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Immigrant Health

Immigrant Health

2022-09-1629:55

As the COVID-19 pandemic abates, migration across the globe has increased. Health care professionals are likely to encounter immigrant populations who have unique needs. Join us in learning with Dr. Lorena Bonilla (Internal Medicine Hospitalist and Assistant Professor at Florida University/Herbert Wertheim College of Medicine) about factors that influence the health care of immigrants, how to approach patients with cultural sensitivity, and ways physicians can incorporate advocacy into their practice to help support migrants.Definition of Terms:In this podcast, we use the terms migrants, immigrants, refugees and asylum. Here we wanted to define these terms. A migrant is an individual who migrates from one location to another usually seeking employment or education. An immigrant is an individual who seeks to live in another country permanently. A refugee is an individual who is forced to flee their home because of violence or persecution. Additionally, someone who applies for asylum is seeking protection from dangers in their home country and is awaiting their claim for refugee status to be legally determined. For further reference, rescue.org has an article outlining these terms. https://www.rescue.org/article/migrants-asylum-seekers-refugees-and-immigrants-whats-difference.Learning objectives:1. Identify key social determinants of health that affect immigrant populations.2. Recognize factors that influence the health care of migrants and refugees.3. Summarize a situation from your own clinical experience in which understanding the culture of a patient enhanced your ability to care for them. Identify how you can be consistent in ensuring that you consider the role that culture plays in the lives of your patients. Credits:Guest: Dr. Lorena BonillaCo-hosts/Producers:  Dr. Brittäne Valles, Dr. Ricardo CorreaExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Clara BaekProduction Assistants: Ann TruongWebsite/Art Design: Ann TruongMusic: Chris Dingman
The advent of the COVID-19 pandemic highlighted the negative effects medical misinformation and disinformation can have on our communities. Despite these not being new phenomena, health professionals have seen first-hand during the pandemic how difficult it is to combat these pervasive problems. Join us in learning with Dr. Tracey Henry (General Internist and Associate Professor of Medicine at Emory University) about what constitutes medical misinformation and disinformation, the psychological factors that drive their spread, and ways we can combat them.Learning ObjectivesDefine the terms misinformation, disinformation and malinformation. Describe the 3 psychological factors that drive the spread of misinformation and disinformation. Identify strategies physicians can use to combat misinformation and disinformation, such as psychological inoculation or “pre-bunking”.Credits:Co-Hosts/Producers: Dr. DJ Gaines and Branden BargerExecutive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. DJ Gaines, Dr. Maggie KozmanEditor/Assistant Producer: Emily HanProduction Assistants: Alexandra Babakanian, Leyna NguyenWebsite/Art Design: Ann TruongMusic: Chris Dingman
Transitions between pediatric and adult healthcare models can be one of the most trying and health-destabilizing things a young person and their caregivers experience. Healthcare professionals on both the sending and receiving ends of this transition need training in how to facilitate successful transitions. Resources like medical society recommendations and GotTransition.org can help, but there are many challenges to successful transition of which healthcare teams must be aware in order to assist their patients through the process.Learning Objectives:Define Healthcare Transitions. Describe two barriers that patients and families face in transitioning to an adult-centered model of care.Describe two barriers that healthcare professionals face in comprehensive transition. Identify specific challenges that patients with complex medical needs face during the transition process. Credits:Guest: Dr. Shirin Alonzo  Co-hosts/Producers: Dr. Pooja Jaeel, Dr. Maggie KozmanExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna Jain, Clara BaekProduction Assistants: Alexandra Babakanian, Leyna NguyenWebsite/Art Design: Ann TruongMusic: Chris Dingman
Trauma has an undeniable impact on our patients' health and illness, and resilience is vital to their ability to buffer that trauma. 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 elements of resilience, symptoms that develop when resilience factors are challenged, reframing trauma-informed care as resilience-informed care, secondary traumatic stress, and the fundamental role of trauma in creating/exacerbating health disparities.Learning Objectives:Define the term resilience in the context of trauma-informed care.List 3 key individual resilience factors, and identify the symptoms of trauma that may result from impairment in those resilience factors.Define secondary traumatic stress, and distinguish it from burnout.Consider how health disparities are caused and exacerbated by trauma, and therefore necessitate a trauma-informed approach to address disparities.Credits:Guests: Dr. Moira Szilagyi, Dr. Edward MachtingerCo-hosts/Producers: Dr. Maggie Kozman, Dr. DJ GainesExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna JainProduction Assistants: Nilgoun Farhadi, Sanika WalimbeWebsite/Art Design: Ann TruongMusic: Chris Dingman
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:Define the terms trauma, trauma-informed care, and adverse childhood experiences.Gain familiarity with SAMHSA’s 3 E’s of trauma and 4 R’s of trauma-informed care.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 MachtingerCo-hosts/Producers: Dr. Maggie Kozman, Dr. DJ GainesExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna JainProduction Assistants: Nilgoun Farhadi, Sanika WalimbeWebsite/Art Design: Ann TruongMusic: Chris Dingman
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:Define diversity, equity, and inclusion (DEI) initiatives in medicine.Identify a specific area within one’s organization where education or programming to increase diversity and inclusion is needed.Discuss 2 recommended strategies for launching a DEI initiative.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 BrownModerators/Co-hosts/Producers:  Dr. Brittäne Parker Valles, Dr. Sarah TakimotoExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesProduction Assistant: Alexandra BabakanianEditor/Assistant Producer: Joanna JainWebsite/Art Design: Ann TruongMusic: Chris Dingman
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. Twitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.comEmail: thedeishift@gmail.comEpisode Credits:Guests: Dr. Zoe Tseng, Dr. Ankita SagarCo-Hosts: Dr. Elisa Choi, Dr. Branden BargerExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna JainProduction Assistants: Alexandra Babakanian, Ann Truong, Likitha AradhyulaWebsite/Art Design: Ann TruongMusic: 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
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 ParshleyExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Deepti YechuriProduction Assistants: Sanika Walimbe and Sarahy MartinezWebsite/Art Design: Ann TruongMusic: Chris Dingman
In this episode, we explore the broad and timely topic of addiction. Dr. Chwen-Yuen Angie Chen joins us for a robust discussion about the continuum of care in Addiction Medicine. We review where addiction treatment occurs and the longitudinal nature of care that is needed. Dr. Chen discusses effective screening for substance use disorder, destigmatization of addiction, patient advocacy and the unique challenges and impact that the COVID-19 pandemic has brought with regard to rising use of substances. Learning Objectives:1. Define the terms dependence, substance use disorder, and addiction.2. Summarize 3 practice settings where addiction treatment occurs.3. List 4 of the key components of the American Society of Addiction Medicine’smultidimensional patient assessment for developing an addiction treatment plan.4. Review some of the challenges with addiction in the setting of the COVID-19 pandemic.Twitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comEpisode Credits:Guest: Dr. Chwen-Yuen Angie ChenCo-Hosts: Dr. Marianne Parshley, Dr. Brittäne ParkerExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna JainProduction Assistants: Alexandra Babakanian, Ann Truong, Likitha AradhyulaWebsite/Art Design: Ann TruongMusic: Chris DingmanContinuing 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/online-learning-center/the-breadth-of-addiction-medicine
In part 2 of this two-part series, we discuss some of the political factors that perpetuate food insecurity, what we can do to combat it, and some of the cool resources available to us.Learning Objectives: Define food insecurity and how it differs from hunger.State the prevalence of food insecurity in the US.Summarize some of the physical and psychological impacts of food insecurity.Describe how public school lunch programs can combat food insecurity. Credits: Guest: Dr. Suja MatthewsCo-hosts/Producers: Dr. DJ Gaines, Dr. Ricardo CorreaExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Emily Han and Deepti YechuriProduction Assistants: Clara Baek, Lynn NguyenWebsite/Art Design: Ann TruongMusic: Chris DingmanContinuing 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/online-learning-center/food-insecurity-part-2
In part 1 of this two-part series, we introduce our wonderful guest Dr. Suja Mathew and review some of the basics of Food Insecurity, including some of its psychological and physical impacts.Learning Objectives: Define food insecurity and how it differs from hunger.State the prevalence of food insecurity in the US.Summarize some of the physical and psychological impacts of food insecurity.Describe how public school lunch programs can combat food insecurity. Credits: Guest: Dr. Suja MatthewsCo-hosts/Producers: Dr. DJ Gaines, Dr. Ricardo CorreaExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Emily Han and Deepti YechuriProduction Assistants: Clara Baek, Lynn NguyenWebsite/Art Design: Ann TruongMusic: Chris DingmanContinuing 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/online-learning-center/food-insecurity-part-1
In this episode, The DEI Shift talks with Dr. Jorge A. Rodriguez, a hospitalist and health technology expert and equity researcher, about digital health equity and how to bridge the digital divide.Learning objectivesDefine digital health equity and the digital divide. Give examples of telehealth technologies used for patient care.Recognize how telehealth can help overcome health disparities. Recognize how telehealth can contribute to health disparities. Identify opportunities to mitigate health inequities attributable to telehealth. Twitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comEpisode Credits:Guest: Dr. Jorge RodriguezCo-hosts/Producers: Dr. Tiffany Leung, Dr. Sarah TakimotoExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna JainProduction Assistants: Clara Baek, Nilgoun FarhadiWebsite/Art Design: Ann TruongMusic: Chris DingmanContinuing 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/online-learning-center/digital-health-equity-bridging-the-divide
We're excited to present the podcast recording of our special live podcast session at ACP's IM Future Experience! The podcast session features a roundtable discussion of ACP leaders and representatives from the three ACP Councils: the Council of Student Members (Amanda Collar), Council of Resident and Fellow Members (Dr. Jake Quinton), and Council of Early Career Physicians (Dr. Ricardo Correa). Guests Dr. Denise M. Connor and Dr. Omar Atiq join the session to talk about their leading work in advancing justice, equity, diversity, and inclusion in essential work of the American College of Physician and their institutions.Credits: Co-Hosts: Dr. Pooja Jaeel, Dr. Tiffany LeungEditors/Assistant Producers: Joanna Jain, Deepti YechuriProduction Assistants: Alexandra Babakanian, Lynn NguyenSenior Producers: Dr. DJ Gaines, Dr. Maggie KozmanExecutive Producer: Dr. Tammy LinWebsite/Art Design: Ann TruongMusic: Chris Dingman
Welcome to Season 3! To kick off this season, we hand off the mic to three incredible URiM (underrepresented in medicine) undergraduate pre-med students to share their journeys into the medical field. We hear about their common challenges, their strong sense of purpose to be a physician advocate for their community, and about their vision to improve the diversity and inclusivity of the medical field. This episode will leave you inspired!Episode Credits: Co-Hosts/Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman, Executive Producer: Dr. Tammy LinCo-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. DJ Gaines, Dr. Maggie KozmanEditor/Assistant Producers: Emily Han, Joanna JainProduction Assistants: Likitha Aradhyula, Lynn NguyenWebsite/Art Design: Ann TruongMusic: Chris DingmanSpecial Thanks: Dr. Brittane Parker, Oye Bosompra, and Nyah Rodman
Clinicians are often referred to as heroes for the long hours we work and the life saving work that we do. However, this idea of the "invincible" doctor often does a disservice to our profession and patients by creating the idea that disease and illness are only experienced by our patients. Our guests, Dr. Justin Bullock and Dr. Mansi Sheth, share their stories of going through medical training with a chronic illness and discuss the limitations of our medical system in doing so. Trigger warning: This episode discusses suicide and suicidal ideation. Learning Objectives: Define physical and mental disability as outlined by the Americans with Disabilities Act. List two criteria the ACGME requires residency programs to fulfill for residents with disabilities. Identify the most common types of clinical and didactic accommodations provided by institutions for physicians in training. Credits:Guest: Dr. Justin Bullock, Dr. Mansi ShethCo-hosts/Producers: Dr. Pooja Jaeel, Dr. Sarah TakimotoExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Joanna JainProduction Assistants: Clara Baek, Likitha AradhyulaWebsite/Art Design: Ann TruongMusic: Chris Dingman
Episode Description: Religious and spiritual diversity is not always welcomed, or even tolerated, in healthcare. In our talk with Chaplain Ermanno Willis, we learn how vital it is to include a patient's spiritual beliefs into their care, and how to go about doing this using validated tools to collect a patient's Spiritual History, just like their Social or Sexual History. We also discuss the importance of creating a learning/work environment that allows for a diversity of belief systems among healthcare providers themselves.Learning Objectives:1. Summarize the evidence showing that many more patients want their spiritual lives addressed by their healthcare providers than are currently being addressed.2. Describe evidence-based examples of the positive impacts of religion and spirituality on health.3. Identify the steps of one of the validated tools for collecting a patient’s Spiritual History (just like the Social and Sexual History).4. Assess how implicit biases contribute to how (un)welcoming learning and work environments are toward differing religious/spiritual belief systems.Show notes & Transcript available:https://www.thedeishift.com/episode-10.htmlTwitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comCredits:Guest: Mr. Ermanno WillisCo-hosts/Producers: Dr. Maggie Kozman, Dr. Brittane ParkerExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Deepti YechuriProduction Assistants: Clara Baek, Lynn NguyenWebsite/Art Design: Ann TruongMusic: Chris Dingman
Anti-racism has become a hot topic, but also a needlessly confusing and even taboo one. Dr. Kozman and Dr. Gaines hear from internist Dr. Ryan Mire about what anti-racism means in healthcare education and how to bring about needed change in our learning and work environments.Learning Objectives:Define the terms anti-racism and anti-racist.Give 3 examples of how current healthcare training fails to address, or contributes to, racism and race-based medicine.List anti-racist changes being implemented in healthcare institutions.Adopt strategies for changing one’s learning/work environment to become more anti-racist.Show notes & Transcript available:https://www.thedeishift.com/episode-10.htmlTwitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comCredits:Co-hosts/Producers: Dr. Maggie Kozman, Dr. DJ GainesExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producer: Dr. DJ Gaines, Dr. Maggie KozmanEditor: Joanna JainProduction Assistants: Ann Truong, Likitha ArudhyalaWebsite/Art design: Ann TruongMusic: Chris Dingman
November is American Indian and Alaska Native Heritage Month. We invited Dr. Dan Calac, Chief Medical Officer of the Indian Health Council located in North County, San Diego, on the show to discuss health care of American Indian/Alaska Native peoples in the United States and the importance of medical education within this community.Learning Objectives:1. Describe the structure of the National Indian Health Service and the services it provides.2. Give examples of the unique healthcare needs and disparities experienced by American Indian/Alaska Native populations.3. Cite systemic barriers to the recruitment and retention of American Indian/Alaskan Native individuals  into medical and scientific careers and best practices to expand the workforce caring for these communities.Show notes & Transcript available here.Twitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comSeason 2, Episode 2 Credits:Co-hosts/Producers: Dr. Brittane Parker, Alec CalacExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producer: Dr. DJ GainesEditor: Joanna JainProduction Assistants: Sanika Walimbe, Sarahy MartinezWebsite/Art design: Ann TruongMusic: Chris Dingman
The Minority Tax

The Minority Tax

2020-11-0648:22

In this episode, we discuss the minority tax and the negative effects it can have on our wellbeing. Our guest, Evolve Benton, shares with us their insights on this topic and provides us with tips that we can use in order to overcome this tax so that we may be successful in our careers.Learning Objectives:1. Define the concepts of minority tax and majority subsidy.2. Identify ways minority tax can manifest during one’s career and contribute to long-term burnout.3. Identify strategies allies can employ to alleviate the minority tax for underrepresented colleagues. 4. Identify the important role diversity in the workforce plays in alleviating minority tax. 5. Outline strategies that underrepresented minorities can use to balance multiple responsibilities and avoid the negative effects of minority tax. 6. Strategize ways to implement aspects of a “trauma” protocol model at their own institutions. Show notes & Transcript available here.Twitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comCredits: Co-hosts/Producers: Dr. DJ Gaines, Branden BargerExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. DJ Gaines, Dr. Maggie KozmanAssistant Producer/Editor: Deepti Yechuri Production Assistants: Sanika Walimbe, Darian Harris, Ann TruongWebsite/Art design: Ann TruongMusic: Chris Dingman
Season 2 Trailer!

Season 2 Trailer!

2020-10-1305:06

We are so excited to be back for season 2!! Cohosts Dr. Kozman and Dr. Jaeel recap the last season and preview what's coming up for season 2. 
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