Access to safe abortions in the post-Roe era
Announce
Dr. Monica Saxena JD, MD joins us to discuss the recent overturning of Roe v. Wade. How will this affect access to abortions, particularly for marginalized communities? What relevance does this ruling have to the role of the EM physician in caring for emergencies in pregnancy? What role with the emergency department play in states that allow and don't allow abortions? What actions may we take for our patients, in the ED and outside the ED? Objectives 1. Explore the changing landscape of safe abortion access in the US 2. Learn how your practice in the emergency department may...
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Nutrition and Food Insecurity
Announce
Dr. Seth Berkowitz and Economist Hunt Alcott join us to discuss nutrition, food insecurity, and their relevance to emergency medicine. What questions can we ask to identify food insecurity quickly? What resources can we offer patients? How might it affect our clinical decision making?
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Alcohol
Announce
Drs. Otis Warren and Shannon Smith-Bernardin join us to discuss how alcohol relates to social issues. What more can we do for patients that are brought in drunk? What solutions exist at both the individual ED and healthcare system level?
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Health Disparities in the Time of COVID
Announce
Across the US, LatinX and Black people are dying from COVID-19 at twice the rate of their white counterparts. In this special episode of Announce, hosts Drs. Ayesha Khan & Quincy Moore explore some of the issues underlying these disparities and what EM providers need to be aware of to combat them.
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Race
Announce
Drs. Sheryl Heron and Camara Phyllis Jones join us to discuss race and how it affects our practice in the ED.
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Happy New Year!
Announce
Our team took a breather for the holidays. Tune in February 1st for another episode!
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Homelessness
Announce
In the U.S., a homeless person’s lifespan is 25 years less than average. In this episode, hosts Dr. Ayesha Khan & Dr. Quincy Moore explore how the EM providers can be pivotal in improving health outcomes for those that lack basic shelter with Dr. Kelly Doran and Stephen Brown.
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Structural determinants of health and unmet social needs
Announce
Drs. Lewis Goldfrank and Phil Levy join us to discuss structural determinants of health, unmet social needs, and what we can do to address them in the emergency department.
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Opioids
Announce
Drs. Gail D’Onofrio and Lewis Nelson join us to discuss the most up to date and practical topics related to opioids in the emergency department.
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Firearm Violence
Announce
Drs. Megan Ranney and Emmy Betz discuss the role of the emergency physician in treating firearm violence, with focus on both interpersonal violence and suicide.
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- To introduce the concept of social determinants of health
- To outline the ways in which social determinants of health affect the practice of emergency medicine
- To highlight key reasons why emergency providers should care about social determinants of health
- Introduce ways in which emergency providers can effectively identify social issues that might be affecting their patients’ health
Take-home points:
- Try to avoid compartmentalizing your patients’ health. Social issues affect their health and you should take the time to identify and address them in the emergency department.
- Recognize when it is important to practice “slow medicine” and take the time to talk with your patients about how you can best help them.
- To change the culture of your department, first try to find, or create, impactful data. Then seek out funding to support your work. Data and funding will help garner support.
- Think about how you can make an impact on the population level. Be bold. Step outside your comfort zone and always do the right thing for the patient.
Additional resources:
A centralized website for all things Social EM, highlighting important literature, a library of social EM initiatives, and creating a network for the social EM community.
ACEP Social Emergency Medicine Section. https://www.acep.org/how-we-serve/sections/social-emergency-medicine/
SAEM Social Emergency Medicine and Population Health Section. https://www.saem.org/resources/social-emergency-medicine-and-population-health/research
"Inventing Social Emergency Medicine," supplement to Annals of Emergency Medicine
www.annemergmed.com/issue/S0196-0644(19)X0013-X
Anderson ES, Lippert S, Newberry J, Bernstein E, Alter HJ, Wang NE. Addressing social determinants of health from the emergency department through social emergency medicine. Western Journal of Emergency Medicine. 2016 Jul;17(4):487.
Alter HJ. Social determinants of health: from bench to bedside. JAMA internal medicine. 2014 Apr 1;174(4):543-5.
IDHEAL Social Emergency Medicine Teaching Modules. http://www.idheal-ucla.org/page-12/
Episode transcript
Contributors:
- Ayesha Khan
- Quincy Moore