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theory"},{"term":"tappana"},{"term":"tarbi"},{"term":"taylor"},{"term":"tea"},{"term":"telehealth"},{"term":"theatre"},{"term":"thienprayoon"},{"term":"thurston"},{"term":"time"},{"term":"tinianov"},{"term":"toomey"},{"term":"transdisciplinary"},{"term":"transgender"},{"term":"transition"},{"term":"trapasso"},{"term":"trauma"},{"term":"triangulation"},{"term":"tribute"},{"term":"trust"},{"term":"twiter"},{"term":"uncertainty"},{"term":"unconscious"},{"term":"universe"},{"term":"upstairs"},{"term":"urology"},{"term":"van Meines"},{"term":"van mienes"},{"term":"vandekieft"},{"term":"veteran"},{"term":"video"},{"term":"volunteering"},{"term":"warraich"},{"term":"washington"},{"term":"weakness"},{"term":"webinar"},{"term":"whitburn"},{"term":"wollesen"},{"term":"young"},{"term":"young adult"},{"term":"zitter"}],"title":{"type":"text","$t":"Pallimed"},"subtitle":{"type":"html","$t":"Pallimed covers current palliative medicine, hospice, and end-of-life research and news, with a particular focus on publications not from the major palliative care journals.  It is aimed at health care professionals who work with people nearing the end of life."},"link":[{"rel":"http://schemas.google.com/g/2005#feed","type":"application/atom+xml","href":"https:\/\/www.pallimed.org\/feeds\/posts\/default"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/-\/learner?alt=json-in-script\u0026max-results=6"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.pallimed.org\/search\/label\/learner"},{"rel":"hub","href":"http://pubsubhubbub.appspot.com/"},{"rel":"next","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/-\/learner\/-\/learner?alt=json-in-script\u0026start-index=7\u0026max-results=6"}],"author":[{"name":{"$t":"Drew Rosielle MD"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/04345646798042773615"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/3.bp.blogspot.com\/-sdxTTBPb3Kw\/UddApiGn9-I\/AAAAAAAABLE\/mriu5xh44dA\/s113\/ea37b7645cd78e7867d246cd755bc8d4.jpeg"}}],"generator":{"version":"7.00","uri":"http://www.blogger.com","$t":"Blogger"},"openSearch$totalResults":{"$t":"59"},"openSearch$startIndex":{"$t":"1"},"openSearch$itemsPerPage":{"$t":"6"},"entry":[{"id":{"$t":"tag:blogger.com,1999:blog-13495125.post-4149894017753225532"},"published":{"$t":"2021-04-09T08:00:00.035-05:00"},"updated":{"$t":"2021-04-10T10:22:52.128-05:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"lane"},{"scheme":"http://www.blogger.com/atom/ns#","term":"learner"},{"scheme":"http://www.blogger.com/atom/ns#","term":"medical school"},{"scheme":"http://www.blogger.com/atom/ns#","term":"medical student"},{"scheme":"http://www.blogger.com/atom/ns#","term":"residency"},{"scheme":"http://www.blogger.com/atom/ns#","term":"The profession"}],"title":{"type":"text","$t":"Choosing Palliative Care as a Medical Specialty"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-h5KJlLkuTTI\/YG0vqeb7YSI\/AAAAAAAAAaM\/H-pWv_3TgZ4FL85zAOOvLZWOrpdTAYGEQCLcBGAsYHQ\/s1080\/palliative%2Bcare.png\" style=\"display: block; padding: 1em 0; text-align: center; clear: right; float: right;\"\u003E\u003Cimg alt=\"\" border=\"0\" width=\"320\" data-original-height=\"1080\" data-original-width=\"1080\" src=\"https:\/\/1.bp.blogspot.com\/-h5KJlLkuTTI\/YG0vqeb7YSI\/AAAAAAAAAaM\/H-pWv_3TgZ4FL85zAOOvLZWOrpdTAYGEQCLcBGAsYHQ\/s320\/palliative%2Bcare.png\"\/\u003E\u003C\/a\u003E\u003C\/div\u003Eby Sylvia Lane (\u003Ca href=\"https:\/\/twitter.com\/sylv_lane\" target=\"_blank\"\u003E@sylv_lane\u003C\/a\u003E) \u003Cbr\u003E\u003Cbr\u003EThere are few things more introspective than deciding on a specialty in medicine. The decision forces you to analyze what interests and values you hold but also who you are as a person. How do you solve problems? How do you work with others?  What brings you joy? As a third-year medical student, I was able to try on many specialties. Rotating through various fields allowed me to soak up knowledge from almost every type of healthcare professional. But this experience comes with a heavy burden of choosing a future career path.  \u003Cbr\u003E\u003Cbr\u003EFrom the beginning, I knew that I was not like most of my fellow medical students. Of course, we all share a special bond dealing with the shared stress of progressing through medical education. But I never felt like my perception of medicine was the same as theirs. I always felt sidelined in discussions, scoffed at as the bleeding-heart empath. As I stepped into my third year of medical school, I was filled with enthusiasm to find people who felt like me. People who view medicine in the way that I do. They must exist, right?  \u003Cbr\u003E\u003Cbr\u003EUnfortunately, this was far from my experience. Though each clerkship was a valuable learning opportunity, I continually found something to be missing. Every physician I met was focused on medicine as a cure, while I regularly found myself asking about the impact on the patient’s quality of life and relationships. What will this surgery mean for the patient and their loved ones? How does this treatment impact the patient’s life goals? For me, being a doctor was never about finding a cure. To me, medicine spans not only a patient’s symptoms, diseases, and therapies, but also their family, employment, hobbies, and future. Separating the symptoms from the patient as a human seems impossible to me.  \u003Cbr\u003E\u003Cbr\u003EI came to realize that palliative care was the field I had been looking for. I scoured the internet for all the resources I could find. With bright eyes I started to tell everyone: I found my specialty! However, it was not met with the enthusiasm I was expecting. Every time my friends spoke about their specialty of choice, they were received with positivity, warmth, and excitement. But when I started saying, “I want to do palliative care,” I got a different response. Even through their masked faces, I could see shock and discomfort. Most people responded with one word, “oh,” as they completely changed the subject. I was thrilled to find a specialty that seemed exciting to me, but these encounters made me feel like I was somehow wrong.  \u003Cbr\u003E\u003Cbr\u003EFor weeks, I questioned my choice. Was I missing something? Every person I spoke to seemed to be distressed by my decision. Some teachers I respected told me I was wasting my potential or would ultimately change my mind. Discouraged by the sentiments of those around, I turned to Twitter for support from my medical community near and far. The replies I got were nothing like the responses I had received in person. More than 500 people responded with excitement, positivity, and support. Deciding to pursue a career in palliative care had felt good, but in that exact moment I knew it was right. Finding a community of people like me gave me the courage and strength to stay true to myself. And for that, I will be a better physician.  \u003Cbr\u003E\u003Cbr\u003EFor more \u003Ca href=\"https:\/\/www.pallimed.org\/search\/label\/learners\"\u003EPallimed posts about (and\/or written by) medical students, residents and other learners, click here\u003C\/a\u003E\u003Cbr \/\u003EFor more \u003Ca href=\"https:\/\/www.pallimed.org\/search\/label\/lane\"\u003EPallimed posts by Sylvia Lane, click here.\u003C\/a\u003E This is her first post, but someday there may be more!\u003Cbr\u003EFor some ideas on \u003Ca href=\"https:\/\/www.pallimed.org\/2021\/01\/fostering-student-interest-in.html\" target=\"_blank\"\u003Efostering student interest in palliative care see this Pallimed post.\u003C\/a\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Ci\u003ESylvia Lane is a fourth year medical student at the University of Vermont. Between clinical rotations she spends her time perfecting her baking skills, watching new films, and learning how not to kill all her houseplants.\u003C\/i\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Cmeta name=\"twitter:card\" content=\"summary\" \/\u003E\u003Cmeta name=\"twitter:site\" content=\"@pallimed\" \/\u003E\u003Cmeta name=\"twitter:title\" content=\"Choosing Palliative Care as a Medical Specialty\" \/\u003E\u003Cmeta name=\"twitter:description\" content=\"A medical student shares her reasons for choosing a career in palliative care.\" \/\u003E\u003Cmeta name=\"twitter:image\" content=\"https:\/\/1.bp.blogspot.com\/-h5KJlLkuTTI\/YG0vqeb7YSI\/AAAAAAAAAaM\/H-pWv_3TgZ4FL85zAOOvLZWOrpdTAYGEQCLcBGAsYHQ\/s1080\/palliative%2Bcare.png\" \/\u003E\u003Cmeta name=\"twitter:url\" content=\"https:\/\/www.pallimed.org\/2021\/04\/choosing-palliative-care-as-medical.html\" \/\u003E"},"link":[{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/4149894017753225532"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/4149894017753225532"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.pallimed.org\/2021\/04\/choosing-palliative-care-as-medical.html","title":"Choosing Palliative Care as a Medical Specialty"}],"author":[{"name":{"$t":"Pallimed Editor"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/11358791266969988517"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src":"https:\/\/img1.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-h5KJlLkuTTI\/YG0vqeb7YSI\/AAAAAAAAAaM\/H-pWv_3TgZ4FL85zAOOvLZWOrpdTAYGEQCLcBGAsYHQ\/s72-c\/palliative%2Bcare.png","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-13495125.post-4280418703220092249"},"published":{"$t":"2021-01-28T20:44:00.002-06:00"},"updated":{"$t":"2021-04-07T11:47:47.438-05:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"learner"},{"scheme":"http://www.blogger.com/atom/ns#","term":"medical student"},{"scheme":"http://www.blogger.com/atom/ns#","term":"sinclair"},{"scheme":"http://www.blogger.com/atom/ns#","term":"student"}],"title":{"type":"text","$t":"Fostering Student Interest in Palliative Care"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-hs7JTR4QRhw\/YBNxn0YY1OI\/AAAAAAADB1E\/Eu7lcxJVPTMZsWxFRu0EXxF_YhTdvnIfQCLcBGAsYHQ\/s1080\/transdermal%2Bfent%2Bto%2Bmethadone%2B%25282%2529.png\" style=\"display: block; padding: 1em 0; text-align: center; clear: right; float: right;\"\u003E\u003Cimg alt=\"\" border=\"0\" width=\"320\" data-original-height=\"1080\" data-original-width=\"1080\" src=\"https:\/\/1.bp.blogspot.com\/-hs7JTR4QRhw\/YBNxn0YY1OI\/AAAAAAADB1E\/Eu7lcxJVPTMZsWxFRu0EXxF_YhTdvnIfQCLcBGAsYHQ\/s320\/transdermal%2Bfent%2Bto%2Bmethadone%2B%25282%2529.png\"\/\u003E\u003C\/a\u003E\u003C\/div\u003Eby Christian Sinclair (\u003Ca href=\"https:\/\/twitter.com\/ctsinclair\" target=\"_blank\"\u003E@ctsinclair\u003C\/a\u003E) \u003Cbr\u003E\u003Cbr\u003EMost palliative care teams love to have medical students on service, but the access may be variable. Some schools make palliative care rotations mandatory, some optional, while others make it hard to find or \"build your own.\" I do outpatient palliative care, so I see medical students less often than my inpatient colleagues, but we do get a number of nursing students, pharmacy residents, psychology learners rotating with our clinic at the University of Kansas Medical Center. Having learners rotate is an excellent way to teach primary palliative care skills, to help learners early in their career on the best ways to introduce palliative care, and maybe finding a few future colleagues.\u003Cbr\u003E\u003Cbr\u003ESo imagine my dismay on seeing this: \u003Cbr\u003E\u003Cbr\u003E\u003Cblockquote class=\"twitter-tweet\"\u003E\u003Cp lang=\"en\" dir=\"ltr\"\u003EI *finally* get the courage to admit to people that I want to go into palliative care. People laugh and turn away. Or worse, “don’t worry you’ll change your mind!” \u003Cbr\u003E\u003Cbr\u003EAll my friends say they want to be surgeons. They get red carpets, egots, and champagne kisses!!\u003Cbr\u003E\u003Cbr\u003EWhat gives?\u003C\/p\u003E\u0026mdash; Sylvia Lane (@sylv_lane) \u003Ca href=\"https:\/\/twitter.com\/sylv_lane\/status\/1353336916612149248?ref_src=twsrc%5Etfw\"\u003EJanuary 24, 2021\u003C\/a\u003E\u003C\/blockquote\u003E \u003Cscript async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"\u003E\u003C\/script\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Ci\u003E(Editor note: \u003Ca href=\"about:invalid#zSoyz\" target=\"_blank\"\u003ESylvia Lane wrote more about her decision to choose palliative care for a career here.\u003C\/a\u003E)\u003C\/i\u003E\u003Cbr\u003E\u003Cbr\u003EOr this tweet from from an AAHPM Poster Award winner: \u003Cbr\u003E\u003Cbr\u003E\u003Cblockquote class=\"twitter-tweet\"\u003E\u003Cp lang=\"en\" dir=\"ltr\"\u003EAttending: \u0026quot;What specialty are you thinking of?\u0026quot;\u003Cbr\u003EMe: \u0026quot;\u003Ca href=\"https:\/\/twitter.com\/hashtag\/Palliative?src=hash\u0026amp;ref_src=twsrc%5Etfw\"\u003E#Palliative\u003C\/a\u003E\u0026quot;\u003Cbr\u003EAttending: \u0026quot;No one has ever said that answer before.\u0026quot;\u003Cbr\u003E\u003Cbr\u003EGive me a couple years. I\u0026#39;m rounding up some troops! \u003Ca href=\"https:\/\/twitter.com\/hashtag\/hpm?src=hash\u0026amp;ref_src=twsrc%5Etfw\"\u003E#hpm\u003C\/a\u003E\u003C\/p\u003E\u0026mdash; Kayla Sheehan, MD (@kksheehan) \u003Ca href=\"https:\/\/twitter.com\/kksheehan\/status\/1021233008840339457?ref_src=twsrc%5Etfw\"\u003EJuly 23, 2018\u003C\/a\u003E\u003C\/blockquote\u003E \u003Cscript async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"\u003E\u003C\/script\u003E\u003Cbr\u003E\u003Cbr\u003ETake a few deep breaths. Those two learners are going to be OK. After sharing those potentially demoralizing experiences, the \u003Ca href=\"https:\/\/twitter.com\/search?q=%23hapc\u0026amp;src=typeahead_click\" target=\"_blank\"\u003E#hapc (hospice and palliative care) Twitter community\u003C\/a\u003E lifted them up, sharing supportive stories, potential comebacks for the next time they hear something like that, resouces like joining AAHPM, and networking with other learners or local mentors. Some even shared their own challenging retorts to pusuing a career in hospice and palliative care.   \u003Cbr\u003E\u003Cbr\u003EAre learners hearing this more often? What is the not-so-subtle message being conveyed about our work? What can we do to foster more interest in palliative care as a career and\/or a skill set to build? What can we do about our colleagues who may be undermining great candidates for our field? I would love to hear your ideas. Because \u003Ca href=\"https:\/\/www.capc.org\/blog\/nourish-roots-importance-palliative-care-education-medical-school\/\" target=\"_blank\"\u003Ewe need more people interested in working in palliative care and hospice as a career.\u003C\/a\u003E \u003Ci\u003E(Editor's Note - that article was written for CAPC by one of the Twitter users above!)\u003C\/i\u003E\u003Cbr\u003E\u003Cbr\u003EIf you are a learner who found this post, I am so glad you are interested. Here are some simple things for learners of all professions to get you started:\u003Cbr\u003E\u003Cbr\u003E- Find your local academic palliative care faculty or academic hospice organization \u003Cbr\u003E\u003Cbr\u003E- If you are on Twitter follow hashtags like \u003Ca href=\"https:\/\/twitter.com\/search?q=%23hapc\u0026amp;src=typeahead_click\" target=\"_blank\"\u003E#hapc\u003C\/a\u003E or \u003Ca href=\"https:\/\/twitter.com\/search?q=%23palliativecare\u0026amp;src=typed_query\" target=\"_blank\"\u003E#palliativecare\u003C\/a\u003E, and \u003Ca href=\"https:\/\/twitter.com\/i\/lists\/1354969720156528640\" target=\"_blank\"\u003Echeck out this list of some of the first people and orgs to follow in palliative care\u003C\/a\u003E  \u003Cbr\u003E\u003Cbr\u003E- If you cannot find someone in your specialty, start with someone doing palliative care work in another specialty as a resource\u003Cbr\u003E\u003Cbr\u003E- Find the national organization that represents your field and either does palliative care and hospice work or has a special interest group:\u003Cbr\u003E\u003Cbr\u003E- - \u003Ca href=\"https:\/\/aahpm.org\/\" target=\"_blank\"\u003EAmerican Academy of Hospice and Palliative Medicine (AAHPM)\u003C\/a\u003E - \u003Ca href=\"https:\/\/aahpm.org\/\" target=\"_blank\"\u003Ewww.aahpm.org\u003C\/a\u003E\u003Cbr\u003E\u003Cbr\u003E- - \u003Ca href=\"https:\/\/advancingexpertcare.org\/\" target=\"_blank\"\u003EHospice and Palliative Nurses Association (HPNA)\u003C\/a\u003E - \u003Ca href=\"https:\/\/advancingexpertcare.org\/\" target=\"_blank\"\u003Ewww.advancingexpertcare.org\u003C\/a\u003E\u003Cbr\u003E\u003Cbr\u003E- - \u003Ca href=\"https:\/\/pahpm.org\/\" target=\"_blank\"\u003EPhysician Assistants in Hospice and Palliative Medicine (PAHPM)\u003C\/a\u003E - \u003Ca href=\"https:\/\/pahpm.org\/\" target=\"_blank\"\u003Ewww.pahpm.org\u003C\/a\u003E\u003Cbr\u003E\u003Cbr\u003E- - \u003Ca href=\"https:\/\/www.swhpn.org\/\" target=\"_blank\"\u003ESocial Work Hospice and Palliative Care Network (SWHPN)\u003C\/a\u003E - \u003Ca href=\"https:\/\/www.swhpn.org\/\" target=\"_blank\"\u003Ewww.swhpn.org\u003C\/a\u003E\u003Cbr\u003E\u003Cbr\u003E- - \u003Ca href=\"https:\/\/www.palliativepharmacist.org\/\" target=\"_blank\"\u003ESociety of Pain and Palliative Care Pharmacists\u003C\/a\u003E - \u003Ca href=\"https:\/\/www.palliativepharmacist.org\/\" target=\"_blank\"\u003Ewww.palliativepharmacist.org\u003C\/a\u003E\u003Cbr\u003E\u003Cbr\u003EIf you have some great ideas, please share them in comments below or share them with me on Twitter and I will add them to the original post.  \u003Cbr\u003E\u003Cbr\u003E*Both people gave permission to embed their posts here. \u003Cbr\u003E\u003Cbr\u003EFor more \u003Ca href=\"https:\/\/www.pallimed.org\/search\/label\/learners\"\u003EPallimed posts about learners.\u003C\/a\u003E\u003Cbr \/\u003EFor more \u003Ca href=\"https:\/\/www.pallimed.org\/search\/label\/sinclair\"\u003EPallimed posts by Dr. Sinclair click here.\u003C\/a\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Ci\u003EChristian Sinclair, MD, FAAHPM, is a associate professor of palliative medicine at the Univeristy of Kansas Health System. He is editor-in-chief of Pallimed, and cannot wait to play board games in person again.\u003C\/i\u003E\u003Cmeta name=\"twitter:card\" content=\"summary\" \/\u003E\u003Cmeta name=\"twitter:site\" content=\"@pallimed\" \/\u003E\u003Cmeta name=\"twitter:title\" content=\"Fostering Student Interest in Palliative Care\" \/\u003E\u003Cmeta name=\"twitter:description\" content=\"Why are students getting flak for being interested in palliative care?\" \/\u003E\u003Cmeta name=\"twitter:image\" content=\"https:\/\/1.bp.blogspot.com\/-hs7JTR4QRhw\/YBNxn0YY1OI\/AAAAAAADB1E\/Eu7lcxJVPTMZsWxFRu0EXxF_YhTdvnIfQCLcBGAsYHQ\/s1080\/transdermal%2Bfent%2Bto%2Bmethadone%2B%25282%2529.png\" \/\u003E\u003Cmeta name=\"twitter:url\" content=\"https:\/\/www.pallimed.org\/2021\/01\/fostering-student-interest-in.html\" \/\u003E"},"link":[{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/4280418703220092249"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/4280418703220092249"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.pallimed.org\/2021\/01\/fostering-student-interest-in.html","title":"Fostering Student Interest in Palliative Care"}],"author":[{"name":{"$t":"Christian Sinclair"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/14685043408496367587"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src":"https:\/\/img1.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-hs7JTR4QRhw\/YBNxn0YY1OI\/AAAAAAADB1E\/Eu7lcxJVPTMZsWxFRu0EXxF_YhTdvnIfQCLcBGAsYHQ\/s72-c\/transdermal%2Bfent%2Bto%2Bmethadone%2B%25282%2529.png","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-13495125.post-1943138325682963119"},"published":{"$t":"2019-07-22T15:24:00.002-05:00"},"updated":{"$t":"2021-04-06T23:28:56.144-05:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"arnold"},{"scheme":"http://www.blogger.com/atom/ns#","term":"david foster wallace"},{"scheme":"http://www.blogger.com/atom/ns#","term":"learner"},{"scheme":"http://www.blogger.com/atom/ns#","term":"medical student"},{"scheme":"http://www.blogger.com/atom/ns#","term":"The profession"}],"title":{"type":"text","$t":"Living an Intentional Life: This is Water"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/3.bp.blogspot.com\/-w_JvNDKcUtA\/XTYaFYJ95fI\/AAAAAAAAASI\/gQvkFGlgYs8YjTChRBBRLSkyxNz9IN_VgCLcBGAs\/s1600\/SQ%2B-%2Bpallimed%2Bwriters%2Bgroup.png\" imageanchor=\"1\" style=\"clear: right; float: right; margin-bottom: 1em; margin-left: 1em;\"\u003E\u003Cimg border=\"0\" src=\"https:\/\/3.bp.blogspot.com\/-w_JvNDKcUtA\/XTYaFYJ95fI\/AAAAAAAAASI\/gQvkFGlgYs8YjTChRBBRLSkyxNz9IN_VgCLcBGAs\/s320\/SQ%2B-%2Bpallimed%2Bwriters%2Bgroup.png\" width=\"320\" height=\"320\" data-original-width=\"800\" data-original-height=\"800\" \/\u003E\u003C\/a\u003E\u003C\/div\u003Eby Bob Arnold (\u003Ca href=\"https:\/\/twitter.com\/rabob\"\u003E@rabob\u003C\/a\u003E) \u003Cbr\u003E\u003Cbr\u003EI am not sure what led me to go from thinking about data and evidence in the literature to waxing philosophical recently. It may be that I saw Rufus Wainwright in concert and heard him sing “Hallelujah” with his sister, Lucy Roache Wainwright (Google it). It may be that one of our cardiology fellows died suddenly of unknown reasons and everyone at my hospital is a little fragile. Or that I was just on service and trying to balance the existential realities of sadness and dying with teaching learners and dealing with institutional budget cuts. But when I sat down today and tried to think of what article to review what popped into my mind was David Foster’s Wallace’s 2005 Kenyan commencement address.  \u003Cbr\u003E\u003Cbr\u003EThis is where I go to whenever I am feeling philosophic. I go to it because it, more than anything else I’ve ever read, summarizes the human experience, what is real about it, and what is hard about it. And so, it reminds me of how hard it is to stay present, be curious, and think about is “just in my head”. It is too long for a blog post (and I hope you’ll \u003Ca href=\"https:\/\/amzn.to\/2XYMTGb\"\u003Ego here to read\u003C\/a\u003E or \u003Ca href=\"https:\/\/www.youtube.com\/watch?v=8CrOL-ydFMI\"\u003Ewatch it\u003C\/a\u003E). So what I am going to do is give you some illustrative quotes and then a couple of comments.  \u003Cbr\u003E\u003Cbr\u003E\u003Ciframe width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/8CrOL-ydFMI?controls=0\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen\u003E\u003C\/iframe\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Ci\u003EThere are these two young fish swimming along and they happen to meet an older fish swimming the other way, who nods at them and says \"Morning, boys. How's the water?\" And the two young fish swim on for a bit, and then eventually one of them looks over at the other and goes \"What the hell is water?\" \u003Cbr\u003E\u003Cbr\u003EThe point of the fish story is merely that the most obvious, important realities are often the ones that are hardest to see and talk about. Stated as an English sentence, of course, this is just a banal platitude, but the fact is that in the day-to-day trenches of adult existence, banal platitudes can have a life or death importance. \u003Cbr\u003E\u003Cbr\u003EThink about it: there is no experience you have had that you are not absolute center of. The world as you experience it is there in front of YOU or behind YOU, to the left or right of YOU, on YOUR TV or YOUR monitor. And so on. Other people's thoughts and feelings have to be communicated to you somehow, but your own are so immediate, urgent and real. \u003Cbr\u003E\u003Cbr\u003EAs I'm sure you guys know by now, it is extremely difficult to stay alert and attentive, instead of getting hypnotized by the constant monologue inside your own head (may be happening right now)….It means being conscious and aware enough to choose what you pay attention to and to choose how you construct meaning from experience. Because if you cannot exercise this kind of choice in adult life, you will be totally hosed. Think of the old cliché about quote the mind being an excellent servant but a terrible master. \u003Cbr\u003E\u003Cbr\u003EIf you're automatically sure that you know what reality is, and you are operating on your default setting, then you, like me, probably won't consider possibilities that aren't annoying and miserable. But if you really learn how to pay attention, then you will know there are other options. It will actually be within your power to experience a crowded, hot, slow, consumer-hell type situation as not only meaningful, but sacred, on fire with the same force that made the stars: love, fellowship, the mystical oneness of all things deep down. \u003Cbr\u003E\u003Cbr\u003EBecause here's something else that's weird but true: in the day-to-day trenches of adult life, there is actually no such thing as atheism. There is no such thing as not worshipping. Everybody worships. The only choice we get is what to worship. \u003Cbr\u003E\u003Cbr\u003EIt is about the real value of a real education, which has almost nothing to do with knowledge, and everything to do with simple awareness; awareness of what is so real and essential, so hidden in plain sight all around us, all the time, that we have to keep reminding ourselves over and over: \u003Cbr\u003E\u003Cbr\u003E\"This is water.\" \u003Cbr\u003E\u003Cbr\u003E\"This is water.\" \u003Cbr\u003E\u003Cbr\u003EIt is unimaginably hard to do this, to stay conscious and alive in the adult world day in and day out.\u003C\/i\u003E\u003Cbr\u003E\u003Cbr\u003ESo, what does all this mean for us as palliative care clinicians (or humans)? First, I think it reminds us how easy it is to see our daily lives as normal. I love rounding with first-year medical students who are just amazed that clinicians walk in on people and have conversations with half naked people, sometimes while getting on or off the toilet. That we have difficult conversations in rooms where there is a patient next door (and the cleaning person, dietician and four other people coming in and out). It is so easy to become numb to the hospital experience that you do not realize how completely bizarre it is and how off-putting and alien the experience of health care is.  \u003Cbr\u003E\u003Cbr\u003ESecond, the stories that I tell in my head about patients, families or other clinicians are just that - stories that I tell in my head. I need to lose my certainty about the story and gather information about the other stories in the world. I need to continually ask myself whether my reactions are because of what is going on in the world, or what is going on in my head.  \u003Cbr\u003E\u003Cbr\u003EFinally, I need to cut myself a break. It is really hard given that the only experiences I have are my experiences, to get caught up in that experience. So much of what was resiliency activities (like meditation) are about helping me maintain my awareness and give me choices over what I see and what I do. My days are hard and the budget cuts suck. When I get knocked off balance, realizing that this is the human condition, helps gets me up the next morning, appreciate what I have and move forward. \u003Cbr\u003E\u003Cbr\u003ENext week, I go back to reviewing articles.  \u003Cbr\u003E\u003Cbr\u003E\u003Ci\u003ERobert Arnold MD is a palliative care doctor at the University of Pittsburgh and a co-founder of VitalTalk. He loves both high and low brow comedy (The Good Place and Nanette), pop culture (the National Enquirer and Pop Culture Happy hour) and music of all kinds (not opera tho!)\u003C\/i\u003E \u003Cbr\u003E\u003Cbr\u003E\u003Cmeta name=\"twitter:card\" content=\"summary\" \/\u003E\u003Cmeta name=\"twitter:site\" content=\"@pallimed\" \/\u003E\u003Cmeta name=\"twitter:title\" content=\"Living an Intentional Life: This is Water\" \/\u003E\u003Cmeta name=\"twitter:description\" content=\"Reflecting on a memorable commencement address by David Foster Wallace and the work of palliative care.\" \/\u003E\u003Cmeta name=\"twitter:image\" content=\"https:\/\/3.bp.blogspot.com\/-w_JvNDKcUtA\/XTYaFYJ95fI\/AAAAAAAAASI\/gQvkFGlgYs8YjTChRBBRLSkyxNz9IN_VgCLcBGAs\/s1600\/SQ%2B-%2Bpallimed%2Bwriters%2Bgroup.png\" \/\u003E\u003Cmeta name=\"twitter:url\" content=\"https:\/\/www.pallimed.org\/2019\/07\/living-intentional-life-this-is-water.html\" \/\u003E​"},"link":[{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/1943138325682963119"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/1943138325682963119"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.pallimed.org\/2019\/07\/living-intentional-life-this-is-water.html","title":"Living an Intentional Life: This is Water"}],"author":[{"name":{"$t":"Pallimed Editor"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/11358791266969988517"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src":"https:\/\/img1.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/3.bp.blogspot.com\/-w_JvNDKcUtA\/XTYaFYJ95fI\/AAAAAAAAASI\/gQvkFGlgYs8YjTChRBBRLSkyxNz9IN_VgCLcBGAs\/s72-c\/SQ%2B-%2Bpallimed%2Bwriters%2Bgroup.png","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-13495125.post-7240576671421318126"},"published":{"$t":"2019-06-08T14:59:00.000-05:00"},"updated":{"$t":"2021-04-06T23:28:56.155-05:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"learner"},{"scheme":"http://www.blogger.com/atom/ns#","term":"medical student"},{"scheme":"http://www.blogger.com/atom/ns#","term":"meta"},{"scheme":"http://www.blogger.com/atom/ns#","term":"sinclair"}],"title":{"type":"text","$t":"Celebrating 14 Years of Creating Content and Finding Emerging Creative Clinicians"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/4.bp.blogspot.com\/-401E8SujZwI\/XPwQM7zMeEI\/AAAAAAAClXs\/hvZcKvhjTLsZp0KAaEsrkGp3u-ceVkt4QCLcBGAs\/s1600\/6856374._SY540_.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"https:\/\/4.bp.blogspot.com\/-401E8SujZwI\/XPwQM7zMeEI\/AAAAAAAClXs\/hvZcKvhjTLsZp0KAaEsrkGp3u-ceVkt4QCLcBGAs\/s400\/6856374._SY540_.jpg\" width=\"1\" height=\"1\" data-original-width=\"406\" data-original-height=\"540\" \/\u003E\u003C\/a\u003E\u003C\/div\u003Eby Christian Sinclair (@ctsinclair) \u003Cbr\u003E\u003Cbr\u003EAnother year has passed and we are \u003Ca href=\"https:\/\/www.pallimed.org\/2005\/03\/history.html\"\u003Ecelebrating the 14th Anniversary of Pallimed\u003C\/a\u003E. Digitally speaking, 2005 is a pretty long time ago, before Twitter started and when YouTube was only 4 months old. I want to emphasize that what Drew Rosielle started \u003Ca href=\"https:\/\/www.pallimed.org\/2005\/06\/pallimeds-first-post-good-news.html\"\u003Ewith a single blog post as a 3rd year resident\u003C\/a\u003E is something all of us are capable of doing. You have knowledge to share with a wider audience. At the time Drew was not an expert in hospice and palliative medicine, but he had passion, and he put his work where people could find it. The goal was not to build a brand or build followers, but to share information he thought would be relevant to his work in palliative care. Knowing these roots, I am on the look-out for clinicians in our field who are publishing independently. We go through dry patches but recently, more palliative clinicians are creating innovative and quality online content and I love it. Here are just a few examples: \u003Cbr\u003E\u003Cbr\u003EExample 1 - \u003Ca href=\"https:\/\/www.youtube.com\/channel\/UCwzLhSI2v1ySPbU-LPTZzbQ\"\u003EDr. Jared Rubenstein and his Palliative Care Public Service Announcements\u003C\/a\u003E  \u003Cbr\u003E\u003Cbr\u003E\u003Ciframe width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/BbNi_-wYXJE\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen\u003E\u003C\/iframe\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Ciframe width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/PKlviqbG6rc\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen\u003E\u003C\/iframe\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Ciframe width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/ezxgeghqhuk\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen\u003E\u003C\/iframe\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Ciframe width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/MnM3PELOO7Y\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen\u003E\u003C\/iframe\u003E\u003Cbr\u003E\u003Cbr\u003EExample 2 - \u003Ca href=\"https:\/\/thepalliators.com\/\"\u003EThe Palliators Podcast\u003C\/a\u003E - Started by three hospice and palliative medicine fellows Dr. Tara Kattine, Dr. Nancy Hart Wicker, and Dr. Katie Mollow. 4 episodes are in the can and on Apple and Spotify. I hope they keep it going!  \u003Cbr\u003E\u003Cbr\u003EExample 3 - Kayla Sheehan and sharing her experience as a medical student with a career goal of hospice and palliative medicine. \u003Ca href=\"https:\/\/twitter.com\/kksheehan\"\u003EFollow her journey on Twitter @kksheehan\u003C\/a\u003E.  \u003Cbr\u003E\u003Cbr\u003E\u003Cblockquote class=\"twitter-tweet\" data-lang=\"en\"\u003E\u003Cp lang=\"en\" dir=\"ltr\"\u003EAttending: \u0026quot;What specialty are you thinking of?\u0026quot;\u003Cbr\u003EMe: \u0026quot;\u003Ca href=\"https:\/\/twitter.com\/hashtag\/Palliative?src=hash\u0026amp;ref_src=twsrc%5Etfw\"\u003E#Palliative\u003C\/a\u003E\u0026quot;\u003Cbr\u003EAttending: \u0026quot;No one has ever said that answer before.\u0026quot;\u003Cbr\u003E\u003Cbr\u003EGive me a couple years. I\u0026#39;m rounding up some troops! \u003Ca href=\"https:\/\/twitter.com\/hashtag\/hpm?src=hash\u0026amp;ref_src=twsrc%5Etfw\"\u003E#hpm\u003C\/a\u003E\u003C\/p\u003E\u0026mdash; Kayla Sheehan (@kksheehan) \u003Ca href=\"https:\/\/twitter.com\/kksheehan\/status\/1021233008840339457?ref_src=twsrc%5Etfw\"\u003EJuly 23, 2018\u003C\/a\u003E\u003C\/blockquote\u003E\u003Cscript async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"\u003E\u003C\/script\u003E\u003Cbr\u003E\u003Cbr\u003EExample 4 - \u003Ca href=\"https:\/\/www.alexsablesmith.com\/\"\u003EDr. Alex Sable-Smith\u003C\/a\u003E and his \u003Ca href=\"https:\/\/www.youtube.com\/channel\/UCoPzjvE84g2cwttcNxsl6vg\"\u003Eeducational YouTube videos focused on Primary Palliative Care\u003C\/a\u003E. Only three so far but I am hoping for some more.  \u003Cbr\u003E\u003Cbr\u003E\u003Ciframe width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/xqGBT3yAJwU\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen\u003E\u003C\/iframe\u003E\u003Cbr\u003E\u003Cbr\u003ESo maybe you have an idea for a blog, video series, Twitter account, Instagram account or podcast. What is stopping you? Impostor syndrome? Find a mentor to give guidance and encouragement. Not enough time? Build a team and go further together. Technophobia? Google it! There are plenty of free\/inexpensive tools and YouTube how-to videos to get it done. I really have learned a lot from \u003Ca href=\"https:\/\/austinkleon.com\/show-your-work\/\"\u003EAustin Kleon's book \"Show Your Work\"\u003C\/a\u003E Here are the key points boiled down.  \u003Cbr\u003E\u003Cbr\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/4.bp.blogspot.com\/-401E8SujZwI\/XPwQM7zMeEI\/AAAAAAAClXs\/hvZcKvhjTLsZp0KAaEsrkGp3u-ceVkt4QCLcBGAs\/s1600\/6856374._SY540_.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"https:\/\/4.bp.blogspot.com\/-401E8SujZwI\/XPwQM7zMeEI\/AAAAAAAClXs\/hvZcKvhjTLsZp0KAaEsrkGp3u-ceVkt4QCLcBGAs\/s400\/6856374._SY540_.jpg\" width=\"301\" height=\"400\" data-original-width=\"406\" data-original-height=\"540\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr\u003E\u003Cbr\u003EIf I missed some new creative content in our field, please Tweet at me or share in the comments below. When we are celebrating our 28th anniversary I would love to point to examples of other people at their 14th anniversary! \u003Ci\u003EChristian Sinclair, MD, FAAHPM is on-call this weekend and still managed to pound out a quick anniversary blog post. He is a palliative care physician at the University of Kansas Health System.\u003C\/i\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Cmeta name=\"twitter:card\" content=\"summary\" \/\u003E\u003Cmeta name=\"twitter:site\" content=\"@pallimed\" \/\u003E\u003Cmeta name=\"twitter:title\" content=\"Celebrating 14 Years of Creating Content and Emerging Creative Clincians\" \/\u003E\u003Cmeta name=\"twitter:description\" content=\"As we celebrate 14 years of Pallimed, we look to the future to see who is creating great new content today.\" \/\u003E\u003Cmeta name=\"twitter:image\" content=\"https:\/\/4.bp.blogspot.com\/-401E8SujZwI\/XPwQM7zMeEI\/AAAAAAAClXs\/hvZcKvhjTLsZp0KAaEsrkGp3u-ceVkt4QCLcBGAs\/s400\/6856374._SY540_.jpg\" \/\u003E\u003Cmeta name=\"twitter:url\" content=\"https:\/\/www.pallimed.org\/2019\/06\/celebrating-14-years-of-creating.html\" \/\u003E"},"link":[{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/7240576671421318126"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/7240576671421318126"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.pallimed.org\/2019\/06\/celebrating-14-years-of-creating.html","title":"Celebrating 14 Years of Creating Content and Finding Emerging Creative Clinicians"}],"author":[{"name":{"$t":"Christian Sinclair"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/14685043408496367587"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src":"https:\/\/img1.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/4.bp.blogspot.com\/-401E8SujZwI\/XPwQM7zMeEI\/AAAAAAAClXs\/hvZcKvhjTLsZp0KAaEsrkGp3u-ceVkt4QCLcBGAs\/s72-c\/6856374._SY540_.jpg","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-13495125.post-6595886322395348941"},"published":{"$t":"2019-04-28T16:00:00.000-05:00"},"updated":{"$t":"2021-04-06T23:28:56.153-05:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"discrimination"},{"scheme":"http://www.blogger.com/atom/ns#","term":"harassment"},{"scheme":"http://www.blogger.com/atom/ns#","term":"learner"},{"scheme":"http://www.blogger.com/atom/ns#","term":"medical student"},{"scheme":"http://www.blogger.com/atom/ns#","term":"rosenberg"},{"scheme":"http://www.blogger.com/atom/ns#","term":"The profession"}],"title":{"type":"text","$t":"We, Too"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/3.bp.blogspot.com\/-B24o8UJkZhU\/XMSbDAjJn_I\/AAAAAAACibs\/ABmDmvI8DS8bAlRHbELBPqEItfoRhewegCLcBGAs\/s1600\/wordcloud%2Bme%2Btoo%2Bpc.png\" imageanchor=\"1\" style=\"clear: right; float: right; margin-bottom: 1em; margin-left: 1em;\"\u003E\u003Cimg border=\"0\" src=\"https:\/\/3.bp.blogspot.com\/-B24o8UJkZhU\/XMSbDAjJn_I\/AAAAAAACibs\/ABmDmvI8DS8bAlRHbELBPqEItfoRhewegCLcBGAs\/s320\/wordcloud%2Bme%2Btoo%2Bpc.png\" width=\"320\" height=\"240\" data-original-width=\"1024\" data-original-height=\"768\" \/\u003E\u003C\/a\u003E\u003C\/div\u003Eby Abby Rosenberg (\u003Ca href=\"https:\/\/twitter.com\/abbyrosenbergmd\"\u003E@AbbyRosenbergMD\u003C\/a\u003E) \u003Cbr\u003E\u003Cbr\u003EI didn’t want to be another “me too” story.  I am becoming one, now, because I believe in the power of a collective voice. \u003Cbr\u003E\u003Cbr\u003EYou see, there is something terribly lonely about experiencing sexual harassment.  And, there is something incredibly powerful about the quiet moment when you finally, bravely, share your story.  There is something bittersweet about knowing you are not alone.  \u003Cbr\u003E\u003Cbr\u003ESexual harassment in medicine is common.  Over 50% of women medical students experience it before they graduate.(1)  Disparities in women’s salaries, grant-funding, academic rank, and leadership opportunities are well-documented. (2-9)  While sexual harassment (inappropriate and overtly sexual behavior) is often publicized only after an egregious action and corresponding court or media coverage, “gender harassment” (the broad-range of verbal and non-verbal behaviors conveying insulting, hostile, objectifying, exclusive, belittling, and\/or degrading attitudes about one gender) is far more common and insidious. (1)  Tolerance of both sexual and gender harassment has been the accepted “price that women pay for a career in medicine.” (10,11) \u003Cbr\u003E\u003Cbr\u003EI was willing to pay this price until I experienced it within our communities of palliative care, bioethics, and humanities.  When it came from the people who were supposed to model the highest standards of respect and support, it was all the more stunning, all the more painful, and all the more debilitating.  Worse, as I described my own stories of sexual and gender harassment to other women across the country (both within and outside of palliative care and ethics communities), they reciprocated.  Our experiences were common.  Professionals in palliative care, ethics, and humanities are just as capable of gender harassment as the rest of our medical colleagues. \u003Cbr\u003E\u003Cbr\u003EI and\/or my peers in palliative care, ethics, and humanities have experienced all of the following.  The references emphasize their commonality within our larger medical community.   The reason to share these experiences here is simple: we want our women colleagues to know they are not alone.   \u003Cbr\u003E\u003Cbr\u003E- If you have ever been touched inappropriately, kissed, groped, or otherwise assaulted, you are not alone. (1,2,12) \u003Cbr\u003E\u003Cbr\u003E- If you have been invited to talk about or participate in sexual experiences with a male superior, you are not alone. (1,2) \u003Cbr\u003E\u003Cbr\u003E- If you have been physically or emotionally threatened by a male superior, you are not alone. (1,2) \u003Cbr\u003E\u003Cbr\u003E- If you have been called “tasty,” “yummy,” delicious,” “an appetizer,” or any other edible derogative, you are not alone. \u003Cbr\u003E\u003Cbr\u003E- If you have been told you are too attractive, too feminine, too masculine, or too ugly to be successful, you are not alone. (2,13) \u003Cbr\u003E\u003Cbr\u003E- If you have been told that being a mother, single, partnered, a wife, a divorcée, or a daughter means you will not be successful in medicine, you are not alone. (2,13) \u003Cbr\u003E\u003Cbr\u003E- If you have been told “you are not ready” for promotion, despite your meeting written qualifications, you are not alone. (2,13) \u003Cbr\u003E\u003Cbr\u003E- If you have had to demonstrate greater academic productivity to be promoted than your male colleagues, you are not alone. (2,13,14) \u003Cbr\u003E\u003Cbr\u003E- If you have worked in an environment where all or most of the leadership positions are held by men, you are not alone. (1,2,7,13,15)  \u003Cbr\u003E\u003Cbr\u003E- If these male leaders have known histories of sexual harassment, you are not alone. (16) \u003Cbr\u003E\u003Cbr\u003E- If you have been offered teaching leadership positions rather than your asked-for executive leadership positions, you are not alone. (1,2,15) \u003Cbr\u003E\u003Cbr\u003E- If you have received less salary for an otherwise identical job to a male, you are not alone. (1,2,5,9) \u003Cbr\u003E\u003Cbr\u003E- If you have received less institutional support for career development than an otherwise equivalent male counterpart, you are not alone. (1-4,17) \u003Cbr\u003E\u003Cbr\u003E- If you have received critical subjective feedback rather than constructive objective or positive feedback, you are not alone. (2,18,19) \u003Cbr\u003E\u003Cbr\u003E- If you have been told to be “softer,” “less assertive,” “more quiet,” or “less bossy,” you are not alone. (13,20) \u003Cbr\u003E\u003Cbr\u003E- If you have been called “abrasive,” “shrill,” “strident,” “pushy,” “angry,” or “aggressive,” you are not alone. (13) \u003Cbr\u003E\u003Cbr\u003E- If you have felt shame because you are a victim, you are not alone. (1,21) \u003Cbr\u003E\u003Cbr\u003E- If you notice that women speak several times in meetings before being recognized, whereas men speak once and are acknowledged, you are not alone. (13) \u003Cbr\u003E\u003Cbr\u003E- If you notice that women speak a fraction of the time that men do in meetings, you are not alone. (22) \u003Cbr\u003E\u003Cbr\u003E- If you notice that men speak over and around women, re-explain their words, or generally seek to have the last word in discussions, you are not alone. (22) \u003Cbr\u003E\u003Cbr\u003E- If you have been labeled as “difficult” for trying to make change, you are not alone. (13,18,20) \u003Cbr\u003E\u003Cbr\u003E- If a male colleague has loudly suggested you curtail your advocacy efforts, while multiple women quietly thank you, you are not alone. (13,23) \u003Cbr\u003E\u003Cbr\u003E- If you have been told to “be more grateful,” “keep your head down,” “practice meditation,” or otherwise improve yourself in order to handle gender harassment, you are not alone. (2) \u003Cbr\u003E\u003Cbr\u003E- If you have heard, “he doesn’t mean it that way,” “he is from another generation,” “he is a leader in his field,” or some other excuse to tolerate poor behavior, you are not alone. (24) \u003Cbr\u003E\u003Cbr\u003E- If a male mentor has distanced himself from you because “you might accuse [him] too,” you are not alone. (25) \u003Cbr\u003E\u003Cbr\u003E- If you have witnessed perpetrators receive “executive coaching” or “leadership development” opportunities to fix their behavior, while the women victims are left to wait, hope, or suffer in silence, you are not alone. (26) \u003Cbr\u003E\u003Cbr\u003E- If you have felt unsupported by your colleagues, leadership, or larger institution, you are not alone. (1,26) \u003Cbr\u003E\u003Cbr\u003E- If you have observed other men (and women) bystanders look the other way rather than intervene to stop gender discrimination, you are not alone. (1) \u003Cbr\u003E\u003Cbr\u003E- If you have stayed silent for fear of losing your job, you are not alone. (1,10,11,26) \u003Cbr\u003E\u003Cbr\u003E- If you have spoken up and experienced retaliation compromising your physical or emotional health, or your career development, you are not alone. (1,11,26,27) \u003Cbr\u003E\u003Cbr\u003E- If you have chosen continued poor physical or emotional health over speaking up, you are not alone. (1,11,21,26,27) \u003Cbr\u003E\u003Cbr\u003E- If you have avoided your workplace or a colleague because you feel unsafe, you are not alone. (1,11,26) \u003Cbr\u003E\u003Cbr\u003E- If you have noticed your avoidance is compromising your upward mobility and opportunities, you are not alone. (1,11,26) \u003Cbr\u003E\u003Cbr\u003E- If you have experienced burnout or considered leaving medicine altogether as a result of your experiences with gender harassment, you are not alone. (1,11,21,26)  \u003Cbr\u003E\u003Cbr\u003E- If you have felt supported by your institution because it has transparent policies such as equity report-cards, 360-degree evaluation procedures, zero tolerance of repeat offenders, alternative reporting options, protection from retaliation, and efforts to promote women leaders, you are not alone. (1,2,10,11,28) \u003Cbr\u003E\u003Cbr\u003E- If you have felt grateful to men and women colleagues who stand with you, listen to you, speak for you, and champion your cause even at personal expense, you are not alone. (1,2,10,11) \u003Cbr\u003E\u003Cbr\u003E- If you have been inspired by the bravery of those who share their stories and speak for change, you are not alone.   \u003Cbr\u003E\u003Cbr\u003EWe can do better than this in palliative care.  We are a community trained to see our patients and colleagues as human beings with equal value.  We are the ones who listen.  We are the ones who speak for the vulnerable. \u003Cbr\u003E\u003Cbr\u003EI know there are myriad more experiences.  To all of you who are suffering in silence, you are not alone.  We are listening. We are speaking.  “We, too,” are with you.  \u003Cbr\u003E\u003Cbr\u003E\u003Ci\u003EAbby R. Rosenberg, MD, MS, MA, is a pediatric oncologist, bioethicist, and palliative care physician and researcher.  Her hobbies include narrative writing and, when needed, change-making. \u003C\/i\u003E\u003Cbr\u003E\u003Cbr\u003EREFERENCES\u003Cbr\u003E1. \u003Ca href=\"https:\/\/www.nap.edu\/catalog\/24994\/sexual-harassment-of-women-climate-culture-and-consequences-in-academic\"\u003ESexual Harassment of Women: climate, culture, and consequences in academic sciences, engineering, and medicine\u003C\/a\u003E. Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2018.\u003Cbr\u003E2. Kang SK, Kaplan S. \u003Ca href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(18)33138-6\/fulltext\"\u003EWorking toward gender diversity and inclusion in medicine: myths and solutions\u003C\/a\u003E. Lancet. 2019;393(10171):579-586.\u003Cbr\u003E3. Witteman HO. \u003Ca href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(19)30229-6\/fulltext\"\u003EGender bias in academia\u003C\/a\u003E. Lancet. 2019;393(10173):743-744.\u003Cbr\u003E4. Witteman HO, Hendricks M, Straus S, Tannenbaum C. \u003Ca href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(18)32611-4\/fulltext\"\u003EAre gender gaps due to evaluations of the applicant or the science? A natural experiment at a national funding agency\u003C\/a\u003E. Lancet. 2019;393(10171):531-540.\u003Cbr\u003E5. Jena AB, Olenski AR, Blumenthal DM. \u003Ca href=\"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2532788\"\u003ESex Differences in Physician Salary in US Public Medical Schools\u003C\/a\u003E. JAMA Intern Med. 2016;176(9):1294-1304.\u003Cbr\u003E6. Jena AB, Khullar D, Ho O, Olenski AR, Blumenthal DM. \u003Ca href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/10.1001\/jama.2015.10680\"\u003ESex Differences in Academic Rank in US Medical Schools in 2014\u003C\/a\u003E. JAMA. 2015;314(11):1149-1158.\u003Cbr\u003E7. Wehner MR, Nead KT, Linos K, Linos E. \u003Ca href=\"https:\/\/www.bmj.com\/content\/351\/bmj.h6311\"\u003EPlenty of moustaches but not enough women: cross sectional study of medical leaders\u003C\/a\u003E. BMJ. 2015;351:h6311.\u003Cbr\u003E8. The Lancet. \u003Ca href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(19)30239-9\/fulltext\"\u003EFeminism is for everybody\u003C\/a\u003E. Lancet. 2019;393(10171):493.\u003Cbr\u003E9. Glauser W. \u003Ca href=\"https:\/\/cmajnews.com\/2018\/05\/09\/why-are-women-still-earning-less-than-men-in-medicine-cmaj-109-5576\/\"\u003EWhy are women still earning less than men in medicine?\u003C\/a\u003E CMAJ. 2018;190(21):E664-E665. 10. Choo EK, van Dis J, Kass D. \u003Ca href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMp1809351\"\u003ETime's Up for Medicine? Only Time Will Tell\u003C\/a\u003E. N Engl J Med. 2018;379(17):1592-1593.\u003Cbr\u003E11. The Lancet. \u003Ca href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(18)31428-4\/fulltext\"\u003ETime's up for sexual harassment in medicine\u003C\/a\u003E. Lancet. 2018;391(10140):2576. 12. Clancy KB, Nelson RG, Rutherford JN, Hinde K. \u003Ca href=\"https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0102172\"\u003ESurvey of academic field experiences (SAFE): trainees report harassment and assault\u003C\/a\u003E. PLoS One. 2014;9(7):e102172.\u003Cbr\u003E13. Williams JC, Phillips KW, Hall EV. \u003Ca href=\"https:\/\/worklifelaw.org\/publication\/double-jeopardy-gender-bias-against-women-of-color-in-science\/\"\u003EDouble Jeopardy?  Gender Bias Against Women of Color in Science\u003C\/a\u003E. worklifelaw.org 2015.\u003Cbr\u003E14. Raymond JL, Goodman MB. \u003Ca href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(19)30280-6\/fulltext\"\u003EFunders should evaluate projects, not people\u003C\/a\u003E. Lancet. 2019;393(10171):494-495.\u003Cbr\u003E15. Chisholm-Burns MA, Spivey CA, Hagemann T, Josephson MA. \u003Ca href=\"https:\/\/academic.oup.com\/ajhp\/article\/74\/5\/312\/5102757\"\u003EWomen in leadership and the bewildering glass ceiling\u003C\/a\u003E. Am J Health Syst Pharm. 2017;74(5):312-324.\u003Cbr\u003E16. Johnson CY, Guarino B. \u003Ca href=\"https:\/\/www.washingtonpost.com\/science\/2018\/09\/18\/controversy-over-sexual-misconduct-case-roils-yale-university\/?utm_term=.16dfce5912e5\"\u003EAfter outcry, Yale removes prestigious honor from professor who sezually harassed a colleague\u003C\/a\u003E. Washington Post 2018.\u003Cbr\u003E17. Sege R, Nykiel-Bub L, Selk S. \u003Ca href=\"Sex Differences in Institutional Support for Junior Biomedical Researchers\"\u003ESex Differences in Institutional Support for Junior Biomedical Researchers\u003C\/a\u003E. JAMA. 2015;314(11):1175-1177.\u003Cbr\u003E18. Cecchi-Dimeglio P. \u003Ca href=\"https:\/\/hbr.org\/2017\/04\/how-gender-bias-corrupts-performance-reviews-and-what-to-do-about-it\"\u003EHow Gender Bias Corrupts Performance Reviews, and What to Do About It\u003C\/a\u003E. Harvard Business Review 2017.\u003Cbr\u003E19. Evans J, Slaugher J, Ellis A, Rivin J. \u003Ca href=\"https:\/\/hbr.org\/2019\/03\/making-jokes-during-a-presentation-helps-men-but-hurts-women\"\u003EMaking Jokes During a Presentation Helps Men but Hurts Women\u003C\/a\u003E. Harvard Business Review 2019.\u003Cbr\u003E20. Dzau VJ, Johnson PA. \u003Ca href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMp1809846\"\u003EEnding Sexual Harassment in Academic Medicine\u003C\/a\u003E. N Engl J Med. 2018;379(17):1589-1591.\u003Cbr\u003E21. O'Neil A, Sojo V, Fileborn B, Scovelle AJ, Milner A. The #MeToo movement: an opportunity in public health? Lancet. 2018;391(10140):2587-2589.\u003Cbr\u003E22. Powell K. \u003Ca href=\"https:\/\/www.nature.com\/articles\/d41586-018-06697-3\"\u003EHow female scientists can confront gender bias in the workplace\u003C\/a\u003E. Nature. 2018;561(7723):421-423.\u003Cbr\u003E23. Berg S. \u003Ca href=\"https:\/\/www.ama-assn.org\/practice-management\/physician-diversity\/4-qualities-women-leaders-medicine-need-succeed\"\u003E4 qualities women leaders need in medicine to succeed\u003C\/a\u003E. AMA Wire. 2018. https: wire.ama-assn.irg\/life-career\/4-qualities-women-leaders-medicine-need-succeed? Accessed 10\/26\/2018.\u003Cbr\u003E24. Jagsi R. \u003Ca href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMp1715962\"\u003ESexual Harassment in Medicine - #MeToo\u003C\/a\u003E. N Engl J Med. 2018;378(3):209-211.\u003Cbr\u003E25. Soklaridis S, Zahn C, Kuper A, Gillis D, Taylor VH, Whitehead C. \u003Ca href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMms1805743\"\u003EMen's Fear of Mentoring in the #MeToo Era - What's at Stake for Academic Medicine?\u003C\/a\u003E N Engl J Med. 2018;379(23):2270-2274.\u003Cbr\u003E26. Fnais N, Soobiah C, Chen MH, et al. \u003Ca href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24667512\"\u003EHarassment and discrimination in medical training: a systematic review and meta-analysis.\u003C\/a\u003E Acad Med. 2014;89(5):817-827.\u003Cbr\u003E27. Abbasi J. \u003Ca href=\"https:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/2720132\"\u003ESexual Harassment and Assault Associated With Poorer Midlife Health in Women\u003C\/a\u003E. JAMA. 2019;321(3):234-236.\u003Cbr\u003E28. Westring AF, Speck RM, Sammel MD, et al. \u003Ca href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3485424\/\"\u003EA culture conducive to women's academic success: development of a measure\u003C\/a\u003E. Acad Med. 2012;87(11):1622-1631.\u003Cbr\u003E\u003Cmeta name=\"twitter:card\" content=\"summary\" \/\u003E\u003Cmeta name=\"twitter:site\" content=\"@pallimed\" \/\u003E\u003Cmeta name=\"twitter:title\" content=\"We, Too\" \/\u003E\u003Cmeta name=\"twitter:description\" content=\"Sexual harassment and gender inequality are present throughout our society, even in fields like ethics and palliative care.\" \/\u003E\u003Cmeta name=\"twitter:image\" content=\"https:\/\/3.bp.blogspot.com\/-B24o8UJkZhU\/XMSbDAjJn_I\/AAAAAAACibs\/ABmDmvI8DS8bAlRHbELBPqEItfoRhewegCLcBGAs\/s1600\/wordcloud%2Bme%2Btoo%2Bpc.png\" \/\u003E\u003Cmeta name=\"twitter:url\" content=\"https:\/\/www.pallimed.org\/2019\/04\/we-too.html\" \/\u003E"},"link":[{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/6595886322395348941"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/6595886322395348941"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.pallimed.org\/2019\/04\/we-too.html","title":"We, Too"}],"author":[{"name":{"$t":"Christian Sinclair"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/14685043408496367587"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src":"https:\/\/img1.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/3.bp.blogspot.com\/-B24o8UJkZhU\/XMSbDAjJn_I\/AAAAAAACibs\/ABmDmvI8DS8bAlRHbELBPqEItfoRhewegCLcBGAs\/s72-c\/wordcloud%2Bme%2Btoo%2Bpc.png","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-13495125.post-2896769846917961849"},"published":{"$t":"2018-09-28T11:37:00.002-05:00"},"updated":{"$t":"2021-04-06T23:28:56.146-05:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"communication"},{"scheme":"http://www.blogger.com/atom/ns#","term":"journal article"},{"scheme":"http://www.blogger.com/atom/ns#","term":"learner"},{"scheme":"http://www.blogger.com/atom/ns#","term":"medical student"},{"scheme":"http://www.blogger.com/atom/ns#","term":"NICU"},{"scheme":"http://www.blogger.com/atom/ns#","term":"open access"},{"scheme":"http://www.blogger.com/atom/ns#","term":"pallimed writing group"},{"scheme":"http://www.blogger.com/atom/ns#","term":"pediatrics"},{"scheme":"http://www.blogger.com/atom/ns#","term":"sheehan"}],"title":{"type":"text","$t":"The Power of a Pause"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/4.bp.blogspot.com\/-0D8zAIS9vFI\/W65U3ji6FGI\/AAAAAAAAAMw\/j0kNpD4VIckyDslXT2q4CSEZziqd_jViwCLcBGAs\/s1600\/pallimed%2Bwriters%2Bgroup%2B%25281%2529.png\" imageanchor=\"1\" style=\"clear: right; float: right; margin-bottom: 1em; margin-left: 1em;\"\u003E\u003Cimg border=\"0\" src=\"https:\/\/4.bp.blogspot.com\/-0D8zAIS9vFI\/W65U3ji6FGI\/AAAAAAAAAMw\/j0kNpD4VIckyDslXT2q4CSEZziqd_jViwCLcBGAs\/s320\/pallimed%2Bwriters%2Bgroup%2B%25281%2529.png\" width=\"320\" height=\"320\" data-original-width=\"800\" data-original-height=\"800\" \/\u003E\u003C\/a\u003E\u003C\/div\u003Eby Kayla Sheehan (\u003Ca href=\"https:\/\/twitter.com\/kksheehan\"\u003E@kksheehan\u003C\/a\u003E) \u003Cbr\u003E\u003Cbr\u003EOctober TW, Dizon ZB, Arnold RM, Rosenberg AR. \u003Ca href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2687051\"\u003E\u003Ci\u003ECharacteristics of Physician Empathetic Statements During Pediatric Intensive Care Conferences With Family Members: A Qualitative Study\u003C\/i\u003E\u003C\/a\u003E. JAMA Network Open. 2018;1(3):e180351. doi:10.1001\/jamanetworkopen.2018.0351 \u003Cbr\u003E\u003Cbr\u003EAsk any patient what qualities they desire in a physician, and empathy will almost always make the list. A physician’s ability to demonstrate empathy has been \u003Ca href=\"http:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/0163278704267037\"\u003Eshown to significantly impact patient outcomes\u003C\/a\u003E\u003Csup\u003E1\u003C\/sup\u003E, \u003Ca href=\"http:\/\/www.jabfm.org\/content\/24\/6\/665.short\"\u003Eincrease patient satisfaction\u003C\/a\u003E\u003Csup\u003E2\u003C\/sup\u003E, and \u003Ca href=\"https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0061526\"\u003Eraise physician “compassion satisfaction,” which may hinder burnout\u003C\/a\u003E (3). Though much debate surrounds empathy’s teachability, learning how and when to make empathetic statements is a crucial aspect of physician training. Many of us struggle with finding the right thing to say, but \u003Ca href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2687051\"\u003Ea recent open access study published in JAMA Network Open\u003C\/a\u003E shows there may be more power in pauses made after empathetic statements than in the words themselves.  \u003Cbr\u003E\u003Cbr\u003EThe study recorded 68 pediatric intensive care unit conferences over four years. Transcripts of every meeting were made, and empathetic statements were noted using the infamous NURSE criteria (naming, understanding, respecting, supporting, exploring). “Missed opportunities” to express empathy were noted as well. Empathetic statements were placed into two categories, “buried” and “unburied.” A buried statement was one in which the physician expressed empathy, but did not allow time for the family to respond. This most commonly occurred with the physician immediately segueing into clinical jargon, but was also counted as buried if another member of the team interrupted, or if the physician finished the statement with a closed-ended question.  \u003Cbr\u003E\u003Cbr\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/2.bp.blogspot.com\/-eSX9Ht74HTc\/W65X6swtNiI\/AAAAAAAAANc\/iojXlsw0UTYTmNGplXBU720AgdN_0GG2QCLcBGAs\/s1600\/image%2B1.png\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"https:\/\/2.bp.blogspot.com\/-eSX9Ht74HTc\/W65X6swtNiI\/AAAAAAAAANc\/iojXlsw0UTYTmNGplXBU720AgdN_0GG2QCLcBGAs\/s640\/image%2B1.png\" width=\"600\" height=\"172\" data-original-width=\"1600\" data-original-height=\"458\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr\u003E\u003Cbr\u003ETranscript analysis showed that physicians are fairly good at identifying when to express empathy, taking advantage of 74% of the opportunities analyzers identified. However, almost 40% of these statements were buried, and “medical talk” accounted for the vast majority of buried statements (95%). Interestingly, non-physician team members (typically a social worker or nurse) spoke only 5% of the time, but when they offered empathy, they did so unburied 87% of the time, further demonstrating the importance of a multi-disciplinary team in fully supporting patients and their families.  \u003Cbr\u003E\u003Cbr\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/4.bp.blogspot.com\/-RTBfr4euMck\/W65Yfh_ZYKI\/AAAAAAAAANo\/5szVGMwWJn4uNsBa8F0XMG_kRY4hHNgJgCLcBGAs\/s1600\/image%2B2.png\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"https:\/\/4.bp.blogspot.com\/-RTBfr4euMck\/W65Yfh_ZYKI\/AAAAAAAAANo\/5szVGMwWJn4uNsBa8F0XMG_kRY4hHNgJgCLcBGAs\/s640\/image%2B2.png\" width=\"600\" height=\"248\" data-original-width=\"1600\" data-original-height=\"662\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr\u003E\u003Cbr\u003EPhysicians have a wealth of medical knowledge to share, but timing is paramount, and tacking jargon onto the end of a well-intentioned empathetic statement may prevent patients and families from even recognizing the empathetic effort at all. In October’s study, when physicians made unburied empathetic statements, families were 18 times more likely to respond with additional information, to express their fears, and to discuss their goals. Clear communication is an obvious cornerstone of the physician-family relationship, and while buried empathetic statements may be better than no expressions of empathy at all, they may leave families with a feeling of being unheard and ignored.  \u003Cbr\u003E\u003Cbr\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/3.bp.blogspot.com\/-UIawdYmRRKM\/W65WnIyqE0I\/AAAAAAAAAM8\/54ZNX96xHXwkJmh4woHMxzlH2T1OdUAwACLcBGAs\/s1600\/pallimed%2Bwriters%2Bgroup%2B%25282%2529.png\" imageanchor=\"1\" style=\"clear: right; float: right; margin-bottom: 1em; margin-left: 1em;\"\u003E\u003Cimg border=\"0\" src=\"https:\/\/3.bp.blogspot.com\/-UIawdYmRRKM\/W65WnIyqE0I\/AAAAAAAAAM8\/54ZNX96xHXwkJmh4woHMxzlH2T1OdUAwACLcBGAs\/s320\/pallimed%2Bwriters%2Bgroup%2B%25282%2529.png\" width=\"320\" height=\"320\" data-original-width=\"800\" data-original-height=\"800\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr\u003E\u003Cbr\u003EThough a busy clinician may not feel they have the time to open the Pandora’s box of family concerns and fears, investing time in “a pause” may pay dividends for all parties involved. For physicians, better communication skills have been shown \u003Ca href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-016-3597-2\"\u003Eto decrease instances of burnout, lower rates malpractice suits, and raise patient satisfaction scores\u003C\/a\u003E\u003Csup\u003E4\u003C\/sup\u003E. Meanwhile, the family leaves these conversations feeling heard and understood, and the patient receives care tailored to them, with every fear, concern, and hope kept in mind.  \u003Cbr\u003E\u003Cbr\u003EIf, as cellist Yo-Yo Ma would assert, “music happens between the notes,” perhaps the heart of medicine lives in the pause.  \u003Cbr\u003E\u003Cbr\u003EMore \u003Ca href=\"https:\/\/www.pallimed.org\/search\/label\/sheehan\" target=\"_blank\"\u003EPallimed posts from Kayla Sheehan can be found here.\u003C\/a\u003E\u0026nbsp;More \u003Ca href=\"https:\/\/www.pallimed.org\/search\/label\/journal%20article\" target=\"_blank\"\u003Ejournal article reviews can be found here.\u003C\/a\u003E More \u003Ca href=\"https:\/\/www.pallimed.org\/search\/label\/communication\" target=\"_blank\"\u003Eposts on communication can be found here.\u003C\/a\u003E\u003Cbr \/\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Ci\u003EKayla Sheehan is a third-year medical student at California Northstate University. She enjoys singing, sharp cheddar, and long walks with her Australian Shepherd, Posey.\u003C\/i\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Cb\u003EReferences:\u003C\/b\u003E\u003Cbr\u003E\u003Cbr\u003E1) Kim SS, Kaplowitz S, Johnston MV. \u003Ca href=\"http:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/0163278704267037\"\u003EThe effects of physician empathy on patient satisfaction and compliance\u003C\/a\u003E. Eval Health Prof. 2004 Sep;27(3):237-51. PubMed PMID: 15312283. \u003Cbr\u003E\u003Cbr\u003E2) Pollak KI, Alexander SC, Tulsky JA, Lyna P, Coffman CJ, Dolor RJ, Gulbrandsen P, Ostbye T. \u003Ca href=\"http:\/\/www.jabfm.org\/content\/24\/6\/665.short\"\u003EPhysician empathy and listening: associations with patient satisfaction and autonomy\u003C\/a\u003E. J Am Board Fam Med. 2011 Nov-Dec;24(6):665-72. doi:10.3122\/jabfm.2011.06.110025. PubMed PMID: 22086809; \u003Cbr\u003E\u003Cbr\u003E3) Gleichgerrcht E, Decety J (2013) \u003Ca href=\"https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0061526\"\u003EEmpathy in Clinical Practice: How Individual Dispositions, Gender, and Experience Moderate Empathic Concern, Burnout, and Emotional Distress in Physicians\u003C\/a\u003E. PLoS ONE 8(4): e61526. https:\/\/doi.org\/10.1371\/journal.pone.0061526 \u003Cbr\u003E\u003Cbr\u003E4) Boissy, A., Windover, A.K., Bokar, D. et al. \u003Ca href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-016-3597-2\"\u003ECommunication Skills Training for Physicians Improves Patient Satisfaction\u003C\/a\u003E. J Gen Intern Med (2016) 31: 755. https:\/\/doi.org\/10.1007\/s11606-016-3597-2 \u003Cbr\u003E\u003Cbr\u003EAltmetric for this study: October TW, Dizon ZB, Arnold RM, Rosenberg AR. \u003Ca href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2687051\"\u003E\u003Ci\u003ECharacteristics of Physician Empathetic Statements During Pediatric Intensive Care Conferences With Family Members: A Qualitative Study\u003C\/i\u003E\u003C\/a\u003E. JAMA Network Open. 2018;1(3):e180351. doi:10.1001\/jamanetworkopen.2018.0351\u003Cscript type=\"text\/javascript\" src=\"https:\/\/d1bxh8uas1mnw7.cloudfront.net\/assets\/embed.js\"\u003E\u003C\/script\u003E\u003Cdiv class=\"altmetric-embed\" data-badge-type=\"donut\" data-altmetric-id=\"44608895\" \/\u003E\u003C\/div\u003E \u003Cmeta name=\"twitter:card\" content=\"summary\" \/\u003E\u003Cmeta name=\"twitter:site\" content=\"@pallimed\" \/\u003E\u003Cmeta name=\"twitter:title\" content=\"The Power of a Pause\" \/\u003E\u003Cmeta name=\"twitter:description\" content=\"Medical student Kayla Sheehan reviews recent research showing that pauses allow patients and families to express their concerns.\" \/\u003E\u003Cmeta name=\"twitter:image\" content=\"https:\/\/4.bp.blogspot.com\/-0D8zAIS9vFI\/W65U3ji6FGI\/AAAAAAAAAMw\/j0kNpD4VIckyDslXT2q4CSEZziqd_jViwCLcBGAs\/s320\/pallimed%2Bwriters%2Bgroup%2B%25281%2529.png\" \/\u003E\u003Cmeta name=\"twitter:url\" content=\"https:\/\/www.pallimed.org\/2018\/09\/the-power-of-pause.html\" \/\u003E"},"link":[{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/2896769846917961849"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/13495125\/posts\/default\/2896769846917961849"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.pallimed.org\/2018\/09\/the-power-of-pause.html","title":"The Power of a Pause"}],"author":[{"name":{"$t":"Pallimed Editor"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/11358791266969988517"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src":"https:\/\/img1.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/4.bp.blogspot.com\/-0D8zAIS9vFI\/W65U3ji6FGI\/AAAAAAAAAMw\/j0kNpD4VIckyDslXT2q4CSEZziqd_jViwCLcBGAs\/s72-c\/pallimed%2Bwriters%2Bgroup%2B%25281%2529.png","height":"72","width":"72"}}]}});