After working alongside healthcare providers in under-resourced countries, today’s Raise the Line guest Dr. Rebecca Weintraub came to see that the desire to serve patients and the curiosity to learn how to be the best clinician possible are universal, but the best tools to do so are not.  That’s what led her to launch the Better Evidence program at Ariadne Labs which designs, tests and scales data-driven digital tools that help manage diagnostic and therapeutic uncertainty. Currently, Better Evidence engages over 200,000 current and future clinicians and public health leaders in 147 medical schools and clinical sites across 182 countries. “If you are an isolated provider or a trainee, we believe evidence-based clinical tools help you improve your clinical confidence and clinical acumen. We're trying to help create the habits of educating yourself on the journey to being an excellent clinician.” In this illuminating conversation with host Hillary Acer, Weintraub also talks about other capacity-building work such as helping to prepare clinicians for major public health roles, and the critical importance of providers having reliable internet and cell connectivity, something she expects will improve in the near future. Don’t miss this on-the-ground view of some key elements in improving the delivery of healthcare across the globe. Mentioned in this episode: https://www.better-evidence.org/

As we’ve learned on previous episodes of Raise the Line, people dealing with rare diseases usually wait 4-7 years before receiving a diagnosis, during which time their condition can deteriorate significantly. Shortening this “diagnostic odyssey” is the mission of today’s guest, Lukas Lange, and in an interesting twist, he’s doing it by involving the patients themselves.  The company he co-founded, Probably Genetic, has developed a system that starts with rare disease patients, or the parents of children with rare conditions, describing the symptoms involved on a website. “We run algorithms on that data in real time as you're on the website and if the algorithms think that this person might have a specific genetic disease, then we have a whole telemedicine system built in the background where we process that information and you get your test kit within about 48 hours of being on the website,” he explains to host Hillary Acer. Once the at-home test results are processed, a genetic counseling session is conducted via telemedicine. Tune in to find out why Lange believes having this knowledge is powerful for patients even if there may be no treatment available yet for their condition, and how it may be useful down the road with clinical trial recruitment, real world evidence tracking, and even early stage R&D for treatments.Mentioned in this episode: https://www.probablygenetic.com/

We've devoted quite a bit of time on Raise the Line to learning about persistent workforce shortages in human healthcare and what is being done about them, but as yet have not turned our attention to the fact that veterinary medicine is facing the same headwinds. To find out more about how that challenge is being addressed and to learn about other current issues in veterinary medicine we turn today to Dr. Kathryn Meurs, Dean at North Carolina State University College of Veterinary Medicine. One cause of the lack of veterinarians is too few slots for students, but Meurs says there is good news on that front. “There are several new veterinary schools coming online and many existing schools have increased their class size like we have.” Meurs says the profession is starting to think outside the box for other ways to build capacity including getting practices to offer more flexible work schedules, asking vets planning to retire to stay on part-time and expanding the role of veterinary technicians. Join host Hillary Acer to learn all about that and about the educational and research career tracks open to veterinarians, the importance of vet students developing great people skills, and the many clinical trials underway at NC State that sit at the intersection of human and animal health. Mentioned in this episode: https://cvm.ncsu.edu/

The question of how generative AI and other recent advances in technology will change medical education is one we're continually seeking answers to on Raise the Line, and today we're turning to a really well-placed expert to weigh in on this issue. He's Dr. Warren Wiechmann, senior associate dean of Clinical Science Education and Educational Technologies at University of California Irvine, a school known for its embrace of technology. Dr. Wiechmann is considered the architect of the school's iMedEd Initiative, a comprehensive curriculum that uses everything from augmented reality to 3D printing as catalysts for curricular innovation. As he tells host Michael Carrese, integration of technology across subjects has been a key element of UCI’s approach. “We have our physiologists working closely with our anatomists, working closely with our clinical skills people. We're integrating point-of-care ultrasound into very early physiology lectures. We even have our physiologists doing a session using EKG devices.” Wiechmann stresses, though, that new tech has to meet a high bar for effectiveness before being used instructionally. “Just because it's new technology doesn't mean it's going to be useful.” As for the impact of generative AI, Wiechmann is keeping his eye on managing for inherent bias in large data sets and leveraging AI to help level the playing field for students with learning differences.  Tune in to learn more about this fascinating educational evolution. Mentioned in this episode: https://medschool.uci.edu/

Most people associate being a physician with achieving financial security, but according to a recent report issued by Medscape, only about half of physicians in the United States report having a net worth over $1 million. That's where today's guest comes in. Brett Riggins founded Physician Wealth Systems in 2022 to help doctors achieve financial security through real estate investments that generate passive income. “Real estate could be that ‘means to an end’ kind of thing. It could produce this situation where it allows you to separate your time from your money and we can allow physicians to practice with passion, not practice because they have to,” Riggins tells host Michael Carrese. In this illuminating conversation, Riggins addresses the level of knowledge and time commitment involved, steps for getting started and determining your fundamental “why” for engaging in real estate investing. “No matter what profession you're going into, self-realization is the biggest piece of separating yourself from who you used to be and understanding where you want to go,” he counsels. And for those paying off student loans who think their options to make outside income are limited until they are debt free, stay tuned to learn about some strategies that could get you started.Mentioned in this episode:https://physicianwealthsystems.com

On today’s Raise the Line, we continue our Next Gen Journeys series featuring conversations with learners in medical professions around the globe. Our special guest is Omer Rott, a longtime participant in our Osmosis Medical Education Fellowship and Osmosis Health Leadership Initiative programs. Omer will soon be earning his medical degree from Masaryk University in the Czech Republic. In addition to pursuing a career as a pediatrician, he’s an aspiring diversity and inclusion medical educator who has founded DiverseMedEd, an organization dedicated to improving how healthcare professionals interact with and treat patients from different backgrounds. “There is a big gap in medical education about diverse patient populations. I think healthcare providers and many other people are afraid about how to approach someone or how to ask about their situation, which might lead them to not say anything or not even act the way they think they might need to.” Through a website (link) and social media posts, Omer has already built a following, many of whom are patients happy to be seeing these issues addressed.  Join host Hillary Acer for a refreshing look at how the healthcare provider community can be more inclusive, and what lessons Omer has drawn from his extensive work mentoring fellow students over the past five years.Mentioned in this episode:DiverseMedEdEquity GraphicElsevier Blog - Is Wearing Pins Appropriate?

The importance of understanding the connections between animal and human health reached new heights due to the COVID-19 pandemic, but this has long been a rich area of study and it’s also the foundation of the long and impressive career of today’s Raise the Line guest, Dr. Sue VandeWoude, dean of the College of Veterinary Medicine and Biomedical Sciences at Colorado State University.  Before assuming that role, Dr. VandeWoude was Director of CSU’s One Health Institute, an interdisciplinary center dedicated to advancing translational science. In this revealing conversation with host Hillary Acer, you’ll learn about developments in research and teaching in this area, what’s behind a curricular overhaul at the school, and about plans to enhance collaboration between basic science faculty and clinical instructors at CSU. Mentioned in this episode: https://vetmedbiosci.colostate.edu/

Raise the Line has been honored to be part of Osmosis from Elsevier’s Year of the Zebra campaign and we’re happy to share that this successful effort will continue throughout 2024. To mark that commitment and to celebrate Rare Disease Day, we have a very special episode of the podcast for our listeners in which, for the first time, we interview a child faced with the challenge of living with a rare condition.  She is Maddie McNeer, a seven-year-old from Kansas who developed a rare eye disorder called Coats disease which is characterized by abnormal development of blood vessels in the retina. According to the National Organization for Rare Disorders, affected individuals may experience loss of vision due to changes in the retina and, in severe cases, retinal detachment. Maddie and her mom, Loren McNeer, join host Lindsey Smith to share their family’s journey with Coats disease including the multiple treatments she’s had, the challenges in finding information and support, the positive experiences with healthcare providers and Maddie’s remarkable ability to rise above it all and, as she says, not let Coats disease hold her down. This is a super informative and inspiring episode that you won’t want to miss. Mentioned in this episode:https://www.coatsdiseasefoundation.org/https://www.osmosis.org/zebra 

Dr. Peter Hendricks discusses using psychedelics for chronic pain & addiction. He emphasizes the need for balanced perspectives & objective research. The podcast explores the mind-pain connection & the importance of resilience in pursuing goals. It also delves into the integration of psychotherapy with psychedelic therapy for optimal outcomes.