Raise the Line

We're marking a couple of firsts on today's episode of Raise the Line. In the hundreds of podcasts we’ve done, we've never interviewed a goddess before, nor had a guest who has won an astounding seventy-five teaching awards, but that is the happy situation we face today in welcoming Dr. Linda Costanzo to the show.  She’s been on the faculty of Virginia Commonwealth University School of Medicine for forty-three years, earning the nickname “Physiology Goddess” for her trio of books -- including Costanzo Physiology 7th Edition, published by Elsevier -- that have been translated into thirteen languages. One key factor in Costanzo’s longevity as an effective teacher is finding new challenges in long-taught material. “I sort of concocted a scheme to dig into areas of comfort to get that edge back, that fear of falling short, I would call it,” she explains to host Michael Carrese. This lively conversation is packed with valuable insights on teaching and learning including tips for how students can maintain enthusiasm for their studies, standards teachers should set for themselves and the “stepwise” approach to teaching that she has also employed in her textbooks. 

Mentioned in this episode:

https://medschool.vcu.edu/

Costanzo Physiology, 7th Edition

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

It’s not often that you have the chance to benefit from the sweeping perspective of someone who has been in the same profession for 50 years, but that is the fortunate circumstance we find ourselves in on this episode of Raise the Line. Our guest, Dr. Jim Gordon, describes the remarkable evolution of physical therapists from being limited to hospital-based, post-op rehabilitation to becoming community-based providers of choice in a wide and growing list of specialties from orthopedics to oncology. “We have established ourselves as essential actors in the healthcare system. We have the education and research behind us, but most important, I think we have credibility among other healthcare professionals and with patients.” As the leader of one of the top ranked physical therapy programs in the US at the University of Southern California, Gordon is in a position to shape the future of the field as well. As he tells host Hillary Acer, he sees a greater role for physical therapists in prevention and primary care, and also expects changes in the application of new technologies in neurorehabilitation, his area of specialty. “What we’re trying to do is not look at technologies as a solution in and of themselves and instead develop a patient-centered approach which focuses on how people are able to use these technologies to make their lives better.” Don’t miss this great opportunity for a unique look at the current and future state of a vital part of the healthcare system from a leading figure in the field.

Mentioned in this episode: https://pt.usc.edu/

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

"Our faculty are really dedicated to trying to bridge that gap between academics and clinical practice," says Dr. Lisa Beals, the Nursing Department Chair at Missouri Southern State University and today’s Raise the Line guest.  A key factor in that effort is recording students while they perform clinical simulations and providing the students themselves, their peers and faculty an opportunity to watch the playback and weigh in on what happened, an area of expertise for Beals based on her research in the field. “It's just like a constant motion or cycle of feedback, which the literature speaks to of being so important to develop student learning.” As Beals tells host Hillary Acer, one of the department’s other main missions is to foster a culture of caring. “We're here to help them and support them in whatever way we can knowing that they face so many challenges, particularly now, to further their education.” Learn more about the successful recipe for training tomorrow’s nursing workforce from a pioneer in nursing education.

Mentioned in this episode: MSSU Nursing Program

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

February marks a major transition for Dr. Steven Halm as he moves on from leading one of the nation’s oldest schools of osteopathic medicine, at Des Moines University, to launching of one of its newest, at Xavier University, which is set to welcome its first class in 2027. Launch is actually a fitting word to use due to his background in aviation as a licensed pilot and former Senior Aviation Medical Examiner for the FAA. In fact, Halm believes medicine has a lot to learn from commercial aviation in the use of simulation to achieve the highest standards of safety. “One of my goals for the first week of the new medical school at Xavier is to have students in a simulation lab, working with task trainers and interacting with standardized patients in real scenarios of taking care of patients.” Other plans include an emphasis on newer teaching approaches such as small group and active learning paired with what he considers to be the fundamentals. “Student success depends on a combination of great faculty and great resources.” Join host Hillary Acer for a birds-eye view of osteopathic medical education and stay tuned to learn about Halm’s leadership education program for medical students and residents.

Mentioned in this episode:

Xavier University College of Osteopathic Medicine

Why Hospitals Should Fly by John Nance

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

“I think philanthropy’s role oftentimes is to come in and be the innovator,” says Dr. Bennett Nemser who is in a good position to do that as chief program officer at the Steven & Alexandra Cohen Foundation managing its health portfolios. Perhaps the best example of this is its involvement in psychedelic research where the Foundation is one of the largest private funders in the country including being a major backer of the Center for Psychedelic and Consciousness Research at Johns Hopkins Medicine. While he is excited about the progress being made in that space, Nemser says the Foundation is intent on ensuring equitable access to any new therapies that emerge, one of the organization’s chief overall aims. “We need to get the price point down so that we can make sure we have access to a lot more people that can benefit from this.” As Nemser tells Raise the Line host Shiv Gaglani, the Foundation is seeking to have similar impact in other critical areas. “We’ve provided over a billion dollars in charitable support to underserved communities, children's health and education, the arts, Lyme and tick-borne disease, psychedelics, veterans services and sustainability.” Don’t miss this expansive look at philanthropy’s change-making potential.

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

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

All health organizations aim to be ‘patient-centered’ but not many actually give patients decision making power. That’s not the case with the 1,400 Community Health Centers (CHC) across the US which require 51% of board members to be patients. “That does so many things that I think changes the dynamics of healthcare and how it's delivered,” says Dr. Kyu Rhee, president and CEO of the National Association of Community Health Centers. Impacts include co-locating oral and mental healthcare with primary care and ensuring culturally appropriate delivery of care. Although CHCs already comprise the largest primary care system in the country -- serving 31.5 million Americans (1 in 11 people) regardless of ability to pay -- Rhee envisions eventually serving 30% of Americans. As he explains to host Michael Carrese, getting there will require a deepening of existing partnerships with local communities and more funding from state and federal governments. “An investment in Community Health Centers actually saves lives and saves money.” This is a great chance to learn about an innovative model of healthcare that looks beyond the exam room to address all factors in a patient’s life that may be barriers to better health, focuses on addressing health disparities and supports the resiliency of impoverished and underserved communities.  

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

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

“Patient engagement is shockingly bad across the system. Doctors just don't have the time or mechanisms to educate their patients,” says former Amazon product manager David Neyhart. It’s something he learned firsthand during a scary health odyssey that included many rushed appointments where there was no chance to ask questions, and at best he’d be handed subpar educational materials. He’s filling this information gap through a company he co-founded called Encap Health which provides physicians with a seamless and customized way to give their patients the information they need to manage and improve their health. “We integrate with their EHR, so based on what the doctor's already entering - billing codes, prescriptions or visit notes -- we extract that and send related content to that patient automatically.” It comes in the form of an email from the doctor’s office with a list of health information and links where they can learn more. A patient with osteoporosis, for example, would get information on options for exercise and nutritional guidance specific to that condition. Importantly, neither party has to learn how to navigate a new app or web portal. Tune in as Neyhart fills in host Michael Carrese on how this process builds trust between patients and providers, and how he is eyeing a future in which Encap provides more personalized, proactive content journeys to guide patients on a path to improved health.

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

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

For the two million Americans diagnosed with cancer each year, the emotional toll of absorbing the news is often exacerbated by uncertainty about the variety of treatments, and confusion trying to navigate a fragmented healthcare system. Accompanying patients on that journey and smoothing the way for them is where Thyme Care enters the picture, a company that supports and supplements the care provided by oncology practices at no cost to patients. “We do the types of things that everybody in the oncology space knows should be done, but it’s often hard to operationalize them at scale,” says Dr. Brad Diephuis, the company’s chief business officer and a cancer survivor himself. Those things include tracking patient reported outcomes and providing proactive symptom monitoring throughout cancer treatment in order to catch problems early and prevent unnecessary interventions and hospitalizations. Data presented at the American Society of Clinical Oncology conference in 2022 indicates Thyme Care is delivering on its value proposition for insurance plans and other payers: reducing costs and increasing patient satisfaction. Join host Michael Carrese in learning why Diephuis thinks its shared savings model is succeeding, how its “care pod” model works, and what the company’s plans are for growth.

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

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

“I did not see myself as a leader, to be honest. I had my mind made up on doing something else, but it has been an amazing journey,” says Dr. Tiffany Morris, director of Nursing at North Carolina Agricultural and Technical State University.  That journey includes being the inaugural department chair in the nursing program at Elon University School of Health Sciences and serving as an interim dean in North Carolina A&T’s School of Nursing. She returned to North Carolina A&T earlier this year partly because of the larger impact she can have due to the school being the largest Historically Black College and University in the nation. “The opportunity to serve students who are normally underrepresented and be able to produce healthcare providers that look like the people that they're serving is an amazing opportunity,” she tells host Michael Carrese. Highlights of the curriculum include an accelerated nursing program which allows those with bachelor’s degrees to earn an RN in twelve months, advanced simulation training -- including access to new 3D technology that allows for virtual dissection -- and an emphasis on providing culturally appropriate care, which Morris stresses goes well beyond race to include culturally-based food preferences and spiritual practices and beliefs.  Morris has a research interest in the latter where she focuses on why African-Americans have a lower rate of hospice enrollment. Find out about one key factor in turning that around, why the university is pursuing R1 research status and new degree offerings coming soon.

Mentioned in this episode: North Carolina A&T School of Nursing

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

Sacramento, California has long been one of America’s most racially diverse cities, so it stands to reason that reducing disparities in healthcare delivery is a focus of Dr. David Lubarsky, the CEO for UC Davis Health in Sacramento. “We've realized that health equity can really only be achieved if you actually have the time and resources to get what's needed to make yourself well or keep yourself well,” he tells host Michael Carrese.  With that tight correlation between economics and equity in mind, UC Davis Health leaned into its role as an employer and launched an effort to hire more people from the communities it serves. “We've managed in two years' time to go from having 6% to 20% of our unlicensed workforce from the ten most underserved zip codes in the city.” Lubarsky is also focused on the diversity of learners in the UC Davis School of Medicine, which he also oversees, because it’s been well established that patients from historically marginalized groups have better outcomes when their providers look like them. Tune in to learn about the strategies he’s pursuing to that end, where he sees AI fitting into healthcare delivery and what’s included in the system’s historic $7 billion capital building campaign.

Mentioned in this episode: UC Davis Health

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