Arif Kamal MD, MBA’s Post

Dear Early Career Physician, you are NOT a punching bag. ❤️🩹Recently physicians have been reaching out to me personally and sharing stories of mistreatment, bullying, gaslighting- just because they are either in training or recently graduated from training. This is unacceptable. If you are in a toxic training program or started out as an attending in an unfavorable work environment, please know you are not alone. Please seek help- it is available. I am tagging helpful Free Resources below that you can access right away and organizations whose message supports you: 1- Physicians Anonymous - The only anonymous and confidential peer-support platform aimed to reduce physician distress, burnout, and suicide. Created by Dominic C.. https://lnkd.in/eWrvgt_R 2. Physician Coach Support - Created by Diana Londoño, MD -Get Confidential 1:1 Peer Support For Physicians By Physician Certified Life Coach Volunteers. https://lnkd.in/eAbcepH2 3. Dr. Lorna Breen Heroes' Foundation - “HELP CARE FOR THE MENTAL HEALTH OF THOSE WHO CARE FOR US.” https://lnkd.in/eMejmmrk 4- Rethinking Residency -a place for residents, current, former, prospective and their families, to emerge from the darkness that is residency training and come together to share their stories and insights. Created by Frances Mei Hardin, MD https://lnkd.in/eEFknPeV 5- The Early Career Physicians Institute - Founded by me to help physicians thrive in life after medical training. https://lnkd.in/eSVKHfiH ❤️🩹No physician should be suffering in silence and be made to believe that, that is the only option. 🗣️Please Share this post with your network, tag anyone you know.

Sharing for Amna Shabbir, MD, NBC-HWC, CPC. Mistreatment of medical students, residents, fellows, and attendings is unacceptable, unnecessary, and it has to stop. I just recorded an episode a few hours ago for my YouTube channel where two physicians each share a traumatic story from their residency. We all need to raise our voices; colleagues need to support each other, and not fear doing so! https://lnkd.in/eTZ7MB8C

New term teamlet but old concept working with one or few of the same team members which should be optimal for team efficiency and effectiveness. Well perhaps there is hope for the RN MD dyad after all - the one that I grew up with as my mom was a primary care RN. Saw this in Japan also - very efficient. Sadly so many delivery team areas that we once did well, have been destroyed over 40 years of designs and cost cuttings and micromanagement. This article offers some hope for practice environments and such studies, BUT... The Family Medicine issue with this practice article was dedicated to environments outside. This is clearly an area that needs addressing, but what about the practice environments that have become so toxic. Do you see the distraction that I do? I want think tanks, thought leaders, journals, and other health professional leaders to address the day to day inside out situations in basic health access. https://lnkd.in/gjJb2-Vv

News from a #TeachMETreatME event that happened recently! Jaime Seltzer, #MEAction's Director of Scientific & Medical Outreach, spoke at Quinnipiac University. =The university's Center for Interprofessional Healthcare Education hosted “Interprofessional Seminar: myalgic encephalomyelitis/chronic fatigue syndrome ME/CFS” on April 25 with students from medicine, physician assistant, athletic training – physical therapy, health sciences, nursing, occupational therapy and physical therapy. From the Center for Healthcare Education: "The faculty team: Professors Doyle, Grevelding, Lewis, Selinger, and Wescott based the seminar on the recent work published by the Mayo Clinic Proceedings (2023) focusing on the concept of post-exertion(al) malaise and the impact on all body systems and daily functioning. The highlight of the seminar was the voice of noted researcher Jaime Seltzer, a co-author of the Mayo Clinic Proceedings (article), who has ME/CFS. 95-100% of the student participants indicated that the seminar allowed them to identify the issues of ME/CFS related to stigma, non-restorative sleep as a symptom, and the impact of post exertion malaise on life." "Jaime Seltzer, (of) MEAction, was a powerful voice and advocate in her interview at the seminar. One student’s words summarized the opinions of the participants, “continuing to advocate for yourself as well as for your patients by truly listening to what they are telling you is your best diagnostic tool and will allow you to be patient-centered and interprofessional in providing care and best referrals to other professions.” Great to hear of the positive impact this campaign is making! #MillionsMisisng #pwME #MECFS #MyalgicEncephalomyelitis

This evening, I had the privilege of attending the #ITONF & #ISNCC Global Education Exchange Seminar on “A Global Nursing Focus on the Care of the Person with Mesothelioma.” It was an incredibly insightful series of talks, and I haven’t learnt so much from an engaging discussion in quite some time. Proudly sponsored by Slater and Gordon Lawyers Australia, the program brought together over 200 registrants, showcasing international approaches to mesothelioma care, with perspectives from the UK, US, Japan, and Australia. As a lawyer, I was particularly interested in hearing about the UK’s approach to signposting patients to legal professionals to ensure they can access the compensation they deserve. Dismantling misconceptions through their very own myths-busting campaign, aims to help break down barriers to accessing much needed compensation and access to justice. It was interesting to reflect on how treatment options for mesothelioma patients have evolved over the years. When I first started working in this area there were very few treatment options available, and they offered minimal improvements in overall survival rates. There has been remarkable progress and with it brings hope that one day we may see even better survival outcomes, if not a cure, for mesothelioma sufferers. Sarah Yasuko spoke of her experience and success with learning and collaborating with the #MesoUK team and introducing their model of care into 1 and now 2 hospitals in Japan. A remarkable acheivement for other countries to learn from and follow. If you have an interest in global #mesothelioma patient care, I highly recommend taking the time to listen to the recorded sessions. The insights shared during this global seminar were truly invaluable. Slater and Gordon Lawyers Nunzio Tartaglia Joanne Wade Nicole Valenti Hannah Murray Catherine Johnson Gillian Blanchard Mesothelioma UK Asbestos and Dust Diseases Research Institute (ADDRI)

I want to share a resource for academic and clinical leaders for integrating the Structural and Social Determinants of Health into our practice to move our systems towards health equity. Chapter 4 shares a history of bias in nursing research and publishing, the results of a bibliometric study of racism in nursing literature, and a scoping review of effective programs to diversify the biomedical workforce. Jannyse Tapp, DNP, FNP-BC and I collaborated on this chapter. https://lnkd.in/gqhzGfKd

On June 12th at 5 pm EST, the Rome Foundation Grand Rounds will present why appeal an integrated approach to DGBI care is the best approach. Learn how to recognize resources in your practice, explain the importance of an integrated approach to your patients, how and when to refer patients for higher-level psychosocial care when needed, and much more. Presenter Laurie Keefer, PhD, RFF will discuss a new framework, known as the “3 levels of integrated psychosocial care”, and encourage GI practices to evaluate where they fit within this framework and whether they can “level-up” by optimizing their existing resources. https://loom.ly/7h-60Ws

After a busy few weeks, I am so glad to be back in it with my team today ready to go! And what a start to the Autumn with introducing our new H1 Healthcare Partnership - Therapy Assistant Australia! Powered by H1 Healthcare, Therapy Assistant Australia have a reputation for working with you to provide a fantastic level of care for your participants. What is a Therapy Assistant? Therapy Assistants play a pivotal role in 1:1 therapy intervention, helping participants achieve their NDIS goals. They work hand-in-hand with you and your Allied Health Professional team to extend face-to-face hours, focusing on developing specific skills crucial for participant growth. From travel training to routine development to emotional regulation strategies, our Therapy Assistants provide dedicated support tailored to individual needs. What sets Therapy Assistant Australia apart is our team—all currently pursuing degrees in Allied Health Professions or already qualified. This means you're not just receiving care; you're receiving care from individuals dedicated to their personal and professional development, ensuring you get the best support possible. How does this assist with capacity building? We understand the unique challenges you face in pursuing your participants therapeutic goals. That's why our team is here to provide personalized support, implementing exercises, activities, and practices developed by qualified Allied Health Practitioners. Together, we aim to help you achieve your goals and thrive in your everyday life. By partnering with Therapy Assistant Australia, you're extending your reach and impact, ensuring your clients receive dedicated support from qualified Therapy Assistants. Together, we can achieve the goals you set forth, all while nurturing the future generation of Allied Health Practitioners through valuable learning opportunities. Take your care to the next level with Therapy Assistant Australia. Learn more about our services and how we can assist with capacity building. Let's work together to achieve optimal outcomes for everyone involved.

We are so proud to share with you all that we are Australia’s first multi-disciplinary allied health clinic for hypermobile adults to receive this incredible honour. To be recognised as a Network of Excellence, we’ve made a commitment to follow the C.A.R.E model… C is for 'Care' ✳ We are committed to offering multidisciplinary care; for us, that means physiotherapy, occupational therapy and exercise physiology but we hope to expand into other disciplines, including mental health, this year. ✳ We are committed to using only peer-reviewed criteria when it comes to diagnostics and management; currently the 2017 criteria but in future whatever replaces this.  ✳We are committed to taking a patient-centered approach. ✳We are committed to addressing the spectrum of symptoms including co-occurring conditions. A is for 'Access' ✳We are committed to continuing to offer virtual care for hypermobile Australians. ✳We are committed to providing an accessible physical space and adapting this as needed. ✳We are committed to sharing resources to improve accessibility within our network. R is for 'Research' ✳We are committed to contributing to ongoing research and disseminating new findings. ✳We are committed to enabling our community to engage in research. ✳We are committed to encouraging our community to participate in the DICE global registry. E is 'Education' ✳We are committed to ongoing education, our own and our community; and we have recently appointed our very own community outreach coordinator, Manon Tickle, starting in 2024. ✳We are committed to multi-disciplinary case discussions and clinical training. ✳We are committed to providing training opportunities for students and other health professionals. Melissa Williams will head up the team as our network lead and we cannot wait to partner with The Ehlers-Danlos Society and a growing number of organizations worldwide in our collective mission of reducing the diagnostic odyssey faced by so many hypermobile folks, as well as increasing the availability of clinical services and standardizing communication and care.

But did the target locations actually improve in the levels of workforce. This research is valid and indicates higher proportions or odds ratios of the pipeline program or special training program working. In Nebraska the FM choice of UNMC students was the desired result, an indication of success for the pipeline. This success worked for 10 - 12 times odds ratios in 70 target counties, but the levels stayed the same for decades We have to focus on the financial design for any hope for rural, CHC, inner city, or 2621 counties always behind. If less than 50 billion or less than 20% of primary care spending goes to primary care practices in 2621 counties with 40% of the population, it does not matter what training design is attempted. All will fail and have failed for 40 - 60 years in these counties. If the public plans remain incapable of carrying the costs of delivering care to Medicare and Medicaid patients, the deficits will remain. This is because these counties have weaker employers and weaker health insurance plans that cannot bail out public plans - as in counties with concentrations of workforce. You cannot fix with training what the financial design sets in concrete so stacked against care for 40% of Americans most behind. Failures for 50 years include 1. New types of graduates (NP PA FM) 2. Massive expansions of DO NP and PA 3. Special pipelines 4. Primary care schools 5. Student interest groups 6.Faculty mentors 7. FM Departments in every school, FM residencies in every state More revenue and less cost of delivery is required but the design says less revenue, less remaining in the budgets for delivery team members, more to do, and more costs of delivery added.