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Raise the Line
28 minutes | Jun 22, 2021
How to Study Better and Reduce Burnout - Dr. Jason Ryan, CEO of Boards and Beyond
“Information that you don't use regularly, you will quickly forget,” says Dr. Jason Ryan, “no matter what it is.” Accepting that reality, he argues, is a good way to form an effective study plan. Tune in to this episode of Raise the Line to hear more of Dr. Ryan's valuable advice and learn how he came to start Boards and Beyond, a platform that helps medical students prepare for board exams. Listen in as he and host Dr. Rishi Desai discuss Continuing Medical Education (CME), the pros and cons of recertification exams, and strategies to address the problem of burnout. Plus, discover Dr. Ryan's arguments for open-book testing and learn why becoming a “cookbook practitioner” in the medical field is definitely something to avoid.
24 minutes | Jun 17, 2021
Female-Focused, Video-Free Telehealth – Varsha Rao, CEO of Nurx
Telehealth has emerged as one of the biggest “winners” of the pandemic if you measure that in terms of a huge jump in awareness and amount of use. People most often associate it with video conversations, but telehealth also includes phone calls, remote monitoring, emails and sharing of images. Our guest on this episode of Raise the Line thinks there are real advantages to patients in actually foregoing video in favor of an asynchronous exchange of information. Varsha Rao is CEO of Nurx, a rapidly growing health tech company which has its roots in the prescribing and at-home delivery of contraception. “There's a lot of people who still don't feel that comfortable talking about contraception with their provider. One thing we've tried to do is create modalities that reduce friction, whether it's stigma or logistics, because those can be barriers to care.” Rao says patients feel more comfortable asking sensitive questions in writing, and benefit from the deep experience Nurx providers have on the limited health concerns they treat. “We've really focused in a number of areas and gone deep in them. That’s why we get thousands of comments from patients saying they learned more from our providers than they ever got from their in-person doctors.” Check out this episode to learn more about a different take on telehealth.
21 minutes | Jun 16, 2021
YouTube Powers Health Information Videos - Dr. Garth Graham
Communicating accurate, vital healthcare information to the public has seldom been more important than during the COVID 19 pandemic. As we’ve all seen, the challenges of doing that well have been a major factor in the spread of the disease and participation in vaccination campaigns. Watching all of this carefully is cardiologist, researcher and public health expert Dr. Garth Graham, who was chosen earlier this year to lead a new health partnerships team at Google/YouTube to create high-quality health content for viewers around the world. Graham will work with an impressive coalition of organizations including the Mayo Clinic, National Academy of Medicine, Harvard School of Public Health (and Osmosis!) to extend evidence-based clinical information beyond the exam room in a way that meets the evolving digital health needs of consumers. “The challenge that we're taking on is how to deliver public health information to empower communities across the world to live their healthiest lives. We’re using the power and reach of YouTube to engage people directly with health information in a way that they’re used to receiving other information in their daily lives.” Check out this lively conversation with host Dr. Rishi Desai to learn about the importance of providers seeing life through the eyes of the patient and community, and why the healthcare system sometimes resembles a stampeding elephant.
25 minutes | Jun 15, 2021
Self-Care is Not Selfish - Dr. Bern Melnyk, College of Nursing Dean at Ohio State University
With just 30 minutes of physical activity every day, says Dr. Bernadette Melnyk, or “Bern,” as she's known, 80% of chronic disease could be totally prevented. Unfortunately, though, most people will not make changes in their behavior unless they are in a crisis or have raised emotions. Join Dr. Melnyk on this episode of Raise the Line as she speaks with Dr. Rishi Desai about her work at Ohio State - and worldwide through the Fuld Institute for Evidence-based Practice - finding and implementing evidence-based solutions to wellness, including decreasing the high percentage of burnout, depression and suicide in clinicians. Tune in to hear why self-care is not selfish, and how focusing on kids and pets can help people better care for themselves. Plus, discover Bern's “magic formula” to get people to change.
26 minutes | Jun 11, 2021
Strategies for Stress Reduction and Wellness – David Kopp, Former CEO of Healthline Media
“I'm a huge fan of progress, not perfection. Small steps lead to transformation more often than large steps.” David Kopp has not only experienced this personally as an effective approach to positive behavior change, but as former CEO of Healthline Media, he knows the scientific literature supports it as well. Kopp refers to the key factors in achieving wellness as MENDS: mindfulness, exercise, nature, diet, and sleep. “If you can create new routines around those things, it will really make a difference.” Because diet is such an important driver in many chronic conditions, Kopp says it deserves much more attention from the healthcare system, but knows that’s an uphill battle. “You have to spend a lot of time to understand a patient's diet and nutrition, and our whole system is based on ‘you've got 11 minutes to spend with patients.’ Check out this episode of Raise the Line as Kopp joins host Rishi Desai to discusses other structural impediments to better health, the evolving acceptance of plant-based diets, and the role passion and purpose can play in creating resilience to get challenging work done.
24 minutes | Jun 9, 2021
Supporting Students and Faculty on the Same Platform – Andrew Grauer, CEO of Course Hero
Andrew Grauer was just trying to solve his own problems with finding study help as a student at Cornell University, but it turns out his initial solutions, and those that followed, have also worked for millions of students. The company Grauer co-founded, Course Hero, provides an online learning platform where students access millions of course-specific study resources contributed by a community of students and 65,000 educators. The popular site also offers 24/7 tutoring. “We were helping students to anytime, anywhere, go connect to the knowledge directly that came from others. Getting more accessible, on-demand quality help to learn was the problem and the opportunity.” As for faculty – who were not uniformly positive about the service when it started catching on – Grauer and his team realized that they needed support as well to find the best instructional materials. “We also believe in amplifying great teachers and great teaching resources.” Check out this episode to learn more about how today’s students learn and the long-range implications of the pandemic-driven pivot to online instruction. Also hear what personal quality Grauer thinks, in addition to passion, is “super important” to building a successful business.
27 minutes | Jun 8, 2021
Rural Health and the Provider-Patient Relationship - Dr. Jean Sumner, Dean of Mercer University School of Medicine
“Everybody deserves access to care, and it's up to us to find a way to provide that,” says Dr. Jean Sumner. She and her team at Mercer University School of Medicine in Macon, Georgia take their mission of serving rural and underserved populations very seriously. “Almost,” says Dr. Sumner, “as a sacred trust to serve our state.” That could entail bringing diabetes and hypertension training to church on Sunday, taking phone calls at night, advocating for primary care patients in emergency rooms, or partnering with rural-county pharmacists and physical therapists. She believes being responsive to the community is key to gaining trust and providing good care. In this episode of Raise the Line, learn about Dr. Sumner's inspiring career dedicated to bringing attention to the issues of rural health, and how the pandemic has drawn attention to the lack of primary care in rural communities. Discover why observation over time is such an important and overlooked tool, how having a broad range of skills can save lives, and how telehealth can best be used as a tool to expand access to those in need.
26 minutes | Jun 3, 2021
Big Data Will Give Physicians Superpowers – Dr. Mark Triola, NYU Langone Health
If you have a sense of dread about what impact AI will have on healthcare providers and quality of care, you should listen to today’s episode of Raise the Line. Dr. Mark Triola, who spends a lot of time contemplating how data analytics is going to impact medicine as director of The Institute for Innovations in Medical Education at NYU Langone Health, likens AI to a valuable new member of the healthcare team that will give physicians superpowers. “Many physicians think they have those superpowers now -- such as the ability to see patterns, to know what to ignore and know what to look at, and to be able to make the right decision for the right patient -- but limitations on our ability to manage data, cognitive biases and other factors get in the way.” Adding to his excitement about the possibilities for AI is that patients will have access to many of the same tools. Tune in to gain insights from Triola on the welcome waning of ‘one-size fits-all’ medical education, the positive disruption of shifting to online learning, and to learn about a project with Osmosis and NYU Langone to serve up content to medical learners based on diagnoses they are making.
38 minutes | Jun 2, 2021
How Professional Organizations Can Help You Make an Impact - Dr. Ric Ricciardi, President of Sigma Theta Tau
“Being a nurse practitioner was just a great fit for me. I'd wake up every morning with just a great deal of enthusiasm,” says Dr. Ric Ricciardi. But, he notes, “That was before managed care came in.” As the time to see patients was cut down from 30 minutes to 10, Ricciardi realized he wanted to be involved at a policy level to make healthcare better. While serving in the military, he earned a PhD and worked his way into leadership positions in the Department of Defense and at the Agency for Healthcare Research and Quality where he pursued the integration of primary care delivery, among other efforts. While encouraged by some innovations forced by COVID, he believes there is much more to be done to improve care, and in this lively conversation with host Jannah Amiel, RN he is full of encouragement for nurses to find their natural place as leaders. “Decide what change you really want to contribute to, be curious about what policies are out there, and who's working on it? That's what's great about professional organizations. You can hook up with people that are like-minded on a specific policy and then work on it together.”
34 minutes | Jun 1, 2021
Regaining Trust through Education - Dr. Michael Whitt, University of Tennessee Health Science Center
“There is a lot of distrust for the medical profession, and certainly, for, I think, science in general,“ observes Dr. Michael Whitt. How to rebuild that trust? Dr. Whitt believes the answer is teaching. Join him in this episode of Raise the Line as he speaks with host Dr. Rishi Desai about vaccine development and his team's role in COVID vaccine testing, as well as best approaches and practices to fighting misinformation. Find out about the amazing developments that have been made over the past five years in vaccine technology, and the important part Dr. Whitt believes physicians should play in combatting fear and social weariness and rebuilding trust in science. Plus, learn about what it means for COVID to be with us for the long haul, and the challenge of messaging—here and across international borders—to get everyone working effectively toward the same goal.
12 minutes | May 27, 2021
Supporting Mental Health for Healthcare Workers - Sara Sarkey, U.S. Medical at Takeda
Mentioned in this episode:Takeda: https://www.takeda.com/PackHealth: https://packhealth.com/Lundbeck: https://www.lundbeck.com/globalOsmosis: https://www.osmosis.orgNAMI: https://www.nami.org
21 minutes | May 25, 2021
Deciding to Do Good - Dr. Abdul El-Sayed, Author of "Medicare for All: A Citizen's Guide"
When Dr. Abdul El-Sayed realized that he could travel 15 hours to visit family in Egypt or drive 15 minutes away in Detroit and traverse the same 10-year life expectancy gap, the deeply political aspects of medicine and public health really hit home for him. In a broadly-spanning career with roles in medicine, activism, education, and politics, Dr. El-Sayed has endeavored to fix the problems in the U.S. healthcare system that contribute to this gap. In this important interview, Dr. El-Sayed speaks with host Dr. Rishi Desai about the power of storytelling, the immoral foundation of our healthcare system, and the need to step beyond institutional measurements to decide what matters. Tune in to discover the powerful influence his grandmother has had on his life's work, why Dr. El-Sayed believes that Medicare for all is not only the ethical way to go, but also “extremely technically possible,” and what he sees as the next step toward removing corporate dominance from our healthcare system.
23 minutes | May 20, 2021
Can Learning Medicine Actually Be Fun? - Andrew Berg and Saud Siddiqui of SketchyMedical
You might say Osmosis and SketchyMedical share some DNA. Both learning platforms were started by medical students seeking a better way to manage the avalanche of information they had to memorize; both companies use animated videos with an approachable style; and both root their content in learning science. Sketchy’s key approach borrows from a method developed by the ancient Greeks that relies on visual-spatial memory to acquire and retain knowledge. They also keep fun front and center. “That fun aspect is harder to be objective about and to judge,” says co-founder Andrew Berg, “but we found that the more fun we're having when we're creating content, that translates into more fun the students are having and very likely makes it more effective as a learning tool.” Check out this fascinating (and fun!) discussion about the power of visual lessons to increase speed of learning and retention, the myth of learning preferences, and plans to apply the approach to non-medical subject areas.
26 minutes | May 19, 2021
Nursing’s Role in Advancing Health Equity - Suzanne Miyamoto, CEO of the American Academy of Nursing
Suzanne Miyamoto's appreciation for healing and personal connection started while volunteering at a hospital in high school, and has been central to her life ever since. She has spent most of her career working in policy, and now leads the American Academy of Nursing, which endeavors to improve health equity by impacting policy through nursing leadership, innovation, and science. Join Miyamoto and host Jannah Amiel in this episode of Raise the Line to learn how nurses can be—and in Miyamoto's view, should be—front and center in the struggle to improve health equity. Tune in to soak up Miyamoto's valuable advice on forming partnerships, using good evidence, and seeking out opportunities outside of healthcare. Plus, learn about the need for better representation at the decision-making tables and the importance of educators encouraging and nurturing student ideas early and often.
28 minutes | May 18, 2021
Are Micro-Assessments the Future of Testing? - Sebastian Vos, Chief Business Officer of Turnitin
We’re all aware that during last year’s massive shift to virtual learning, many colleges and universities scrambled to acquire technology and to help instructors get good at using it to teach and assess their students. Now that the dust is starting to settle on the crisis, many are looking at how all of this worked, and what adjustments need to be made. “I just think there's so many programs that are struggling to figure out what do we do now,” says Sebastian Vos, a veteran of the EdTech space. “I think they're looking at what is actually making a difference. How am I taking my students from novice to expert and what tools are facilitating helping the students along that journey, or helping my faculty to help my students along on that journey?” His company Turnitin helps educators mine data from its assessment tools to evaluate how students are progressing, but also whether the questions they are asking on exams are well-designed. Check out this episode of Raise the Line with host Rishi Desai to learn why Vos thinks micro-assessments -- multiple brief evaluations throughout a course – are gaining momentum over just relying on a few big projects and tests, and why educators should embrace data the same way retailers like Amazon do. “Educators can have that kind of knowledge without being creepy about it, and can share that with you so you can grow on your personal journey.”
25 minutes | May 13, 2021
The Journey to Safety Never Ends - Dr. Daniele Rigamonti, Medical Director at Johns Hopkins Medicine International
“Safety is the number one element of quality,” says Dr. Daniele Rigamonti, who has spent his career trying to find solutions to one of the profession’s biggest challenges. In this episode, the veteran Johns Hopkins neurosurgeon joins his former student Shiv Gaglani to discuss the meaningful lessons he learned about safety while leading the healthcare organization for Saudi Aramco, one of the largest energy companies in the world. “I realized there is a gap between what people know and what people actually do. You can teach a lot of things, but unless people actually practice what they learned and make that experience a habit, there are situations in which bad things can happen.” Listen in as he explains the key to effective crisis response, how to create safe environments and the importance of team-based work in what he describes as “a beautiful profession.”
24 minutes | May 12, 2021
Medical Schools Must Champion Health Equity - Dr. Valerie Weber, Dean of Wright State University Boonshoft School of Medicine
“It has always really been about making things better for people,” says Dr. Valerie Weber of the various roles she has held in her distinguished career. “As somebody who is fortunate, you must use your role to help others and to make the system better.” In this episode of Raise the Line, Dr. Weber joins host Shiv Gaglani to discuss current challenges and new models in medical education, the impact of COVID, and pandemic silver linings. Tune in to discover how Dr. Weber's mother's passion for caring for community elders inspired her daughter's journey to leadership in healthcare, a field that Dr. Weber considers “the best career in the world.” Learn why Dr. Weber is a staunch advocate of community-based medicine and believes it is essential for medical schools to lead the way in championing health equity. Plus, find out what she thinks may prove to be the “discovery of the century.”
28 minutes | May 10, 2021
Making Family-Sustaining Careers Possible - Dr. Angela Kersenbrock, President of the Community College Baccalaureate Association
“We just need to work in partnerships with the goals of family-sustaining wages, economic development, and health for everybody.” That broad perspective and desire to improve people’s lives is what drives Dr. Angela Kersenbrock in her work as President of the Community College Baccalaureate Association. She is constantly seeking partnerships with policymakers, industry leaders and other higher ed stakeholders so that community colleges can fulfill their potential as engines of economic development. In this episode, she joins host Rishi Desai to discuss some of the common misconceptions about baccalaureate degrees, as well as the steps CCBA is taking to make these life-altering credentials more accessible. “We're not saying everybody has to have a baccalaureate degree, but we're saying everybody should have the opportunity to do that.”
25 minutes | May 6, 2021
Reinventing Healthcare After the Pandemic: Dr. Shantanu Nundy, Chief Medical Officer at Accolade
"Healthcare needs to become distributed, digitally enabled, and decentralized.” That’s the core message in the new book Care After Covid: What the Pandemic Revealed Is Broken in Healthcare and How to Reinvent It, by Dr. Shantanu Nundy. Between his work as a primary care physician, lecturer in health policy at George Washington University Milken Institute for Public Health, advisor to the World Bank on digital health and innovation and role as chief medical officer at Accolade, Nundy brings a lot to the national conversation about improving healthcare. Although plenty needs to be done by regulators, policymakers and other stakeholders, Nundy is also looking to his fellow providers to drive change. Taking the trajectory of telemedicine as an example he says, “we could have moved to virtual care sooner. Part of it was regulation, but part of it was us. We could have been giving our patients' blood pressure cuffs to take home with them. Part of it was regulation, but part of it was us. I think the pandemic has shown that you don't have to wait for someone in DC to solve a problem for you. There's so much that we all know because we're in exam rooms every day and there are things we can do to make care better.” Tune in for a trenchant discussion with host Rishi Desai on removing barriers to change, patient empowerment, changing medical education, training doctors to be mass communicators and much more.
24 minutes | May 5, 2021
Building Trust Through Individualized Care - Brantley Fry, VP of Health Equity and Community Engagement at Pack Health
As chronic conditions like diabetes continue to rise, so does the importance of getting people to stick to the treatment plans laid out by their doctor. That’s where health coaching companies like Pack Health come in. “We serve as almost a concierge service to help people address their healthcare goals in between visits to their providers,” says Brantley Fry, the company’s vice president of Health Equity and Community Engagement. Patients (who are referred to as members) are assigned a health advisor to help establish trust and consistency. The advisors tailor communications -- which can take the form of texts, phone calls, video sessions and other methods -- to member preferences. “We see advisors as accountability partners, not as somebody who's just going to ping you with a reminder. It is a caring relationship. There's a trust and empathy that's established which really supports the overall achievement of the goals.” Join host Rishi Desai and Brantley Fry as they explore the growing role of health coaching in helping people change their behavior and lead healthier lives.
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