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 Rhea

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Manohar, and in each episode, we'll bring you

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candid discussions with leaders, change makers,

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and 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 Dr. Joanna

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Georgekis, who is a psychiatrist and a clinical

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fellow in geriatric psychiatry and Mass General

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Brigham in Boston, Massachusetts. Dr. Georgekis

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received her BA from Middlebury College, where

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she majored in neuroscience and gender. Feminist

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and Sexuality Studies, she earned her medical

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degree from the Alpert Medical School of Brown

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University and subsequently completed her psychiatry

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residency training at Brown, serving as chief

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resident. Dr. George Kiss's academic work has

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focused on the leaky pipeline phenomenon for

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women in STEM fields and feminist science studies.

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She's also the founder of the original iteration

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of this podcast series, which was known as Doctor

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and Multidimensional Women in Medicine to evaluate

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the narratives of women advancing gender equity

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in medicine. Thank you so much for being with

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us today and coming back as a podcast guest.

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It's my pleasure. I'm excited to be here So with

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that I'm gonna go ahead and get started. Can

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you share your journey to becoming a psychiatrist?

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Sure, so I kind of always pictured myself actually

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initially as a neurologist. So I studied neuroscience

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In my undergrad years and I actually went on

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to pursue internships over my summer months Looking

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into Alzheimer's disease kind of having that

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focus. I ended up getting placed at McLean Hospital,

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doing the student visitor program, working with

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primarily geriatric psychiatrists. And that really

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was a shape for the future, ended up kind of

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switching, really liking psychiatry beyond Alzheimer's

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disease, working with older adults too was a

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pretty special thing for me. So much so that

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I've continued on now in fellowship for geriatric

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psychiatry. So can you talk to me about that

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transition from neurology, which you said you

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had kind of been in for a while and then switching

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to psychiatry. Yeah, so I did that student visitorship

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and kind of had that focus on neurology, really

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fascinated by the brain, how small changes can

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really not only change someone's movement, but

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also who they are and kind of their core memories

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and what makes a person a person, I guess. I

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spent a lot of time in college, I worked as a

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certified hospice volunteer, so I spent a lot

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of time in memory units, working with folks who

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were diagnosed with Alzheimer's or other dementias,

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really interested in kind of figuring out the

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neuroscience behind it too. I worked in a mouse

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model with Alzheimer's disease and that was kind

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of where I got my academic itch, I guess, or

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curiosity. From there, I ended up Working between

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my time and undergrad in medical school and I

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ended up working at that same with that same

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group in McLean I had spent my internship with

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or student visitorship with I Ended up being

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able to see a lot more of geriatric psychiatry

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and really liking it and hearing people's stories

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Understanding kind of the medicine with aging

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and how it can impact mental health And honestly,

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getting to see people really improve and be that

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support system really felt special considering

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that person as a whole. As I kind of progressed

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into med school, I knew I felt really comfortable

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in psychiatry. I knew it felt like a fit. So

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I feel like I resisted it a little bit where

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I tried on everything else because I wanted to

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be 100 % sure that I wasn't missing anything

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or I wasn't trying to choose something because

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it felt comfortable or familiar to me. So I tried

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everything from I don't know, neurosurgery, I

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kind of stayed in the brain. Also to like emergency

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medicine and tried a bunch of different things

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out to see what I might be missing or if psychiatry

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really was a fit for me. So obviously you've

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gone through almost all of your medical training

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as a student at this point. What would you say

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are the significant challenges that you faced

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along the way? I think for me, so I didn't have

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my brother was in medicine, but I didn't have

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any other doctors in my family. So I think going

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into medicine, I think I wasn't really sure about

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what the path was and all of the rigor of training

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or what was ahead of me. So I think the adjustment

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and kind of meeting things where they were and

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kind of adapting and length of training is also

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really long. I'm really grateful that I did it.

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I don't see myself being like. as happy in any

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other career. I'm grateful for the choice, but

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it definitely was a long, long road. And I think

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my favorite quote in medicine is long days, short

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years. It moves by really, really quickly, but

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some of the days are pretty hard. So that was

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my biggest thing ahead of me that I didn't really

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quite realize when I started the journey. I love

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that. I kind of want to talk a little bit about

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your training. A lot of this training has been

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done. Ivy League and highly respected institutions,

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do you find that gender equity and inequalities

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are still seen in these institutions or have

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we moved past them in a certain way? Oh, I think

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they're they're seen everywhere. I think that's

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why we still have a task force at AMWA and it's

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not quite moved. beyond the task force, where

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it's still an active issue and something we're

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still trying to make aware and kind of work on.

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I think I did have a lot of privilege, especially

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going to medical school at Brown. I had an incredible

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mentor there, Katherine Sharkey, who was at the

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time part of the Office of Women in Medicine

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and her dean. And she held pretty incredible

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events throughout. that I got to go to actually

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throughout residency and medical school, talking

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about women in medicine, women in STEM fields,

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having book clubs, creating kind of a really

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great circle to talk about these things. But

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I don't think any type of institution can mask

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or kind of cover up. I think it's a big societal

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issue that's going on and it's pretty pervasive

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everywhere. I definitely, you know, in the hospital

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walls, you still have encounters where where

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patients may say things, you might get mistaken.

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I remember even as like a chief resident doing

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my junior attending, I still had a patient asked

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to see the real doctor who was a male medical

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student that I had done his intake that I had

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supervised. So you still see these things, it

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still happens. You can't escape the kind of microaggressions

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of being a woman in medicine, which I can only

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imagine is further compounded if you have other

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intersecting identities. Definitely. I kind of

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want to dissect what you've shared just a little

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bit. So first I want to talk a little bit about

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these institutions, whether they're academic

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centers or even hospitals. Obviously as a task

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force we work a lot on what can we do to bring

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some of these issues to light, but what would

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you like to see from a policy or program perspective

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to tackle the effects of these gender biases

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or microaggressions even on a smaller scale.

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Yeah I think one of the biggest things being

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done and something that I try to be active about

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too is just I like the phrase like women empowering

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women and kind of trying to uplift one each other

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uplift one another and also when you see something

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kind of say something which can be tough especially

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through a training but even being like a peer

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advocate or reaching out to a peer if you witness

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something and helping them process it or chat

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about it or being there to validate what's going

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on or something that's hard can make a really

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big impact and difference. I think some of the

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big moments that I've seen that stuck with me

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from actually mentors and people who are senior

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to me in the field, I remember vividly being

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at a conference and having actually a panel that

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was primarily of men who are in medicine with

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one woman who was a primary investigator on the

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panel as well. person coming up after their incredible

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talk, asking the gentleman on the panel to respond

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to a question. And one of the senior investigators

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actually said, actually, this woman who's on

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the panel, she's our expert and kind of set the

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question up for her. And that was really powerful

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and moving and having that immediate in the moment

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correction felt really great. So I think those

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little small things we can change or do in the

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moment or actually makes really, really big difference.

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Microaggressions can really tear someone down.

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Micropositives can also build someone up. So

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I think as I move forward, I'm trying to be realistic

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with my expectations of what I might be able

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to do within my career, what I'm able to do from

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a day to day. And I think trying to uplift those

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around me and work with people and promote the

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women who are incredible, who I work to work

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with is something that I can do and is in my

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wheelhouse. Definitely. Well, I appreciate you

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sharing all that. And I thought that story was

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really interesting because a lot of the times,

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I think we focus specifically on women need to

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empower other women, women need to uplift other

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women to get to places. But it's really something

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that everyone should be working towards. And

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I think it was interesting to hear like, oh,

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another male physician or another male PI kind

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of took that moment. to reverse the script. Yeah,

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I think those are really impactful, too. I remember

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in medical school, too, even having the male

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peers kind of note things or bring things up.

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To me, that just made me feel validated. Not

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that there was any change in an outcome, but

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I remember going to see a patient. with an MS3

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when I was an MS4 and having a patient say something

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that was really inappropriate and the MS3 kind

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of staying back with me and saying, hey, that

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was uncomfortable. Like, are you okay? Like,

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let's talk about it. And that was really validating

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in the kind of like a hidden curriculum in medicine

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that you don't get to talk about. So I would

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say your gender doesn't make you in line or out

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of line with the gender equity movement. It doesn't

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matter how you identify. It's all important and

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equity across the board. Now you've shared so

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much about how mentorship has shaped your path.

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How have you found and created these relationships

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with mentors really at every stage of your journey?

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Yeah, I think mentorship is definitely a big

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part of why I am where I am today. I definitely

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have been really blessed with some pretty incredible

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mentors in my life. I think early on when I was

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working at McLean, which has really shaped my

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career path as I got to work with an incredible

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physician, Brent Forrester, who really kind of

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sparked my interest in geriatric psychiatry.

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And I've gotten to stay in touch with him throughout

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my career. Still a really close mentor today

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with check -ins on how are you doing? What are

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you thinking about? What are you thinking about

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for fellowship? How do you apply? Should I do

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this? And it's been instrumental in me kind of

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taking on or exploring different opportunities,

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even applying for fellowship and looking at jobs.

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He's been instrumental in kind of shaping that

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for me. And I think being someone who's kind

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of a first generation doctor or physician, having

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someone kind of advanced in their career, kind

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of show you what you should be looking at or

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kind of helping you dream a dream alongside you

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is a really big help. I don't know where I'd

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be without him so I'm really grateful and then

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like I mentioned to Katie Sharkey at Brown was

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also. mental mentor for me from my first year

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of, you know, medical school, helping us found

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our AMWA chapter to kind of reaching out, helping

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me talk about things, being someone who's a sounding

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board when I might have a frustrating day or

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encounter, helps me like process things, talk

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about jobs. I'm also lucky in that she is trained

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in psychiatry as well. So that was just happenstance.

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She's a sleep medicine doctor. So I think a big

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part of finding mentors is just reaching out,

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being persistent, finding people. And it sounds

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so tacky or corny, but find people who you really

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like live with and connect with and kind of want

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to help guide you or people that you admire.

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You can see yourself wanting to develop a career

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like one that they might have and reach out and

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seek guidance from them, I think. fostering a

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mentor -mentee relationship is definitely a skill.

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A lot of it is just reaching out and letting

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people know what you're up to, what you've been

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doing. A lot of it for me early on too is getting

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to work on research projects or papers or getting

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involved in helping kind of write things up or

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present things. Even with Dr. Forrester, a lot

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of it was I was his research assistant for a

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while, so it was like putting stuff together

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on that end with Dr. Sharkey was creating, we

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kind of had the pursuit of creating our AMWA

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chapter together and then getting to present

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some work at some of the AMWA conferences together.

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So that type of like staying involved is is always

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nice and now that i'm kind of advancing in my

00:14:25.389 --> 00:14:27.289
training and i'm a fellow i get to work with

00:14:27.289 --> 00:14:30.409
medical students like you and residents and get

00:14:30.409 --> 00:14:32.870
to kind of share that same type of relationship

00:14:32.870 --> 00:14:35.409
which is rewarding on the other end as well so

00:14:35.409 --> 00:14:37.730
don't be afraid to reach out people want to hear

00:14:37.730 --> 00:14:40.169
from you and the people who really love teaching

00:14:40.169 --> 00:14:43.350
and mentoring like me really want to be there

00:14:43.350 --> 00:14:45.629
i want to hear your successes and celebrate them

00:14:45.629 --> 00:14:47.850
with you and kind of help you navigate some of

00:14:47.850 --> 00:14:51.700
the challenging parts of training as well Well,

00:14:51.700 --> 00:14:54.639
I know myself as well as the many medical students

00:14:54.639 --> 00:14:57.799
who listen to this podcast Definitely have a

00:14:57.799 --> 00:14:59.759
little bit of anxiety sometimes about reaching

00:14:59.759 --> 00:15:04.519
out feeling like you're Maybe taking up people's

00:15:04.519 --> 00:15:06.720
time or that they don't have space for you So

00:15:06.720 --> 00:15:09.740
I think it's nice to hear sometimes That there

00:15:09.740 --> 00:15:12.039
are people who are interested in being a part

00:15:12.039 --> 00:15:15.299
of that journey of medicine since it is such

00:15:15.299 --> 00:15:18.750
a long haul Yeah, and it's definitely rewarding

00:15:18.750 --> 00:15:21.730
on the other end too. It's like, I don't know,

00:15:21.850 --> 00:15:23.409
like lighting the spark or remembering where

00:15:23.409 --> 00:15:25.929
you were and kind of how far you've gone and

00:15:25.929 --> 00:15:27.750
getting to share that path with someone else

00:15:27.750 --> 00:15:31.950
is pretty special. Definitely. I want to talk

00:15:31.950 --> 00:15:36.129
about your work with AMWA. You have been a very

00:15:36.129 --> 00:15:38.549
active member of AMWA, especially on the Gender

00:15:38.549 --> 00:15:41.470
Equity Task Force since medical school. What

00:15:41.470 --> 00:15:46.809
led you to join AMWA? Yeah, so I was a gender,

00:15:46.929 --> 00:15:49.389
sexuality, and feminist studies major up at Middlebury,

00:15:49.450 --> 00:15:51.710
which is a little bit different. Not everywhere

00:15:51.710 --> 00:15:53.769
offers that, but I ended up actually writing

00:15:53.769 --> 00:15:56.470
my senior thesis on feminist science studies,

00:15:56.730 --> 00:15:59.950
particularly the Leakey pipeline, which is really

00:15:59.950 --> 00:16:03.250
kind of a focus on how women, particularly in

00:16:03.250 --> 00:16:06.389
STEM fields, tend to have like equal interest

00:16:06.389 --> 00:16:09.250
early on and then kind of throughout their career

00:16:09.250 --> 00:16:11.389
trajectory or training, the attrition rate is

00:16:11.389 --> 00:16:13.149
pretty high, particularly for women, which is

00:16:13.149 --> 00:16:17.850
not seen in men. In my first year of medical

00:16:17.850 --> 00:16:20.549
school, the Gender Equity Task Force had a leaky

00:16:20.549 --> 00:16:23.429
pipeline initiative. And I thought that was kind

00:16:23.429 --> 00:16:26.009
of like perfect, if you will, having the background

00:16:26.009 --> 00:16:28.389
that I had. in writing the thesis that I did

00:16:28.389 --> 00:16:30.690
as a place to kind of step in and be involved.

00:16:31.190 --> 00:16:33.850
So I ended up working with and reaching out to

00:16:33.850 --> 00:16:37.029
Roberta Gebhard, who kind of helped found the

00:16:37.029 --> 00:16:40.370
Gender Equity Task Force. And she kind of got

00:16:40.370 --> 00:16:43.090
me involved right away. And I got to kind of

00:16:43.090 --> 00:16:46.149
lead the medical student at the time initiative

00:16:46.149 --> 00:16:48.149
part of it and getting to meet and talk to medical

00:16:48.149 --> 00:16:51.620
students. About kind of what they thought about

00:16:51.620 --> 00:16:53.899
women leaving medicine at the medical student

00:16:53.899 --> 00:16:56.139
level and kind of what people's thoughts were.

00:16:56.919 --> 00:16:59.779
we talked a lot about kind of downsides or bad

00:16:59.779 --> 00:17:02.659
things that were happening. And from there, I

00:17:02.659 --> 00:17:04.240
kind of thought about all of the great women

00:17:04.240 --> 00:17:06.700
I got to talk to because I was part of AMWA and

00:17:06.700 --> 00:17:08.799
was in these spaces going to the conferences

00:17:08.799 --> 00:17:11.880
and chatting and in these zoom conference calls

00:17:11.880 --> 00:17:14.839
that we have once a month. So kind of from that

00:17:14.839 --> 00:17:17.799
initiative, my idea for having like a podcast

00:17:17.799 --> 00:17:20.809
was really born. and getting to kind of share

00:17:20.809 --> 00:17:22.869
that message of here are all these wonderful

00:17:22.869 --> 00:17:26.009
women in medicine and I don't really care what's

00:17:26.009 --> 00:17:27.690
going on with the negatives but here are all

00:17:27.690 --> 00:17:29.490
the wonderful positive things they're doing it

00:17:29.490 --> 00:17:32.930
and if they're doing it we can do it too. As

00:17:32.930 --> 00:17:35.410
a medical student in trainee and kind of it went

00:17:35.410 --> 00:17:40.289
on from there and here we are today. You kind

00:17:40.289 --> 00:17:42.670
of started talking about this a little bit but

00:17:42.670 --> 00:17:46.910
how has being a part of M1 being able to create

00:17:47.079 --> 00:17:49.700
these different initiatives and perims shaped

00:17:49.700 --> 00:17:53.680
your medical journey? Yeah, I think being a part

00:17:53.680 --> 00:17:56.559
of AMWA so early on was such an invaluable experience.

00:17:56.720 --> 00:18:00.359
I think getting the opportunity to be a part

00:18:00.359 --> 00:18:03.140
of a task force, kind of be a part of a really

00:18:03.140 --> 00:18:06.599
large national organization actually helped prepare

00:18:06.599 --> 00:18:09.440
me for other roles I have in national organizations

00:18:09.440 --> 00:18:12.140
and leadership roles in a really positive way.

00:18:12.750 --> 00:18:15.470
I think it's open doors for me in terms of connecting

00:18:15.470 --> 00:18:19.049
me with really awesome people, getting to kind

00:18:19.049 --> 00:18:22.950
of learn from others. and also just having this

00:18:22.950 --> 00:18:26.490
space of these incredible women. If you haven't

00:18:26.490 --> 00:18:28.690
already, I highly encourage you to join the Gender

00:18:28.690 --> 00:18:31.490
Equity Task Force for those listening. It's a

00:18:31.490 --> 00:18:35.069
really powerful space of incredible people across

00:18:35.069 --> 00:18:38.710
all stages of training and to physicians and

00:18:38.710 --> 00:18:40.990
attendings from different specialties who come

00:18:40.990 --> 00:18:45.269
together really caring about people, to put it

00:18:45.269 --> 00:18:47.950
simply, and kind of how we make medicine better

00:18:47.950 --> 00:18:50.309
and also how do we make everything equitable.

00:18:51.720 --> 00:18:56.220
gender -related, but also in general. It's a

00:18:56.220 --> 00:18:58.380
hard system to be within, and there's a lot of

00:18:58.380 --> 00:19:00.240
moral injury in medicine that we learn along

00:19:00.240 --> 00:19:03.279
our training. So having these spaces to try to

00:19:03.279 --> 00:19:05.259
make an impact and try to make change is really

00:19:05.259 --> 00:19:09.319
powerful. Yeah. So I feel your call for other

00:19:09.319 --> 00:19:12.279
people to join the Gender Equity Task Force in

00:19:12.279 --> 00:19:14.720
AMWA. Kind of like what you were talking about

00:19:14.720 --> 00:19:17.559
earlier, I think it's a great space for people

00:19:17.559 --> 00:19:23.569
to find the joy and mentorship within medicine

00:19:23.569 --> 00:19:26.890
that might be a little bit more challenging as

00:19:26.890 --> 00:19:30.890
you're going through your training. So with that,

00:19:31.869 --> 00:19:35.049
what advice would you give your past self navigating

00:19:35.049 --> 00:19:38.250
the journey from medical school to residency

00:19:38.250 --> 00:19:42.769
to fellowship? Oh, that's a good one. I think

00:19:42.769 --> 00:19:46.890
it would just be not to be corny, but to quote

00:19:46.890 --> 00:19:49.690
finding Nemo and Dory is just keep swimming.

00:19:50.919 --> 00:19:53.740
You get there eventually, and I think especially

00:19:53.740 --> 00:19:56.079
with my residency training, now that I'm on the

00:19:56.079 --> 00:19:59.039
other side of it, it really goes by quickly,

00:19:59.099 --> 00:20:00.900
even though some days are really long and they

00:20:00.900 --> 00:20:04.720
feel like you're kind of in it or stuck. Things

00:20:04.720 --> 00:20:07.740
in training are kind of month by month. So if

00:20:07.740 --> 00:20:10.420
you're having a harder month, this is something

00:20:10.420 --> 00:20:12.700
that always kind of got me through, like working

00:20:12.700 --> 00:20:15.200
nights and not being able to see friends or having

00:20:15.200 --> 00:20:18.869
your sleep schedule, kind of not. Not where it

00:20:18.869 --> 00:20:20.950
should be you're not sleeping enough for being

00:20:20.950 --> 00:20:23.329
on kind of twenty four hour calls that there's

00:20:23.329 --> 00:20:27.069
an end to it it's not. I'm training is not infinite

00:20:27.069 --> 00:20:30.549
it's finite so it will it will pass in and what

00:20:30.549 --> 00:20:33.109
can you do to kind of be in the moment and take

00:20:33.109 --> 00:20:36.029
what you can from it. because it doesn't last

00:20:36.029 --> 00:20:38.750
forever. And that being said, it's such a charitable

00:20:38.750 --> 00:20:41.750
time to really get to learn and reach out and

00:20:41.750 --> 00:20:44.650
ask questions. And even though it can be anxiety

00:20:44.650 --> 00:20:47.730
provoking to ask questions sometimes, it's the

00:20:47.730 --> 00:20:50.650
best space to do it and to be kind of unafraid

00:20:50.650 --> 00:20:53.089
and really try to remember that this is your

00:20:53.089 --> 00:20:58.150
training and your time and to maximize it. Thank

00:20:58.150 --> 00:21:00.589
you so much for being with us here today and

00:21:00.589 --> 00:21:04.470
sharing your experiences. That's a wrap on this

00:21:04.470 --> 00:21:07.390
episode of Our Voices, Our Future. We hope today's

00:21:07.390 --> 00:21:10.329
conversation inspired you, challenged you, and

00:21:10.329 --> 00:21:12.549
reminded you of the power of raising your voice.

00:21:12.970 --> 00:21:14.890
The fight for equity doesn't stop here. Join

00:21:14.890 --> 00:21:17.529
us in the movement. Subscribe wherever you get

00:21:17.529 --> 00:21:19.809
your podcasts and if you loved this episode,

00:21:20.269 --> 00:21:22.289
share it with someone who needs to hear it. Until

00:21:22.289 --> 00:21:25.509
next time, stay bold, stay vocal, and keep the

00:21:25.509 --> 00:21:28.589
conversation going. This is Our Voices, Our Future.
