The Princeton Pulse Podcast Heather Howard

This episode examines clinician burnout, a public health issue propelled into the spotlight by the Covid-19 pandemic. Up to 54 percent of nurses, physicians, and other clinicians experience prolonged, occupational stress. They suffer exhaustion, low job satisfaction, lack of achievement, and other consequences that not only compromise their personal wellbeing, but also the care they provide to their patients. 
Host Heather Howard explores the drivers of clinician burnout along with the rising costs with Dr. Bryant Adibe, Sugarman Practitioner in Residence at Princeton's School of Public and International Affairs, and Dr. Wayne Jonas, a practicing family physician and president of the Healing Works Foundation.


Their conversation addresses widespread dissatisfaction among health care workers, absenteeism, staffing shortages, and other repercussions that threaten access to safe, quality health care in the United States and beyond. They discuss strategies for reducing clinician burnout through a systems approach that leverages actionable data, as well as a recent summit that united scholars, health care providers, and policymakers in the collaborative pursuit of clinical wellbeing.
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Learn more about the “Systems Summit on Clinical Wellbeing,” co-sponsored by the American Medical Association (AMA), Accreditation Council for Graduate Medical Education (ACGME), Healing Works Foundation, and Princeton University’s Center for Health and Wellbeing and the Kahneman-Treisman Center for Behavioral Science & Public Policy. 


Read related articles authored by Dr. Bryant Adibe:
Clinician Wellness is an Operations Issue
Clinician Wellbeing: Challenges and Opportunities
 
Learn more about the Healing Works Foundation.
The Princeton Pulse Podcast is a production of Princeton University's Center for Health and Wellbeing (CHW). The show is hosted by Heather Howard, a professor at Princeton University and former New Jersey Commissioner of Health and Senior Services, produced by Aimee Bronfeld, and edited by Alex Brownstein. You can subscribe to The Princeton Pulse Podcast on Apple Podcasts, Spotify, or wherever you enjoy your favorite podcasts.

This episode tackles gun violence in America, a serious and escalating public health crisis. According to the CDC, firearms kill nearly 50,000 Americans each year and are now the leading cause of death for U.S. children and teens. The facts are startling, but not entirely surprising, when you consider that Americans own more guns per capita than any other country in the world. 
Unfortunately, gun violence is often viewed as a political issue as opposed to a public health threat, which has prevented meaningful progress in fighting this epidemic. But that is beginning to change as policymakers, health care providers, and other stakeholders reframe the conversation and come together in the interest of safer, healthier communities. 
Host Heather Howard, a professor at Princeton University and former New Jersey Commissioner of Health and Senior Services, examines challenges and potential policy solutions with two staunch advocates for depoliticizing gun safety and uniting for the common good: Senator William H. Frist, M.D., a practicing physician and former U.S. Senate Majority Leader, whose ongoing work proposes a shift in culture and targeted, bipartisan legislation; and Chethan Sathya, M.D., a pediatric trauma surgeon and director of the Northwell Health Center for Gun Violence Prevention . 


The panel recommends a public health approach focused on firearm safety and injury prevention, emphasizing the value of scientific data and the implementation of evidence-informed interventions, such as safe storage, background checks, and “red flag” laws. The show presents a hopeful path forward that fosters cooperative discussion and actions aimed at protecting our children and communities.
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Read two recent articles on gun safety authored/co-authored by Senator Frist: 
“The Massive New Public Health Threat To Kids: What Policies Would You Consider To Address Gun Safety?” Forbes, 5/3/23 
“Gun Violence is the No. 1 Killer of Children; Here Are Common-Sense Steps to Address It.” The Tennessean, 4/17/23


Read more about the Northwell Health Center for Gun Violence Prevention, led by Dr. Sathya.


Learn about the Regional Gun Violence Research Consortium, a coalition of gun violence researchers and practitioners that seeks to inform policymakers and the public with evidence-based policy recommendations. 
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The Princeton Pulse Podcast is a production of Princeton University's Center for Health and Wellbeing (CHW). The show is hosted by Heather Howard, a professor at Princeton University and former New Jersey Commissioner of Health and Senior Services, produced by Aimee Bronfeld, and edited by Alex Brownstein. You can subscribe to The Princeton Pulse Podcast on Apple Podcasts, Spotify, or wherever you enjoy your favorite podcasts.

This episode highlights a potential win in the fight against cervical cancer – one that comes from a place that you might not expect. Rwanda, a low-income country, could become the first country in the world to eradicate the disease. 
Armed with a remarkably ambitious vaccination program for human papillomavirus (HPV), which causes cervical cancer, along with a screen-and-treat program to ensure earlier intervention, this small African country is doing a better job than most wealthy countries. How is this possible, and what can we learn from their efforts?
Host Heather Howard, a professor at Princeton University and former New Jersey Commissioner of Health and Senior Services, dives into these questions and more with Professor Cristina Stefan, director of the Institute of Global Health Equity Research in Rwanda, and Princeton Lecturer Alyssa Sharkey, whose research interests include global health equity and immunization. They discuss why cervical cancer places a heavier burden on women in low- and middle-income countries, the importance of HPV vaccination and expedient intervention, equity considerations, policy solutions and challenges, and lessons learned.


Read two related papers by Cristina Stefan: The World Health Organization targets for cervical cancer control by 2030: a baseline assessment in six African countries—part I; and Targeting elimination of cervical cancer by 2030: a baseline assessment in six African countries—part II.
Read this research paper by Alyssa Sharkey: Broadening the perspective on gender equity in immunization: The unique contributions of human papillomavirus vaccination. 
The Princeton Pulse Podcast is a production of Princeton University's Center for Health and Wellbeing (CHW). The show is hosted by Heather Howard, a professor at Princeton University and former New Jersey Commissioner of Health and Senior Services, produced by Aimee Bronfeld, and edited by Alex Brownstein. You can subscribe to The Princeton Pulse Podcast on Apple Podcasts, Spotify, or wherever you enjoy your favorite podcasts.

This episode spotlights health insurance in the U.S. – and why an estimated 15 million Medicaid enrollees are at risk of losing their health insurance coverage and access to care.  
In 2020, Congress enacted legislation that gave states extra Medicaid funds to help address the raging pandemic, but they attached a condition that prevented states from disenrolling individuals during the public health emergency. On March 31, 2023, the requirement expired and states began to return to normal eligibility and enrollment operations. Referred to as “the Medicaid unwinding,” this represents the biggest health insurance coverage event since the Affordable Care Act. 

Host Heather Howard, a professor at Princeton University and former New Jersey Commissioner of Health and Senior Services, discusses the unprecedented transition with Kate McEvoy, Executive Director of the National Association of Medicaid Directors, and Dr. Kemi Alli, a pediatrician and Chief Executive Officer of Henry J. Austin Health Center, a federally qualified health center in Trenton, New Jersey. They talk about strategies for maximizing continuity of coverage for consumers -- along with who is most likely to slip through the cracks, the role of state health officials and health care providers, and the potential impact on public health.


Read how Princeton University’s State Health & Value Strategies (SHVS) program, supported by the Robert Wood Johnson Foundation, is helping states navigate the transition by visiting the SHVS website.
Visit the Henry J. Austin Health Center website to learn more about its efforts to help patients “stay covered.”
Read Kate McEvoy’s discussion of Medicaid stability with Health Affairs here.



The Princeton Pulse Podcast is a production of Princeton University's Center for Health and Wellbeing (CHW). The show is hosted by Heather Howard, a professor at Princeton University and former New Jersey Commissioner of Health and Senior Services, produced by Aimee Bronfeld, and edited by Alex Brownstein. You can subscribe to The Princeton Pulse Podcast on Apple Podcasts, Spotify, or wherever you enjoy your favorite podcasts.

This episode takes on vaccine hesitancy and climate change. What do these seemingly diverse problems have in common? More than you might think. Although they are distinct challenges, both imperil global health, are perpetuated by social behaviors, and, according to a recent study, could be solved with a similar playbook.
Host Heather Howard, a professor at Princeton University and former New Jersey Commissioner of Health and Senior Services, confronts these problems and potential solutions with Princeton Professor Simon Levin, who has conducted research on the topic, and Nicholas Silitch, former chief risk officer for Prudential Financial, who speaks to the role of corporations in addressing these issues. They discuss a path forward that highlights collective action based on the common good, and a plan driven by resources, effective policy, and strategies for influencing health attitudes.

Read Simon Levin's published research paper:
Vaccination-hesitancy and global warming: distinct social challenges with similar behavioral solutions
The Princeton Pulse Podcast is a production of Princeton University's Center for Health and Wellbeing (CHW). The show is hosted by Heather Howard, a professor at Princeton University and former New Jersey Commissioner of Health and Senior Services, produced by Aimee Bronfeld, and edited by Alex Brownstein. You can subscribe to The Princeton Pulse Podcast on Apple Podcasts, Spotify, or wherever you enjoy your favorite podcasts.

This episode is about measuring “The Good Life.” Gross domestic product, or GDP, has been the longstanding indicator for evaluating a country’s performance and prosperity. But there is a growing movement to look beyond GDP, which only accounts for goods and services. Economists and other stakeholders argue the need for a better metric – one that considers health, access to education, happiness, and other dimensions of human welfare to provide a more complete picture.
Host Heather Howard, a professor at Princeton University and former New Jersey Commissioner of Health and Senior Services, discusses the issue with two guests: Professor Ori Heffetz, a Princeton alum and visiting research scholar from Cornell and The Hebrew University of Jerusalem; and Yanchun Zhang, chief statistician at the United Nations Development Programme and proponent of the Human Development Index, an alternative approach to assessing human welfare and rating a country’s wellbeing.
Their conversation addresses the shortcomings of GDP (as a metric for national wellbeing), how to construct a more accurate and useful index, and the vital role of data-based policymaking.


Learn more about Ori Heffetz's work:
Interview: Spotlight on Ori Heffetz
Article: Measuring the Essence of the Good Life
Learn more about The Human Development Index.
The Princeton Pulse Podcast is a production of Princeton University's Center for Health and Wellbeing (CHW). The show is hosted by Heather Howard, a professor at Princeton University and former New Jersey Commissioner of Health and Senior Services, produced by Aimee Bronfeld, and edited by Alex Brownstein. You can subscribe to The Princeton Pulse Podcast on Apple Podcasts, Spotify, or wherever you enjoy your favorite podcasts.