1 00:00:11,440 --> 00:00:13,640 Welcome to the Clinical Center Grand Rounds, 2 00:00:13,640 --> 00:00:17,440 a weekly series of educational lectures for physicians and 3 00:00:17,440 --> 00:00:20,080 health care professionals broadcast from the Clinical 4 00:00:20,080 --> 00:00:23,040 Center at the National Institutes of Health in 5 00:00:23,040 --> 00:00:24,840 Bethesda, MD. 6 00:00:24,840 --> 00:00:28,400 The NIH Clinical Center is the world's largest hospital totally 7 00:00:28,400 --> 00:00:32,080 dedicated to investigational research and leads the global 8 00:00:32,080 --> 00:00:35,040 effort in training today's investigators and discovering 9 00:00:35,040 --> 00:00:37,200 tomorrow's cures. 10 00:00:37,200 --> 00:00:46,000 Learn more by visiting us online at http://clinicalcenter.nih.gov 11 00:00:46,000 --> 00:00:47,760 OUR SPEAKER TODAY IS DR. SCOTT 12 00:00:47,760 --> 00:00:48,720 WRIGHT. 13 00:00:48,720 --> 00:00:49,920 DR. WRIGHT IS A GENERAL 14 00:00:49,920 --> 00:00:51,560 INTERNIST WITH OVER 20 YEARS OF 15 00:00:51,560 --> 00:00:52,080 EXPERIENCE. 16 00:00:52,080 --> 00:00:55,400 HE IS THE ANNE GAINES AND G. 17 00:00:55,400 --> 00:00:56,520 THOMAS MILLER PROFESSOR IN THE 18 00:00:56,520 --> 00:00:58,720 DEPARTMENT OF MEDICINE AT JOHNS 19 00:00:58,720 --> 00:00:59,520 HOPKINS UNIVERSITY SCHOOL OF 20 00:00:59,520 --> 00:01:00,200 MEDICINE. 21 00:01:00,200 --> 00:01:02,560 DR. WRIGHT SERVES AS DIRECTOR OF 22 00:01:02,560 --> 00:01:05,000 DIVISION OF GENERAL INTERNAL 23 00:01:05,000 --> 00:01:05,840 MEDICINE AT JOHNS HOPKINS BAY 24 00:01:05,840 --> 00:01:07,640 VIEW MEDICAL CENTER, EARNING HIS 25 00:01:07,640 --> 00:01:09,280 M.D. IN MONTREAL, CANADA AND 26 00:01:09,280 --> 00:01:11,280 COMPLETED HIS INTERNAL MEDICINE 27 00:01:11,280 --> 00:01:12,600 RESIDENCY TRAINING AT THE 28 00:01:12,600 --> 00:01:13,760 MONTREAL GENERAL HOSPITAL. 29 00:01:13,760 --> 00:01:15,840 HE PURSUED HIS INTERNAL MEDICINE 30 00:01:15,840 --> 00:01:17,640 FELLOWSHIP FOCUSED ON MEDICAL 31 00:01:17,640 --> 00:01:18,560 EDUCATION RESEARCH AT JOHNS 32 00:01:18,560 --> 00:01:20,240 HOPKINS AND JOINED THE FACULTY 33 00:01:20,240 --> 00:01:20,880 IN 1997. 34 00:01:20,880 --> 00:01:22,120 DR. WRIGHT IS CURRENTLY THE 35 00:01:22,120 --> 00:01:24,080 DEPUTY DIRECTOR FOR MEDICAL 36 00:01:24,080 --> 00:01:25,160 EDUCATION RESEARCH AND SERVES AS 37 00:01:25,160 --> 00:01:26,480 THE DIRECTOR OF THE MEDICAL 38 00:01:26,480 --> 00:01:27,760 EDUCATION TRACK OF THE 39 00:01:27,760 --> 00:01:28,320 FELLOWSHIP. 40 00:01:28,320 --> 00:01:29,960 HE HAS BEEN PROVIDING 41 00:01:29,960 --> 00:01:31,040 LONGITUDINAL PRIMARY CARE TO 42 00:01:31,040 --> 00:01:33,240 PATIENTS IN BALTIMORE SINCE 43 00:01:33,240 --> 00:01:34,760 1995, AND SERVES AS A TEACHING 44 00:01:34,760 --> 00:01:35,880 ATTENDING ON THE INPATIENT 45 00:01:35,880 --> 00:01:37,840 MEDICAL SERVICES. 46 00:01:37,840 --> 00:01:39,480 NOTABLY, DR. WRIGHT IS ALSO THE 47 00:01:39,480 --> 00:01:42,000 DIRECTOR OF THE HOPKINS MILLER 48 00:01:42,000 --> 00:01:43,080 ACADEMY OF CLINICAL EXCELLENCE 49 00:01:43,080 --> 00:01:44,400 WHICH IS COMMITTED TO 50 00:01:44,400 --> 00:01:45,560 RECOGNIZING AND PROMOTING 51 00:01:45,560 --> 00:01:47,800 EXCELLENCE IN PATIENT CARE. 52 00:01:47,800 --> 00:01:49,760 THE ACADEMY'S IMPACT WITHIN 53 00:01:49,760 --> 00:01:51,080 HOPKINS HAS BEEN SIGNIFICANT AND 54 00:01:51,080 --> 00:01:52,480 PERHAPS BEST EXEMPLIFIED BY THE 55 00:01:52,480 --> 00:01:54,040 CREATION OF A SECOND PROMOTION 56 00:01:54,040 --> 00:01:55,560 PATHWAY, THE CLINICAL EXCELLENCE 57 00:01:55,560 --> 00:01:57,720 TRACK, BASED ON THE ACADEMY'S 58 00:01:57,720 --> 00:01:59,280 METRICS. 59 00:01:59,280 --> 00:02:00,680 THE ACADEMY'S REACH ALSO 60 00:02:00,680 --> 00:02:04,080 STRETCHES FAR DUE TO ITS 61 00:02:04,080 --> 00:02:04,720 INITIATIVE, ONLINE COMMUNITY 62 00:02:04,720 --> 00:02:06,720 THAT STIMULATES HEALTHCARE 63 00:02:06,720 --> 00:02:07,720 PROFESSIONALS AND TRAINEES TO 64 00:02:07,720 --> 00:02:08,920 REFLECT ON GIVING EXCEPTIONAL 65 00:02:08,920 --> 00:02:10,320 CARE TO EVERY PATIENT, MOVING 66 00:02:10,320 --> 00:02:14,280 THEM CLOSER TO OSLER, SOMETHING 67 00:02:14,280 --> 00:02:16,160 SIR WILLIAM OSLER WOULD HAVE 68 00:02:16,160 --> 00:02:17,120 VALUED. 69 00:02:17,120 --> 00:02:17,720 DR. WRIGHT'S CONTRIBUTIONS TO 70 00:02:17,720 --> 00:02:19,200 THE FIELD OF MEDICAL EDUCATION 71 00:02:19,200 --> 00:02:20,480 THROUGH HIS OWN RESEARCH AND THE 72 00:02:20,480 --> 00:02:21,680 MENTORING OF OTHERS HAVE BEEN 73 00:02:21,680 --> 00:02:23,240 PUBLISHED IN LEADING JOURNALS. 74 00:02:23,240 --> 00:02:25,640 IN RECOGNITION OF HIS RESEARCH 75 00:02:25,640 --> 00:02:27,080 ACCOMPLISHMENTS, DR. WRIGHT WAS 76 00:02:27,080 --> 00:02:28,080 ELECTED TO MEMBERSHIP IN THE 77 00:02:28,080 --> 00:02:28,960 AMERICAN SOCIETY FOR CLINICAL 78 00:02:28,960 --> 00:02:29,280 INVESTIGATION. 79 00:02:29,280 --> 00:02:31,200 HE WAS ALSO ELECTED TO 80 00:02:31,200 --> 00:02:33,400 MEMBERSHIP IN ALPHA OMEGA ALPHA 81 00:02:33,400 --> 00:02:34,400 HONOR MEDICAL SOCIETY IN 2009 82 00:02:34,400 --> 00:02:36,800 FOR HIS TEACHING EFFORTS. 83 00:02:36,800 --> 00:02:38,760 MOREOVER, DR. WRIGHT SEES THE 84 00:02:38,760 --> 00:02:39,720 ADVANCING THE PROFESSIONAL 85 00:02:39,720 --> 00:02:42,280 DEVELOPMENT OF HIS PEERS 86 00:02:42,280 --> 00:02:43,560 AMPLIFIES THEIR ABILITY TO 87 00:02:43,560 --> 00:02:44,080 PROVIDE COMPASSIONATE AND 88 00:02:44,080 --> 00:02:45,120 EXCELLENT PATIENT CARE. 89 00:02:45,120 --> 00:02:46,960 WE SEEK TO EMULATE THIS SPIRIT 90 00:02:46,960 --> 00:02:49,040 HERE AT THE NIH CLINICAL CENTER. 91 00:02:49,040 --> 00:02:50,160 DR. WRIGHT HAS BEEN INVITED TO 92 00:02:50,160 --> 00:02:52,000 VISIT THE CLINICAL CENTER LATER 93 00:02:52,000 --> 00:02:53,320 THIS YEAR SO STAY TUNED FOR 94 00:02:53,320 --> 00:02:54,160 FURTHER OPPORTUNITIES FOR 95 00:02:54,160 --> 00:02:54,520 ENGAGEMENT. 96 00:02:54,520 --> 00:02:56,880 THE TITLE OF HIS PRESENTATION IS 97 00:02:56,880 --> 00:02:58,040 PROFESSIONAL DEVELOPMENT FOR 98 00:02:58,040 --> 00:02:59,240 CLINICIANS AND RECOGNIZING 99 00:02:59,240 --> 00:02:59,960 CLINICAL EXCELLENCE. 100 00:02:59,960 --> 00:03:01,640 PLEASE JOIN ME IN WELCOMING 101 00:03:01,640 --> 00:03:02,720 TODAY'S GRAND ROUNDS SPEAKER, 102 00:03:02,720 --> 00:03:04,440 DR. WRIGHT. 103 00:03:04,440 --> 00:03:06,320 >>THANK YOU FOR KIND 104 00:03:06,320 --> 00:03:07,920 INTRODUCTION, DR. RUHL, AND FOR 105 00:03:07,920 --> 00:03:09,560 INVITING ME TO BE HERE WITH YOU 106 00:03:09,560 --> 00:03:11,880 TODAY. 107 00:03:11,880 --> 00:03:16,600 I HAVE NO DISCLOSURES TO 108 00:03:16,600 --> 00:03:17,600 MENTION. 109 00:03:17,600 --> 00:03:19,320 AND WHAT I HOPE TO SHARE IN THE 110 00:03:19,320 --> 00:03:20,960 NEXT 55 MINUTE OR SO IS THAT I 111 00:03:20,960 --> 00:03:27,520 THINK THAT THE FULFILLMENT FOR 112 00:03:27,520 --> 00:03:30,080 CLINICIANS IN ACADEMIC MEDICINE 113 00:03:30,080 --> 00:03:31,560 IS COMMITMENT TO EXCELLENCE AND 114 00:03:31,560 --> 00:03:32,880 CONTINUOUS GROWTH. 115 00:03:32,880 --> 00:03:34,480 FOR THE OBJECTIVES, I WILL TELL 116 00:03:34,480 --> 00:03:35,760 YOU MORE DETAILS ABOUT HOW WE 117 00:03:35,760 --> 00:03:37,800 RECOGNIZE AND PROMOTE CLINICAL 118 00:03:37,800 --> 00:03:39,680 EXCELLENCE AT MY INSTITUTION, 119 00:03:39,680 --> 00:03:40,880 AND I'M GOING TO MAKE THE CASE 120 00:03:40,880 --> 00:03:42,320 THAT NON-CONVENTIONAL MATERIALS 121 00:03:42,320 --> 00:03:46,680 MAY BE PARTICULARLY HELPFUL IN 122 00:03:46,680 --> 00:03:47,960 SUPPORTING CLINICIANS' 123 00:03:47,960 --> 00:03:48,520 PROFESSIONAL GROWTH AND 124 00:03:48,520 --> 00:03:51,200 DEVELOPMENT. 125 00:03:51,200 --> 00:03:54,400 SO ONE QUICK STUDY TO START. 126 00:03:54,400 --> 00:03:55,520 OUTSTANDING CLINICIANS ARE 127 00:03:55,520 --> 00:03:57,160 CRITICAL AT ACADEMIC MEDICAL 128 00:03:57,160 --> 00:03:58,480 CENTERS, I THINK WE ALL WOULD 129 00:03:58,480 --> 00:04:04,920 AGREE WITH THAT, AND YUSUF SAID 130 00:04:04,920 --> 00:04:09,720 IN LANCET IN 2006, WE SPEND MOST 131 00:04:09,720 --> 00:04:11,800 OF THE TIME AND ARE SKILLED AT 132 00:04:11,800 --> 00:04:13,480 LOOKING AFTER PATIENTS, WE WILL 133 00:04:13,480 --> 00:04:18,480 LOSE THEM TO THE PRIVATE SECTOR, 134 00:04:18,480 --> 00:04:18,960 FEWER CLINICAL EXCELLENT 135 00:04:18,960 --> 00:04:20,040 PHYSICIANS WILL BE AVAILABLE NOR 136 00:04:20,040 --> 00:04:21,760 OUR PATIENTS AND FEWER ROLE 137 00:04:21,760 --> 00:04:22,800 MODELS TO TEACH THE NEXT 138 00:04:22,800 --> 00:04:27,000 GENERATION OF PHYSICIANS. 139 00:04:27,000 --> 00:04:28,880 SO WE DID A STUDY TO SEE WHO ARE 140 00:04:28,880 --> 00:04:31,840 THE CLINICALLY EXCELLENT DOCTORS 141 00:04:31,840 --> 00:04:34,680 AND LAUNCHING A PROGRAM, TO 142 00:04:34,680 --> 00:04:36,520 IDENTIFY BEING IDENTIFIED AS 143 00:04:36,520 --> 00:04:38,080 CLINICALLY EXCELLENT BY PIERCE 144 00:04:38,080 --> 00:04:40,480 AND AS A ROLE MODEL BY 145 00:04:40,480 --> 00:04:41,240 RESIDENTS. 146 00:04:41,240 --> 00:04:44,080 TWO PARALLEL WEB-BASED SURVEYS. 147 00:04:44,080 --> 00:04:45,840 IDENTIFY THREE TO FIVE DOM 148 00:04:45,840 --> 00:04:46,640 FACULTY THAT THEY CONSIDERED TO 149 00:04:46,640 --> 00:04:48,320 BE ROLE MODELS THAT THEY WANT TO 150 00:04:48,320 --> 00:04:52,840 EMPLAEMULATE AND FACULTY WERE AD 151 00:04:52,840 --> 00:04:55,440 TO PICK THREE TO FIVE 152 00:04:55,440 --> 00:04:55,760 COLLEAGUES. 153 00:04:55,760 --> 00:04:58,280 THERE WAS A MODERATELY HIGH 154 00:04:58,280 --> 00:04:59,840 CORRELATION OF BEING NAMED 155 00:04:59,840 --> 00:05:00,920 CLINICALLY EXCELLENT BY PIERCE 156 00:05:00,920 --> 00:05:02,800 AND WERE MUCH MORE LIKELY TO BE 157 00:05:02,800 --> 00:05:06,200 NAMED AS A ROLE MODEL BY THREE 158 00:05:06,200 --> 00:05:06,840 OR FOUR HOST STAFF. 159 00:05:06,840 --> 00:05:11,880 SO SHOWING THIS SCHEMATICALLY, 160 00:05:11,880 --> 00:05:13,480 ONE CAN SEE THAT THOSE WHO ARE 161 00:05:13,480 --> 00:05:14,080 CLINICALLY EXCELLENT ARE ALSO 162 00:05:14,080 --> 00:05:15,560 THE ROLE MODELS AND SUPER 163 00:05:15,560 --> 00:05:19,840 IMPORTANT FOR ALL ACADEMIC 164 00:05:19,840 --> 00:05:20,160 INSTITUTIONS. 165 00:05:20,160 --> 00:05:23,680 BECAUSE THE CLINICAL GRAND 166 00:05:23,680 --> 00:05:24,880 ROUNDS -- I'LL TALK ABOUT TWO 167 00:05:24,880 --> 00:05:28,920 PATIENT STORIES BRIEFLY THAT 168 00:05:28,920 --> 00:05:30,680 HELPED ME LEARN A LOT IN 169 00:05:30,680 --> 00:05:31,080 PROMOTING GROWTH. 170 00:05:31,080 --> 00:05:33,520 SO THE FIRST WAS WHEN I WAS A 171 00:05:33,520 --> 00:05:34,800 SENIOR RESIDENT NEAR THE END OF 172 00:05:34,800 --> 00:05:37,640 MY RESIDENCY. 173 00:05:37,640 --> 00:05:40,280 I REMEMBER GETTING THE CALL FROM 174 00:05:40,280 --> 00:05:41,600 THE PHYSICIAN IN CHIEFLY OF THE 175 00:05:41,600 --> 00:05:42,480 DEPARTMENT SAYING THEY WERE 176 00:05:42,480 --> 00:05:43,800 DIRECTLY ADMITTING AN 177 00:05:43,800 --> 00:05:46,080 88-YEAR-OLD MAN WAS WHO AN 178 00:05:46,080 --> 00:05:48,080 EMERITUS PROFESSOR AND LONG TIME 179 00:05:48,080 --> 00:05:48,920 DIRECTOR OF CARDIOLOGY AT MA 180 00:05:48,920 --> 00:05:51,680 TBIL. 181 00:05:51,680 --> 00:05:51,920 MCGILL. 182 00:05:51,920 --> 00:05:56,040 HE HAD A DEVOTED FAMILY AND 183 00:05:56,040 --> 00:05:59,120 CAREGIVERS AND PRESENTED WITH DI 184 00:05:59,120 --> 00:06:02,280 DIFFUSE BLISTERING BULLAE, HE 185 00:06:02,280 --> 00:06:06,880 WAS LWEIGHT LOSS, FAILURE TO TH, 186 00:06:06,880 --> 00:06:08,200 SUSPECTED OCCULT MALIGNANCY. 187 00:06:08,200 --> 00:06:09,760 THE MESSAGE FROM ABOVE, YOU'VE 188 00:06:09,760 --> 00:06:12,120 BEEN SELECTED TO CARE FOR THIS 189 00:06:12,120 --> 00:06:13,880 PATIENT, TAKE GREAT CARE OF HIM. 190 00:06:13,880 --> 00:06:14,840 MY ATTENDING THAT MONTH I 191 00:06:14,840 --> 00:06:17,280 REMEMBER WAS A BASIC SCIENTIST 192 00:06:17,280 --> 00:06:18,920 NEPHROLOGIST WHO SPENT TWO WEEKS 193 00:06:18,920 --> 00:06:20,680 A YEAR AT THE TIME ON CLINICAL 194 00:06:20,680 --> 00:06:22,000 MEDICINE AND WAS A BRINT BRIL 195 00:06:22,000 --> 00:06:23,320 YANT RESEARCHER BUT DIDN'T DO A 196 00:06:23,320 --> 00:06:24,160 LOT OF PATIENT CARE. 197 00:06:24,160 --> 00:06:27,760 AND I SHOW THIS PICTURE BECAUSE 198 00:06:27,760 --> 00:06:28,760 DERMATOLOGY WAS INVOLVED AND 199 00:06:28,760 --> 00:06:30,760 THEY WERE APPLYING LOTS OF 200 00:06:30,760 --> 00:06:32,040 DIFFERENT CREAMS TOPICALLY, AND 201 00:06:32,040 --> 00:06:34,120 THEY PUT -- THEY SUGGESTED HE BE 202 00:06:34,120 --> 00:06:36,960 ON A PLASTIC WRAP COVERED BED SO 203 00:06:36,960 --> 00:06:39,480 THAT HIS SKIN WOULDN'T STICK AND 204 00:06:39,480 --> 00:06:45,720 TRY AND HELP SOME OF THE BULLAE. 205 00:06:45,720 --> 00:06:48,320 SO HE HAD BIOPSIES AND TESTING, 206 00:06:48,320 --> 00:06:50,080 HE WENT DOWN TO CT AND AS THEY 207 00:06:50,080 --> 00:06:52,040 WERE TRANSFERRING HIM, HE 208 00:06:52,040 --> 00:06:55,240 SLIPPED OFF THE PLASTIC BED AND 209 00:06:55,240 --> 00:06:57,320 FELL, TRAUMA, HEAD TRAUMA, BODY 210 00:06:57,320 --> 00:06:58,320 TRAUMA, CARDIAC ARREST AND HE 211 00:06:58,320 --> 00:07:01,120 DIED. 212 00:07:01,120 --> 00:07:03,120 THIS IS ON DAY TWO OF HIS 213 00:07:03,120 --> 00:07:03,920 HOSPITALIZATION. 214 00:07:03,920 --> 00:07:06,040 AND SO I GOT CALLED DOWN AND 215 00:07:06,040 --> 00:07:08,240 THERE WERE FAMILY IN THE ROOM 216 00:07:08,240 --> 00:07:09,800 AND MANY CARDIOLOGISTS IN THE 217 00:07:09,800 --> 00:07:11,000 ROOM TALKING TO HIS WIFE AND 218 00:07:11,000 --> 00:07:12,960 CHILDREN. 219 00:07:12,960 --> 00:07:15,000 AND I HAD TO GO INTO THE ROOM 220 00:07:15,000 --> 00:07:17,640 AND TALK TO IN THE FAMILY 221 00:07:17,640 --> 00:07:18,040 MEETING. 222 00:07:18,040 --> 00:07:19,280 THOUGH IT WAS THE END OF MY 223 00:07:19,280 --> 00:07:20,400 RESIDENCY, I WAS GETTING READY 224 00:07:20,400 --> 00:07:22,680 TO STUDY FOR THE BOARDS, AT THE 225 00:07:22,680 --> 00:07:24,880 END OF RESIDENCY AFTER DOING A 226 00:07:24,880 --> 00:07:27,160 TON OF ICU CARE AND PATIENT CARE 227 00:07:27,160 --> 00:07:28,480 THINKING THAT I REALLY KNEW A 228 00:07:28,480 --> 00:07:30,560 LOT, I WAS REALLY OVERWHELMED BY 229 00:07:30,560 --> 00:07:32,520 THE CLINICAL SCENARIO WITH 230 00:07:32,520 --> 00:07:33,320 EVERYTHING THAT WAS GOING ON AND 231 00:07:33,320 --> 00:07:34,800 BY THE EMOTION OF HAVING TO TALK 232 00:07:34,800 --> 00:07:39,880 TO THIS FAMILY, AND LEARNED A 233 00:07:39,880 --> 00:07:40,800 LOT, REFLECTING ON THIS PATIENT 234 00:07:40,800 --> 00:07:42,360 THAT I CARED FOR, FOR A COUPLE 235 00:07:42,360 --> 00:07:44,680 OF DAYS. 236 00:07:44,680 --> 00:07:46,080 THE NEXT STORY THAT I'LL TELL 237 00:07:46,080 --> 00:07:49,840 YOU ABOUT MORE RECENT, I WAS 238 00:07:49,840 --> 00:07:52,600 ASKED FOR THE FIRST TIME IN 239 00:07:52,600 --> 00:07:56,040 FEBRUARY OF 2019 TO SEE MR. S, 240 00:07:56,040 --> 00:08:00,200 60-YEAR-OLD CAUCASIAN MAN FROM 241 00:08:00,200 --> 00:08:01,840 BALTIMORE, EXECUTIVE, HAPPILY 242 00:08:01,840 --> 00:08:03,720 MARRIED, TWO GROWN CHILDREN, 243 00:08:03,720 --> 00:08:05,320 GRANDFATHER, HEALTHFUL DIET, 244 00:08:05,320 --> 00:08:08,080 TRAVELED A LOT. 245 00:08:08,080 --> 00:08:13,240 UP TO DATE, BENIGN NEVI, MILD 246 00:08:13,240 --> 00:08:14,080 OSTEOARTHRITIS, NO REAL 247 00:08:14,080 --> 00:08:15,520 MEDICINE, NO REAL RELEVANT 248 00:08:15,520 --> 00:08:17,480 HISTORY EXCEPT FOR KIDNEY 249 00:08:17,480 --> 00:08:18,000 STONES. 250 00:08:18,000 --> 00:08:21,200 MY EXAM WAS FAIRLY UNREMARKABLE. 251 00:08:21,200 --> 00:08:22,600 HE WAS ONE OF THE HEALTHIEST 252 00:08:22,600 --> 00:08:23,400 PATIENTS THAT I'VE SEEN. 253 00:08:23,400 --> 00:08:26,040 MOST OF MY PATIENTS HAVE A LOT 254 00:08:26,040 --> 00:08:27,120 MORE CO-MORBID ILLNESS. 255 00:08:27,120 --> 00:08:28,720 SO I ORDERED LABS AND WAS 256 00:08:28,720 --> 00:08:30,160 SCHEDULED TO SEE HIM AGAIN IN 257 00:08:30,160 --> 00:08:31,920 8 TO 12 MONTHS AND ADVISED HIM 258 00:08:31,920 --> 00:08:33,480 HOW TO COMMUNICATE WITH ME IF 259 00:08:33,480 --> 00:08:36,840 THERE WERE ISSUES THAT NEEDED 260 00:08:36,840 --> 00:08:38,800 ADDRESSING. 261 00:08:38,800 --> 00:08:40,240 THEN SHORTLY BEFORE HIS 262 00:08:40,240 --> 00:08:41,960 FOLLOW-UP WITH ME HE SAW MY 263 00:08:41,960 --> 00:08:44,160 COLLEAGUE, AND HE HAD PASSED 264 00:08:44,160 --> 00:08:46,160 BLOODY URINE FOR SOME DAYS WITH 265 00:08:46,160 --> 00:08:49,520 CLOTS IN THE MORNING, SLIGHT 266 00:08:49,520 --> 00:08:51,040 DYSURIA TOO. 267 00:08:51,040 --> 00:08:52,360 INTERMITTENT VAGUE RIGHT-SIDED 268 00:08:52,360 --> 00:08:54,200 FLANK DISCOMFORT FOR THREE 269 00:08:54,200 --> 00:08:56,000 WEEKS, NO REAL PAIN, THOUGH. 270 00:08:56,000 --> 00:08:56,960 WHEN HE SAW MY COLLEAGUE, BLOOD 271 00:08:56,960 --> 00:08:59,600 PRESSURE WAS OKAY, EXAM WAS 272 00:08:59,600 --> 00:09:02,000 FAIRLY BENIGN, NO C VA 273 00:09:02,000 --> 00:09:03,080 TENDERNESS. 274 00:09:03,080 --> 00:09:04,880 THEY DID DIP URINE, THERE WAS 275 00:09:04,880 --> 00:09:06,160 SOME BLOOD AND THE ACEMENTS WAS 276 00:09:06,160 --> 00:09:07,880 MAYBE A STONE, MAYBE TRAUMA, 277 00:09:07,880 --> 00:09:09,200 MAYBE INFECTION. 278 00:09:09,200 --> 00:09:10,960 THEY FOUND MOST LIKELY A STONE. 279 00:09:10,960 --> 00:09:14,120 THEY DID A BMP TO RULE OUT AKI. 280 00:09:14,120 --> 00:09:15,680 THEY DEFERRED IMAGING BECAUSE HE 281 00:09:15,680 --> 00:09:17,960 HAD MILD SYMPTOMS THAT WEREN'T 282 00:09:17,960 --> 00:09:19,720 CHANGING AND SAID IF YOU FOLLOW 283 00:09:19,720 --> 00:09:22,000 UP REGULARLY WITH DR. WRIGHT IN 284 00:09:22,000 --> 00:09:24,320 A WEEK, HYDRATE AND WE'LL SEE 285 00:09:24,320 --> 00:09:25,000 HOW THINGS GO. 286 00:09:25,000 --> 00:09:27,600 WHEN I SAW HIM THE FOLLOWING 287 00:09:27,600 --> 00:09:30,320 WEEK, I GOT MORE HISTORY, 288 00:09:30,320 --> 00:09:31,960 INTERMITTENT GROSS HEMATURIA 289 00:09:31,960 --> 00:09:33,160 FLEE TO FOUR TIMES PER WEEK, NO 290 00:09:33,160 --> 00:09:33,720 FURTHER CLOTS. 291 00:09:33,720 --> 00:09:35,520 HE SAID IF HE RUNS FURTHER THE 292 00:09:35,520 --> 00:09:36,360 HEMATURIA WOULD BE MORE 293 00:09:36,360 --> 00:09:36,680 PRONOUNCED. 294 00:09:36,680 --> 00:09:38,760 HE HAD MILD INTERMITTENT RIGHT 295 00:09:38,760 --> 00:09:41,160 FLANK DISCOMFORT, AND SUBTLE 296 00:09:41,160 --> 00:09:44,440 LEFT LOWER QUADRANT SORENESS, 297 00:09:44,440 --> 00:09:46,080 BOTH INTERMITTENT, NO REAL 298 00:09:46,080 --> 00:09:48,560 AGGRAVATING OR ALO ALLEVIATING 299 00:09:48,560 --> 00:09:48,920 FACTORS. 300 00:09:48,920 --> 00:09:49,840 BLOOD PRESSURE WAS SLIGHTLY 301 00:09:49,840 --> 00:09:51,200 HIGHER ON THAT DAY, BLOOD 302 00:09:51,200 --> 00:09:52,200 PRESSURE WAS NORMAL, EXAM WAS 303 00:09:52,200 --> 00:09:56,840 NORMAL. 304 00:09:56,840 --> 00:09:58,200 SO WHEN I THOUGHT ABOUT HIM, IT 305 00:09:58,200 --> 00:09:59,960 DIDN'T FIT MY ILLNESS SCRIPT FOR 306 00:09:59,960 --> 00:10:01,480 KIDNEY STONES, AND I WAS 307 00:10:01,480 --> 00:10:03,040 THINKING WHY WAS HE BLEEDING 308 00:10:03,040 --> 00:10:07,480 MORE AFTER RUNNING? 309 00:10:07,480 --> 00:10:12,760 SO THINKING ABOUT THIS, YOU KN 310 00:10:12,760 --> 00:10:13,800 KNOW, -- SO THIS CONDITION THAT 311 00:10:13,800 --> 00:10:17,240 I THOUGHT OF, MORE COMMON IN 312 00:10:17,240 --> 00:10:20,200 MARATHONERS, 15% OF MARATHONERS, 313 00:10:20,200 --> 00:10:22,840 GROSS OR MIKE SCOPIC HEMATURIA, 314 00:10:22,840 --> 00:10:24,240 HIGHER PROPORTION AND MORE BLOOD 315 00:10:24,240 --> 00:10:26,120 WITH GREATER EXERTION AND 316 00:10:26,120 --> 00:10:26,760 RUNNING. 317 00:10:26,760 --> 00:10:28,400 THE POSTULATED MECHANISMS WERE 318 00:10:28,400 --> 00:10:28,960 SEVERAL. 319 00:10:28,960 --> 00:10:31,920 IT'S UNCLEAR IF THOUGHT TO BE 320 00:10:31,920 --> 00:10:33,200 DIRECT TRAUMA TO THE BLADDER 321 00:10:33,200 --> 00:10:34,760 MOST LIKELY, THOUGH RENAL 322 00:10:34,760 --> 00:10:36,640 ISCHEMIA WAS ALSO POSSIBLE. 323 00:10:36,640 --> 00:10:38,880 SO I LOOKED AT THE TESTS THAT 324 00:10:38,880 --> 00:10:40,640 WERE DONE A WEEK EARLIER, I 325 00:10:40,640 --> 00:10:42,200 REPEATED SOME OTHER BLOOD TESTS, 326 00:10:42,200 --> 00:10:44,600 CHECKED THAT HIS HEMOGLOBIN WAS 327 00:10:44,600 --> 00:10:46,240 FINE AND ORDERED AN ULTRASOUND 328 00:10:46,240 --> 00:10:50,160 AND SURE ENOUGH, HE HAD MODERATE 329 00:10:50,160 --> 00:10:52,320 RIGHT-SIDED HYDRONEPHROSIS AND A 330 00:10:52,320 --> 00:10:53,320 SOLID MASS IN THE COLLECTING 331 00:10:53,320 --> 00:10:53,880 SYSTEM. 332 00:10:53,880 --> 00:10:58,480 I GOT A CAT SCAN THAT SHOWED, 333 00:10:58,480 --> 00:11:00,760 AGAIN, OBSTRUCTION OF THE URETER 334 00:11:00,760 --> 00:11:03,720 WITH HYDRONEPHROSIS, THOUGHT TO 335 00:11:03,720 --> 00:11:04,800 BE A TUMOR. 336 00:11:04,800 --> 00:11:06,240 THIS IS A SCAN YOU CAN SEE ON 337 00:11:06,240 --> 00:11:10,200 THE RIGHT SIDE THAT THERE'S THIS 338 00:11:10,200 --> 00:11:12,160 MASS IN THE POLE OF THE KIDNEY. 339 00:11:12,160 --> 00:11:15,840 HERE YOU SEE IT LATERAL VIEW. 340 00:11:15,840 --> 00:11:17,960 AND THEN I GOT HIM TO SEE YOU'RE 341 00:11:17,960 --> 00:11:18,280 YOLG. 342 00:11:18,280 --> 00:11:21,040 UROLOGY. 343 00:11:21,040 --> 00:11:25,280 THEY DID A RETROGRADE PYELOGRAM, 344 00:11:25,280 --> 00:11:30,080 THIS IS WHAT THE TUMOR LOOKED 345 00:11:30,080 --> 00:11:31,160 LIKE. 346 00:11:31,160 --> 00:11:32,960 THEY DID BRUSHINGS AND IT TURNED 347 00:11:32,960 --> 00:11:36,000 OUT TO BE HIGH GRADE UROTHELIAL 348 00:11:36,000 --> 00:11:37,400 CARCINOMA. 349 00:11:37,400 --> 00:11:42,360 SO THEN WE COORDINATED SURGERY 350 00:11:42,360 --> 00:11:47,680 IN LATE SURGERY. 351 00:11:47,680 --> 00:11:49,440 THAT HE REALLY STUCK WITH ME AND 352 00:11:49,440 --> 00:11:50,760 IT TOOK 2 1/2 MONTHS UNTIL WE 353 00:11:50,760 --> 00:11:51,880 GOT HIM TO SURGERY. 354 00:11:51,880 --> 00:11:53,720 HE'S STILL ALIVE AND DOING 355 00:11:53,720 --> 00:11:56,920 FAIRLY WELL, BUT THIS CANCER WAS 356 00:11:56,920 --> 00:12:00,520 VERY SIGNIFICANT AND CONTINUES 357 00:12:00,520 --> 00:12:01,640 TO BE AN ISSUE. 358 00:12:01,640 --> 00:12:02,760 SO I'M GOING TO SPEAK ABOUT 359 00:12:02,760 --> 00:12:04,760 BOOKS IN THIS TALK. 360 00:12:04,760 --> 00:12:09,680 AND I'M A BIG -- BUT THIS BOOK 361 00:12:09,680 --> 00:12:10,880 HERE CALLED SOMETIMES YOU WIN, 362 00:12:10,880 --> 00:12:12,000 SOMETIMES YOU LEARN, REMINDS US 363 00:12:12,000 --> 00:12:13,520 THAT LIFE IS HARD, MISTAKES AND 364 00:12:13,520 --> 00:12:15,680 FAILURES ARE COMMON. 365 00:12:15,680 --> 00:12:16,680 AND ALSO THAT SUCCESSFUL 366 00:12:16,680 --> 00:12:17,640 INDIVIDUALS REFLECT THOUGHTFULLY 367 00:12:17,640 --> 00:12:18,840 ABOUT MISTAKES AND LEARN FROM 368 00:12:18,840 --> 00:12:20,400 THEM. 369 00:12:20,400 --> 00:12:22,200 AND CERTAINLY WITH TWO PATIENT 370 00:12:22,200 --> 00:12:25,880 STORIES THAT I TOLD YOU ABOUT, 371 00:12:25,880 --> 00:12:28,160 NOT INCLUDING MISTAKES BUT 372 00:12:28,160 --> 00:12:30,920 THINGS THAT DIDN'T GO GREAT AND 373 00:12:30,920 --> 00:12:32,120 THE TWO STORIES THAT I THINK A 374 00:12:32,120 --> 00:12:36,960 LOT ABOUT TO THIS DAY THAT HAD 375 00:12:36,960 --> 00:12:38,160 TO DO BETTER AS WELL. 376 00:12:38,160 --> 00:12:39,360 THIS IS A POEM THAT I THINK A 377 00:12:39,360 --> 00:12:42,800 LOT TOO THAT'S SIMILAR MESSAGES. 378 00:12:42,800 --> 00:12:44,600 IT READS, I WALKED A MILE WITH 379 00:12:44,600 --> 00:12:46,200 PLEASURE, SHE CHATTED ALL THE 380 00:12:46,200 --> 00:12:48,520 WAY BUT LEFT ME NONE THE WEISSER 381 00:12:48,520 --> 00:12:49,400 FOR ALL SHE HAD TO SAY. 382 00:12:49,400 --> 00:12:51,000 I WALKED A MILE WITH SORROW AND 383 00:12:51,000 --> 00:12:53,000 NEVER A WORD SAID SHE BUT O, THE 384 00:12:53,000 --> 00:12:54,320 THINGS I LEARNED FROM HER WHEN 385 00:12:54,320 --> 00:12:55,840 SORROW WALKED WITH ME. 386 00:12:55,840 --> 00:12:57,480 SO AGAIN, THE IDEA IS THAT WHEN 387 00:12:57,480 --> 00:12:59,120 THINGS DON'T GO WELL, WE CAN 388 00:12:59,120 --> 00:13:02,480 LEARN AND GROW A LOT. 389 00:13:02,480 --> 00:13:05,800 SO NOW WE TRANSITION TO A FAMILY 390 00:13:05,800 --> 00:13:08,320 THAT REALLY CHANGED HOPKINS IN A 391 00:13:08,320 --> 00:13:09,080 BIG WAY. 392 00:13:09,080 --> 00:13:12,760 SO MILLER, COULSON AND WORLEY 393 00:13:12,760 --> 00:13:13,760 FAMILIES. 394 00:13:13,760 --> 00:13:15,680 ON THE LIFT IS ANNE MILLER, AND 395 00:13:15,680 --> 00:13:17,520 WE TAKE CARE OF THIS FAMILY AND 396 00:13:17,520 --> 00:13:19,960 SHE HAD A BIG BIRTHDAY AND HER 397 00:13:19,960 --> 00:13:24,440 TWO DAUGHTERS WERE SUCCESSFUL 398 00:13:24,440 --> 00:13:26,360 AND WONDERFUL WITH THEIR MOTHER, 399 00:13:26,360 --> 00:13:27,920 SAID MOM FOR YOUR BIG BIRTHDAY, 400 00:13:27,920 --> 00:13:29,760 WHAT WOULD YOU LIKE US TO DO? 401 00:13:29,760 --> 00:13:31,480 THEY SAID -- YOU KNOW -- SHE 402 00:13:31,480 --> 00:13:34,320 SAID I HAD A MOST WONDERFUL 403 00:13:34,320 --> 00:13:35,560 INTERNIST THROUGHOUT MOST OF MY 404 00:13:35,560 --> 00:13:36,960 ADULT LIFE, AND I WANT TO MAKE 405 00:13:36,960 --> 00:13:39,160 SURE THAT HOPKINS IS RECOGNIZING 406 00:13:39,160 --> 00:13:41,880 AND VALUING AND RETAINING AND 407 00:13:41,880 --> 00:13:45,480 RECRUITING AMAZING CLINICIANS, 408 00:13:45,480 --> 00:13:47,360 AND SO I'D LIKE YOU TO DO 409 00:13:47,360 --> 00:13:49,440 SOMETHING TO TRY AND MAKE THAT 410 00:13:49,440 --> 00:13:52,600 HAPPEN. 411 00:13:52,600 --> 00:13:54,440 SO THEY MADE A GIFT WHICH WAS 412 00:13:54,440 --> 00:13:56,640 WITH THE IDEA TO ENSURE THAT 413 00:13:56,640 --> 00:13:57,960 THERE WOULD BE EXCELLENT 414 00:13:57,960 --> 00:14:01,280 CLINICIANS AT HOPKINS, AND SO 415 00:14:01,280 --> 00:14:02,960 AFTER THIS GIFT WAS MADE, FOUR 416 00:14:02,960 --> 00:14:04,520 OF US WERE ASKED TO THINK ABOUT 417 00:14:04,520 --> 00:14:08,040 WHAT WE COULD DO AND WE THOUGHT 418 00:14:08,040 --> 00:14:09,120 FOR TWO YEARS, WE DID A COUPLE 419 00:14:09,120 --> 00:14:10,680 OF STUDIES INCLUDING ONE THAT I 420 00:14:10,680 --> 00:14:12,720 SHOWED YOU LOOKING AT WHO ARE 421 00:14:12,720 --> 00:14:14,720 THE ROLE MODELS AND WHO ARE THE 422 00:14:14,720 --> 00:14:15,760 BEST CLINICIANS. 423 00:14:15,760 --> 00:14:17,000 WE DID A COUPLE OF STUDIES 424 00:14:17,000 --> 00:14:18,640 TRYING TO DEFINE CLINICAL 425 00:14:18,640 --> 00:14:21,280 EXCELLENCE IN ACADEMIA, AND 426 00:14:21,280 --> 00:14:23,440 ULTIMATELY, WE DECIDED THAT WE 427 00:14:23,440 --> 00:14:27,360 WOULD LAUNCH -- TO MAKE AN 428 00:14:27,360 --> 00:14:28,520 ACADEMY OF CLINICAL EXCELLENCE 429 00:14:28,520 --> 00:14:30,120 WITH THE MISSION OF RECOGNIZING 430 00:14:30,120 --> 00:14:31,240 AND PROMOTING EXCELLENCE IN 431 00:14:31,240 --> 00:14:32,840 PATIENT CARE FOR THE BENEFIT OF 432 00:14:32,840 --> 00:14:33,600 THE INDIVIDUALS AND COMMUNITIES 433 00:14:33,600 --> 00:14:34,640 THAT WE SERVE. 434 00:14:34,640 --> 00:14:36,760 AND WE KNEW THAT WE WANTED TO 435 00:14:36,760 --> 00:14:38,880 BRING TOGETHER THE BEST 436 00:14:38,880 --> 00:14:40,080 CLINICIANS AND PUT THEM IN A 437 00:14:40,080 --> 00:14:41,160 ROOM TOGETHER AND THINK ABOUT 438 00:14:41,160 --> 00:14:42,960 HOW TO CHANGE THE CULTURE AT 439 00:14:42,960 --> 00:14:43,720 HOPKINS. 440 00:14:43,720 --> 00:14:45,520 SO WE KNEW THAT SELECTING 441 00:14:45,520 --> 00:14:49,280 MEMBERS WAS GOING TO BE 442 00:14:49,280 --> 00:14:50,560 CRITICAL, AND SEEING THAT THE 443 00:14:50,560 --> 00:14:52,880 MEMBERS HAVE DONE ALL THE WORK. 444 00:14:52,880 --> 00:14:53,760 ACADEMY, I'M GOING TO BEGIN BY 445 00:14:53,760 --> 00:14:55,280 TELLING YOU ABOUT HOW WE SELECT 446 00:14:55,280 --> 00:14:56,480 MEMBERS. 447 00:14:56,480 --> 00:14:57,920 AND WE SELECT AND INDUCT NEW 448 00:14:57,920 --> 00:15:00,720 MEMBERS EVERY YEAR, ABOUT FIVE 449 00:15:00,720 --> 00:15:04,440 TO 10 A YEAR, AND HIGHLY 450 00:15:04,440 --> 00:15:07,320 SELECTIVE, SU SUPER HARD TO GETN 451 00:15:07,320 --> 00:15:08,520 AND WE CAN TALK MORE ABOUT THAT 452 00:15:08,520 --> 00:15:08,960 TOO. 453 00:15:08,960 --> 00:15:10,280 BUT THIS IS THE IDEA, WE THOUGHT 454 00:15:10,280 --> 00:15:12,560 ABOUT CREATING A CLINICAL 455 00:15:12,560 --> 00:15:14,000 PORTFOLIO MUCH LIKE AN ARTIST'S 456 00:15:14,000 --> 00:15:14,720 PORTFOLIO THAT SHOWS THE 457 00:15:14,720 --> 00:15:15,960 CONTRIBUTION OF CLINICIANS. 458 00:15:15,960 --> 00:15:19,240 AND THIS IS THE TABLE OF 459 00:15:19,240 --> 00:15:20,440 CONTENTS THAT INCLUDES CLINICAL 460 00:15:20,440 --> 00:15:23,080 MISSION AND VALUES, CLINICAL 461 00:15:23,080 --> 00:15:24,800 SETTING THEY WORK IN AND THE 462 00:15:24,800 --> 00:15:27,440 EFFORT THEY DRAW, SECTION V, 463 00:15:27,440 --> 00:15:28,760 REFEREES EVALUATIONS, WE GET 464 00:15:28,760 --> 00:15:33,680 INPUT FROM LEARNERS, PATIENTS, 465 00:15:33,680 --> 00:15:37,200 NURSES, AND TEXT AND PEERS ABOUT 466 00:15:37,200 --> 00:15:38,920 THEIR CLINICAL PERFORMANCE, 467 00:15:38,920 --> 00:15:40,800 CLINICAL LEADERSHIP, QUALITY 468 00:15:40,800 --> 00:15:41,400 IMPROVEMENT, PROGRAM BUILDING 469 00:15:41,400 --> 00:15:44,480 AND MORE. 470 00:15:44,480 --> 00:15:46,360 WHEN PEOPLE -- FACULTY HAVE TO 471 00:15:46,360 --> 00:15:48,000 BE NOMINATED FIVE OR MORE TIMES 472 00:15:48,000 --> 00:15:53,920 TO BE INVITED TO A PIE AND EACH 473 00:15:53,920 --> 00:15:55,200 FACULTY MEMBER CAN NOMINATE ONLY 474 00:15:55,200 --> 00:15:56,960 ONE PERSON SO YOU HAVE TO BE 475 00:15:56,960 --> 00:15:59,560 NOMINATED REPEATEDLY TO GET 476 00:15:59,560 --> 00:16:00,160 INVITED. 477 00:16:00,160 --> 00:16:02,400 THEN THE PEOPLE WHO ARE 478 00:16:02,400 --> 00:16:03,040 CANDIDATES BUILD THIS PORTFOLIO 479 00:16:03,040 --> 00:16:04,800 THAT TAKES A LOT OF WORK AND 480 00:16:04,800 --> 00:16:07,360 TIME, WE HEAR IT TAKES ABOUT 13 481 00:16:07,360 --> 00:16:08,800 HOURS TO BUILD THE CLINICAL 482 00:16:08,800 --> 00:16:09,040 PORTFOLIO. 483 00:16:09,040 --> 00:16:10,840 WE TAKE IT AND SEND IT OUT TO 484 00:16:10,840 --> 00:16:11,640 EXTERNAL EXPERTS AROUND THE 485 00:16:11,640 --> 00:16:12,840 COUNTRY AND THEY SCORE THE 486 00:16:12,840 --> 00:16:16,240 PORTFOLIO ON METRICS AND TABLES 487 00:16:16,240 --> 00:16:18,800 THAT WE'VE DEVELOPED AND 488 00:16:18,800 --> 00:16:20,600 VALIDATED. 489 00:16:20,600 --> 00:16:22,320 THEN ONCE THE REVIEWS COME BACK 490 00:16:22,320 --> 00:16:23,680 FROM THE EXTERNAL REVIEWERS, 491 00:16:23,680 --> 00:16:26,280 THEN PHASE TWO IS AN INTERNAL 492 00:16:26,280 --> 00:16:27,360 SELECTION COMMITTEE WHERE THE 493 00:16:27,360 --> 00:16:29,480 MEMBERS GO OVER THE CANDIDATES 494 00:16:29,480 --> 00:16:31,320 AND THE EXTERNAL REVIEWER SCORES 495 00:16:31,320 --> 00:16:32,640 AND DECIDE WHO'S GOING TO BE 496 00:16:32,640 --> 00:16:34,480 OFFERED MEMBERSHIP AND WHO'S NOT 497 00:16:34,480 --> 00:16:35,760 THROUGH CONSENSUS. 498 00:16:35,760 --> 00:16:38,640 I SHOW A PICTURE, HERE'S ONE OF 499 00:16:38,640 --> 00:16:39,960 OUR -- A FEW YEARS AGO ONE OF 500 00:16:39,960 --> 00:16:42,840 OUR MEETINGS WHERE WE HAVE A 501 00:16:42,840 --> 00:16:44,320 DISCUSSION GOING THROUGH THE 502 00:16:44,320 --> 00:16:46,520 PORTFOLIOS TO DECIDE WHICH NEW 503 00:16:46,520 --> 00:16:47,200 MEMBERS TO INVITE EACH YEAR. 504 00:16:47,200 --> 00:16:50,320 THIS MEETING TAKES A LONG TIME, 505 00:16:50,320 --> 00:16:53,720 AND IT'S A LOT OF WORK. 506 00:16:53,720 --> 00:16:57,320 THIS WAS A MAGAZINE, A 10-YEAR 507 00:16:57,320 --> 00:16:59,640 ANNIVERSARY OF THE ACADEMY. 508 00:16:59,640 --> 00:17:01,280 THE ACADEMY HAS NOW BEEN IN 509 00:17:01,280 --> 00:17:02,440 EXISTENCE FOR ABOUT 13 OR 14 510 00:17:02,440 --> 00:17:03,120 YEARS. 511 00:17:03,120 --> 00:17:05,960 AND YOU KNOW, WHEN PEOPLE ARE 512 00:17:05,960 --> 00:17:09,240 INDUCTED INTO THE ACADEMY, THEY 513 00:17:09,240 --> 00:17:11,440 AGREE TO COMMITTING 20 HOURS OF 514 00:17:11,440 --> 00:17:12,760 WORK EACH YEAR TO THE ACADEMY 515 00:17:12,760 --> 00:17:13,760 THAT THEY CAN FULFILL IN 516 00:17:13,760 --> 00:17:16,240 DIFFERENT WAYS, INCLUDING COMING 517 00:17:16,240 --> 00:17:17,680 TO MEETINGS, AND -- BUT YOU 518 00:17:17,680 --> 00:17:20,440 KNOW, WHAT IT DOES IS WE'RE 519 00:17:20,440 --> 00:17:21,840 BRINGING TOGETHER THE MOST 520 00:17:21,840 --> 00:17:22,800 OUTSTANDING CLINICIANS TOGETHER 521 00:17:22,800 --> 00:17:24,880 AND I SAY THAT FROM EACH MEMBER, 522 00:17:24,880 --> 00:17:27,200 THERE ARE RIPPLES OF INFLUENCE 523 00:17:27,200 --> 00:17:29,280 OF CLINICAL EXCELLENCE, PUTTING 524 00:17:29,280 --> 00:17:31,360 THEM TOGETHER ALL IN THIS 525 00:17:31,360 --> 00:17:34,720 ACADEMY HAS CREATED A TSUNAMI 526 00:17:34,720 --> 00:17:36,520 THAT IS HAVING AN INFLUENCE 527 00:17:36,520 --> 00:17:37,360 ACROSS OUR INSTITUTION AND 528 00:17:37,360 --> 00:17:38,560 BEYOND. 529 00:17:38,560 --> 00:17:41,600 SO I'M GOING TO SHARE WITH YOU 530 00:17:41,600 --> 00:17:43,040 SELECT ACADEMY PROGRAMS AND 531 00:17:43,040 --> 00:17:45,600 INFLUENCE THAT THE ACADEMY HAS 532 00:17:45,600 --> 00:17:47,960 HAD SINCE ITS LAUNCH ABOUT 14 533 00:17:47,960 --> 00:17:50,400 YEARS AGO. 534 00:17:50,400 --> 00:17:51,840 SO WHEN YOU THINK ABOUT DOING 535 00:17:51,840 --> 00:17:53,640 RESEARCH TOGETHER, AFTER 536 00:17:53,640 --> 00:17:54,440 DEFINING CLINICAL EXCELLENCE 537 00:17:54,440 --> 00:17:55,520 GENERALLY, OUR MEMBERS HAVE 538 00:17:55,520 --> 00:17:57,840 TAKEN THAT DEFINITION AND HAVE 539 00:17:57,840 --> 00:18:00,040 TIED TO MANY OF THEIR 540 00:18:00,040 --> 00:18:01,680 SPECIALTIES AND PUBLISHED THIS 541 00:18:01,680 --> 00:18:02,920 IN DIFFERENT JOURNALS, SO NOW 542 00:18:02,920 --> 00:18:06,040 THERE IS A PAPER DESCRIBING WHAT 543 00:18:06,040 --> 00:18:06,920 CLINICAL EXCELLENCE LOOKS LIKE 544 00:18:06,920 --> 00:18:08,440 IN MANY FIELDS AND MANY MORE 545 00:18:08,440 --> 00:18:11,160 UNDER DEVELOP M. 546 00:18:11,160 --> 00:18:12,040 DEVELOPMENT. 547 00:18:12,040 --> 00:18:13,480 WE DO GRAND ROUNDS TWICE A YEAR 548 00:18:13,480 --> 00:18:16,400 AT LEAST. 549 00:18:16,400 --> 00:18:19,600 , MEDICINE GRAND ROUNDS BUT ALSO 550 00:18:19,600 --> 00:18:21,240 OTHERS AND WE OFTEN BRING 551 00:18:21,240 --> 00:18:22,640 TOGETHER CLINICIANS FROM 552 00:18:22,640 --> 00:18:27,000 DIFFERENT DEPARTMENTS WHO ASSESS 553 00:18:27,000 --> 00:18:29,000 A CLINICAL SCENARIO AND WHO 554 00:18:29,000 --> 00:18:31,520 SHARE THINGS, SO REALLY NICE TO 555 00:18:31,520 --> 00:18:32,280 HAVE DIFFERENT DEPARTMENT 556 00:18:32,280 --> 00:18:34,600 FACULTY MEMBERS DISCUSSING 557 00:18:34,600 --> 00:18:36,560 PATIENT STORIES AND HOW THEY DO 558 00:18:36,560 --> 00:18:37,880 THINGS TOGETHER. 559 00:18:37,880 --> 00:18:41,360 SO THIS IS A WONDERFUL PROGRAM. 560 00:18:41,360 --> 00:18:42,560 WE DO CLINICAL EXCELLENCE 561 00:18:42,560 --> 00:18:43,760 TEACHING SO WE'VE CREATED 562 00:18:43,760 --> 00:18:45,600 WORKSHOPS FROM DIVISIONS AND AT 563 00:18:45,600 --> 00:18:48,240 NATIONAL MEETINGS. 564 00:18:48,240 --> 00:18:52,520 WE HAVE AN INTERN OATH PROGRAM, 565 00:18:52,520 --> 00:18:56,560 SO FOR ALL THE INTERN CLASSES, 566 00:18:56,560 --> 00:18:59,720 THIS IS A NOTRE DAME LOCKER ROOM 567 00:18:59,720 --> 00:19:01,720 FOR COLLEGE FOOTBALL FANS. 568 00:19:01,720 --> 00:19:06,840 BEFORE WE GO ON THE FIELD, -- 569 00:19:06,840 --> 00:19:08,160 CLINICAL CHAMPIONS TO REMIND 570 00:19:08,160 --> 00:19:10,320 THEM TO GIVE THEIR BEST EFFORT 571 00:19:10,320 --> 00:19:11,880 AND TRY TO PLAY EXCELLENTLY. 572 00:19:11,880 --> 00:19:13,600 WE HAVE EVERY INTERN CLASS COME 573 00:19:13,600 --> 00:19:14,640 TOGETHER AND CREATE A TOUCH 574 00:19:14,640 --> 00:19:16,360 STONE WE PUT IN THEIR TEACHING 575 00:19:16,360 --> 00:19:18,200 CONFERENCE ROOM THAT THEY CREATE 576 00:19:18,200 --> 00:19:19,320 THEIR MINDS IN ABOUT HOW THEY 577 00:19:19,320 --> 00:19:21,280 WANT TO TOGETHER AS A CLASS 578 00:19:21,280 --> 00:19:22,360 COMMIT TO EXCELLENCE. 579 00:19:22,360 --> 00:19:25,600 THIS IS ONE FROM ONE YEAR AND 580 00:19:25,600 --> 00:19:27,960 ALL OF THESE BELIEVE ARE ALL 581 00:19:27,960 --> 00:19:29,040 TAKEN FROM SOMEWHERE IN THE CITY 582 00:19:29,040 --> 00:19:30,160 OF BALTIMORE. 583 00:19:30,160 --> 00:19:33,200 BUT THEY'RE ALL BEAUTIFUL. 584 00:19:33,200 --> 00:19:35,400 WE HAVE A COACHING PROGRAM WHERE 585 00:19:35,400 --> 00:19:37,800 THERE'S ONE ON ONE MENTORING TO 586 00:19:37,800 --> 00:19:40,520 HELP MOVE FACULTY ALONG THE 587 00:19:40,520 --> 00:19:41,640 CONTINUE WILLIAM FROM COMPETENCE 588 00:19:41,640 --> 00:19:42,280 TO EXCELLENCE. 589 00:19:42,280 --> 00:19:44,800 THIS STARTED AS A PROGRAM WHERE 590 00:19:44,800 --> 00:19:47,400 DEPARTMENT CHAIRS WOULD CALL THE 591 00:19:47,400 --> 00:19:49,160 ACADEMY AND SAY, I HAVE THIS 592 00:19:49,160 --> 00:19:50,600 FACULTY MEMBER AND THEY'RE 593 00:19:50,600 --> 00:19:51,680 STRUGGLING IN THIS WAY OR THAT 594 00:19:51,680 --> 00:19:52,560 WAY, CAN YOU HELP? 595 00:19:52,560 --> 00:19:53,760 MORE RECENTLY IT'S TURNED INTO 596 00:19:53,760 --> 00:19:56,480 AN INITIATIVE WHERE THOSE WHO 597 00:19:56,480 --> 00:19:58,040 REALLY SEE THEMSELVES AS WANTING 598 00:19:58,040 --> 00:20:00,640 TO GET PROMOTED AND SUCCEED AS 599 00:20:00,640 --> 00:20:04,600 CLINICIANS AND FOR THAT TO BE 600 00:20:04,600 --> 00:20:06,440 THEIR PRIMARY MODE OF 601 00:20:06,440 --> 00:20:07,320 EXCELLENCE, NOW MANY OF THEM ARE 602 00:20:07,320 --> 00:20:12,240 SAYING HEY, I'D LIKE TO BE IN 603 00:20:12,240 --> 00:20:15,080 THIS COACHING PROGRAM. 604 00:20:15,080 --> 00:20:18,480 ANOTHER THING WE DO IS AN ANNUAL 605 00:20:18,480 --> 00:20:19,720 SYMPOSIUM WHERE WE HONOR AND 606 00:20:19,720 --> 00:20:21,320 INDUCT NEW MEMBERS, WE ALSO GIVE 607 00:20:21,320 --> 00:20:22,880 UPDATES ON THE PROGRAM THAT THE 608 00:20:22,880 --> 00:20:24,640 ACADEMY HAS ACCOMPLISHED IN THE 609 00:20:24,640 --> 00:20:30,320 LAST YEAR. 610 00:20:30,320 --> 00:20:33,680 AND THIS IS BEAUTIFUL IN THAT 611 00:20:33,680 --> 00:20:36,520 THOSE WHO ARE GETTING INDUCTED 612 00:20:36,520 --> 00:20:37,960 IN BY PATIENTS, THEIR FAMILIES 613 00:20:37,960 --> 00:20:40,040 COME, SO OFTEN AT THE EVENT WE 614 00:20:40,040 --> 00:20:42,560 HAVE PARENTS, CHILDREN, OF THE 615 00:20:42,560 --> 00:20:48,000 INDUCTED FACULTY MEMBER, WE HAVE 616 00:20:48,000 --> 00:20:49,080 PATIENTS AS I SAID, DEPARTMENT 617 00:20:49,080 --> 00:20:52,520 CHAIRS AND LEARNERS, MANY SAY 618 00:20:52,520 --> 00:20:54,240 IT'S ONE OF THE NICEST GET 619 00:20:54,240 --> 00:20:57,200 TOGETHERS ALL YEAR AT HOPKINS. 620 00:20:57,200 --> 00:20:59,280 RAVEN FOOTBALL GAME HOLDING 621 00:20:59,280 --> 00:21:00,360 SIGNS, BRINGING GIFTS. 622 00:21:00,360 --> 00:21:01,480 REALLY, REALLY LOVELY. 623 00:21:01,480 --> 00:21:05,960 AND AGAIN, GETTING THE RIGHT 624 00:21:05,960 --> 00:21:08,000 PEOPLE IN THE ACADEMY WHO ARE 625 00:21:08,000 --> 00:21:11,840 TRULY EXCELLENT, TRULY -- HELPS 626 00:21:11,840 --> 00:21:14,480 OUR PROGRAM SUCCEED. 627 00:21:14,480 --> 00:21:15,920 WE'VE BEEN CONSULTED IN THE 628 00:21:15,920 --> 00:21:17,520 ESTABLISHMENT OF CLINICAL 629 00:21:17,520 --> 00:21:20,080 EXCELLENCE ADVANCEMENT AT OTHER 630 00:21:20,080 --> 00:21:21,600 INSTITUTIONS, COLUMBIA IN 631 00:21:21,600 --> 00:21:25,880 NEW YORK, VA VANDERBILT AND OTHS 632 00:21:25,880 --> 00:21:27,920 HAVE MODELED ACADEMIES AFTER OUR 633 00:21:27,920 --> 00:21:28,280 OWN. 634 00:21:28,280 --> 00:21:29,240 WE WERE THINKING ABOUT HOW WE 635 00:21:29,240 --> 00:21:31,680 MIGHT HAVE AN IMPACT BEYOND 636 00:21:31,680 --> 00:21:32,960 HOPKINS AND HOW WE MIGHT HAVE 637 00:21:32,960 --> 00:21:34,520 DOCTORS WHO THINK ABOUT CLINICAL 638 00:21:34,520 --> 00:21:35,720 EXCELLENCE SHARE THEIR WISDOM. 639 00:21:35,720 --> 00:21:40,400 SO WE LAUNCHED CLOSLER, TRYING 640 00:21:40,400 --> 00:21:45,040 TO MOVE US CLOSER TO OSLER. 641 00:21:45,040 --> 00:21:48,280 MCGILL AND HOPKINS, FOLLOWING ME 642 00:21:48,280 --> 00:21:49,480 FOR A LONG TIME. 643 00:21:49,480 --> 00:21:53,960 AND THE MISSION, TO STIMULATE 644 00:21:53,960 --> 00:21:54,720 HEALTHCARE PROFESSIONALS AND 645 00:21:54,720 --> 00:21:56,280 TRAINEES TO REFLECT ON GIVING 646 00:21:56,280 --> 00:21:57,280 EXCEPTIONAL CARE TO EVERY 647 00:21:57,280 --> 00:21:58,920 PATIENT EVERY DAY. 648 00:21:58,920 --> 00:22:00,640 WE HAVE A WONDERFUL EDITORIAL 649 00:22:00,640 --> 00:22:03,800 TEAM THAT INCLUDES PRE-MED 650 00:22:03,800 --> 00:22:05,560 STUDENTS, MED STUDENTS, FACULTY 651 00:22:05,560 --> 00:22:07,560 AT OUR INSTITUTION AND OTHER 652 00:22:07,560 --> 00:22:08,760 INSTITUTIONS, AND REALLY COME 653 00:22:08,760 --> 00:22:12,240 TOGETHER ONCE A WEEK TO EDIT 654 00:22:12,240 --> 00:22:15,200 PIECES AND TO REALLY EDIT THE 655 00:22:15,200 --> 00:22:18,160 TAKEAWAYS, AND CLOSLER CONTENT 656 00:22:18,160 --> 00:22:19,680 REALLY HAS TO BE FOCUSED ON 657 00:22:19,680 --> 00:22:21,320 PROMOTING EXCELLENCE IN PATIENT 658 00:22:21,320 --> 00:22:21,520 CARE. 659 00:22:21,520 --> 00:22:22,760 WE HAVE NEW PIECES EVERY MONDAY 660 00:22:22,760 --> 00:22:26,080 TO FRIDAY, GENERALLY 500 WORDS 661 00:22:26,080 --> 00:22:27,560 BUT SOME ARE LONGER. 662 00:22:27,560 --> 00:22:30,640 THEY'RE STAMPED FOR TIME READS, 663 00:22:30,640 --> 00:22:33,120 IT WILL SAY THIS WILL TAKE YOU L 664 00:22:33,120 --> 00:22:34,600 TAKE YOU 1 MINUTE TO READ. 665 00:22:34,600 --> 00:22:38,720 ALL HAVE A ONE TO TWO SENTENCE 666 00:22:38,720 --> 00:22:40,240 TAKEAWAY BECAUSE AGAIN MANY 667 00:22:40,240 --> 00:22:43,600 PEOPLE SEE OUR TAKEAWAYS ON 668 00:22:43,600 --> 00:22:46,000 INSTAGRAM OR TWITTER AND THAT'S 669 00:22:46,000 --> 00:22:49,640 ALL THEY SEE, AS A BAIT TO SEE 670 00:22:49,640 --> 00:22:51,720 THEM COME AND READ THE WHOLE 671 00:22:51,720 --> 00:22:52,160 PIECE. 672 00:22:52,160 --> 00:22:53,640 SO TYPES OF PIECES ARE 673 00:22:53,640 --> 00:22:56,760 EVERYTHING FROM PATIENT CARE 674 00:22:56,760 --> 00:22:57,520 STORIES, CARE ARTICLES. 675 00:22:57,520 --> 00:22:59,600 THIS IS WHAT THEY LOOK LIKE. 676 00:22:59,600 --> 00:23:02,520 THIS IS A PIECE WRITTEN BY A 677 00:23:02,520 --> 00:23:06,160 CLINICAL MEDICINE STUDENT AT 678 00:23:06,160 --> 00:23:06,560 PENN. 679 00:23:06,560 --> 00:23:07,560 ALWAYS A NICE PICTURE THAT MAKES 680 00:23:07,560 --> 00:23:10,960 YOU FEEL GOOD AND A SHORT 681 00:23:10,960 --> 00:23:11,480 TAKEAWAY. 682 00:23:11,480 --> 00:23:15,360 THIS IS ONE FROM A FEW WEEKS AGO 683 00:23:15,360 --> 00:23:18,640 ON ADVANCING TRANSGENDER CARE. 684 00:23:18,640 --> 00:23:20,280 THIS IS ONE FROM A WHILE BACK, 685 00:23:20,280 --> 00:23:22,680 WHAT WE CAN LEARN DOCTOR SEVEN 686 00:23:22,680 --> 00:23:23,800 THINGS CLINICIANS CAN LEARN FROM 687 00:23:23,800 --> 00:23:24,680 THERAPY DOGS. 688 00:23:24,680 --> 00:23:26,240 ALWAYS WITH -- WE HAVE A 689 00:23:26,240 --> 00:23:27,200 QUESTION OF THE WEEK. 690 00:23:27,200 --> 00:23:28,640 HERE'S ONE, WHAT'S ONE LIFE 691 00:23:28,640 --> 00:23:29,640 LESSON YOU LEARNED FROM A 692 00:23:29,640 --> 00:23:35,080 PATIENT? 693 00:23:35,080 --> 00:23:36,280 THE PRE-MED WORK ON OUR TEAM, 694 00:23:36,280 --> 00:23:37,600 WANT TO TAKE SOME OF THE PIECES 695 00:23:37,600 --> 00:23:38,440 AND CREATE A PODCAST. 696 00:23:38,440 --> 00:23:40,200 WE HAVE A PODCAST THAT'S HELPING 697 00:23:40,200 --> 00:23:41,240 YOUNG PEOPLE THAT ARE THINKING 698 00:23:41,240 --> 00:23:43,160 ABOUT A CAREER IN MEDICINE HEAR 699 00:23:43,160 --> 00:23:45,360 FROM DIFFERENT DOCTORS WHO WRITE 700 00:23:45,360 --> 00:23:47,880 FOR CLOSLER ON THEIR THOUGHTS 701 00:23:47,880 --> 00:23:48,640 ABOUT CLINICAL EXCELLENCE AND 702 00:23:48,640 --> 00:23:50,280 THEIR PATH INTO MEDICINE. 703 00:23:50,280 --> 00:23:52,880 SO IT JUST GOT LAUNCHED AND IT'S 704 00:23:52,880 --> 00:23:54,400 ON SPOTIFY AND IT'S PRETTY COOL 705 00:23:54,400 --> 00:23:57,040 AND FUN. 706 00:23:57,040 --> 00:24:04,840 CLOCLOSLER AUTHORS, MAINLY FEMA, 707 00:24:04,840 --> 00:24:05,440 PREDOMINANTLY CAUCASIAN, BUT 708 00:24:05,440 --> 00:24:07,320 WE'RE WORKING ON THAT. 709 00:24:07,320 --> 00:24:08,880 AND THE AUTHORS INCLUDE 710 00:24:08,880 --> 00:24:11,120 PHYSICIANS, NURSE, PHARMACISTS, 711 00:24:11,120 --> 00:24:14,120 PSYCHOLOGISTS, MED STUDENTS, PET 712 00:24:14,120 --> 00:24:16,200 THERAPISTS, PATIENTS, 713 00:24:16,200 --> 00:24:17,280 CAREGIVERS. 714 00:24:17,280 --> 00:24:21,680 USERS WE'VE HAD IN THE LAST -- 715 00:24:21,680 --> 00:24:23,120 WE'VE HAD ABOUT 62,000 PEOPLE 716 00:24:23,120 --> 00:24:23,960 COME TO OUR SITE. 717 00:24:23,960 --> 00:24:28,640 THEY COME FROM -- 250,000, 718 00:24:28,640 --> 00:24:31,160 MOSTLY FROM THE U.S. BUT ALSO 719 00:24:31,160 --> 00:24:33,040 FROM THE TOP FIVE COUNTRIES ARE 720 00:24:33,040 --> 00:24:36,760 U.K., CANADA, INDIANA AND 721 00:24:36,760 --> 00:24:38,920 AUSTRALIA, FROM 62 DIFFERENT 722 00:24:38,920 --> 00:24:40,480 COUNTRIES, AND YOU KNOW, WE'D 723 00:24:40,480 --> 00:24:43,320 LIKE TO INVITE PEOPLE WHO SEE AN 724 00:24:43,320 --> 00:24:44,560 INTERESTING PATIENT OR HEAR AN 725 00:24:44,560 --> 00:24:46,040 INTERESTING TALK OR READ A GOOD 726 00:24:46,040 --> 00:24:49,240 BOOK AND THINK THERE ARE 727 00:24:49,240 --> 00:24:52,840 CLINICAL IMPLICATIONS CAN WRITE 728 00:24:52,840 --> 00:24:56,000 FOR US, AND YOU CAN FOLLOW US ON 729 00:24:56,000 --> 00:24:57,640 TWITTER, INSTAGRAM, FACEBOOK OR 730 00:24:57,640 --> 00:25:01,800 EVEN TIK TOK. 731 00:25:01,800 --> 00:25:03,480 AND WE'RE ON THIS MANY PLATFORMS 732 00:25:03,480 --> 00:25:07,400 TRYING TO HAVE YOUNGER PEOPLE 733 00:25:07,400 --> 00:25:11,880 BENEFIT FROM THE CONTENT. 734 00:25:11,880 --> 00:25:13,640 SO THINK ABOUT PERHAPS WRITING 735 00:25:13,640 --> 00:25:14,840 FOR US OR FOLLOWING US IF YOU 736 00:25:14,840 --> 00:25:16,360 WISH TO. 737 00:25:16,360 --> 00:25:22,600 SO WITH U SUCCESS OF THE ACADEM, 738 00:25:22,600 --> 00:25:26,400 IT WAS INVITED TO TRY AND CREATE 739 00:25:26,400 --> 00:25:27,720 A PROMOTION TRACK AT HOPKINS. 740 00:25:27,720 --> 00:25:29,920 SO HOPKINS FOREVER HAD A SINGLE 741 00:25:29,920 --> 00:25:31,120 PROMOTION TRACK THAT WAS MAINLY 742 00:25:31,120 --> 00:25:32,200 BASED ON RESEARCH. 743 00:25:32,200 --> 00:25:34,040 SO MY PATHWAY TO BEING A 744 00:25:34,040 --> 00:25:35,800 PROFESSOR WAS ALL ABOUT -- I SIT 745 00:25:35,800 --> 00:25:37,600 ON THE PROMOTION COMMITTEE, WAS 746 00:25:37,600 --> 00:25:39,560 ALL ABOUT HOW MANY GRANTS HAVE I 747 00:25:39,560 --> 00:25:41,640 SECURED, HOW MANY PAPERS HAVE I 748 00:25:41,640 --> 00:25:45,440 PUBLISHED, WHAT'S MY H INDEX AT 749 00:25:45,440 --> 00:25:50,360 EACH TIME AND SO ABOUT 10 YEARS 750 00:25:50,360 --> 00:25:54,200 AGO, BEGIN TO DESIGN THE 751 00:25:54,200 --> 00:25:55,520 CLINICAL EXCELLENCE PATHWAY TO 752 00:25:55,520 --> 00:25:58,160 TRY AND RETAIN AND RECRUIT 753 00:25:58,160 --> 00:25:59,880 PEOPLE WHO HAD CLINICAL 754 00:25:59,880 --> 00:26:03,240 EXCELLENCE AS A MAIN CAREER 755 00:26:03,240 --> 00:26:04,160 FOCUS. 756 00:26:04,160 --> 00:26:05,240 THE FIRST ITERATION OF THAT, WE 757 00:26:05,240 --> 00:26:07,760 PUT TOGETHER A PLAN, AND IT GOT 758 00:26:07,760 --> 00:26:08,320 VOTED DOWN. 759 00:26:08,320 --> 00:26:11,920 FIVE YEARS LATER, THERE WAS MORE 760 00:26:11,920 --> 00:26:13,560 CONCERN ABOUT RETAINING OUR BEST 761 00:26:13,560 --> 00:26:14,840 CLINICIAN, WE WERE ASKED TO 762 00:26:14,840 --> 00:26:17,480 REVISIT THE TOPIC AND IT WENT 763 00:26:17,480 --> 00:26:17,920 THROUGH. 764 00:26:17,920 --> 00:26:19,080 AND I'M GOING TO TELL YOU ABOUT 765 00:26:19,080 --> 00:26:22,000 THE ESTABLISHMENT OF A CLINICAL 766 00:26:22,000 --> 00:26:23,080 EXCELLENCE PATHWAY AT HOPKINS. 767 00:26:23,080 --> 00:26:24,720 SO THESE ARE SOME SLIDES THAT WE 768 00:26:24,720 --> 00:26:27,120 SHOW TO OUR OWN FACULTY AND I'LL 769 00:26:27,120 --> 00:26:28,000 GO THROUGH THEM QUICKLY SO YOU 770 00:26:28,000 --> 00:26:29,520 CAN SEE WHAT WE DO AND HOW WE DO 771 00:26:29,520 --> 00:26:31,280 IT. 772 00:26:31,280 --> 00:26:34,960 SO THIS TRACK WAS DESIGNED TO 773 00:26:34,960 --> 00:26:35,880 RECOGNIZE, REWARD AND ADVANCE 774 00:26:35,880 --> 00:26:38,400 THE CAREERS OF FACULTY WHOSE 775 00:26:38,400 --> 00:26:40,600 PRIMARY ACADEMIC FOCUS, AND 776 00:26:40,600 --> 00:26:42,560 THOSE WHO SPEND AT LEAST 60% OF 777 00:26:42,560 --> 00:26:44,080 THEIR TIME IN PATIENT CARE. 778 00:26:44,080 --> 00:26:45,480 AND I'M GOING TO SHOW YOU THE 779 00:26:45,480 --> 00:26:46,120 CRITERIA. 780 00:26:46,120 --> 00:26:47,560 AND I'LL GO THROUGH THESE. 781 00:26:47,560 --> 00:26:50,520 ONE BY ONE. 782 00:26:50,520 --> 00:26:58,600 ONE IS CLINICAL EFFORT. 783 00:26:58,600 --> 00:27:01,680 YOU KNOW, THERE'S NO EXACT 784 00:27:01,680 --> 00:27:04,080 TIMELINE BUT YOU CAN'T BE 785 00:27:04,080 --> 00:27:05,160 CLINICALLY EXCELLENT FOR A MONTH 786 00:27:05,160 --> 00:27:07,800 AND GET PROMOTED. 787 00:27:07,800 --> 00:27:09,560 SO YOU REALLY HAVE TO DO AMAZING 788 00:27:09,560 --> 00:27:11,280 CLINICAL CARE FOR AT LEAST FIVE 789 00:27:11,280 --> 00:27:14,400 YEARS BEFORE YOU CAN GO UP FOR 790 00:27:14,400 --> 00:27:16,400 PROMOTION AFTER YOU'RE AN 791 00:27:16,400 --> 00:27:18,680 ASSISTANT PROF AND THEN ANOTHER 792 00:27:18,680 --> 00:27:19,640 FIVE YEARS BEFORE YOU CAN GO TO 793 00:27:19,640 --> 00:27:23,040 THE NEXT LEVEL. 794 00:27:23,040 --> 00:27:24,360 SO REALLY SUSTAINED CLINICAL 795 00:27:24,360 --> 00:27:25,440 EXCELLENCE. 796 00:27:25,440 --> 00:27:27,080 AND I'LL SHOW YOU MANY OF THE 797 00:27:27,080 --> 00:27:28,080 CRITERIA CAME FROM THE PORTFOLIO 798 00:27:28,080 --> 00:27:32,680 THAT WE USE FOR APPLICATION TO 799 00:27:32,680 --> 00:27:35,720 OUR MILLER CLOUSON ACADEMY. 800 00:27:35,720 --> 00:27:37,360 THIS IS CLINICAL CONTRIBUTIONS. 801 00:27:37,360 --> 00:27:41,320 SO AGAIN, PEOPLE AT THE TIME OF 802 00:27:41,320 --> 00:27:43,480 BEING -- HAVE TO GIVE THE NAMES 803 00:27:43,480 --> 00:27:47,400 OF PEERS AND STAFF AND LEARNERS 804 00:27:47,400 --> 00:27:50,600 AND PATIENTS WHO WOULD RATE THEM 805 00:27:50,600 --> 00:27:53,360 TO BE FOR ASSOCIATE PROF AMONG 806 00:27:53,360 --> 00:27:57,160 THE TOP FIVE -- TOP 25% IN THEIR 807 00:27:57,160 --> 00:27:58,800 AREA, FOR PROFESSOR YOU NEED TO 808 00:27:58,800 --> 00:28:00,320 BE IN THE TOP 10%. 809 00:28:00,320 --> 00:28:01,760 CLINICAL LEADERSHIP, YOU HAVE TO 810 00:28:01,760 --> 00:28:02,760 DO CLINICAL PROGRAM BUILDING, 811 00:28:02,760 --> 00:28:05,280 YOU HAVE TO BE INVOLVED IN 812 00:28:05,280 --> 00:28:07,360 FOR -- YOU HAVE TO WORK ON 813 00:28:07,360 --> 00:28:09,200 CLINICAL INNOVATIONS AND 814 00:28:09,200 --> 00:28:11,520 IMPROVEMENT, RECOGNIZED FOR 815 00:28:11,520 --> 00:28:14,680 ASSOCIATE PROF REGIONALLY, FOR 816 00:28:14,680 --> 00:28:16,400 PROFESSOR AT THE NATIONAL LEVEL. 817 00:28:16,400 --> 00:28:17,320 FURTHER DEMONSTRATION OF 818 00:28:17,320 --> 00:28:19,520 CLINICAL EXCELLENCE INCLUDES YOU 819 00:28:19,520 --> 00:28:21,120 DRAW -- IF THAT APPLIES TO YOU, 820 00:28:21,120 --> 00:28:23,280 ARE PATIENTS COMING TO YOU FROM 821 00:28:23,280 --> 00:28:25,080 D.C. AND OUT OF STATE AND 822 00:28:25,080 --> 00:28:27,400 FURTHER TO COME TO GET CARE FROM 823 00:28:27,400 --> 00:28:29,800 YOU IF APPLICABLE. 824 00:28:29,800 --> 00:28:31,640 AND THEN AGAIN, YOUR 825 00:28:31,640 --> 00:28:32,000 RECOMMENDATIONS. 826 00:28:32,000 --> 00:28:33,480 YOU HAVE TO BE REASONABLY 827 00:28:33,480 --> 00:28:35,040 RECOGNIZED TO BE PROMOTED TO 828 00:28:35,040 --> 00:28:37,440 ASSOCIATE PROF AND NATIONALLY 829 00:28:37,440 --> 00:28:38,520 RECOGNIZED FOR PROFESSOR. 830 00:28:38,520 --> 00:28:44,160 YOU HAVE TO BE -- IN TEACHING 831 00:28:44,160 --> 00:28:45,320 AND MENTORSHIP ON THAT TRACK AND 832 00:28:45,320 --> 00:28:46,400 WE COLLECT THAT DATA. 833 00:28:46,400 --> 00:28:47,600 YOU HAVE TO BE ENGAGED IN 834 00:28:47,600 --> 00:28:49,920 RESEARCH AND HELP RESEARCHERS 835 00:28:49,920 --> 00:28:53,000 WITH THEIR MISSION, INCLUDING 836 00:28:53,000 --> 00:28:54,600 ENROLLING PATIENTS, PATIENT 837 00:28:54,600 --> 00:28:56,000 REGISTRY, PATIENT RECRUITMENT AT 838 00:28:56,000 --> 00:28:58,560 BOTH LEVELS. 839 00:28:58,560 --> 00:29:01,600 THEN DISSEMINATION. 840 00:29:01,600 --> 00:29:04,000 DDISSEMINATION CRITERIA IS MUCH 841 00:29:04,000 --> 00:29:05,680 LESS STRICT FOR THIS TRACK. 842 00:29:05,680 --> 00:29:07,120 YOU STILL NEED TO DISSEMINATE 843 00:29:07,120 --> 00:29:08,840 YOUR IDEAS AND SHOW THEY HAVE AN 844 00:29:08,840 --> 00:29:09,800 IMPACT, BUT SOMETHING THAT 845 00:29:09,800 --> 00:29:10,920 AREN'T CONSIDERED ON THE 846 00:29:10,920 --> 00:29:13,320 TRADITIONAL PATHWAY, LIKE BLOGS 847 00:29:13,320 --> 00:29:16,920 AND TWITTER AND CLOSLER AND 848 00:29:16,920 --> 00:29:18,920 OTHERS, INCLUDING THE CLINICAL 849 00:29:18,920 --> 00:29:20,000 GUIDELINES ARE VERY MUCH 850 00:29:20,000 --> 00:29:22,400 RESPECTED AND ENCOURAGED AND 851 00:29:22,400 --> 00:29:27,880 NEEDED ON THIS PATHWAY. 852 00:29:27,880 --> 00:29:29,600 SO INVITED TO SPEAK, HAVE 853 00:29:29,600 --> 00:29:32,240 LEADERSHIP ROLES, SO ON AND SO 854 00:29:32,240 --> 00:29:32,440 FORTH. 855 00:29:32,440 --> 00:29:35,440 INSTITUTIONAL CONTRIBUTIONS. 856 00:29:35,440 --> 00:29:37,160 YOU KNOW, YOU NEED TO ALSO BE A 857 00:29:37,160 --> 00:29:39,480 VERY GOOD CITIZEN AND HELP TO 858 00:29:39,480 --> 00:29:41,520 IMPROVE THE QUALITY AND SAFETY 859 00:29:41,520 --> 00:29:42,760 AND ACCESS WITHIN THE 860 00:29:42,760 --> 00:29:43,720 INSTITUTION AND BEYOND. 861 00:29:43,720 --> 00:29:45,360 AND WE REALLY ENCOURAGE PEOPLE 862 00:29:45,360 --> 00:29:47,320 ON THIS TRACK TO TRY AND GET 863 00:29:47,320 --> 00:29:49,840 INVOLVED WITH AN ORGANIZATION 864 00:29:49,840 --> 00:29:53,360 THAT THEY CAN PICK EITHER BIGGER 865 00:29:53,360 --> 00:29:55,440 OR SMALLER AND HAVE AN IMPACT TO 866 00:29:55,440 --> 00:29:56,960 BRING WHAT WE'RE DOING AT 867 00:29:56,960 --> 00:29:58,040 HOPKINS TO THESE NATIONAL 868 00:29:58,040 --> 00:29:59,400 ORGANIZATIONS. 869 00:29:59,400 --> 00:30:01,560 AS FOR PACKAGING AND PUTTING IT 870 00:30:01,560 --> 00:30:03,080 TOGETHER, I'LL SAY A FEW WORDS. 871 00:30:03,080 --> 00:30:05,040 LIKE THE TRADITIONAL TRACK, YOU 872 00:30:05,040 --> 00:30:06,480 NEED A LETTER FROM YOUR 873 00:30:06,480 --> 00:30:07,800 DEPARTMENT DIRECTOR, YOU NEED TO 874 00:30:07,800 --> 00:30:10,440 HAVE YOUR CV IN THE APPROPRIATE 875 00:30:10,440 --> 00:30:14,360 FORMAT, AN IMPACT STATEMENT 876 00:30:14,360 --> 00:30:15,320 ESSENTIALLY, A VERSION OF A 877 00:30:15,320 --> 00:30:16,880 LETTER THAT GOES INTO MORE 878 00:30:16,880 --> 00:30:19,040 DETAIL AROUND CLINICAL 879 00:30:19,040 --> 00:30:19,600 CONTRIBUTIONS. 880 00:30:19,600 --> 00:30:21,320 AND THEN THE PORTFOLIO LIKE I 881 00:30:21,320 --> 00:30:24,560 SAID, IT'S SORT OF A 360-DEGREE 882 00:30:24,560 --> 00:30:25,640 SURVEY WHERE YOU NEED PEERS AND 883 00:30:25,640 --> 00:30:27,800 STAFF AND LEARNERS AND PATIENTS 884 00:30:27,800 --> 00:30:29,680 TO EVALUATE YOUR CLINICAL 885 00:30:29,680 --> 00:30:33,280 PERFORMANCE, AND THEN YOU NEED 886 00:30:33,280 --> 00:30:35,400 REFEREES, LETTER WRITERS, A FEW 887 00:30:35,400 --> 00:30:37,000 INTERNAL, MOST EXTERNAL, THAT 888 00:30:37,000 --> 00:30:40,360 WILL EVALUATE THE CANDIDATE'S 889 00:30:40,360 --> 00:30:45,520 CLINICAL EXCELLENCE. 890 00:30:45,520 --> 00:30:47,160 THIS JUST SAYS MORE ABOUT THE 891 00:30:47,160 --> 00:30:48,160 360 REVIEW THAT WE SEND OUT 892 00:30:48,160 --> 00:30:51,760 WHERE MUCH LIKE FOR THE ACADEMY, 893 00:30:51,760 --> 00:30:54,920 THESE INDIVIDUALS ARE ASSESSED 894 00:30:54,920 --> 00:30:57,120 AROUND 10 DOMAINS OF CLINICAL 895 00:30:57,120 --> 00:30:58,120 EXCELLENCE THAT WE'D BE HAPPY TO 896 00:30:58,120 --> 00:31:01,360 SHARE. 897 00:31:01,360 --> 00:31:02,720 IMPACT STATEMENT YOU NEED TO DO, 898 00:31:02,720 --> 00:31:04,800 LIKE I SAID. 899 00:31:04,800 --> 00:31:08,040 SO, THAT'S THE CLINICAL 900 00:31:08,040 --> 00:31:09,800 PROMOTION TRACK THAT REALLY CAME 901 00:31:09,800 --> 00:31:12,760 OUT OF THE SUCCESS OF THE 902 00:31:12,760 --> 00:31:13,760 ACADEMY AND THE FACT THAT WE 903 00:31:13,760 --> 00:31:15,240 WERE ABLE TO SHOW WE COULD 904 00:31:15,240 --> 00:31:16,600 REALLY MEASURE CLINICAL 905 00:31:16,600 --> 00:31:18,120 EXCELLENCE BECAUSE THERE WAS 906 00:31:18,120 --> 00:31:21,160 SKEPTICISM BEFORE THAT. 907 00:31:21,160 --> 00:31:23,040 SO THIS IS A SLIDE THAT I MADE 908 00:31:23,040 --> 00:31:26,960 IN 2008 WHEN WE WERE INITIALLY 909 00:31:26,960 --> 00:31:28,200 THINKING ABOUT THE ACADEMY AND 910 00:31:28,200 --> 00:31:30,800 WE SAID THE GOALS OF THE 911 00:31:30,800 --> 00:31:31,800 ACADEMY, TWO MAIN ONES WERE TO 912 00:31:31,800 --> 00:31:33,960 ADVANCE METRICS TO MEASURE 913 00:31:33,960 --> 00:31:35,840 CLINICAL PERFORMANCE AT HOPKINS 914 00:31:35,840 --> 00:31:37,560 AND TO CREATE A COMMUNITY OF 915 00:31:37,560 --> 00:31:39,000 COLLABORATION AROUND CLINICAL 916 00:31:39,000 --> 00:31:39,800 EXCELLENCE. 917 00:31:39,800 --> 00:31:42,000 AND IT BRINGS PRIDE TO THE 918 00:31:42,000 --> 00:31:44,400 MEMBERS AND MYSELF, THAT WE'VE 919 00:31:44,400 --> 00:31:46,720 BEEN ABLE TO ACHIEVE THAT. 920 00:31:46,720 --> 00:31:47,800 BECAUSE -- TWO MORE IS TO 921 00:31:47,800 --> 00:31:49,000 SUPPORT THE PROFESSIONAL GROWTH 922 00:31:49,000 --> 00:31:50,440 OF CLINICAL FACULTY AND ADVOCATE 923 00:31:50,440 --> 00:31:52,160 FOR THEM SO THAT THEIR CLINICAL 924 00:31:52,160 --> 00:31:54,880 ACHIEVEMENTS CAN BE CONSIDERED 925 00:31:54,880 --> 00:31:56,960 FOR PROMOTION, CHECK, AND TO 926 00:31:56,960 --> 00:31:57,720 RE-ESTABLISH PATIENT CARE IS ONE 927 00:31:57,720 --> 00:31:59,840 OF THE KEYSTONES OF THE ACADEMIC 928 00:31:59,840 --> 00:32:00,360 PHYSICIAN'S WORK. 929 00:32:00,360 --> 00:32:03,480 SO THE GOAL IS THAT WE CREATED, 930 00:32:03,480 --> 00:32:05,160 WE DREAMED OF WHEN LAUNCHING THE 931 00:32:05,160 --> 00:32:07,440 ACADEMY HAVE REALLY COME TO 932 00:32:07,440 --> 00:32:07,720 FRUITION. 933 00:32:07,720 --> 00:32:09,760 AND WHEN I THINK BACK ON THE 934 00:32:09,760 --> 00:32:10,760 ACCOMPLISHMENTS OF THE ACADEMY 935 00:32:10,760 --> 00:32:14,440 IN THE LAST 14 YEARS OR SO, IT'S 936 00:32:14,440 --> 00:32:18,200 REALLY SERVING TO REFOCUS 937 00:32:18,200 --> 00:32:19,280 HOPKINS ON THE PRIMACY OF 938 00:32:19,280 --> 00:32:20,400 PATIENT CARE, AND I THINK 939 00:32:20,400 --> 00:32:21,440 THERE'S EVIDENCE THAT OUR 940 00:32:21,440 --> 00:32:22,640 PATIENTS, COMMUNITIES, MEDICAL 941 00:32:22,640 --> 00:32:24,280 TRAINEES AND THE FACULTY ARE 942 00:32:24,280 --> 00:32:26,480 REAPING THE REWARDS OF THIS 943 00:32:26,480 --> 00:32:28,800 REFOCUSING. 944 00:32:28,800 --> 00:32:30,320 SO REALLY IT BEEN EXCITING, IT'S 945 00:32:30,320 --> 00:32:35,960 BEEN FUN AND AS -- THE MATRIARCH 946 00:32:35,960 --> 00:32:37,760 OF THE FAMILY, ANNE MILLER, SAID 947 00:32:37,760 --> 00:32:38,880 I'D LIKE TO MAKE A GIFT TO 948 00:32:38,880 --> 00:32:41,160 CHANGE THE CULTURE CLINICALLY AT 949 00:32:41,160 --> 00:32:42,800 HOPKINS, IT REALLY SERVED AS THE 950 00:32:42,800 --> 00:32:44,880 CATALYST THAT LED TO A REAL 951 00:32:44,880 --> 00:32:46,760 CHANGING OF THE PLACE AND WE'VE 952 00:32:46,760 --> 00:32:51,880 BEEN HERE SINCE 1994 OR 953 00:32:51,880 --> 00:32:52,760 THEREABOUTS, IT FEELS DIFFERENT 954 00:32:52,760 --> 00:32:54,640 NOW THAN IT DID WHEN I FIRST GOT 955 00:32:54,640 --> 00:32:58,280 HERE. 956 00:32:58,280 --> 00:33:02,960 SO I GET ASKED TO MEET WITH AND 957 00:33:02,960 --> 00:33:04,600 MENTOR A LOT OF JUNIOR 958 00:33:04,600 --> 00:33:05,800 CLINICIANS AND HELP THEM THINK 959 00:33:05,800 --> 00:33:07,120 ABOUT HOW THEY FLOURISH AND HOW 960 00:33:07,120 --> 00:33:08,320 THEY THRIVE HERE AT HOPKINS, AND 961 00:33:08,320 --> 00:33:11,960 I'M GOING TO TELL YOU FOR THE 962 00:33:11,960 --> 00:33:15,040 REMAINING 20 MINUTES AND IN Q & 963 00:33:15,040 --> 00:33:16,640 A ABOUT BOOKS, AND I'M GOING TO 964 00:33:16,640 --> 00:33:17,840 SHARE WITH YOU SOME BOOKS THAT I 965 00:33:17,840 --> 00:33:19,040 THINK ARE FANTASTIC AND THAT 966 00:33:19,040 --> 00:33:23,360 HELPED ME AND THAT HELPED OTHERS 967 00:33:23,360 --> 00:33:24,200 >>Dr. Anderson: HERE WE GO 968 00:33:24,200 --> 00:33:30,000 WITH THIS PART. 969 00:33:30,000 --> 00:33:31,440 EIGHT BOOKS THAT DRA 970 00:33:31,440 --> 00:33:33,400 MOUNTAINICALLY INFLUENCED ME AS 971 00:33:33,400 --> 00:33:34,840 A CLINICIAN, AS A PERSON, AS A 972 00:33:34,840 --> 00:33:36,680 LEADER, AS A MENTOR, AS A 973 00:33:36,680 --> 00:33:38,000 MANAGER AND A FEW OTHERS. 974 00:33:38,000 --> 00:33:41,360 SO BOOK ONE IS QUIET. 975 00:33:41,360 --> 00:33:45,440 SO I AM AN INTROVERT. 976 00:33:45,440 --> 00:33:45,880 INTJ. 977 00:33:45,880 --> 00:33:48,600 AND I BELIEVE THAT MY DISABILITY 978 00:33:48,600 --> 00:33:50,160 RELATED TO MY BIRTH HAS MADE ME 979 00:33:50,160 --> 00:33:51,360 INTO A VERY BIG I. 980 00:33:51,360 --> 00:33:57,440 I LIVE WITH SELF COA LITTLE BITT 981 00:33:57,440 --> 00:34:00,000 KNOWING THAT, AND UNDERSTANDING 982 00:34:00,000 --> 00:34:01,520 FROM THIS BOOK WHAT INTROVERTS 983 00:34:01,520 --> 00:34:02,960 ARE GOOD AT WAS REALLY HELPFUL 984 00:34:02,960 --> 00:34:04,640 TO ME. 985 00:34:04,640 --> 00:34:09,520 I'M THOUGHTFUL AND DELIBERATE IN 986 00:34:09,520 --> 00:34:11,160 MY SPEECH AND MY PRESENCE, AND I 987 00:34:11,160 --> 00:34:12,360 MAKE SELECTIVE CONTRIBUTIONS 988 00:34:12,360 --> 00:34:14,040 WHEN I'M IN LARGE GROUPS, 989 00:34:14,040 --> 00:34:15,440 BECAUSE OF THAT WHEN I DO SHARE, 990 00:34:15,440 --> 00:34:18,520 PEOPLE LISTEN. 991 00:34:18,520 --> 00:34:19,520 I'M COGNIZANT WHEN I RUN 992 00:34:19,520 --> 00:34:20,840 MEETINGS TO TRY AND HEAR FROM 993 00:34:20,840 --> 00:34:21,560 EVERYBODY. 994 00:34:21,560 --> 00:34:22,760 AND PEOPLE KNOW THAT I'M NOT 995 00:34:22,760 --> 00:34:25,640 LOOKING TO STEAL THE SPOTLIGHT 996 00:34:25,640 --> 00:34:27,800 FROM ANYONE, AND I THINK THAT 997 00:34:27,800 --> 00:34:28,160 HELPS. 998 00:34:28,160 --> 00:34:29,800 FROM THIS BOOK, I LEARNED THAT 999 00:34:29,800 --> 00:34:31,040 INTROVERTS LIKE ME REALLY 1000 00:34:31,040 --> 00:34:32,760 CONNECT WELL ONE ON ONE IN 1001 00:34:32,760 --> 00:34:35,400 MANAGING AND MENTORING AND I 1002 00:34:35,400 --> 00:34:37,040 KNEW THAT I DID THAT BUT THIS 1003 00:34:37,040 --> 00:34:38,360 BOOK EXPLAINED HOW AND WHY. 1004 00:34:38,360 --> 00:34:40,760 AND I'M PERSISTENT AND I'M 1005 00:34:40,760 --> 00:34:41,080 PATIENT. 1006 00:34:41,080 --> 00:34:43,920 AND MY QUIET RG THAT I HAVE 1007 00:34:43,920 --> 00:34:46,640 ABOUT ME HELPS WHEN CHAOS 1008 00:34:46,640 --> 00:34:46,880 STRIKES. 1009 00:34:46,880 --> 00:34:51,720 AND WE ALL KNOW THAT IT STRIKES. 1010 00:34:51,720 --> 00:34:55,000 OSLER IS A LESS KNOWN -- SAID 1011 00:34:55,000 --> 00:34:56,080 LOOK WISE, SAY NOTHING AND 1012 00:34:56,080 --> 00:34:57,040 GRUNT. 1013 00:34:57,040 --> 00:34:58,280 SPEECH WAS GIVEN TO CONCEAL 1014 00:34:58,280 --> 00:34:59,480 THOUGHT. 1015 00:34:59,480 --> 00:35:03,080 BOOK TWO, GIVE AND TAKE. 1016 00:35:03,080 --> 00:35:05,280 GIVING AND HELPING OTHERS 1017 00:35:05,280 --> 00:35:12,080 TRANSLATES INTO GROWTH. 1018 00:35:12,080 --> 00:35:12,720 GIVING EFFECTIVELY. 1019 00:35:12,720 --> 00:35:15,480 I'VE BEEN THE BENEFICIARY OF 1020 00:35:15,480 --> 00:35:17,520 TREMENDOUS GENEROSITY THROUGHOUT 1021 00:35:17,520 --> 00:35:18,960 MY LIFE WITH GREAT ACADEMIC 1022 00:35:18,960 --> 00:35:19,520 MENTORS. 1023 00:35:19,520 --> 00:35:21,840 SUCH KINDNESS HAS INSPIRED ME TO 1024 00:35:21,840 --> 00:35:22,520 RECIPROCATE WHENEVER POSSIBLE. 1025 00:35:22,520 --> 00:35:27,840 IN THE BOOK, IT TALKS ABOUT IN 1026 00:35:27,840 --> 00:35:31,600 GENERAL SOME PEOPLE ARE GIVERS, 1027 00:35:31,600 --> 00:35:34,760 SOME PEOPLE ARE TAKERS. 1028 00:35:34,760 --> 00:35:36,680 GIVERS -- THE HAPPIEST PEOPLE 1029 00:35:36,680 --> 00:35:39,040 AND MOST SUCCESSFUL PEOPLE ARE 1030 00:35:39,040 --> 00:35:41,840 GIVERS. 1031 00:35:41,840 --> 00:35:43,480 VARIATION ON THE GIVE AND TAKE 1032 00:35:43,480 --> 00:35:45,800 IS THIS BOOK BY ROBERT 1033 00:35:45,800 --> 00:35:46,880 GREENLEAF, SERVANT LEADERSHIP. 1034 00:35:46,880 --> 00:35:48,280 AND YOU KNOW, A COUPLE OF THEMES 1035 00:35:48,280 --> 00:35:49,840 FROM BOTH GIVE AND TAKE AND 1036 00:35:49,840 --> 00:35:51,520 SERVANT LEADERSHIP THAT HAVE 1037 00:35:51,520 --> 00:35:52,480 HELPED MY DEVELOPMENT IS THAT 1038 00:35:52,480 --> 00:35:54,680 I'M REMINDED BY THESE TWO BOOKS, 1039 00:35:54,680 --> 00:35:55,760 MY PRIMARY GOAL IS TO BE OF 1040 00:35:55,760 --> 00:35:57,200 SERVICE TO OTHERS AND EMPOWER 1041 00:35:57,200 --> 00:35:59,160 EVERYONE ELSE TO GROW. 1042 00:35:59,160 --> 00:36:00,360 I'VE REALLY COME TO UNDERSTAND 1043 00:36:00,360 --> 00:36:01,480 THAT THERE ARE MANY DIFFERENT 1044 00:36:01,480 --> 00:36:04,120 WAYS THAT I CAN DEVELOP THE 1045 00:36:04,120 --> 00:36:05,000 POTENTIAL OF OTHERS WHICH 1046 00:36:05,000 --> 00:36:06,840 INCLUDE TEACHING, ROLE MODELING, 1047 00:36:06,840 --> 00:36:09,160 COACHING, MENTORING, MANAGING 1048 00:36:09,160 --> 00:36:13,960 AND MANY MORE. 1049 00:36:13,960 --> 00:36:18,680 BOTH VERY HELPFUL. 1050 00:36:18,680 --> 00:36:21,080 OUTLIERS, HE SAYS MOST OF US 1051 00:36:21,080 --> 00:36:22,400 HAVE COME THROUGH THE MIDDLE AND 1052 00:36:22,400 --> 00:36:24,720 SOME PEOPLE ARE WAY -- A FEW 1053 00:36:24,720 --> 00:36:26,680 STANDARD DEVIATIONS TO ONE SIDE 1054 00:36:26,680 --> 00:36:28,640 AND THEY'RE OUTLIERS. 1055 00:36:28,640 --> 00:36:32,800 HE TALKS ABOUT THAT TO GET THE 1056 00:36:32,800 --> 00:36:33,680 MASTERY, BECAUSE PART OF THIS 1057 00:36:33,680 --> 00:36:35,760 BOOK DEALS WITH ACHIEVING 1058 00:36:35,760 --> 00:36:36,960 MASTERY AND BEING EXCELLENT, 1059 00:36:36,960 --> 00:36:38,720 TALKS ABOUT THE PEOPLE NEED AT 1060 00:36:38,720 --> 00:36:40,480 LEAST 10,000 HOURS OF DELIBERATE 1061 00:36:40,480 --> 00:36:42,000 PRACTICE, AND THAT MEANS GETTING 1062 00:36:42,000 --> 00:36:44,440 FEEDBACK AND REFLECTING ON THE 1063 00:36:44,440 --> 00:36:46,720 PRACTICE WITH A REAL COACH IS 1064 00:36:46,720 --> 00:36:48,600 HOW ONE CAN GET TO MASTERY, AND 1065 00:36:48,600 --> 00:36:50,360 WHETHER THAT'S IN TENNIS OR 1066 00:36:50,360 --> 00:36:53,960 VIOLIN OR DOING RESEARCH. 1067 00:36:53,960 --> 00:36:55,280 AND THAT -- THIS BOOK TALKS 1068 00:36:55,280 --> 00:36:56,800 ABOUT HARD WORK, AMBITION AND 1069 00:36:56,800 --> 00:36:58,760 THE ABILITY MAY RESULT IN 1070 00:36:58,760 --> 00:37:00,960 SUCCESS WHEN PLACED IN AN 1071 00:37:00,960 --> 00:37:02,680 AGREEABLE CONTEXT/ENVIRONMENT. 1072 00:37:02,680 --> 00:37:04,080 IT MAKES ME THINK THAT WE NEED 1073 00:37:04,080 --> 00:37:06,800 TO CREATE AGREEABLE CONTEXTS AND 1074 00:37:06,800 --> 00:37:09,120 ENVIRONMENTS FOR OUR CLINICIANS 1075 00:37:09,120 --> 00:37:10,680 FOR THEM TO REALLY SUCCEED IN 1076 00:37:10,680 --> 00:37:15,160 OUR ACADEMIC CENTERS. 1077 00:37:15,160 --> 00:37:17,440 SO KNOW SATURDAY AND THE BEATLES 1078 00:37:17,440 --> 00:37:21,280 WERE NOT SO MUCH INNATE MUSICAL 1079 00:37:21,280 --> 00:37:22,840 PRODIGIES BUT GRINDERS WHO 1080 00:37:22,840 --> 00:37:24,560 THRIVED ONLY AFTER GRINDING FOR 1081 00:37:24,560 --> 00:37:27,680 10,000 HOURS OF PRACTICE. 1082 00:37:27,680 --> 00:37:29,480 AND OUTLIERS ARE THOSE WHO HAVE 1083 00:37:29,480 --> 00:37:31,840 BEEN GIVEN THE OPPORTUNITY BUT 1084 00:37:31,840 --> 00:37:33,040 HAD THE STRENGTH AND PRESENCE OF 1085 00:37:33,040 --> 00:37:36,960 MIND TO SEIZE THEM. 1086 00:37:36,960 --> 00:37:38,840 SO WHAT I THINK ABOUT WITH 1087 00:37:38,840 --> 00:37:40,280 OUTLIERS IS IN MY WORK AND IN 1088 00:37:40,280 --> 00:37:44,560 THE TEAMS THAT I LEAD AND IN MY 1089 00:37:44,560 --> 00:37:46,280 EFFORTS, I SET EXPECTATIONS TO 1090 00:37:46,280 --> 00:37:48,680 OUR TEAM THAT WE'RE NOT 1091 00:37:48,680 --> 00:37:54,640 ACCEPTING NEED MEDIOCRITY, WE'E 1092 00:37:54,640 --> 00:37:56,280 GOING TO TRY OUR BEST AND AIM 1093 00:37:56,280 --> 00:37:56,480 HIGH. 1094 00:37:56,480 --> 00:37:58,640 AS I SHOWED YOU WITH THE TWO 1095 00:37:58,640 --> 00:37:59,480 CLINICAL CASES EARLY ON, THERE'S 1096 00:37:59,480 --> 00:38:01,080 GOING TO BE FAILURES BUT WE HAVE 1097 00:38:01,080 --> 00:38:03,400 TO LEARN FROM THEM, AIM HIGH AND 1098 00:38:03,400 --> 00:38:11,560 TRY AND DO AS BECK A THE BEST T. 1099 00:38:11,560 --> 00:38:12,880 HAVING GROWTH AS OPPOSED TO A 1100 00:38:12,880 --> 00:38:15,680 FIXED MINDSET. 1101 00:38:15,680 --> 00:38:17,600 IT'S GREAT TO LIVE YOUR LIFE 1102 00:38:17,600 --> 00:38:19,160 ACCEPTING THAT YOU AND YOUR 1103 00:38:19,160 --> 00:38:20,480 SKILLS ARE A WORK IN PROGRESS. 1104 00:38:20,480 --> 00:38:22,560 AND I TELL PEOPLE ALL THE TIME, 1105 00:38:22,560 --> 00:38:24,400 I'M NOT GOOD ENOUGH YET AND I'M 1106 00:38:24,400 --> 00:38:27,920 WORKING ON GETTING BETTER IN ALL 1107 00:38:27,920 --> 00:38:30,120 AREAS, AND DUE TO A HUSBAND OR 1108 00:38:30,120 --> 00:38:32,320 FATHER OR CLINICIANS, I WANT TO 1109 00:38:32,320 --> 00:38:34,640 BE MUCH BETTER NEXT YEAR, NEXT 1110 00:38:34,640 --> 00:38:37,120 MONTH, THAN I AM TODAY, AND PART 1111 00:38:37,120 --> 00:38:39,120 OF GETTING BETTER IS DEVELOPING 1112 00:38:39,120 --> 00:38:43,720 AND FINDING A PLAN TO IMPROVE. 1113 00:38:43,720 --> 00:38:45,760 IN ORDER TO IMPROVE AND GROW, 1114 00:38:45,760 --> 00:38:47,760 ONE NEEDS TO TAKE GOOD CARE OF 1115 00:38:47,760 --> 00:38:49,080 ONE SELF SO THAT YOU'RE POISED 1116 00:38:49,080 --> 00:38:50,560 TO GROW, AND ALONG THOSE LINES, 1117 00:38:50,560 --> 00:38:54,440 YOU KNOW, I REMIND MY STUDENTS 1118 00:38:54,440 --> 00:38:56,000 AND RESIDENTS AND OTHERS, MY 1119 00:38:56,000 --> 00:38:57,320 CHILDREN, TO EAT HEALTHY, TO TRY 1120 00:38:57,320 --> 00:38:58,680 AND SLEEP ENOUGH, TO EXERCISE, 1121 00:38:58,680 --> 00:39:01,040 AND TAKE CARE OF YOURSELF. 1122 00:39:01,040 --> 00:39:02,480 THIS IS AN OLD PICTURE OF OUR 1123 00:39:02,480 --> 00:39:03,800 YOUNGEST, PROBABLY 10 YEARS AGO, 1124 00:39:03,800 --> 00:39:06,720 OUR YOUNGEST AND OUR DOG. 1125 00:39:06,720 --> 00:39:08,200 THIS DOG IS -- I SAY IT'S OUR 1126 00:39:08,200 --> 00:39:09,640 THERAPY DOG, UNCONDITIONAL LOVE. 1127 00:39:09,640 --> 00:39:13,120 I TRY AND SPEND MUCH TIME WITH 1128 00:39:13,120 --> 00:39:14,880 HER EVERY DAY TO RECHARGE MY 1129 00:39:14,880 --> 00:39:20,560 BATTERY AND TO GAIN -- JUST GAIN 1130 00:39:20,560 --> 00:39:22,320 POSITIVE VIBES FROM LUCY, OUR 1131 00:39:22,320 --> 00:39:22,880 DOG. 1132 00:39:22,880 --> 00:39:25,200 AND I ALSO MEDITATE. 1133 00:39:25,200 --> 00:39:27,320 SO HEADSPACE AND CALM ARE TWO 1134 00:39:27,320 --> 00:39:29,120 SITES THAT WHEN I CAN, I TRY AND 1135 00:39:29,120 --> 00:39:30,880 DEVOTE 10 MINUTES A DAY TO 1136 00:39:30,880 --> 00:39:33,080 MEDITATION THAT ALSO HELPS ME A 1137 00:39:33,080 --> 00:39:33,560 LOT. 1138 00:39:33,560 --> 00:39:37,160 SO I THINK IMPORTANT FOR MY 1139 00:39:37,160 --> 00:39:39,040 GROWTH ARE MEDITATION, SPENDING 1140 00:39:39,040 --> 00:39:40,680 TIME WITH MY DOG, AND TAKING 1141 00:39:40,680 --> 00:39:42,640 CARE OF MYSELF. 1142 00:39:42,640 --> 00:39:44,600 BOOK NUMBER FIVE, CREATIVITY, 1143 00:39:44,600 --> 00:39:47,920 INC. BY ED CATMULL, WHO TALKED 1144 00:39:47,920 --> 00:39:51,560 ABOUT WHAT HE DID AT PIXAR AND 1145 00:39:51,560 --> 00:39:51,960 DISNEY ANIMATIONS. 1146 00:39:51,960 --> 00:39:53,840 IN THE BOOK, HE TALKS ABOUT 1147 00:39:53,840 --> 00:39:55,360 THREE THINGS THAT HE THINKS 1148 00:39:55,360 --> 00:40:04,160 ARENESS SAIR ARENECESSARY FOR EE 1149 00:40:04,160 --> 00:40:05,640 VALUE OF CANDOR, AN ENVIRONMENT 1150 00:40:05,640 --> 00:40:07,960 WHERE PEOPLE CAN SAY IT LIKE IT 1151 00:40:07,960 --> 00:40:10,480 IS, NOT BEING BLUNT OR UNKIND 1152 00:40:10,480 --> 00:40:12,160 BUT SAYING I THINK THIS PICTURE 1153 00:40:12,160 --> 00:40:14,240 DOESN'T LOOK RIGHT OR -- SO THE 1154 00:40:14,240 --> 00:40:16,080 VALUE OF CANDOR WAS A BIG 1155 00:40:16,080 --> 00:40:17,640 MESSAGE IN THIS REALLY GREAT 1156 00:40:17,640 --> 00:40:19,640 BOOK. 1157 00:40:19,640 --> 00:40:22,280 ANOTHER IS THE IMPORTANCE OF THE 1158 00:40:22,280 --> 00:40:24,000 INTERSECTION OF PEOPLE AND 1159 00:40:24,000 --> 00:40:25,560 IDEAS, AND REALLY TRYING TO GET 1160 00:40:25,560 --> 00:40:29,080 GREAT PEOPLE ON YOUR TEAM AND 1161 00:40:29,080 --> 00:40:30,160 THEN MAKE SURE YOU HEAR FROM ALL 1162 00:40:30,160 --> 00:40:30,560 OF THEM. 1163 00:40:30,560 --> 00:40:33,360 SO AGAIN, COME BACK TO MY 1164 00:40:33,360 --> 00:40:34,240 INTERSECTION BOOK, I WANT TO 1165 00:40:34,240 --> 00:40:36,200 MAKE SURE I HEAR FROM EVERYONE, 1166 00:40:36,200 --> 00:40:37,600 BECAUSE THE PERSON WHO'S QUIET 1167 00:40:37,600 --> 00:40:39,480 OR WHO MIGHT BE RELUCTANT TO 1168 00:40:39,480 --> 00:40:41,040 SPEAK, THEY MAY HAVE THE BEST 1169 00:40:41,040 --> 00:40:43,240 IDEA AND YOU KNOW, SO HAVING 1170 00:40:43,240 --> 00:40:44,640 GREAT PEOPLE, WORKING WITH GREAT 1171 00:40:44,640 --> 00:40:45,440 PEOPLE AND THEN MAKING SURE THAT 1172 00:40:45,440 --> 00:40:46,880 YOU HEAR FROM THEM BECAUSE THEY 1173 00:40:46,880 --> 00:40:48,480 MAY HAVE THE BEST IDEAS. 1174 00:40:48,480 --> 00:40:51,560 AND THEN CREATE A CULTURE OF 1175 00:40:51,560 --> 00:40:52,680 FEARLESSNESS. 1176 00:40:52,680 --> 00:40:53,520 EMBRACE FAILURE. 1177 00:40:53,520 --> 00:40:56,160 FAIL FAST AND RECOVER. 1178 00:40:56,160 --> 00:40:57,640 AND AS I SHOWED YOU EARLIER AND 1179 00:40:57,640 --> 00:40:59,480 IT'S GOING TO COME UP AGAIN, I 1180 00:40:59,480 --> 00:41:01,120 THINK IF YOU TRY LOTS OF BIG 1181 00:41:01,120 --> 00:41:02,160 THINGS, YOU'RE GOING TO FAIL A 1182 00:41:02,160 --> 00:41:03,880 LOT, BUT FAIL FAST AND RECOVER 1183 00:41:03,880 --> 00:41:06,280 AND LEARN FROM IT IS A KEY 1184 00:41:06,280 --> 00:41:07,720 MESSAGE IN THIS BOOK. 1185 00:41:07,720 --> 00:41:09,000 REALLY GREAT BOOK, I RECOMMEND 1186 00:41:09,000 --> 00:41:10,240 HIGHLY. 1187 00:41:10,240 --> 00:41:11,400 FAILURES ARE NECESSARY ON THE 1188 00:41:11,400 --> 00:41:13,040 ROAD TO SUCCESS, SO EMBRACE 1189 00:41:13,040 --> 00:41:16,080 THEM. 1190 00:41:16,080 --> 00:41:19,800 BOOK SIX, THE POWER OF NOW BY 1191 00:41:19,800 --> 00:41:21,800 ECKHART TOLLE, BORN IN GERMANY, 1192 00:41:21,800 --> 00:41:24,280 LIVES IN VANCOUVER, CANADA. 1193 00:41:24,280 --> 00:41:26,320 AND THE BOOK SAYS YOU'VE GOT TO 1194 00:41:26,320 --> 00:41:28,400 DO GREAT THINGS AND TO BE HAPPY, 1195 00:41:28,400 --> 00:41:30,560 AND TO FLOURISH, YOU NEED TO BE 1196 00:41:30,560 --> 00:41:35,160 PRESENT AND FULLY ENGAGED. 1197 00:41:35,160 --> 00:41:37,920 AND A QUOTE FROM THE BOOK, MOST 1198 00:41:37,920 --> 00:41:39,160 HUMANS ARE NEVER FULLY PRESENT 1199 00:41:39,160 --> 00:41:40,640 IN THE NOW, BECAUSE 1200 00:41:40,640 --> 00:41:41,520 UNCONSCIOUSLY THEY BELIEVE THAT 1201 00:41:41,520 --> 00:41:42,840 THE NEXT MOMENT MUST BE MORE 1202 00:41:42,840 --> 00:41:44,280 IMPORTANT THAN THIS ONE. 1203 00:41:44,280 --> 00:41:45,920 BUT THEN YOU MISS YOUR WHOLE 1204 00:41:45,920 --> 00:41:48,240 LIFE, WHICH IS NEVER NOT NOW. 1205 00:41:48,240 --> 00:41:50,760 AND THAT'S A REVELATION FOR SOME 1206 00:41:50,760 --> 00:41:52,320 PEOPLE: TO REALIZE THAT YOUR 1207 00:41:52,320 --> 00:41:56,800 LIFE IS ONLY EVER NOW. 1208 00:41:56,800 --> 00:41:58,240 AND I HAVE A PICTURE OF A CLOCK. 1209 00:41:58,240 --> 00:41:59,120 IT'S ALWAYS NOW. 1210 00:41:59,120 --> 00:42:03,320 SO IF YOU CAN -- I TELL MENTEES 1211 00:42:03,320 --> 00:42:04,400 AND MY CHILDREN, YOU CAN FOCUS 1212 00:42:04,400 --> 00:42:06,560 ON BEING THE BEST YOU RIGHT NOW 1213 00:42:06,560 --> 00:42:08,000 AND JUST REPEAT THAT, THINGS 1214 00:42:08,000 --> 00:42:09,560 WILL GO WELL. 1215 00:42:09,560 --> 00:42:12,000 THIS IS A POEM THAT WE'RE GOING 1216 00:42:12,000 --> 00:42:13,080 TO SKIP BECAUSE IT'S A LITTLE 1217 00:42:13,080 --> 00:42:14,600 BIT LONG, BUT IT'S A GREAT POEM 1218 00:42:14,600 --> 00:42:16,600 IF YOU WANT TO LOOK AT THE 1219 00:42:16,600 --> 00:42:18,800 WOODCARVER, WHICH TALKS ABOUT 1220 00:42:18,800 --> 00:42:20,640 HOW THIS PERSON GETS REALLY 1221 00:42:20,640 --> 00:42:22,320 PRESENT AND THEN IS ABLE TO 1222 00:42:22,320 --> 00:42:25,480 CREATE A MASTERPIECE. 1223 00:42:25,480 --> 00:42:25,920 BANDS. 1224 00:42:25,920 --> 00:42:27,560 SO HOW DO YOU REMEMBER TO DO ALL 1225 00:42:27,560 --> 00:42:28,040 THIS? 1226 00:42:28,040 --> 00:42:33,640 SO THIS IS A COMPANY CALLED LE 1227 00:42:33,640 --> 00:42:34,600 CLAY, MAKE GOOD THINGS HAPPEN. 1228 00:42:34,600 --> 00:42:35,800 YOU'RE SUPPOSED TO TURN IT OVER 1229 00:42:35,800 --> 00:42:37,240 ONCE OR TWICE DURING THE DAY. 1230 00:42:37,240 --> 00:42:39,360 I HAVE OTHER BANDS WITH OTHER 1231 00:42:39,360 --> 00:42:39,760 MESSAGES. 1232 00:42:39,760 --> 00:42:41,080 SOMETIMES I GIVE THEM OUT TO A 1233 00:42:41,080 --> 00:42:43,320 TEAM WHEN THEY NEED TO WORK ON 1234 00:42:43,320 --> 00:42:43,840 SOMETHING. 1235 00:42:43,840 --> 00:42:44,280 PRETTY NEAT. 1236 00:42:44,280 --> 00:42:47,360 BUT IT'S A REMINDER BECAUSE WE 1237 00:42:47,360 --> 00:42:48,840 GET CAUGHT UP IN WHIRLWINDS OF 1238 00:42:48,840 --> 00:42:50,120 THINGS AND THEN WE FORGET WHAT 1239 00:42:50,120 --> 00:42:51,440 WE REALLY CARE ABOUT AND WHAT 1240 00:42:51,440 --> 00:42:52,640 WE'RE TRYING TO DO, SO I LIKE 1241 00:42:52,640 --> 00:42:54,560 THESE BANDS. 1242 00:42:54,560 --> 00:42:57,280 VISUAL INTELLIGENCE, YOU KNOW, 1243 00:42:57,280 --> 00:42:59,280 REMINDS US TO BE MORE OBSERVANT 1244 00:42:59,280 --> 00:43:01,600 AND BE MORE PERCEPTIVE IN OUR 1245 00:43:01,600 --> 00:43:04,080 LIVES. 1246 00:43:04,080 --> 00:43:05,680 LESSONS FROM THIS BOOK IS THAT 1247 00:43:05,680 --> 00:43:07,640 WE'RE ALL MISSING SO MUCH THAT'S 1248 00:43:07,640 --> 00:43:10,040 RIGHT UNDER OUR NOSE BECAUSE 1249 00:43:10,040 --> 00:43:12,360 WE'RE CAUGHT UP IN A ROLE AND 1250 00:43:12,360 --> 00:43:14,560 WE'RE TOO FOCUSED. 1251 00:43:14,560 --> 00:43:17,600 HEIGHTENED OBSERVATION SKILLS IS 1252 00:43:17,600 --> 00:43:19,200 CRITICAL FOR COMMUNICATING 1253 00:43:19,200 --> 00:43:19,920 EFFECTIVELY, EMPATHIZING WITH 1254 00:43:19,920 --> 00:43:21,360 OTHERS, MAKING INFORMED 1255 00:43:21,360 --> 00:43:22,600 DECISIONS AND FOR OUR GROWTH. 1256 00:43:22,600 --> 00:43:24,680 I'M GOING TO FLASH AN IMAGE 1257 00:43:24,680 --> 00:43:27,080 HERE, MOST OF YOU ARE LOOKING AT 1258 00:43:27,080 --> 00:43:28,040 IT AND DON'T SEE ANYTHING 1259 00:43:28,040 --> 00:43:29,280 SPECIFIC. 1260 00:43:29,280 --> 00:43:30,640 I KNOW. 1261 00:43:30,640 --> 00:43:33,160 A COUPLE OF YOU ARE LOOKING AT 1262 00:43:33,160 --> 00:43:35,880 IT AND SEEING SOMETHING CLEARLY. 1263 00:43:35,880 --> 00:43:37,320 BUT MOST OF YOU ARE LOOKING AT 1264 00:43:37,320 --> 00:43:38,960 THIS AND TURNING YOUR HEAD AND 1265 00:43:38,960 --> 00:43:40,840 GOING CLOSER AND FURTHER AND 1266 00:43:40,840 --> 00:43:42,120 SAYING, I DON'T SEE ANYTHING 1267 00:43:42,120 --> 00:43:44,920 THERE. 1268 00:43:44,920 --> 00:43:47,400 AND YOU'RE LOOKING AT SOMETHING, 1269 00:43:47,400 --> 00:43:49,360 AND THEN IF I ENCIRCLE IT, 1270 00:43:49,360 --> 00:43:50,720 YOU'LL SEE THAT THIS IS THE BODY 1271 00:43:50,720 --> 00:43:54,120 AND THE HEAD OF A COW. 1272 00:43:54,120 --> 00:43:55,880 AND NOW I'M GOING TO SHOW TO YOU 1273 00:43:55,880 --> 00:43:57,960 AGAIN, YOU CAN'T NOT SEE IT. 1274 00:43:57,960 --> 00:43:59,840 NOW YOU CLEARLY SEE, HEY, 1275 00:43:59,840 --> 00:44:01,360 THERE'S A COW THERE THAT YOU SEE 1276 00:44:01,360 --> 00:44:03,440 CLEARLY, BUT YOU COULDN'T SEE IT 1277 00:44:03,440 --> 00:44:04,640 BEFORE WHEN IT WAS RIGHT IN 1278 00:44:04,640 --> 00:44:05,320 FRONT OF YOU. 1279 00:44:05,320 --> 00:44:07,480 I HEAR THIS FROM THE MESSAGE 1280 00:44:07,480 --> 00:44:09,120 FROM THIS BOOK IS THAT WE'RE ALL 1281 00:44:09,120 --> 00:44:10,480 MISSING TONS OF THINGS THAT ARE 1282 00:44:10,480 --> 00:44:12,320 RIGHT UNDER OUR NOSE THAT WE'RE 1283 00:44:12,320 --> 00:44:12,680 MISSING. 1284 00:44:12,680 --> 00:44:14,440 SO TO LEARN FROM ROLE MODELS, 1285 00:44:14,440 --> 00:44:16,200 AND I'VE DONE SOME RESEARCH ON 1286 00:44:16,200 --> 00:44:17,520 ROLE MODELS AND LEARNING FROM 1287 00:44:17,520 --> 00:44:19,760 ROLE MODELS AND HOW ROLE MODELS 1288 00:44:19,760 --> 00:44:21,600 INFLUENCE CAREER CHOICE, HANG 1289 00:44:21,600 --> 00:44:23,360 WITH REALLY GOOD PEOPLE, AND PAY 1290 00:44:23,360 --> 00:44:24,960 CLOSE ATTENTION TO WHAT THEY DO. 1291 00:44:24,960 --> 00:44:27,320 HOW DID THEY WORK WITH THEIR 1292 00:44:27,320 --> 00:44:27,640 TEAMS? 1293 00:44:27,640 --> 00:44:29,640 HOW DID THEY INTRODUCE 1294 00:44:29,640 --> 00:44:30,400 THEMSELVES TO PATIENTS? 1295 00:44:30,400 --> 00:44:33,320 HOW DID THEY END VISITS? 1296 00:44:33,320 --> 00:44:35,320 HOW DID THEY COMMUNICATE, HOW 1297 00:44:35,320 --> 00:44:37,960 DID THEY LEAD MEETINGS? 1298 00:44:37,960 --> 00:44:40,480 WE CAN ALL LEARN TO GROW, SO 1299 00:44:40,480 --> 00:44:41,600 MUCH WE'RE MISSING BECAUSE WE'RE 1300 00:44:41,600 --> 00:44:42,480 NOT SEEING THE COW THAT'S IN 1301 00:44:42,480 --> 00:44:44,600 FRONT OF US BECAUSE -- THAT WAS 1302 00:44:44,600 --> 00:44:46,320 A CHECK THAT IN OTHER 1303 00:44:46,320 --> 00:44:46,960 CIRCUMSTANCES, WE'RE MISSING 1304 00:44:46,960 --> 00:44:52,040 THINGS THAT ARE UNDER OUR NOSE. 1305 00:44:52,040 --> 00:44:52,880 BOOK NUMBER SEVEN TO TELL YOU 1306 00:44:52,880 --> 00:44:56,320 ABOUT IS THE 7 HABITS OF HIGHLY 1307 00:44:56,320 --> 00:44:58,640 EFFECTIVELY PEOPLE, A CL CLASSII 1308 00:44:58,640 --> 00:45:01,600 STEVEN COVEY. 1309 00:45:01,600 --> 00:45:05,240 HABIT 3 IS BEGIN WITH THE END IN 1310 00:45:05,240 --> 00:45:05,800 MIND. 1311 00:45:05,800 --> 00:45:07,000 DON'T SPEND YOUR LIFE JUST 1312 00:45:07,000 --> 00:45:08,440 WORKING AIMLESSLY, TACKLING 1313 00:45:08,440 --> 00:45:10,840 WHATEVER JOB IS AT HAND, EVERY 1314 00:45:10,840 --> 00:45:11,600 TASK BEFORE YOU. 1315 00:45:11,600 --> 00:45:12,880 BUT IT'S GREAT TO HAVE A VISION 1316 00:45:12,880 --> 00:45:14,760 FOR THE FUTURE AND TO ALIGN YOUR 1317 00:45:14,760 --> 00:45:15,560 ACTIONS AND GOALS ACCORDINGLY TO 1318 00:45:15,560 --> 00:45:17,280 MAKE IT INTO REALITY. 1319 00:45:17,280 --> 00:45:19,920 SO MY TAKEAWAY FROM THIS, GET 1320 00:45:19,920 --> 00:45:21,280 MORE CLEAR ABOUT YOURSELF, WHAT 1321 00:45:21,280 --> 00:45:23,000 DO YOU WANT TO ACCOMPLISH, AND 1322 00:45:23,000 --> 00:45:25,640 TO ESTABLISH A LEARNING PLAN FOR 1323 00:45:25,640 --> 00:45:27,440 THE NEXT SIX MONTHS, A LEARNING 1324 00:45:27,440 --> 00:45:29,080 PLAN FOR THE NEXT YEAR, A 1325 00:45:29,080 --> 00:45:30,960 LEARNING PLAN FOR THIS ROTATION. 1326 00:45:30,960 --> 00:45:32,800 I JUST DID ALL MY ANNUAL REVIEWS 1327 00:45:32,800 --> 00:45:34,920 OF MY FACULTY, AND THE SECOND TO 1328 00:45:34,920 --> 00:45:36,560 LAST AGENDA ITEM IS WHAT'S YOUR 1329 00:45:36,560 --> 00:45:38,040 LEARNING PLAN FOR THE NEXT YEAR? 1330 00:45:38,040 --> 00:45:39,440 AND THEY HAVE TO TELL ME HOW 1331 00:45:39,440 --> 00:45:41,960 THEY'RE GOING TO -- WHAT THEIR 1332 00:45:41,960 --> 00:45:43,520 PLAN IS AND I ALWAYS ADD AT 1333 00:45:43,520 --> 00:45:44,440 LEAST TWO BOOKS THAT THEY NEED 1334 00:45:44,440 --> 00:45:45,720 TO READ BASED ON WHAT THEY'RE 1335 00:45:45,720 --> 00:45:47,600 DOING. 1336 00:45:47,600 --> 00:45:49,880 I DID A LITTLE STUDY WITH BRAND 1337 00:45:49,880 --> 00:45:51,920 NEW INTERNS WHO JUST GRADUATED 1338 00:45:51,920 --> 00:45:52,520 MEDICAL SCHOOL BEGINNING WITH 1339 00:45:52,520 --> 00:45:53,680 THE END IN MIND. 1340 00:45:53,680 --> 00:45:55,520 WE HAD THEM WRITE THEIR 1341 00:45:55,520 --> 00:45:57,840 RETIREMENT SPEECHES OR THEIR 1342 00:45:57,840 --> 00:45:58,840 RETIREMENT INTRODUCTIONS WHEN 1343 00:45:58,840 --> 00:46:01,000 THEY'VE JUST BECOME DOCTORS. 1344 00:46:01,000 --> 00:46:02,960 AND IMPACTFUL IN THAT I HAD THEM 1345 00:46:02,960 --> 00:46:06,080 SIT DOWN, THEY JUST BECAME 1346 00:46:06,080 --> 00:46:07,000 DOCTORS AND THEY'RE WRITING 1347 00:46:07,000 --> 00:46:08,200 ABOUT WHAT THEY HOPE TO 1348 00:46:08,200 --> 00:46:09,720 ACCOMPLISH AND THINKING ABOUT 1349 00:46:09,720 --> 00:46:11,480 THAT, SO THAT'S BEEN A NEAT 1350 00:46:11,480 --> 00:46:12,600 LITTLE STUDY THAT WE CONTINUE TO 1351 00:46:12,600 --> 00:46:15,320 DO FOR NOW OVER 20 YEARS. 1352 00:46:15,320 --> 00:46:20,600 SO THIS END, I HAVE GOVERNING 1353 00:46:20,600 --> 00:46:23,040 VALUES, I HAVE MY PHONE AND MY 1354 00:46:23,040 --> 00:46:25,040 WALLET, I GET TO A MEETING, I 1355 00:46:25,040 --> 00:46:29,120 LOOK AT THEM -- MY 1356 00:46:29,120 --> 00:46:31,160 UNDERSTANDING, I LISTEN, I 1357 00:46:31,160 --> 00:46:32,640 UNDERSTAND, I CARE, I DON'T 1358 00:46:32,640 --> 00:46:34,080 ACCEPT DISCRIMINATION, I DREAM 1359 00:46:34,080 --> 00:46:35,360 BIG, I SWING FOR THE FENCE. 1360 00:46:35,360 --> 00:46:37,240 NUMBER 20, I LOOK FOR 1361 00:46:37,240 --> 00:46:38,360 OPPORTUNITIES TO PRAISE OTHERS 1362 00:46:38,360 --> 00:46:38,880 PUBLICLY. 1363 00:46:38,880 --> 00:46:40,000 I NEVER CRITICIZE OR SAY 1364 00:46:40,000 --> 00:46:41,640 ANYTHING THAT MIGHT EMBARRASS 1365 00:46:41,640 --> 00:46:41,960 ANYONE. 1366 00:46:41,960 --> 00:46:46,640 SO I HAVE THESE GOMPI GOVERNINGS 1367 00:46:46,640 --> 00:46:47,720 AND WHEN OPPORTUNITIES COME UP 1368 00:46:47,720 --> 00:46:48,920 THAT DON'T ALIGN WITH MY 1369 00:46:48,920 --> 00:46:50,240 GOVERNING VALUES, I DON'T DO 1370 00:46:50,240 --> 00:46:51,120 THEM AND I SAY NO. 1371 00:46:51,120 --> 00:46:52,600 THIS BOOK IS ABOUT DESIGN 1372 00:46:52,600 --> 00:46:53,760 THINKING, AND IT'S BEEN A 1373 00:46:53,760 --> 00:46:54,880 REAL -- SOMETHING THAT I'VE BEEN 1374 00:46:54,880 --> 00:46:55,880 THINKING A LOT ABOUT. 1375 00:46:55,880 --> 00:46:58,200 I THINK THAT ACADEMIC MEDICINE 1376 00:46:58,200 --> 00:47:00,800 AND MEDICAL EDUCATION, THE AREA 1377 00:47:00,800 --> 00:47:02,480 THAT I STUDY, IS IN NEED OF A 1378 00:47:02,480 --> 00:47:04,120 SERIOUS INFUSION OF DESIGN 1379 00:47:04,120 --> 00:47:04,680 THINKING. 1380 00:47:04,680 --> 00:47:05,760 AND DESIGN THINKING IS A 1381 00:47:05,760 --> 00:47:07,160 DIFFERENT APPROACH TO PROBLEM 1382 00:47:07,160 --> 00:47:09,080 SOLVING WHERE YOU BEGIN BY 1383 00:47:09,080 --> 00:47:12,040 UNDERSTANDING THE USER'S NEEDS 1384 00:47:12,040 --> 00:47:13,800 AND DEVELOPING INSIGHTS TO SOLVE 1385 00:47:13,800 --> 00:47:15,160 THOSE NEEDS. 1386 00:47:15,160 --> 00:47:16,360 THE MINDSET AND A PROCESS. 1387 00:47:16,360 --> 00:47:18,400 THE PREMISE IS ONLY THROUGH 1388 00:47:18,400 --> 00:47:19,400 CONTACT, OBSERVATION AND EMPATHY 1389 00:47:19,400 --> 00:47:21,640 WITH END USERS CAN YOU TRULY 1390 00:47:21,640 --> 00:47:23,160 DESIGN SOLUTIONS TO FIT THEIR 1391 00:47:23,160 --> 00:47:24,360 NEEDS, ENVIRONMENTS AND LIVES. 1392 00:47:24,360 --> 00:47:26,840 AND THIS IS VERY DIFFERENT FROM 1393 00:47:26,840 --> 00:47:28,120 WHAT I HAD BEEN DOING, WHAT MANY 1394 00:47:28,120 --> 00:47:28,880 OF US DO. 1395 00:47:28,880 --> 00:47:30,320 HERE'S A PROBLEM, LET'S GET INTO 1396 00:47:30,320 --> 00:47:31,760 A ROOM AND BRAINSTORM SOLUTIONS, 1397 00:47:31,760 --> 00:47:33,080 OR WE HAVE THIS TECHNOLOGY, WHAT 1398 00:47:33,080 --> 00:47:34,520 CAN WE USE IT FOR? 1399 00:47:34,520 --> 00:47:35,720 OR OTHER PEOPLE ARE DOING. 1400 00:47:35,720 --> 00:47:38,800 EX, HOW CAN WE DO X A LITTLE 1401 00:47:38,800 --> 00:47:39,720 FASTER OR BETTER? 1402 00:47:39,720 --> 00:47:41,640 AND I THINK THAT -- I'VE BEEN 1403 00:47:41,640 --> 00:47:42,480 THINKING ABOUT DESIGN THINKING 1404 00:47:42,480 --> 00:47:44,640 WHEN I ENCOUNTER A PROBLEM AND 1405 00:47:44,640 --> 00:47:46,200 NEED TO DEVELOP AND DEPLOY A 1406 00:47:46,200 --> 00:47:47,320 SOLUTION, AND BOTH FOR NEW 1407 00:47:47,320 --> 00:47:48,960 ISSUES AND ALSO THINGS THAT 1408 00:47:48,960 --> 00:47:50,400 YOU'RE DOING THAT AREN'T HAVING 1409 00:47:50,400 --> 00:47:52,720 THE DESIRED EFFECT. 1410 00:47:52,720 --> 00:47:53,480 THERE'S SIX STEPS IN THIS BOOK 1411 00:47:53,480 --> 00:47:57,320 THAT THEY GO OVER TO TRY YOU AND 1412 00:47:57,320 --> 00:48:02,840 AND UNDERSTAND, YOU OBSERVE, YOU 1413 00:48:02,840 --> 00:48:05,080 SYNTHESIZE -- MY SIX TAKEAWAYS 1414 00:48:05,080 --> 00:48:06,120 FROM THE BOOK I STARTED TO DO A 1415 00:48:06,120 --> 00:48:07,480 LOT MORE IS DRAWING A LOT. 1416 00:48:07,480 --> 00:48:08,680 THIS LITTLE BOOK SHOWS HOW WE 1417 00:48:08,680 --> 00:48:10,720 CAN ALL DRAW ON THE BACK OF A 1418 00:48:10,720 --> 00:48:11,240 NAPKIN. 1419 00:48:11,240 --> 00:48:12,960 GO FOR IT CREATIVELY, DON'T BE 1420 00:48:12,960 --> 00:48:13,360 AFRAID TO FAIL. 1421 00:48:13,360 --> 00:48:15,520 THAT CAME UP IN SEVERAL BOOKS. 1422 00:48:15,520 --> 00:48:17,000 CO-CREATE WITH OTHERS, A DIVERSE 1423 00:48:17,000 --> 00:48:18,000 TEAM. 1424 00:48:18,000 --> 00:48:20,080 AVOID ASSUMPTIONS, ASK A LOT OF 1425 00:48:20,080 --> 00:48:20,800 QUESTIONS. 1426 00:48:20,800 --> 00:48:22,600 THIS BOOK BY THE PRESIDENT OF 1427 00:48:22,600 --> 00:48:24,480 UVA, HE WAS FORMERLY THE HEAD OF 1428 00:48:24,480 --> 00:48:26,800 EDUCATION AT HARVARD, WAIT, 1429 00:48:26,800 --> 00:48:27,320 WHAT? 1430 00:48:27,320 --> 00:48:28,840 TALKS ABOUT QUESTIONS WE NEED TO 1431 00:48:28,840 --> 00:48:29,560 BE ASKING MORE. 1432 00:48:29,560 --> 00:48:32,440 SO WAIT, WHAT GETS AT SLOWING 1433 00:48:32,440 --> 00:48:33,760 DOWN AND REALLY TRYING TO 1434 00:48:33,760 --> 00:48:36,920 UNDERSTAND THE OTHER PERSON. 1435 00:48:36,920 --> 00:48:38,360 WE NEED TO SAY I WONDER A LOT 1436 00:48:38,360 --> 00:48:38,920 MORE. 1437 00:48:38,920 --> 00:48:41,120 I WONDER IF OR I WONDER WHY IS A 1438 00:48:41,120 --> 00:48:43,200 WAY TO STAY CURIOUS AND ENGAGED, 1439 00:48:43,200 --> 00:48:44,640 AND COULDN'T WE AT LEAST AGREE 1440 00:48:44,640 --> 00:48:45,880 OR COULDN'T WE AT LEAST GET 1441 00:48:45,880 --> 00:48:49,160 STARTED WHEN WE'RE STUCK. 1442 00:48:49,160 --> 00:48:50,760 OTHER QUESTIONS, HOW MIGHT WE 1443 00:48:50,760 --> 00:48:51,760 FOCUS ON THE POSITIVE? 1444 00:48:51,760 --> 00:48:55,640 HOW MIGHT WE CUT OUT THE BAD? 1445 00:48:55,640 --> 00:48:57,520 HOW CAN WE GO COMPLETELY IN AN 1446 00:48:57,520 --> 00:48:58,480 OPPOSITE DIRECTION? 1447 00:48:58,480 --> 00:49:00,600 HOW MAY WE IDENTIFY AN UNTAPPED 1448 00:49:00,600 --> 00:49:01,920 RESOURCE, LOOK FOR ANALOGS? 1449 00:49:01,920 --> 00:49:05,280 WHAT WOULD A AMAZON OR APPLE DOF 1450 00:49:05,280 --> 00:49:06,320 THEY WERE IN THIS SITUATION? 1451 00:49:06,320 --> 00:49:07,440 WE'RE NEARING THE END. 1452 00:49:07,440 --> 00:49:08,560 OTHER TYPES OF BOOKS I READ A 1453 00:49:08,560 --> 00:49:11,440 LOT THAT HAVE HELPED ME TOO ARE 1454 00:49:11,440 --> 00:49:12,840 BIOGRAPHIES. 1455 00:49:12,840 --> 00:49:16,720 SO BOOKS LIKE LYNDON JOHNSON, 1456 00:49:16,720 --> 00:49:21,840 THESE ARE THE THREE BUYI BIOGRA, 1457 00:49:21,840 --> 00:49:23,560 LYNDON JOHNSON, ELON MUSK AND 1458 00:49:23,560 --> 00:49:24,720 BILL GATES. 1459 00:49:24,720 --> 00:49:25,960 IS THAT BILL GATES? 1460 00:49:25,960 --> 00:49:26,960 NO, IT'S STEVE JOBS. 1461 00:49:26,960 --> 00:49:28,600 PARDON ME. 1462 00:49:28,600 --> 00:49:31,400 AND HOW THEY APPROACH PROBLEMS, 1463 00:49:31,400 --> 00:49:32,560 VERY, VERY HELPFUL TO READ 1464 00:49:32,560 --> 00:49:35,000 THOSE. 1465 00:49:35,000 --> 00:49:37,400 I READ A FAIR BIT OF FICTION AS 1466 00:49:37,400 --> 00:49:38,040 WELL. 1467 00:49:38,040 --> 00:49:40,320 THIS FIRST BOOK, THE ART OF 1468 00:49:40,320 --> 00:49:41,560 FIELDING I READ YEARS AGO BUT IT 1469 00:49:41,560 --> 00:49:44,520 GAVE ME INSIGHT INTO PATIENTS 1470 00:49:44,520 --> 00:49:45,720 WHO WERE BACK AT THE TILE 1471 00:49:45,720 --> 00:49:47,840 STRUGGLING WITH COMING OUT ABOUT 1472 00:49:47,840 --> 00:49:50,160 THEIR SEXUALITY, ALL THE LIGHT 1473 00:49:50,160 --> 00:49:52,000 WE CANNOT SEE GIVES ME INSIGHT 1474 00:49:52,000 --> 00:49:54,240 INTO A PATIENT OF MINE WHO HAS 1475 00:49:54,240 --> 00:49:55,360 VISUAL IMPAIRMENT. 1476 00:49:55,360 --> 00:50:02,680 THIS BOOK, QUE C UCKOO'S CALLINS 1477 00:50:02,680 --> 00:50:06,080 ALSO A SERIES THAT'S REALLY 1478 00:50:06,080 --> 00:50:10,480 GOOD, ABOUT DIFFICULTIES 1479 00:50:10,480 --> 00:50:13,440 ASSOCIATED WITH LIVING AS AN 1480 00:50:13,440 --> 00:50:14,560 AMPUTEE, HELPING TO CARE FOR 1481 00:50:14,560 --> 00:50:16,680 PATIENTS WHO ARE AMPUTEES. 1482 00:50:16,680 --> 00:50:18,200 SO CONCLUDING THOUGHTS ABOUT 1483 00:50:18,200 --> 00:50:18,720 READING. 1484 00:50:18,720 --> 00:50:20,120 TOO MANY HEALTHCARE 1485 00:50:20,120 --> 00:50:21,160 PROFESSIONALS DO NOT READ 1486 00:50:21,160 --> 00:50:22,720 NON-MEDICAL BOOKS, AND IT'S 1487 00:50:22,720 --> 00:50:23,600 LIMITING THEIR GROWTH AND THEIR 1488 00:50:23,600 --> 00:50:25,800 CHANCE TO REALIZE EXCELLENCE. 1489 00:50:25,800 --> 00:50:27,920 SO MY SUGGESTION AROUND READING 1490 00:50:27,920 --> 00:50:31,600 IS BUY A BOOK TODAY. 1491 00:50:31,600 --> 00:50:32,800 ONLINE, IT'S EASY. 1492 00:50:32,800 --> 00:50:34,080 TRY AND LISTEN TO A BOOK. 1493 00:50:34,080 --> 00:50:36,800 I LISTEN TO LOTS OF MY BOOKS ON 1494 00:50:36,800 --> 00:50:38,160 MY COMPUTE FROM THE ANNAPOLIS 1495 00:50:38,160 --> 00:50:40,680 AREA UP TO BALTIMORE, SO I'M 1496 00:50:40,680 --> 00:50:42,760 ALWAYS ACTIVELY LIST INTO A BOOK 1497 00:50:42,760 --> 00:50:45,160 AND READING A BOOK. 1498 00:50:45,160 --> 00:50:47,200 I'M ALWAYS IN THE PID MIDDLE OF 1499 00:50:47,200 --> 00:50:47,840 A BOOK. 1500 00:50:47,840 --> 00:50:49,480 IF I'M NOT IN THE MIDDLE OF A 1501 00:50:49,480 --> 00:50:51,280 BOOK I FEEL LIKE I'M MISSING 1502 00:50:51,280 --> 00:50:52,720 SOMETHING SO I'M ALWAYS IN THE 1503 00:50:52,720 --> 00:50:53,480 MIDDLE OF A COUPLE OF BOOKS. 1504 00:50:53,480 --> 00:50:54,920 I'M A MEMBER OF THREE DIFFERENT 1505 00:50:54,920 --> 00:50:56,280 BOOK CLUBS AND HELPS WITH 1506 00:50:56,280 --> 00:50:57,720 GROWTH. 1507 00:50:57,720 --> 00:51:00,960 IF YOU WANT ME TO -- I HAVE A 1508 00:51:00,960 --> 00:51:03,320 BOOK -- LIST OF BOOKS, I'VE 1509 00:51:03,320 --> 00:51:03,960 MENTIONED EIGHT OR 10 TODAY, BUT 1510 00:51:03,960 --> 00:51:06,480 IF YOU EMAIL ME AND SAY PLEASE 1511 00:51:06,480 --> 00:51:08,200 SEND ME YOUR BOOK LIST, I WILL 1512 00:51:08,200 --> 00:51:09,480 SEND YOU MY BOOK LIST OF BOOKS 1513 00:51:09,480 --> 00:51:10,800 THAT I THINK ARE GREAT. 1514 00:51:10,800 --> 00:51:12,440 AND USE READING AS ONE OF THE 1515 00:51:12,440 --> 00:51:13,480 CRITERIA WHEN YOU'RE HIRING. 1516 00:51:13,480 --> 00:51:15,680 EVERYONE THAT I HIRE, I SAY WHAT 1517 00:51:15,680 --> 00:51:18,080 HAVE YOU READ LATE LEA, WHAT'S A 1518 00:51:18,080 --> 00:51:19,760 BOOK THAT'S INSPIRED YOU OR 1519 00:51:19,760 --> 00:51:22,160 MOTIVATED YOU? 1520 00:51:22,160 --> 00:51:25,320 AND PEOPLE THAT READ ARE REAL 1521 00:51:25,320 --> 00:51:26,640 REALLY -- ARE MORE OPEN-MINDED 1522 00:51:26,640 --> 00:51:27,920 AND MORE COMMITTED TO GROWTH, I 1523 00:51:27,920 --> 00:51:29,440 THINK. 1524 00:51:29,440 --> 00:51:30,440 SO READ MORE. 1525 00:51:30,440 --> 00:51:33,040 AND THEN TO SUMMARY -- TO END 1526 00:51:33,040 --> 00:51:39,880 RIGHT ON TIME, 1 1255ISH, SO IN 1527 00:51:39,880 --> 00:51:41,680 SUMMARY, CLINICIANS ARE VITAL TO 1528 00:51:41,680 --> 00:51:44,960 THE SUCCESS OF ACADEMIC MEDICAL 1529 00:51:44,960 --> 00:51:47,240 CENTERS' TRIPARTITE MISSION. 1530 00:51:47,240 --> 00:51:48,720 SO WE NEED TO CHERISH AND VALUE 1531 00:51:48,720 --> 00:51:50,840 AND A HELP OUR CLINICIANS GROW 1532 00:51:50,840 --> 00:51:53,240 AND THRIVE AND FLOURISH. 1533 00:51:53,240 --> 00:51:56,640 AND FOR CLINICIANS, THEY NEED TO 1534 00:51:56,640 --> 00:51:58,080 BE CONTINUALLY GROWING. 1535 00:51:58,080 --> 00:52:00,360 SO AGAIN, YOU KNOW, WE NEED TO 1536 00:52:00,360 --> 00:52:02,720 MENTOR A CLINICIAN, BUT 1537 00:52:02,720 --> 00:52:04,480 CLINICIANS ALSO NEED TO -- IT'S 1538 00:52:04,480 --> 00:52:06,640 ON THEM AND ON US TO CONTINUE TO 1539 00:52:06,640 --> 00:52:08,960 GROW CLINICALLY, TO GROW TO 1540 00:52:08,960 --> 00:52:10,520 BECOME BETTER AND BETTER 1541 00:52:10,520 --> 00:52:12,480 CLINICIANS AND TO ALSO TO GROW 1542 00:52:12,480 --> 00:52:12,960 PERSONALLY. 1543 00:52:12,960 --> 00:52:17,240 SO I THINK THAT'S MY LAST SLIDE, 1544 00:52:17,240 --> 00:52:19,000 RUNNING THROUGH A NUMBER OF 1545 00:52:19,000 --> 00:52:19,880 SLIDES, AND I'LL BE HAPPY TO 1546 00:52:19,880 --> 00:52:24,320 STAY ON TO ANSWER ANY QUESTIONS 1547 00:52:24,320 --> 00:52:26,600 ABOUT MILLER COULSON ACADEMY, 1548 00:52:26,600 --> 00:52:28,240 OUR PROMOTION TRACK AT HOPKINS 1549 00:52:28,240 --> 00:52:29,920 OR ANYTHING ELSE YOU WANT TO ASK 1550 00:52:29,920 --> 00:52:33,880 ME. 1551 00:52:33,880 --> 00:52:35,120 SO THANK YOU AGAIN FOR INVITING 1552 00:52:35,120 --> 00:52:36,400 ME AND I LOOK FORWARD TO COMING 1553 00:52:36,400 --> 00:52:39,720 DOWN INTO D.C. TO BE THERE IN 1554 00:52:39,720 --> 00:52:40,520 PERSON. 1555 00:52:40,520 --> 00:52:41,720 INITIALLY THIS WAS SET UP AS 1556 00:52:41,720 --> 00:52:43,200 VIRTUAL SO I SCHEDULED PATIENTS 1557 00:52:43,200 --> 00:52:44,920 FROM 8:00 TO 11:00 TODAY, AND 1558 00:52:44,920 --> 00:52:47,800 COULDN'T GET THERE, BUT I KNOW 1559 00:52:47,800 --> 00:52:50,280 THEY COULD HAVE BEEN ONLINE NOW 1560 00:52:50,280 --> 00:52:51,520 BUT THANK YOU FOR HAVING ME AND 1561 00:52:51,520 --> 00:52:52,720 I LOOK FORWARD TO COLLABORATING 1562 00:52:52,720 --> 00:52:55,480 WITH YOU MORE IN THE FUTURE. 1563 00:52:55,480 --> 00:52:56,800 >>THANK YOU SO MUCH, 1564 00:52:56,800 --> 00:52:57,320 DR. WRIGHT. 1565 00:52:57,320 --> 00:52:59,240 AND WE APPRECIATE YOUR KEEPING 1566 00:52:59,240 --> 00:53:00,240 YOUR PATIENTS A PRIORITY AS 1567 00:53:00,240 --> 00:53:03,240 WELL. 1568 00:53:03,240 --> 00:53:04,320 SO WE'VE HAD A NUMBER OF 1569 00:53:04,320 --> 00:53:05,360 QUESTIONS THAT HAVE COME IN. 1570 00:53:05,360 --> 00:53:08,760 SO THE FIRST QUESTION IS, IT 1571 00:53:08,760 --> 00:53:09,880 TOOK SOME TIME FOR YOU TO GET 1572 00:53:09,880 --> 00:53:11,520 YOUR PROGRAM OFF THE GROUND. 1573 00:53:11,520 --> 00:53:13,760 WHAT SPECIFIC STEPS DID IT TAKE 1574 00:53:13,760 --> 00:53:14,960 TO CONVINCE LEADERSHIP THAT 1575 00:53:14,960 --> 00:53:18,000 THERE WAS VALUE IN VALUING 1576 00:53:18,000 --> 00:53:21,840 CLINICIANS? 1577 00:53:21,840 --> 00:53:23,640 >>IT DOES. 1578 00:53:23,640 --> 00:53:27,880 SO ALL -- ALL NEW IDEAS AND NEW 1579 00:53:27,880 --> 00:53:32,160 PROGRAMS TAKE TIME TO GROW AND 1580 00:53:32,160 --> 00:53:37,480 FLEWISH, AND I THIFLOURISH, ANDE 1581 00:53:37,480 --> 00:53:38,880 LUCKY AND WE REALLY HAD A 1582 00:53:38,880 --> 00:53:39,640 COMMITMENT FROM THE DEAN AND 1583 00:53:39,640 --> 00:53:41,120 DEPARTMENT CHAIRS TO CHANGE THE 1584 00:53:41,120 --> 00:53:43,560 CULTURE, SO THAT CLINICIANS 1585 00:53:43,560 --> 00:53:46,440 WOULD BE SEEN AS EQUAL AND 1586 00:53:46,440 --> 00:53:47,560 VALUABLE AND IMPORTANT NUMBERS 1587 00:53:47,560 --> 00:53:53,360 OF OUR COMMUNITY, AND SO I THINK 1588 00:53:53,360 --> 00:53:55,520 SHOWING THEM THAT IT'S POSSIBLE 1589 00:53:55,520 --> 00:53:57,000 AND SHOWING THEM THAT WE WERE 1590 00:53:57,000 --> 00:53:59,960 HAVING SOME EARLY GAINES AND WE 1591 00:53:59,960 --> 00:54:01,680 WERE HAVING SOME SUCCESSES AND 1592 00:54:01,680 --> 00:54:03,760 THERE WERE LOTS OF PEOPLE WHO 1593 00:54:03,760 --> 00:54:04,720 WERE INTERESTED IN JOINING US 1594 00:54:04,720 --> 00:54:07,560 AND WORKING WITH US, I THINK 1595 00:54:07,560 --> 00:54:11,320 SEEING THE AMOUNT AND THE 1596 00:54:11,320 --> 00:54:12,760 NUMBERS OF PEOPLE WHO WERE 1597 00:54:12,760 --> 00:54:14,120 ENGAGED AND THE PEOPLE WHO WERE 1598 00:54:14,120 --> 00:54:17,960 BEHIND US, I THINK HELP TO ALLOW 1599 00:54:17,960 --> 00:54:19,600 LEADERS TO BE PATIENT WITH US 1600 00:54:19,600 --> 00:54:24,960 AND TO GIVE US TIME TO DEVELOP 1601 00:54:24,960 --> 00:54:28,480 AND TO MAKE PROGRESS. 1602 00:54:28,480 --> 00:54:29,320 >>GREAT. 1603 00:54:29,320 --> 00:54:30,520 SO IT SOUNDS LIKE HAVING SOME 1604 00:54:30,520 --> 00:54:33,040 EARLY SUCCESSES AND SHOWING A 1605 00:54:33,040 --> 00:54:33,920 GROUNDSWELL OF SUPPORT WERE 1606 00:54:33,920 --> 00:54:34,720 IMPORTANT FACTORS FOR YOU. 1607 00:54:34,720 --> 00:54:35,280 >>YES. 1608 00:54:35,280 --> 00:54:36,920 WELL SAID, DR. RUHL. 1609 00:54:36,920 --> 00:54:38,040 THANK YOU. 1610 00:54:38,040 --> 00:54:40,680 >>SO AN ADDITIONAL QUESTION WE 1611 00:54:40,680 --> 00:54:45,880 HAVE IS, MORE DETAILS ABOUT THE 1612 00:54:45,880 --> 00:54:46,640 ACADEMY IN PARTICULAR AND THE 1613 00:54:46,640 --> 00:54:48,480 ROLE THAT YOU'VE DESCRIBED A 1614 00:54:48,480 --> 00:54:50,320 WHOLE MENU OF MECHANISMS THAT 1615 00:54:50,320 --> 00:54:53,360 YOU'VE USED TO KIND OF IMPART 1616 00:54:53,360 --> 00:54:55,200 CULTURE CHANGE AND REALLY IMPACT 1617 00:54:55,200 --> 00:54:56,920 THE CAREERS OF CLINICIANS AT 1618 00:54:56,920 --> 00:54:57,480 HOPKINS. 1619 00:54:57,480 --> 00:54:59,120 SO IF YOU COULD JUST TELL US A 1620 00:54:59,120 --> 00:55:00,000 LITTLE -- DRILL DOWN A LITTLE 1621 00:55:00,000 --> 00:55:01,640 BIT MORE INTO THE ACADEMY IN 1622 00:55:01,640 --> 00:55:02,440 PARTICULAR. 1623 00:55:02,440 --> 00:55:05,040 >>SO THE ACADEMY IS REALLY -- 1624 00:55:05,040 --> 00:55:06,560 WHEN PEOPLE GET INTO THE 1625 00:55:06,560 --> 00:55:08,440 ACADEMY, THEY'RE OVERJOYED, AND 1626 00:55:08,440 --> 00:55:10,400 I REMEMBER ONE ACADEMY MEMBER 1627 00:55:10,400 --> 00:55:12,520 WHO GOT IN AND SAID THIS IS MY 1628 00:55:12,520 --> 00:55:14,080 ACADEMY AWARD, THIS IS -- I KNOW 1629 00:55:14,080 --> 00:55:17,120 I'M NOT GOING TO GET TO 1630 00:55:17,120 --> 00:55:17,800 PROFESSOR, THAT WAS BACK BEFORE 1631 00:55:17,800 --> 00:55:22,480 THE DAY OF -- THIS IS -- THIS IS 1632 00:55:22,480 --> 00:55:23,760 THE HIGHLIGHT OF MY CAREER, AND 1633 00:55:23,760 --> 00:55:25,320 YOU KNOW, HER FAMILY WAS THERE 1634 00:55:25,320 --> 00:55:27,920 AND HER CHILDREN WERE THERE, 1635 00:55:27,920 --> 00:55:28,360 WONDERFUL. 1636 00:55:28,360 --> 00:55:31,520 SO I THINK THAT THE ACADEMY, 1637 00:55:31,520 --> 00:55:34,640 THOUGH, IT'S A WORKING ACADEMY. 1638 00:55:34,640 --> 00:55:36,200 SO WE HAVE 90 MEMBERS AND THEY 1639 00:55:36,200 --> 00:55:37,360 KNOW THAT THEY ARE -- THEY HAVE 1640 00:55:37,360 --> 00:55:41,600 TO GIVE US 20 HOURS A YEAR TO 1641 00:55:41,600 --> 00:55:43,560 HELP DO WORK. 1642 00:55:43,560 --> 00:55:46,640 SO WHILE HIM WHO'S HELPED ME 1643 00:55:46,640 --> 00:55:47,960 WITH LOTS OF THINGS AND KIM 1644 00:55:47,960 --> 00:55:49,520 WILLIAMS IS MANAGER OF THE 1645 00:55:49,520 --> 00:55:51,480 ACADEMY, AND WHILE SHE AND I 1646 00:55:51,480 --> 00:55:53,480 SPEND TIME THINKING ABOUT THE 1647 00:55:53,480 --> 00:55:54,920 ACADEMY WEEKLY IF NOT DAILY. 1648 00:55:54,920 --> 00:56:01,280 THE OTHERS ARE ENGAGED MEMBERS, 1649 00:56:01,280 --> 00:56:04,840 ZOO -- SO I WOULD SAY OUR 1650 00:56:04,840 --> 00:56:05,720 ACADEMY MEMBERS COMMIT TO 1651 00:56:05,720 --> 00:56:07,160 ROLLING UP THEIR SLEEVES, 1652 00:56:07,160 --> 00:56:08,920 GETTING THEIR HANDS DIRTY AND 1653 00:56:08,920 --> 00:56:11,680 TRYING TO WORK ON PROGRAMS, OUR 1654 00:56:11,680 --> 00:56:12,800 COACHING PROGRAM AND OUR GRAND 1655 00:56:12,800 --> 00:56:14,120 ROUNDS, ARE FANTASTIC, AND 1656 00:56:14,120 --> 00:56:16,720 PEOPLE SEE THAT, SO I THINK 1657 00:56:16,720 --> 00:56:18,000 THAT'S THE BIGGEST THING, I 1658 00:56:18,000 --> 00:56:20,400 THINK THAT WHILE -- SO MANY 1659 00:56:20,400 --> 00:56:21,840 PEOPLE THINK OH, YOU GET INTO 1660 00:56:21,840 --> 00:56:23,960 THE ACADEMY AND IT'S AN HONOR. 1661 00:56:23,960 --> 00:56:26,600 AND IT IS, BUT WE TELL PEOPLE 1662 00:56:26,600 --> 00:56:31,600 WHEN THEY APPLY, DON'T APPLY 1663 00:56:31,600 --> 00:56:33,680 UNLESS YOU'RE WILLING TO DEVOTE 1664 00:56:33,680 --> 00:56:36,160 20 HOURS OF YOUR TIME IN A YEAR 1665 00:56:36,160 --> 00:56:38,160 TO COME UP WITH IDEAS, WORK ON 1666 00:56:38,160 --> 00:56:39,960 PROJECTS AND HELP US TO ADVANCE 1667 00:56:39,960 --> 00:56:40,280 THE ACADEMY. 1668 00:56:40,280 --> 00:56:43,880 AND I THINK THAT'S BEEN THE 1669 00:56:43,880 --> 00:56:44,640 BIGGEST THING. 1670 00:56:44,640 --> 00:56:46,160 OTHER THINGS, TEACHING 1671 00:56:46,160 --> 00:56:47,440 ACADEMIES, CLINICAL ACADEMIES 1672 00:56:47,440 --> 00:56:48,560 ELSEWHERE, IT'S AN HONOR, YOU 1673 00:56:48,560 --> 00:56:50,360 GET IT, YOU PUT IT IN YOUR CV 1674 00:56:50,360 --> 00:56:51,800 AND THEN YOU'RE NOT ENGAGED, I 1675 00:56:51,800 --> 00:56:55,760 THINK SOME OF THOSE HAVE FAILED. 1676 00:56:55,760 --> 00:56:56,880 BUT BUT I THINK THE BIGGEST 1677 00:56:56,880 --> 00:57:00,320 THING IS ENGAIBLGM ENGAGEMENT. 1678 00:57:00,320 --> 00:57:02,200 AT THE START OF A YEAR, WE SAY 1679 00:57:02,200 --> 00:57:04,400 TO AWR ACADEMY MEMBERS, WHAT'S A 1680 00:57:04,400 --> 00:57:05,920 BIG NEW INITIATIVE WE'RE GOING 1681 00:57:05,920 --> 00:57:07,320 TO LAUNCH THIS YEAR, AND HOW ARE 1682 00:57:07,320 --> 00:57:08,520 WE GOING TO DO IT. 1683 00:57:08,520 --> 00:57:09,640 WE FORM THINGS AND WE GET THINGS 1684 00:57:09,640 --> 00:57:10,120 DONE. 1685 00:57:10,120 --> 00:57:14,920 SO THE COACHING PROGRAM, 1686 00:57:14,920 --> 00:57:15,680 CLOSLER, I THINK THAT'S REALLY 1687 00:57:15,680 --> 00:57:17,040 LED TO THE SUCCESS OF THE 1688 00:57:17,040 --> 00:57:17,280 ACADEMY. 1689 00:57:17,280 --> 00:57:17,960 >>THAT'S GREAT. 1690 00:57:17,960 --> 00:57:20,920 IT REALLY UNDERSCORES THE NEED 1691 00:57:20,920 --> 00:57:21,640 FOR BOOTS ON THE GROUND AND A 1692 00:57:21,640 --> 00:57:24,040 LOT OF LITTLE TASKS TO MOVE BIG 1693 00:57:24,040 --> 00:57:26,200 PROJECTS. 1694 00:57:26,200 --> 00:57:28,800 ONE COMMENT THAT CAME IN FROM A 1695 00:57:28,800 --> 00:57:29,960 STAFF CLINICIAN IS, DR. WRIGHT, 1696 00:57:29,960 --> 00:57:31,200 THANK YOU FOR THIS INSPIRING 1697 00:57:31,200 --> 00:57:31,520 TALK. 1698 00:57:31,520 --> 00:57:33,280 IT IS ALWAYS GOOD TO REMIND 1699 00:57:33,280 --> 00:57:34,000 OURSELVES THAT IN ORDER TO TAKE 1700 00:57:34,000 --> 00:57:35,640 CARE OF OTHERS, WE NEED TO TAKE 1701 00:57:35,640 --> 00:57:37,160 CARE OF OURSELVES. 1702 00:57:37,160 --> 00:57:39,720 VERY INSPIRING. 1703 00:57:39,720 --> 00:57:40,520 >>THANK YOU. 1704 00:57:40,520 --> 00:57:43,920 I APPRECIATE THE COMMENT. 1705 00:57:43,920 --> 00:57:46,000 AND I THINK IT'S SO TRUE. 1706 00:57:46,000 --> 00:57:47,720 AND WE DON'T REMIND OURSELVES OF 1707 00:57:47,720 --> 00:57:52,040 THAT ENOUGH, AND I REALLY FIRMLY 1708 00:57:52,040 --> 00:57:53,480 BELIEVE IN THAT, AND I TRY AND 1709 00:57:53,480 --> 00:57:59,120 LIVE THAT, AND IT'S SUPER, SUPER 1710 00:57:59,120 --> 00:58:00,800 IMPORTANT, ONLY IF WE TAKE CARE 1711 00:58:00,800 --> 00:58:04,600 OF OURSELVES CAN WE SUCCEED 1712 00:58:04,600 --> 00:58:06,560 WITH -- IN RELATIONSHIP WITH 1713 00:58:06,560 --> 00:58:07,400 OTHERS. 1714 00:58:07,400 --> 00:58:08,880 SO GLAD THAT THAT WAS NOTICED, 1715 00:58:08,880 --> 00:58:11,040 AND SO TRUE. 1716 00:58:11,040 --> 00:58:14,160 >>ONE ADDITIONAL QUESTION IS, 1717 00:58:14,160 --> 00:58:16,680 WITHIN YOUR PROGRAM, EITHER THE 1718 00:58:16,680 --> 00:58:18,320 ACADEMY OR YOUR OTHER EFFORTS TO 1719 00:58:18,320 --> 00:58:20,400 FOCUS ON CLINICAL EXCELLENCE, 1720 00:58:20,400 --> 00:58:22,320 HOW HAVE YOU MEASURED COMMUNITY 1721 00:58:22,320 --> 00:58:25,720 IMPACT? 1722 00:58:25,720 --> 00:58:33,600 >>SO YOU KNOW, HOPKINS HAS 1723 00:58:33,600 --> 00:58:37,920 OTHER PEOPLE BEYOND ME WHO 1724 00:58:37,920 --> 00:58:41,200 MEASURE JOY OF WORK, EMPLOYEE 1725 00:58:41,200 --> 00:58:41,960 SATISFACTION, AND THINGS LIKE 1726 00:58:41,960 --> 00:58:43,840 THAT. 1727 00:58:43,840 --> 00:58:46,880 AND TO BE HONEST, WITH COVID IN 1728 00:58:46,880 --> 00:58:48,360 THE LAST FOUR YEARS AND WITH 1729 00:58:48,360 --> 00:58:49,680 SOME ISOLATION AND WITH SOME 1730 00:58:49,680 --> 00:58:51,640 EXTRA WORK AND EXTRA PRESSURE, 1731 00:58:51,640 --> 00:58:52,840 I'LL TELL YOU THAT OUR 1732 00:58:52,840 --> 00:58:57,320 INSTITUTION, YOU KNOW, MORALE 1733 00:58:57,320 --> 00:59:02,840 HAD BEEN LOW, AND IT'S 1734 00:59:02,840 --> 00:59:04,640 DIFFICULT, AND I THINK THAT -- 1735 00:59:04,640 --> 00:59:07,360 SO I THINK THAT WE -- WHILE I'M 1736 00:59:07,360 --> 00:59:10,280 CONVINCED THAT OUR ACADEMY, OUR 1737 00:59:10,280 --> 00:59:11,480 PROGRAMS HAVE HAD A BIG 1738 00:59:11,480 --> 00:59:13,320 INFLUENCE ON THE CLINICAL 1739 00:59:13,320 --> 00:59:16,360 CULTURE AT HOPKINS, YOU KNOW, 1740 00:59:16,360 --> 00:59:19,000 THOSE WHO ARE IN CHARGE OF 1741 00:59:19,000 --> 00:59:22,800 MEASURING MORALE AND OVERALL 1742 00:59:22,800 --> 00:59:25,080 SATISFACTION DO IT AND IT'S 1743 00:59:25,080 --> 00:59:27,560 STILL A BIT OF A TOUGH TIME, AND 1744 00:59:27,560 --> 00:59:28,480 THERE'S STILL A WAY TO GO. 1745 00:59:28,480 --> 00:59:30,480 WE HAVE A CHIEF WELLNESS OFFICER 1746 00:59:30,480 --> 00:59:31,960 THAT IS WORKING ON THINGS AND 1747 00:59:31,960 --> 00:59:36,320 WORKS WITH THE ACADEMY, TO MAKE 1748 00:59:36,320 --> 00:59:38,640 THINGS MORE FUN. 1749 00:59:38,640 --> 00:59:42,520 OUR LAST GRAND ROUNDS LAST WEEK 1750 00:59:42,520 --> 00:59:45,280 WAS JOY AND FUN IN THE CLINICAL 1751 00:59:45,280 --> 00:59:46,640 ENVIRONMENT, AND WE HAD SIX 1752 00:59:46,640 --> 00:59:47,480 ACADEMY MEMBERS WHO TOLD STORE 1753 00:59:47,480 --> 00:59:49,800 HE OOOS OF JOY AND FUN, AND SOME 1754 00:59:49,800 --> 00:59:53,600 WERE PEDIATRIC ICU DOCS WHO WERE 1755 00:59:53,600 --> 00:59:55,480 CARING FOR VERY, VERY SICK 1756 00:59:55,480 --> 00:59:56,920 CHILDREN, AND OTHERS. 1757 00:59:56,920 --> 00:59:59,960 SO IT WAS LOTS OF INTENSIVISTS, 1758 00:59:59,960 --> 01:00:01,000 ONCOLOGISTS WERE TELLING 1759 01:00:01,000 --> 01:00:04,760 STORIES, AND SO I THINK THAT WE 1760 01:00:04,760 --> 01:00:06,480 NEED TO ALL DO BETTER EVERYWHERE 1761 01:00:06,480 --> 01:00:10,520 TO TRY AND MAKE WORK A BIT LESS 1762 01:00:10,520 --> 01:00:12,240 SERIOUS, A BIT MORE FUN, DAY TO 1763 01:00:12,240 --> 01:00:15,440 DAY JOY, CERTAINLY THERE'S LOTS 1764 01:00:15,440 --> 01:00:17,280 OF -- THERE'S ENOUGH TO GO 1765 01:00:17,280 --> 01:00:18,800 AROUND IN MEDICINE, BUT IT ALSO 1766 01:00:18,800 --> 01:00:20,880 HAS TO BE ENJOYABLE, AND I THINK 1767 01:00:20,880 --> 01:00:22,360 THAT INSTITUTIONS ARE STARTING 1768 01:00:22,360 --> 01:00:26,560 TO HAVE WELLNESS OFFICERS AND 1769 01:00:26,560 --> 01:00:28,040 PEOPLE ARE THINKING ABOUT HOW 1770 01:00:28,040 --> 01:00:29,440 CAN WE PROMOTE WELLNESS, LIMIT 1771 01:00:29,440 --> 01:00:31,200 BURNOUT, HOW CAN WE MAKE THINGS 1772 01:00:31,200 --> 01:00:36,560 MORE FUN SO THAT WE CAN DO THIS 1773 01:00:36,560 --> 01:00:40,960 FOR A LONG TIME. 1774 01:00:40,960 --> 01:00:42,640 SO SOMETHING THAT WE'RE THINKING 1775 01:00:42,640 --> 01:00:44,080 ABOUT, WE LIKE TO THINK WE HAVE 1776 01:00:44,080 --> 01:00:46,680 A POSITIVE IMPACT ON WELLNESS 1777 01:00:46,680 --> 01:00:47,800 AMONG CLINICIANS IN PARTICULAR, 1778 01:00:47,800 --> 01:00:49,280 BUT DON'T HAVE GREAT DATA AND 1779 01:00:49,280 --> 01:00:50,760 SOMETHING WE'RE THINKING ABOUT. 1780 01:00:50,760 --> 01:00:53,080 >>WELL, THANK YOU, YOUR LAST 1781 01:00:53,080 --> 01:00:55,200 COMMENTS REALLY FOCUSED, I 1782 01:00:55,200 --> 01:00:57,920 THINK, BACK ON THE NOW, AND 1783 01:00:57,920 --> 01:01:01,960 THAT'S AN IMPORTANT MESSAGE, SO 1784 01:01:01,960 --> 01:01:03,160 THANK YOU FOR COMING TODAY. 1785 01:01:03,160 --> 01:01:04,560 JUST A REMINDER THAT PEOPLE CAN 1786 01:01:04,560 --> 01:01:07,440 PUT IN THE CME ACTIVITY CODE, 1787 01:01:07,440 --> 01:01:09,680 AND THAT THIS WILL BE -- 1788 01:01:09,680 --> 01:01:10,680 RECORDING WILL BE AVAILABLE ON 1789 01:01:10,680 --> 01:01:11,640 THE VIDEOCAST WEBSITE. 1790 01:01:11,640 --> 01:01:12,960 SO WE LOOK FORWARD TO HOSTING 1791 01:01:12,960 --> 01:01:13,160 YOU HERE IN PERSON IN NOT TOO 1792 01:01:13,160 --> 01:01:14,040 LONG. 1793 01:01:14,040 --> 01:01:26,320 >>THANK YOU.