Raise the Line

Mentioned in this episode:https://www.prepaclinic.comhttps://podcasts.apple.com/us/podcast/where-the-white-coats-come-off/id1568900250https://prepaclinic.com/?product=book-secrets-tips-tactics-everything-you-need-to-know-to-get-accepted-into-pa-school  If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Early in Dr. Rahul Rajkumar’s career, he wondered how he could help improve health outcomes at a population level. An interest in public policy led him to the realization that, at least in the U.S., the financing mechanisms of the health care industry are “the main lever” that we have to this end. The question of how these mechanisms should (or could) be reengineered has guided Dr. Rajkumar through a career that has taken him from the clinic to the health insurance industry to government, where as deputy director at the Center for Medicare and Medicaid Innovation, he experimented with different approaches to organizing and paying for health care systems. The problem is “really, really hard,” he tells host Dr. Rishi Desai. Every single case “is a puzzle with a human being at the center of it.” Rajkumar believes more attention should be paid to what he calls ‘the black hole of American Medicine’ – the period after a patient is discharged from the hospital when coordinating care becomes more difficult. “Is there an accountable provider, or a quarterback outside of the hospital? Someone who, beyond their professional ethic, actually cares about what happens to this patient? That's the nut of the issue.” Tune in to hear about novel payment systems emerging in the wake of the Affordable Care Act, the true social meaning of health insurance, and what other nations try to emulate about the famously dysfunctional U.S. health care system. If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Dr. Donna Lamb wanted to be a surgeon growing up, but coming from a poor family in which no one had been to college, she was routed into becoming a nurse instead. Today, she leads the National Resident Matching Program which oversees The Match, a high-stakes step in the educational journey of physicians. On this episode of Raise the Line with host Dr. Rishi Desai, you’ll learn about the history of The Match, how it works today, and benefit from some myth busting about this crucial moment when doctors learn where they will do their specialty training. Dr. Lamb also addresses the key issue of student debt, the solutions to which need to transcend race and generation. “It's so much larger than just money at this point,” she says. “It has to be a larger moral justice issue that we need to grapple with as a society.” Check out this fascinating episode to find out why the NRMP is starting to collect demographic data to try to understand diversity patterns, and hear Dr. Lamb's response to what happens when applicants don't “match.” Plus, benefit from her advice to current medical students who may be approaching The Match. If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Nearly half of U.S. adults work as unpaid caregivers, but the essential contribution they make is undervalued, and even often unacknowledged, by employers and healthcare professionals. Alexandra Drane could not abide this, so she co-founded ARCHANGELS, an organization dedicated to supporting and honoring the unpaid caregivers among us. As she tells host Dr. Rishi Desai in this episode of Raise the Line: “I myself have been a caregiver, am a caregiver, have needed a caregiver, and will most certainly be a caregiver multiple times over again.” Against the backdrop of a pandemic that has injected unprecedented stress and instability into the lives of millions of people in the U.S., Drane wants the swelling ranks of unpaid caregivers to understand they are not alone, and that help is available. Tune in to learn why society sees childcare in a different light than elder care, what some states are doing to help unpaid caregivers, and what Drane tells the pregnant strangers she approaches on the street. If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Noom CEO, Saeju Jeong, discusses the importance of preventive care, empowering consumers, and eliminating weight loss stigma. They highlight the positive shift in healthcare due to technology and the impact of innovation. Plus, Jeong believes COVID-19 has spurred healthcare innovation.

As it trains technicians and medical professionals, many of whom go into healthcare, California’s San Joaquin Valley College focuses on the practical skills necessary to forge a successful career. But in the dramatically new context of the pandemic, the school’s leadership -- including President Nick Gomez and Provost Sumer Avila -- had to reimagine how to deliver that education. Something surprising happened as a side effect of ensuring that students and faculty had what they needed to be able to learn and teach from afar: The school developed a new competency altogether. “Now,” Gomez tells host Dr. Rishi Desai, “we can better meet students where they are, which is the key thing that we love to do.” Tune in to hear how the school triangulates the visions of students, faculty, and employers, how medical education has been transformed by new technology, and the importance of understanding how your use of technology influences how you learn. If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Esther Wojcicki, dubbed the 'Godmother of Silicon Valley,' is an influential educator and co-founder of Tract, known for her impactful journalism and parenting expertise. She discusses the transformative power of peer-to-peer learning in schools, which fosters creativity and leadership among students. Wojcicki also emphasizes the need for media literacy to combat misinformation and help young people navigate the digital landscape. Lastly, she shares insights on empowering children through trust and respect in parenting, viewing challenges like the pandemic as growth opportunities.

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“There's health equity concerns in everything,” observes Geoffrey Roche, from organ donation, to clinical care, to access of care, to quality of care. “I think everyone within healthcare needs to pay attention and be mindful of what they can do to fix that.” Join host Dr. Rishi Desai on this episode of Raise the Line as he speaks with Roche about what drew him to healthcare, his role at Dignity Health Global Education developing programs “for healthcare, by healthcare,” and his service on the National Health Equity Task Force. Hear Roche's thoughts on how COVID has caused healthcare to be further politicized, and why we need to return to the “core of service” -- the field's essential helping nature. Learn about Dignity Health's life-changing Equity Impact Scholarship, and how simulation can be an effective tool in communication training. Plus, find out why Roche believes middle schoolers should learn about the pathways of a healthcare career, and why he advises everyone to consider having a personal board of advisors. If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

To train flexible nurses, Dr. Lisa Urban has found, you need to be a flexible educator. As Associate Chief Nursing Administrator at Southern New Hampshire University, Dr. Urban has helped reorient the curriculum and structure of the school’s nursing programs to accommodate students and the forever-changed world of healthcare they will soon be entering. “People think of acute care for nurses, but nurses work in lots of different organizations, across lots of different types of health care,” she tells host Dr. Rishi Desai. That’s why SNHU nursing programs focus on more generalized concepts and competencies that are transferable across multiple organizations. The idea is to cross train students in a broad array of disciplines so they can thrive in healthcare systems of the future and help hospitals to be better-prepared for the crises to come. Tune in to learn what it means to earn a patient’s trust, why nursing is inextricably linked with teaching, and why, as you envision your goals, you should always write them down. If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast