Claim OwnershipMoral Matters
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Drs. Wendy Dean and Simon Talbot, the drivers of distress are discussed through the lenses of moral injury. The discussions are focused on solutions and the growing need for change.
87 Episodes
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As Dan Blumberg says, moral risks in policing are not black and white. We talk with him about the grey areas and how he works with individual officers to mitigate the impacts of moral risks.
https://www.apa.org/pubs/books/the-power-manual
https://www.amazon.com/POWER-Manual-Step-Step-Resilience/dp/1433836300/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=
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Wendy and Simon dive into what it was like to write a book - what we learned, exactly how hard it was, and what were the best parts.
If you’d like to find an author appearance near you, check here: https://www.fixmoralinjury.org/book
The book is available everywhere, but if you’d like a personalized copy, you can order here; please let them know in the comments section if you simply want a signature or how you’d like it inscribed: https://www.whistlestoppers.com/notable-new-books-more/if-i-betray-these-words-moral-injury-and-why-its-so-hard-for-clinicians-to-put-patients-first
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Wendy and Simon give a listeners a window into what’s in their new book, If I Betray These Words.
To see if there is an author appearance near you, check here:
Book — Fix Moral Injury
The book is available everywhere, but if you’d like a personalized copy, you can order here; please let them know in the comments section if you simply want a signature or how you’d like it inscribed:
If I Betray These Words: Moral Injury and Why It's So Hard for Clinicians to Put Patients First — WHISTLESTOP BOOKSHOP
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Get Started — Fix Moral Injury
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Dr. Walter O’Donnell was - in his words - “pissed” when his patient in fragile health started smoking again. He wasn’t angry with his patient, but at his hospital. We talk with him about digging into the administrative decisions that impacted his patient’s outcome, what he did in response, and what changes he wants to see in the future.
Conference link: https://cmecatalog.hms.harvard.edu/administrative-harm-professionalism-teamwork-medicine
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Jeff Cain is a family physician who’s been a lifelong advocate for better health. We talked with him about the accident that led him to advocate for common sense insurance coverage for limb loss, and how his work has created a playbook for other initiatives.
Amputee Coalition
1-888-AMP-KNOW
https://www.amputee-coalition.org
Amputee Coalition Advocacy links for information about the annual Amputee Coalition Advocacy Forum, Lead Advocate Training and links to state initiatives and activism :
https://www.amputee-coalition.org/advocacy-awareness/
To support the podcast: https://www.fixmoralinjury.org/get-started
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Adam Beckman, former Special Advisor to the US Surgeon General, and Dr. David Chokshi, former New York City Health Commissioner, called on hospitals to end five administrative practices that harm patients, in their October 2022 article in JAMA Health Forum. We dove deep into that article, and talked about ways individuals can get engaged.
JAMA article: https://jamanetwork.com/journals/jama-health-forum/fullarticle/2798115
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Dr. Richard Edley is a psychologist who has been the lead executive for Rehabilitation and Community Providers Association, a lobbying organization in Pennsylvania that supports federally qualified health centers. He shares his journey to this career, and why we should all learn more about how lobbyists - and even political action committees - might be acting on our behalf.
More information about RCPA: paproviders.org
To support the podcast: https://www.fixmoralinjury.org/get-started
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Wrapping up the 5th season of Moral Matters - more than 50 episodes and 28,000 downloads (thank you!) - feels like a milestone. We give you a peek behind the curtain at what's involved in producing each episode, glance back at this season, and ponder what’s next. Thank you for listening, enjoy the holidays, and we’ll be back in 2023.
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James Hu, MD, FACP, EdD is the medical director of the Sarcoma Program of USC, and is considered one of the nation’s experts in the disease. He is also Clinical Associate Professor of Medicine at USC's Keck School of Medicine, the co-director of the Adolescent and Young Adult program of USC and Children’s Hospital Los Angeles, and a retired Army COL and former commander of a combat support hospital.
We spoke with Dr. Hu about his study of leadership characteristics https://academic.oup.com/milmed/advance-article/doi/10.1093/milmed/usac312/6763647 and his recently launched problem -based USC leadership program.
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Thom Mayer, MD, FACEP, FAAP, FACHE is Medical Director for the NFL Players Association, Executive Vice President for Leadership at LogixHealth, Clinical Professor of Emergency Medicine at George Washington University and a Senior Lecturing Fellow at Duke University.
Dr. Mayer discussed his 20+ years of work with the NFL Players Association and the importance of active and adaptive leadership.
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Marvin S. Swartz, M.D., is a Professor of Psychiatry and Behavioral Sciences at Duke University. He has also served as a member of the MacArthur Foundation Research Network on Mandated Community Treatment and a Co-PI on multiple NIMH studies of intervention effectiveness.
Dr. Swartz shared insights from his decades of work in mental healthcare in North Carolina, how policy has driven care and staffing trends, and how a shortage of mental health workers and inadequate support for mental health services effects patient outcomes and contributes to moral injury.
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J. Stephen Bohan, MD, MS, FACP, FACEP, is Executive Vice Chair of the Department of Emergency Medicine at Brigham and Women's Hospital. He is also Assistant Professor at the Harvard Medical School.
Dr. Bohan's research focus is the established and growing problem of overcrowding and hallway boarding in Emergency Departments, including impacts on ED workers and patients, and possible solutions.
Dr. Bohan on Emergency Department Hallway Boarding for Stat News
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Dr. Caitlin Delaney, MD, is a practicing Emergency Physician at MedStar Washington Hospital Center, Director of Business Development and Medical Advisor at flipMD, and on the faculty at Georgetown University School of Medicine. Dr. Delaney is also a US Navy combat veteran. She is passionate about bringing the voice of the practicing physician to industry, and is working to create sustainable careers for physicians.
https://ymyhealth.com/2022/06/22/the-war-in-healthcare-is-still-raging-millennial-combat-veteran-and-emergency-medicine-doctor-shares-how-healthcare-workers-are-suffering-moral-injury-not-just-burnout/
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Rosemary Batt is the Alice Hanson Cook Professor of Women and Work at the Industrial Labor Relations School at Cornell University and a Professor in Human Resource Studies and International and Comparative Labor. Her research focuses on comparative international studies of management and employment relations, with particular attention to the impact of financialization on management and employment and the globalization and restructuring of service industries and its impact on low wage workers.
https://cepr.net/wp-content/uploads/2021/10/AB-Financialization-In-Healthcare-Spitzer-Rept-09-09-21.pdf
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Jay Baruch, a practicing emergency room physician, is Professor of Emergency Medicine at Alpert Medical School of Brown University and the author of two award-winning short fiction collections, What's Left Out and Fourteen Stories: Doctors, Patients, and Other Strangers.
His book, Tornado of Life: A Doctor's Journey Through Constraints and Creativity in the ER, was released on August 30, 2022
.
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Reverend Brian Hughes has been providing support to UnitedHealthcare and Optum Providers since 2018. Wendy was traveling, but Simon spoke with him about his role providing spiritual care and support for a large insurance workforce.
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As we conclude four seasons of Moral Matters, we reflect on what it means to "return to normal". Thank you for getting us to 21,000 downloads. We'll return at the end of the summer.
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Resources and Articles Mentioned:
https://hiddenbrain.org/podcast/do-less/
Subtract: The Untapped Science of Less: https://www.leidyklotz.com/
The Good Jobs Strategy https://www.zeynepton.com/book/
Blanchard & Burke Article: https://thehill.com/opinion/healthcare/599669-two-years-into-the-pandemic-and-our-health-care-workforce-is-still/
April 30, 2020 article: https://www.statnews.com/2020/04/30/suicides-two-health-care-workers-hint-at-covid-19-mental-health-crisis-to-come/
April 1, 2020 article: https://www.medscape.com/viewarticle/927859
Dr. Blake Alkire MD MPH has studied the economics of global surgery for more than a decade. He never imagined when he started out that the same principles would be so critical for mitigating the risk of financial toxicity for his patients in Boston. He shares what he's learned, and how it's changed his practice.
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CME: click here to reflect on this episode and earn one hour of Category 1 credit: https://earnc.me/kMgDsz
Drs. Cadey Harrel and Brad Dreifuss are physicians, educators, and advocates. In the second part of our conversation with Dr. Harrel and Dr. Dreifuss, we delve into specific details of their advocacy work, and discuss actionable steps for others looking to advocate.
To support the podcast: https://www.fixmoralinjury.org/get-started
Twitter - @fixmoralinjury
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LinkedIn - Moral Injury of Healthcare
Drs. Cadey Harrel and Brad Dreifuss are physicians, educators, and advocates. In Part 1 of our conversation, they share what drew them to advocacy work and where they’re making change.
To support the podcast: https://www.fixmoralinjury.org/get-started
Twitter - @fixmoralinjury
Instagram - @moralinjury
Facebook - @MoralInjuryofHC
LinkedIn - Moral Injury of Healthcare
Click the link to reflect and unlock credits & more: https://earnc.me/0CtQi8
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