Greyscale

We continue our journey with Swedish First Hill Family Medicine Residency's Class of 2025 now that they have nearly completed their first year in residency.

The first part of a new series titled "CO25". We are introduced to 5 new residents who we will follow throughout their residency journey.

Dr. Acton Pifer shares a story about a patient who struggled with alcohol dependence while reflecting on his own life and growth.

We have a two part episode exploring the weight of "the rest of the story" that patient encounters can often leave untold. Heavyweight, Episode #37 - "John": https://open.spotify.com/episode/6QYP10F2Hwevc7XLdKGqT2?si=5537f5cf778c4fb9

We kick off Season 4 with Dr. Kimberly Dao who shares some of what made them resilient through a tumultuous 2020.

Poems Eve Ewing’s “Affirmation” Audre Lorde’s “A Woman Speaks” Alice Walker’s “The Nature of This Flower is to Bloom” Podcasts NATAL: A docuseries about having a baby while Black in the United States Birth Stories in Color Bias MFM survey of providers in which 29% somewhat or strongly agree that bias affects how they care for patients Limited impact of implicit bias training Doulas Emerald Doula group arranges feedback to providers with problematic behaviors Rebecca Polston Demetra Sereki Impact on adverse pregnancy outcomes and breast or chestfeeding Historical and ethnographic scholarship Dr. Deirdre Cooper Owens’ Medical Bondage: Race, Gender, and the Origins of American Gynecology Dr. Khiara Bridges’ Reproducing Race: An Ethnography of Pregnancy as a Site of Racialization Dr. Dorothy Roberts’ Killing the Black Body: Race, Reproduction, and the Meaning of Liberty Dr. John Hoberman’s Black & Blue Race-based medicine World Health Organization’s recommendations on pelvimetry Obstetrics & Gynecology article on pelvis MRIs and possible link to outcome disparities VBAC calculator criticism Statistical sources: CDC 2019 Vital Signs report Severe Maternal Morbidity Race, ethnicity, and nativity differentials in pregnancy-related mortality in the United States Washington State 2019 maternal death review Exploration of causality Failure to rescue, including in postpartum hemorrhage Impact of delivery outside the hospital Personally-mediated racism Exposure to low socioeconomic status while in utero Impact of perceived discrimation Review of social determinants of health impact on prenatal care utilization and maternal outcomes Camara Jones’ articles on social determinants of equity, on not exploring the 'why' of disparities General impact of structural racism on health disparities Median wealth differentials Health impacts of mass incarceration Considering birth setting: systematic review 2018, systematic review 2019, UK guidelines by diagnosis for delivery location Systemic interventions Centering voices of color SPEAK UP campaign from Institute for Perinatal Quality Improvement AIM Patient Safety Bundles from the Council on Patient Safety in Women’s Health Care, including bundle targeting disparities Maternal Early Warning System from the Council on Patient Safety in Women’s Health Care Society for Maternal Fetal Medicine’s Call to Action, education subcommittee's report, and AJOG's 5 year report card Evidence for safety bundles, including CMQCC’s VTE toolkit California’s broad care collaborative to create change at scale Importance and examples of maternal mortality review panel that recommend system interventions Importance of simulation training Use of quality improvement metrics and approaches Strengthening the postpartum transition of care, creating a new postpartum paradigm Role for family medicine physicians Need for paid maternity leave Working together to get patients to the appropriate level of care Addressing anemia to reduce disparities Policy statements ACOG’s Committee Opinion on disparities Letter from the AAFP Momnibus overview

We invite nurses Edna and Chris to share a story of a complicated patient

Chris Drumm, Family Physician from Pennsylvania, joins us remotely to discuss an experience of a dying patient and her husband. Doc and the Deacon podcast: https://podcasts.apple.com/us/podcast/doc-and-the-deacon/id1386908429

Faculty and residents share their stories at a recent Narrative Medicine workshop about a time they experienced a loss of control.

"Laughter is the closest distance between two people". In our first two-guest episode, Laura Blinkhorn and Joe Breuner discuss navigating encounters with a beloved yet disruptive patient who battles mental illness.

Carrie Rubenstein shares a story of an older patient at the end of her life and maintaining the balance of being both PCP and primary decision-maker.

Anna McDonald brings us a story about finding a way to contribute even when feeling out of your element.

Kevin Wang, faculty at Swedish First Hill Family Medicine Residency, discusses his journey through the medical education system as we get a glimpse of how LGBTQ healthcare and medical education has evolved and where it can continue to improve. Swedish LGBTQ - Trans Healthcare Symposium: https://www.swedish.org/for-health-professionals/cme/conferences/trans-health Cultural Awareness Training & LGB Education · Fenway Institute: https://www.lgbthealtheducation.org/lgbt-education/learning-modules/ · Cardea Services: http://www.cardeaservices.org/training/providing-culturally-proficient-services-to-transgender-and-gender-nonconforming-people.html · Gay & Lesbian Medical Association: http://www.glma.org/index.cfm?fuseaction=Page.viewPage&pageId=1025&grandparentID=534&parentID=940&nodeID=1 · His Health: https://www.hishealth.org/ · Fenway Institute: https://www.lgbthealtheducation.org/lgbt-education/webinars/ Trans Medical Care & Statistics · National Transgender Discrimination Survey: https://transequality.org/issues/national-transgender-discrimination-survey · University of California San Francisco Center of Excellence for Transgender Health Guidelines: http://transhealth.ucsf.edu/trans?page=guidelines-home · Cedar River Clinics Trans Toolkit: http://www.cedarriverclinics.org/transtoolkit/ · Callen Lorde Trans Protocols: http://callen-lorde.org/transhealth/ · World Professional Association of Trans Health Standards of Care Version 7: http://www.wpath.org/site_page.cfm?pk_association_webpage_menu=1351&pk_association_webpage=3926 · Fenway Health Trans Guidelines: http://www.lgbthealtheducation.org/wp-content/uploads/COM-2245-The-Medical-Care-of-Transgender-Persons.pdf Other · HealthyPeople 2020: https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health · LGBT Health Journal: http://www.liebertpub.com/lgbt · Transgender Health Journal: http://www.liebertpub.com/overview/transgender-health/634/

Jorge Garcia shares 3 separate stories that each highlight the complexity of human life.

In this episode, we hear an all-to-familiar story of a physician running late in clinic. What happens when a patient conflict occurs in the middle of this busy clinic day that leads to potentially irreparable harm? AFP Episode: https://itunes.apple.com/us/podcast/bonus-episode-6-october-13-2017-afp-american-family/id1064701549?i=1000393503552&mt=2