Rotations

I am about to release a very compelling series of episodes on Moral Injury in Health Care workers. I was prompted to do this because of the work of Pamela Wibel MD and other sources that we have spoken with over the years about physician suicide.

My work with public health response during COVID-19 has made me all the more sensitive to this issue. Then, 2 weeks ago, a young man that I knew pretty well took his own life. It had a far reaching impact and so moral injury just hit very close to home. Because I am releasing this during the massive response to the death of George Floyd I felt that I needed to put this series into context.

Nobody other than a sociopath thinks the death of another person is a good thing and nobody concerned about the health of our nation can casually ignore a death that occurs during a police arrest but I hope that in this intro to other things you understand why I am not going to join into the legion of voices commenting about those events. I am going to address something that I can speak to with some authority and that is why I felt the need to address questions that will arise when this goes out.

I hope you get something out of this and I think you will learn a lot from Wendy and Simon as I post their content. If you want a taste of it, head over to

https://fixmoralinjury.org/

Look at this paper

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6752815/

and then prepare to listen to a dialogue about all of it.

While we are at it I want to point out that the music of this episode, which is just awesome, was picked for its mood and it is called.

Hold Me Down by Oliver Michael

Courtesy of Artlist.io

I recommend you sample their stuff, I cannot thank them enough for this service.

And one last shameless plug, if you like this content please tweets it, forward it to your facebook friends and spread it around. Look after your doctors, PAs and nurses, you need them.

Finally, if you have comments, hit me up on Facebook at TR Fredricks or on Twitter @MedicalCinema

Have a great week!

We continue with the interview (actually 2) the long-lost interview, with Dr. Todd Jamrose, Psychiatrist extraordinaire, D & D Player and BlueJackets Hockey Fan. We hit on clinical operations and the spider sense of physicians caring for patients. If they look sick they are sick. If they don’t look sick but your gut is saying that they are; they are.

We get into the STAR*D study and talk about SSRIs and compliance and actually telling your patients about what you are prescribing for them. Adherence versus compliance is a distinction that all physicians should fully understand. It takes time, trust and patience to develop that with your patients.

So hopefully as you listen you pick up some pearls and perhaps learn a little more about why you might want to pick psychiatry as a specialty if you happen to be a medical student. There is a lot medicine in psychiatry, especially when you start dealing with the anti-psychotics. Modern psychiatry, well-practiced, saves a lot of live and restores quality of life to people who suffer desperately with disordered or confused thoughts and feelings.

Producers note: I am editing this just 5 days after finding the body of a friend and fellow soldier that decided to end his life. I’ll have more to say about this but not in this episode. Suicide is a terrible thing and I beg of you, if you are contemplating it, understand that you will leave more sadness than you can imagine. It is never neat. It is never clean. You can’t solve your problems by killing yourself; you’ll just break the hearts of those around you who will spend the rest of their lives wondering, why you didn’t reach out and allow them to be a friend.

The National Suicide Prevention Hotline is 1-800-273-8255

Before you make a decision that is permanent at least take the time to make a call. You are worth it and the people who love you will be forever grateful.

Also, I decided to break tradition and add a vocal to intro and outro. I encourage you to check out Artlist.io There is an incredible collection of great music there and the artists need your support.

The Columbus Blue Jackets

https://www.nhl.com/bluejackets

National Alliance on Mental Illness Walks

https://www.namiwalks.org/

The STAR*D Study

https://en.wikipedia.org/wiki/STAR*D

Ohio University Hockey

https://www.ohiobobcathockey.com/

OMM

https://www.aacom.org/become-a-doctor/about-osteopathic-medicine/omm-optimizing-patient-focused-health-care-

Dr. Jamrose’s reference for medical students

https://stahlonline.cambridge.org/essential_4th.jsf

Catch us on twitter at @RotationsPcast

Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi

You can also send comments to Todd at TR Fredricks on Facebook.

Look for more Rotations Content at mediainmedicine.com/Rotations

and on

Soundcloud and

iTunes at Rotations Podcast.

Intro and Outro Music:

When I get There by Maya Isac

Courtesy of Artlist.io

Produced by: Todd Fredricks DO and Brian Plow MFA

Edited by: Todd Fredricks DO

Cohost: Mara Leyendecker OMS IV

Disclaimers: Chukwudubem Obianadha OMS IV

Cut Clip: None… we are getting there with production

Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted.

Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

So this is the long lost Dr. Jamrose series. Basically we recorded this well over a year ago and Todd Jamrose was terrific about spending time speaking with us about why psychiatry matters. We examine all sorts of things in this series about psychopharmacology, clinical psychiatry, acute in-patient psychiatry, VA Health Care and all manner of other things.

Mara Leyendecker OMS II hosted this and now she is an OMS IV. So you will hear her voice in this as well. Psychiatry is an underserved specialty that has more spots available in the country than graduate residents to fill them. Mara wants to be a psychiatrist and she will get into that as well.

So hopefully this foray into the world of the mind, body, spirit and how they work together will inspire some of you. If not, understand that Dr. Jamrose is an avid hockey fan (Go Bluejackets!) and Dungeons an Dragons player. He has an astute affinity for comic book pop culture and will speak with anyone who wants to understand why Green Lantern is the best superhero. Fredricks disagrees with him because he is purely devoted to Captain America and The Winter Soldier.

So join us as we rant and riff along with one of the funniest and least self-conscious physicians that you will ever meet. Dr. Jamrose has been a practicing paramedic, high school band director and acutely focused on caring for those who struggle daily with broken brains, emotions and trauma. He is a refreshing guy with whom to talk medicine and spend a few hours watching the crease at Nationwide.

Concorde College

https://www.concord.edu/

EMTs

https://www.naemt.org/

What is a DO?

https://osteopathic.org/what-is-osteopathic-medicine/what-is-a-do/

Chillicothe VA on the campus of the former Camp Sherman

https://www.chillicothe.va.gov/

http://ohiohistorycentral.org/w/Camp_Sherman

OMM

https://www.aacom.org/become-a-doctor/about-osteopathic-medicine/omm-optimizing-patient-focused-health-care-

Dr. Jamrose’s reference for medical students

https://stahlonline.cambridge.org/essential_4th.jsf

The email account is:

[email protected]

But honestly, we seldom check it. Use the Social Media links…

Catch us on twitter at @RotationsPcast

Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi

You can also send comments to Todd at TR Fredricks on Facebook.

Look for more Rotations Content at mediainmedicine.com/Rotations

and on

Soundcloud and

iTunes at Rotations Podcast.

Intro and Outro Music:

An Unquiet Mind by Glories

Courtesy of Artlist.io

Produced by: Todd Fredricks DO and Brian Plow MFA

Edited by: Todd Fredricks DO

Cohost: Mara Leyendecker OMS IV

Disclaimers: Moi

Cut Clip: None… we are getting there with production

Rotations is produced using (and we always accept donations from any gear folks):

Rode Podcaster Pro

Rode NT1-A mics

Zoom H4N

Rode Lavalier Go

Polsen Studio Headphones

Kopul XLR cables

SanDisk media

Final Cut Pro X

MacBook Pro

Tama mic stands

Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted.

Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

David Morton PhD The Noted Anatomist Episode 3 by Media in Medicine

The final part of our great visit with Dr. David Morton. In this episode we discuss the nature of editing and working with social media for education. We talk about Google and YouTube as vehicles for information exchange.

Then the wonk factor about education talk. Does the future of medical education come down to just 5 or 6 really excellent content producers that are paid a license fee by the schools? Well before you get worried, David doesn’t quite see the future looking like this. Our segment on MOOCs really got me rethinking about the actual value of the anatomy lab. It is well known that I hated anatomy but the introduction of ultrasound made it palatable for me and understandable.

This is why we need faculty and this is why we need faculty in person and on site, but the nature of the faculty needed will change and it favors those who can correlate their instruction with clinical application. I would also mention that David gets a little Zen about the whole experience of anatomy but his points are extremely well taken. He changed my mind as to why I should actually be thankful for all those formalin fumes.

We discuss the myriad of buzzwords and new shiny objects that educators come back from conferences with and how they are meant to solve all problems and generally miss the fundamental point of education. This segment at around 18:00 minutes is probably the best of the segment for anyone aspiring to be a great educator.

Frankly the entire podcast is a good place for an aspiring medical educator in the age of COVID-19 to start thinking about what medical education looks like, should look like and will look like…

The Noted Anatomist

https://www.youtube.com/channel/UCe9lb3da4XAnN7v3ciTyquQ

David’s Academic Page at the “U”

https://medicine.utah.edu/faculty/mddetail.php?facultyID=u0166427

Dr. Morton uses Apple Keynote for his video products and a USB microphone of high quality for his work.

Camtasia

https://www.techsmith.com/video-editor.html

The comments by David reflect why I stick with Final Cut for all editing. Plow likes Premier but once you get used to a product you stick with it.

Massive Open Online Education Courses

https://en.wikipedia.org/wiki/Massive_open_online_course

Kahn Academy

https://www.khanacademy.org/

Osmosis

https://www.osmosis.org/

As always you can send comments to me at:

TR Fredricks on Facebook

@MedicalCinema on the Twitter

You can reach Brian Plow

@ProfPlow on the Twitter

You can reach Nisarg Bakshi

@nisargbakshi on the Twitter

or

[email protected]

Catch us on twitter at @RotationsPcast

Look for more Rotations Content at mediainmedicine.com Rotations

and on

iTunes at Rotations Podcast.

Intro and Outro Music:

Celebrate your Heart by Maytal Michaeli

Courtesy of Artlist.io

Produced by: Todd Fredricks DO and Brian Plow MFA

Edited by: Todd Fredricks DO

Cohost:  done all by myself

Disclaimers: Myself (all the students went home)

Cut Clip: Todd Jamrose DO and Mara Leyendecker OMS IV, FINALLY in the lost Jamrose Episodes…

Rotations is produced using (and we always accept donations from any gear folks):

Rode Podcaster Pro

Rode NT1-A mics

Polsen Studio Headphones

Kopul XLR cables

SanDisk media

iPhone 11

Final Cut Pro X

MacBook Pro

Tama mic stands

Coachmen Lavs

RODE Lavalier Go

Zoom H4N

Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted.

Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Part 2 of the series where we were able to dialogue with David Morton, PhD of the University of Utah. David has a little online presence thing called The Noted Anatomist. Basically, 115,000 people, we can surmise that most of them are medical students, have decided that David’s approach to teaching anatomy is worthy of their time. So, knowing this I figured that it was time to track David down and discuss this whole deal.

In this segment we talk about the nature of modern medical education, textbooks, costs, how students now consume medical education and how The Noted Anatomist actually makes his content. How do Medical Universities manage this change in educational approach? What do the good universities do? The Universities who value creativity in faculty and are willing to push the boundaries of what constitutes a “traditional” approach to medical education?

Is scholarly work just journals and textbooks or does audiovisual content posted through social media constitute a new way of doing this? The Noted Anatomist is INTERNATIONALLY affecting. Basically the ability to reach content consumers is at a level never before experienced in medical education. Further, the issue of content control now favors the content creator more than ever.

Creators are not dependent upon publishers and editors or other agents that demand changes to the creator’s vision or ideas. Creators can now just publish on multiple platforms and become experts at distribution. It’s crazy just how much access there is now.

The Noted Anatomist

https://www.youtube.com/channel/UCe9lb3da4XAnN7v3ciTyquQ

David’s Academic Page at the “U”

https://medicine.utah.edu/faculty/mddetail.php?facultyID=u0166427

Strong Medicine

https://www.youtube.com/channel/UCFq5vPnNRNNNysLrktz4aSw

Dr. Morton uses Apple Keynote for his video products and a USB microphone of high quality for his work.

The Ogden Mustangs

https://www.ogdenmustangs.com/

As always you can send comments to me at:

TR Fredricks on Facebook

@MedicalCinema on the Twitter

You can reach Brian Plow

@ProfPlow on the Twitter

You can reach Nisarg Bakshi

@nisargbakshi on the Twitter

or

[email protected]

Catch us on twitter at @RotationsPcast

Look for more Rotations Content at mediainmedicine.com Rotations

and on

iTunes at Rotations Podcast.

Intro and Outro Music:

Bones by C.K. Martin

Courtesy of Artlist.io

Produced by: Todd Fredricks DO and Brian Plow MFA

Edited by: Todd Fredricks DO

Cohost: Solo Mission on this one

Disclaimers: Myself (all the students went home)

Cut Clip: None yet, still climbing the curve…

Rotations is produced using (and we always accept donations from any gear folks):

Rode Podcaster Pro

Rode NT1-A mics

Polsen Studio Headphones

Kopul XLR cables

SanDisk media

iPhone 11

Final Cut Pro X

MacBook Pro

Tama mic stands

Coachmen Lavs

RODE Lavalier Go

Zoom H4N

Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted.

Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

In this series we dialogue with David Morton, PhD of the University of Utah. David has a little online presence thing called The Noted Anatomist. Basically, 115,000 people, we can surmise that most of them are medical students, have decided that David’s approach to teaching anatomy is worthy of their time. So knowing this I figured that it was time to track David down and discuss this whole deal.

Although I interviewed David this past winter (January 2020) in Salt Lake, since then COVID-19 has become a highly disruptive influence to the process of medical education. But in a fit of premonition, David and I decided to discuss what the internet has done for education. In short, the brave new world is the domain of the content creators and the better content that you can create, the more value students place in watching it.

David was not happy with how he was taught, and just so that we are clear here, he could have gone to medical school, but he decided to be an anatomist instead and he was determined to develop pre-study materials that would make his instruction in anatomy all the more meaningful to the students. So, in this first part of the series we talk about his back ground and how he evolved as an online educator.

The interview took place in his office at The “U” and I am not kidding when I tell you that the place was like a bunker. Happily, the inherent processing capable of Final Cut Pro delivered an absent air handler that I was really concerned about. I hope that you enjoy listening to it as much as I enjoyed recording it.

In doing this interview, I not only found a kindred educator but a new good friend…

The Noted Anatomist

https://www.youtube.com/channel/UCe9lb3da4XAnN7v3ciTyquQ

David’s Academic Page at the “U”

https://medicine.utah.edu/faculty/mddetail.php?facultyID=u0166427

David’s work on Computer Assisted Instruction in Ghana

https://www.researchgate.net/publication/340578545_Incorporating_computer-assisted_instruction_CAI_into_a_Ghana_West_Africa_medical_school_curriculum

Good luck finding him finding him playing a guitar…I looked everywhere but I know that I have seen it…Finally thanks to MS 1 Lindsey Wright I found it.

https://www.facebook.com/UofUMedicine/videos/dr-mortons-gi-song/770753873264207/

The Ogden Mustangs

https://www.ogdenmustangs.com/

As always you can send comments to me at:

TR Fredricks on Facebook

@MedicalCinema on the Twitter

You can reach Brian Plow

@ProfPlow on the Twitter

You can reach Nisarg Bakshi

@nisargbakshi on the Twitter

or

[email protected]

Catch us on twitter at @RotationsPcast

Look for more Rotations Content at mediainmedicine.com Rotations

and on

iTunes at Rotations Podcast.

Intro and Outro Music:

Bones by C.K. Martin

Courtesy of Artlist.io

Produced by: Todd Fredricks DO and Brian Plow MFA

Edited by: Todd Fredricks DO

Cohost: Solo Mission on this one

Disclaimers: Myself (all the students went home)

Cut Clip: None yet, still climbing the curve…

Rotations is produced using (and we always accept donations from any gear folks):

Rode Podcaster Pro

Rode NT1-A mics

Polsen Studio Headphones

Kopul XLR cables

SanDisk media

iPhone 11

Final Cut Pro X

MacBook Pro

Tama mic stands

Coachmen Lavs

RODE Lavalier Go

Zoom H4N

Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted.

Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Our second episode with Nisarg Bakshi (now DO) OMS IV and cofounder of Rotations. We pick up where we left last week with Nisarg as he talks about moving on to begin his career as a pediatrician at Cook County Hospital in Chicago.

What’s involved in a big move to a big city with an entirely different set of medical issues than most small parts of American face? Well Nisarg tells us. In addition, he talks about his strategy (or lack thereof) in picking a residency location (we think he just turned it into a chance to see friends and parts of the country where he could find good food).

We discuss McDonalds in India and how India is dealing with COVID-19.

Nisarg also discussed the cost of doing his interviews and also the challenges in dealing with all of this during the worst pandemic faced for 100 years. It’s a good interview and a time to catch up with one of Rotation’s co-founders. Finally, we get a commitment from him to get some serious interviews done up in Chicago after his first year is under his belt.

So, listen along as Nisarg continues his journey toward being the best pediatrician on the planet…or at least in the top 5.

We are seeing a decided emptiness of comments (good or bad) and you know that all you have to do is send them to TF Fredricks on Facebook or tweet them to @MedicalCinema (Fredricks) or @ProfPlow (Brian Plow) and if they are good ones we might even talk about them.

Nisarg is lonely and would love to have twitter friends @NisargBakshi

The email account is:

[email protected]

But honestly we seldom check it. Use the Social Media links…

Catch us on twitter at @RotationsPcast

Look for more Rotations Content at mediainmedicine.com/Rotations

and on

iTunes at Rotations Podcast.

Intro and Outro Music:

Verve by Assaf Ayalon

&

Pure Magic by Zac Nelson

Courtesy of Artlist.io

Produced by: Todd Fredricks DO and Brian Plow MFA

Edited by: Todd Fredricks DO

Cohost: Nisarg Bakshi OMS 4

Disclaimers: Moi

Cut Clip: None… we are getting there with production

Rotations is produced using (and we always accept donations from any gear folks):

Rode Podcaster Pro

Rode NT1-A mics

Polsen Studio Headphones

Kopul XLR cables

SanDisk media

Final Cut Pro X

MacBook Pro

Tama mic stands

Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted.

Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

We found Nisarg. He was hunkered down weathering COVID-19 and we had a really nice chat about 4th year, matching and the trial of figuring out what he’s going to do for the rest of his life. Along the way we discussed his puzzling (not really) decision to go to Chicago.

It’s 2 sequential episodes that are very good for the current times and for any medical student who feels stressed about how you figure out what you want to do when you grow up. Let us know how the experience helped you…

We are seeing a decided emptiness in our gmail inbox. We really do want to hear from you. Even if you just send us a note on what we are doing right or wrong.

[email protected]

Catch us on twitter at @RotationsPcast

Look for more Rotations Content at mediainmedicine.com Rotations

and on

iTunes at Rotations Podcast.

Intro and Outro Music:

Zombie Funk by Steve Poloni

DuDa by Ian Post

Courtesy of Artlist.io

Produced by: Todd Fredricks DO and Brian Plow MFA

Edited by: Todd Fredricks DO

Cohost: Nisarg Bakshi OMS 4

Disclaimers: Todd Fredricks DO

Rotations is produced using (and we always accept donations from any gear folks):

Rode Podcaster Pro

Rode NT1-A mics

Polsen Studio Headphones

Kopul XLR cables

SanDisk media

Final Cut Pro X

MacBook Pro

Tama mic stands

Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted.

Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

So for the 5th installment of COVID-19 are going to discuss supply chains and novel engineering and fired physicians and a really cool dude in Korea who gives us the play by play on why the South Korean numbers look so different from others.

We also talk about the reality of China and its optics issues

By the way, as soon as the hardware shows up, Nisarg is going to be back on. He found me so I think its worth giving him some airtime.

Below are the links.

James Gaskell MD is the Athens Co. Ohio Health Commissioner.

Mexican Government weighs its concerns and approaches the problem in a way we are not.

https://www.latimes.com/world-nation/story/2020-03-26/human-rights-watch-says-mexican-people-in-grave-danger-because-of-coronavirus-inaction

Dr. Kim Woo-joo of the Korean University Guro Hospital

https://youtu.be/gAk7aX5hksU

The Korean KF94 Mask

http://aaqr.org/files/article/668/36_AAQR-13-06-OA-0201_991-1002.pdf

Boris gets COVID-19 (Ever heard of Wag the Dog? Look at the photo they chose of the PM)

https://www.businessinsider.com/uk-prime-minister-boris-johnson-tests-positive-for-coronavirus-covid-19-2020-3

Dr. Ming Lin and his sacking

https://www.seattletimes.com/seattle-news/health/er-doctor-who-criticized-bellingham-hospitals-coronavirus-protections-has-been-fired/

https://time.com/5812006/washington-coronavirus-health-care-staff-fired/

He’s on Facebook as well…I mean who isn’t?

Send him some encouragement and note that he is very deliberate about not wanting criticism of PeaceHealth because he is concerned that it might have an impact on his patients.

We hope you enjoy the episode and please pass along any good comments you might have for us. If you have bad comments, re-read them, remember we have sensitive feelings and then send them.

TRFredricks on Facebook

@MedicalCinema on Twitter

Follow Plow

@ProfPlow

Follow Bakshi, if you can find him

@NisargBakshi

[email protected]

Catch us on twitter at @RotationsPcast

Look for more Rotations Content at mediainmedicine.com Rotations

and on

iTunes at Rotations Podcast.

Intro and Outro Music:

Sonar by Michael FK

Faith by Michael FK

Courtesy of Artlist.io

Produced by: Todd Fredricks DO

Histed by: Todd Fredricks DO

Edited by: Todd Fredricks DO

Disclaimers: Moi

Rotations is produced using (and we always accept donations from any gear folks):

Rode Podcaster Pro

Rode NT1-A mics

Polsen Studio Headphones

Kopul XLR cables

SanDisk media

Garage Band

Ancient MacBook Pro (New Macbook is ordered with Final Cut Pro X)

Tama mic stands

Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted.

Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University, the States of Ohio or West Virgina or the Department of Defense or the West Virginia Army National Guard..