#JHMChat Transcript
Healthcare social media transcript of the #JHMChat hashtag.
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| Profile | Tweet |
|---|---|
 | Journal of Hospital Medicine @JHospMedicine Time to start thinking about getting that hot beverage into your #myJHMmug! #JHMChat starts in 15 minutes! https://t.co/kjnMh6krym |
 | Ndidi Unaka MD, MEd @NdidiUnaka RT @JHospMedicine: Time to start thinking about getting that hot beverage into your #myJHMmug! #JHMChat starts in 15 minutes! https://t.co/kjnMh6krym |
 | Michelle Brooks, MD @michellebr00ks RT @JHospMedicine: Time to start thinking about getting that hot beverage into your #myJHMmug! #JHMChat starts in 15 minutes! https://t.co/kjnMh6krym |
 | Society of Hospital Medicine @SocietyHospMed ⏰Join us in 🔟 minutes for tonight’s #JHMChat! 👨⚕️ 👩⚕️ Tonight’s facilitator and guests: @michellebr00ks/@JHospMedicine, @jbullockruns, @meekslisa, @LeighKimberg. (No COI to disclose.) Don’t forget to use #JHMChat in all tweets!😎 Participation guide 👇 https://t.co/UsNpbbkGuP |
 | Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Time to start thinking about getting that hot beverage into your #myJHMmug! #JHMChat starts in 15 minutes! https://t.co/kjnMh6krym |
 | Lanna Felde @LannaFelde T - 10 minutes until #JHMChat !! We will discuss physician mental health, centered around this powerful piece 👉👉👉 https://t.co/NHsMFzb4Go So excited!! @michellebr00ks @WrayCharles @NdidiUnaka @acastellmd @NaineshTX @cowtowndoc @RennerCS @adsumarsono https://t.co/moJ24F9GNU |
| Michelle Brooks, MD @michellebr00ks RT @LannaFelde: T - 10 minutes until #JHMChat !! We will discuss physician mental health, centered around this powerful piece 👉👉👉 https://t.co/NHsMFzb4Go So excited!! @michellebr00ks @WrayCharles @NdidiUnaka @acastellmd @NaineshTX @cowtowndoc @RennerCS @adsumarsono https://t.co/moJ24F9GNU |
 | Justin Bullock @jbullockruns RT @SocietyHospMed: ⏰Join us in 🔟 minutes for tonight’s #JHMChat! 👨⚕️ 👩⚕️ Tonight’s facilitator and guests: @michellebr00ks/@JHospMedicine, @jbullockruns, @meekslisa, @LeighKimberg. (No COI to disclose.) Don’t forget to use #JHMChat in all tweets!😎 Participation guide 👇 https://t.co/UsNpbbkGuP |
| Journal of Hospital Medicine @JHospMedicine RT @LannaFelde: T - 10 minutes until #JHMChat !! We will discuss physician mental health, centered around this powerful piece 👉👉👉 https://t.co/NHsMFzb4Go So excited!! @michellebr00ks @WrayCharles @NdidiUnaka @acastellmd @NaineshTX @cowtowndoc @RennerCS @adsumarsono https://t.co/moJ24F9GNU |
 | Lisa M Meeks, PhD, MA @meekslisa RT @SocietyHospMed: ⏰Join us in 🔟 minutes for tonight’s #JHMChat! 👨⚕️ 👩⚕️ Tonight’s facilitator and guests: @michellebr00ks/@JHospMedicine, @jbullockruns, @meekslisa, @LeighKimberg. (No COI to disclose.) Don’t forget to use #JHMChat in all tweets!😎 Participation guide 👇 https://t.co/UsNpbbkGuP |
| Justin Bullock @jbullockruns Come join #JHMChat with me @LeighKimberg @meekslisa @michellebr00ks @JHospMedicine in <2 minutes!!!! We’re talking mental health, trauma informed care, structural barriers and more!!!!! https://t.co/rfvEftxz5b |
 | Leigh Kimberg @LeighKimberg 1 minute!! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Welcome to #JHMChat! I'm @michellebr00ks, your moderator for tonight. A special welcome to our authors @jbullockruns, @meekslisa, & @LeighKimberg Go ahead and introduce yourself while we wait for people to join.🤝 https://t.co/62E9aOkiwF |
| Journal of Hospital Medicine @JHospMedicine RT @jbullockruns: Come join #JHMChat with me @LeighKimberg @meekslisa @michellebr00ks @JHospMedicine in <2 minutes!!!! We’re talking mental health, trauma informed care, structural barriers and more!!!!! https://t.co/rfvEftxz5b |
| Society of Hospital Medicine @SocietyHospMed @LeighKimberg Woohoo! #JHMChat https://t.co/Fbl1NOWGFl |
| Leigh Kimberg @LeighKimberg RT @jbullockruns: Come join #JHMChat with me @LeighKimberg @meekslisa @michellebr00ks @JHospMedicine in <2 minutes!!!! We’re talking mental health, trauma informed care, structural barriers and more!!!!! https://t.co/rfvEftxz5b |
| Lisa M Meeks, PhD, MA @meekslisa RT @JHospMedicine: Welcome to #JHMChat! I'm @michellebr00ks, your moderator for tonight. A special welcome to our authors @jbullockruns, @meekslisa, & @LeighKimberg Go ahead and introduce yourself while we wait for people to join.🤝 https://t.co/62E9aOkiwF |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Welcome to #JHMChat! I'm @michellebr00ks, your moderator for tonight. A special welcome to our authors @jbullockruns, @meekslisa, & @LeighKimberg Go ahead and introduce yourself while we wait for people to join.🤝 https://t.co/62E9aOkiwF |
 | Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG RT @LannaFelde: T - 10 minutes until #JHMChat !! We will discuss physician mental health, centered around this powerful piece 👉👉👉 https://t.co/NHsMFzb4Go So excited!! @michellebr00ks @WrayCharles @NdidiUnaka @acastellmd @NaineshTX @cowtowndoc @RennerCS @adsumarsono https://t.co/moJ24F9GNU |
| Michelle Brooks, MD @michellebr00ks RT @JHospMedicine: Welcome to #JHMChat! I'm @michellebr00ks, your moderator for tonight. A special welcome to our authors @jbullockruns, @meekslisa, & @LeighKimberg Go ahead and introduce yourself while we wait for people to join.🤝 https://t.co/62E9aOkiwF |
| Ndidi Unaka MD, MEd @NdidiUnaka RT @JHospMedicine: Welcome to #JHMChat! I'm @michellebr00ks, your moderator for tonight. A special welcome to our authors @jbullockruns, @meekslisa, & @LeighKimberg Go ahead and introduce yourself while we wait for people to join.🤝 https://t.co/62E9aOkiwF |
| Society of Hospital Medicine @SocietyHospMed @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Myles here in Philly, tweeting for SHM! Welcome everyone, happy to have you all join this important conversation. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed 🏥 Welcome to this month’s #JHMChat. We’re excited to have you! 📢 Use #JHMChat on all replies. 📢 Introduce who you are and where you’re coming from. 📢 Refresh the latest tweets with the hashtag to remain up to date in the conversation. |
| Journal of Hospital Medicine @JHospMedicine @SocietyHospMed @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Hi Myles! Thanks for the help! #JHMChat |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Hi, I am Andrea medical student at UNMSM in Lima, Peru, and a researcher at Roswell Park. I am interested in internal medicine #MedEd and #HemOnc. #JHMChat |
 | Anika Kumar, MD @freckledpedidoc @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Hi it’s Anika Kumar, pediatric hospitalist from Cleveland #JHMChat. Excited to discuss #mentalhealth |
| Journal of Hospital Medicine @JHospMedicine There will be 4 topics tonight, and we're going deep, y'all. #MentalHealthAwarenessMonth. It's all thanks to this excellent article by our guests. https://t.co/EWvvDm0nwS Don't forget to tag your tweets with #JHMChat. T1 up in a moment… |
| Journal of Hospital Medicine @JHospMedicine @AndreaAnampaG @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Welcome Andrea! #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @AndreaAnampaG @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Welcome back! #JHMChat |
| Ndidi Unaka MD, MEd @NdidiUnaka @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Hi, Ndidi Unaka, @CincyPHM peds hospitalist! #JHMChat |
| Lanna Felde @LannaFelde Hi everyone 👋I'm Lanna from UT Southwestern. Excited to be here! #jhmchat |
| Journal of Hospital Medicine @JHospMedicine @jbullockruns @michellebr00ks @meekslisa @LeighKimberg Thanks for being here @jbullockruns! #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @freckledpedidoc @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Hey Anika! Can't wait to hear your insight. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @freckledpedidoc @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Thanks for being here! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Be sure to register for #CME for participation in tonight's #JHMChat! Sign up here: 👉 https://t.co/dgVm8TXKJ4 https://t.co/5vALj58u5f |
| Anika Kumar, MD @freckledpedidoc @SocietyHospMed @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg 👋 Myles. #JHMChat https://t.co/QVz9zMo2q9 |
| Ndidi Unaka MD, MEd @NdidiUnaka RT @JHospMedicine: Be sure to register for #CME for participation in tonight's #JHMChat! Sign up here: 👉 https://t.co/dgVm8TXKJ4 https://t.co/5vALj58u5f |
| Journal of Hospital Medicine @JHospMedicine Woohoo! Superstar Digital Media Fellow here for #JHMChat! |
 | Ben Dralle @ben_dralle @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Hi, folks! 👋🏼 I'm a current M3 at @OhioStateMed and future psychiatrist with an interest in the science and treatment of traumatic experiences. Looking forward to tonight's discussion! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @NdidiUnaka @michellebr00ks @jbullockruns @meekslisa @LeighKimberg @CincyPHM Thanks for joining! Looking forward to hearing from you! #JHMChat |
| Justin Bullock @jbullockruns RT @JHospMedicine: Welcome to #JHMChat! I'm @michellebr00ks, your moderator for tonight. A special welcome to our authors @jbullockruns, @meekslisa, & @LeighKimberg Go ahead and introduce yourself while we wait for people to join.🤝 https://t.co/62E9aOkiwF |
| Society of Hospital Medicine @SocietyHospMed @JHospMedicine Lanna getting ready for this #JHMChat 👇 https://t.co/KeRZx3XtUw |
| Journal of Hospital Medicine @JHospMedicine @ben_dralle @michellebr00ks @jbullockruns @meekslisa @LeighKimberg @OhioStateMed Welcome! Your insight is so important! #JHMChat |
| Ndidi Unaka MD, MEd @NdidiUnaka @ben_dralle @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg @OhioStateMed Welcome! #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @ben_dralle @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg @OhioStateMed Thanks for joining us! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine T1: How does medical culture encourage or discourage physician vulnerability and help-seeking with mental health issues? #JHMChat https://t.co/oXVeCWZVBH |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: T1: T1: How does medical culture encourage or discourage physician vulnerability and help-seeking with mental health issues? #JHMChat https://t.co/oXVeCWZVBH |
 | Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg I forgot about #JHMChat but fortunately was scrolling thru Twitter just now! Sonya from @CincyPHM, Peds hospitalist! |
| Journal of Hospital Medicine @JHospMedicine @LeighKimberg @michellebr00ks @jbullockruns @meekslisa Thank you so much for joining us! Such an important day! #JHMChat |
 | Bonnie E. Gould Rothberg, MD, PhD, MPH, FACP @BEGouldRothberg Bonnie Gould Rothberg, Oncology Hospitalist in transition from New Haven to Miami. Excited to talk about physician mental health. I’m specifically interested in the “hoops” regarding licensing and credentialing for physicians with prior psych hospitalizations. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @STangGirdwood @michellebr00ks @jbullockruns @meekslisa @LeighKimberg @CincyPHM I'm so glad we roped you in! #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @BEGouldRothberg An important topic! Thanks for joining! #JHMChat |
| Leigh Kimberg @LeighKimberg @JHospMedicine @michellebr00ks @jbullockruns @meekslisa #JHMChat HI all! So glad to be in conversation with you! Happy Indigenous People's Day from Ramaytush Ohlone land! And Happy Coming Out Day too! Lot more welcoming than my med school coming out day decades ago! So relevant to our conversation! <3 And, coming from @UCSF |
| Justin Bullock @jbullockruns @JHospMedicine Encourage: As a student my med school had days called ‘Suffering in Silence’ & ‘Mental Illness Among Us’ where med students shared their experiences of mental illness with their class. This made me feel safe to talk about mental illness in medicine as an early trainee. #JHMChat |
| Lanna Felde @LannaFelde A1. Unfortunately, there is still a lot of stigma around needing help. Doctors are expected to be superhumans! Medical culture says: Doctor w/ mental illness = weak doctor = unable to care for patients. This discourages us from even admitting that we have a problem. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @LeighKimberg @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @UCSF Happy #IndigenousPeoplesDay and #ComingOutDay! #JHMChat |
| Justin Bullock @jbullockruns @JHospMedicine Discourage: Leaders in medicine speak a lot about the importance seeking help but do not actually know how to support those with mental health issues. The tendency is to defer to tell people to take time off. Licensing and fitness evals make things worse #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Topic 1 is live! #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @jbullockruns: @JHospMedicine Encourage: @JHospMedicine Encourage: As a student my med school had days called ‘Suffering in Silence’ & ‘Mental Illness Among Us’ where med students shared their experiences of mental illness with their class. This made me feel safe to talk about mental illness in medicine as an early trainee. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @jbullockruns: @JHospMedicine Discourage: @JHospMedicine Discourage: Leaders in medicine speak a lot about the importance seeking help but do not actually know how to support those with mental health issues. The tendency is to defer to tell people to take time off. Licensing and fitness evals make things worse #JHMChat |
| Anika Kumar, MD @freckledpedidoc @JHospMedicine T1. In medicine we were taught to thrive in stressful situations. Our 🧠 & body are not designed to thrive in stress. So showing #mentalhealth vulnerability is not encouraged. If we do seek help, we often don’t disclose it. Although, things are beginning to improve #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: @LeighKimberg @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @UCSF Happy #IndigenousPeoplesDay and #ComingOutDay! #JHMChat |
 | Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids @JHospMedicine @SocietyHospMed @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Seeing lots of familiar faces here for #JHMChat - hi from San Diego! |
| Society of Hospital Medicine @SocietyHospMed RT @freckledpedidoc: @JHospMedicine T1. In medicine we were taught to thrive in stressful situations. Our 🧠 & body are not designed to thrive in stress. So showing #mentalhealth vulnerability is not encouraged. If we do seek help, we often don’t disclose it. Although, things are beginning to improve #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @DrJenChen4kids @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Welcome! Great to see you👋 #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @DrJenChen4kids @SocietyHospMed @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Thanks for joining! #JHMChat |
| Justin Bullock @jbullockruns RT @freckledpedidoc: @JHospMedicine T1. In medicine we were taught to thrive in stressful situations. Our 🧠 & body are not designed to thrive in stress. So showing #mentalhealth vulnerability is not encouraged. If we do seek help, we often don’t disclose it. Although, things are beginning to improve #JHMChat |
| Journal of Hospital Medicine @JHospMedicine For those of you just joining us, we're discussing an article by @jbullockruns @meekslisa & @LeighKimberg. https://t.co/EWvvDm0nwS #JHMChat |
| Leigh Kimberg @LeighKimberg A1. Our graphic lays out so many intersecting reasons for discouraging help seeking. #JHMChat https://t.co/d6dP61IH3m |
| Society of Hospital Medicine @SocietyHospMed RT @LeighKimberg: A1. Our graphic lays out so many intersecting reasons for discouraging help seeking. #JHMChat https://t.co/d6dP61IH3m |
| Ndidi Unaka MD, MEd @NdidiUnaka @JHospMedicine A1: I think our culture has gotten better at viewing mental health as synonymous to physical health...but we have such a long way to go. #JHMChat |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @JHospMedicine The fact that q2 years when you have to renew medical license & it asks to disclose any mental illnesses that may affect ability to practice & that they list it in the same section as illicit drug use or other crimes highly discourages disclosure and seeking help. #JHMChat |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG @JHospMedicine A1 In my personal experience, medical culture discourages physician vulnerability. I hope it changes #JHMChat |
 | Zoie Sheets, MPH @ZoieSheets RT @JHospMedicine: Welcome to #JHMChat! I'm @michellebr00ks, your moderator for tonight. A special welcome to our authors @jbullockruns, @meekslisa, & @LeighKimberg Go ahead and introduce yourself while we wait for people to join.🤝 https://t.co/62E9aOkiwF |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: A1. Our graphic lays out so many intersecting reasons for discouraging help seeking. #JHMChat https://t.co/d6dP61IH3m |
| Anika Kumar, MD @freckledpedidoc @SocietyHospMed @LeighKimberg @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @UCSF And #InternationalDayoftheGirl #JHMChat https://t.co/9rU4W1q9E8 |
| Journal of Hospital Medicine @JHospMedicine RT @STangGirdwood: @JHospMedicine The fact that q2 years when you have to renew medical license & it asks to disclose any mental illnesses that may affect ability to practice & that they list it in the same section as illicit drug use or other crimes highly discourages disclosure and seeking help. #JHMChat |
| Ben Dralle @ben_dralle @JHospMedicine T1: Medical culture *can* encourage physician vulnerability and help-seeking through role modeling (at all levels!) and providing frequent opportunities to engage in these processes. How often do we do this, though? Now that's another question... #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @ben_dralle: @JHospMedicine T1: @JHospMedicine T1: Medical culture *can* encourage physician vulnerability and help-seeking through role modeling (at all levels!) and providing frequent opportunities to engage in these processes. How often do we do this, though? Now that's another question... #JHMChat |
| Ndidi Unaka MD, MEd @NdidiUnaka @freckledpedidoc @JHospMedicine I could not agree more. #JHMChat |
| Anika Kumar, MD @freckledpedidoc @DrJenChen4kids @JHospMedicine @SocietyHospMed @michellebr00ks @jbullockruns @meekslisa @LeighKimberg #JHMChat https://t.co/2S89Cpixe3 |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG RT @STangGirdwood: @JHospMedicine The fact that q2 years when you have to renew medical license & it asks to disclose any mental illnesses that may affect ability to practice & that they list it in the same section as illicit drug use or other crimes highly discourages disclosure and seeking help. #JHMChat |
| Leigh Kimberg @LeighKimberg @jbullockruns @JHospMedicine A1 So many students have described that whenever they are taught about about mental illness it is always "the patients" not *we*. We are all patients. We are all human beings who suffer and grow. We need to learn to say WE. #JHMChat |
| Bonnie E. Gould Rothberg, MD, PhD, MPH, FACP @BEGouldRothberg @jbullockruns @JHospMedicine If you apply for a Florida medical license within two years of a psych hospitalization, you have to submit the H&P and D/C summary from the admission, highlighting the Axis I and Axis II diagnoses. 😑😑😑. #JHMChat |
| Justin Bullock @jbullockruns RT @LeighKimberg: @jbullockruns @JHospMedicine A1 So many students have described that whenever they are taught about about mental illness it is always "the patients" not *we*. We are all patients. We are all human beings who suffer and grow. We need to learn to say WE. #JHMChat |
| Justin Bullock @jbullockruns RT @BEGouldRothberg: @jbullockruns @JHospMedicine If you apply for a Florida medical license within two years of a psych hospitalization, you have to submit the H&P and D/C summary from the admission, highlighting the Axis I and Axis II diagnoses. 😑😑😑. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: @jbullockruns @JHospMedicine A1 So many students have described that whenever they are taught about about mental illness it is always "the patients" not *we*. We are all patients. We are all human beings who suffer and grow. We need to learn to say WE. #JHMChat |
| Anika Kumar, MD @freckledpedidoc RT @LeighKimberg: @jbullockruns @JHospMedicine A1 So many students have described that whenever they are taught about about mental illness it is always "the patients" not *we*. We are all patients. We are all human beings who suffer and grow. We need to learn to say WE. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @LeighKimberg: @jbullockruns @JHospMedicine A1 So many students have described that whenever they are taught about about mental illness it is always "the patients" not *we*. We are all patients. We are all human beings who suffer and grow. We need to learn to say WE. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @freckledpedidoc: @JHospMedicine T1. In medicine we were taught to thrive in stressful situations. Our 🧠 & body are not designed to thrive in stress. So showing #mentalhealth vulnerability is not encouraged. If we do seek help, we often don’t disclose it. Although, things are beginning to improve #JHMChat |
| Ndidi Unaka MD, MEd @NdidiUnaka @DrJenChen4kids @JHospMedicine @SocietyHospMed @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Hello! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @BEGouldRothberg @jbullockruns well that's ... ... ... discouraging. #JHMChat |
| Anika Kumar, MD @freckledpedidoc @LeighKimberg @jbullockruns @JHospMedicine #JHMChat https://t.co/bs2WKkrN0d |
| Lanna Felde @LannaFelde This!👇👇👇#JHMchat |
| Lisa M Meeks, PhD, MA @meekslisa @JHospMedicine A1: The culture perpetuates maladaptive perfectionism and silence for those with depression and promotes institutional policies and norms that reward self-sacrifice and increased productivity @JAMAInternalMed #JHMChat @fullerenes https://t.co/T3TvGqvKEV |
| Vinny Arora MD MAPP @FutureDocs RT @jbullockruns: @JHospMedicine Encourage: @JHospMedicine Encourage: As a student my med school had days called ‘Suffering in Silence’ & ‘Mental Illness Among Us’ where med students shared their experiences of mental illness with their class. This made me feel safe to talk about mental illness in medicine as an early trainee. #JHMChat |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood RT @LeighKimberg: A1. Our graphic lays out so many intersecting reasons for discouraging help seeking. #JHMChat https://t.co/d6dP61IH3m |
| Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids @JHospMedicine #JHMchat A1: the “tough it out” mentality makes it hard for anyone to bring up/address issues. I think/hope it’s getting better w senior leaders showing more vulnerability themselves, but it’s still pervasive (and not just in medicine) |
| Journal of Hospital Medicine @JHospMedicine @ZoieSheets @meekslisa @michellebr00ks @jbullockruns @LeighKimberg Thanks for joining! We appreciate your perspective! #JHMChat |
| Leigh Kimberg @LeighKimberg A1 Here's an idea: Normalize therapy! This is normalized, expected, incorporated in social worker training. Why not in medical training? #JHMChat |
| Society of Hospital Medicine @SocietyHospMed 📟 Don’t forget our #JHMChat is happening NOW with guests @jbullockruns, @LeighKimberg, and @meekslisa. We’re talking about “Physicians and Mental Health: Approaching Through a Trauma-Informed Lens.” 🧠 Led by @michellebr00ks as @JHospMedicine! |
| Anika Kumar, MD @freckledpedidoc RT @meekslisa: @JHospMedicine A1: @JHospMedicine A1: The culture perpetuates maladaptive perfectionism and silence for those with depression and promotes institutional policies and norms that reward self-sacrifice and increased productivity @JAMAInternalMed #JHMChat @fullerenes https://t.co/T3TvGqvKEV |
| Journal of Hospital Medicine @JHospMedicine RT @meekslisa: @JHospMedicine A1: @JHospMedicine A1: The culture perpetuates maladaptive perfectionism and silence for those with depression and promotes institutional policies and norms that reward self-sacrifice and increased productivity @JAMAInternalMed #JHMChat @fullerenes https://t.co/T3TvGqvKEV |
| Journal of Hospital Medicine @JHospMedicine RT @DrJenChen4kids: @JHospMedicine #JHMchat A1: @JHospMedicine #JHMchat A1: the “tough it out” mentality makes it hard for anyone to bring up/address issues. I think/hope it’s getting better w senior leaders showing more vulnerability themselves, but it’s still pervasive (and not just in medicine) |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: 📟 Don’t forget our #JHMChat is happening NOW with guests @jbullockruns, @LeighKimberg, and @meekslisa. We’re talking about “Physicians and Mental Health: Approaching Through a Trauma-Informed Lens.” 🧠 Led by @michellebr00ks as @JHospMedicine! |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG RT @LeighKimberg: A1. Our graphic lays out so many intersecting reasons for discouraging help seeking. #JHMChat https://t.co/d6dP61IH3m |
| Lanna Felde @LannaFelde Intriguing! Perhaps all med students and residents should have to go to quarterly therapy sessions. #JHMchat |
| Leigh Kimberg @LeighKimberg Here's a more costly (& needed) idea! Normalize paid leave weekly during the workday for all healthcare staff (HCS) to go to therapy (whatever that means to you, psychologist, psychiatrist, walk, sleep, exercise.) Universal healing. #JHMChat |
 | Karyn (#PutinSucks) Baum (she/her) @karynbaum RT @JHospMedicine: For those of you just joining us, we're discussing an article by @jbullockruns @meekslisa & @LeighKimberg. https://t.co/EWvvDm0nwS #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @jbullockruns @JHospMedicine Reminds me of something @UChiPritzker students so sharing experiences on “humans of pritzker” type Instagram account. Humanizing mental health challenges is so important. #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: Here's a more costly (& needed) idea! Normalize paid leave weekly during the workday for all healthcare staff (HCS) to go to therapy (whatever that means to you, psychologist, psychiatrist, walk, sleep, exercise.) Universal healing. #JHMChat |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG RT @LeighKimberg: Here's a more costly (& needed) idea! Normalize paid leave weekly during the workday for all healthcare staff (HCS) to go to therapy (whatever that means to you, psychologist, psychiatrist, walk, sleep, exercise.) Universal healing. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @karynbaum @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Hi Karyn! You are right on time. #JHMChat |
 | Mary Thomas @marycthomas95 @JHospMedicine A1. Discourage: The idea that we are supposed to be "the healers" and completely separate from "the healing/healed". Us vs them is incredibly unrealistic and untenable for all, not just #docswithdisabilities #JHMchat |
| Lisa M Meeks, PhD, MA @meekslisa RT @LeighKimberg: @jbullockruns @JHospMedicine A1 So many students have described that whenever they are taught about about mental illness it is always "the patients" not *we*. We are all patients. We are all human beings who suffer and grow. We need to learn to say WE. #JHMChat |
| Ndidi Unaka MD, MEd @NdidiUnaka A1 The lack of mental health resources for those in the medical profession is a huge issue that needs to e addressed as well. #JHMChat |
| Leigh Kimberg @LeighKimberg @DrJenChen4kids @JHospMedicine Yes! Our vulnerability is what we grow from and through. It makes us human & teaches us how to open up space for vulnerability of colleagues and patients. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: @jbullockruns @JHospMedicine Reminds me of something @UChiPritzker students so sharing experiences on “humans of pritzker” type Instagram account. Humanizing mental health challenges is so important. #jhmchat |
| Karyn (#PutinSucks) Baum (she/her) @karynbaum @JHospMedicine A1 The medical license questions really say it all. #shm #JHMchat |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @DrJenChen4kids @JHospMedicine It took a pandemic for us to stop “toughing it out” with physical illnesses like URIs, what will it take for us to stop the “tough it out” culture for mental health? Sadly the physician suicide rate hasn’t been enough to stop it. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @JHospMedicine T1 I think it’s still a huge stigma to say you’re getting help even though we all need it. I find younger generations more open about this which gives me hope #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @NdidiUnaka: A1 The lack of mental health resources for those in the medical profession is a huge issue that needs to e addressed as well. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @marycthomas95: @JHospMedicine A1. Discourage: @JHospMedicine A1. Discourage: The idea that we are supposed to be "the healers" and completely separate from "the healing/healed". Us vs them is incredibly unrealistic and untenable for all, not just #docswithdisabilities #JHMchat |
| Journal of Hospital Medicine @JHospMedicine #JHMChat T2 coming up shortly... |
| Justin Bullock @jbullockruns @AndreaAnampaG @JHospMedicine I totally agree with you. We (medicine, society, media etc) create this image of an infallible superhuman as the prototypical physician. And even though some people welcome vulnerability, the systems in power do not. (reposting because i forgot my #JHMChat) |
 | Leonor Vásquez MD @LeitoVr RT @freckledpedidoc: @JHospMedicine T1. In medicine we were taught to thrive in stressful situations. Our 🧠 & body are not designed to thrive in stress. So showing #mentalhealth vulnerability is not encouraged. If we do seek help, we often don’t disclose it. Although, things are beginning to improve #JHMChat |
| Justin Bullock @jbullockruns RT @marycthomas95: @JHospMedicine A1. Discourage: @JHospMedicine A1. Discourage: The idea that we are supposed to be "the healers" and completely separate from "the healing/healed". Us vs them is incredibly unrealistic and untenable for all, not just #docswithdisabilities #JHMchat |
| Vinny Arora MD MAPP @FutureDocs RT @NdidiUnaka: A1 The lack of mental health resources for those in the medical profession is a huge issue that needs to e addressed as well. #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa RT @marycthomas95: @JHospMedicine A1. Discourage: @JHospMedicine A1. Discourage: The idea that we are supposed to be "the healers" and completely separate from "the healing/healed". Us vs them is incredibly unrealistic and untenable for all, not just #docswithdisabilities #JHMchat |
| Journal of Hospital Medicine @JHospMedicine @STangGirdwood @DrJenChen4kids We definitely want to explore this further in Topic 3! #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa RT @FutureDocs: @jbullockruns @JHospMedicine Reminds me of something @UChiPritzker students so sharing experiences on “humans of pritzker” type Instagram account. Humanizing mental health challenges is so important. #jhmchat |
| Justin Bullock @jbullockruns RT @STangGirdwood: @JHospMedicine The fact that q2 years when you have to renew medical license & it asks to disclose any mental illnesses that may affect ability to practice & that they list it in the same section as illicit drug use or other crimes highly discourages disclosure and seeking help. #JHMChat |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG RT @FutureDocs: @jbullockruns @JHospMedicine Reminds me of something @UChiPritzker students so sharing experiences on “humans of pritzker” type Instagram account. Humanizing mental health challenges is so important. #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: @JHospMedicine T1 I think it’s still a huge stigma to say you’re getting help even though we all need it. I find younger generations more open about this which gives me hope #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @STangGirdwood: @DrJenChen4kids @JHospMedicine It took a pandemic for us to stop “toughing it out” with physical illnesses like URIs, what will it take for us to stop the “tough it out” culture for mental health? Sadly the physician suicide rate hasn’t been enough to stop it. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine T2: What are systemic barriers and facilitators to health care institutions' ability to respond to physicians' mental health needs in supportive ways? #JHMChat #MentalHealthAwareness https://t.co/1EH7i4kYoG |
 | Jessica Kopcho Buesing @jkbuesing 🙋🏻♀️ I have anxiety, I see a therapist, & I struggle with juggling parenting & my career. I speak about it openly. Truly, how can I best take care of others if I do not care for myself and embrace my own vulnerabilities as a human being? I ask for help often & am stronger for it. |
| Journal of Hospital Medicine @JHospMedicine RT @jbullockruns: @AndreaAnampaG @JHospMedicine I totally agree with you. We (medicine, society, media etc) create this image of an infallible superhuman as the prototypical physician. And even though some people welcome vulnerability, the systems in power do not. (reposting because i forgot my #JHMChat) |
| Justin Bullock @jbullockruns RT @LeighKimberg: A1. Our graphic lays out so many intersecting reasons for discouraging help seeking. #JHMChat https://t.co/d6dP61IH3m |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: T2: T2: What are systemic barriers and facilitators to health care institutions' ability to respond to physicians' mental health needs in supportive ways? #JHMChat #MentalHealthAwareness https://t.co/1EH7i4kYoG |
| Bonnie E. Gould Rothberg, MD, PhD, MPH, FACP @BEGouldRothberg A1. For the past 4 years, I give a guest lecture to the Quinnipiac M2’s about my personal journey with mental health. I save half the time for Q&A so that the students can explore these topics with someone who has “been there, done that”. The feedback is tremendous. #JHMChat |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @jbullockruns @JHospMedicine Along the same lines, being open that you’re going to therapy may help others. My pastor normalized going to couples therapy during pre-martial counseling so I saw therapy as a good thing. When I struggled being a foster parent, I went to therapy & told colleagues #JHMChat |
| Ndidi Unaka MD, MEd @NdidiUnaka RT @JHospMedicine: T2: T2: What are systemic barriers and facilitators to health care institutions' ability to respond to physicians' mental health needs in supportive ways? #JHMChat #MentalHealthAwareness https://t.co/1EH7i4kYoG |
| Justin Bullock @jbullockruns RT @meekslisa: @JHospMedicine A1: @JHospMedicine A1: The culture perpetuates maladaptive perfectionism and silence for those with depression and promotes institutional policies and norms that reward self-sacrifice and increased productivity @JAMAInternalMed #JHMChat @fullerenes https://t.co/T3TvGqvKEV |
 | “Get Screened” King-Mullins, MD @EKing719 A1… as a resident I was on call in ICU when an attending came in as my patient after being involved in a tragic fire incident. Non survivable injuries. Can’t ever erase picture from my mind. No mental health service or support was offered. #JHMChat |
| Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids @STangGirdwood @JHospMedicine Or apply for privileges at any new hospital! #JHMChat |
| Leigh Kimberg @LeighKimberg @LannaFelde Yes!! @fsmb Thank you for your leadership. All states now need to adopt better practices! Check out the ‘Humans Not Heroes” campaign https://t.co/P3AHfjM5nF ! Reframing Mental Health Licensure Questions @AMWADoctors #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: @LannaFelde Yes!! @fsmb Thank you for your leadership. All states now need to adopt better practices! Check out the ‘Humans Not Heroes” campaign https://t.co/P3AHfjM5nF ! Reframing Mental Health Licensure Questions @AMWADoctors #JHMChat |
| “Get Screened” King-Mullins, MD @EKing719 A1: vulnerability discouraged…as a resident I was on call in ICU when an attending came in as my patient after being involved in a tragic fire incident. Non survivable injuries. Can’t ever erase picture from my mind. No mental health service or support was offered. #JHMChat |
| Anika Kumar, MD @freckledpedidoc @FutureDocs @jbullockruns @JHospMedicine @UChiPritzker Our new focus on #wellbeing in Medicine is a step in the right direction. It is welcome but I worry it’s too late as we see physician suicides on the rise. #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa @JHospMedicine A2: Opt out Counseling Programs is a big one--be proactive and normalize therapy and check in's! #JHMChat #DocsWithDisabilities https://t.co/zVJmiDOh3O |
| Journal of Hospital Medicine @JHospMedicine RT @meekslisa: @JHospMedicine A2: @JHospMedicine A2: Opt out Counseling Programs is a big one--be proactive and normalize therapy and check in's! #JHMChat #DocsWithDisabilities https://t.co/zVJmiDOh3O |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @jbullockruns @JHospMedicine When I struggled with other work-life issues, it helped to hear that senior colleagues went to therapy for similar issues and my friend and I held each other accountable about going to therapy when we needed it. #JHMChat |
| Leigh Kimberg @LeighKimberg @STangGirdwood @jbullockruns @JHospMedicine I waited till I was 50 to go to therapy and so wish I could have realized how helpful this would be sooner! (On the other hand, never too old to start :)) #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @meekslisa: @JHospMedicine A2: @JHospMedicine A2: Opt out Counseling Programs is a big one--be proactive and normalize therapy and check in's! #JHMChat #DocsWithDisabilities https://t.co/zVJmiDOh3O |
| Society of Hospital Medicine @SocietyHospMed @EKing719 So sorry you went through this. #JHMChat |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG RT @meekslisa: @JHospMedicine A2: @JHospMedicine A2: Opt out Counseling Programs is a big one--be proactive and normalize therapy and check in's! #JHMChat #DocsWithDisabilities https://t.co/zVJmiDOh3O |
| Leigh Kimberg @LeighKimberg RT @JHospMedicine: T2: T2: What are systemic barriers and facilitators to health care institutions' ability to respond to physicians' mental health needs in supportive ways? #JHMChat #MentalHealthAwareness https://t.co/1EH7i4kYoG |
| “Get Screened” King-Mullins, MD @EKing719 @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Hi! I’m Erin, a colorectal surgeon. Glad to be here to gain and offer support. #JHMChat |
| Justin Bullock @jbullockruns RT @meekslisa: @JHospMedicine A2: @JHospMedicine A2: Opt out Counseling Programs is a big one--be proactive and normalize therapy and check in's! #JHMChat #DocsWithDisabilities https://t.co/zVJmiDOh3O |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG @JHospMedicine A2 🕐Time constrictions (time for therapy and doctor visits) ✖️Culture of silence #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @EKing719 This is tragic. We (as a profession) need to do better. #JHMChat |
| Ndidi Unaka MD, MEd @NdidiUnaka A2: Barriers - a dearth of institutional processes/ mechanisms to provide mental health support both for health maintenance and times of crisis, fear to disclose, and the culture to "push through" no matter what. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @LeighKimberg @STangGirdwood @jbullockruns @JHospMedicine It's never too late! #JHMChat |
 | Patent Masks Research & Development @PatentMasks RT @JHospMedicine: T2: T2: What are systemic barriers and facilitators to health care institutions' ability to respond to physicians' mental health needs in supportive ways? #JHMChat #MentalHealthAwareness https://t.co/1EH7i4kYoG |
| Ndidi Unaka MD, MEd @NdidiUnaka @EKing719 @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Thanks for joining! #JHMChat |
| Lanna Felde @LannaFelde A2: There needs to be a robust backup system, so that having someone take a day off is not a crisis for the rest of the team. That also means addressing burnout in a myriad of ways so that people have the bandwidth to be the backup person. #JHMChat |
| Justin Bullock @jbullockruns @JHospMedicine T2. Facilitators: -People are starting to speak more openly about their mental health experiences (ex: @AndreaAnampaG https://t.co/XKQjcTpdtq) -Institutions are building better infrastructure to provide care for their employees (employee health programs) #JHMChat |
| Karyn (#PutinSucks) Baum (she/her) @karynbaum @JHospMedicine A2 Barriers: lack of understanding and being uncomfortable with these issues by leaders. Facilitators: people finally having these discussions. My CEO recently discussed reading he's doing re trauma informed leadership. Feels it will be central to the rest of his career #JHMchat |
| Journal of Hospital Medicine @JHospMedicine @EKing719 @michellebr00ks @jbullockruns @meekslisa @LeighKimberg I'm so excited you are here! #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @JHospMedicine A2: mental health is under reimbursed and not a profitable area for most teaching hospitals so it’s basically become a patchwork system to get care…even if you’re in the medicine. Contrast this with the state of the art care you would receive for cancer let’s say #jhmchat |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood RT @meekslisa: @JHospMedicine A2: @JHospMedicine A2: Opt out Counseling Programs is a big one--be proactive and normalize therapy and check in's! #JHMChat #DocsWithDisabilities https://t.co/zVJmiDOh3O |
| Leigh Kimberg @LeighKimberg @JHospMedicine T2: So many barriers!!! Let's start with staffing and lack of coverage. Read more about the heartbreaking & devastating effects of this in this article featuring @jbullockruns #JHMChat https://t.co/TZ5uBdx4A7 |
| Journal of Hospital Medicine @JHospMedicine RT @LannaFelde: A2: A2: There needs to be a robust backup system, so that having someone take a day off is not a crisis for the rest of the team. That also means addressing burnout in a myriad of ways so that people have the bandwidth to be the backup person. #JHMChat |
| Bonnie E. Gould Rothberg, MD, PhD, MPH, FACP @BEGouldRothberg @LeighKimberg With “Zoom Therapy”, you don’t really need a ‘leave’. Just 1 hour in a private call room to have a chat. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: @JHospMedicine A2: @JHospMedicine A2: mental health is under reimbursed and not a profitable area for most teaching hospitals so it’s basically become a patchwork system to get care…even if you’re in the medicine. Contrast this with the state of the art care you would receive for cancer let’s say #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: @JHospMedicine T2: @JHospMedicine T2: So many barriers!!! Let's start with staffing and lack of coverage. Read more about the heartbreaking & devastating effects of this in this article featuring @jbullockruns #JHMChat https://t.co/TZ5uBdx4A7 |
| Society of Hospital Medicine @SocietyHospMed RT @LeighKimberg: @JHospMedicine T2: @JHospMedicine T2: So many barriers!!! Let's start with staffing and lack of coverage. Read more about the heartbreaking & devastating effects of this in this article featuring @jbullockruns #JHMChat https://t.co/TZ5uBdx4A7 |
| Lisa M Meeks, PhD, MA @meekslisa @JHospMedicine A2: #JHMChat The mixed messaging that occurs when wellness programs are implemented in environments that do not support self-care may unintentionally cause resident distress. @abbyWUim @WeiWeiLeeMD https://t.co/xy6BIxkleq |
| Journal of Hospital Medicine @JHospMedicine RT @karynbaum: @JHospMedicine A2 Barriers: @JHospMedicine A2 Barriers: lack of understanding and being uncomfortable with these issues by leaders. Facilitators: people finally having these discussions. My CEO recently discussed reading he's doing re trauma informed leadership. Feels it will be central to the rest of his career #JHMchat |
| Ndidi Unaka MD, MEd @NdidiUnaka @LannaFelde Yes, this is an important point. #JHMChat |
| “Get Screened” King-Mullins, MD @EKing719 @JHospMedicine A2 often times the need for counseling and/or support is inextricably paired with inability to perform #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa RT @BEGouldRothberg: @LeighKimberg With “Zoom Therapy”, you don’t really need a ‘leave’. Just 1 hour in a private call room to have a chat. #JHMChat |
| Anika Kumar, MD @freckledpedidoc @JHospMedicine T2. Systemic barriers: state licensing paperwork, need for FFDs/oversight committees influencing treatment, lack of mental health resources for HCW. Facilitators: new focus on #wellbeing & humanities in medicine #JHMChat |
| Justin Bullock @jbullockruns @JHospMedicine @AndreaAnampaG A2. Barriers: -Institutions focus on minimizing institutional liability instead of anchoring on physician wellness -Society views mental illness as a personal flaw -We don’t critically consider how the environment we create may impact physicians’ mental health #JHMChat |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @AndreaAnampaG @JHospMedicine Yep! I always picked the nights when therapists stayed past normal business hours and asked for the last possible slot and was often late when on clinical service. #JHMChat |
| Ben Dralle @ben_dralle @JHospMedicine ... support physicians in processing and healing from the trauma they experience. In fact, an ill-equipped therapist or counselor may do more harm than good. Something to seriously consider at the systems level. #JHMChat |
| Ndidi Unaka MD, MEd @NdidiUnaka RT @EKing719: @JHospMedicine A2 often times the need for counseling and/or support is inextricably paired with inability to perform #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @jbullockruns: @JHospMedicine T2. Facilitators: @JHospMedicine T2. Facilitators: -People are starting to speak more openly about their mental health experiences (ex: @AndreaAnampaG https://t.co/XKQjcTpdtq) -Institutions are building better infrastructure to provide care for their employees (employee health programs) #JHMChat |
| Justin Bullock @jbullockruns RT @LeighKimberg: @JHospMedicine T2: @JHospMedicine T2: So many barriers!!! Let's start with staffing and lack of coverage. Read more about the heartbreaking & devastating effects of this in this article featuring @jbullockruns #JHMChat https://t.co/TZ5uBdx4A7 |
| Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids @JHospMedicine #JHMChat A2: one of the helpful things in residency was monthly group mtgs w a SW who we knew would never be involved in evals. She also did extra sessions for those finishing months on PICU, NICU, oncology (all q4 28-hr call w a lot of extra emotional burden) |
| Journal of Hospital Medicine @JHospMedicine RT @BEGouldRothberg: @LeighKimberg With “Zoom Therapy”, you don’t really need a ‘leave’. Just 1 hour in a private call room to have a chat. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @meekslisa: @JHospMedicine A2: @JHospMedicine A2: #JHMChat The mixed messaging that occurs when wellness programs are implemented in environments that do not support self-care may unintentionally cause resident distress. @abbyWUim @WeiWeiLeeMD https://t.co/xy6BIxkleq |
| Lisa M Meeks, PhD, MA @meekslisa #JHMChat Absolutely @LeighKimberg. "Jeopardy" is a horrid, but fitting name for our system of coverage. #DocsWithDisabilities |
| Leigh Kimberg @LeighKimberg @JHospMedicine @jbullockruns BIG PICTURE: Healthcare staff & patient well-being are inextricably inter-related & are systems issues. Psychological & moral distress, unmanageable workloads, insufficient staffing-ratios are all related to *healthcare financing*. #JHMChat |
 | Abby Spencer, MD, MS, FACP @abbyWUim RT @meekslisa: @JHospMedicine A2: @JHospMedicine A2: #JHMChat The mixed messaging that occurs when wellness programs are implemented in environments that do not support self-care may unintentionally cause resident distress. @abbyWUim @WeiWeiLeeMD https://t.co/xy6BIxkleq |
| Vinny Arora MD MAPP @FutureDocs RT @LeighKimberg: A1. Our graphic lays out so many intersecting reasons for discouraging help seeking. #JHMChat https://t.co/d6dP61IH3m |
| Journal of Hospital Medicine @JHospMedicine RT @jbullockruns: @JHospMedicine @AndreaAnampaG A2. Barriers: @JHospMedicine @AndreaAnampaG A2. Barriers: -Institutions focus on minimizing institutional liability instead of anchoring on physician wellness -Society views mental illness as a personal flaw -We don’t critically consider how the environment we create may impact physicians’ mental health #JHMChat |
 | Kriti Prasad @kritiprasad_ RT @marycthomas95: @JHospMedicine A1. Discourage: @JHospMedicine A1. Discourage: The idea that we are supposed to be "the healers" and completely separate from "the healing/healed". Us vs them is incredibly unrealistic and untenable for all, not just #docswithdisabilities #JHMchat |
| Leigh Kimberg @LeighKimberg RT @meekslisa: #JHMChat Absolutely @LeighKimberg. "Jeopardy" is a horrid, but fitting name for our system of coverage. #DocsWithDisabilities |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG RT @FutureDocs: @JHospMedicine A2: @JHospMedicine A2: mental health is under reimbursed and not a profitable area for most teaching hospitals so it’s basically become a patchwork system to get care…even if you’re in the medicine. Contrast this with the state of the art care you would receive for cancer let’s say #jhmchat |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG RT @meekslisa: @JHospMedicine A2: @JHospMedicine A2: #JHMChat The mixed messaging that occurs when wellness programs are implemented in environments that do not support self-care may unintentionally cause resident distress. @abbyWUim @WeiWeiLeeMD https://t.co/xy6BIxkleq |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: @JHospMedicine @jbullockruns BIG PICTURE: @JHospMedicine @jbullockruns BIG PICTURE: Healthcare staff & patient well-being are inextricably inter-related & are systems issues. Psychological & moral distress, unmanageable workloads, insufficient staffing-ratios are all related to *healthcare financing*. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @LannaFelde Likewise how can we build our teams and programs so we are not one FMLA leave away from ruin? #jhmchat |
| Lisa M Meeks, PhD, MA @meekslisa A2. #JHMChat Facilitator --Speaking Up and Speaking Out. @jbullockruns lives this everyday. Listen to his story here: https://t.co/6Q0SZaocxP #DocsWithDisabilities @DocsWith |
 | Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg OMG I'M LATE!!!! Dhruv Srinivasachar, PGY-1 #MedPeds thinking transitional care with a hospitalist element. Neurodivergent NOS. #JHMChat |
| Leigh Kimberg @LeighKimberg @JHospMedicine @jbullockruns If access to healthcare (including psych care) were a human right we would all have improved health & well-being.... and less time spent on billing related documentation :( #healthcareisahumanright #MedicareForAll #JHMChat |
| Society of Hospital Medicine @SocietyHospMed ⏲️ You don’t want to miss this! Happening NOW: Join this month’s #JHMChat before it wraps up. Hop in and share your insight on physician mental health! ✅ Meet hospitalist colleagues ✅ Share advice ✅ Learn tips Use #JHMChat on all replies to be included in the conversation! |
| Society of Hospital Medicine @SocietyHospMed @TheRealDSrini @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @LeighKimberg Thanks for joining :) #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @meekslisa @abbyWUim @WeiWeiLeeMD Such as mandatory online modules for wellness? Or suggesting more yoga may help? #JHMChat |
| Justin Bullock @jbullockruns @LannaFelde We have a jeopardy system in my residency which in theory is very good but often there is a pressure to not call out of work because you don't want to make your peers have to work more. I think it discourages people from calling out when they need/want to. #JHMchat |
| Vinny Arora MD MAPP @FutureDocs RT @EKing719: @JHospMedicine A2 often times the need for counseling and/or support is inextricably paired with inability to perform #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @meekslisa: A2. #JHMChat Facilitator --Speaking Up and Speaking Out. @jbullockruns lives this everyday. Listen to his story here: A2. #JHMChat Facilitator --Speaking Up and Speaking Out. @jbullockruns lives this everyday. Listen to his story here: https://t.co/6Q0SZaocxP #DocsWithDisabilities @DocsWith |
| Justin Bullock @jbullockruns RT @meekslisa: A2. #JHMChat Facilitator --Speaking Up and Speaking Out. @jbullockruns lives this everyday. Listen to his story here: A2. #JHMChat Facilitator --Speaking Up and Speaking Out. @jbullockruns lives this everyday. Listen to his story here: https://t.co/6Q0SZaocxP #DocsWithDisabilities @DocsWith |
| Anika Kumar, MD @freckledpedidoc @meekslisa @LeighKimberg Some places don’t have jeopardy. Following surgeries I’ve been told that I have to “payback” my medical coverage. In such a system, physical AND #mentalhealth are not priorities. #JHMChat |
| Leonor Vásquez MD @LeitoVr RT @LeighKimberg: Here's a more costly (& needed) idea! Normalize paid leave weekly during the workday for all healthcare staff (HCS) to go to therapy (whatever that means to you, psychologist, psychiatrist, walk, sleep, exercise.) Universal healing. #JHMChat |
| Bonnie E. Gould Rothberg, MD, PhD, MPH, FACP @BEGouldRothberg @LannaFelde I got “sick” one day on service and it was perceived as the end of the world. My psychiatrist pointed out “and if you threw up on their shoes or spiked a 104 F temp, this wouldn’t be an issue”. Next time, I’ll also spike a fever. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @meekslisa: @JHospMedicine A2: @JHospMedicine A2: #JHMChat The mixed messaging that occurs when wellness programs are implemented in environments that do not support self-care may unintentionally cause resident distress. @abbyWUim @WeiWeiLeeMD https://t.co/xy6BIxkleq |
| Journal of Hospital Medicine @JHospMedicine @meekslisa @jbullockruns @DocsWith Thank you @meekslisa for all of these resources! You guys are the best. @jbullockruns @LeighKimberg #JHMChat |
| Leigh Kimberg @LeighKimberg @meekslisa Yes. Lots of barriers to seeking #mentalhealthcare for residents with depression. Highest barrier=time (91.5%) Other concerns as well. NORMALIZE #mentalhealthcare #JHMChat https://t.co/6Z6UEIWkEc |
| Anika Kumar, MD @freckledpedidoc @FutureDocs @LannaFelde I am currently having this conversation with my team. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @LeighKimberg: @meekslisa Yes. Lots of barriers to seeking #mentalhealthcare for residents with depression. Highest barrier=time (91.5%) Other concerns as well. NORMALIZE #mentalhealthcare #JHMChat https://t.co/6Z6UEIWkEc |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: @JHospMedicine @jbullockruns If access to healthcare (including psych care) were a human right we would all have improved health & well-being.... and less time spent on billing related documentation :( #healthcareisahumanright #MedicareForAll #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Just a few more minutes until T3...#JHMChat |
| Vinny Arora MD MAPP @FutureDocs @LeighKimberg @JHospMedicine @jbullockruns I must tag @drjessigold now as I know she’d have something I say! #jhmchat |
| Justin Bullock @jbullockruns This was my favorite podcast that I've ever recorded (and in my opinion the best). I learned some stuff about myself while we were talking because @meekslisa pushed me in the best way possible. @DocsWith #docswithdisabilities #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: @meekslisa Yes. Lots of barriers to seeking #mentalhealthcare for residents with depression. Highest barrier=time (91.5%) Other concerns as well. NORMALIZE #mentalhealthcare #JHMChat https://t.co/6Z6UEIWkEc |
| Society of Hospital Medicine @SocietyHospMed RT @jbullockruns: This was my favorite podcast that I've ever recorded (and in my opinion the best). I learned some stuff about myself while we were talking because @meekslisa pushed me in the best way possible. @DocsWith #docswithdisabilities #JHMChat |
| Justin Bullock @jbullockruns RT @FutureDocs: @LeighKimberg @JHospMedicine @jbullockruns I must tag @drjessigold now as I know she’d have something I say! #jhmchat |
| Anika Kumar, MD @freckledpedidoc @FutureDocs @LeighKimberg @JHospMedicine @jbullockruns @drjessigold I am sure she would love this entire #JHMChat |
| Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini @JHospMedicine A1: Encourage-A lot more being done in the abstract about making doctors aware of MH issues among themselves. Some institutions encourage debriefs after traumatic events. #JHMChat |
| Leigh Kimberg @LeighKimberg T1/T2-Our words…partitioning #physicalhealth & #mentalhealth is biologically absurd & inaccurate. Our brains & rest of our bodies are integrated systems; #mentalhealthstigma has infected our language, paradigms, & healthcare financing systems. #JHMChat |
 | Anja Burčak 🧠 @CalculatingMind RT @JHospMedicine: T1: T1: How does medical culture encourage or discourage physician vulnerability and help-seeking with mental health issues? #JHMChat https://t.co/oXVeCWZVBH |
| Journal of Hospital Medicine @JHospMedicine @freckledpedidoc @FutureDocs @LeighKimberg @jbullockruns @drjessigold We tried to get @drjessigold! She's super popular. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine T3: In what ways has the COVID-19 pandemic impacted overall awareness of physicians' mental health? #JHMChat https://t.co/bTGuRWWi2A |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: T1/T2-Our words…partitioning #physicalhealth & #mentalhealth is biologically absurd & inaccurate. Our brains & rest of our bodies are integrated systems; #mentalhealthstigma has infected our language, paradigms, & healthcare financing systems. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: T3: T3: In what ways has the COVID-19 pandemic impacted overall awareness of physicians' mental health? #JHMChat https://t.co/bTGuRWWi2A |
| Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini @JHospMedicine A1 cont.: Discourage-Everything else. Licensure in most states still stigmatizes receiving help, the "tough it out" mentality and toxicity of certain specialties makes disclosing mental illness dangerous, and feedback is often hurtful and not helpful. #JHMChat |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG @JHospMedicine Hi, @JHospMedicine when I try to register it appears: the course is closed. Can you help me? please #JHMChat https://t.co/hKxYFiPc3x |
| Leigh Kimberg @LeighKimberg T1/T2: We flourish when we are seen, heard, respected, cherished, supported & have #agency. #racism #oppression #mentalhealthstigma #ableism #perfectionism #workloads Are we creating #healthcare & #MedEd conditions that are destructive or healing? And, for whom? #JHMChat |
| Ndidi Unaka MD, MEd @NdidiUnaka RT @JHospMedicine: T3: T3: In what ways has the COVID-19 pandemic impacted overall awareness of physicians' mental health? #JHMChat https://t.co/bTGuRWWi2A |
| Justin Bullock @jbullockruns RT @JHospMedicine: T2: T2: What are systemic barriers and facilitators to health care institutions' ability to respond to physicians' mental health needs in supportive ways? #JHMChat #MentalHealthAwareness https://t.co/1EH7i4kYoG |
| Journal of Hospital Medicine @JHospMedicine I love that this topic came up a little earlier in the #JHMChat! Now we have more time to explore it... |
| Justin Bullock @jbullockruns RT @LeighKimberg: T1/T2: T1/T2: We flourish when we are seen, heard, respected, cherished, supported & have #agency. #racism #oppression #mentalhealthstigma #ableism #perfectionism #workloads Are we creating #healthcare & #MedEd conditions that are destructive or healing? And, for whom? #JHMChat |
 | Lauren Mazzurco @LaurenMazzurco RT @JHospMedicine: T2: T2: What are systemic barriers and facilitators to health care institutions' ability to respond to physicians' mental health needs in supportive ways? #JHMChat #MentalHealthAwareness https://t.co/1EH7i4kYoG |
| Lisa M Meeks, PhD, MA @meekslisa A2: #JHMChat 30% of #MedicalStudents have depressive symptoms but only .3% disclose depression. Pretty big indicator that people are not seeking help! @JAMANetworkOpen @Srijan_SenMDPhD @BonnieSwenorPhD @MissyPlegue @disability_UM https://t.co/xg5kDQSqq7 https://t.co/b7LB40ROxx |
 | Becca R-K, MD (they/them) @rrkolker RT @JHospMedicine: T2: T2: What are systemic barriers and facilitators to health care institutions' ability to respond to physicians' mental health needs in supportive ways? #JHMChat #MentalHealthAwareness https://t.co/1EH7i4kYoG |
 | Kalen Marquis @KalenMarquis RT @LeighKimberg: T1/T2: T1/T2: We flourish when we are seen, heard, respected, cherished, supported & have #agency. #racism #oppression #mentalhealthstigma #ableism #perfectionism #workloads Are we creating #healthcare & #MedEd conditions that are destructive or healing? And, for whom? #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @AndreaAnampaG Hey Myles @SocietyHospMed - any ideas? #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @meekslisa: A2: A2: #JHMChat 30% of #MedicalStudents have depressive symptoms but only .3% disclose depression. Pretty big indicator that people are not seeking help! @JAMANetworkOpen @Srijan_SenMDPhD @BonnieSwenorPhD @MissyPlegue @disability_UM https://t.co/xg5kDQSqq7 https://t.co/b7LB40ROxx |
| Society of Hospital Medicine @SocietyHospMed @AndreaAnampaG @JHospMedicine Hi Andrea! If you click into today's chat that should hopefully work. It should bring you to a different page once you select tonight's chat! #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa A2: #JHMChat #1 Fear Concerns regarding required disclosure on state medical boards. #DocsWithDisabilities @DocsWith |
| Leigh Kimberg @LeighKimberg @STangGirdwood @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @CincyPHM Welcome! <3 #JHMChat |
| Leigh Kimberg @LeighKimberg RT @meekslisa: A2: A2: #JHMChat #1 Fear Concerns regarding required disclosure on state medical boards. #DocsWithDisabilities @DocsWith |
 | Med Student Bot @MedStudent_Bot RT @LeighKimberg: T1/T2: T1/T2: We flourish when we are seen, heard, respected, cherished, supported & have #agency. #racism #oppression #mentalhealthstigma #ableism #perfectionism #workloads Are we creating #healthcare & #MedEd conditions that are destructive or healing? And, for whom? #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa RT @JHospMedicine: T3: T3: In what ways has the COVID-19 pandemic impacted overall awareness of physicians' mental health? #JHMChat https://t.co/bTGuRWWi2A |
| Becca R-K, MD (they/them) @rrkolker RT @jbullockruns: @AndreaAnampaG @JHospMedicine I totally agree with you. We (medicine, society, media etc) create this image of an infallible superhuman as the prototypical physician. And even though some people welcome vulnerability, the systems in power do not. (reposting because i forgot my #JHMChat) |
| Lanna Felde @LannaFelde A3. Social media has made it possible for physicians to tell their stories to millions of people. During COVID, the general public has gotten an inside look at the mental struggles that many physicians face through their personal anecdotes. #JHMChat |
| Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini @JHospMedicine A2: Licensure, MH care, working hours...what isn't burdened? Most wellness initiatives are also performative. As for facilitators,some institutions ( @IUMedPeds in particular) have opt-out counseling for their residents. This should be a standard. #JHMChat |
| Leigh Kimberg @LeighKimberg RT @jbullockruns: This was my favorite podcast that I've ever recorded (and in my opinion the best). I learned some stuff about myself while we were talking because @meekslisa pushed me in the best way possible. @DocsWith #docswithdisabilities #JHMChat |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @JHospMedicine While there is greater recognition that we need better support for physicians’ mental health thx to pandemic, I do worry physicians can hide their struggles when we’re not seeing one another regularly. It’s a lot easier to cry, wipe tears & get on zoom call from home. #JHMChat |
| Becca R-K, MD (they/them) @rrkolker RT @JHospMedicine: T1: T1: How does medical culture encourage or discourage physician vulnerability and help-seeking with mental health issues? #JHMChat https://t.co/oXVeCWZVBH |
| Society of Hospital Medicine @SocietyHospMed @JHospMedicine @AndreaAnampaG Hi Andrea! If you click into today's chat that should hopefully work. It should bring you to a different page once you select tonight's chat! #JHMChat Let me know if you're still having issues and I can always loop back with our Education team! |
| Ndidi Unaka MD, MEd @NdidiUnaka @JHospMedicine A3: The impact has been overall positive but the price has been steep...we know that healthcare workers have made different career choices as a result of the pandemic. The conversations we are having now are so important but overdue #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa RT @LeighKimberg: @meekslisa Yes. Lots of barriers to seeking #mentalhealthcare for residents with depression. Highest barrier=time (91.5%) Other concerns as well. NORMALIZE #mentalhealthcare #JHMChat https://t.co/6Z6UEIWkEc |
| Journal of Hospital Medicine @JHospMedicine Agree - "listening" to @gradydoctor & @TheRealDoctorT share on Twitter has been therapeutic for me. #JHMChat |
| Ben Dralle @ben_dralle @JHospMedicine ... and COVID-19 has provided a bit of a purposeful pause for us to reflect on the gravity of our jobs. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @JHospMedicine A3 well it’s made the public more aware of the plight of healthcare workers and mental health. The irony is that burnout was declared a crisis in healthcare BEFORE the pandemic - imagine the aftershocks now #jhmchat |
| Anika Kumar, MD @freckledpedidoc @JHospMedicine T3. I think HCWs have voiced the physical & #mentalhealth challenges they have faced during the Pandemic. That has allowed us to discuss pre-pandemic & systemic challenges. #JHMChat |
| Karyn (#PutinSucks) Baum (she/her) @karynbaum @JHospMedicine A3 well, we just hired our 1st Chief Wellness Officer, if that tells you anything #JHMchat |
| Leonor Vásquez MD @LeitoVr RT @LeighKimberg: T1/T2-Our words…partitioning #physicalhealth & #mentalhealth is biologically absurd & inaccurate. Our brains & rest of our bodies are integrated systems; #mentalhealthstigma has infected our language, paradigms, & healthcare financing systems. #JHMChat |
| Abby Spencer, MD, MS, FACP @abbyWUim RT @meekslisa: A2: A2: #JHMChat 30% of #MedicalStudents have depressive symptoms but only .3% disclose depression. Pretty big indicator that people are not seeking help! @JAMANetworkOpen @Srijan_SenMDPhD @BonnieSwenorPhD @MissyPlegue @disability_UM https://t.co/xg5kDQSqq7 https://t.co/b7LB40ROxx |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG @JHospMedicine A3 I think it has given more attention to the burnout in HCWs. However, I do not think actionable plans have been developed yet #JHMChat |
| Kriti Prasad @kritiprasad_ @LeighKimberg @jbullockruns To enter a field where physicians are NOT seen, heard, cherished, supported or have agency in #healthcare creates a unique cognitive dissonance for trainees. It’s time for change. #JHMchat |
| Leigh Kimberg @LeighKimberg T3: My heart is heavy. Thinking of the already high depression & suicide rates amongst physicians & our colleagues we have lost during this pandemic. Love and prayers to their families and colleagues. #JHMChat |
| Ben Dralle @ben_dralle @JHospMedicine Also interesting to see work coming out regarding COVID-19, mental health, and spirituality - something that hasn't been talked about a lot in the past. #JHMChat @JAMA_current https://t.co/b3g6an8i3h |
| Journal of Hospital Medicine @JHospMedicine RT @NdidiUnaka: @JHospMedicine A3: @JHospMedicine A3: The impact has been overall positive but the price has been steep...we know that healthcare workers have made different career choices as a result of the pandemic. The conversations we are having now are so important but overdue #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @ben_dralle: @JHospMedicine Also interesting to see work coming out regarding COVID-19, mental health, and spirituality - something that hasn't been talked about a lot in the past. #JHMChat @JAMA_current https://t.co/b3g6an8i3h |
 | Silent No More Foundation @SilentNoMoreFnd RT @jbullockruns: @JHospMedicine Encourage: @JHospMedicine Encourage: As a student my med school had days called ‘Suffering in Silence’ & ‘Mental Illness Among Us’ where med students shared their experiences of mental illness with their class. This made me feel safe to talk about mental illness in medicine as an early trainee. #JHMChat |
| Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini @JHospMedicine A3: Like most things to do with COVID, it's made the known but ignored crises something we cannot ignore. It's magnified the death, but also given some new innovations (pun not intended) in things like telehealth (saving time for us to get MH care) #JHMChat |
| Leonor Vásquez MD @LeitoVr RT @ben_dralle: @JHospMedicine Also interesting to see work coming out regarding COVID-19, mental health, and spirituality - something that hasn't been talked about a lot in the past. #JHMChat @JAMA_current https://t.co/b3g6an8i3h |
| Leigh Kimberg @LeighKimberg RT @kritiprasad_: @LeighKimberg @jbullockruns To enter a field where physicians are NOT seen, heard, cherished, supported or have agency in #healthcare creates a unique cognitive dissonance for trainees. It’s time for change. #JHMchat |
| Journal of Hospital Medicine @JHospMedicine RT @kritiprasad_: @LeighKimberg @jbullockruns To enter a field where physicians are NOT seen, heard, cherished, supported or have agency in #healthcare creates a unique cognitive dissonance for trainees. It’s time for change. #JHMchat |
| Becca R-K, MD (they/them) @rrkolker RT @TheRealDSrini: @JHospMedicine A1 cont.: Discourage-Everything else. Licensure in most states still stigmatizes receiving help, the "tough it out" mentality and toxicity of certain specialties makes disclosing mental illness dangerous, and feedback is often hurtful and not helpful. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: T3: T3: My heart is heavy. Thinking of the already high depression & suicide rates amongst physicians & our colleagues we have lost during this pandemic. Love and prayers to their families and colleagues. #JHMChat |
 | MedEd @TelehealthBot RT @LeighKimberg: T1/T2: T1/T2: We flourish when we are seen, heard, respected, cherished, supported & have #agency. #racism #oppression #mentalhealthstigma #ableism #perfectionism #workloads Are we creating #healthcare & #MedEd conditions that are destructive or healing? And, for whom? #JHMChat |
| Becca R-K, MD (they/them) @rrkolker RT @meekslisa: @JHospMedicine A1: @JHospMedicine A1: The culture perpetuates maladaptive perfectionism and silence for those with depression and promotes institutional policies and norms that reward self-sacrifice and increased productivity @JAMAInternalMed #JHMChat @fullerenes https://t.co/T3TvGqvKEV |
| Justin Bullock @jbullockruns @JHospMedicine A3. I think that COVID has made it so that departments, hospitals, schools etc have no choice but to talk about mental health because of the collective trauma of this pandemic. We are stressing a stressed system & seeing that anyone can struggle with their mental health. #JHMChat |
| Leigh Kimberg @LeighKimberg RT @ben_dralle: @JHospMedicine Also interesting to see work coming out regarding COVID-19, mental health, and spirituality - something that hasn't been talked about a lot in the past. #JHMChat @JAMA_current https://t.co/b3g6an8i3h |
| Journal of Hospital Medicine @JHospMedicine RT @ben_dralle: @JHospMedicine ... and COVID-19 has provided a bit of a purposeful pause for us to reflect on the gravity of our jobs. #JHMChat |
 | Bonnielin Swenor PhD @BonnieSwenorPhD RT @meekslisa: A2: A2: #JHMChat 30% of #MedicalStudents have depressive symptoms but only .3% disclose depression. Pretty big indicator that people are not seeking help! @JAMANetworkOpen @Srijan_SenMDPhD @BonnieSwenorPhD @MissyPlegue @disability_UM https://t.co/xg5kDQSqq7 https://t.co/b7LB40ROxx |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: @JHospMedicine A3 well it’s made the public more aware of the plight of healthcare workers and mental health. The irony is that burnout was declared a crisis in healthcare BEFORE the pandemic - imagine the aftershocks now #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @freckledpedidoc: @JHospMedicine T3. I think HCWs have voiced the physical & #mentalhealth challenges they have faced during the Pandemic. That has allowed us to discuss pre-pandemic & systemic challenges. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine This #JHMChat is going by too quickly! ⏳ The last topic is coming up soon... |
| Society of Hospital Medicine @SocietyHospMed RT @jbullockruns: @JHospMedicine A3. I think that COVID has made it so that departments, hospitals, schools etc have no choice but to talk about mental health because of the collective trauma of this pandemic. We are stressing a stressed system & seeing that anyone can struggle with their mental health. #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa A2: #JHMChat Facilitator: Accommodations! Did you know that depression, anxiety and other mental health conditions may qualify for accommodation. #DocsWithDisabilities @DocsWith https://t.co/AG8o7G6yM6 |
| Journal of Hospital Medicine @JHospMedicine RT @TheRealDSrini: @JHospMedicine A3: Like most things to do with COVID, it's made the known but ignored crises something we cannot ignore. It's magnified the death, but also given some new innovations (pun not intended) in things like telehealth (saving time for us to get MH care) #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @jbullockruns: @JHospMedicine A3. I think that COVID has made it so that departments, hospitals, schools etc have no choice but to talk about mental health because of the collective trauma of this pandemic. We are stressing a stressed system & seeing that anyone can struggle with their mental health. #JHMChat |
| Justin Bullock @jbullockruns RT @kritiprasad_: @LeighKimberg @jbullockruns To enter a field where physicians are NOT seen, heard, cherished, supported or have agency in #healthcare creates a unique cognitive dissonance for trainees. It’s time for change. #JHMchat |
 | Your Vote Matters @MustGoVote RT @JHospMedicine: Agree - "listening" to @gradydoctor & @TheRealDoctorT share on Twitter has been therapeutic for me. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @meekslisa: A2: #JHMChat Facilitator: A2: #JHMChat Facilitator: Accommodations! Did you know that depression, anxiety and other mental health conditions may qualify for accommodation. #DocsWithDisabilities @DocsWith https://t.co/AG8o7G6yM6 |
| Becca R-K, MD (they/them) @rrkolker @JHospMedicine A1: Encourage: Grateful to be at a program that has adapted #OptOut counseling to connect residents to mental healthcare and normalize this amongst our program #JHmChat Discourage: it is VERY challenging to schedule or attend regular therapy appts on any intern schedule |
| Journal of Hospital Medicine @JHospMedicine RT @rrkolker: @JHospMedicine A1: Encourage: @JHospMedicine A1: Encourage: Grateful to be at a program that has adapted #OptOut counseling to connect residents to mental healthcare and normalize this amongst our program #JHmChat Discourage: it is VERY challenging to schedule or attend regular therapy appts on any intern schedule |
| Journal of Hospital Medicine @JHospMedicine T4: How can we create systems that are informed by a genuine understanding of suffering to promote healing and avoid re-traumatization?* #JHMChat *as described in @jbullockruns vulnerable account of his traumatic experience with help-seeking in the piece. How can we do better? https://t.co/XTdSj3b0DQ |
| Bonnie E. Gould Rothberg, MD, PhD, MPH, FACP @BEGouldRothberg @meekslisa @DocsWith Amen to that!!! There are only 7-10 states that ask no questions regarding mental health on the licensing application or renewal. Some conservative states ask about a lifetime history. There, a “once-and done” major depressive episode in med school haunts forever #JHMChat |
 | Balki Bartokomous @wargote4 @JHospMedicine Well I have gotten more t shirts, smoothies, and inspirational emails from admin the past two years. #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @STangGirdwood: @JHospMedicine While there is greater recognition that we need better support for physicians’ mental health thx to pandemic, I do worry physicians can hide their struggles when we’re not seeing one another regularly. It’s a lot easier to cry, wipe tears & get on zoom call from home. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @rrkolker @JHospMedicine Hi @rrkolker! thanks for joining and sharing! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @BEGouldRothberg: @meekslisa @DocsWith Amen to that!!! There are only 7-10 states that ask no questions regarding mental health on the licensing application or renewal. Some conservative states ask about a lifetime history. There, a “once-and done” major depressive episode in med school haunts forever #JHMChat |
| Leigh Kimberg @LeighKimberg A3. Thinking of how the heaviest burden of this #COVID19 pandemic has fallen on BIPOC & other marginalized groups we have to think about intersectionality of movements (disability justice, racial justice, LGBTQ justice...) as well as intersectionality of our identities. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: T4: T4: How can we create systems that are informed by a genuine understanding of suffering to promote healing and avoid re-traumatization?* #JHMChat *as described in @jbullockruns vulnerable account of his traumatic experience with help-seeking in the piece. How can we do better? https://t.co/XTdSj3b0DQ |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: A3. Thinking of how the heaviest burden of this #COVID19 pandemic has fallen on BIPOC & other marginalized groups we have to think about intersectionality of movements (disability justice, racial justice, LGBTQ justice...) as well as intersectionality of our identities. #JHMChat |
| Anika Kumar, MD @freckledpedidoc @JHospMedicine Although, I agree with @FutureDocs that it feels delayed… #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @londyloo @karynbaum @JHospMedicine The public like healthcare workers is now suffering from compassion fatigue due to the pandemic. Unfortunately It’s a bad place to be when you can’t empathize with other humans in pain. #jhmchat |
| Lisa M Meeks, PhD, MA @meekslisa A2: #JHMChat Facilitator: Following the @acgme Program Requirements VI.C.1.d).(1) to allow people time to seek mental health appointments--including those during work hours! #DocsWithDisabilities @DocsWith @NicholeTaylorDO @cjmoreland https://t.co/mFPoNLtNWK |
| Silent No More Foundation @SilentNoMoreFnd RT @JHospMedicine: T3: T3: In what ways has the COVID-19 pandemic impacted overall awareness of physicians' mental health? #JHMChat https://t.co/bTGuRWWi2A |
| Journal of Hospital Medicine @JHospMedicine RT @meekslisa: A2: #JHMChat Facilitator: A2: #JHMChat Facilitator: Following the @acgme Program Requirements VI.C.1.d).(1) to allow people time to seek mental health appointments--including those during work hours! #DocsWithDisabilities @DocsWith @NicholeTaylorDO @cjmoreland https://t.co/mFPoNLtNWK |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: @londyloo @karynbaum @JHospMedicine The public like healthcare workers is now suffering from compassion fatigue due to the pandemic. Unfortunately It’s a bad place to be when you can’t empathize with other humans in pain. #jhmchat |
| Becca R-K, MD (they/them) @rrkolker @JHospMedicine A2: Any real interventions to support resident mental health wellness need to address the core challenges to residency (not enough time to sleep, eat well, exercise, attend to mental/physical health, financial strain). Most interventions are bandaids on a broken arm. #JHMChat |
| Mary Thomas @marycthomas95 RT @kritiprasad_: @LeighKimberg @jbullockruns To enter a field where physicians are NOT seen, heard, cherished, supported or have agency in #healthcare creates a unique cognitive dissonance for trainees. It’s time for change. #JHMchat |
 | Marjorie Cross @MarjorieCross RT @kritiprasad_: @LeighKimberg @jbullockruns To enter a field where physicians are NOT seen, heard, cherished, supported or have agency in #healthcare creates a unique cognitive dissonance for trainees. It’s time for change. #JHMchat |
 | Laura Frye @LauraFryeDrL RT @meekslisa: @JHospMedicine A2: @JHospMedicine A2: #JHMChat The mixed messaging that occurs when wellness programs are implemented in environments that do not support self-care may unintentionally cause resident distress. @abbyWUim @WeiWeiLeeMD https://t.co/xy6BIxkleq |
| Vinny Arora MD MAPP @FutureDocs RT @LeighKimberg: A3. Thinking of how the heaviest burden of this #COVID19 pandemic has fallen on BIPOC & other marginalized groups we have to think about intersectionality of movements (disability justice, racial justice, LGBTQ justice...) as well as intersectionality of our identities. #JHMChat |
| Leigh Kimberg @LeighKimberg A2: YES @meekslisa So horrified that residents contact me saying they are struggling &, then, we realize they have not been educated about nor offered accomodations. This should be front & center. And we can be more creative about designing human-centered accommodations.#JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @jbullockruns: @JHospMedicine A3. I think that COVID has made it so that departments, hospitals, schools etc have no choice but to talk about mental health because of the collective trauma of this pandemic. We are stressing a stressed system & seeing that anyone can struggle with their mental health. #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa RT @jbullockruns: This was my favorite podcast that I've ever recorded (and in my opinion the best). I learned some stuff about myself while we were talking because @meekslisa pushed me in the best way possible. @DocsWith #docswithdisabilities #JHMChat |
| Lanna Felde @LannaFelde A4: Normalize talking about mental health struggles. This means we have to stop punishing doctors for admitting that they have depression/anxiety. Ironically, finding this type of empathy for our colleagues would probably make us all better doctors to our patients #jhmchat |
| Becca R-K, MD (they/them) @rrkolker @JHospMedicine A2 cont Financial support to mitigate massive debt, improved benefits inc parental leave, flexibility/changes to scheduling that allow consistent access to sleep and meeting other basic needs. A lot of material support (which would require more $$) would go a long way #JHMChat |
| Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids @JHospMedicine #JHMChat A3: Not just physicians (hopefully), but also other HCWs eg nurses, SW, RTs, and support staff too! I think COVID allowed us (and the public) to finally recognize HCWs as fellow humans+patients, not a separate group immune to physical or mental health issues |
 | Carrie Knopf @CarrieFrancesK RT @LeighKimberg: A3. Thinking of how the heaviest burden of this #COVID19 pandemic has fallen on BIPOC & other marginalized groups we have to think about intersectionality of movements (disability justice, racial justice, LGBTQ justice...) as well as intersectionality of our identities. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @LeighKimberg @meekslisa Are there similar accommodations for faculty/practicing physicians? #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @DrJenChen4kids: @JHospMedicine #JHMChat A3: @JHospMedicine #JHMChat A3: Not just physicians (hopefully), but also other HCWs eg nurses, SW, RTs, and support staff too! I think COVID allowed us (and the public) to finally recognize HCWs as fellow humans+patients, not a separate group immune to physical or mental health issues |
| Vinny Arora MD MAPP @FutureDocs @karynbaum @JHospMedicine We are hiring one too. Will let you know how it goes… #jhmchat |
| Justin Bullock @jbullockruns @JHospMedicine Here I cannot convey enough how lifesaving the allyship of people like @LeighKimberg and @meekslisa was. I felt that I was just seen as a 'risk' by my institution & not a human who had just survived a suicide attempt. Allies were the change I needed to keep living. #JHMChat |
| Justin Bullock @jbullockruns RT @JHospMedicine: T4: T4: How can we create systems that are informed by a genuine understanding of suffering to promote healing and avoid re-traumatization?* #JHMChat *as described in @jbullockruns vulnerable account of his traumatic experience with help-seeking in the piece. How can we do better? https://t.co/XTdSj3b0DQ |
| Leigh Kimberg @LeighKimberg @rrkolker @JHospMedicine Absolutely! Pay, childcare, staffing, schedules. These underlying STRUCTURAL problems must be addressed. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @LannaFelde: A4: A4: Normalize talking about mental health struggles. This means we have to stop punishing doctors for admitting that they have depression/anxiety. Ironically, finding this type of empathy for our colleagues would probably make us all better doctors to our patients #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @jbullockruns: @JHospMedicine Here I cannot convey enough how lifesaving the allyship of people like @LeighKimberg and @meekslisa was. I felt that I was just seen as a 'risk' by my institution & not a human who had just survived a suicide attempt. Allies were the change I needed to keep living. #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa A1: #JHMChat When you are so fired up about #MedEdMentalHealth that it becomes a 3-part episode: @drjessigold @jbullockruns @fullerenes @DocsWith #DocsWithDisabilities #ChangeTheSystem https://t.co/2p3dbFM0QI |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG @SocietyHospMed @JHospMedicine Hi, I cannot send you a DM. Sadly, it redirects me to JHM Twitter Chats and I cannot enroll because the course appears closed #JHMChat https://t.co/0zgGV7tUWC |
 | Syreeta Nolan @nolan_syreeta RT @LeighKimberg: @jbullockruns @JHospMedicine A1 So many students have described that whenever they are taught about about mental illness it is always "the patients" not *we*. We are all patients. We are all human beings who suffer and grow. We need to learn to say WE. #JHMChat |
| Becca R-K, MD (they/them) @rrkolker RT @LeighKimberg: @rrkolker @JHospMedicine Absolutely! Pay, childcare, staffing, schedules. These underlying STRUCTURAL problems must be addressed. #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa RT @jbullockruns: @JHospMedicine Here I cannot convey enough how lifesaving the allyship of people like @LeighKimberg and @meekslisa was. I felt that I was just seen as a 'risk' by my institution & not a human who had just survived a suicide attempt. Allies were the change I needed to keep living. #JHMChat |
| Syreeta Nolan @nolan_syreeta RT @BEGouldRothberg: @jbullockruns @JHospMedicine If you apply for a Florida medical license within two years of a psych hospitalization, you have to submit the H&P and D/C summary from the admission, highlighting the Axis I and Axis II diagnoses. 😑😑😑. #JHMChat |
| Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini @DrJenChen4kids @JHospMedicine #JHMChat We often have this image of HCWs, physicians especially, as superheroes & paragons. It's a farce. Thankfully some are seeing it but there are a lot who aren't, and it's continuing to add to the problem... |
| Society of Hospital Medicine @SocietyHospMed @jbullockruns @JHospMedicine @LeighKimberg @meekslisa Thank you for being you and sharing your light with the hospitalist community ♥️ #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @meekslisa: A1: #JHMChat When you are so fired up about #MedEdMentalHealth that it becomes a 3-part episode: A1: #JHMChat When you are so fired up about #MedEdMentalHealth that it becomes a 3-part episode: @drjessigold @jbullockruns @fullerenes @DocsWith #DocsWithDisabilities #ChangeTheSystem https://t.co/2p3dbFM0QI |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG RT @jbullockruns: @JHospMedicine Here I cannot convey enough how lifesaving the allyship of people like @LeighKimberg and @meekslisa was. I felt that I was just seen as a 'risk' by my institution & not a human who had just survived a suicide attempt. Allies were the change I needed to keep living. #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa RT @LeighKimberg: A2: A2: YES @meekslisa So horrified that residents contact me saying they are struggling &, then, we realize they have not been educated about nor offered accomodations. This should be front & center. And we can be more creative about designing human-centered accommodations.#JHMChat |
| Leonor Vásquez MD @LeitoVr RT @meekslisa: A1: #JHMChat When you are so fired up about #MedEdMentalHealth that it becomes a 3-part episode: A1: #JHMChat When you are so fired up about #MedEdMentalHealth that it becomes a 3-part episode: @drjessigold @jbullockruns @fullerenes @DocsWith #DocsWithDisabilities #ChangeTheSystem https://t.co/2p3dbFM0QI |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG RT @meekslisa: A2: #JHMChat Facilitator: A2: #JHMChat Facilitator: Following the @acgme Program Requirements VI.C.1.d).(1) to allow people time to seek mental health appointments--including those during work hours! #DocsWithDisabilities @DocsWith @NicholeTaylorDO @cjmoreland https://t.co/mFPoNLtNWK |
 | Satendra Singh, MD @drsitu RT @meekslisa: A1: #JHMChat When you are so fired up about #MedEdMentalHealth that it becomes a 3-part episode: A1: #JHMChat When you are so fired up about #MedEdMentalHealth that it becomes a 3-part episode: @drjessigold @jbullockruns @fullerenes @DocsWith #DocsWithDisabilities #ChangeTheSystem https://t.co/2p3dbFM0QI |
| Society of Hospital Medicine @SocietyHospMed @AndreaAnampaG @JHospMedicine Thanks for letting us know! I'll check in with the EDU team and see if this is a site error or a glitch. Sorry about that! #JHMChat |
| Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids @JHospMedicine @jbullockruns #JHMChat A4: Among other things, need to have true “safe spaces” for ppl to get help, not ones where we worry it’ll affect our reputations, job prospects, etc. |
| Justin Bullock @jbullockruns @JHospMedicine A4. We should have systems where we pull in EXPERTS & not committees of random physicians from an institution. There are whole fields of mental health professionals, substance use disorder experts who live trauma informed care, THEY should be chairing these committees. #JHMChat |
| Anika Kumar, MD @freckledpedidoc @JHospMedicine @jbullockruns T4. committing to caring for healthcare workers’ physical & #mentalhealth like we do our patients physical & mental health #JHMChat |
| Satendra Singh, MD @drsitu RT @meekslisa: A2: #JHMChat Facilitator: A2: #JHMChat Facilitator: Following the @acgme Program Requirements VI.C.1.d).(1) to allow people time to seek mental health appointments--including those during work hours! #DocsWithDisabilities @DocsWith @NicholeTaylorDO @cjmoreland https://t.co/mFPoNLtNWK |
| Ndidi Unaka MD, MEd @NdidiUnaka @JHospMedicine @jbullockruns A4: A good place to start is to ensure we create safe and healthily spaces to talk about suffering and trauma - of our patients and our own. While suffering is a part of life, we often think that we have to carry it all alone. #JHMChat |
| Leigh Kimberg @LeighKimberg @jbullockruns @JHospMedicine @meekslisa Your generosity & courage takes our breath away @jbullockruns You have saved so many lives.💜 And, yes, we all need to support and advocate one another and insist upon systemic change. #JHMChat< |
| Journal of Hospital Medicine @JHospMedicine RT @NdidiUnaka: @JHospMedicine @jbullockruns A4: @JHospMedicine @jbullockruns A4: A good place to start is to ensure we create safe and healthily spaces to talk about suffering and trauma - of our patients and our own. While suffering is a part of life, we often think that we have to carry it all alone. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @freckledpedidoc: @JHospMedicine @jbullockruns T4. committing to caring for healthcare workers’ physical & #mentalhealth like we do our patients physical & mental health #JHMChat |
 | HCMC Transitional Year Residency @HCMC_TY RT @jbullockruns: @JHospMedicine A4. We should have systems where we pull in EXPERTS & not committees of random physicians from an institution. There are whole fields of mental health professionals, substance use disorder experts who live trauma informed care, THEY should be chairing these committees. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @jbullockruns: @JHospMedicine A4. We should have systems where we pull in EXPERTS & not committees of random physicians from an institution. There are whole fields of mental health professionals, substance use disorder experts who live trauma informed care, THEY should be chairing these committees. #JHMChat |
| Lanna Felde @LannaFelde @jbullockruns @JHospMedicine Well said👆👆👆#jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @DrJenChen4kids: @JHospMedicine @jbullockruns #JHMChat A4: @JHospMedicine @jbullockruns #JHMChat A4: Among other things, need to have true “safe spaces” for ppl to get help, not ones where we worry it’ll affect our reputations, job prospects, etc. |
| Journal of Hospital Medicine @JHospMedicine 5️⃣ minutes left! ⌛ Closing thoughts? 🗝️ Key takeaways? #JHMChat |
| Satendra Singh, MD @drsitu Mental health conditions qualify for reasonable accommodations. #MentalHealthMatters #DocsWithDisabilities |
| Abby Spencer, MD, MS, FACP @abbyWUim RT @meekslisa: A2: #JHMChat Facilitator: A2: #JHMChat Facilitator: Following the @acgme Program Requirements VI.C.1.d).(1) to allow people time to seek mental health appointments--including those during work hours! #DocsWithDisabilities @DocsWith @NicholeTaylorDO @cjmoreland https://t.co/mFPoNLtNWK |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: 5️⃣ minutes left! ⌛ Closing thoughts? 🗝️ Key takeaways? #JHMChat |
| Ben Dralle @ben_dralle @JHospMedicine @jbullockruns A4: I think genuine education is a huge component. The public dialogue on trauma isn't always spot-on or evidence-based (see the rise of "therapy speak"), but there are a few standout examples that are easy to share with colleagues. Links provided below ⤵️ #JHMChat |
| Abby Spencer, MD, MS, FACP @abbyWUim RT @meekslisa: A2: #JHMChat Facilitator: A2: #JHMChat Facilitator: Accommodations! Did you know that depression, anxiety and other mental health conditions may qualify for accommodation. #DocsWithDisabilities @DocsWith https://t.co/AG8o7G6yM6 |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: @jbullockruns @JHospMedicine @meekslisa Your generosity & courage takes our breath away @jbullockruns You have saved so many lives.💜 And, yes, we all need to support and advocate one another and insist upon systemic change. #JHMChat< |
| Society of Hospital Medicine @SocietyHospMed RT @NdidiUnaka: @JHospMedicine @jbullockruns A4: @JHospMedicine @jbullockruns A4: A good place to start is to ensure we create safe and healthily spaces to talk about suffering and trauma - of our patients and our own. While suffering is a part of life, we often think that we have to carry it all alone. #JHMChat |
| Abby Spencer, MD, MS, FACP @abbyWUim RT @meekslisa: A1: #JHMChat When you are so fired up about #MedEdMentalHealth that it becomes a 3-part episode: A1: #JHMChat When you are so fired up about #MedEdMentalHealth that it becomes a 3-part episode: @drjessigold @jbullockruns @fullerenes @DocsWith #DocsWithDisabilities #ChangeTheSystem https://t.co/2p3dbFM0QI |
| Becca R-K, MD (they/them) @rrkolker RT @LeighKimberg: @JHospMedicine @jbullockruns BIG PICTURE: @JHospMedicine @jbullockruns BIG PICTURE: Healthcare staff & patient well-being are inextricably inter-related & are systems issues. Psychological & moral distress, unmanageable workloads, insufficient staffing-ratios are all related to *healthcare financing*. #JHMChat |
| Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini #JHMChat The issue is that even accommodations can be blocked by barriers, e.g. diagnosis requirements, diagnostic stigma, low expectation of privacy, onerous paperwork to get accommodations only to get denied even if everything is done right (see licensure exams) #NEISvoid |
| Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids @JHospMedicine @jbullockruns Opt-out therapy (eg in a training program) is good for normalization and culture shift, but doesn’t help if you’re still worried that it’ll come up in a license/job application as a negative (reposting w #JHMChat) |
| Journal of Hospital Medicine @JHospMedicine RT @ben_dralle: @JHospMedicine @jbullockruns A4: @JHospMedicine @jbullockruns A4: I think genuine education is a huge component. The public dialogue on trauma isn't always spot-on or evidence-based (see the rise of "therapy speak"), but there are a few standout examples that are easy to share with colleagues. Links provided below ⤵️ #JHMChat |
| Leonor Vásquez MD @LeitoVr RT @meekslisa: @JHospMedicine A1: @JHospMedicine A1: The culture perpetuates maladaptive perfectionism and silence for those with depression and promotes institutional policies and norms that reward self-sacrifice and increased productivity @JAMAInternalMed #JHMChat @fullerenes https://t.co/T3TvGqvKEV |
| Becca R-K, MD (they/them) @rrkolker RT @LeighKimberg: @JHospMedicine @jbullockruns If access to healthcare (including psych care) were a human right we would all have improved health & well-being.... and less time spent on billing related documentation :( #healthcareisahumanright #MedicareForAll #JHMChat |
| Satendra Singh, MD @drsitu #MedEdMentalHealth |
| Ben Dralle @ben_dralle @JHospMedicine @jbullockruns Paul Conti, MD on @PeterAttiaMD's podcast. This is the episode I've shared the most with colleagues and friends looking to learn more about trauma, and it's been a "light bulb moment" in their understanding of the topic. #JHMChat https://t.co/D06ei2Lrqt |
| Leigh Kimberg @LeighKimberg @rrkolker @JHospMedicine @michellebr00ks @jbullockruns @meekslisa @BrownMedPeds So important that you are joining! The healing-justice leadership of upcoming generations of MD's is powerful! #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @ben_dralle: @JHospMedicine @jbullockruns A4: @JHospMedicine @jbullockruns A4: I think genuine education is a huge component. The public dialogue on trauma isn't always spot-on or evidence-based (see the rise of "therapy speak"), but there are a few standout examples that are easy to share with colleagues. Links provided below ⤵️ #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Wow! What an important conversation. Thank you all for being a part of this #JHMChat. 🙏 As we wind down, please take some time and fill out our brief feedback form. 📝 We want to hear from you how we can continue to improve #JHMChat! 👀 https://t.co/k9nukavP9F |
| Leonor Vásquez MD @LeitoVr RT @jbullockruns: @AndreaAnampaG @JHospMedicine I totally agree with you. We (medicine, society, media etc) create this image of an infallible superhuman as the prototypical physician. And even though some people welcome vulnerability, the systems in power do not. (reposting because i forgot my #JHMChat) |
| Satendra Singh, MD @drsitu #ResidentWellness #MedEdMentalHealth |
| Ben Dralle @ben_dralle @JHospMedicine @jbullockruns @PeterAttiaMD Dr. Conti did a follow-up episode to this one with a focus on COVID-19. Well worth your time if you find the first episode helpful. #JHMChat https://t.co/7M3XhapuUl |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: Wow! What an important conversation. Thank you all for being a part of this #JHMChat. 🙏 As we wind down, please take some time and fill out our brief feedback form. 📝 We want to hear from you how we can continue to improve #JHMChat! 👀 https://t.co/k9nukavP9F |
| Lisa M Meeks, PhD, MA @meekslisa @TheRealDSrini #JHMChat Preach! 1. Lack of stakeholder awareness that mental health Dx are eligible for accommodations 2. Lack of accommodation in favor of LOA 3. Timing of Dx (before or during medical school) 4. Access to the cost of an evaluation to obtain documentation of disability |
| Ndidi Unaka MD, MEd @NdidiUnaka @DrJenChen4kids @JHospMedicine @jbullockruns Agree...and at some institutions, limited mental health professionals makes opt out therapy an unrealistic strategy #JHMChat |
| Ben Dralle @ben_dralle @JHospMedicine @jbullockruns @PeterAttiaMD Dr. Conti also has a book out that I'm super excited about. (I wish I was paid to advertise it, but I'm unfortunately not...) #JHMChat https://t.co/WLoIafMYDz |
| Bonnie E. Gould Rothberg, MD, PhD, MPH, FACP @BEGouldRothberg I want to thank everyone for the fellowship. Would love to join/form an SHM IG on physicians with MH issues. A place where we can share experiences and shape policy for the HCW going forward. #JHMChat |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG @JHospMedicine @jbullockruns A4 I think institutional programs to assure trainees' wellness during med school/residency like safe spaces, flexibility for therapy, honest dialogue ... #JHMChat |
 | Tamara Hancock @TS_Hancock RT @meekslisa: @JHospMedicine A1: @JHospMedicine A1: The culture perpetuates maladaptive perfectionism and silence for those with depression and promotes institutional policies and norms that reward self-sacrifice and increased productivity @JAMAInternalMed #JHMChat @fullerenes https://t.co/T3TvGqvKEV |
| Lisa M Meeks, PhD, MA @meekslisa RT @TheRealDSrini: #JHMChat The issue is that even accommodations can be blocked by barriers, e.g. diagnosis requirements, diagnostic stigma, low expectation of privacy, onerous paperwork to get accommodations only to get denied even if everything is done right (see licensure exams) #NEISvoid |
| Kriti Prasad @kritiprasad_ @JHospMedicine A3: While pop media have shed light on physician mental health re: COVID, studies like ours show allied HCWs are bearing the brunt of stress/burnout. How can we advocate for physician mental health while uplifting the needs of other critical members of our care teams? #JHMchat |
| Lisa M Meeks, PhD, MA @meekslisa RT @drsitu: Mental health conditions qualify for reasonable accommodations. #MentalHealthMatters #DocsWithDisabilities |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG @JHospMedicine @SocietyHospMed It redirects me to the same page. Thanks for trying though! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @BEGouldRothberg Thank you so much for joining and sharing your experiences. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @kritiprasad_: @JHospMedicine A3: While pop media have shed light on physician mental health re: @JHospMedicine A3: While pop media have shed light on physician mental health re: COVID, studies like ours show allied HCWs are bearing the brunt of stress/burnout. How can we advocate for physician mental health while uplifting the needs of other critical members of our care teams? #JHMchat |
| Journal of Hospital Medicine @JHospMedicine And...that's a wrap! Thank you for participating in our #JHMChat. Special thanks to our authors for joining us! @jbullockruns @meekslisa @LeighKimberg Don't forget to claim your #CME! https://t.co/wpUhXRj8K6 |
| Society of Hospital Medicine @SocietyHospMed @AndreaAnampaG @JHospMedicine I don't think it's you. I just went on and had the same problem. It's possible the site is experiencing an outage. Sorry about that! #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @SocietyHospMed: Wow! What an important conversation. Thank you all for being a part of this #JHMChat. 🙏 As we wind down, please take some time and fill out our brief feedback form. 📝 We want to hear from you how we can continue to improve #JHMChat! 👀 https://t.co/k9nukavP9F |
| Satendra Singh, MD @drsitu RT @FutureDocs: @jbullockruns @JHospMedicine Reminds me of something @UChiPritzker students so sharing experiences on “humans of pritzker” type Instagram account. Humanizing mental health challenges is so important. #jhmchat |
| Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini @JHospMedicine @jbullockruns A4: I guess for starters get rid of those in power who profit from traumatizing others. Get rid of the licensure requirements that penalize getting help. Get rid of the stigma that some MH comes with (e.g. neurodivergence). Promote justice. #JHMChat |
| Michelle Brooks, MD @michellebr00ks @JHospMedicine @jbullockruns @meekslisa @LeighKimberg And thanks for letting me moderate. I learn so much from this community. #JHMChat |
| Leigh Kimberg @LeighKimberg @JHospMedicine @jbullockruns T4: I will bring us back to our diagram & hope that we will address all of these factors that are systemic & land so heavily on individuals--especially people holding multiple marginalized identities. #JHMChat https://t.co/xv4fRiPzvG |
| Ben Dralle @ben_dralle @JHospMedicine Grateful for the opportunity to learn from you all! Looking back over T1-T4 for more inspiration and education. #JHMChat |
| Anika Kumar, MD @freckledpedidoc @JHospMedicine @jbullockruns @meekslisa @LeighKimberg Thanks @michellebr00ks for facilitating #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Don't miss this brief feedback survey on #JHMChat. We want to make the experience even better! |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: @JHospMedicine @jbullockruns T4: @JHospMedicine @jbullockruns T4: I will bring us back to our diagram & hope that we will address all of these factors that are systemic & land so heavily on individuals--especially people holding multiple marginalized identities. #JHMChat https://t.co/xv4fRiPzvG |
| Lanna Felde @LannaFelde Shoutout to @michellebr00ks for an amazing job hosting this #jhmchat !!! 🤜🤛 |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG RT @LeighKimberg: @JHospMedicine @jbullockruns T4: @JHospMedicine @jbullockruns T4: I will bring us back to our diagram & hope that we will address all of these factors that are systemic & land so heavily on individuals--especially people holding multiple marginalized identities. #JHMChat https://t.co/xv4fRiPzvG |
| Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids @NdidiUnaka @JHospMedicine @jbullockruns #JHMChat TBH group texts w other HCWs especially #WomenInMedicine at similar stage of life/career have been helpful for me - we talked a bit about this in #WIMChat yesterday too |
| Society of Hospital Medicine @SocietyHospMed As we conclude tonight’s #JHMChat with @jbullockruns, @meekslisa, and @LeighKimberg, we extend a huge thank you to them for sharing their stories and wisdom. 🙌 🎉 Also, shout out to @michellebr00ks for facilitating as @JHospMedicine. Coming soon: Info on November’s chat! 👀 |
| Justin Bullock @jbullockruns RT @LeighKimberg: @JHospMedicine @jbullockruns T4: @JHospMedicine @jbullockruns T4: I will bring us back to our diagram & hope that we will address all of these factors that are systemic & land so heavily on individuals--especially people holding multiple marginalized identities. #JHMChat https://t.co/xv4fRiPzvG |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: As we conclude tonight’s #JHMChat with @jbullockruns, @meekslisa, and @LeighKimberg, we extend a huge thank you to them for sharing their stories and wisdom. 🙌 🎉 Also, shout out to @michellebr00ks for facilitating as @JHospMedicine. Coming soon: Info on November’s chat! 👀 |
| Satendra Singh, MD @drsitu #MedEd strategies to remove cultural barriers & encourage help-seeking. @MeeksLisa @fullerenes & Fragoso in JAMA 👉🏻Create Opt-Out Counseling Prog 👉🏻Encourage Physician Role Models to Share Their Mental Health Exp 👉🏻Resist the Default to Leaves of Absence for Mental Health Concern |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: Don't miss this brief feedback survey on #JHMChat. We want to make the experience even better! |
| Carrie Knopf @CarrieFrancesK RT @drsitu: #MedEd strategies to remove cultural barriers & encourage help-seeking. @MeeksLisa @fullerenes & Fragoso in JAMA 👉🏻Create Opt-Out Counseling Prog 👉🏻Encourage Physician Role Models to Share Their Mental Health Exp 👉🏻Resist the Default to Leaves of Absence for Mental Health Concern |
| Leigh Kimberg @LeighKimberg T4: I wouldn't wish suffering on anyone--yet what we learn about healing when we suffer becomes a source of solace & skill as we accompany others on their healing journeys. So, why aren't our struggles, courage & growth uplifted? #JHMChat |
| Becca R-K, MD (they/them) @rrkolker @JHospMedicine @jbullockruns A4: Having true advocates/allies in positions of power is 🔑! However, working to advocate for better individual work environments must be done simultaneously w/ widespread collective action to change our system. 1/2 #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @ben_dralle There should be a blog post summary out within a week or so...#JHMChat |
| Andrea Anampa-Guzmán (she/ella) @AndreaAnampaG @SocietyHospMed @jbullockruns @meekslisa @LeighKimberg @michellebr00ks @JHospMedicine Thank you for including this important topic and thanks to the team #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @LeighKimberg: T4: T4: I wouldn't wish suffering on anyone--yet what we learn about healing when we suffer becomes a source of solace & skill as we accompany others on their healing journeys. So, why aren't our struggles, courage & growth uplifted? #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @rrkolker: @JHospMedicine @jbullockruns A4: @JHospMedicine @jbullockruns A4: Having true advocates/allies in positions of power is 🔑! However, working to advocate for better individual work environments must be done simultaneously w/ widespread collective action to change our system. 1/2 #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa RT @LannaFelde: A2: A2: There needs to be a robust backup system, so that having someone take a day off is not a crisis for the rest of the team. That also means addressing burnout in a myriad of ways so that people have the bandwidth to be the backup person. #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa RT @FutureDocs: @LannaFelde Likewise how can we build our teams and programs so we are not one FMLA leave away from ruin? #jhmchat |
| Lisa M Meeks, PhD, MA @meekslisa RT @jbullockruns: @LannaFelde We have a jeopardy system in my residency which in theory is very good but often there is a pressure to not call out of work because you don't want to make your peers have to work more. I think it discourages people from calling out when they need/want to. #JHMchat |
| Leigh Kimberg @LeighKimberg @SocietyHospMed @jbullockruns @meekslisa @michellebr00ks @JHospMedicine Deepest gratitude to you @SocietyHospMed for your leadership in addressing this important topic! <3 #JHMChat |
| Becca R-K, MD (they/them) @rrkolker @JHospMedicine @jbullockruns A4: A healthcare system that values profit over patient and physician/provider well-being will never be one that works for our collective health. They are fundamentally opposed and as physicians it is our duty to recognize this 2/2 #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @LannaFelde @michellebr00ks Yes way to go @michellebr00ks ❤️#jhmchat |
| Lisa M Meeks, PhD, MA @meekslisa RT @jbullockruns: @JHospMedicine T2. Facilitators: @JHospMedicine T2. Facilitators: -People are starting to speak more openly about their mental health experiences (ex: @AndreaAnampaG https://t.co/XKQjcTpdtq) -Institutions are building better infrastructure to provide care for their employees (employee health programs) #JHMChat |
| Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini @SocietyHospMed @jbullockruns @meekslisa @LeighKimberg @michellebr00ks @JHospMedicine Thanks for having us! Even my tardy self... #JHMChat |
| Kriti Prasad @kritiprasad_ RT @JHospMedicine: T4: T4: How can we create systems that are informed by a genuine understanding of suffering to promote healing and avoid re-traumatization?* #JHMChat *as described in @jbullockruns vulnerable account of his traumatic experience with help-seeking in the piece. How can we do better? https://t.co/XTdSj3b0DQ |
| Michelle Brooks, MD @michellebr00ks @FutureDocs @LannaFelde Following in the footsteps of greatness… #jhmchat |
| Lisa M Meeks, PhD, MA @meekslisa RT @LeighKimberg: @LannaFelde Yes!! @fsmb Thank you for your leadership. All states now need to adopt better practices! Check out the ‘Humans Not Heroes” campaign https://t.co/P3AHfjM5nF ! Reframing Mental Health Licensure Questions @AMWADoctors #JHMChat |
| Lisa M Meeks, PhD, MA @meekslisa RT @JHospMedicine: T2: T2: What are systemic barriers and facilitators to health care institutions' ability to respond to physicians' mental health needs in supportive ways? #JHMChat #MentalHealthAwareness https://t.co/1EH7i4kYoG |
| Lisa M Meeks, PhD, MA @meekslisa RT @drsitu: #MedEd strategies to remove cultural barriers & encourage help-seeking. @MeeksLisa @fullerenes & Fragoso in JAMA 👉🏻Create Opt-Out Counseling Prog 👉🏻Encourage Physician Role Models to Share Their Mental Health Exp 👉🏻Resist the Default to Leaves of Absence for Mental Health Concern |
| Leigh Kimberg @LeighKimberg @freckledpedidoc @JHospMedicine @jbullockruns @meekslisa @michellebr00ks Ditto!! Thank you so much!! <3 #JHMChat |
| Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids @jbullockruns @meekslisa @LannaFelde Even having a decent jeopardy system depends on having a large enough residency class that isn’t already stretched thin. My program was ok but we had ~30 ppl per class. Not easy to swing coverage if you only have 5-10 per class (also depending on specialty)🙃 #JHMChat |
 | Peppar Cyr @CyrPeppar RT @meekslisa: A2: A2: #JHMChat 30% of #MedicalStudents have depressive symptoms but only .3% disclose depression. Pretty big indicator that people are not seeking help! @JAMANetworkOpen @Srijan_SenMDPhD @BonnieSwenorPhD @MissyPlegue @disability_UM https://t.co/xg5kDQSqq7 https://t.co/b7LB40ROxx |
 | MedEdBot @MedEdBot RT @drsitu: #MedEd strategies to remove cultural barriers & encourage help-seeking. @MeeksLisa @fullerenes & Fragoso in JAMA 👉🏻Create Opt-Out Counseling Prog 👉🏻Encourage Physician Role Models to Share Their Mental Health Exp 👉🏻Resist the Default to Leaves of Absence for Mental Health Concern |
| Leigh Kimberg @LeighKimberg RT @meekslisa: @JHospMedicine A1: @JHospMedicine A1: The culture perpetuates maladaptive perfectionism and silence for those with depression and promotes institutional policies and norms that reward self-sacrifice and increased productivity @JAMAInternalMed #JHMChat @fullerenes https://t.co/T3TvGqvKEV |
| Leigh Kimberg @LeighKimberg RT @drsitu: #MedEd strategies to remove cultural barriers & encourage help-seeking. @MeeksLisa @fullerenes & Fragoso in JAMA 👉🏻Create Opt-Out Counseling Prog 👉🏻Encourage Physician Role Models to Share Their Mental Health Exp 👉🏻Resist the Default to Leaves of Absence for Mental Health Concern |
| Abby Spencer, MD, MS, FACP @abbyWUim RT @JHospMedicine: Welcome to #JHMChat! I'm @michellebr00ks, your moderator for tonight. A special welcome to our authors @jbullockruns, @meekslisa, & @LeighKimberg Go ahead and introduce yourself while we wait for people to join.🤝 https://t.co/62E9aOkiwF |
| Leigh Kimberg @LeighKimberg RT @jbullockruns: @JHospMedicine T2. Facilitators: @JHospMedicine T2. Facilitators: -People are starting to speak more openly about their mental health experiences (ex: @AndreaAnampaG https://t.co/XKQjcTpdtq) -Institutions are building better infrastructure to provide care for their employees (employee health programs) #JHMChat |
 | Shannon Scott-Vernaglia, MD @ScottVernaglia RT @NdidiUnaka: @JHospMedicine A3: @JHospMedicine A3: The impact has been overall positive but the price has been steep...we know that healthcare workers have made different career choices as a result of the pandemic. The conversations we are having now are so important but overdue #JHMChat |
 | Just Carol ⭐ 🇺🇦 🐱🦁🌻 @HealthComm100 RT @kritiprasad_: @LeighKimberg @jbullockruns To enter a field where physicians are NOT seen, heard, cherished, supported or have agency in #healthcare creates a unique cognitive dissonance for trainees. It’s time for change. #JHMchat |
 | Hursuong Vongsachang @HursuongV #WorldMentalHealthDay |
 | Quinten Clarke @ItIsQuinten RT @meekslisa: A2: A2: #JHMChat 30% of #MedicalStudents have depressive symptoms but only .3% disclose depression. Pretty big indicator that people are not seeking help! @JAMANetworkOpen @Srijan_SenMDPhD @BonnieSwenorPhD @MissyPlegue @disability_UM https://t.co/xg5kDQSqq7 https://t.co/b7LB40ROxx |
 | Zackary Berger @DrZackaryBerger RT @FutureDocs: @JHospMedicine A2: @JHospMedicine A2: mental health is under reimbursed and not a profitable area for most teaching hospitals so it’s basically become a patchwork system to get care…even if you’re in the medicine. Contrast this with the state of the art care you would receive for cancer let’s say #jhmchat |
 | Sue Huybensz (she/her) @fairviewsue RT @BEGouldRothberg: @jbullockruns @JHospMedicine If you apply for a Florida medical license within two years of a psych hospitalization, you have to submit the H&P and D/C summary from the admission, highlighting the Axis I and Axis II diagnoses. 😑😑😑. #JHMChat |
| Sue Huybensz (she/her) @fairviewsue RT @LeighKimberg: @jbullockruns @JHospMedicine A1 So many students have described that whenever they are taught about about mental illness it is always "the patients" not *we*. We are all patients. We are all human beings who suffer and grow. We need to learn to say WE. #JHMChat |
 | Shubha Nagesh @snagesh2 RT @meekslisa: A2: #JHMChat Facilitator: A2: #JHMChat Facilitator: Following the @acgme Program Requirements VI.C.1.d).(1) to allow people time to seek mental health appointments--including those during work hours! #DocsWithDisabilities @DocsWith @NicholeTaylorDO @cjmoreland https://t.co/mFPoNLtNWK |
 | jennet @jennet82507182 RT @STangGirdwood: @JHospMedicine The fact that q2 years when you have to renew medical license & it asks to disclose any mental illnesses that may affect ability to practice & that they list it in the same section as illicit drug use or other crimes highly discourages disclosure and seeking help. #JHMChat |
| jennet @jennet82507182 RT @marycthomas95: @JHospMedicine A1. Discourage: @JHospMedicine A1. Discourage: The idea that we are supposed to be "the healers" and completely separate from "the healing/healed". Us vs them is incredibly unrealistic and untenable for all, not just #docswithdisabilities #JHMchat |
 | Dr. Meg Newman @4DrMeg RT @LeighKimberg: A3. Thinking of how the heaviest burden of this #COVID19 pandemic has fallen on BIPOC & other marginalized groups we have to think about intersectionality of movements (disability justice, racial justice, LGBTQ justice...) as well as intersectionality of our identities. #JHMChat |
 | Davy ר"ן, MSc MPH 🎨⚕️🏳️⚧️🦻 @DavySRan RT @SocietyHospMed: As we conclude tonight’s #JHMChat with @jbullockruns, @meekslisa, and @LeighKimberg, we extend a huge thank you to them for sharing their stories and wisdom. 🙌 🎉 Also, shout out to @michellebr00ks for facilitating as @JHospMedicine. Coming soon: Info on November’s chat! 👀 |
| Davy ר"ן, MSc MPH 🎨⚕️🏳️⚧️🦻 @DavySRan https://t.co/BDC5djUBiH |
| Davy ר"ן, MSc MPH 🎨⚕️🏳️⚧️🦻 @DavySRan https://t.co/xp7YbIhff8 |
| Davy ר"ן, MSc MPH 🎨⚕️🏳️⚧️🦻 @DavySRan RT @LannaFelde: A2: A2: There needs to be a robust backup system, so that having someone take a day off is not a crisis for the rest of the team. That also means addressing burnout in a myriad of ways so that people have the bandwidth to be the backup person. #JHMChat |
 | Ava (^～^) (she/her) @Ava_Nicole23 RT @jbullockruns: @JHospMedicine Discourage: @JHospMedicine Discourage: Leaders in medicine speak a lot about the importance seeking help but do not actually know how to support those with mental health issues. The tendency is to defer to tell people to take time off. Licensing and fitness evals make things worse #JHMChat |
 | GreenNewDeal 🍎🌹🏴🌻☭ @OurPlanet2024 RT @LeighKimberg: @JHospMedicine @jbullockruns If access to healthcare (including psych care) were a human right we would all have improved health & well-being.... and less time spent on billing related documentation :( #healthcareisahumanright #MedicareForAll #JHMChat |
 | Rebecca Jaffe, MD @RJmdphilly RT @karynbaum: @JHospMedicine A3 well, we just hired our 1st Chief Wellness Officer, if that tells you anything #JHMchat |
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