Dr. Martin Bogetz, a bereaved father, sharing the legacy of his daughter Alyssa:
- an MSW who cared deeply about wellbeing
- the first non-physician associate program director in Peds at Stanford, who focused on supporting trainees
- sister of @jbogetz, #pedpc wonder ❤️ #hapc23
The inaugural Alyssa Bogetz lecture: Dr. Susan Block talking about the state of integration of #hapc and #mentalhealth
Alyssa died of AN. The educational fund was started in her honor @AAHPM w the appreciation that our field needs to grow to support people like her. #hapc23
"I think it's a miracle how far we've come." - Dr. Susan Block
We are the 6th largest subspecialty of the largest specialty in the US! #hapc#pedpc#hapc23
"Our field has tackled communication skills at a really high level...this is something that is quite remarkable and provides a foundation for further development of mental health competencies." - Dr. Susan Block #hapc23
Yes, AND- as a result we see a much higher level of primary palliative communication skills across our system too!
We teach not just #hapc#pedpc fellows, but also #ICU, #hemonc and other trainees.
Care confs are much better than they used to be! (-me) #hapc23
The audience feels much better prepared to manage medical issues in #hapc than psychosocial or #mentalhealth issues.
Also 74% had "a little" training in managing mental health issues.
This is critical- there is an epidemic of psych distress in the US. #hapc23
This is so critical. Not feeling competent in managing patients with MH issues is likely a source of burnout for #hapc clinicians.
And we aren't well trained in managing MH issues.
- Dr. Susan Block #hapc23
"Psychological suffering always has a physical component, and physical suffering always has a psychological component...in the biomedical model, the only suffering that matters is physical." - Dr. Susan Block #hapc23
So she asked us- to what extent do challenging patients with MH issues contribute to our feelings of #burnout?
Thank you for highlighting this link, Dr. Block. #hapc23
"Competency is part of wellbeing." YES.
My tweet thread got messed up, sorry!
Restarting here.
Culture eats strategy for breakfast.
And stigma is real.
We have to change the culture of stigma against MH issues in #hapc, and this change starts within each of us. -Dr. Susan Block #hapc23
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Bittersweet day for us at CCHMC as @billpatcourtney gives the Schubert lecture for #CincyKidsPGR @CincyKidsCME as she begins retirement soon.
Sharing profound memories of Dr. Schubert as the epitome of a trusted leader.
She's one of the greats.
❤️💜💙💚💛🧡
Sharing lessons from Dr. Thomas Delong and reflecting on lessons during COVID.
Most importantly-
Be crystal clear about how others experience you.
Be crystal clear about how others experience themselves when they are with you.
I love the title of this slide.
Pointing out the importance of
Self awareness- what are my strengths?
Self management- what are my blind spots? how do i
Social awareness- what is this room telling me?
Social skills- managing relationships and building networks
Day 2 @theNASEM workshop
The highlight from day 1: LaToya, a CNA, gave a moving, honest, courageous account of being a direct care worker. “The ice cream truck should not be a luxury.”
- hours & pay are bad, the work is hard & they love & care their patients & their dignity
@theNASEM First up- @EspinozaNotes from @PHInational
The intense focus on direct care workers, paying people a living wage, improving working conditions so that we can also improve patient care during this event has given me so much hope
“Social determinants of success at work” is one phrase that stuck out to me yesterday. @mad_sters doing critical work in this area for direct care workers
But I think about it for others who work in our system too.
Good morning from the Keck Center @theNASEM where I am so pleased to be part of their workshop this morning to support and sustain the workforce to care for people with serious illness! #hapc#pedpc#wellness#wellbeing#suffering
Thinking about how the same gesture can be received as incredibly compassionate or just- not- depending on the actor.
Ex- after 4 was in the ED, I took cookies to say thank you. The nurse cried. "No one does this."
But if an org leader did the same, likely different response. 1/
I appreciate that the meaning and receipt of the gesture depends a lot on the power and intention of the person making it.
An org leader can change difficult working conditions and chooses instead to bring cookies, that's incompetent compassion for workers.
2/
I think the best case is to work in a system in which clinicians are so well cared for, that even small gestures by leaders can be received as helpful and a kind of love.
To get to that place requires fixing structural healthcare workplace issues first.
3/
Next up: Fr218A- Agitation and feeding intolerance in children with medical complexity with @StocktonBev and Dr. Katherine Maddox!
Front row is Dr. Julie Hauer. The OG of this topic who wrote the book. If you don’t have it and you do #pedpc here is a link: bookshop.org/p/books/caring…
Julie Hauer did a study on gabapentin in children with Med complexity and feeding intolerance- remarkable response in sx. (That’s Julie’s head in front of the slide! I fan girl every time I interact with her.) ❤️ #hapc23#pedpc