Greyscale Ben Davis

We continue our journey with Swedish First Hill Family Medicine Residency's Class of 2025 now that they have nearly completed their first year in residency.

The first part of a new series titled "CO25". We are introduced to 5 new residents who we will follow throughout their residency journey.

Dr. Acton Pifer shares a story about a patient who struggled with alcohol dependence while reflecting on his own life and growth.

We have a two part episode exploring the weight of "the rest of the story" that patient encounters can often leave untold.

Heavyweight, Episode #37 - "John": https://open.spotify.com/episode/6QYP10F2Hwevc7XLdKGqT2?si=5537f5cf778c4fb9

We kick off Season 4 with Dr. Kimberly Dao who shares some of what made them resilient through a tumultuous 2020.

Poems

Eve Ewing’s “Affirmation”

Audre Lorde’s “A Woman Speaks”

Alice Walker’s “The Nature of This Flower is to Bloom”

Podcasts

NATAL: A docuseries about having a baby while Black in the United States

Birth Stories in Color

Bias

MFM survey of providers in which 29% somewhat or strongly agree that bias affects how they care for patients

Limited impact of implicit bias training

Doulas

Emerald Doula group arranges feedback to providers with problematic behaviors

Rebecca Polston

Demetra Sereki

Impact on adverse pregnancy outcomes and breast or chestfeeding

Historical and ethnographic scholarship

Dr. Deirdre Cooper Owens’ Medical Bondage: Race, Gender, and the Origins of American Gynecology

Dr. Khiara Bridges’ Reproducing Race: An Ethnography of Pregnancy as a Site of Racialization

Dr. Dorothy Roberts’ Killing the Black Body: Race, Reproduction, and the Meaning of Liberty

Dr. John Hoberman’s Black & Blue

Race-based medicine

World Health Organization’s recommendations on pelvimetry

Obstetrics & Gynecology article on pelvis MRIs and possible link to outcome disparities

VBAC calculator criticism

Statistical sources:

CDC 2019 Vital Signs report

Severe Maternal Morbidity

Race, ethnicity, and nativity differentials in pregnancy-related mortality in the United States

Washington State 2019 maternal death review

Exploration of causality

Failure to rescue, including in postpartum hemorrhage

Impact of delivery outside the hospital

Personally-mediated racism

Exposure to low socioeconomic status while in utero

Impact of perceived discrimation

Review of social determinants of health impact on prenatal care utilization and maternal outcomes

Camara Jones’ articles on social determinants of equity, on not exploring the 'why' of disparities

General impact of structural racism on health disparities

Median wealth differentials

Health impacts of mass incarceration

Considering birth setting: systematic review 2018, systematic review 2019, UK guidelines by diagnosis for delivery location

Systemic interventions

Centering voices of color

SPEAK UP campaign from Institute for Perinatal Quality Improvement

AIM Patient Safety Bundles from the Council on Patient Safety in Women’s Health Care, including bundle targeting disparities

Maternal Early Warning System from the Council on Patient Safety in Women’s Health Care

Society for Maternal Fetal Medicine’s Call to Action, education subcommittee's report, and AJOG's 5 year report card

Evidence for safety bundles, including CMQCC’s VTE toolkit

California’s broad care collaborative to create change at scale

Importance and examples of maternal mortality review panel that recommend system interventions

Importance of simulation training

Use of quality improvement metrics and approaches

Strengthening the postpartum transition of care, creating a new postpartum paradigm

Role for family medicine physicians

Need for paid maternity leave

Working together to get patients to the appropriate level of care

Addressing anemia to reduce disparities

Policy statements

ACOG’s Committee Opinion on disparities

Letter from the AAFP

Momnibus overview