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Rachel Thee-in-pray-oon, MD, MSCS Profile picture
@RThienprayoon
Apr 27 • 12 tweets • 10 min read Twitter logo Read on Twitter
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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 Image
The first panel shared experiences from the front lines so vulnerably and beautifully. @MaguirePeggy @PhilRodgersMD @RachelMayAdams ImageImage
Now @CAPCpalliative CEO @BrynnBHealth discussing the current and future workforce we need in #hapc Image
@BrynnBHealth presents a national #hapc workforce strategy and highlights our need to train the entire workforce in primary palliative care skills (qualifier- this is a bit different in #Pedpc) Image
@BrynnBHealth Highlighting the disparities between racial/ethnic diversity in direct care workers (largely women, non-white, make ~$22k annually) and physicians Image
Next up: Creating a compassionate, caring environment for patients and clinicians with these folks: @theSCCH’s Beth Lown, JoAnne Reifsnyder and Donna Stevens Image
Dr. Reifsnyder- we must make #compassion a priority across the organization AND structure for it. #organizationalcompassion #healthcare Image
Dr. Stevens- we have to operationalize connections in the team. Who is the team? How do they function together, what are the individual needs? @teresapestian @eawtrey
“Recovery might not be possible while still in the system.” - Donna Stevens quoting Stacie Sinclair from @CAPCpalliative
Advocates for sabbaticals from healthcare work to help #HCWs heal.
Session 6- advancing #diversity #equity and #inclusion in serious illness care wirh @arimopat @anne_kelemen Ernest Grant, Wendy-Jo Toyama and Michelle Webb from @SWHPN @AAHPM ANA @HPNAinfo Image
This panel and discussion were too good to focus and tweet live. Please visit nationalacademies.org/our-work/suppo…
For recordings and slides
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More from @RThienprayoon

Rachel Thee-in-pray-oon, MD, MSCS Profile picture
Apr 28
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 ImageImage
@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 Image
“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.
Read 19 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
Apr 3
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/
Read 5 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
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
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
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
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
Mar 24
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
Read 10 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
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

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