Raise the Line

There are more than 2,600 colleges and universities with nursing degree programs in the United States, offering a mix of options from associate-level degrees to doctorates. Ensuring that those programs deliver high-quality education is the focus of today's guest, Kathy Chappell, PhD, RN, the CEO of the Accreditation Commission for Education in Nursing, also known as ACEN. “We have this regulatory compliance function as an accreditor, but at the end of the day, it's about high-quality education for nurses. We want their students to excel so it's really our job to be their support and partner in understanding and meeting the standards,” Chappell tells host Hillary Acer. The veteran clinician and educator says ACEN is also assuming the role of partner in the broader cause of addressing the nursing shortage by using its influence to support the expansion of education programs, which she thinks should be a national priority. “I would consider it to be a public health crisis. I really do. I think it's as critical as the COVID pandemic.” This is a great scan of nursing education that includes a discussion of international accreditation, interprofessional education and the challenges nursing programs face in preparing students for a very demanding profession. 

Mentioned in this episode: https://www.acenursing.org/

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When Raise the Line host and third year medical student Shiv Gaglani witnessed the creation of a “heart song” at the bedside of a terminal patient during his recent neurology clerkship, he immediately wanted to know more about the clinical applications of music therapy and realized the Osmosis audience would want to as well.  That’s why we’re happy to bring you this fascinating episode featuring Shiv’s interview with Kerry Devlin, MMT, a senior music therapist at the Johns Hopkins Center for Music and Medicine. “I like to describe music therapy as a relational therapeutic encounter. Music is both the tool that I'm using as a music therapist, but it's also the medium that we're working in. And we're using that tool and that therapeutic medium to travel together to work towards someone's individualized healthcare goals,” Devlin says. In the case of dying patients, she creates music that incorporates recordings of their heartbeat and breath sounds with their favorite song and gives the result to the family as a keepsake. For other patients, she adapts her work to suit their clinical situation such as taking a rhythmic approach with people dealing with movement disorders or singing with someone with Parkinson’s disease to help them maintain articulation. As you’ll learn, the applications are wide ranging and include group work as well as one-on-one sessions. This is a meaningful and memorable episode you won’t want to miss about a powerful therapeutic tool whose use is growing. 

Mentioned in this episode: https://www.hopkinsmedicine.org/center-for-music-and-medicine

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We've had the pleasure of speaking to nursing leaders at a variety of health systems and at nursing schools on past episodes of Raise the Line, but today we're going to zoom out for a big picture perspective on the profession and its current and future challenges and opportunities with Jennifer Mensik Kennedy, PhD, RN, MBA, president of the American Nurses Association, which advocates for the nation's 5.5 million RNs. In a frank assessment, Mensik Kennedy says nursing is actually not in need of new ideas to solve the problems it faces. “We've known about the solutions for decades, but yet we for some reason or another have not put those solutions into play,” she explains to host Hillary Acer. Mensik Kennedy thinks the slow pace of progress on issues such as staffing challenges, workplace violence, DEI, burnout and wellbeing can be attributed in part to the fact that only 5% of hospitals have a nurse on the board of directors. “When decisions need to be made, nurses' voices often are not heard or at that table to make needed changes.” Don’t miss this chance to hear a wealth of insight on the true value of nurses from a leader recognized nationally as one of the 100 most influential people in healthcare, and be sure to stay tuned to learn about an innovative “tribrid” model of delivering care.

Mentioned in this episode: https://www.nursingworld.org/ana/

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After working alongside healthcare providers in under-resourced countries, today’s Raise the Line guest Dr. Rebecca Weintraub came to see that the desire to serve patients and the curiosity to learn how to be the best clinician possible are universal, but the best tools to do so are not.  That’s what led her to launch the Better Evidence program at Ariadne Labs which designs, tests and scales data-driven digital tools that help manage diagnostic and therapeutic uncertainty. Currently, Better Evidence engages over 200,000 current and future clinicians and public health leaders in 147 medical schools and clinical sites across 182 countries. “If you are an isolated provider or a trainee, we believe evidence-based clinical tools help you improve your clinical confidence and clinical acumen. We're trying to help create the habits of educating yourself on the journey to being an excellent clinician.” In this illuminating conversation with host Hillary Acer, Weintraub also talks about other capacity-building work such as helping to prepare clinicians for major public health roles, and the critical importance of providers having reliable internet and cell connectivity, something she expects will improve in the near future. Don’t miss this on-the-ground view of some key elements in improving the delivery of healthcare across the globe. 

Mentioned in this episode: https://www.better-evidence.org/

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As we’ve learned on previous episodes of Raise the Line, people dealing with rare diseases usually wait 4-7 years before receiving a diagnosis, during which time their condition can deteriorate significantly. Shortening this “diagnostic odyssey” is the mission of today’s guest, Lukas Lange, and in an interesting twist, he’s doing it by involving the patients themselves.  The company he co-founded, Probably Genetic, has developed a system that starts with rare disease patients, or the parents of children with rare conditions, describing the symptoms involved on a website. “We run algorithms on that data in real time as you're on the website and if the algorithms think that this person might have a specific genetic disease, then we have a whole telemedicine system built in the background where we process that information and you get your test kit within about 48 hours of being on the website,” he explains to host Hillary Acer. Once the at-home test results are processed, a genetic counseling session is conducted via telemedicine. Tune in to find out why Lange believes having this knowledge is powerful for patients even if there may be no treatment available yet for their condition, and how it may be useful down the road with clinical trial recruitment, real world evidence tracking, and even early stage R&D for treatments.

Mentioned in this episode: https://www.probablygenetic.com/

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We've devoted quite a bit of time on Raise the Line to learning about persistent workforce shortages in human healthcare and what is being done about them, but as yet have not turned our attention to the fact that veterinary medicine is facing the same headwinds. To find out more about how that challenge is being addressed and to learn about other current issues in veterinary medicine we turn today to Dr. Kathryn Meurs, Dean at North Carolina State University College of Veterinary Medicine. One cause of the lack of veterinarians is too few slots for students, but Meurs says there is good news on that front. “There are several new veterinary schools coming online and many existing schools have increased their class size like we have.” Meurs says the profession is starting to think outside the box for other ways to build capacity including getting practices to offer more flexible work schedules, asking vets planning to retire to stay on part-time and expanding the role of veterinary technicians. Join host Hillary Acer to learn all about that and about the educational and research career tracks open to veterinarians, the importance of vet students developing great people skills, and the many clinical trials underway at NC State that sit at the intersection of human and animal health. 

Mentioned in this episode: https://cvm.ncsu.edu/

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The question of how generative AI and other recent advances in technology will change medical education is one we're continually seeking answers to on Raise the Line, and today we're turning to a really well-placed expert to weigh in on this issue. He's Dr. Warren Wiechmann, senior associate dean of Clinical Science Education and Educational Technologies at University of California Irvine, a school known for its embrace of technology. Dr. Wiechmann is considered the architect of the school's iMedEd Initiative, a comprehensive curriculum that uses everything from augmented reality to 3D printing as catalysts for curricular innovation. As he tells host Michael Carrese, integration of technology across subjects has been a key element of UCI’s approach. “We have our physiologists working closely with our anatomists, working closely with our clinical skills people. We're integrating point-of-care ultrasound into very early physiology lectures. We even have our physiologists doing a session using EKG devices.” Wiechmann stresses, though, that new tech has to meet a high bar for effectiveness before being used instructionally. “Just because it's new technology doesn't mean it's going to be useful.” As for the impact of generative AI, Wiechmann is keeping his eye on managing for inherent bias in large data sets and leveraging AI to help level the playing field for students with learning differences.  Tune in to learn more about this fascinating educational evolution. 

Mentioned in this episode: https://medschool.uci.edu/

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Most people associate being a physician with achieving financial security, but according to a recent report issued by Medscape, only about half of physicians in the United States report having a net worth over $1 million. That's where today's guest comes in. Brett Riggins founded Physician Wealth Systems in 2022 to help doctors achieve financial security through real estate investments that generate passive income. “Real estate could be that ‘means to an end’ kind of thing. It could produce this situation where it allows you to separate your time from your money and we can allow physicians to practice with passion, not practice because they have to,” Riggins tells host Michael Carrese. In this illuminating conversation, Riggins addresses the level of knowledge and time commitment involved, steps for getting started and determining your fundamental “why” for engaging in real estate investing. “No matter what profession you're going into, self-realization is the biggest piece of separating yourself from who you used to be and understanding where you want to go,” he counsels. And for those paying off student loans who think their options to make outside income are limited until they are debt free, stay tuned to learn about some strategies that could get you started.

Mentioned in this episode:
https://physicianwealthsystems.com

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On today’s Raise the Line, we continue our Next Gen Journeys series featuring conversations with learners in medical professions around the globe. Our special guest is Omer Rott, a longtime participant in our Osmosis Medical Education Fellowship and Osmosis Health Leadership Initiative programs. Omer will soon be earning his medical degree from Masaryk University in the Czech Republic. In addition to pursuing a career as a pediatrician, he’s an aspiring diversity and inclusion medical educator who has founded DiverseMedEd, an organization dedicated to improving how healthcare professionals interact with and treat patients from different backgrounds. “There is a big gap in medical education about diverse patient populations. I think healthcare providers and many other people are afraid about how to approach someone or how to ask about their situation, which might lead them to not say anything or not even act the way they think they might need to.” Through a website (link) and social media posts, Omer has already built a following, many of whom are patients happy to be seeing these issues addressed.  Join host Hillary Acer for a refreshing look at how the healthcare provider community can be more inclusive, and what lessons Omer has drawn from his extensive work mentoring fellow students over the past five years.

Mentioned in this episode:
DiverseMedEd

Equity Graphic

Elsevier Blog - Is Wearing Pins Appropriate?

If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast