Network Five Emergency Medicine Pramod Chandru, Shreyas Iyer, Kit Rowe, Caroline Tyers & Samoda Wilegoda

Theme:  LGBTQIA+ Identity, Experiences & Challenges In Healthcare.
Participants: Dr Dervla McGrann (FACEM), Dr Bhushan Joshi (FACEM), Dr Ashleigh Pitcher (advanced trainee in paediatrics), Dr Kit Rowe, Dr Shreyas Iyer, and Dr Caroline Tyers.
Presenter: Dr Caroline Tyers.

Discussion:Toman L. (2019). Navigating medical culture and LGBTQ identity. The clinical teacher, 16(4), 335–338. https://doi.org/10.1111/tct.13078.
Summary:
This was a qualitative study which focused on the experience of lesbian, gay, bisexual, transgender, and queer medical students as trainees within the medical profession. This study aimed to investigate how LGBTQIA+ medical students navigate medical school as minorities and sociocultural behaviours within medical culture contribute to their overall well-being and mental health. 12 LGBTQ medical students from 4 different medical schools in Michigan were placed into focus groups in 2018. The prominent themes that emerged from this study were: 1) fears of repercussions of identifying as part of the LGBTQIA+ community, 2) a lack of mentorship for these students, and 3) the added burden of being from a non-white background. The conclusion of this study highlighted the importance of implementing programs to support diversity and welcome differences among students and employees alike. It raised the need for deliberate support of LGBTQIA+ students through advocacy and conditions that encourage affirmation and promote positive mental health outcomes. Take-Home Points:
Not only are our LGBTQIA+ patients important but our colleagues are also incredibly important too. Our LGBTQIA+ colleagues may face different challenges, and it is something that we as a medical community need to work together toward improving.Resources:
https://www.facebook.com/GLADDAUS https://amsa.org.au/representative-groups/queer/  
Music/Sound Effects:
Paradise by Spiring | https://soundcloud.com/user-57630131, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US.Traveling Around The World by Alex-Productions | https://onsound.eu/, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US. 
Disclaimer:
Please be advised that the individual views and opinions expressed in this recording strive to improve clinical practice, are our own, and do not represent the views of any organization or affiliated body. Therapies discussed are general and should not be a substitute for an individualized assessment from a medical professional.Thank you for listening!
Please send us an email to let us know what you thought.You can contact us at westmeadedjournalclub@gmail.com.
You can also follow us on Facebook, Instagram, and Twitter!
See you next time!
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Theme:  LGBTQIA+ Identity, Experiences & Challenges In Healthcare.
Participants: Dr Dervla McGrann (FACEM), Dr Bhushan Joshi (FACEM), Dr Ashleigh Pitcher (advanced trainee in paediatrics), Dr Kit Rowe, Dr Shreyas Iyer, and Dr Caroline Tyers. 

Discussion: Chisolm-Straker M, Jardine L, Bennouna C, Morency-Brassard N, Coy L, Egemba MO, Shearer PL. Transgender and Gender Nonconforming in Emergency Departments: A Qualitative Report of Patient Experiences. Transgend Health. 2017 Feb 1;2(1):8-16. doi: 10.1089/trgh.2016.0026. PMID: 28861544; PMCID: PMC5367487.
Presenter: Dr Ashleigh Pitcher.
Summary:
The purpose of this paper was to gather qualitative data about the experiences of trans and gender-diverse patients during emergency department visits within the United States.Data was collected using an anonymous retrospective survey between June 2012 and December 2014. The primary themes that emerged were those of self-efficacy and power inequity. The issues raised within this included inadequate practitioner knowledge and communication (leading to frequent misgendering of patients, discrimination and rude encounters, as well as perceived unnecessary histories and examinations). The recommendations that arose from the study to improve the experience of gender-diverse patients included: 1) not discussing gender diversity with other providers unless relevant to the provision of care, 2) standardizing the practice of providers to ask all patients their preferred names and pronouns (and then using these when referring to the patient), 3) not enquiring about gender or related experiences unless related to the provision of care, 4) systemic training of emergency department providers around important aspects of trans health care (such as surgeries and their complications, hormone medications and their side effects and social stigma and marginalization of this population within healthcare settings). Take-Home Points:
What it all comes down to is treating people as people, and treating people with respect. It is important to remember that people may have very different life experiences from our own and that coming to an emergency department is going to be a stressful period for anyone – as healthcare providers we need to consider how we can alleviate some of this stress. Ensuring that we are calling patients by their correct names and pronouns is something simple that we can all incorporate into our practice.   Interlude: Dr Dervla McGrann.
Resources:
https://www.acon.org.au/ https://www.transhub.org.au/ https://auspath.org.au https://aifs.gov.au/sites/default/files/publication-documents/22-02_rs_lgbtiqa_glossary_of_common_terms_0.pdf https://www.health.nsw.gov.au/lgbtiq-health/Publications/lgbtiq-health-strategy.pdf Music/Sound Effects:
Get Away by LiQWYD | https://www.liqwydmusic.com, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US. Smile by LiQWYD | https://www.liqwydmusic.com, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US.Sweet by LiQWYD | https://www.liqwydmusic.com, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US.Disclaimer:
Please be advised that the individual views and opinions expressed in this recording strive to improve clinical practice, are our own, and do not represent the views of any organization or affiliated body. Therapies discussed are general and should not be a substitute for an individualized assessment from a medical professional.Thank you for listening!
Please send us an email to let us know what you thought.You can contact us at westmeadedjournalclub@gmail.com.
You can also follow us on Facebook, Instagram, and Twitter!
See you n

Guest Speaker:Dr Indika De Lanerolle (MBBS, MD, MRCEM) is a Consultant Emergency Physician at the National Hospital of Sri Lanka in Colombo. He is also the first emergency physician in Sri Lanka.
Interviewed By:Samoda Wilegoda - ED trainee at Westmead Hospital. 

Music/Sound Effects:
Awakening by Vlad Gluschenko | https://soundcloud.com/vgl9, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US.Denna Dena Na (Papara Song). Electronic Rock (King Around Here) by Alex Grohl, available via https://pixabay.com/music/beats-electronic-rock-king-around-here-15045/. Tropical Evening by Vlad Gluschenko | https://soundcloud.com/vgl9, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US.Promotional VideoMusic - 
Tropical Evening by Vlad Gluschenko | https://soundcloud.com/vgl9, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US.Disclaimer:
Please be advised that the individual views and opinions expressed in this recording strive to improve clinical practice, are our own, and do not represent the views of any organization or affiliated body. Therapies discussed are general and should not be a substitute for an individualized assessment from a medical professional.Thank you for listening!
Please send us an email to let us know what you thought.You can contact us at westmeadedjournalclub@gmail.com.
You can also follow us on Facebook, Instagram, and Twitter!
See you next time!
~

Panel:Pramod Chandru and Shreyas Iyer.

Music/Sound Effects:
Bullet Train by tubebackr | https://www.tubebackrmusic.com/Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution-NoDerivs 3.0 Unported (CC BY-ND 3.0), https://creativecommons.org/licenses/by-nd/3.0/.Hands High by LiQWYD | https://www.liqwydmusic.com, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US.Love Trip by Sarah Jansen Music | https://soundcloud.com/sarahjansenmusic, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US.Stay by Thomas Gresen | https://soundcloud.com/thomasgresen, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US.References:
Carne B, Kennedy M, Gray T. Review article: Crisis resource management in emergency medicine. Emerg Med Australas. 2012 Feb;24(1):7-13. doi: 10.1111/j.1742-6723.2011.01495.x. Epub 2011 Oct 13. Review. PubMed PMID: 22313554.St Pierre M, Hofinger G, Buerschaper C, Simon R. Crisis Management in Acute Care Settings: Human Factors, Team Psychology, and Patient Safety in a High Stakes Environment. (2nd edn) Springer, 2011.Disclaimer:
Please be advised that the individual views and opinions expressed in this recording strive to improve clinical practice, are our own, and do not represent the views of any organization or affiliated body. Therapies discussed are general and should not be a substitute for an individualized assessment from a medical professional.Thank you for listening!
Please send us an email to let us know what you thought.You can contact us at westmeadedjournalclub@gmail.com.
You can also follow us on Facebook, Instagram, and Twitter!
See you next time!
~

Special Episode: The Indigenous Voice To The Australian Parliament
Presenter: Shreyas Iyer.
Summary:
There is a toxic amount of lies and misinformation regarding what is a very simple proposal for providing dignity to the First Nations people and helping our government make good decisions. Polls show that the overwhelming majority of First Nations people are in favour of this proposal. Better government policy and better use of government resources benefit all of us. Listening to First Nations people and learning from their knowledge of the land also benefits all of us. We shouldn’t expect this to be a panacea, but the status quo of wasting money and allowing our First Nations communities to languish is not tenable. The 'No' campaign has not actually offered any alternative viable solutions.Our community is a melting pot of different peoples, but we all love this country and want to play our part in it. We have provided our references, and also some useful resources for information regarding the Voice below.If you found this video helpful, please feel free to share and spread the word. If you would like to discuss this topic further or have any questions please feel free to reach out to us on social media. On 14th October we have a chance to make a good decision for the future of this country, we have a chance to vote YES to the Aboriginal and Torres Strait Islander Voice to Parliament. References
https://www.wslhd.health.nsw.gov.au/ArticleDocuments/1232/WSLHD%20Year%20in%20Review%202021-22.pdf.aspx https://www.abs.gov.au/articles/new-south-wales-aboriginal-and-torres-strait-islander-population-summary#where-aboriginal-and-torres-strait-islander-people-livehttps://www.abs.gov.au/statistics/people/aboriginal-and-torres-strait-islander-peoples/census-population-and-housing-counts-aboriginal-and-torres-strait-islander-australians/2021#new-south-wales https://ulurustatement.org/history/the-journey-so-far/ https://aci.health.nsw.gov.au/projects/co-design https://www.aph.gov.au/About_Parliament/Senate/Powers_practice_n_procedures/Constitution.aspx https://theconversation.com/indigenous-recognition-in-our-constitution-matters-and-will-need-greater-political-will-to-achieve-90296 https://about.abc.net.au/speeches/noel-pearson-boyer-lecture-series-who-we-were-and-who-we-can-be/ https://www.survivalinternational.org/tribes/aboriginals#:~:text=There%20are%20about%20500%20different,large%20number%20of%20separate%20clans.&text=Archaeologists%20believe%20that%20the%20Aboriginals,continent%20around%2045%2C000%20years%20ago https://www.indigenoushpf.gov.au/Measures/1-19-Life-expectancy-birth https://www.indigenoushpf.gov.au/Measures/2-11-Contact-criminal-justice-system#keymessages https://www.abc.net.au/news/2015-12-03/fact-check-aboriginal-men-in-jail-and-university/6907540 https://www.aihw.gov.au/reports/australias-health/indigenous-health-andwellbeing#Suicide%20and%20self-harm     https://www.abc.net.au/news/2022-11-30/closing-the-gap-report-released/101713892 https://www.pc.gov.au/closing-the-gap-data/annual-data-report/report/snapshot-socioeconomic#seo10 https://www.abc.net.au/news/2023-10-02/preventable-blindness-rates-have-been-halved/102916184  https://theconversation.com/governments-are-failing-to-share-decision-making-with-indigenous-people-productivity-commission-finds-210392#:~:text=The%20commission%20says%20too%20many,Agreement%20on%20Closing%20the%20Gap” https://theconversation.com/many-claim-australias-longest-running-indigenous-body-failed-heres-why-thats-wrong-209511 Useful Resources
https://voice.gov.au https://ulurustatement.org https://www.reconciliation.org.au/reconciliation/support-a-voice-to-parliament/ https://theconversation.com/the-voice-what-is-it-where-did-it-come-from-and-what-can-it-achieve-202138 https://theconversation.com/au/voice https://www.abc.net.au/listen/programs/the-voice-referendum-explained https://www.abc.net.au/news/2023-09-29/fact-check-voice-to-parliament-mi

Guest Speaker: Dr Kavita Varshney (MBBS EMDM FACEM FCEM) is an emergency physician with a special interest in disaster medicine and clinical education. She is also the deputy director of Emergency Medicine at Westmead Hospital.
Interviewed By:Dr Pramod Chandru (FACEM). 

Music/Sound Effects:
Adventure by Roa Music | https://soundcloud.com/roa_music1031, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US.Lagoon by LiQWYD & Luke Bergs | https://www.liqwydmusic.com, https://soundcloud.com/bergscloud, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US.Disclaimer:
Please be advised that the individual views and opinions expressed in this recording strive to improve clinical practice, are our own, and do not represent the views of any organization or affiliated body. Therapies discussed are general and should not be a substitute for an individualized assessment from a medical professional.Thank you for listening!
Please send us an email to let us know what you thought.You can contact us at westmeadedjournalclub@gmail.com.
You can also follow us on Facebook, Instagram, and Twitter!
See you next time!
~