WEBVTT

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Welcome to Our Voices Our Future, the podcast

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where we amplify the voices driving change and

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equity within medicine and beyond. Brought to

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you by the Gender Equity Task Force, a committee

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of the American Medical Women's Association,

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we're here to challenge norms, break barriers,

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and ignite conversations that matter. I'm Megan

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Utzi, and in each episode we'll bring you candid

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discussions with leaders, change makers, and

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advocates working to create a more inclusive

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and just world. No more silence, no more waiting.

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You're listening to our voices, our future. Let's

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get into it. Today we're welcoming Rhea Manohar,

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an incredible friend that I met through AMWA

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and a third -year medical student from St. George's

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University. Rhea holds a master of public health

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with a concentration in maternal and child health

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from George Washington University's Milken Institute

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of Public Health and a bachelor of science in

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microbiology and immunology and another in public

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health from the University of Miami. She served

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as the Co -Vice President of the OB -GYN Education

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Committee for St. George's University Women in

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Medicine chapter in Grenada, where she developed

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and implemented hands -on workshops focused on

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reproductive health and strengthened medical

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students' abilities to navigate physician -patient

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communication. Prior to medical school, Rhea

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worked as a research associate at Forest Marsh

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Group, leading qualitative and quantitative public

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health research and campaign development for

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federal agencies such as the CDC, NIH, DHHS,

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and CPSC. Rhea is also a very active member of

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our Gender Equity Task Force and the Reproductive

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Health Coalition within the American Medical

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Association. And when she's not pursuing medicine,

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she enjoys reading, exploring her artistic passions,

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and spending quality time with friends and family.

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Thanks for being here today, Ria. Thanks. So

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to start us off, can you share a bit about your

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journey into medicine? What kind of inspired

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you to pursue this path and how have your experiences

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along the way kind of shaped your why? Yeah.

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So I think my why has kind of changed over time.

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When I was a kid, it was like, I want to be a

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doctor. I loved going to the pediatrician, seeing

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how the different tools worked, understanding

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what was going on with the science as I grew

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up. As I moved to college and did undergrad and

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then my master's, I think I gained a better understanding

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of what medicine was. Specifically at Miami,

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I kind of came out of the bubble that I was living

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in and I got a better understanding of cultural

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inequities and socioeconomic inequities. And

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that kind of led me to understand that medicine

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is not necessarily in that bubble. that a lot

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of people perceive it to be it's not necessarily

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just like a person comes into the clinic and

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they are affected by like whatever disease that

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they're encountering right now. It's not just

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strep throat. It is like them becoming a part

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of a greater world that affects their medicine.

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And to me, That's what I'm interested in at this

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point. How does the clinical medicine tie in

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with the greater perception of the world with

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like socioeconomic issues? That's very deep.

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I love that. I actually was just rotating like

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last week and one of the residents was like,

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you know what, I feel like we need more education

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on like socio determinants of health. Like these

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things really matter. And you don't really, some

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people don't see that until you start practicing

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as a doctor, right? You are lucky you have your

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background in public health and you've gotten

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to kind of explore that. And I think that that's

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probably going to make you a better doctor because

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you've had this experience and passion within

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it. But yeah, they're so like intertwined with

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each other. Yeah, specifically like at Miami,

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I understood just how little education, both

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I had and patients had about different things.

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For me, it was always like, I knew nothing about

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reproductive health. I came from Tennessee, I

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got the very subdued version of health education.

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And then for me, it was like, I need to teach

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myself, I need other people to learn this. And

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then I saw it in clinic, like it's on the clinicians

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and a lot of times to teach the patients about

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what is going on with them as well as like what

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are the opportunities available for them with

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their own health. Yeah, absolutely. So kind of

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talking about this background that you have in

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public health with your MPH focusing on maternal

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and child health, how has that public health

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foundation kind of influenced the way that you

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have approached your medical education and plan

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to approach your patient care in the future?

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Yeah, I think I kind of just talked about this

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a little bit. But I think for me, public health

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is now a huge part of my medical education. As

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I'm learning about different diseases, like infectious

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diseases or even different pathology. you understand

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a little bit more about who is getting these

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diseases, who is more at risk for these diseases,

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and what can we do about that. So for me, public

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health is what does this look like in the broader

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landscape? What kind of advocacy do these people

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need in the future? What kind of educational

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resources can we provide? What kind of systemic

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issues are affecting why people are getting certain

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diseases? I love that. So as a co -VP of your

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OB -GYN education committee for the women in

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medicine chapter, you developed these workshops

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that kind of focus on reproductive health and

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communication. Can you kind of share like what

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even motivated you to get that position and then

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continue the work and what you've kind of learned

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from those experiences. And I want to add like,

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especially on the island and not in the States,

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like somewhere that things are very different

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than they are back in the US. Yeah. So for me,

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Since about midway through undergrad, OB -GYN

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and reproductive health has kind of become a

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passion of mine. It really intertwines all those

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pieces of medicine and public health that I love,

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from advocacy to clinical work and to understanding

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those systemic changes. I have a long background

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in health education now. It's something that

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I'm specifically super passionate about. for

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the OB -GYN committee, I realized that a lot

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of medical schools, particularly at SGU, we have

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these like OSCEs and these different clinical

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scenarios in which you're supposed to be understanding

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how to talk to patients. But you don't necessarily

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get to do that with a lot of like hot. topic

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issues and reproductive health is definitely

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one of those. Maybe it's because a lot of people

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may not have those conversations in their clinical

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life. Maybe it's just something that the school

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doesn't want to touch on. But it's such an important

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thing for people to understand because those

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are such personal decisions. So one of the things

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that I really championed was kind of an Oski

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speed dating situation in which we gave people,

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uh, different little like clinical situations.

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Um, like if you had somebody coming in for genetic

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testing and they were more, they, the genetic

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testing showed that their child would be more

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at risk for like Down syndrome or PKU. Um, other

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situations where like, people coming in for cervical

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cancer testing with pap smears. How do you have

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those conversations with people? So different

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students went around to the different stations

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and kind of got to talk through that. And I think

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that's something that you don't necessarily get

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to do in a medical situation, medical school

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situation until you get to much further down

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your line. And I think as I've been in clinicals,

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I know you're not like to that threshold, yeah,

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but I am somebody who has wanted to like seek

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out those conversations because it's very true,

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like how do you have these conversations with

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people? How do you approach it? How do you start

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it? Like I want to see this in action by other

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people, however understandably it's a very private

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conversation and then when you get to clinicals

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they're like well we don't really want like med

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students staring at this conversation. You know,

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like sometimes it's uncomfortable as well. I

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know like when I'm in the ED, I try to go whenever

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like a trauma comes in and the doctor goes to

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update the family. Like I want to go with them

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to the family because I want to see how these

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interactions happen. I want to be able to form

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a great way to have these conversations in the

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future. However, it's very true when I rotate

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their OB -GYN. This is a very private thing and

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I feel like most of the places that we do rotations

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at are within like underserved communities where

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residents serve as well and those people are

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a little more scared because they may be a little

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less educated on the subjects and they usually

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don't want an audience when these conversations

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are happening and so that's so important to be

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able to seek out these opportunities where we

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have the ability to know how to say these things

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because who wants the doctor who's having this

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conversation for the first time and who's never

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experienced how to have this conversation? No.

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And I think reproductive hair specifically is

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so unique in that it is shaped by these private

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conversations, but these private conversations...

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are so multifaceted. It's from like how you believe

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either religiously or culturally ties so much

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into those conversations, what's going on with

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you specifically. So it's like not just the education,

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it's also where people are coming from and what

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they want to do with their health. Yeah, that's

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so important. That's so cool that that's something

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you tackled for students. I think that's incredible.

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And now to continue on to your active memberships

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within the Gender Equity Task Force and the Reproductive

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Health Coalition. I have seen your work and I

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know you do so much and you're very passionate

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about it. So tell us a little bit about the work

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that you do with them and how has being a part

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of these initiatives kind of shapes your perspective

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as a future provider, physician. Yeah. So I think

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definitely the work with the gender equity task

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force is what I've kind of put my whole heart

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into right now. Because before medical school,

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I was out of school for a little while and I

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was working on public health work and I saw Like

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I was working on these public health campaigns

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and understand the research and talking to people

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about why they believe these things. And we put

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out campaigns to help educate people or we'd

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put together like CDC documents for doctors to

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be like, these are the kinds of conversations

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that you want to have. But for me, it only went

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so far. Like I love. getting to understand why

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people work in certain ways and why we need to

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have these conversations. But I also wanted to

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be part of those conversations. So I think for

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me, being able to work on the gender equity task

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force is kind of the beginning of the merging

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of those two worlds for me. I get to utilize

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that communication and public health and advocacy

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aspect of my life. and put it together with the

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clinical knowledge that I'm gaining through school.

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That's so cool. How full circle, and you get

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to see it come together before like practicing,

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you know, like you're not even there, but you've

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collided you two worlds beautifully and you're

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making a difference doing it, right? You're educating

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people, you're doing a lot of great work, so

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that's super exciting. So with the Gender Equity

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Task Force, you've engaged in issues like the

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intersection of gender, advocacy, and access

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to healthcare. Let's talk a little bit more about

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the gender equity efforts and how they influence

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medical education and practice. What are some

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of the trends you've seen through your work and

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misinformation and things that you think have

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been big in what you've been tackling and important

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issues? Oh gosh, I feel like every time I work

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on something for the Gender Equity Task Force,

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I'm learning. And that's a really cool place

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to be in. One of the main things that I work

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on is the Gender Equity Task Force blogs that

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we put out with the weekly blogs. The topics

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can really be anything. A lot of the ones I work

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on are reproductive health focused, but we've

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also tackled different topics. Some of them are

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tech related. Some of them are communication

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related. And every time I sit down to write a

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blog, I also have to sit down and educate myself

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about what's going on. I think that everybody

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doesn't necessarily have the opportunity to sit

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down and do that research, but through the gender

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equity task force and through these communication

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and education initiatives that we're putting

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out, it's giving people a little Snapchat of

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that research and kind of starting conversations

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that maybe were just in people's heads. So for

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me, it's really just been interesting to see

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how much gender affects how the world works in

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different ways. Like I would never have perceived

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certain things. And especially as technology

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moves on, we were just working on an AI related

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one. And I was like, I hear about AI in the greater

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space, but what does that mean as we move forward

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into a healthcare space? Yeah, I love it. I think

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that the work is so important and it's so there

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and I I I love the gender equity part of it just

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because I think that the world is oblivious to

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the fact that there are still gaps. And yeah,

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it's been so cool working with you and kind of

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getting to educate ourselves. I think in some

00:15:28.179 --> 00:15:31.139
respectives, I was oblivious as well. I mean,

00:15:31.200 --> 00:15:33.659
there's many facets that there's just so many

00:15:33.659 --> 00:15:37.080
places in which I know that there are gaps in

00:15:37.080 --> 00:15:41.820
all of our education. And I think that in so

00:15:41.820 --> 00:15:45.580
many ways that almost makes us better students

00:15:45.580 --> 00:15:50.600
because we have that understanding when we go

00:15:50.600 --> 00:15:53.659
into clinical settings of like people don't want

00:15:53.659 --> 00:15:56.980
to be misinformed. People are misinformed because

00:15:56.980 --> 00:16:00.240
of the educational resources and the conversations

00:16:00.240 --> 00:16:04.769
around them. So being able to kind of Be aware

00:16:04.769 --> 00:16:07.990
of that bias. I think a lot of people go into

00:16:07.990 --> 00:16:10.309
these conversations are like people are just

00:16:10.309 --> 00:16:13.490
miseducated. People are just misinformed. But

00:16:13.490 --> 00:16:15.889
why are people misinformed? It's not that they're

00:16:15.889 --> 00:16:18.070
just putting on blinders for the rest of their

00:16:18.070 --> 00:16:22.529
lives. I love that. I think that's a very great

00:16:22.529 --> 00:16:25.029
outlook onto things because I think a lot of

00:16:25.029 --> 00:16:28.330
times in these more like controversial topics,

00:16:28.610 --> 00:16:31.450
people kind of point fingers at each other. But

00:16:31.450 --> 00:16:33.649
looking at it from the perspective of people

00:16:33.649 --> 00:16:36.110
don't want to be misinformed. It's just something

00:16:36.110 --> 00:16:39.590
that happens as a nature of our world we live

00:16:39.590 --> 00:16:42.750
in is a great way to look at it. I love I love

00:16:42.750 --> 00:16:45.960
that perspective. I think it brings a lot of

00:16:45.960 --> 00:16:50.039
grace to the topic of the misinformation and

00:16:50.039 --> 00:16:53.299
help shape how you kind of attack those situations

00:16:53.299 --> 00:16:57.039
as a future provider. So all this work you've

00:16:57.039 --> 00:16:59.879
done, balancing the research, the advocacy, your

00:16:59.879 --> 00:17:02.840
medical student and training, it takes a lot

00:17:02.840 --> 00:17:04.920
of passion and resilience. How have you kind

00:17:04.920 --> 00:17:07.819
of like stayed grounded and found this balance

00:17:07.819 --> 00:17:10.460
while pursuing all of these goals that you have?

00:17:11.370 --> 00:17:16.190
Um, I think a lot of that comes from before when

00:17:16.190 --> 00:17:20.250
I was doing when I was working as well as doing

00:17:20.250 --> 00:17:24.589
my MPH I had to learn that balance a different

00:17:24.589 --> 00:17:27.529
way like as a full -time student and a full -time

00:17:27.529 --> 00:17:30.769
career professional You go to school early in

00:17:30.769 --> 00:17:32.869
the morning or you're at school at night and

00:17:32.869 --> 00:17:35.960
you still have to put your best foot forward

00:17:35.960 --> 00:17:38.680
when it comes to both of your work products,

00:17:38.759 --> 00:17:41.019
your school work products, and your work work

00:17:41.019 --> 00:17:45.519
products. So it gave me a better understanding

00:17:45.519 --> 00:17:48.920
of timeliness. Like how much time does it really

00:17:48.920 --> 00:17:52.279
take for me to do these things? And tackling

00:17:52.279 --> 00:17:56.880
that in different ways of like I am very tied

00:17:56.880 --> 00:17:59.960
to my calendar. I have so many to -do lists at

00:17:59.960 --> 00:18:03.819
this point. So understanding like I am okay.

00:18:04.029 --> 00:18:06.650
with getting these things done, but it's okay

00:18:06.650 --> 00:18:10.509
if I don't get to these other things today. And

00:18:10.509 --> 00:18:13.450
giving yourself grace is a lot of it. You won't

00:18:13.450 --> 00:18:16.630
be able to do everything every day, but there

00:18:16.630 --> 00:18:19.650
are times in which you can focus more on something

00:18:19.650 --> 00:18:23.369
and let something else slide a little bit and

00:18:23.369 --> 00:18:26.509
then come back to it. And it's not going to be

00:18:26.509 --> 00:18:30.599
the end of the world. So can you finally just

00:18:30.599 --> 00:18:33.099
give us some advice to other students, especially

00:18:33.099 --> 00:18:36.180
women in medicine or men who are advocating for

00:18:36.180 --> 00:18:39.140
women in medicine, and how to just get involved

00:18:39.140 --> 00:18:41.619
in this advocacy work and who are trying to find

00:18:41.619 --> 00:18:43.880
the voice that they want to have within the field?

00:18:45.579 --> 00:18:48.740
I think that those voices are constantly evolving

00:18:48.740 --> 00:18:53.759
and that there are so many opportunities if you're

00:18:53.759 --> 00:18:57.539
willing to seek them out. I think specifically

00:18:57.539 --> 00:19:01.240
medical students feel like they can't put their

00:19:01.240 --> 00:19:04.019
voice out there or they don't know who to reach

00:19:04.019 --> 00:19:07.480
out to. And I think AMWA has been a really great

00:19:07.480 --> 00:19:09.839
space for that. You get to connect with other

00:19:09.839 --> 00:19:12.700
medical students who are passionate like you

00:19:12.700 --> 00:19:16.160
are, and you get to connect with physicians who

00:19:16.160 --> 00:19:20.019
are really interested in mentoring and amplifying

00:19:20.019 --> 00:19:23.420
the voices. of students or these issues that

00:19:23.420 --> 00:19:27.880
you're working on. So I would say as a student,

00:19:28.460 --> 00:19:32.259
like find your people, find your space, and there

00:19:32.259 --> 00:19:37.039
is always room for you to explore your passions

00:19:37.039 --> 00:19:40.599
and advocate and find that niche of medicine

00:19:40.599 --> 00:19:42.680
that you're really interested in. You just have

00:19:42.680 --> 00:19:45.930
to search it out. Find your people. I love that

00:19:45.930 --> 00:19:49.250
so much. Thank you, Ria. Your work is inspiring,

00:19:50.150 --> 00:19:52.690
and having this talk with you today has been

00:19:52.690 --> 00:19:55.109
great. I appreciate you being with us today.

00:19:55.849 --> 00:19:58.930
Of course. So that's a wrap on this episode of

00:19:58.930 --> 00:20:01.490
Our Voice is Our Future. We hope today's conversation

00:20:01.490 --> 00:20:04.170
inspired you, challenged you, and reminded you

00:20:04.170 --> 00:20:06.329
of the power of raising your voice. The fight

00:20:06.329 --> 00:20:08.490
for equity doesn't stop here. Join us in the

00:20:08.490 --> 00:20:11.079
movement. Subscribe wherever you get your podcasts,

00:20:11.180 --> 00:20:13.319
and if you love this episode, share it with someone

00:20:13.319 --> 00:20:16.180
who needs to hear it. Until next time, stay bold,

00:20:16.500 --> 00:20:18.420
stay vocal, and keep the conversation going.

00:20:18.920 --> 00:20:20.299
This is Our Voices, Our Future.
