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In this cross over chat between Medical Mums and Coda, Dr Chris Bowles & A/Prof Nada Hamad discuss Gender Equity in Medicine – What is it & Why Does it Matter?

Chris and Nada take a deep dive into gender equity in medicine. Including the impact of the pandemic and the possible solutions.

First, they discuss the difference between gender equity and equality. Equality is the act of treating everyone the same. Whereas equity, focuses on levelling the playing field so that there is more representation and participation. This includes asking questions such as why inequity exists? And why aren’t women progressing?

Evidently, women experience gender inequity at different times of their career. It may be after they’ve had children, or it may be when they want to step up and take on leadership roles.

What is most obvious however, is that the impact of gender inequity in medicine extends far past the individual. Gender inequity impacts how we look after female patients, what kind of questions we ask in research and how we perform and apply that research in the context of women’s healthcare.

Chris and Nada discuss what needs to happen to make the system more accommodating.

This includes implicit bias training, intersectionality training and leadership training. Investment in leadership skills and training is crucial. We can have all of the right policies in place, however, if leadership doesn’t set the standard to encourage uptake, inequity will always exist.

Join Emergency & Trauma physician, Dr Chris Bowles and Haematologist, A/Prof Nada Hamad, as they discuss gender inequity in medicine. They inspire us to identify and challenge the inequity that exists today.

In this episode Dr Bek Ledingham chats to Dr Talat Uppal about Heavy menstrual bleeding in a peri-menopausal woman. We recorded it on World Menopause day we aim to share up to date information about managing this common problem that often does not get the attention it deserves. 
Key take home messages- 
1) Initiate treatment of symptomatic women at the first visit 
2) Order pelvic ultrasound day 5-10 of cycle
3) Mirena is the most effective management option
4) Uterus sparing surgical procedures are preferred to hysterectomy. 
References mentioned during the show 
https://www.safetyandquality.gov.au/publications-and-resources/resource-library/heavy-menstrual-bleeding-clinical-care-standard-2017
https://www.jeanhailes.org.au/health-a-z/menopause?gclid=Cj0KCQjwtrSLBhCLARIsACh6RmgRy9D2b18efnY6i4-2CiA4us-55aTwNLLQXUBegh9VJuwDn6gPGfwaAkbvEALw_wcB

https://ranzcog.edu.au/womens-health/patient-information-resources/heavy-menstrual-bleeding
https://www.rcog.org.uk/globalassets/documents/patients/patient-information-leaflets/recovering-well/endometrial-ablation-for-print.pdf
http://oxfordstmedical.com.au/wp-content/uploads/2021/05/Mirena-Information-Booklet.pdf
https://ranzcog.edu.au/RANZCOG_SITE/media/RANZCOG-MEDIA/Women%27s%20Health/Patient%20information/Hysterectomy-pamphlet.pdf?ext=.pdf
http://www.cincyobgyn.com/webdocuments/novasure-brochure.pdf
________________________________________________________________________________________________________________________________________
Dr Talat Uppal is an Obstetrician & Gynaecologist who currently works both at the Northern Beaches and Hornsby Ku-ring-gai Hospitals as a Visiting Medical Officer.
She is the Director of Women’s Health Road, and has set up an innovative integrated multidisciplinary ‘Journey’ model with a strong family centred approach to maternity care.
www.womenshealthroad.com.au
She is also a Clinical Senior lecturer in Obstetrics and Gynaecology at Northern Medical School, University of Sydney.
Her previous, decade long role was based at Manly and Mona Vale Hospitals, as a Senior Obstetrics Staff Specialist and Clinical Director of Women’s, Children & Family health.
She is the past Chair of both the NSW State Reference Committee and NSW RANZCOG Education Subcommittee
She is a Fellow of the Australian Association for Quality in Health Care as well as a Fellow of the Australasian College of Health Service Management
She is the ex  joint co-ordinator of Diploma (DRANZCOG) OSCE examination as her special interest is supporting the role of General Practitioners in the Women’s health context.
She is an RANZCOG media spokesperson.
She is fluent in 3 languages and has much overseas exposure with volunteer teaching work.

Bec and Bek are back We also have a guest host to kick us off today. None other than Bek L's podcast inspiration- her daughter Lucy!
We chat about Cinderella (movie)- Prime
Coda (movie) - Apple TV 
Solos (series) - Prime
Vigil - Binge 
On the Verge (series) - Netflix 
Creamerie - SBS on demand 
Quick mentions
Chefs kiss once again to Michael Lucas as series one of The Newsreader (ABC I-view) wraps up. We're hoping for season 2. Also- well done to the RFDS team! (Channel 7) 
Sex Education (Netflix) season 3 is here! YAY!
Ted Lasso (Apple TV) season 2 is here.
Morning Wars (Apple TV) season 2 is here. 
Tell us what you want to hear about and if you want to come and be our guest! 

Dr Emily Amos is a GP and Board Certified Lactation Consultant who has walked a meandering path through medicine.

Always intrigued by the role of mind/body complex in health she had already begun to pursue qualifications in yoga and meditation when she herself burnt out in clinical medicine in 2019.

Using the outlet of blogging during her recovery she reflected on the path that lead her to burning out and how she could see many of her colleagues in similar states of distress.

Now a qualified yoga and meditation teacher, she runs courses specifically for doctors to help them to understand how mastering skills such as mindfulness and self compassion can in fact make us not only happier, calmer people but also help us to better deal with the demands of this often challenging profession.

You can find out more about Emily’s courses or read her blogs via her website www.dremilyamos.com

We encourage anyone who recognises their own burnout while listening to seek some support and here is a list of places you might start.  http://www.dhaswa.com.au/

https://www.blackdoginstitute.org.au/the-essential-network/

https://theburnoutproject.com.au/

https://drolivialeeong.com/

https://wholeheartedmedicine.com.au/

Lifeline 131114

Please send through any resources you recommend and I will update this list in an ongoing manner. mmamtbpods@gmail.com

In our final episode in the Burnout series we meet Dr Kim Kilov, joining us all the way from Copenhagen, Denmark.
She chats with Bek Ledingham about her decision to leave medicine as an advanced trainee in paediatrics and what life is like now.
Kim says..
After 6 years in clinical medicine I became increasingly burnout. After pushing through for over a year, I hit a wall and realised I needed to make change for my health and wellbeing. It took over a year to recover but during this time I moved to Stockholm in 2019 to complete a Masters in Global Health.  This opened a  whole new world of opportunities within the health care field.  I landed up in Copenhagen, Denmark where I am now based.  I currently work as a Clinical Project Manager for a health tech company  which focus on clinical trials and patient-centred care.  It has been a challenging journey over the past few years, with a lot of emotional highs and lows, but I can now say I am completely content with my decision to take a different path.  I have found a new career that is both fulfilling and balanced and I haven’t looked back!

We encourage anyone who recognises their own burnout while listening to seek some support and here is a list of places you might start.  http://www.dhaswa.com.au/
https://www.blackdoginstitute.org.au/the-essential-network/
https://theburnoutproject.com.au/
https://drolivialeeong.com/
https://wholeheartedmedicine.com.au/
Lifeline 131114
Please send through any resources you recommend and I will update this list in an ongoing manner. mmamtbpods@gmail.com

In this episode Bek Ledingham talks to to Professor Gordon Parker about Burnout. 

Professor Gordon Parker AO is Scientia Professor of Psychiatry, UNSW, was Founder of the Black Dog Institute and its initial Executive Director, Head of the School of Psychiatry at UNSW and Director of the Division of Psychiatry at Prince of Wales Hospital.

His positions with the Royal Australian & New Zealand College of Psychiatrists include being Editor of its Journal. Positions with legal organisations include the NSW Guardianship Board and the NSW Administrative Appeals Tribunal. In 2004 he received a Citation Laureate as the Australian Scientist most highly cited in Psychiatry/Psychology’. In 2018 he received the prestigious James Cook Medal from the Royal Society of New South Wales and was afinalist for the NSW Senior Australian of the Year. He . recipient of the 2020 Australian Mental Health Prize. His research has focussed on the mood disorders. He has published 23 books and over 1,000 scientific reports.

His first of fiction was published in 1966 and his latest novel (“In Two Minds”) in 2017. In the 60’s, he wrote for The Mavis Bramston Show and OZ Magazine, was an ABC Science broadcaster, a book reviewer for the Sydney Morning Herald and The Australian, and in 2004 had a play (“Personality Games”) produced by La Mama in Melbourne. His autobiography “A Piece of My Mind: A Psychiatrist on the Couch” was published in 2012. His co-authored book on Burnout (Burnout: A Guide to Identifying Burnout and Patterns to Recovery) was published in July 2021.