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The DEI Shift

Author: The DEI Shift

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A podcast focusing on shifting the way we think and talk about diversity, equity, and inclusion in the medical field. The title, The DEI Shift, uses a common acronym DEI (standing for diversity, equity, and inclusion) as a play on the idea of a “day shift”, the time in the hospital when the daytime teams come in, bring fresh perspectives to the issues that arose overnight, and progress patient care forward. This podcast is aimed at: 1) bringing new perspectives and a more inclusive approach to the discussions of diversity issues in healthcare, 2) shifting us away from avoidance, fatigue, and negative connotations that have become attached to these topics, and 3) transitioning these discussions from mere classroom didactics into relevant, day-to-day, organic conversation and application.
20 Episodes
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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. 
This episode of The DEI Shift is a spotlight episode made possible because of an American Medical Association’s Joan F. Giambalvo Grant Fund for Women Physicians. Today, we want to highlight for you two guests’ experiences and views on women physicians who transition from their early to mid-career, Magali Fassiotto, PhD and Dr. Shikha Jain. Show notes & Transcript available: https://www.thedeishift.com/episode-10.htmlTwitter: @thedeishiftInstagram: @thedeishiftWebsite: https://www.thedeishift.com/E-mail: thedeishift@gmail.comSeason 1 Episode 10 Credits:Co-hosts/Producers: Dr. Tiffany Leung, Dr. Marianne Parshley Executive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producer: Dr. DJ GainesEditor: Deepti Yechuri Production Assistants: Sarahy Martinez, Emily Han  Assistant Producer: Deepti Yechuri Website/Art design: Ann TruongMusic: Chris Dingman
The Hidden Curriculum

The Hidden Curriculum

2020-07-1049:08

In this episode, we discuss the Hidden Curriculum with Dr. Jasmine Smith. Our guest highlights the informal curriculum that many students and resident encounter during their training. Dr. Smith shares powerful personal stories from her own journey and tips on how to navigate a new environment which can be used by professions in any industry.
In honor of Pride Month, we bring you an episode dedicated to fostering a more inclusive environment for our LGBTQ+ community. Join us as we have a compelling discussion with American Academy of Emergency Medicine President, Dr. Lisa Moreno-Walton and Sacramento LGBT Community Center Health Educator, Matías Castro about the simple, practical ways that individuals can help achieve this goal. In light of the recent HHS Rule removing discrimination protections for gender queer and trans patients in healthcare, this is a powerful discussion emphasizes exactly why those protections are necessary and the responsibility we have as healthcare providers to welcome our LGBTQ community into the healthcare system. 
We discuss the model minority myth, the bamboo ceiling, mentorship, leadership, and the effects of cultural stereotyping with Dr. Dobbin Chow and Dr. Steven Chan.This episode was recorded during Pan-Asian Heritage Month in May 2020. It is part of a series of episodes on related topics.
We discuss the model minority myth, glass and bamboo ceilings, mentorship, leadership, and the importance of representation with Dr. Antonia Chen and Dr. Elisa Choi. This episode was recorded during Pan-Asian Heritage Month in May 2020. It is part of a series of episodes on related topics.
Humans are inevitably biased, and these biases can also affect use of the electronic health record (EHR), data collection and analysis, algorithm development and deployment, machine learning and artifical intelligence, and other informatics work. Today, Dr. Sara Murray and Dr. Michelle Lin highlight the importance of understanding the limitations of data applications in routine healthcare delivery and patient care and why diversity and inclusion in informatics matters.   
COVID19 is exacerbating multiple pre-existing disparities in the U.S. that have been there for a long time. Join us in learning about one of these comorbidities in our healthcare system from Dr. Mohit Gupta and Dr. Ricardo Correa as they share their personal stories as international medical graduates (IMGs) and their advocacy work on behalf of others in their shoes.
In honor of Women's History Month, our team had the privilege of hearing stories from four incredible female physicians about the importance of representation in medicine. Our guests share powerful and personal examples of overcoming cultural expectations, racial barriers, and gender-based stereotypes to become the exemplary physicians they are today.
We discuss with Dr. Quentin Youmans the importance of recruitment and mentorship of underrepresented minorities in medicine (URiM), including supporting them through microaggressions (or worse) in the clinical setting. We then delve into strategies for how to do these things well.
Get to know the team members behind the podcast, who form an eclectic mix of people with one shared goal.
An introduction to the goals and motivation for this podcast
Trailer

Trailer

2020-03-0700:45

Incorporating culture and social determinants as we partner with patients with obesity, with dietician and epidemiologist Dr. Shreela Sharma and patient representative Ms. LaToshia Rouse.Learning Objectives:       1. Give an example of how one’s culture can shape one’s perceptions of weight.        2. List 3 potential questions that can be used to humbly and sensitively elicit a patient’s individual and cultural perceptions of weight and their particular weight goals.       3. Compare and contrast certain cultural groups’ variable receptivity to different obesity interventions.       4. Evaluate how adverse childhood experiences (ACEs) and social determinants of health can lead to obesity.       5. Describe some positive steps being taken by healthcare systems to address social determinants and improve their patients’ ability to live healthy lives.Course Director and Senior Producer: Dr. Maggie KozmanCo-Hosts: Dr. Pooja Jaeel and Likitha AradhyulaGuests: Dr. Shreela Sharma and Ms. LaToshia RouseProduction Assistant: Lynn NguyenTheme Music: Chris DingmanSponsored by: American College of PhysiciansEducational Grant from: Novo Nordisk, Inc.Special thanks to Dr. Davoren Chick, Monica Lizarraga, Dr. Charles Hamori, Dr. Tammy Lin, Dr. Tiffany Leung, and Darian Harris for helping to make this project possible.Claim CME at https://www.acponline.org/clinical-information/clinical-resources-products/obesity-management-learning-hub/the-dei-shift-obesity-mini-series-episode-2-weight-and-cultural-considerationsCheck out the ACP's Obesity Management curriculum at https://www.acponline.org/clinical-information/clinical-resources-products/obesity-management-learning-hub
Digging deep into historical, structural, and individual bias in our care of patients with obesity, with obesity medicine physician-scientist Dr. Fatima Cody Stanford.Learning Objectives:       1. Define obesity.       2. Summarize concerns about the origin and use of BMI, and the need for modified utilization in some patient groups.       3. Describe why people-first language surrounding obesity is important.       4. Explain how bias, whether explicit or implicit, leads to health disparities between patients with and without obesity.Course Director and Senior Producer: Dr. Maggie KozmanCo-Hosts: Dr. Brittäne Parker and Sanika WalimbeGuest: Dr. Fatima Cody StanfordProduction Assistant: Lynn NguyenTheme Music: Chris DingmanSponsored by: American College of PhysiciansEducational Grant from: Novo Nordisk, Inc.Special thanks to Dr. Davoren Chick, Monica Lizarraga, Dr. Charles Hamori, Dr. Tammy Lin, Dr. Tiffany Leung, and Darian Harris for helping to make this project possible.Claim CME at https://www.acponline.org/clinical-information/clinical-resources-products/obesity-management-learning-hub/the-dei-shift-obesity-mini-series-episode-1-defining-obesity-challenging-weight-biasCheck out the ACP's Obesity Management curriculum at https://www.acponline.org/clinical-information/clinical-resources-products/obesity-management-learning-hub
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