Covid-19: The toll on Filipino American Nurses

National Nurses United (NNU) display 164 white clogs shoes outside the US Capitol to honor the more than 160 nurses who have lost their lives from COVID-19 in the United States, and to demand the Senate act swiftly to protect nurses on the frontlines in Washington, DC on July 21, 2020. (Photo by Olivier DOULIERY / AFP) (Photo by OLIVIER DOULIERY/AFP via Getty Images)

“Nearly a third of the nurses who’ve died of coronavirus in the US are Filipino, even though Filipino nurses make up just 4% of the nursing population nationwide. A recent report from the largest nurses’ union in the country revealed the disproportionate number of deaths. It’s a jarring statistic researchers are working to understand and a tragedy families across the US and around the world are living with every day. Jollene Levid feels it every morning, when she combs through health-care workers’ obituaries and keeps finding Filipino names. She sees her family in their faces — so many senseless deaths.

‘People always talk about it as numbers, but then when so many of the folks you know have died, and it wasn’t because they weren’t wearing a mask, it wasn’t because they decided to eat at a restaurant. They were literally trying to keep someone alive and they caught it,’ Levid says.”

Covid-19 is taking a devastating toll on Filipino American nurses via CNN.

Stanford Medicine X 2020

“Stanford Medicine X, the world’s most-discussed academic health care conference returns! Join us December 3, 2020 for Medicine X | CHANGE.

At Medicine X | CHANGE we will meet the innovators who are disrupting health care throughout the globe. We will see the emerging technologies of today and learn how they will impact the health care we deliver and receive tomorrow.We will explore the drivers of change through organizational leadership and creative collaboration outside of health care’s traditional silos. 

We will be inspired by moonshot thinking and learn how to grow pockets of excellence and innovation to large-scale change. We will experience empathy and compassion. We will gain an understanding of the problems that matter most in health care.

Be ready to use what you learn at Medicine X to create a shared vision of collaborative change and participatory medicine of tomorrow.”

I highly recommend it! I’ve attended this conference since 2017 and presented with Dr. Chow in 2018 on coaching in medical education. What makes the event so unique is the inclusion and integration of the patient’s voice. The patient perspective and experience are often absent in these medical education conferences and this one specifically provides a platform for patients to discuss and describe the innovations that they have contributed to as well as how our healthcare system can be better for all.

Registration is FREE!

UBC: Anti-Racism Action Update

Dear Colleagues,

Please join us on November 30 to learn more about the current and planned anti-racism actions and initiatives underway at the Faculty of Medicine.

Dermot Kelleher, Dean of the Faculty of Medicine and Vice-President of Health, will host a dynamic, one-hour session featuring an update on the Faculty’s multi-year plan to transform our culture by creating and sustaining respectful and inclusive learning and work environments free from racist attitudes and behaviours. The session will feature a diverse group of presenters from across the Faculty currently engaged in anti-racist initiatives.

During the event, there will be time to ask questions and share ideas on how we can collectively advance and practice anti-racism in our community. Alternatively, we invite you to email your ideas and comments to professionalism.office@ubc.ca. All communications will be held in strict confidence.

All faculty, staff and students are invited to attend. Click below for the live stream event and Q&A.

WATCH LIVE STREAM 
Date: November 30, 2020
Time: 3 – 4 p.m. PST

We hope this session will begin a dialogue in our community that will raise awareness and sustain our commitment to collectively practice anti-racism in our learning and work environments.

Sincerely,

Roslyn Goldner
Executive Director, Office of Professionalism and Respectful Environments
Faculty of Medicine
The University of British Columbia

Maria Hubinette
Assistant Dean, Equity, Diversity, Inclusion
Faculty of Medicine
The University of British Columbia

The Lancet: Picture Quiz

Before I cue the Jeopardy theme song, I have to question why someone would even think about paragliding in potentially thunderstorm conditions. This is why it’s so important, especially in winter, to check the weather before venturing out.

Now, the Jeopardy theme song.

“What is….”

Click here to answer.

#TheLancet #PictureQuiz #KnowBeforeYouGo

Have a great week!

~ Jacqueline

On Humane Experimental Technique

LECCION DE ANATOMIA DEL DOCTOR SABANON by #JoseLuisLopezGalvan 
(@joseluislopezgalvan | 2011, Oil on Canvas) 
A paraphrasing of #Rembrandt’s “The Anatomy Lesson Of Dr. Nicolaes Tulp”

“The first principle is that you can only use animals if they’re the most ethically acceptable way to address the question. It goes beyond the “replacement” part of the three Rs in that scientists must not just consider alternatives to using animals, they must prove that there are no viable alternatives. An IACUC [Institutional Animal Care and Use Committee], for example, might ask an investigator to detail the science showing that animal alternatives like organ on a chip or microdosing humans aren’t viable. It puts more teeth into replacement.

Another principle would ask scientists to detail how much humans and society are likely to benefit from the research, and contrast that with how much animals are likely to suffer. Even if the benefits of using animals outweigh the costs, we want researchers to think about how they can mitigate—and even eliminate—any harms caused to animals during their experiments. Are they drawing blood more than they need to? Are they handling rodents more often than necessary?

Scientists also should be thinking about how to give these creatures the best life possible in the lab. That could include making sure they have companions, exercise, and other stimulating activity.”

More on Is it time to replace one of the cornerstones of animal research? via Science.

On Defunding the Police

“According to the Canadian Medical Health Association BC Division, nearly a third of people with serious mental illness have contact with police when trying to access mental health care for the first time. They are also more likely than other Canadians to be arrested or die in those interactions.

Yet, most mental health crises don’t require a police response, says Dr. Vicky Stergiopoulos, physician-in-Chief and Clinician Scientist at the Centre for Addiction and Mental Health in Toronto. She wants to see increased public funding for non-police emergency mental health responses. ‘The presence of police escalates the agitation, as opposed to providing the safe holding environment that someone needs to regain control of themselves,’ she says. ‘There is expertise in the mental health field on how to allow others to regain control of themselves.’

She points to the Crisis Assistance Helping Out on the Streets (CAHOOTS) service in Eugene, Oregon, where health professionals respond to mental health calls instead of police. Last year, the service responded to 17% of the local 911 calls and called for police backup less than 1% of the time. According to the CAHOOTS program, the service saves an estimated $8.5 million in public safety spending annually. Similar services exist in Sweden and the United Kingdom.”

More on Why some doctors want to defund the police via CMAJ.

Additional 2020 articles on the issue:

What we know about the last 100 people shot and killed by police in Canada via CTV News.
UBC nursing student suing RCMP officer for alleged assault after health check via The Star.
Indigenous woman killed by Edmundston, N.B., police during wellness check via CBC.
London, Ont. police officer convicted in death of Indigenous woman via CP24.
Funerals held for Toronto woman who fell from balcony and Indigenous woman shot by police via National Post.
Police kill Canadian man during mental health check via BBC News.

UFV-UBC Interprofessional Virtual Simulation

This past week we conducted our first University of the Fraser Valley (UFV) and University of British Columbia (UBC) interprofessional virtual simulation. Our UFV-UBC faculty have worked over the past year to design this unique opportunity that bridges Nursing and Family Practice programs in order to support team-based communication and patient-centred care. During the course of three hours, we facilitated four simulations that involved two teams comprised of one nursing student and one resident. Each team participated in two simulations that addressed caring for a critically ill patient followed by breaking bad news to the patient’s caregiver. Our learning objectives focused on:

  1. Demonstrating effective, collaborative, and respectful interprofessional communication
  2. Developing knowledge of health care team members roles
  3. Demonstrating collaborative leadership skills when caring for a critically ill patient
  4. Managing the care of a deteriorating/changing patient

We want to thank our simulation participants including Claire Wilcox, Megan Schmidt, Dr. Sophia Park, and Dr. Casey Hicks, in addition to our learners that joined us from home. We would also like to acknowledge the UFV-UBC faculty that were instrumental in developing and facilitating the simulation including Lee-Anne Stephen, Sarah Johanson, Janelle Baerg, Dr. Thanh Luu, and Dr. Jacqueline Ashby. Lastly, we thank UFV for allowing our team to use their facilities.

I want to conclude by saying that COVID-19 has challenged our program’s ability to both protect our learners’ health and offer them the experiences that are instrumental in their growth and development as healthcare practitioners. As a community, it’s imperative that we all do our part in taking the necessary measures to stop the spread of this virus. Please review the new regional orders that pertain to social gatherings, travel, indoor group physical activities, and workplace safety.

We are in this together.

Thank you,

Jacqueline