Explore The Space

UPDATE: The Social Media and Professional CV White Paper can be found here! Feedback is welcomed White Paper- Social Media, Podcasts and Blogs on a Professional Curriculum Vitae Vinny Arora and Charlie Wray, both hugely important scholars and personalities in the world of Hospital Medicine, join to discuss a hotly debated topic: do Social Media activities belong on a professional CV? We set out to write the White Paper, we were successful. This is an outstanding and important discussion! Key Learnings 1. The origins of the debate around putting social media activity on a professional Curriculum Vitae 2.  Leveraging impact as a major determinant of whether to place something on a CV 3. Changing the academic “coin” of how to differentiate yourself when applying for a position 4. The fundamental categories that could and should be included from social media onto your CV 5. The single most important thing you can do with content and your CV 6. Deep-diving into how to evaluate impact of Twitter feeds & contributions, along with a serendipitous paper reference! 7. The key elements needed to determine whether or not Twitter contributions should be used on a CV 8. Shoutout to the wonderful work of @tony_breu on Twitter & an elegant discussion of how content contributions build off one another and “mission-based tweeting” 9. Why early Twitter adopters like @seattlemamadoc, @doctor_V, @kevinMD & @futuredoc all used monikers instead of their real names 10. Elements to avoid putting on a CV because either not appropriate or not ready for prime-time 11. Identifying potential conflicts of interest, particularly among product endorsements 12. The importance of leveraging a CV as a tool to differentiate yourself from other candidates 13.  What should this section be titled on a CV and where on the CV should it land? 14. The importance of social media as a tool to move a field of work and the wave of change that is coming 15. The White Paper findings! Links How to find Charlie on Twitter: @wraycharles, @JHospMedicine How to find Charlie and Vinny’s Twitter Chats: #JHMchat How to find Vinny: Twitter: @futuredocs, LinkedIn: VinnyMArora, YouTube Dr. Arora’s co-authored paper on social media analytics https://pmj.bmj.com/content/postgradmedj/91/1080/551.full.pdf #SoMe, #medtwitter, #podcasting, #hospitalist, #jhmchat

Emily Gottenborg, Christine Jones, Marisha Burden and Anna Maw are  Hospitalists at the University of Colorado and all have had children at some point during their careers. They came on the podcast to discuss their paper “You Can’t Have It All” which looks at the inequities and problems women face when they have children while practicing medicine. An unsparing and inspiring conversation, just like the paper itself. Note: co-authors Li-Kheng Ngov & Anastasiya Ponomaryova were not able to join this interview Key Learnings 1. The origins of this incredible paper, especially their shared memories around parental leave (or lack thereof) 2. Framing the paper as a scientific article, then rapidly evolving to one sounding an alarm 3. Using qualitative research and allowing the stories to guide the conclusion 4. The emotional rollercoaster of collecting data, doing the study and identifying inequities in the system 5. The impact of feeling like having children is a choice therefore all the inequities that followed are the fault of the mother for making that choice 6. Releasing the article and embracing the response and the catharsis 7. Dealing with the fear of losing jobs around bringing this material forward and moving past just “being a good soldier” and being a “troublemaker” 8. The unique challenges of being in medical training and starting a family 9. Immediate feedback when the paper was presented at Grand Rounds 10. Progress around paid time off, resources and space for pumping, and work still to be done 11. Crossing from publishing research into becoming activists 12. Moving forward into progress on a huge problem, finding solidarity and sharing information 13. Creating connections across the country through different parts of the work moving forward and where do we find examples of places doing this work well 14. Attrition of great minds and talents from medicine due to gender inequity Links The article “You Can’t Have It All” https://www.journalofhospitalmedicine.com/jhospmed/article/189543/hospital-medicine/you-cant-have-it-all-experience-academic-hospitalists Division Of Hospital Medicine at University of Colorado: http://www.ucdenver.edu/academics/colleges/medicalschool/departments/medicine/GIM/ClinicalCare/HospitalMedicine/Pages/HospitalMedicine.aspx #pregnancy, #maternity, #gender, #genderinequity, #medicine, #hospitalist

Vivek Wadhwa is a Silicon Valley futurist, renaissance man, & raconteur. He joins us for an provocative & rollicking discussion of artificial intelligence in healthcare, the current and future state of health data privacy, & how his personal journey spurs his work. He brings a sense of urgency and enthusiasm to this topic, and shares why he feels that way. Caution: hot takes ahead! Key Learnings 1. Laying out the underpinnings of a revolution in the next 5-10 years 2. The idea of having sensors on our bodies measuring and tracking our biometircs 3. Miniaturization and nano-bots providing targeted therapy 4. Genomics and the impact of massively decreased costs 5. Connecting these three components with artificial intelligence to build a data-driven revolution in healthcare 6. Are tech companies putting patients or plunder at the center? 7. Vivek gives the most succinct assessment of privacy concerns and health data you’ll ever get. 8. How we can get a “Democratization of diagnostics” 9. Helping to define AI as a tool for pattern recognition and data analytics 10. What the role of the physician will be in this brave new world and how do people begin to learn about this 11. How the illness of a loved one has spurred Vivek’s interest in this work the impact of having yourself or a loved one be “deep water sick” Links Vivek Wadhwa’s homepage: www.wadhwa.com How health apps feed your data to Facebook #AI, #artificialintelligence, #data, #dataprivacy, #facebook, #nanotechnology, #healthcare, #revolution  

Christina Farr covers digital health for CNBC and, between her scoops, her writing, and her epic Twitter feed, is the clear leader in this work. She is back for her 4th visit to Explore The Space; we discuss Apple’s current moves, the difference between selling hardware and selling data, and some great biohacking stories. Key Learnings 1. The company and technology that is moving the needle the most in the digital healthcare space 2. The ways that Apple is wading into healthcare beyond wearable tech, including the one Christina thinks is “the holy grail” 3. Is the patient or the profit margin at the center of the pursuit of the holy grail of medical tech? 4. Why is Apple hiring doctors? 5. The difference between selling data and selling hardware in the medical-tech space 6. Concerns around the sale of patient data and her story on Facebook contacting hospitals to aggregate data on social determinants of health 7. Topics and scoops that draw Christina’s interest and how she is able to diversify the reporting for her audience 8. Ways in which push-back toward health-tech and the hype machine manifests 9. Christina’s forays into biohacking subculture, using the “Keto-Kazoo” and eating lots of cheese Links Twitter: @chrissyfarr Article on Facebook seeking patient data from hospitals Article on biohacking and the keto diet #apple, #cnbc, #digitalhealth, #keto, #biohack, #biohacking, #facebook, #haven, #amazon, #walmart, #applewatch, #wearable

This episode contains adult language Garth Mullins is the host and executive producer of Crackdown Podcast. He also has opioid use disorder and a long struggle with heroin. He joins us for a unvarnished look at the opioid epidemic from street level and working as an activist. He also provides the most brutal description of dope sickness you’ll ever hear as well as the importance of the physician/patient relationship for those struggling with recovery. Vital lessons for all, an important episode. Key Learnings 1.  Garth shares how “the howling alienation that had become the wallpaper of your life is gone” when he did heroin for the first time 2. How societal organization generates the precursors for problems people seek to solve with drugs 3, Carrying the fear of death, incarceration, & dope sickness 4. Crackdown Podcast as an activist model, a response to the frequent death of friends, and a pushback to media portrayal of opioid use disorder 5. Drawing parallels between the AIDS epidemic and the opioid epidemic to learn survival and activism skills and deal with the associated “lightning bolt of fear” 6. Crackdown Podcast as an investigative tool, a storytelling device, and an activism acclerator in vulnerable communities 7. Using humor as connective tissue for anyone dealing with a deep, dark struggle in life 8. The physical and mental torture of dope sickness and the importance of managing it properly with OAT (opioid agonist treatment) 9. How lowering the barriers to OAT and giving agency and self-determination back to those with substance use disorder can help drive recovery 10. Why relationships with physicians must be tended like a garden to ensure your OAT doses aren’t changed and the skewed power dynamic this brings 11. The danger of doctors using their prescription pads punitively & the opportunity to help people “reduce the hell of my life” Links Website: www.crackdownpod.com Twitter: @crackdownpod, @garthmullins #opioid, #opioidusedisorder, #OAT, #methadone, #crackdown, #dopesick, #heroin, #podcast,

Whether you’re in healthcare or seeking healthcare, the electronic medical record will impact your experience. We are joined by the anonymous creator of the viral and hilarious @EPICparodyEMR Twitter account to discuss this brilliant satire, the impact the EMR has on every encounter between provider and patient and the central tension: billing platform vs communication tool Key Learnings 1.  Just what the heck is going on with this account? 2. Being anti “bad electronic medical record” 3. The shared experience and the data demonstrating how much the EMR pulls doctors and patients apart 4. Connecting the EMR, learned helplessness, and physician burnout 5. Workflow disruption and being at odds with colleagues and patients due to the EMR 6. How it feels to be sent into “duplicate order hell” and being evaluated based upon what goes into an EMR instead of outcomes 7. The fundamental problem with electronic medical records 8. Why this will never become repetitive Links Twitter: @EPICparodyEMR

Adam Rodman is a Hospitalist, a podcaster, and host of Bedside Rounds. His podcast is the most wonderful journey into the history of medicine, connecting all of us in and out of medicine with our shared past. We talk about creating resonant content, sharing bizarre stories, & how social media allows us to elevate medical history out of the doldrums Key Learnings 1.  The origin story of Bedside Rounds and the removal of Episode Zero 2. Filth Parties and finding resonance not just through the bizarre, but also through events that inform what we’re doing now 3. The need for medicine to elevate our shared history as something reflective of our shared ethos 4. The American Civil War as a test case for extraordinary, innovative history 5. Battlefield trauma as a direct link, with the minie ball as the connective tissue 6. How Adam moved from sharing interesting anecdotes to using history to elevate his experience in medicine (with a fun Tulane story thrown in) 7. Responses from people who are hospitalized as they learn about the history of medicine in the moment 8. Juxtaposing modern therapies with origin therapies 9. Physician as both historian and storyteller and are we good at these skills? 10. Meeting people where they live to help spread information about healthcare 11. Using social media as a new form of medical communication, mirroring when medical journals began to be published in 20th century Links: Bedside Rounds: http://bedside-rounds.org Adam on Twitter: @adamrodmanMD #history, #medicine, #hospitalist, #podcast, #historian, #Tulane, #storyteller, #pellagra, #trauma  

Des Shapiro is a physician with a 40-plus year career in medicine and an incredible legacy under his belt. He’s also my Dad and I’m delighted to have him join me for the 100th episode. We discuss finding joy in medicine, being a Foreign Medical Graduate, and the extraordinary manner in which he always put patients at the center. Key Learnings 1. A few words to celebrate Episode 100 of Explore The Space podcast 2. The 4 Pillars of Explore The Space 3. What the future holds for the podcast 4. Introducing the guest for Episode 100, my father Des Shapiro 5. How Des started his journey into medicine and starting medical school at 16 6.  Realizing early on that medicine was a calling and never looking back 7. A crazy story about handwashing and the world’s first heart transplant 8. The impact of a commitment to observation, physical exam and narration in becoming an excellent physician and elevating connection to patients 9. Ensuring the beauty and importance of holding a patient’s hand as connection, as exam, and as a privilege 10. Sharing concerns around Foreign Medical Graduates being targets for derision and the importance of welcoming physicians to the United States 12. What was exhilarating and what was scary about building a life as a physician? 13. Possessing the ability to feel what patients are feeling in a manner that is sustainable while avoiding compassion fatigue 14. The single most important lever that both physicians and patients have a responsibility to pull and protect. 15. A pathway for finding joy with every patient encounter and in the practice of medicine 16. The importance of evolving as a physician and seeking to understand new challenges like physician burnout 17. Crowning achievements in his career and how fun it is when I see one of his previous patients 18. The most important lesson I learned from my Dad and an incredible story to illustrate the point 19. Reiterating a recurrent theme on Explore The Space: physician as activist    

Nick Watts is a physician & Executive Director of Lancet Countdown. He joins us to discuss a defining issue for humanity: climate change. We discuss how climate change is a threat multiplier to human health, the role of the individual in responding to climate change, & how Game of Thrones & climate change are interconnected. Key Learnings 1.  How climate change became Nick’s calling after finishing medical training 2.  Defining the scope of Lancet Countdown and goals of the project 3. Recognizing how climate change is a threat multiplier of determinants of human health and the response can serve as an enormous opportunity to impact health 4. The role of the individual in driving humankind’s response to climate change & tangible steps we can all take today 5. The incredible carbon footprint that healthcare has and the positive impact of reducing emissions in the industry 6. Increasing recognition that a low carbon footprint has a positive effect on public health 7. Why I don’t care about pushback to this effort or addressing climate change denial 8. Ways the Lancet is getting to a wider and wider demographic to increase engagement 9. How climate change is working its way into pop culture 10. The similarities between Game of Thrones and climate change 11. Our shared stories around the impact of climate change as a stimulus for change 12. A call to action, because it’s Go Time! Links Lancet Countdown: http://www.lancetcountdown.org We Are Still In: https://www.wearestillin.com NHS Sustainable Development Unit: https://www.sduhealth.org.uk #climatechange, #globalwarming, #publichealth, #lancet, #lancetcountdown, #gameofthrones,

I’ve been waiting for the right time and person to discuss the importance of coffee to our daily lives. Larry Istrail is a Hospitalist and a coffee aficionado (like your faithful podcast host) who has started a new coffee roasting company called Pheo Coffee. We discuss coffee as a ritual in medicine, connecting to our shared past through coffee, and the laudable intentions behind his business. Key Learnings 1. What’s in our cups as we start the episode 2. The role of coffee in the day-to-day in the hospital 3. Why coffee is so tightly bound into the culture of healthcare 4. Surprising someone with a coffee 5. The origin of Pheo Coffee and the importance of social impact 6. Being affiliated with Watsi to help fund surgical procedures overseas & connecting each coffee purchase with a patient’s story 7. How Larry tries to make coffee delivery part of the overall experience of enjoying coffee & honoring medical history 8. Creating awesome coffee-medical fusion swag, especially the caffeine deficiency diagnosis code cup 9. The importance of fresh-roasted coffee and the joy of home roasting 10. Enjoying the wonderful ritual of coffee cupping 11. Larry’s tips for brewing a perfect cup on coffee, complete with video! 12. Connecting doctors and nurses to our shared past and our predecessors through the same wonderful drink they enjoyed 13. The road forward for Pheo Coffee and selecting the right roast for you Links Pheo Coffee: www.pheocoffee.com Twitter: @PheoCoffee Instagram: @PheoCoffee Washington Post article can be found here Sweet Maria’s (everything you need to roast coffee): www.sweetmarias.com #coffee, #coffeeroasting, #healthcare, #medicine, #hospitalist, #aeropress