do We Create Safe Environments?
September 30: Episode 106 – Responding to Loss: Postvention and Support After a Suicide.
Executive Producers:
Lisa Meeks
Rylee Betchkal
John Ruddell
Jennifer Ruddell
Sound production:
Jacob Feeman
Mark Koha
Next Day Podcast
Consult Psychiatrist
Joseph Murray, MD
Resources:
24/7 Suicide & Crisis Hotline Call or text 988 or chat 988lifeline.org.
The American Foundation for Suicide Prevention
https://afsp.org
Intern Health Study
https://www.internhealthstudy.org
https://www.srijan-sen-lab.com/intern-health-study
How are you? By Jessi Gold
https://www.drjessigold.com/how-do-you-feel-book-by-jessi-gold-md/
Make the Difference: Preventing Medical Trainee Suicide
https://www.youtube.com/watch?app=desktop&v=I9GRxF9qEBA&feature=youtu.be
Time to Talk About It: Physician Depression and Suicide" Video/Discussion Session for Interns, Residents, and Fellows
https://www.mededportal.org/doi/10.15766/mep_2374-8265.10508
Action Collaborative on Clinician Well-Being and Resilience
National Academy of Medicine
https://nam.edu/action-collaborative-on-clinician-well-being-and-resilience-network-organizations/
References:
Hogan, W. B., Del Re, A. M., & Daniels, A. H. (2021). A Voice, Singing: Reflections on Losing a Colleague to Suicide. Rhode Island Medical Journal, 104(6), 68-69.
Knaak, S., Mantler, E., & Szeto, A. (2017, March). Mental illness-related stigma in healthcare: Barriers to access and care and evidence-based solutions. In Healthcare management forum (Vol. 30, No. 2, pp. 111-116). Sage CA: Los Angeles, CA: SAGE Publications.
Malone, T. L., Zhao, Z., Liu, T. Y., Song, P. X., Sen, S., & Scott, L. J. (2021). Prediction of suicidal ideation risk in a prospective cohort study of medical interns. PLoS One, 16(12), e0260620.
Meeks, L. M., Cleary, J., Horwitz, A., Pereira-Lima, K., Zhao, Z., Fang, Y., & Sen, S. (2022). Analysis of depressive symptoms and perceived impairment among physicians across intern year. JAMA Network Open, 5(1), e2144919-e2144919.
Slavin, S. J., & Chibnall, J. T. (2016). Finding the why, changing the how: improving the mental health of medical students, residents, and physicians. Academic Medicine, 91(9), 1194-1196.
Tandon MD, H. K., Kratochvil, M. D., Taylor, J., Keiser, M. S., LIMHP, K. L., Kent BS, N. J., ... & Gold, J. P. (2024). UNMC Quick Checks: An "Opt-Out" Model for Health Profession Student Appointments with Mental Health Counseling Services. Innovations in Health Sciences Education Journal, 2(1), 2.
Content Warning:
This content addresses mental health issues, including research and narratives on suicide. Please take care while engaging with it and only proceed if you feel safe doing so. If you, or someone you love, is having thoughts of suicide, please contact 988. Help is available.
Episode 104: Silent Struggles – Mental Health and Medical Education
Interviewer
Lisa Meeks
Interviewees
John Ruddell
Jennifer Ruddell
Roja (friend of Jack Ruddell)
Dr. David Muller
Dr. Justin Bullock
Dr. Jessi Gold
Dr. Cathryn Lapedis
Narrator
Dr. Joseph Murray
Transcript
Keywords: Mental health, Medical training, Stress, Well-being, Competitive environments, Performance, Self-care, High-stakes exams, Residency match, Learners with disabilities, Jack Ruddell, Depression, Suicidality, Dr. Jessi Gold, Dr. Justin Bullock, Dr. David Muller, Imposter syndrome, Research, Publications, Fitness for duty, COVID pandemic, Identity, Physician identity, Self-harm, Vulnerability, Stigma, USMLE Step 1, Dr. Cathryn Lapedis, Docs with Disabilities
Description
In this deeply impactful third episode of our series on mental health and suicide in medical training, we delve into the unique pressures and challenges that medical students face including high stakes exams, aggressions in training, lack of safety, and fear of help seeking. This episode is a continuation of our exploration into how the demanding environment of medical education can contribute to mental health struggles, including depression and suicidality.
Description of Series
DWDI Special Series: Suicidality in Medical Training dives into the critical conversations around mental health, well-being, support systems, and the intense pressures faced during medical training. Through the power of storytelling, the series intertwines these broader themes with the deeply personal story of Dr. Jack Ruddell, a promising medical student who tragically died by suicide. Jack's journey—his strengths, struggles, and the complexities leading to his untimely death—forms the emotional core of this five-part series, giving voice to the loved ones often excluded from these conversations.
Alongside Jack's story, the series incorporates expert insights and data from the literature, offering a human perspective on burnout, depression, and suicide among medical trainees. With a commitment to improving mental health awareness and reducing the stigma around seeking help, the series presents a novel approach by centering personal narratives alongside expert analysis. It also explores actionable strategies for improving medical training environments and highlights the importance of institutional responses after a loss by suicide.
Our mission is to reduce shame, encourage help-seeking among medical students struggling with depression, and ensure that every medical school is aware of the postvention resources offered by the American Foundation for Suicide Prevention (AFSP).
Experts for the Series
Christine Moutier, MD – Chief Medical Officer, American Foundation for Suicide Prevention
Jessi Gold, MD – Chief Wellness Officer, University of Tennessee System; Author of How Do You Feel?
David Muller, MD – Director, Institute for Equity and Justice in Health Sciences Education; Dean Emeritus, Icahn School of Medicine at Mt. Sinai; Author of the NEJM essay, Kathryn
Srijan Sen, MD, PhD – Director, Eisenberg Family Depression Center; PI of the Intern Health Study
Justin Bullock, MD, MPH – Fellow, University of Washington; Author of the NEJM article, Suicide, Rewriting My Story
Stuart Slavin, MD, MEd – Vice President for Well-Being, ACGME
Episode Release Schedule:
September 17: Episode 102 – Honoring Dr. Jack Ruddell: A Story of Joy, Compassion, and Mental Health in Medical Training.
September 17: Episode 103 – Suicide and Suicidality in Medical Training: Understanding the Crisis and its Causes.
September 24: Episode 104 – Silent Struggles: Mental Health and Medical Education.
September 26: Episode 105 – Repairing the System: How Do We Create Safe Environments?
September 30: Episode 106 – Responding to Loss: Postvention and Support After a Suicide.
Executive Producers:
Sound production:
Consult Psychiatrist
Resources:
24/7 Suicide & Crisis Hotline Call or text 988 or chat 988lifeline.org.
The American Foundation for Suicide Prevention
https://afsp.org
Intern Health Study
https://www.internhealthstudy.org
https://www.srijan-sen-lab.com/intern-health-study
How are you? By Jessi Gold
https://www.drjessigold.com/how-do-you-feel-book-by-jessi-gold-md/
Make the Difference: Preventing Medical Trainee Suicide
https://www.youtube.com/watch?app=desktop&v=I9GRxF9qEBA&feature=youtu.be
Time to Talk About It: Physician Depression and Suicide" Video/Discussion Session for Interns, Residents, and Fellows
https://www.mededportal.org/doi/10.15766/mep_2374-8265.10508
Action Collaborative on Clinician Well-Being and Resilience
National Academy of Medicine
https://nam.edu/action-collaborative-on-clinician-well-being-and-resilience-network-organizations/
References:
Lapedis CJ. Murky water. Annals of Internal Medicine. 2018 Sep 18;169(6):415-6.
Meeks, L. M., Case, B., Stergiopoulos, E., Evans, B. K., & Petersen, K. H. (2021). Structural barriers to student disability disclosure in US-allopathic medical schools. Journal of Medical Education and Curricular Development, 8, 23821205211018696.
Mirza, A. A., Baig, M., Beyari, G. M., Halawani, M. A., & Mirza, A. A. (2021). Depression and anxiety among medical students: a brief overview. Advances in Medical Education and Practice, 393-398.
Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., ... & Mata, D. A. (2016). Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. Jama, 316(21), 2214-2236.
Content Warning:
This content addresses mental health issues, including research and narratives on suicide. Please take care while engaging with it and only proceed if you feel safe doing so. If you, or someone you love, is having thoughts of suicide, please contact 988. Help is available.
Episode 104: Silent Struggles – Mental Health and Medical Education
Interviewer
Lisa Meeks
Interviewees
John Ruddell
Jennifer Ruddell
Roja (friend of Jack Ruddell)
Dr. David Muller
Dr. Justin Bullock
Dr. Jessi Gold
Narrator
Dr. Joseph Murray
Transcript
Keywords: Mental health, Medical training, Stress, Well-being, Competitive environments, Performance, Self-care, High-stakes exams, Residency match, Learners with disabilities, Jack Ruddell, Depression, Suicidality, Dr. Jessi Gold, Dr. Justin Bullock, Dr. David Muller, Imposter syndrome, Research, Publications, Fitness for duty, COVID pandemic, Identity, Physician identity, Self-harm, Vulnerability, Stigma, USMLE Step 1, Dr. Catherine Lapidus, Docs with Disabilities
Description
In this deeply impactful third episode of our series on mental health and suicide in medical training, we delve into the unique pressures and challenges that medical students face including high stakes exams, aggressions in training, lack of safety, and fear of help seeking. This episode is a continuation of our exploration into how the demanding environment of medical education can contribute to mental health struggles, including depression and suicidality.
Description of Series
DWDI Special Series: Suicidality in Medical Training dives into the critical conversations around mental health, well-being, support systems, and the intense pressures faced during medical training. Through the power of storytelling, the series intertwines these broader themes with the deeply personal story of Dr. Jack Ruddell, a promising medical student who tragically died by suicide. Jack's journey—his strengths, struggles, and the complexities leading to his untimely death—forms the emotional core of this five-part series, giving voice to the loved ones often excluded from these conversations.
Alongside Jack's story, the series incorporates expert insights and data from the literature, offering a human perspective on burnout, depression, and suicide among medical trainees. With a commitment to improving mental health awareness and reducing the stigma around seeking help, the series presents a novel approach by centering personal narratives alongside expert analysis. It also explores actionable strategies for improving medical training environments and highlights the importance of institutional responses after a loss by suicide.
Our mission is to reduce shame, encourage help-seeking among medical students struggling with depression, and ensure that every medical school is aware of the postvention resources offered by the American Foundation for Suicide Prevention (AFSP).
Experts for the Series
Christine Moutier, MD – Chief Medical Officer, American Foundation for Suicide Prevention
Jessi Gold, MD – Chief Wellness Officer, University of Tennessee System; Author of How Do You Feel?
David Muller, MD – Director, Institute for Equity and Justice in Health Sciences Education; Dean Emeritus, Icahn School of Medicine at Mt. Sinai; Author of the NEJM essay, Kathryn
Srijan Sen, MD, PhD – Director, Eisenberg Family Depression Center; PI of the Intern Health Study
Justin Bullock, MD, MPH – Fellow, University of Washington; Author of the NEJM article, Suicide, Rewriting My Story
Stuart Slavin, MD, MEd – Vice President for Well-Being, ACGME
Episode Release Schedule:
September 17: Episode 102 – Honoring Dr. Jack Ruddell: A Story of Joy, Compassion, and Mental Health in Medical Training.
September 17: Episode 103 – Suicide and Suicidality in Medical Training: Understanding the Crisis and its Causes.
September 24: Episode 104 – Silent Struggles: Mental Health and Medical Education.
September 26: Episode 105 – Repairing the System: How Do We Create Safe Environments?
September 30: Episode 106 – Responding to Loss: Postvention and Support After a Suicide.
Executive Producers:
Sound production:
Consult Psychiatrist
Resources:
24/7 Suicide & Crisis Hotline Call or text 988 or chat 988lifeline.org.
The American Foundation for Suicide Prevention
https://afsp.org
Intern Health Study
https://www.internhealthstudy.org
https://www.srijan-sen-lab.com/intern-health-study
How are you? By Jessi Gold
https://www.drjessigold.com/how-do-you-feel-book-by-jessi-gold-md/
Make the Difference: Preventing Medical Trainee Suicide
https://www.youtube.com/watch?app=desktop&v=I9GRxF9qEBA&feature=youtu.be
Time to Talk About It: Physician Depression and Suicide" Video/Discussion Session for Interns, Residents, and Fellows
https://www.mededportal.org/doi/10.15766/mep_2374-8265.10508
Action Collaborative on Clinician Well-Being and Resilience
National Academy of Medicine
https://nam.edu/action-collaborative-on-clinician-well-being-and-resilience-network-organizations/
References:
Lapedis CJ. Murky water. Annals of Internal Medicine. 2018 Sep 18;169(6):415-6.
Meeks, L. M., Case, B., Stergiopoulos, E., Evans, B. K., & Petersen, K. H. (2021). Structural barriers to student disability disclosure in US-allopathic medical schools. Journal of Medical Education and Curricular Development, 8, 23821205211018696.
Mirza, A. A., Baig, M., Beyari, G. M., Halawani, M. A., & Mirza, A. A. (2021). Depression and anxiety among medical students: a brief overview. Advances in Medical Education and Practice, 393-398.
Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., ... & Mata, D. A. (2016). Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. Jama, 316(21), 2214-2236.
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