

Explore The Space
Mark Shapiro MD
Examining the interface between healthcare and society, with thought leaders from across the spectrum.
Episodes
Mentioned books

Jun 20, 2020 • 40min
Vinny Arora On The Minority Tax & Covid19 Upheaval In Promotions
“There’s always this unwritten rule about evaluating a woman’s CV”
Dr. Vineet Arora is a Professor of Medicine at the University of Chicago and a co-author of the Women In Medicine Covid19 Contribution Matrix for your CV. Dr. Arora joins us to discuss the upheaval Covid19 has caused in career advancement across the profession of medicine, particularly for women and minorities. We explore the “Minority Tax” in promotions, how structural racism and sexism drive this disruption, and how critical it is for individuals to capture all of their work in their CV.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Check out the archive of Explore The Space Podcast as well as our White Papers and much more!
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
1. A strategic view of the upheaval Covid has caused for promotions & retention pipelines, particularly for women & underrepresented minorities
2. How structural racism and sexism in academic promotions drive the “minority tax”
3. The critical need for flexibility and support in reaching benchmarks in the promotions pipeline instead of the vicious cycle those who are vulnerable in the pipeline are facing
4. What people are seeing with regards to their futures instead of what they should be seeing from their institutions
5. The callous disregard for childbirth in the promotions process and how it is a perfect example of structural inequity.
6. Capturing the various contributions related to Covid and the story behind the WIM matrix
7. How grassroots efforts can impact decision-making at the committee level
8. Acknowledging that our jobs have changed and won’t be going back to where they were
Links
Twitter: @FutureDocs
LinkedIn: VineetArora
Women In Medicine Summit Covid19 CV Matrix
#Covid19, #structuralracism, #gender, #genderequity, #promotions, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

Jun 6, 2020 • 40min
Lashyra Nolen On What She Sees
“There’s this connection between all of these events, and that is systemic racism”
Lashyra “Lash” Nolen is a medical student, President of the Class of 2023 at Harvard Medical School, and an accomplished author and social media voice. We discuss the intersection of Covid19, healthcare disparities, police violence, and systemic racism as well as the critical need for lifetime antiracism work, the destructive impact medical hierarchies have on Black medical students and much more.
Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Sponsor: Elevate your expertise with Creighton University’s Healthcare Executive Educational programming. Learn more about Creighton’s Executive MBA and Executive Fellowship programs at www.creighton.edu/CHEE.
Key Learnings
1. Seeing the connections between the systemic racism ingrained in our nation with Covid19, the murder of George Floyd, and who we are as Americans
2. Our raw state and the need for lifelong work combatting racism and anti-Blackness in our country as an acute-on-chronic issue
3. Examples of how Covid19 laid bare so many disparities that are currently hard-wired in our nation, including her grandfather
4. The importance of not letting the dust settle in what will be the work of our lifetime against systemic racism
5. Avoiding the comfort zone while wading into this space and the importance of trying to do the work of an anti-racist advocate
6. The destructive impact medical hierarchies have on Black medical students and the horrid choice they will can be forced to make
7. Assessing the appetite for change within medical education and learning to prioritize
8. The right ways to mobilize medical students and healthcare professionals in general around anti-racism training
9. What starting the second year of medical school might feel like
Links
Twitter @lashnolen
Lash’s website
#antiracism, #systemicracism, #GeorgeFloyd, #Covid19, #racism, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

May 21, 2020 • 40min
Danielle Scheurer On Leading The Society of Hospital Medicine
“These types of shifts don’t scare me”
Dr. Danielle Scheurer is the President of the Society of Hospital Medicine & a practicing Hospitalist. She took office right at the start of the #Covid19 pandemic & has skillfully navigated this critical organization (I am a proud SHM member, full disclosure) through the first part of the pandemic. We discuss the need for agility, growing SHM while under tremendous pressure, and leveraging decentralized engagement. Absolutely fascinating from a great leader.
Please subscribe and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Key Learnings
1. How Danielle grew into medical leadership with Society of Hospital Medicine
2. The critical nature of agility when dealing with the Covid19 era
3. Reflecting on how SHM immediately became a convenor & distributor of information at the outset of the pandemic
4. Dealing with need for effective communication when information is coming in a flood and ensuring multiple platforms are available
5. Getting focused on retaining current members and reaching new members to ensure all Hospitalists are supported during the pandemic
6. How to repurpose all of the content that was canceled after the SHM Annual Meeting was postponed
7. How Covid is bringing the international Hospitalist community closer together
8. Bringing medical students and residents into the fold by emphasizing local chapter meetings in a decentralized engagement strategy
9. Social media as a critical engagement strategy for SHM
10. The critical need for a sound strategy to keep the organization running and solvent moving forward
Links
Society of Hospital Medicine
#Covid19, #Covid, #pandemic, #SHM, #JHMChat, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

May 8, 2020 • 31min
Vinny Arora & Samir Shah On Equity, Promotions, & Covid19
“This could lead to a lost generation of women falling off the path”
Dr. Samir Shah is a Professor of Pediatrics and is Editor-In-Chief of the Journal Of Hospital Medicine. Dr. Vinny Arora is a Professor of Medicine and is Social Media Editor for the Journal of Hospital Medicine.
In part 2 of our conversation (click here for part 1) we discuss JHM’s leadership in actively promoting diversity, the critical need for agility in how Promotion & Tenure committees operate, and ways we can track the work and be accountable.
This two-part podcast is produced in partnership with the Journal of Hospital Medicine, the Society of Hospital Medicine’s monthly peer-review journal. To read more on COVID-19 and its impact on hospital medicine, please visit www.journalofhospitalmedicine.com
All JHM content related to Covid19 is available open access to the public.
Please subscribe and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Key Learnings
1. Highlighting the fact that women and underrepresented minorities remain underrepresented in senior faculty and leadership positions
2. How Covid19 is wreaking havoc on promoting women & underrepresented minorities in academic medicine. Dr. Arora’s superb Twitter thread is here
3. The desperate need for Promotion & Tenure committees to demonstrate agility in the face of Covid unmasking inequities and causing huge financial challenges
4. Acknowledging that Journal of Hospital Medicine has the ability to actually do something about this & how JHM leads by example
5. Breaking ground by being the 1st journal to collect demographic information from its authors to assess gender, race & ethnicity for first authors & senior authors
6. Turning awareness into action by giving agency to women and underrepresented minorities
7. Calling on P & T to adjust for the Covid pandemic when a promotions package is reviewed
8. How to track data, report it, and disseminate solutions
Links
Dr. Shah’s article laying out the challenge we face & JHM’s commitment to improve it
Dr. Arora’s Twitter thread from 4/26/2020
#Covid19, #genderequity, #tenure, #professor, #pandemic, #podcast, #podcasting, #healthcare, #digitalhealth, #JHMchat, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

May 7, 2020 • 39min
Samir Shah & Vinny Arora On Effective Information Sharing
“There was just a thirst for information”
Dr. Samir Shah is a Professor of Pediatrics and is Editor-In-Chief of the Journal Of Hospital Medicine. Dr. Vinny Arora is a Professor of Medicine and is Social Media Editor for the Journal of Hospital Medicine.
In Part 1 of our interview we discuss the extraordinary May 2020 issue of Journal of Hospital Medicine that captures unique Covid-related perspectives, lessons and experiences from around the world. We also cover the incredible agility and leadership that JHM is demonstrating at a critical time.
This two-part podcast is produced in partnership with the Journal of Hospital Medicine, the Society of Hospital Medicine’s monthly peer-review journal. To read more on COVID-19 and its impact on hospital medicine, please visit www.journalofhospitalmedicine.com
All JHM content related to Covid19 is available open access to the public.
Please subscribe and rate Explore The Space on Apple Podcast or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Key Learnings
1. How the Journal of Hospital Medicine has ascended in importance
2. The genesis of the superb May 2020 issue of Journal of Hospital Medicine
3. Choosing to do a Perspective article on social distancing inside a hospital and getting information out quickly
4. The generalizability of these Perspective articles to a wide audience, particularly Vinny’s article on social distancing
5. Reaching a broader audience with the content in the May issue, especially with Mark Hertling’s wonderful essay
6. How a medical journal can humanize our profession and each other by helping build a sense of connection
7. Turning an article on crisis leadership around from submission to publication in less than 72 hours
Links
Twitter: @SamirShahMD @FutureDocs @JHospMedicine
The May 2020 issue of Journal of Hospital Medicine
Dr. Arora’s article on social distancing in the hospital
#journal, #Covid19, #leadership, #crisis, #pandemic, #disaster, #BattleBuddy, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

Apr 27, 2020 • 41min
Sarafina Nance On Sharing Personal Journeys
“Personal journeys are compelling & people respond to them because they see themselves”
Sarafina Nance is a graduate student in Astrophysics at UC-Berkeley who is incredibly skilled at sharing her life’s journey with passion, clarity, & honesty. We discuss her discovery of a supernova, dealing with entrenched sexism and misogyny in academia, her transparency around her BRCA + journey, and gaining confidence in doing all of this work.
Please subscribe and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Key Learnings
1. On finding a supernova(!!!) and how to celebrate the event
2. Current state of being a woman in the sciences.
3. Dealing with entrenched racism and misogyny in academia & the profound negative impact it has
4. How do institutions deal with feedback and how the toxic power structure is so fatiguing and dangerous
5. Where Sarafina’s enthusiasm comes from, especially in the face of so many barriers
7. Leveraging transparency and enthusiasm when talking about her journey with being BRCA positive and having prophylactic surgery
8. The unindintended consequences of sharing so openly about her journey
9. Dealing with negativity when sharing a personal story and finding confidence in the work
10. Making the choice to have prophylactic mastectomy, moving through recovery and considering her future
11. Being an advocate for women’s health, educating the public, and removing stigma
Links
Twitter & Instagram: @starstrickenSF
#supernova, #racism, #sexism, #misogyny, #academia, #BRCA, #genetics, #mastectomy, #genetictesting, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

Apr 20, 2020 • 49min
Jeremy Konyndyk On Covid19 Uncertainty
“We need this response to succeed, & I just don’t see how that happens without effective federal leadership”
Jeremy Konyndyk is a Senior Policy Fellow at the Center for Global Development & a recognized expert on global outbreak preparedness. We discussed the unsettling response to the Covid19 pandemic from the US government thus far, the disruptive impact of magical thinking, & what a fierce sense of urgency looks like.
Please subscribe and rate Explore The Space on iTunes or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Key Learnings
1. Why the current state of #Covid19 governmental response is so confusing
2. “Magical thinking” and its disruptive impact in our governmental response
3. Coming out of the Ebola experience with a fierce sense of urgency around preparedness 9:30 & seeing it all be disregarded in February 2020
4. The 2 critical questions that we should have been asking in January and February: “Could this happen here?” and “are we ready?”
5. What a fierce sense of urgency looks like and what’s missing now regarding response
6. The infuriating nature of the risk-shifting from the federal government to the governors of individual states, especially when juxtaposed against our Ebola response
7. Why targeting the World Health Organization (WHO is misguided and a risky approach, with some brilliant framing of WHO’s role.
8. What gives Jeremy hope right now
9. Some great people to follow
Links
Twitter: @JeremyKonyndyk
Jeremy’s webpage from Center for Global Development
Some of Jeremy’s recommended Twitter follows: @angie_rasmussen, @aetiology, @trvrb, @BethCameron_DC, @RebeccaKatz5, @joshmich, @jenkatesdc, @SaskiaPopescu
#Covid19, #pandemic, #FEMA, #WHO, #government, #federal, #decentralized, #testing, #swabs, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

Apr 17, 2020 • 50min
Mikhail Varshavski (aka Doctor Mike) On Social Media, Influence & Restraint
I am becoming more proficient at understanding each time when I make a piece of content, what is my purpose? What am I trying to accomplish?”
Dr. Mikhail Varshavski is a Family Practice physician who leads the way for healthcare professionals creating content on social media & managing their influence responsibly. In this remarkable conversation, Doctor Mike shares some superb insights around how not to cross “The Line”, understanding purpose behind content, and the value of restraint. If you are active on any social media platform, this is essential listening.
Please subscribe and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Key Learnings
1. Defining “The Line” & the myriad elements to account for when creating healthcare content for the public
2. Impulsivity and how Mike deals with provocative content or inaccurate information
3. Two premium of examples of dealing with misinformation, especially when it makes you angry
4. Understanding the value proposition & what you’re trying to accomplish when deciding how to wield your influence
5. The importance of assessing your goals anytime you create content
6. Why physicians need to adjust to leveling of the field with patients
7. The problems with trying to break news on social media in a fast-moving news cycle
8. A reminder from Mike that every thing you put on social media is there forever
9. Staying humble, especially as your following grows
10. The compelling place where Mike wants to push past “The Line”
Links
Twitter: @RealDoctorMike
Instagram: doctor.mike
Doctor Mike’s YouTube channel
#influence, #socialmedia, #YouTube, #Instagram, #Twitter, #Covid19, #misinformation, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

Apr 13, 2020 • 47min
Mark Hertling On War Analogies, Healthcare, & Covid-19
“What has happened now with this crisis is that healthcare providers are going into battle”
Lt. General Mark Hertling is back on Explore The Space Podcast in the wake of his superb article “Ten Tips for a Crisis: Lessons from a Soldier.” We discuss the analogy of healthcare providers as soldiers in a time of war, the inherent risks of glorification, the importance of having a “Battle Buddy” & so much more. This is essential content at a critical time for all of us.
Please subscribe and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Key Learnings
1. The mindset Mark brings to helping physicians develop as leaders
2. The correlation between healthcare and war during the Covid19 pandemic
3. The normalization of terms used to describe war and soldiers at war being applied to healthcare providers
4. How glorification makes us both uncomfortable
5. Processing requests and writing the essay
6. What is a “Battle Buddy?”
7. Tempo, adapting workflows, & getting everyone into the fight so we can manage this pandemic
8. Recognizing the context and impact of graduating healthcare professionals early and bringing people out of retirement
9. Acknowledging that we are in a crucible and the difficult ways we will be hardened
10. Reflecting on the incredible Journal of Hospital Medicine Twitter chat from 4/7/2020 (search for #JHMChat
11. Seeing a reinvigorated trust in doctors and healthcare professionals
Links
Twitter: @MarkHertling
Mark’s essay in Journal of Hospital Medicine
Mark’s first appearance on Explore The Space Podcast: “Developing Leaders”
Mark’s second appearance: “Character, Resilience, and Leadership”
#covid19, #pandemic, #soldiers, #JHMChat, #trust, #crisis, #war, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician

Apr 7, 2020 • 42min
Sasha Shillcutt On “Between Grit & Grace”
“The biggest struggle of my career has been people accepting that you can be two things at once”
Dr. Sasha Shillcutt is a Professor of Anesthesiology, founder of Brave Enough, & she’s the author of the superb new book “Between Grit and Grace.” We discuss how her Dad reacted to the book (awesome story alert!), hearing stories from her readers, being ok with discussing the book where she works.
Please subscribe and rate Explore The Space on Apple Podcasts or wherever you download podcasts.
Email feedback or ideas to mark@explorethespaceshow.com
Follow on Twitter @ETSshow, Instagram @explorethespaceshow
Key Learnings
1. Breaking down the book title “Between Grit & Grace”
2. Being comfortable with being oneself
3. How Sasha’s Dad reacted to her book
4. The tempo at which the book was written
5. Meeting her readers and hearing their stories
6. The difficulty of promoting her book at her home hospital
7. The power of Chapter 8 and dealing with imposter syndrome
8. Finding the right balance going forward
Links
Twitter – @RUBraveEnough
Instagram – @BecomeBraveEnough
“Beyond Grit and Grace”
Sasha’s recent essay around women physicians in the Covid19 pandemic
#GritandGrace, #impostersyndrome, #podcast, #podcasting, #healthcare, #digitalhealth, #health, #leadership, #mentorship, #coaching, #FOAmed, #doctor, #nurse, #meded, #education, #hospital, #hospitalist, #innovation, #innovate, #medicalstudent, #medicalschool, #resident, #physician


