The DEI Shift

Join us as we learn from Dr. Lisa Meeks, a leader on disabilities in medical education and our friend from the Docs with Disabilities podcast, which she founded and co-hosts. Dr. Meeks discusses the multifaceted aspects of disability identity, centering persons with disability in our language and conversations, and the challenges posed by disclosure.

Learning Objectives:

1. Evaluate the multifaceted aspects of disability identity, considering societal perceptions and personal experiences, to gain a deeper understanding of the challenges faced by individuals with disabilities.
2. Differentiate between identity-first and person-first language to foster inclusive and respectful interactions with individuals with disabilities.
3. Investigate the prevalence of disabilities among physicians, critically analyzing research findings and recognizing the challenges associated with disclosure, particularly focusing on intersectional factors such as race and gender.
4. Explore the intersectionality of disabilities within the healthcare context to gain insights into the unique challenges faced by individuals with multiple marginalized identities.

Credits:
Guest: Dr. Lisa Meeks
Host/Associate Producer: Dr. Candace Sprott
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman
Production Assistants: Dr. Erynn Beeson, Dr. Andrea Anampa-Guzmán, Sanika Walimbe
Website/Art Design: Ann Truong
Music: Chris Dingman https://www.chrisdingman.com

Whether at home or abroad, healthcare workers are constantly encountering patients and colleagues of varied and sometimes unfamiliar backgrounds, requiring continual growth in their cultural humility, language equity, and resourcefulness in collaboration. Join us as we learn from the unique first-hand experience that Dr. Lisa Camara and Christopher Chow have had in the Seafarer’s Medical Clinic, a Honolulu-based outreach that serves fishermen in need of healthcare when their ships dock to deliver their catches.

Learning Objectives:

1. Define cultural competence and cultural humility, and contrast the two concepts.
2. Apply the strategies of the guests’ unique clinical model to one’s own local underserved patient populations and healthcare system.  
3. Strategize how to find and collaborate with local community groups and non-profit organizations in one's region to improve patients' access to healthcare.

Credits:
Guest: Dr. Lisa Camara, Christopher Chow
Co-Hosts/Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman
Executive Producer: Dr. Tammy Lin
Associate Producer: Dr. Candace Sprott
Senior Producer: Dr. Dirk Gaines
Editor/Assistant Producer: Joanna Jain
Production Assistant: Ann Truong
Website/Art Design: Ann Truong
Music: Chris Dingman https://www.chrisdingman.com

One of our guests uses the term “provider” to refer to their clinic’s physicians. Though this term is used interchangeably by many in the medical community, The DEI Shift podcast team endorses and supports the use of “physician” in place of “provider” where applicable, as outlined in ACP policy. For more information, please refer to the article included in the Show Notes.

We're closing out Mental Health Awareness Month with the 2nd part of our discussion of burnout. Join us as we learn from Dr. Anand Jagannath, a clinician educator hospitalist who experienced burnout as an early career physician, and then learned strategies that individuals and institutions can implement to better recognize and combat burnout.

Learning Objectives:

1. Learn and be able to recognize potential sources of burnout.
2. Learn various individual methods one can use to combat burnout. 
3. Identify various methods institutions can implement to help mediate burnout among their students, employees, and faculty. 

Credits:
Guest: Dr. Anand Jagannath
Co-Hosts: Dr. DJ Gaines, Branden Barger
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman
Associate Producer: Dr. Candace Sprott
Senior Producer: Dr. DJ Gaines
Editor/Assistant Producer: Clara Baek
Production Assistants: Nilgoun Farhadi, Leyna Nguyen
Website/Art Design: Ann Truong
Music: Chris Dingman https://www.chrisdingman.com

Instagram: @thedeishift
X: @thedeishift
Website: https://www.thedeishift.com
Email: [email protected]

Continuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

Burnout has unfortunately become an exceedingly common experience for healthcare workers, even independent of the COVID-19 pandemic. In this episode, we start a conversation about burnout, its signs/symptoms, and its potential repercussions with Internal Medicine resident Dr. Allison Ibarra.

Learning Objectives:

1. Define burnout according to the World Health Organization.
2. Learn and be able to recognize common signs of burnout. 
3. Identify and recognize the potential consequences burnout can have on physicians’ and medical trainees’ physical and mental well-being.

Credits:
Guest: Dr. Allison Ibarra
Co-Hosts: Dr. DJ Gaines, Branden Barger
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman
Associate Producer: Dr. Candace Sprott
Senior Producer: Dr. DJ Gaines
Editor/Assistant Producer: Clara Baek
Production Assistants: Nilgoun Farhadi, Leyna Nguyen
Website/Art Design: Ann Truong
Music: Chris Dingman https://www.chrisdingman.com

Instagram: @thedeishift
X: @thedeishift
Website: https://www.thedeishift.com
Email: [email protected]

Continuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

In this compelling episode, Dr. Candace Sprott engages in a thought-provoking conversation with Dr. John Hall, a seasoned Internal Medicine physician with a unique perspective on disability in the medical field. Dr. Hall shares his remarkable career journey, highlighting the challenges he faced and the pivotal decision to transition from Obstetrics and Gynecology to Internal Medicine due to his physical disability. The episode explores the nuances of the day-to-day experiences of physicians and patients with disabilities and seeks to advance the conversation around strategies that promote inclusivity and celebrate intersectionality. 

Learning Objectives:

1. Define the legal framework of disability as stipulated by the Americans with Disabilities Act (ADA). 
2. Identify strategies for person-centered care for people with disabilities, understanding the significance of tailoring interactions with these patients based on individual preferences.
3. Examine the concept of intersectionality in healthcare, identifying how various aspects of identity, including disability, influence the patient-physician relationship and acknowledging the diverse ways individuals view their disabilities.

Credits:
Guest: Dr. John Hall
Host/Associate Producer: Dr. Candace Sprott
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman
Senior Producer: Dr. DJ Gaines
Production Assistants: Dr. Erynn Beeson, Andrea Anampa-Guzmán
Website/Art Design: Ann Truong
Music: Chris Dingman https://www.chrisdingman.com

Instagram: @thedeishift
X: @thedeishift
Website: https://www.thedeishift.com
Email: [email protected]

Continuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

Pick up where we left off in Part 1 (Season 4, Episode 3) by applying the pediatric-to-adult transitions strategies we learned in that episode to a specific patient population: those with Intellectual and Developmental Disabilities (IDD), like Autism Spectrum Disorder (ASD). Transitions can be one of the most trying and health-destabilizing things a young person and their caregivers experience. In this episode, we learn from the experience and wisdom of Dr. Susan Hingle and Dr. Mai Pham, who have not only navigated this process with their patients, but with their own children as well. Their personal experiences have informed and fueled their wonderful professional work in this space as they demonstrate how we can provide and advocate for equitable care for this patient population.

Learning Objectives:
1. Define Intellectual and Developmental Disabilities (IDD), and the specific example of Autism Spectrum Disorder (ASD). Describe how these are diagnosed.
2. Describe key issues that healthcare teams should keep in mind for patients with IDD, including ASD, as they transition from childhood to adolescence to adulthood.
     a. In the clinic
     b. In the ER/hospital
3. Give examples of advocacy efforts for healthcare for members of this community.
4. Strategize how one can create inclusive healthcare environments, spaces, and culture for people with IDD, including ASD.

Credits:
Guest: Dr. Susan Hingle, Dr. Mai Pham
Co-hosts/Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman
Executive Producer: Dr. Tammy Lin
Associate Producer: Dr. Candace Sprott
Senior Producer: Dr. DJ Gaines
Editor/Assistant Producer: Clara Baek
Production Assistants: Nilgoun Farhadi, Likitha Aradhyula
Website/Art Design: Ann Truong
Music: Chris Dingman https://www.chrisdingman.com

Instagram: @thedeishift
Twitter: @thedeishift
Website: https://www.thedeishift.com
Email: [email protected]

Continuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

Join us in learning from our wonderful guests, Dr. Denise Connor (hospitalist and groundbreaking leader in curriculum development for diagnostic reasoning and anti-oppression) and Dr. Cristina Gonzalez (hospitalist and internationally renowned expert in the development of skills-based curricular interventions in implicit bias recognition and management). Dr. Connor and Dr. Gonzalez teach us how to define, identify, and mitigate disparities in diagnostic decision-making and reasoning in order to attain greater diagnostic equity for all patients.

Learning Objectives
1. Define disparities in diagnosis and diagnostic reasoning.
2. Review contributing factors to disparities in clinical diagnosis.
3. Outline steps individuals can take to reduce disparities in diagnostic reasoning.
4. Discuss organizational strategies to mitigate diagnostic disparities to achieve diagnostic equity.

Credits:
Course Directors/Co-Hosts: Dr. Ricardo Correa, Dr. Elisa Choi                                 
Guests: Dr. Denise Connor, Dr. Cristina M. Gonzalez                                            
Executive Producer: Dr. Tammy Lin                                                                                               
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman                                     
Senior Producer: Dr. DJ Gaines                                                                                          
Associate Producer: Dr. Candace Sprott                                                                               
Production Assistants: Erynn Beeson, Nikhil Thope                                       
Website/Art Design: Ann Truong                                                                                           
Music: Chris Dingman

Instagram: @thedeishift
Twitter: @thedeishift
Website: https://www.thedeishift.com
Email: [email protected]

Continuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://online2.snapsurveys.com/26b3mt 

Join us for Part 2 of our discussion on Climate Change! Climate change is shifting how we live across the globe, impacting some communities far more than others, and forcing us to continue working to mitigate the damage and adapt to a new and changing environment. Nowhere is this need more important than in healthcare. Listen in on the rest of our conversation with Dr. Robert McLean (rheumatologist, advocate for climate justice, former ACP President) and Dr. Erika Moseson  (pulmonary and critical care physician, founder of Air Health Our Health) about the impact of climate on health and the ways we can work toward climate justice.

Learning Objectives:

1. Explore the intersection between health, healthcare disparities, and climate change.
2. Describe the breadth of the impact of climate change on historically marginalized and disinvested communities and individuals.
3. Understand the various strategies to respond to climate change being adopted at the community level, frontline, and systems level in two different areas in the United States.
4. Explore advocacy around slowing, mitigating effects of, and planning/adapting to climate change and climate change emergencies.

Credits:
Guests: Dr. Robert McLean, Dr. Erika Moseson
Co-Hosts: Dr. Marianne Parshley, Dr. Elisa Choi
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman
Associate Producer: Dr. Candace Sprott
Senior Producer: Dr. DJ Gaines
Editor/Assistant Producer: Joanna Jain, Sanika Walimbe
Production Assistants: Leyna Nguyen, Dr. Erynn Beeson
Website/Art Design: Ann Truong
Music: Chris Dingman https://www.chrisdingman.com

Instagram: @thedeishift
Twitter: @thedeishift
Website: https://www.thedeishift.com
Email: [email protected]

Continuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

Climate change is shifting how we live across the globe, impacting some communities far more than others, and forcing us to continue working to mitigate the damage and adapt to a new and changing environment. Nowhere is this need more important than in healthcare. Join us as we learn from Dr. Robert McLean (rheumatologist, advocate for climate justice, former ACP President) and Dr. Erika Moseson  (pulmonary and critical care physician, founder of Air Health Our Health) about the impact of climate on health and the ways we can work toward climate justice.

Learning Objectives:

1. Explore the intersection between health, healthcare disparities, and climate change.
2. Describe the breadth of the impact of climate change on historically marginalized and disinvested communities and individuals.
3. Understand the various strategies to respond to climate change being adopted at the community level, frontline, and systems level in two different areas in the United States.

Episode Credits:
Guests: Dr. Robert McLean, Dr. Erika Moseson
Co-Hosts: Dr. Marianne Parshley, Dr. Elisa Choi
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman
Associate Producer: Dr. Candace Sprott
Senior Producer: Dr. DJ Gaines
Editor/Assistant Producer: Joanna Jain, Sanika Walimbe
Production Assistants: Leyna Nguyen, Dr. Erynn Beeson
Website/Art Design: Ann Truong
Music: Chris Dingman https://www.chrisdingman.com

Instagram: @thedeishift
Twitter: @thedeishift
Website: https://www.thedeishift.com
Email: [email protected]

Continuing Medical Education/Maintenance of Certification (CME/MOC) credits are available through the American College of Physicians for both members and non-members. To submit for CME/MOC credit for this episode, visit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift

Join us for Part 2 of the powerful discussion we started at the end of last season (Season 4, Episode 6), with our 2 experts on caring for people experiencing houselessness, James O’Connell, MD, MACP (Boston Healthcare for the Homeless) and Rachel Solotaroff, MD, FACP (Central City Concern- Portland, Oregon).
 
From the HIV epidemic to the rise of multi-drug resistant TB and the opioid crisis, those caring for people experiencing houselessness and housing insecurity saw the rise of each of these epidemics in their patient populations long before the rest of us.  The devastating impact of the COVID-19 pandemic was particularly harsh for those in shelters or unhoused. Some say that caring for those experiencing houselessness reveals the fractures in our healthcare system earlier and more clearly than healthcare in other settings.  In our discussion, Drs. O’Connell and Solotaroff describe some of the obstacles faced by these patients and their healthcare providers in obtaining/delivering healthcare, and some of the opportunities to learn from and address these challenges.

Learning Objectives:

1. Identify challenges and lessons for both clinical teams and people experiencing houselessness in providing and accessing healthcare.
2. Describe different models of housing support and healthcare delivery for which clinicians can advocate in order to support those experiencing and emerging out of houselessness, and to ultimately reach the goal of ending houselessness.
3. Discuss some of the challenges facing houseless individuals who are seriously ill and/or at end-of-life, and facing those who are providing their end-of-life healthcare.

Episode Credits:
Guests: Dr. James O’Connell, Dr. Rachel Solotaroff
Co-Hosts: Dr. Marianne Parshley, Dr. Elisa Choi
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: Clara Baek
Production Assistants: Nilgoun Farhadi, Leyna Nguyen
Website/Art Design: Ann Truong
Music: Chris Dingman https://www.chrisdingman.com

Twitter: @thedeishift
Instagram: @thedeishift
Website: https://www.thedeishift.com
Email: [email protected]

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://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/the-dei-shift