Why Physicians Should Speak Up and Lead

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By the end of this lecture, participants should be able to: 1. Present the role of physicians as advocates; 2. Discuss social media platforms; and 3. Provide examples of physician leadership through communication and advocacy.

Direction et management

@@EMARIANOMD
#WAS2020
Why Physicians Should
Speak Up and Lead
Edward R. Mariano, M.D., M.A.S.
Professor of Anesthesiology, Perioperative & Pain Medicine
Stanford University School of Medicine
Chief, Anesthesiology and Perioperative Care
Veterans Affairs Palo Alto Health Care System

@EMARIANOMD #WAS2020
Financial Disclosures
• None.

@EMARIANOMD #WAS2020
https://www.weforum.org/agenda/2019/01/these-are-the-world-s-most-respected-professions/

@EMARIANOMD #WAS2020
https://www.pewresearch.org/internet/fact-sheet/social-media/

@EMARIANOMD #WAS2020
Overview
• Speak up for others
• Speak up for yourselves

@EMARIANOMD #WAS2020
https://www.nytimes.com/2017/10/20/health/social-media-fake-news.html

@EMARIANOMD #WAS2020
Del Vicario, et al. PNAS 2016;113:554

@EMARIANOMD #WAS2020
https://www.newstalkzb.co.nz/on-air/the-sunday-session/audio/dr-ed-mariano-doctors-
urged-to-up-social-media-game-to-combat-misinformation/

@EMARIANOMD #WAS2020
https://www.rnz.co.nz/national/programmes/afternoons/audio/2018710031/
why-doctors-need-to-fight-misinformation-online

@EMARIANOMD #WAS2020
https://www.newyorker.com/culture/annals-of-inquiry/why-doctors-should-organize

@EMARIANOMD #WAS2020
http://time.com/3006511/under-appreciated-professions-invisibles-zweig/

@EMARIANOMD #WAS2020
Is Some “Burnout” Really Loss of Identity?
https://www.beckershospitalreview.com/workforce/why-physician-burnout-jumped-to-54-over-3-years.html

@EMARIANOMD #WAS2020
Emerging Technology
https://engineering.stanford.edu/magazine/article/can-
algorithm-diagnose-pneumonia-better-radiologist

@EMARIANOMD #WAS2020
https://www.washingtonpost.com/business/economy/new-machine-could-one-day-replace-
anesthesiologists/2015/05/11/92e8a42c-f424-11e4-b2f3-
af5479e6bbdd_story.html?utm_term=.cc307b242841

@EMARIANOMD #WAS2020
https://www.newsweek.com/plug-pulled-robot-doctor-after-humans-complain-442036

@EMARIANOMD #WAS2020
Hammerling. Anesthesiology 2020

@EMARIANOMD #WAS2020
“For better or for worse, we cannot resist
technological advances. Our role is to manage those
advances to best benefit patients, but also to avoid
disappearing, like travel agents and bank tellers,
who were displaced by the Internet. Taking
ownership of the technology is paramount: we need
to be the drivers of progress rather than those who
resist it out of inertia.”
Anesth Pain Med. 2014 Feb; 4(1): e16468

@EMARIANOMD #WAS2020
1. Physicians are bound by an oath
2. Physicians know how to make tough decisions
3. Physicians are trained improvement experts.
4. Physicians are lifelong learners.
5. Physicians work their way up from the bottom.
https://www.kevinmd.com/blog/2018/08/5-reasons-you-should-put-
physicians-in-charge-of-hospitals.html

@EMARIANOMD #WAS2020
Summary
• We discussed why physicians should speak up and lead:
–For others and
–For themselves

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Why Physicians Should Speak Up and Lead

1. @@EMARIANOMD #WAS2020 Why Physicians Should Speak Up and Lead Edward R. Mariano, M.D., M.A.S. Professor of Anesthesiology, Perioperative & Pain Medicine Stanford University School of Medicine Chief, Anesthesiology and Perioperative Care Veterans Affairs Palo Alto Health Care System

2. @EMARIANOMD #WAS2020 Financial Disclosures • None.

3. @EMARIANOMD #WAS2020 https://www.weforum.org/agenda/2019/01/these-are-the-world-s-most-respected-professions/

4. @EMARIANOMD #WAS2020 https://www.pewresearch.org/internet/fact-sheet/social-media/

5. @EMARIANOMD #WAS2020 https://www.pewresearch.org/internet/fact-sheet/social-media/

6. @EMARIANOMD #WAS2020 Overview • Speak up for others • Speak up for yourselves

7. @EMARIANOMD #WAS2020 Overview • Speak up for others • Speak up for yourselves

8. @EMARIANOMD #WAS2020 https://www.nytimes.com/2017/10/20/health/social-media-fake-news.html

9. @EMARIANOMD #WAS2020 Del Vicario, et al. PNAS 2016;113:554

10. @EMARIANOMD #WAS2020 Del Vicario, et al. PNAS 2016;113:554

11. @EMARIANOMD #WAS2020

12. @EMARIANOMD #WAS2020 https://www.newstalkzb.co.nz/on-air/the-sunday-session/audio/dr-ed-mariano-doctors- urged-to-up-social-media-game-to-combat-misinformation/

13. @EMARIANOMD #WAS2020 https://www.rnz.co.nz/national/programmes/afternoons/audio/2018710031/ why-doctors-need-to-fight-misinformation-online

14. @EMARIANOMD #WAS2020 The Best Defense…

15. @EMARIANOMD #WAS2020

16. @EMARIANOMD #WAS2020 https://www.newyorker.com/culture/annals-of-inquiry/why-doctors-should-organize

17. @EMARIANOMD #WAS2020

18. @EMARIANOMD #WAS2020

19. @EMARIANOMD #WAS2020 Use Your Voice

20. @EMARIANOMD #WAS2020

21. @EMARIANOMD #WAS2020

22. @EMARIANOMD #WAS2020 Overview • Speak up for others • Speak up for yourselves

23. @EMARIANOMD #WAS2020 http://time.com/3006511/under-appreciated-professions-invisibles-zweig/

24. @EMARIANOMD #WAS2020

25. @EMARIANOMD #WAS2020 Is Some “Burnout” Really Loss of Identity? https://www.beckershospitalreview.com/workforce/why-physician-burnout-jumped-to-54-over-3-years.html

26. @EMARIANOMD #WAS2020 Emerging Technology https://engineering.stanford.edu/magazine/article/can- algorithm-diagnose-pneumonia-better-radiologist

27. @EMARIANOMD #WAS2020 Emerging Technology https://engineering.stanford.edu/magazine/article/can- algorithm-diagnose-pneumonia-better-radiologist

28. @EMARIANOMD #WAS2020 https://www.washingtonpost.com/business/economy/new-machine-could-one-day-replace- anesthesiologists/2015/05/11/92e8a42c-f424-11e4-b2f3- af5479e6bbdd_story.html?utm_term=.cc307b242841

29. @EMARIANOMD #WAS2020 https://www.newsweek.com/plug-pulled-robot-doctor-after-humans-complain-442036

30. @EMARIANOMD #WAS2020 Hammerling. Anesthesiology 2020

31. @EMARIANOMD #WAS2020 “For better or for worse, we cannot resist technological advances. Our role is to manage those advances to best benefit patients, but also to avoid disappearing, like travel agents and bank tellers, who were displaced by the Internet. Taking ownership of the technology is paramount: we need to be the drivers of progress rather than those who resist it out of inertia.” Anesth Pain Med. 2014 Feb; 4(1): e16468

32. @EMARIANOMD #WAS2020 1. Physicians are bound by an oath 2. Physicians know how to make tough decisions 3. Physicians are trained improvement experts. 4. Physicians are lifelong learners. 5. Physicians work their way up from the bottom. https://www.kevinmd.com/blog/2018/08/5-reasons-you-should-put- physicians-in-charge-of-hospitals.html

33. @EMARIANOMD #WAS2020 Summary • We discussed why physicians should speak up and lead: –For others and –For themselves

34. @EMARIANOMD #WAS2020

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