Dr. Michael Foti shares his personal journey in medicine, discussing mental health struggles among healthcare providers. He advocates for seeking help and normalizing the experience. The podcast also explores innovative medical education approaches, AI in healthcare, and the importance of self-directed learning. Mental health topics in medical education and pursuing a fulfilling healthcare career are highlighted.

Our guests today have set a big goal to tackle a big problem. Jack Needham and James Naylor co-founded Sanctuary Health to build the largest video library for patient education motivated by the fact that patients forget approximately half of what doctors tell them in appointments. The young British entrepreneurs are aiming to move the healthcare system beyond the practice of handing every patient with a new diagnosis the same generic pamphlet as they leave an appointment. Based on research, they’ve chosen short-form video as the most effective vehicle. “Studies have consistently shown that if you break a video down into small topics with one learning outcome, then information recall and confidence levels around that information are consistently higher,” Naylor tells host Michael Carrese. And thanks to recent advancements in AI technology, videos can be easily translated into multiple languages, creating efficiency for providers and relevance for patients. Having built a presence with providers of virtual healthcare, Sanctuary is now working to license its ready-to-use content to payers, hospitals, and other stakeholders. Tune-in for a lively discussion the various ways Sanctuary Health is helping healthcare providers tackle this critically important problem.  Mentioned in this episode: https://www.sanctuaryhealth.io/

Due to rising awareness of the importance of nutrition to good health and patient demand for alternatives to so-called Western medicine, the number of medical schools offering naturopathic programs has grown in the past two decades in the United States. Today on Raise the Line, we're going to learn more about this approach to medicine, the education and training involved, and where the field is heading with Dr. Kristina Conner, Dean of the School of Naturopathic Medicine at Bastyr University. As she explains to host Michael Carrese, Dr. Conner believes the rising interest is partially rooted in people wanting to have an array of options to improve their health. “They understand ‘maybe I do need to be on this medication for the rest of my life, but what else can I do to optimize my day to day life’ and that's where we can fill in the gaps as naturopathic doctors because we do have a different tool set and a different approach.” Tune in to learn about the similarities and differences in training compared to more traditional medical professions, the different modalities naturopaths use, and the challenges and opportunities involved in expanding the profession. “I think there's better understanding about naturopathic physicians and our level of training and the role that we can play within the healthcare system.”Mentioned in this episode: https://bastyr.edu/academics/naturopathic-medicine

Today we continue our series Next-Gen Journeys, featuring conversations with students, residents, and early career medical professionals around the globe to get their fresh perspectives on education, medicine, and the future of healthcare. We’re delighted to do that today with Dr. Josh Bliss, a third-year internal medicine resident at NewYork-Presbyterian/Weill Cornell Medicine, who will continue his training there next year as a hematology-oncology fellow.  Josh was actually one of the first Osmosis Medical Education Fellows, later transitioning to a role creating and editing pharmacology content with our education team. In this heartfelt conversation with host Hillary Acer, Josh shares how his mother’s death from cancer when he was young spurred his interest in medicine and how his passion for the field has expanded over time to include the relatively new science of exercise oncology. “We are starting to look at exercise both in the lab and in clinical trials with patients where you could potentially dose exercise like you would a drug. You can measure it and standardize it and look at clinical effects.” For those hoping to build a multi-dimensional career in medicine, there is plenty of inspiration to draw from in this episode. Mentioned in this episode: https://www.nyp.org/

About one-third of Californians live in areas where there's a shortage of primary care providers, and this gap is especially apparent in what's known as the Inland Empire -- a rural region in the southern part of the state. As we’ll learn on today’s episode, the barriers to access this creates might only get worse because population is expected to grow sharply in that area. Our guest, Dr. Timothy Collins, has the challenge and opportunity of developing solutions to these thorny problems as CEO of UCR Health, a clinical enterprise affiliated with the University of California Riverside School of Medicine. “I think tremendous opportunities exist to create a more integrated network that's focused on quality and access to be able to address all of these challenges,” he tells host Michael Carrese.  Strategies including connecting with K-12 students to get them to see themselves as future physicians and helping to clear the pathways to med school. “You can change the game if you can move backwards to create opportunities for individuals that may not see a pathway towards success.” Tune in to learn about other tactics being used -- including debt forgiveness and optimizing healthcare teams -- and find out how UCR Riverside is working to increase the level of engagement by patients in their own care.Mentioned in this episode: https://www.ucrhealth.org/

How do we solve for nursing shortages in a thoughtful way in which we're reinventing the way we deliver care? That question is asked and answered on today’s episode of Raise the Line by Mandy Richards, Chief Nursing Executive for Intermountain Health which operates thirty-three hospitals in seven states. The veteran nurse leader believes the go-to strategies of doing a better job at recruitment and retention, while important, will not be enough, so it will be necessary to reskill the current workforce and redesign nursing education. Or as she puts it to host Michael Carrese, “Are we ensuring that our students in nursing school are getting taught and equipped with what they're going to need when they come out?” Richards is also keenly interested in improving the transition from education to practice -- in fact she’s pursuing her PhD at Yale on that topic -- especially at the very start of the clinical work experience to avoid what is known as “transition shock.” As part of her academic work, she’s created a research project featuring a dedicated educational unit that trains new graduate nurses in cohorts in the first month on the job. In addition to reinforcing critical thinking skills, the experience helps establishes peer relationships the new nurses can rely on going forward. Tune-in for a wealth of other ideas and insights on this key challenge in modern healthcare including establishing travel pools within health systems and the potential for ambient listening technology to improve nursing efficiency.  Mentioned in this episode: https://intermountainhealthcare.org/

Physician Assistant remains one of the fastest growing professions in the US, and the expansion of their role in healthcare delivery seems to be growing just as quickly. One of the biggest changes in that regard, according to Jonathan Bowser of the University of Colorado Denver School of Medicine, is that states are opening up opportunities for PAs to practice with more autonomy to fill needs in the healthcare system. “That requires PA education programs to think about who are we putting out there, what environments they are going into, and how do we best prepare them for those environments,” says Bowser, who runs the school’s Child Health Associate/Physician Assistant Program (CHAPA), one of the oldest PA training programs in the country. The need to adapt their program to these new realities and the desire to take advantage of advances in learning science led CHAPA to overhaul its curriculum in recent years. The result is a ‘spiral curriculum’ - an iterative approach to learning that reinforces key concepts and knowledge as students progress through their years of training.  Join host Hillary Acer as she learns about the underpinnings of CHAPA’s curricular approach, what the program is doing to prepare PAs to be leaders and the growing importance of residencies and fellowships to prepare PAs to work in clinical specialties. Mentioned in this episode: CHA/PA Program OverviewManaging Transitions by William BridgesMake It Stick by Peter Brown

We're marking a couple of firsts on today's episode of Raise the Line. In the hundreds of podcasts we’ve done, we've never interviewed a goddess before, nor had a guest who has won an astounding seventy-five teaching awards, but that is the happy situation we face today in welcoming Dr. Linda Costanzo to the show.  She’s been on the faculty of Virginia Commonwealth University School of Medicine for forty-three years, earning the nickname “Physiology Goddess” for her trio of books -- including Costanzo Physiology 7th Edition, published by Elsevier -- that have been translated into thirteen languages. One key factor in Costanzo’s longevity as an effective teacher is finding new challenges in long-taught material. “I sort of concocted a scheme to dig into areas of comfort to get that edge back, that fear of falling short, I would call it,” she explains to host Michael Carrese. This lively conversation is packed with valuable insights on teaching and learning including tips for how students can maintain enthusiasm for their studies, standards teachers should set for themselves and the “stepwise” approach to teaching that she has also employed in her textbooks. Mentioned in this episode:https://medschool.vcu.edu/Costanzo Physiology, 7th Edition

It’s not often that you have the chance to benefit from the sweeping perspective of someone who has been in the same profession for 50 years, but that is the fortunate circumstance we find ourselves in on this episode of Raise the Line. Our guest, Dr. Jim Gordon, describes the remarkable evolution of physical therapists from being limited to hospital-based, post-op rehabilitation to becoming community-based providers of choice in a wide and growing list of specialties from orthopedics to oncology. “We have established ourselves as essential actors in the healthcare system. We have the education and research behind us, but most important, I think we have credibility among other healthcare professionals and with patients.” As the leader of one of the top ranked physical therapy programs in the US at the University of Southern California, Gordon is in a position to shape the future of the field as well. As he tells host Hillary Acer, he sees a greater role for physical therapists in prevention and primary care, and also expects changes in the application of new technologies in neurorehabilitation, his area of specialty. “What we’re trying to do is not look at technologies as a solution in and of themselves and instead develop a patient-centered approach which focuses on how people are able to use these technologies to make their lives better.” Don’t miss this great opportunity for a unique look at the current and future state of a vital part of the healthcare system from a leading figure in the field.Mentioned in this episode: https://pt.usc.edu/

"Our faculty are really dedicated to trying to bridge that gap between academics and clinical practice," says Dr. Lisa Beals, the Nursing Department Chair at Missouri Southern State University and today’s Raise the Line guest.  A key factor in that effort is recording students while they perform clinical simulations and providing the students themselves, their peers and faculty an opportunity to watch the playback and weigh in on what happened, an area of expertise for Beals based on her research in the field. “It's just like a constant motion or cycle of feedback, which the literature speaks to of being so important to develop student learning.” As Beals tells host Hillary Acer, one of the department’s other main missions is to foster a culture of caring. “We're here to help them and support them in whatever way we can knowing that they face so many challenges, particularly now, to further their education.” Learn more about the successful recipe for training tomorrow’s nursing workforce from a pioneer in nursing education.Mentioned in this episode: MSSU Nursing Program