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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More from @RThienprayoon

Mar 24
Next up: Fr218A- Agitation and feeding intolerance in children with medical complexity with @StocktonBev and Dr. Katherine Maddox! Image
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 Image
Read 9 tweets
Mar 24
Next up: FR201a- An epic step forward- a universal #pedpc navigator in the EHR with @conradw4, Alice Bass & Kat Thomas #hapc23 Image
Actual cartoon of Conrad and Alice at work creating a #pedpc workflow in Epic. #hapc23

“If we could make the EHR better it would make me feel so much more well.” - @conradw4 Image
“We thought it would take a year and we were certainly wrong.”
On building the navigator in epic.
#hapc23
Read 14 tweets
Mar 23
Next up! TH110B- A seat at the table: professional competencies define roles and value of psychologists in #pedpc!
@PedsPCTF members @RachelKentor and Amanda Thompson & Sarah McCarthy! #hapc23
Competencies help standardize roles and practice requirements for #psychologists in #pedpc and highlight the important and unique contributions they bring to the interdisciplinary team. #hapc23
PPC Psychology workgroup was formed of 9 peds psychologists, then reviewed by 15 multidisciplinary stakeholders to create competencies. Here's how they did it:
#hapc23
Read 5 tweets
Mar 23
Next up: TH109B- Together is better: a combined #hapc and #psychiatry substance use disorder clinic for patients with advanced #cancer
@AmericanCancer take note of this model
#hapc23 Image
@lauramakaroff thinking of special populations and your work!
Rates of concomitant SUD and #Cancer -
EtOH rates higher than opioids (similar to society)

Challenges in SUD+Cancer
- adherence & transportation issues
- stigma from med teams
- poor coping and PTSD
- mistrust of med system
- poor health literacy
#hapc23 #hapc #cancer
Read 12 tweets
Mar 23
Session TH103A Leading for Wellbeing with @KristinMDCT. Let's go! #hapc23 @AAHPM
Point 1: Wellbeing of leaders predicts wellbeing of staff. There are indices that are specific to leaders. #hapc23
Point 2. Psychological safety is critical to team wellness. (@AmyCEdmondson)
Defn: If you speak up, there is not a threat that you will be punished.
When people need help, they ask.
People can process mistakes, dissent, name problems even when hard. #hapc23
Read 14 tweets
Dec 9, 2022
Kicking off #QMC2022- @arifkamalmd with Top 10 Pearls in #hapc #quality! #pedpc
Speaking of @PalliativeQual - do you do palliative care?
Do you follow the Palliative Care Quality Collaborative? No time like the present! Twitter is still here!
@arifkamalmd on palliative care as a field: "We're kinda badass!"
Wish I felt this way more often! Always good to be reminded! #hapc #pedpc
Read 8 tweets

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