The Day Shift

Trauma has an undeniable impact on our patients' health and illness, but it is not often addressed in the clinical setting, even though many trauma survivors think their healthcare team should know about their trauma history. Join us in learning from Dr. Moira Szilagyi (President of the American Academy of Pediatrics) and Dr. Edward Machtinger (Internal Medicine physician and director of UC San Francisco's Center to Advance Trauma-Informed Healthcare) about the key features and signs of trauma, fundamental principles of trauma-informed care, and the impact of trauma and adverse childhood experiences (ACE) on our patients' health.

Learning Objectives:

1. Define the terms trauma, trauma-informed care, and adverse childhood experiences.
2. Gain familiarity with SAMHSA’s 3 E’s of trauma and 4 R’s of trauma-informed care.
3. List 2 ACE (adverse childhood experiences), and describe how ACE screening/intervention fit within the larger framework of trauma-informed care.

Credits:
Guests: Dr. Moira Szilagyi, Dr. Edward Machtinger
Co-hosts/Producers: Dr. Maggie Kozman, Dr. DJ Gaines
Executive Producer: Dr. Tammy Lin 
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany Leung
Senior Producers: Dr. Maggie Kozman, Dr. DJ Gaines
Editor/Assistant Producer: Joanna Jain
Production Assistants: Nilgoun Farhadi, Sanika Walimbe
Website/Art Design: Ann Truong
Music: Chris Dingman

Connect with us on Instagram at @thedayshift.pod and via email at [email protected]

We are excited to share this recording of our live panel at the ACP Internal Medicine Meeting 2022 in Chicago! Experience this live discussion featuring medical student Ms. Jeshanah Johnson, Dr. Anais Ovalle, Dr. Quentin Youmans, and Dr. Lovelee Brown as they shared how to launch a successful diversity, equity, and inclusion initiative in a healthcare system. They discussed everything from doing a needs assessment, sustainability, and disseminating successful initiatives.

Learning objectives:

1. Define diversity, equity, and inclusion (DEI) initiatives in medicine.
2. Identify a specific area within one’s organization where education or programming to increase diversity and inclusion is needed.
3. Discuss 2 recommended strategies for launching a DEI initiative.
4. Review how to apply quality improvement principles to DEI initiatives and disseminate outcomes and strategies.

Credits:

Guests: Ms. Jeshanah Johnson, Dr. Anais Ovalle, Dr. Quentin Youmans, Dr. Lovelee Brown
Moderators/Co-hosts/Producers:  Dr. Brittäne Parker Valles, Dr. Sarah Takimoto
Executive Producer: Dr. Tammy Lin 
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany Leung
Senior Producers: Dr. Maggie Kozman, Dr. DJ Gaines
Production Assistant: Alexandra Babakanian
Editor/Assistant Producer: Joanna Jain
Website/Art Design: Ann Truong
Music: Chris Dingman

Connect with us on Instagram at @thedayshift.pod and via email at [email protected]

Dr. Chwen-Yuen Angie Chen is an associate professor at Stanford Medicine, internist-addiction specialist, and ACP California Northern chapter governor.  Dr. Linda Clever is board certified in Internal Medicine and Occupational Medicine, former ACP Northern California Governor, founding President of RENEW, a not for profit focused on energized and resilient healthcare workplaces
Key messages: 

• Pandemic era accommodations like childcare support and expanded telehealth practices should remain as able as we transition into the post-pandemic world
• Refer to the ACP toolkit on advocating for credentialing applications that do not ask about mental health. 
• Self care is self preservation. 

The conversation continues on Twitter with the #PTBGIM. For this episode, be sure to tag @theDEIShift.. Tell us why you’re #ProudToBeGIM and share your perspectives, experiences, or tips on how becoming a physician advocate is a valuable skillset as a general internal medicine specialist.
Resources:

• The DEI Shift: Patients as Physicians Show Notes and Resource list
• National Academy of Medicine Action Collaborative on Clinican Well-Being and Resilience : https://nam.edu/initiatives/clinician-resilience-and-well-being/
• ACP Toolkit on Revising License and Credentialing Applications to Not Ask About Mental Health : https://www.acponline.org/practice-resources/physician-well-being-and-professional-fulfillment/advocacy-toolkit-revising-license-and-credentialing-applications-to-not-ask-about-mental-health
• The Fatigue Prescription: https://renewnow.org/books-reference/

#ProudtobeGIM is a campaign from the Society of General Internal Medicine and the American College of Physicians aimed at encouraging medical students and residents to pursue General Internal Medicine. This special podcast series for #ProudToBeGIM Week, February 21-24, 2022, is sponsored by a #ProudToBeGIM honorarium and the American College of Physicians Southern California Region III Chapter. Read more about the campaign here: https://www.sgim.org/career-center/proudtobegim 

The DEI Shift podcast is proud to partner with SGIM in promoting #ProudToBeGIM week. This opportunity allows multiple ACP Chapters to showcase the expertise of their leaders and to provide a fresh look into some popular episodes. We are especially delighted to have members of our production team, many of whom are pre-medical students, contribute their voices to the conversation as well.

Credits:
Host: Dr. Pooja Jaeel (she/her/hers) and Likitha Arudhyala (she/her/hers)
Guests: Dr. Angie Chen, Dr. Linda Clever
Producers: Dr. Sarah Takimoto, Dr. Tiffany Leung
Executive Producer: Dr. Tammy Lin 
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany Leung
Senior Producer: Dr. DJ Gaines, Dr. Maggie Kozman
Production Assistants: Ann Truong, Likitha Arudhyala
Website/Art design: Ann Truong
Music: Chris Dingman

Connect with us on Instagram at @thedayshift.pod and via email at [email protected]

Dr. Ricardo Correa, an endocrinology physician in ACP Arizona chapter, Chair-Elect Designee of the ACP Council of Early Career Physicians, and Associate Editor of SGIM Forum, and Dr. Priya Radhakrishnan, Chief Academic Officer/Vice President of Health Equity at HonorHealth, governor of ACP Arizona , and Governor-Elect Designee of the ACP Board of Governors, reflect on the topic of a previous episode of The DEI Shift: the minority tax (Season 2, Episode 1) and its relevance for generalist physicians and trainees. 

Key messages: 

• The gratitude tax is a feeling of obligation that underrepresented minorities in medicine (URMM) faculty have to an academic institution and to future generations of URMMs for being given the opportunity to be a physician. 
• Academic leaders can provide appropriate incentives for academic faculty to participate in internal (e.g., committee) service to mitigate the minority tax and gratitude tax.
• Scholarly work can take a variety of forms and can be recognized to give voice to URMMs. 
• Affinity groups can offer an opportunity to promote advocacy, advancement, and education towards diversifying the internal medicine pipeline.

Learn more at thedeishift.com.

Follow us on Twitter and share why you are #ProudToBeGIM. Tag @theDEIShift @ArizonaACP! Tell us why you’re #ProudToBeGIM and share your perspectives or tips on how to mitigate the minority tax and gratitude tax.

#ProudtobeGIM is a campaign from the Society of General Internal Medicine and the American College of Physicians aimed at encouraging medical students and residents to pursue General Internal Medicine. This special podcast series for #ProudToBeGIM Week, February 21-24, 2022, is sponsored by a #ProudToBeGIM honorarium and the American College of Physicians Southern California Region III Chapter. Read more about the campaign here: https://www.sgim.org/career-center/proudtobegim

The DEI Shift podcast is proud to partner with SGIM in promoting #ProudToBeGIM week. This opportunity allows multiple ACP Chapters to showcase the expertise of their leaders and to provide a fresh look into some popular episodes. We are especially delighted to have members of our production team, many of whom are pre-medical students, contribute their voices to the conversation as well.

Credits:
Host: Dr. Ricardo Correa (he/him/his)
Guest: Dr. Priya Radhakrishnan (she/her/hers)
Producers: Dr. Sarah Takimoto, Dr. Tiffany Leung
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany Leung
Senior Producer: Dr. DJ Gaines, Dr. Maggie Kozman
Editor: Dr. Tiffany Leung
Production Assistants: Ann Truong, Likitha Arudhyala
Website/Art design: Ann Truong
Music: Chris Dingman (www.chrisdingman.com)

Disclaimer: The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated with.

Connect with us on Instagram at @thedayshift.pod and via email at [email protected]

Dr. Elisa Choi, ACP MA governor and Chair-Elect of the ACP Board of Governors, and Dr. Carole Vincent, general internal medicine specialist and founding member of the ACP MA Chapter JEDI Committee, reflect on a previous episode of The DEI Shift, Anti-racism in Healthcare Education (Season 2, Episode 3). In the previous episode, The DEI Shift Senior Producers, Dr. Maggie Kozman and Dr. DJ Gaines, interviewed Dr. Ryan Mire, ACP President-Elect, about what anti-racism means in healthcare education and how to bring about needed change in our learning and work environments.

Key messages: 

• Being antiracist is being proactive against racism and racist ideas; in contrast, being non-racist is a passive stance.
• Beware of biological anchoring of medical concepts that lack an appropriate evidence base: race is a social construct, not a biological construct. 
• Being antiracist as a general internal medicine specialist means to listen to the patient’s story without judgment or preconceived ideas or biases. 
• Medical students and learners at all stages of general internal medicine specialty careers can be empowered and engaged in making change towards antiracism in medicine and healthcare education.

Learn more at thedeishift.com.

The conversation continues on Twitter with the #PTBGIM. For this episode, be sure to tag @theDEIShift @ACPMAChapter and @MAACPGovernor. Tell us why you’re #ProudToBeGIM and share your perspectives, experiences, or tips on how being anti-racist is essential as a general internal medicine specialist or trainee.

#ProudtobeGIM is a campaign from the Society of General Internal Medicine and the American College of Physicians aimed at encouraging medical students and residents to pursue General Internal Medicine. This special podcast series for #ProudToBeGIM Week, February 21-24, 2022, is sponsored by a #ProudToBeGIM honorarium and the American College of Physicians Southern California Region III Chapter. Read more about the campaign here: https://www.sgim.org/career-center/proudtobegim

The DEI Shift podcast is proud to partner with SGIM in promoting #ProudToBeGIM week. This opportunity allows multiple ACP Chapters to showcase the expertise of their leaders and to provide a fresh look into some popular episodes. We are especially delighted to have members of our production team, many of whom are pre-medical students, contribute their voices to the conversation as well.

Credits:
Host: Dr. Elisa Choi
Guest: Dr. Carole Vincent
Producers: Dr. Sarah Takimoto, Dr. Tiffany Leung
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany Leung
Senior Producer: Dr. DJ Gaines, Dr. Maggie Kozman
Editor: Dr. Tiffany Leung
Production Assistants: Ann Truong, Likitha Arudhyala
Website/Art design: Ann Truong
Music: Chris Dingman

Disclaimer: The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated with. 

Connect with us on Instagram at @thedayshift.pod and via email at [email protected]

Dr. Candace Sprott, a primary care general internal medicine physician in Southern California Region III Chapter of ACP, and Dr. Jasmine Smith, an assistant professor and hospitalist in Internal Medicine-Pediatrics at the Children’s Hospital of Los Angeles, reflect on a previous episode of The DEI Shift: the hidden curriculum (Season 1, Episode 9) and its relevance for generalist physicians and trainees. Previously, Co-hosts, Dr. Brittäne Parker and Dr. Quentin Youmans, talked with Dr. Smith about the hidden curriculum.

Key messages: 

• With the hidden curriculum, one language is used to discuss medicine, diseases, and research, and another is used to demonstrate your competence as a clinician. Nonverbal cues can be an important part of the latter, along with verbal cues.
• Acknowledging the positive aspects of the hidden curriculum, like empathy and reflection, and intentionally spreading these through mentorship can be educational, although these are not yet universally done.
• For trainees, be observant, ask questions, identify examples of practice and communication styles that are desirable for your own practice.
• For mentors, faculty, and educators, give trainees timely and helpful feedback to adjust behaviors if needed.

Learn more at thedeishift.com.

The conversation continues on Twitter with the #PTBGIM. For this episode, be sure to tag @theDEIShift @ACP_SoCAL. Tell us why you’re #ProudToBeGIM and share your perspectives, experiences, or tips on how to promote positive aspects of the hidden curriculum and mitigate the negative aspects of the hidden curriculum as a general internal medicine specialist or trainee.

#ProudtobeGIM is a campaign from the Society of General Internal Medicine and the American College of Physicians aimed at encouraging medical students and residents to pursue General Internal Medicine. This special podcast series for #ProudToBeGIM Week, February 21-24, 2022, is sponsored by a #ProudToBeGIM honorarium and the American College of Physicians Southern California Region III Chapter. Read more about the campaign here: https://www.sgim.org/career-center/proudtobegim

The DEI Shift podcast is proud to partner with SGIM in promoting #ProudToBeGIM week. This opportunity allows multiple ACP Chapters to showcase the expertise of their leaders and to provide a fresh look into some popular episodes. We are especially delighted to have members of our production team, many of whom are pre-medical students, contribute their voices to the conversation as well.

Credits:
Host: Dr. Candace Sprott (she/her/hers)
Guest: Dr. Jasmine Smith (she/her/hers)
Producers: Dr. Sarah Takimoto, Dr. Tiffany Leung
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany Leung
Senior Producer: Dr. DJ Gaines, Dr. Maggie Kozman
Editor: Dr. Tiffany Leung
Production Assistants: Ann Truong, Likitha Arudhyala
Website/Art design: Ann Truong
Music: Chris Dingman

Disclaimer: The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated with. 

Connect with us on Instagram at @thedayshift.pod and via email at [email protected]

Dr. Erynn Beeson, an Internal Medicine resident at Oregon Health Sciences University (OHSU) and a member of the Oregon chapter of ACP, and Dr. Ximena Levander, an assistant professor at OHSU and Addiction Medicine specialist, reflect on important topics from previous episodes of The DEI Shift, Health Policy and Advocacy (Season 3, Episode 7) and The Breadth of Addiction Medicine (Season 3, Episode 5).

Key messages: 

• Advocacy as a physician helps to alleviate daily stress or burnout by channeling frustration with the healthcare system into lasting change. 
• Access to buprenorphine via telemedicine, houselessness, and social determinants of health are among many key policy issues relevant for the care of patients with addiction and substance use disorders.
• Engagement in professional organizations can provide physicians resources and updates on current health policies at the local, state, and national level.
• Learning scripts for advocacy, similar to learning scripts for patient communications, are small learnings that physicians and trainees can bring to their advocacy work. 
• Connecting with community organizations can be an easy way to engage in local advocacy: as a physician, start by asking, “How can I help?”

Learn more at thedeishift.com.

The conversation continues on Twitter with the #PTBGIM. For this episode, be sure to tag @theDEIShift @OregonACP. Tell us why you’re #ProudToBeGIM and share your perspectives, experiences, or tips on how becoming a physician advocate is a valuable skillset as a general internal medicine specialist.

#ProudtobeGIM is a campaign from the Society of General Internal Medicine and the American College of Physicians aimed at encouraging medical students and residents to pursue General Internal Medicine. This special podcast series for #ProudToBeGIM Week, February 21-24, 2022, is sponsored by a #ProudToBeGIM honorarium and the American College of Physicians Southern California Region III Chapter. Read more about the campaign here: https://www.sgim.org/career-center/proudtobegim

The DEI Shift podcast is proud to partner with SGIM in promoting #ProudToBeGIM week. This opportunity allows multiple ACP Chapters to showcase the expertise of their leaders and to provide a fresh look into some popular episodes. We are especially delighted to have members of our production team, many of whom are pre-medical students, contribute their voices to the conversation as well.

Credits:
Host: Dr. Erynn Beeson (she/her/hers)
Guest: Dr. Ximena Levander (she/her/hers/ella)
Producers: Dr. Sarah Takimoto, Dr. Tiffany Leung
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany Leung
Senior Producer: Dr. DJ Gaines, Dr. Maggie Kozman
Editor: Dr. Tiffany Leung
Production Assistants: Ann Truong, Likitha Arudhyala
Website/Art design: Ann Truong
Music: Chris Dingman

Disclaimer: The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated with. 

Connect with us on Instagram at @thedayshift.pod and via email at [email protected]

This episode features Dr. Amber Brooks, a board certified anesthesiologist and comprehensive pain management physician. This episode examines the management of acute and chronic pain, focuses on bias that can manifest in treating those with chronic pain and how physicians can address disparities in people and communities facing barriers to adequate care.  

Learning Objectives:
      1.  Define Acute Pain and Chronic Pain 
      2. Describe different biases that can manifest in treating those with chronic pain 
      3. Summarize some of the ways we can address disparities in groups that have been historically marginalized, such as those with limited  English proficiency and Sickle Cell Disease 
      4. Explain how a mobile phone intervention can be used to address disparities in populations with limited transportation 

Course Director and Senior Producer: Dr. Dirk Gaines
Co-Hosts: Dr. Dirk Gaines and Dr. Candace Sprott
Guest: Dr. Amber Brooks
Production Assistants: Alex Babkanian, Clara Baek
Theme Music: Chris Dingman
Sponsored by: American College of Physicians
Educational Grant from: Pfizer, Inc.; in partnership with Lilly USA, LLC

Special thanks to  Dr. Tammy Lin, Dr. Tiffany Leung, Dr. Pooja Jaeel, Dr. Maggie Kozman, Alex Babakanian, Clara Baek, Likitha Aradhyula, Cheryl Ruston, Clare Sipler, and Dr. Davoren Chick for helping to make this project possible.

Claim CME-pending

Check out the ACP's Pain Management curriculum at https://www.acponline.org/clinical-information/clinical-resources-products/pain-management-learning-hub

Connect with us on Instagram at @thedayshift.pod and via email at [email protected]

Join us in learning from guests Dr. Zoe Tseng and Dr. Ankita Sagar about the fundamental importance and role of advocacy and policy work in healthcare. Listen in to learn practical tools and strategies for advocacy at the local, regional, state, and national level, so that you can effectively incorporate this work into your career.

Learning Objectives:
1. Describe the role of advocacy in healthcare. 
2. Describe the mission of ACP as a regional and national physician advocacy organization.
3. Identify tools to effectively advocate for public policy at local, regional, state, and federal levels.
4. Implement strategies for community and civic engagement, such as coalition building, social media engagement, and grassroots organizing. 

Episode Credits:
Guests: Dr. Zoe Tseng, Dr. Ankita Sagar
Co-Hosts: Dr. Elisa Choi, Dr. Branden Barger
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany Leung
Senior Producers: Dr. Maggie Kozman, Dr. DJ Gaines
Editor/Assistant Producer: Joanna Jain
Production Assistants: Alexandra Babakanian, Ann Truong, Likitha Aradhyula
Website/Art Design: Ann Truong
Music: Chris Dingman https://www.chrisdingman.com

Continuing Medical Education/Maintenance of Certification (CME/MOC) credits are available as an American College of Physicians national member benefit. To submit for CME/MOC credit for this episode, visit: https://assets.acponline.org/cgi-bin/moc-quiz?deip-20211215

Connect with us on Instagram at @thedayshift.pod and via email at [email protected]

Primary care is an essential and foundational part of our healthcare system, which is vital to transforming healthcare in the US to a just, equitable, affordable and accessible system. Through the advocacy of ACP in collaboration with other organizations, and through the lens of the COVID - 19 pandemic, attention has been increasingly focused on how to support primary care physicians and practices. In this episode we talk with two amazing champions of primary care, Dr. Darilyn Moyer and Dr. Sue Bornstein, and of  transformation of the US healthcare system about how robust, well supported primary care can address health disparities and ensure the health of our communities.

Credits:
Co-hosts/Producers: Dr. Elisa Choi, Dr. Marianne Parshley
Executive Producer: Dr. Tammy Lin 
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany Leung
Senior Producers: Dr. Maggie Kozman, Dr. DJ Gaines
Editor/Assistant Producer: Deepti Yechuri
Production Assistants: Sanika Walimbe and Sarahy Martinez
Website/Art Design: Ann Truong
Music: Chris Dingman

Connect with us on Instagram at @thedayshift.pod and via email at [email protected]