Docs With Disabilities Dr. Lisa Meeks

Interviewer: Dr. Lisa Meeks
Interviewees: Erin Browkoski, Suzanne Hawks, Karyn LaTurner, Christine Low, Sarah Triano
Description
In this special episode of the DRP series, we explore the origins and evolution of the Docs With Disabilities Access in Medicine (AIM) program, a vibrant initiative dedicated to promoting accessible and equitable educational environments for students with disabilities in medical education. Our conversation delves into AIM's collaborative partnerships with various organizations and the development of essential resources aimed at breaking down barriers to disability inclusion within medical education.
Through engaging stories and real-life triumphs, we highlight the tangible impact of AIM's efforts, seen through the transformative journeys of individual students and the invaluable support networks they discover. Additionally, we shed light on the personal motivations driving AIM's members, emphasizing the significance of shared learning experiences and the collective desire for increased accessibility.
By delving into the principles of mutual learning and community solidarity, we underscore the empowering paths taken by students navigating their disability journeys and stress the importance of challenging biases entrenched within the medical field. Our discussion extends beyond individual experiences to explore the broader societal implications and ethical imperatives surrounding disability inclusion.
As we delve into the core of AIM's mission, we urge the wider medical community to actively advocate for accessibility and inclusivity, catalyzing meaningful change by amplifying success stories and critically examining prevailing attitudes and beliefs. Furthermore, we extend an open invitation for professionals outside the AIM Working Group to join this vital conversation and contribute to the collective effort of creating a more inclusive future in medicine.
Bio's
Erin Browkoski
Erin has been working in the world of higher education disability services since 2013. She holds a master's degree in clinical mental health counseling and is a Nationally Certified Counselor and Licensed Professional Counselor in Illinois. Erin is a proud graduate of the Docs With Disabilities Initiative (DWDI) Disability Resource Professional Academy. Erin currently serves as Assistant Director of Medical School and Clinical Accessibility at UI College of Medicine for students on all three campuses: Chicago, Rockford and Peoria.
Suzanne Hawks
Suzanne joined the Center for Learning Access and Student Success at Wake Forest University in early 2018. She received her BS in Psychology from Presbyterian College and spent several years working with children and adults with Autism Spectrum Disorder before joining the field of higher education in 2012. While Suzanne serves students across all programs at Wake Forest, she is the primary contact for students within the School of Medicine. In her spare time, Suzanne enjoys spending time with her family (which includes the cutest little boy in the entire world), really fun friends, and their rescue pit/heeler mix Tommy Boy. 
Karyn LaTurner Echols
Karyn is a Student Disability and Student Services professional currently serving as the Disability Officer at Rocky Vista University College of Medicine in Ivins, Utah. Her extensive experience includes roles as a Disability Access Consultant at Arizona State University and Associate Director for Student Disability Services at the University of Chicago. She holds a Master of Education degree from Arizona State University. Karyn is multilingual, speaking English, German, Italian and is conversant in Japanese. 
Christine Low
Christine serves as the Director of Disability Services at the Icahn School of Medicine at Mount Sinai in New York City. Beyond her role as Director, Christine holds a faculty position in Environmental Medicine and Public Health and serves as Adjunct Faculty at Columbia University, School of Social Work.
C

Interviewer: Dr. Lisa Meeks
Interviewees: Dr. Lee Miller, Dr. Mijiza Sanchez-Guzman, Dr. Kama Guluma, Dr. Erick Hung, and Dr. Sharad Jain
Description: 
In this episode, we delve into the pivotal role of disability within medical education, particularly its significance in the realms of diversity, equity, inclusion, and justice. Joining us are leaders from California Medical Schools, including Dr. Lee Miller, Dr. Mijiza Sanchez-Guzman, Dr. Kama Guluma, Dr. Erick Hung, and Dr. Sharad Jain, who generously share their experiences and insights on the profound impact of disability within the medical field.
Our discussion begins with an exploration of the catalysts driving the integration of specialized support systems for disability-related issues within medical schools. Our guests discuss the instrumental role of student advocacy groups in elevating the unique needs of students with disabilities and chronic illnesses and the imperative for specialized support.
They also discuss the transformative effects of incorporating specialized Disability Resource Professionals (DRPs) within medical school frameworks. Our guests outline the myriad benefits associated with dedicated DRPs, ranging from heightened student satisfaction to an enriched curriculum that prioritizes disability-related matters with greater awareness and inclusivity.
The guests further examine the strategic advantages inherent in investing in specialized support mechanisms, emphasizing the importance of fostering an inclusive community, eradicating stigmas surrounding disability in medicine, and cultivating a workforce that authentically reflects the diverse fabric of society.
This conversation also confronts the challenges and valuable lessons learned from the implementation of specialized support programs. Our guests offer candid reflections on navigating transitions from external disability services to an in-house DRP, overcoming logistical obstacles, and garnering essential support from institutional leadership.
Ultimately, this episode serves as a testament to the critical significance of specialized support for disability within medical education. It underscores the necessity of embracing inclusive practices, championing diversity and inclusion, and creating an environment where all students can thrive equitably.
Bios
Sharad Jain, MD is Professor of Medicine and Associate Dean for Students at the UC Davis School of Medicine. Dr. Jain completed medical school and residency in internal medicine at UCSF, where he was on faculty for several years.  Prior to coming to UC Davis, Dr Jain served as the residency director of the UCSF/SFGH Primary Care Medicine Residency Program where he focused on training primary care leaders in the care of vulnerable populations. At UC Davis, he focuses on supporting students from diverse backgrounds to excel in medical school through academic advising, wellness initiatives, career decision-making, community building, and ensuring a respectful learning environment. He practices general internal medicine at the Sacramento County Health Center, an FQHC affiliated with UC Davis.
Dr. Erick Hung is a Professor of Clinical Psychiatry in the UCSF Department of Psychiatry and Behavioral Sciences and is a member of the UCSF Academy of Medical Educators. He is the Associate Dean for Students in the UCSF School of Medicine. Prior to joining the Dean's team, he served as the Program Director of the Adult Psychiatry Residency Training Program from 2012-2022 and the Director of Curricular Affairs for GME for the UCSF School of Medicine from 2015-2022. He completed his medical school, psychiatry residency, and forensic psychiatry fellowship training at the University of California, San Francisco and joined the faculty at UCSF in 2009. He actively teaches in the areas of risk assessment, medical education, forensic psychiatry, leadership, and ethics. His interests include primary care and mental health integration, the interface between m

Interviewees: Drs. Megan Brown and Jo Hartland
Interviewer: Dr. Lisa Meeks
Description: 
In this episode, podcast co-host Lisa Meeks had the privilege of hearing from Drs. Megan Brown and Jo Harland,  two UK physicians with disabilities, who collaborated on a thought-provoking poem critiquing disability inclusion in the medical field. 
In this poem reading, Drs. Brown and Hartland challenge the narrative of "overcoming" and "inspiration porn" often associated with disabled individuals. They emphasize the importance of embracing one's true identity and resisting the pressure to conform to societal expectations. Reminding us that disabled individuals should not have to prove their worth above others and deserve to be valued for who they are.
The poem also highlights the ongoing struggle faced by disabled healthcare professionals in securing necessary accommodations in their work environments. It sheds light on the burden placed on individuals to constantly fight for their needs and the importance of organizations recognizing and addressing these challenges. 
Listeners will gain deeper insights into the experiences of disabled healthcare professionals and the critical issues surrounding disability inclusion in the medical field. 
 
Bios: 
Dr Megan Brown is a Senior Research Associate in Medical Education at Newcastle University, in the School of Medicine, in the UK. She trained as a doctor, but decided to leave practice and has subsequently pursued medical education research. She is multiply disabled – she uses a walking stick, and is neurodivergent. Megan’s research has focused on issues relating to the clinical education workforce within the UK, and equality, diversity, and inclusion within this workforce across the spectrum of undergraduate to postgraduate experience. She is a published poet, and is passionate about creative methods of expression and research.
Dr Jo Hartland (they/them) qualified from Cardiff University in 2013 and left NHS clinical work in 2018. They have worked at the University of Bristol Medical School since 2018, and are the current School Deputy Education Director for Student Equity Diversity and Inclusion. Their teaching focuses on the integration of marginalised people’s voices in healthcare curriculums, and empowering students to be agents of change in the face of health inequity. They sit on the executive board of the UK Medical Schools Council EDI Alliance, with a focus on LGBTQ+ inclusion and reasonable adjustments for disability. Their research interests lie in the intersection of professionalism and how this can act as a gatekeeping device for marginalised communities accessing healthcare careers. Outside of their university work Jo is a queer health activist and lead author of the GLADD UK Charter on So-Called LGBTQ+ ‘Conversion Therapy’. In 2022 they received the NHS England LGBTQ+ Health Advisor Award and Attitude magazine’s 2023 Pride Award.
Transcript
Keywords: 
World Poetry Day
UNESCO
Medical Education
General Medical Council
Equality
Disability inclusion
Medical School
LGBTQ+
Conversion therapy
Disability community
Ableism
Reasonable adjustments
Equality Act
Trauma
Joy
Resilience
Advocacy
Policies
Documents
Produced by: Gabe Abrams and Lisa Meeks 
Audio editor: Jacob Feeman
Digital Media: Katie Sullivan

Interviewee: Dr. Rhonda Moore 
Interviewer: Dr. Lisa Meeks
Description: 
In this episode of the Docs with Disabilities podcast, Dr. Rhonda Moore, a medical anthropologist and program officer at the NIH shares her journey grappling with chronic pain, autism, and attention deficit disorder, all amidst the backdrop of the COVID-19 pandemic. She very candidly shares insight into her journey as a kid, from growing up with a brother with autism, to taking theater classes as a means to derive and learn confidence. Through her personal narrative, Dr. Moore shed light on the challenges faced by black women in navigating the healthcare system, highlighting the importance of representation and support for individuals with disabilities. The conversation was marked by a deep sense of empathy and understanding, creating a safe and empowering space for Dr. Moore to share her experiences. Together, Drs. Meeks and Moore delve into the complexities of disability, chronic pain, and the pursuit of equity and inclusion in the medical field. Dr. Moore emphasizes the significance of diverse narratives and the power of self-acceptance and support. 
 
Bio: ​​Rhonda Moore (she/her) is an Autistic Medical Anthropologist and Program Officer for the Genetic Counseling Resource at the  National Institutes of Health (NIH) All of Us Research Program. Her work combines anthropological methods, ethics, data science and clinical medicine to better understand patient experiences and health disparities across culturally and medically diverse care settings (cancer, pain, palliative care), community engaged research, and the differential and ethical impacts of new and emerging technologies on health outcomes in diverse and vulnerable populations. She is writer/editor of the following books: Climate Change and Heath Equity (forthcoming, Springer 2023), the Handbook of Pain and Palliative Care (Springer, 2012, 2nd edition, Springer, 2019), Biobehavioral Approaches to Pain (Springer 2009) and Cancer Culture and Communication (Springer 2004).  Prior to serving at the All of Us Research Program, she was a Program Officer in Global Mental Health at the US NIMH. Her program in Global Mental Health focused on social determinants of health, ethics of new and emerging technologies, citizen science, climate change and mental health, and reciprocal innovation. She was also the program lead for the digital global mental health technology program in low- and middle-income countries (LMICs). She received her PhD in Cultural Anthropology from Stanford University, followed by post-doctoral fellowships and training in Behavioral Science (Stanford Medical School), Epidemiology (University of Texas MD Anderson Cancer Center) and Hospice/Palliative Care (St. Austell, Cornwall UK).
Transcript
Keywords: medical anthropology, actually autistic, community engaged research, disability in medicine, mental health, health equity, ADHD, AuDHD, neurodiversity paradigm, neurodivergence,  chronic pain, EDS, Ehlers Danlos, Fibromyalgia.
Produced by: Pranati Movva, Jasmine Lopez, R.E. Natowicz, Jacob Feeman and Dr. Lisa Meeks. 
Audio editor: Jacob Feeman
Digital Media: Katie Sullivan
 
Resources: 
National Institute of Mental Health. (2023). Autism Spectrum Disorder. National Institutes of Health. https://www.nimh.nih.gov/health/topics/autism-spectrum-disorders-asd#:~:text=Autism%20Spectrum%20Disorder-,Overview,first%202%20years%20of%20life.
 
Autism Society (2023). https://autismsociety.org/ 
 

DESCRIPTION:
To cap off Black History Month 2024 we are sharing with you two episodes from Research & Resource Rounds that discuss articles whose authors are rising Black scholars. Dr. Desiree Valentine is an assistant professor for Philosophy at Marquette University who specializes in Critical Philosophy of Race, Feminist Philosophy, Queer Theory, and Disability Bioethics. Dr. Justin Bullock is a Nephrology Fellow at the University of Washington and, newly, the Co-Director of the Docs With Disabilities Initiative.
These shows are two of our favorites, both reflecting crucial developments in thinking, research, and mentorship to promote diversity, equity, inclusion, and access in healthcare.
Ep 5: Desiree Valentine proposes the lens of Racialized Disablement, a conceptual tool for highlighting how racism and ableism are locked in a constant dynamic interchange where the manifestations and significations of one shape the other—and vice versa. As heuristic and pedagogical tool, Racialized Disablement helps break down how and why race and disability, racism and ableism are inseparable. Across history, medical practices, healthcare, and other sociopolitical contexts the concepts of disability and race are inextricably linked and, in fact, co-constructing, as are their counterparts ableism and racism.
Ep 15: Episode 15 discusses “‘Yourself in all your forms’: A grounded theory exploration of identity safety in medical students” (Bullock et al. 2023). Bullock and his colleagues develop a theory of identity safety through careful analysis of 16 in-depth interviews with 3rd and 4th medical students with a diverse range of identities and experiences. The article identifies and describes key dimensions of identity threat, threat mitigation, and identity safety. Three factors contributing to identity safety that emerged from the team’s analysis: Agency to serve, upholding personhood, and a sense of belonging. Identity safety manifested as students sharing a particular minoritized identity with their attending physician, wearing a particular item or hair style, presenting themselves in a particular way, or feeling respected as unique individuals by both their peers and supervisors. When experiencing identity safety, students felt empowered to draw on their own unique experiential knowledge grounded in their particular identities when treating a patient.
Recommended resources citations: Stergiopoulos, Erene, Ligia Fragoso, and Lisa M. Meeks. 2021. “Cultural Barriers to Help-Seeking in Medical Education.” JAMA Internal Medicine 181 (2): 155–56. https://doi.org/10.1001/jamainternmed.2020.7567.
Jain, Neera. Oct 4, 2023. “Dream Research Rounds 9: The Capability Imperative: Revealing Ableism in Medical Education.” Webinar.” https://www.docswithdisabilities.org/post/dream-research-rounds-9-the-capability-imperative-revealing-ableism-in-medical-education



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Ep 5
DOI: 10.1111/bioe.12979
Transcript: https://docs.google.com/document/d/1jh04JjGtb48EF1WlOtvkOa9E7_-1W-G6/edit
Ep 15
DOI: https://doi.org/10.1111/medu.15174
Transcript
Keywords:
Identity safety
Identity threat
Threat mitigation
Medical Racism
Racialized Disablement
Diversity in Medicine
 
Produced by: Zoey Martin-Lockhart
Audio editor: Jacob Feeman
Digital Media: Zoey Martin-Lockhart
 

Interviewee: Dr. Joshua Wilder 
Interviewer: Dr. Lisa Meeks
Description: 
In this episode, Dr. Wilder discusses his journey as a gay black man living with a disability, specifically prune belly syndrome, which led to a kidney transplant at a young age.
Dr. Wilder's story is one of resilience and determination, shaped by his experiences as a lifelong patient and now a healthcare provider. He candidly shares the challenges he faced, from navigating the healthcare system to overcoming racial biases and discrimination. Despite these obstacles, Dr. Wilder's unwavering spirit and support from his family and mentors propelled him through medical school and residency, where he excelled and graduated at the top of his class.
The conversation delves into Dr. Wilder's personal experiences, including his battle with stomach cancer during medical school and his participation in the reality TV show Survivor. Through it all, Dr. Wilder's positive attitude and unwavering determination shine through, inspired by the memory of his kidney donor, Kristen Regal.
Dr. Wilder's advocacy for individuals with disabilities is evident throughout the episode, as he emphasizes the importance of representation and empowerment. His message is clear: no matter the challenges one faces, with dedication, support, and self-advocacy, anything is possible.
Join us in this BIPOC focused episode as Dr. Wilder addresses inequities for BIPOC individuals in healthcare, his own experience with discrimination, his persistance in becoming a podiatrist and why he lives his life with optimism.  
 Bio:
Joshua Wilder is a 35 years old Pittsburgh, PA native raised in Cincinnati, OH. He was born with Eagle Barrett syndrome or Prune Belly Syndrome leaving his urinary tract system underdeveloped and dysfunctional. He received a kidney transplant at the University of Pittsburgh Medical center Children's hospital on September 10, 1997 at 9 years old.
He completed my undergraduate studies at Washington and Jefferson college majoring in Business administration and minoring in Pre-medicine and went to medical school in Cleveland, OH at the Kent State University College of Podiatric Medicine. During his first year of medical school he was diagnosed with stomach cancer which required a total stomach excision on May 25, 2013. In spite of this, he graduated at the top of his class with honors and completed his surgical residency at West Penn hospital in Pittsburgh, PA followed by a fellowship at Emory St. Joseph hospital in Atlanta, GA focusing on pediatric and adult foot reconstruction. He is currently practicing at Ankle and Foot Centers of America in Atlanta, GA. Joshua lives with his loving husband and 18 year old cat.
 TRANSCRIPT
Key Words: 
Dr. Joshua Wilder
Prune belly syndrome
Kidney transplant
BIPOC
LGBTQI Podiatrist
Chronic condition
Healthcare system
Residency
Medical school
Minority
Racism in medicine
Stomach cancer
Signet cell carcinoma
B cell lymphoma
Survivor
Reality TV show
National Kidney Foundation
Transplant games
Work-life balance
Burnout
Advocacy
Representation
Identity
Empathy
Trust
Produced by: Lisa Meeks, Gabe Abrams and Jaden Sacks
Audio editor: Jacob Feeman
Digital Media: Katie Sullivan
 
Resources: 
Strategies For Improving Patient Care In The LGBTQ + Community
https://www.hmpgloballearningnetwork.com/site/podiatry/strategies-improving-patient-care-lgbtq-community
Survivor Season 44 Contestant, Joshua Wilder, Opens Up About Kidney Transplant
https://www.kidney.org/newsletter/survivor-season-44-contestant-joshua-wilder-opens-about-kidney-transplant
Joshua J. Wilder, DPM, AACFAS https://ankleandfootcenters.com/dr-wilder-podiatrist/