Stay ConnectedGreyscale takes a look at the not-so-clear areas of medicine by sharing physicians’ own difficult encounters. These stories will showcase what can often be forgotten – the humanity behind the physician.
Produced by Ben Davis – Program Director at Swedish First Hill Family Medicine Residency.
Copyright: © Ben Davis
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.
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
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
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
Statistical sources:
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
Exposure to low socioeconomic status while in utero
Impact of perceived discrimination
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
Health impacts of mass incarceration
Systemic interventions
SPEAK UP campaign from Institute for Perinatal Quality Improvement
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
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
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