Tagged With "Community Physicians"
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The Black Community, COVID-19 & Trauma [sdvoice.com]
By Latanya West, San Diego Voice, May 15, 2020 In January 2019, Governor Gavin Newsom appointed Dr. Nadine Burke Harris as California’s first-ever Surgeon General. An award-winning physician, researcher and advocate, Dr. Burke Harris’ career has been dedicated to serving vulnerable communities and combating the root causes of health disparities. Her work is equally dedicated to changing the way our society responds to one of the most serious, expensive and widespread public health crises of...
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The Center for Youth Wellness Launches Childhood Adversity Screening Program with Leading North Carolina Health Systems [PR Newswire]
Charlotte pilot program with Atrium Health and Novant Health supports state's goal to address social, economic and environmental health to improve child and family health outcomes The Center for Youth Wellness (CYW) announced it is partnering with two leading U.S. health systems in the Southeast to launch a screening program on childhood adversity. CYW's National Pediatric Practice Community (NPPC) has done on-site training at the headquarters of Atrium Health and Novant Health in Charlotte,...
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The Relentless School Nurse: When the Health Office Pass Includes Emotions
The collaboration between school counselors and school nurses creates safe spaces for students at school. Building a coalition between school counselors and school nurses creates a safety net for our most complex and challenging students while benefiting the whole school community. Promoting connections through intentional relationship building, and ensuring a school environment that is physically, emotionally and psychologically safe changes the culture and climate. Read about an amazing...
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Trauma-Informed Care May Ease Patient Fear, Clinician Burnout [jamanetwork.com]
By Bridget M. Kuehn, JAMA Network, January 29, 2020 For many sexual assault survivors whom Anita Ravi, MD, MPH, sees as a New York City–based family physician, the prospect of even basic medical care can be frightening. Some have put off Papanicolaou tests and mammograms for years or even decades. To help them, Ravi has adopted a trauma-informed approach that works to restore patients’ trust and give them a greater sense of control over their visit. This may include asking permission before...
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Webinar: The Human Impact of Climate Change
The Community Resiliency Model Disaster Relief Program Climate change emergencies are real and the human toll during and in the aftermath impact children, teens and adults. This webinar will hear from Kelly Doty, a survivor, who lost her home in Paradise and is working in a community-based program to help the children and their parents in the aftermath. Elaine Miller-Karas, the key developer of the Community Resiliency Model Disaster Relief Program, will explain the program and how it helps...
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ACEs & African Americans Community on ACEs Connection
ACEs Connection envisions a resilient world where ALL people thrive. We are an anti-racist organization committed to the pursuit of social justice. In our work to promote resilience and prevent and mitigate ACEs, we intentionally embrace and uplift people who have historically not had a seat at the table. ACEs Connection celebrates the voices and tells the stories of people who have been barred from decision-making and who have shouldered the burden of systemic and economic oppression as the...
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ACEs Research Corner — November 2019
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Jackson DB, Chilton M, Johnson KR, Vaughn MG. Adverse Childhood Experiences and Household Food Insecurity. Am J Prev Med. 2019 Nov;57(5):667-674. PMID: 31522923...
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Adverse Childhood Experiences (ACEs) and Community Physicians: What We've Learned [thepermanentejournal.org]
By Brian R. Stork, Nicholas John Akselberg, Yongmei Qin, and David C. Miller, The Permanente Journal, January 24, 2020 ABSTRACT Introduction : The prevalence of childhood trauma, as measured by the Adverse Childhood Experiences (ACE) Study questionnaire, has been studied in a wide variety of community settings. However, little is known about physicians’ familiarity with and use of the ACE questionnaire or the prevalence of childhood trauma in the physician community. Objective: To survey a...
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Donna Jackson Nakazawa on bringing down the stress-threat response
Cissy's note: Donna Jackson Nakazawa has graciously allowed me to cross-post some of her current and future Facebook page posts here in the Practicing Resilience for Self-Care and Healing community on ACEs Connection . Hello Friends. As a SciComm journalist with 30 years of reporting and 6 books under my belt, which focus on how our stress response governs our immune health, I’ve been thinking about what I have learned, and how I might help you quiet your body and mind during this # pandemic...
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For Community Health Centers, a Hands-On Guide to Building Partnerships [chcf.org]
By Carlina Hansen, California Health Care Foundation, October 15, 2019 Before joining CHCF, I spent almost 20 years as executive director of the Women’s Community Clinic in San Francisco. In my time there, we forged some valuable partnerships to serve our clients and community, including our merger with another community health center, HealthRIGHT 360. It was during the merger process that I learned first-hand one of the biggest challenges to forging such partnerships — and it wasn’t what I...
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Healing Hurt People: Helping Victims of Violence Heal from Their Trauma and Become Community Peer Health Workers [citywidestories.com]
By Michael Butler, City Wide Stories, November 1, 2019 Healing Hurt People started in 2008 as an initiative to help victims of violence heal and deal with the trauma of their injuries; more than a decade later the organization has created a sustainable model for hospitals across the city of Philadelphia. Young men that have dealt with violence are encouraged to go through training, become community peer health workers, and help those who have gone through similar experiences. We spoke with...
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Home Gun Safety Queries in Well-Child Visits [jamanetwork.com]
By Carole H. Stipelman, Greg Stoddard, Kyle Bata, et al., JAMA Pediatrics, October 28, 2019 Firearms are a leading cause of death in US children, and the rate of suicide by firearms in people aged 10 to 19 years has increased since 2008.1 In the United States, 4.6 million children (approximately 7%) live in households with at least 1 gun that is stored loaded and unlocked.2 Safe storage of guns and ammunition may decrease the occurrence of self-inflicted or unintentional firearm injury to...
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How trauma-informed care promotes healing: Patient Narrative
So pleased that KevinMD published this patient narrative. I was encouraged to share it here as well! https://www.kevinmd.com/blog/2...romotes-healing.html By MEGAN R. GERBER, MD | CONDITIONS | JULY 26, 2019 As physicians, we face the formidable task of working with patients who appear angry, never content with care or “made better” by anything we do. They may be known as “difficult,” unpleasant, or demanding. These patients are the most challenging and often the least rewarding to care for.
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`I'm never going to be the same': Medics grapple with mental trauma on COVID-19 front line (msn.com)
Anne Messman, a veteran emergency room physician in Detroit, knew something was wrong when she developed insomnia and became unusually irritated with people she loved. Messman and thousands of other healthcare workers across the United States are grappling with psychological traumas that mental health professionals say are more commonly associated with soldiers returning home from far-flung battlefields. The unrelenting horror of COVID-19 has exacted a toll on healthcare workers who have...
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Last week to register or apply for a scholarship--Creating a Resilient Community Conference
This is the final week to register or request a scholarshi p to attend the virtual Creating a Resilient Community: From Trauma to Healing Conference on April 21st. This virtual event with cutting edge community resilience and trauma healing speakers Dr. Kenneth Ginsburg and Dr. Wendy Ellis will provide a platform to convene as a community to learn, connect, and envision a path forward together to transform our region into one of prevention, hope, healing and resilience for all. Conference...
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Med school free rides and loan repayments — California tries to boost its dwindling doctor supply (calmatters.org)
Primary care doctors are a hot commodity across California. Students are being lured by full-ride scholarships to medical schools. New grads are specifically recruited for training residencies. And full-fledged doctors are being offered loan repayment programs to serve low-income residents or work in underserved areas. These efforts are intended to ease or stave off the physician shortage expected to peak within the next decade in California. By 2030, the state will be short some 4,000...
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NPPC shares lessons learned and results from ACEs screening pilot sites
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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Re: ACEs & African Americans Community on ACEs Connection
The more solid scientific evidence, the better the chances of convincing the medical community that we will not make a dent in the numbers of chronic diseases/ mental health and substance issues, until we provide treatment for ACEs, generational trauma .... as readily as we prescribe a pill. Thank you for the work you are doing!
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Re: A Nurse Survivor Shares Her Story and Concerns
Thank you Laneita. We all need a strong reminder that we never know what another has gone through. And we also need to consider making a commitment to ourselves to try to never leave someone worse off than how we found them. In your case you were left worse off, by the judgmental words. I am sad that you had to experience that, especially from we nurses. I sincerely hope that nursing and physician programs teach ACES content, as well as have their students evaluate their own ACE scores and...
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Prioritizing Physician Mental Health as COVID-19 Marches On [jamanetwork.com]
By Jennifer Abbasi, JAMA Network, May 20, 2020 I n the spring of 2013, Eileen Barrett, MD, MPH, lost a colleague to suicide. The two worked at the Indian Health Service’s Gallup Indian Medical Center in New Mexico, where Barrett was the deputy chief of medicine. Even before the tragic event, she saw workers struggle under administrative burdens and hold themselves personally responsible for problems outside of their control. With her coworker’s death it became painfully clear that clinician...
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Diagnosing and Treating Systemic Racism (NEJM)
June 10, 2020. Michele K. Evans, M.D., Lisa Rosenbaum, M.D., Debra Malina, Ph.D., Stephen Morrissey, h.D., and Eric J. Rubin, M.D., Ph.D. For the New England Journal of Medicine. For physicians, the words “I can’t breathe” are a primal cry for help. As many physicians have left their comfort zones to care for patients with Covid-19–associated respiratory failure, the role of the medical profession in addressing this life-defining need has rarely been clearer. But as George Floyd’s repeated...
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2020 Health Equity Call for Research (AAMC)
2020 Health Equity Call for Research: AAMC Consumer Survey of Health Care Access Introduction In recognition of the importance of research and the dissemination of evidence-based solutions to achieve health equity, the AAMC (Association of American Medical Colleges) founded the Collaborative for Health Equity: Act, Research, Generate Evidence (CHARGE), a forum for investigators, clinicians, and community partners to collaborate and improve upon research that aims to minimize disparities in...
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Inside Boston Hospitals, A Reckoning With Racism (WBUR)
By Martha Bebinger, June 19, 2020, WBUR As calls for racial justice continue on Boston streets, conversations have shifted to what’s next. That’s true inside hospitals as well, where the life-long effects of racism play out every day. “You could almost take any chronic disease in America, diabetes, hyper-tension, and there will be higher rates and worse outcomes in Black Americans,” says Dr. Rose Olson, a resident physician at Brigham and Women’s Hospital. “That’s not due to biology or...
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HHS Awards $107.2 Million to Grow and Train the Health Workforce (HHS.gov)
Sharing - if funding is in your area, consider seeking opportunities to infuse ACEs science! June 18, 2020, Press Release: Today, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), is announcing awards totaling $107.2 million to 310 recipients to increase the health workforce in rural and underserved communities . Recipients across 45 states and U.S. territories received funding to improve the quality, distribution and...
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Physician Burnout, Interrupted (NEJM)
By Pamela Hartzband, M.D., a nd Jerome Groopman, M.D. June, 25, 2020, N Engl J Med 2020; 382:2485-2487 DOI: 10.1056/NEJMp2003149. Before the onset of the Covid-19 pandemic, each day seemed to bring another headline about the crisis of physician burnout. The issue had been simmering for years and was brought to a boil by mounting changes in the health care system, most prominently the widespread implementation of the electronic health record (EHR) and performance metrics. 1 Initially, the...
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Resilient Georgia and Georgia Public Broadcasting present "Mental Fitness for Resilience" Second Panel - The Trauma of Racism
Resilient Georgia recently presented a roundtable discussion, featuring a distinguished panel of professionals, on the trauma associated with racism and racial discrimination, as part of the Mental Fitness for Resilience Campaign. The distinguished panel for this Georgia Public Broadcasting production included Dr. Patrice Harris, MD, MA, psychiatrist and the first African-American woman to be elected president of the American Medical Association; Dr. Terri McFadden, a General Pediatrician...
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Reimagining Healthcare as a Community Investment
At this point, COVID-19 has been a part of our lives for nearly six months now. While the most recent current events are not unfamiliar social problems, this pandemic has provided us with a stronger lens with which to see many of the underlying inequities within our communities. This article, “The Moral Determinants of Health,” explores these inequities by illustrating the systemic imbalances within the field of medicine and the amount of resources we allocate to solving problems as opposed...
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Re: Reimagining Healthcare as a Community Investment
Let us be clear: Guaranteeing medical services as a right to all Americans is not only a moral mandate, it is an investment in individual freedom and capacity, in family security and opportunity, as well as community solidarity and peace. The rest of the mature developed world places this priority along side fire departments, schools, and housing as collective public goods guaranteed by the government. Here in the USA this moral mandate has been retarded first by racism (those states which...
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Help Navigating the Road to Community Resiliency
The first time I ever heard the words trauma-informed care and the Adverse Childhood Experiences (ACEs) study was in the summer of 2014. At the time, I was working for the local Police Department as the Director of a grant-funded Crime Reduction Project aimed at reducing drug-related and violent crime. Of the many program goals, one was to develop a rehabilitative corrections program for felony offenders with addictions in order to reduce recidivism. Though I’ve lived in this region for...
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'A Better Normal' Community Discussion Series: How to Grow a Resilient Community - July 7, 2020
Interested in learning what it takes to Grow a Resilient Community? Do you want to learn how to become a member of ACEs Connection Cooperative of Communities? If so, please join us Tuesday, July 7th, 12-1pm PDT for our next 'A Better Normal' community discussion series. In this discussion we will be talking with Brian Semsem of Fresno's Every Neighborhood Partnership. We will be talking to Brian about what led him to work with ACEs and resilience. In addition, we will be discussing the path...
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Health Disparity, Racial Weathering, and Social Determinants: How Do We Create Antiracist Healthcare? [saragottfriedmd.co]
By Sara Gottfried, Dr. Sara Gottfried MD, July 13, 2020 I take respectful care of my patients regardless of skin color, but in the past few years, I’ve realized that is not enough. There are many sources of information that have influenced me. Conversations, particularly a recent interview with integrative physician Andrea Pennington MD. Books, mentioned in this article, including How to Be an Antiracist by Boston University Professor Ibram X. Kendi and founder of the Antiracism Center for...
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Trauma informed pain treatment
A patient-centered approach to opioid tapers must account for the reality that many people who are given a prescription for an opioid to treat pain have significant mental health conditions—for which opioids act as a psychotropic agent. An opioid taper must therefore address psychological trauma, in particular.
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Psychological Trauma Is the Next Crisis for Coronavirus Health Workers [Scientific American]
After his roughest days in a New York City emergency room, physician Matthew Bai feels his whole body relax when he sees his wife and 17-month-old daughter. “My light at the end of the tunnel is going home to family,” Bai says. When Manhattan’s Mount Sinai Hospital started to overflow with COVID-19 patients in late March, however, Bai and his wife decided she should take their toddler and stay with her parents in New Jersey. The risk of spreading the virus to his family was too great. Now...
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Practices to Foster Physician Presence and Connection With Patients in the Clinical Encounter (JAMA)
By Donna M. Zulman, MD, MS 1,2 ; Marie C. Haverfield, PhD 2,3 ; Jonathan G. Shaw, MD, MS 1 ; et al January 7, 2020, JAMA. JAMA. 2020;323(1):70-81. doi:10.1001/jama.2019.19003 MOST READ NON-COVID ARTICLES, 2020 Question What are the most promising practices to foster physician presence and connection with patients? Findings This mixed-methods study identified 5 practices that may enhance physician presence and meaningful connection with patients in the clinical encounter: (1) prepare with...
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Addiction Born Out of ACEs and The Return of Hope [avahealth.org]
The downstream effect of childhood trauma has been well documented regarding the biological and psychosocial impacts. This presentation will highlight the neurobiological changes associated with ACEs that function as a "primer" for the onset of addiction and related behaviors. It will conclude with principles for influencing these same pathways that assist with restoration of the mind and health downstream effect of childhood trauma has been well documented regarding the biological and...
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RSVP now! FREE Learning opportunity for CA healthcare providers: Oct 1, 2020 at noon PST
RSVP now for a presentation by Susie Wiet, MD who is an integrative developmental psychiatrist with expertise in holistic treatment of trauma-addiction, dual diagnosis, and complex psychiatric disorders. Target Audience T his activity is intended for CALIFORNIA physicians, physician assistants, registered nurses, nurse practitioners, psychologists and social workers engaged in the care of patients who have experienced violence or trauma. Educational Objectives After completing these...
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Teaching Doctors In Training To Connect Climate Change And Health Care (WBUR)
By Martha Bebinger, September 24, 2020, WBUR. It was low tide on the North Shore of Boston when Steve Kearns felt the mosquito bite that would land him in a hospital with West Nile Virus disease for a week. “For at least six months after that, I felt like every five minutes I was being run over by a truck,” Kearns says. “I couldn’t work, I couldn’t walk very well, and I couldn’t focus. I wondered for a bit if I’d ever get better.” Kearns recounts the experience during a check-up with his...
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NOW AVAILABLE ON DEMAND: The Repressed Role of Adverse Childhood Experiences in Adult Well-Being, Disease and Social Functioning: Turning Gold into Lead (Dr. Vincent J. Felitti) [avahealth.org]
The ACE Study reveals how typically unrecognized adverse childhood experiences are not only common, but causally underlie a number of the most common causes of adult social malfunction, biomedical disease, and premature death. Moreover, it enables one to see that the Public Health Problem is often an individual’s attempted Solution to childhood experiences about which we keep ourselves unaware. A renowned physician and researcher, Dr. Vincent J. Felitti is one of the world’s foremost experts...
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An exploration of medical student attitudes towards disclosure of mental illness (Medical Education Online)
By Ian Fletcher , Michael Castle , Aaron Scarpa , Orrin Myers , and Elizabeth Lawrence , Published online 2020 Feb 13. doi: 10.1080/10872981.2020.1727713 . ABSTRACT Background : Medical students are reluctant to access mental health services, despite having high rates of anxiety and depression. This reluctance persists through residency and into practice. Physicians and trainees who are unwell deliver lower quality patient care, behave less professionally, communicate less effectively and...
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Re: An exploration of medical student attitudes towards disclosure of mental illness (Medical Education Online)
For all it's worth I am a family doc with 35 years experience in practice and many years mentoring medical students. I also served 8 years on my state's medical licensing and discipline board and 10 years on my community hospital's bioethics committee. Needless to say physicians are human beings too and have the same array of frailties as the rest of humanity. These days in addition to 'ordinary' mental illness and the awesome assumption of responsibility for life and death the docs carry...
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A Better Normal Community Discussion - Reimagining Health Care
In a conversational style, join physician Drew Factor who will speak with Dr. Tracy Gaudet, Liza Guroff and An é Watts in a discussion entitled "Reimagining Health Care". Dr. Gaudet will speak about her experience engaging in transformational change at the Veterans Administration and how this has shaped the development of her own Functional Medicine Institute, while Ms. Guroff and Ms. Watts will speak about their knowledge of a Trauma-Informed Approach both at a systems (National Council for...
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A New Hippocratic Oath Asks Doctors To Fight Racial Injustice And Misinformation [NPR]
First-year medical student Sean Sweat "didn't want to tiptoe around" issues of race when she sat down with 11 of her classmates to write a new version of the medical profession's venerable Hippocratic oath. "We start our medical journey amidst the COVID-19 pandemic, and a national civil rights movement reinvigorated by the killings of Breonna Taylor, George Floyd and Ahmaud Arbery," begins the alternate version of the oath, rewritten for the class of 2024 at the University of Pittsburgh...
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Re: Top 5 Social Determinants of Health Domains for Payers to Address (Health Payer Intelligence)
Thank you for posting this information. I teach English to foreign trained doctors and I was looking for new resources about the SDOH to share. The links included in this article were very helpful to explain the importance of patient-centered history taking or interviewing. Changing perspectives from the physician-centered to a more holistic patient-centred model is difficult for my students who had been working as physicians for years in their country of origin.
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Medicine Woman (visionmakermedia.org)
During a time where women were no more than stay-at-home housewives, Susan La Flesche Picotte broke through all barriers and became the first Native American woman to become a physician in the United States. Graduating from the Hampton Institute as valedictorian, Susan was determined to pursue her medical degree and was accepted at Woman’s Medical College of Pennsylvania. She wrote an appeal to the Connecticut Indian Association for finances and was the first person to receive financial aid...
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