Moral Matters

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/

 

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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

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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/

To support the podcast: https://www.fixmoralinjury.org/get-started

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