A Call for Change: Fixing A Broken Medical Training System | Jake Goodman | TEDxUGA
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- Опубликовано: 21 май 2023
- Medical training practices in the United States haven’t changed much since formal residency programs were first introduced in 1897. A series of unaddressed problems within these practices have perpetuated mental health challenges within the medical profession. In this talk, Dr. Jake Goodman brings awareness and promotes advocacy to further the discussion on medical training improvements that are necessary to better protect the mental health and care of both physicians and patients. Jake Goodman is a Miami-based psychiatry resident physician. With more than 2.1 million followers, Dr. Goodman is a mental health activist and social media content creator focused on fighting stigma and discrimination while empowering those experiencing mental health challenges to seek help. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at www.ted.com/tedx
Thank you to everyone who took the time to watch this TEDx Talk! It took a whole village to get to this stage. First, thank you to my parents who sat with me when I wrote the first word of this speech and cheered me on as I spoke the final sentence. Thank you to my wife, Dr. Arianna Heyer, who relentlessly supports my dreams and is my rock and home. Thank you to Dr. Doug Sirutis, who helped write key parts of the speech and provided expert editing & guidance along the way. To an inspiration, Dr. Laura Vater, whose voice encourages me to take a stand and fight for a healthier culture in medicine, I look up to you. To Andy Nguyen, thank you for capturing memories that will last forever. To my TEDx student curation team, Victoria, Jereme, Danny, Gracie, Morgan, & Mary who helped guide me through 14 speech drafts (and 2 pivots), thank you. To my family, friends, and mentors who supported in person & on the livestream, I felt your energy the whole time. To the future doctors who I hope this talk impacts the most, you will be the ones that change medicine for good. Believe in yourself, stand together, and use your collective voice. Thank you for letting me play a part in your journey. And finally, to my 20 year old self, who sat in the back row of TEDxUGA a decade ago, dreaming about my future self taking that stage, we did it. It came full circle. Grateful beyond measure.
This is an excellent Tedx Talk. I hope it goes viral. Everyone needs to understand the sacrifices medical students, interns, and residents make. Thank you.
You just gave more inspiration to seek further help for me to continue helping and hoping my countrymen would one day afford to see these through in a vast majority of changes wavering to provide better services to each and every one of us. This is my dream and inspiration, to become a problem solver, not a fixer upper who simultaneously lose my head mindlessly due to lack of sleep and misdiagnose someone who needs to feel better as much as I do.
This gave me goosebumps.
As a medical student who relates all too well to the mental health crisis in medicine, THANK YOU! Conversations that educate and elaborate on the systemic issues in medical training are exactly how we can fight for change.
Your description of the system is 💯, and I realized now that it's the same across the globe.. as a resident in internal medicine here in Nigeria U can only imagine the workload we are facing, couple with the brain drain phenomenon, poor working conditions, poor salaries, to the extent a doctor cannot afford his own health care if he falls sick😢... And the system completely not in our favor.
I believe it's time we join hands together and change the narrative.
Weldone, Jake MD
When I was an intern I was on call covering the general peds unit as well as the heme/onc floor. I had been up for nearly 30 hours when labs came back showing a cancer patient 5 years old had a slightly elevated creatine level. I was so tired that I missed this result and ordered a vancomycin dose to be given without adjusting for the creatinine level. Within 12 hours this little girl's creatinine skyrocketed and she went into acute kidney failure. The oncology attending berated me the next day when she found out what happened. I was so distraught that I nearly killed myself.
At this point it should be required for doctors to see a therapist once a month theres no way theres not trauma after the things that are seen especially after covid no one should feel ashamed for getting help mental health is a huge issue and something that should be monitored after seeing traumatic things daily
Proud of you for fighting to change a broken, toxic and dangerous system!
We NEED reform!!!! This cycle needs to end. Everything about this system puts human lives at risk, providers and patients.
As a medical student I have been told that if I need to see a psychiatrist or therapist that I need to use a fake name to protect my future career…
I’m a med student and what he’s describing is one of my biggest anxieties about being a doctor.
Bravery is doing the thing even when we are scared. And fighting to make a better system along the way. Hold to the reasons you are there, find your people and supports, and show as much love and care to yourself as you do to your patients…
This video is underviewed, hope no algorithms are messing with this real important information.
*Clapping while giving a standing ovation*
I also wanted to be a doctor but i decided to go to Medical Lab Science because the overworking of medical students is beyond what humans should endure.
i worked in medical field for 25 years as a medical coder. it is amazing how spot on you are. DR. addiction is also a large public health crisis. you did a great talk💕
Jake this is so important!!! So proud of you❤
As a first year med student it’s terrifying to have an insight into the healthcare system’s dark side…
It’s also heart wrenching to see that this video has only reached 20000 views when the topic needs to be heard.
To all of the residents out there: we’re proud of you and never be afraid to be selfish a bit, to care for yourself too!
You have brought up so many cogent points. This, and I’m sure you are aware, extends into the medical community with far reaching consequences. Even among nurses, that is a question. I was afraid to go to the ER after a suicide attempt, because I knew that I would be reported to the board of nursing. Not for diversion, not for substance-abuse, but for the depression that led me to that attempt… I could lose my license. The last one is the most impactful and causes the most problems.
This talk was amazing! Everyone in healthcare should give this a listen ❤
It’s the politicians that should give this a listen, because everyone working healthcare already know this!
Thanks for the great talk. A first year resident here. I did not know that there's a question of seeking mental help at the licence application. Now I'll never ever consider seeking help lol
I agree 100%, and I'd like to add a HUGE detail: much of what is talked extend to every other professional in healthcare. Every profession have it's niche problems, but much of what he said applies to everyone. Everybody is extremely overworked, systematically underpaid and chronically exposed to unsafe work conditions and abuse on the hands of hierarchically superior professionals, including doctors, who are the apples in the eye of society's healthcare imaginary, and therefore more powerfull. If anyone in a team is subjected to these, everybody they attend to can be in danger of human error. Nobody deserves this treatment and work culture
Thank you for making this problem visible.
Thank you so much for bringing attention to this! You're doing amazing work!
Go Jake!!!! Congrats!! May all docs listen to this crucial message.
So good, loved this information. Keep going, this needs to change.
Wow! Thank you.
So informative! Amazing! 👍👍
AWESOME!! So real!!
Speech is amazing
Great job Jake! There needs to be changes! So proud! Xoxo
Let’s go!!!! What an AMAZING talk and so needed. Well done, brother 👏👏👏
Amazing talk dr 👏🏻👏🏻👏🏻
As an aspiring doctor, thank you!!!
I watched every second of this. You are spot on. It's time to create healers.❤
It's definitely a time for a change.
These words just feel right
wow amazing
Jakie! Love you 💖. Your blue eyes and a range of suiting inspire me a lot, apart from your passion for advocating justice to the poor medical training.
Residents, unionize!!!!!
It really shows that people who are medical doctors they really don’t practice the medical knowledge for themselves.
Thank you for taking a stand.
Unfortunately the stigma of seeking mental health care doesn’t stop there, on its way to to an outright rejection of licensure for a particular profession.
I was a Paramedic for over 15yrs, a scant 5 of those in a high volume urban city that has a very large teaching hospital. I’ve seen the people you talk about and worked along side them.
After realizing I had suffered so much stress, mental trauma, and succumbing to depression, anxiety and a host of other mental and physical health challenges, I had to leave the field. I fell back on a profession I had when I was just an older teenager and into my 20’s - driving commercial vehicles. A truck driver.
Many may not know this, but the same prohibition exist it that field as well. If you are taking any medication that is known to treat depression, anxiety, PTSD, schizophrenia or the like, you can’t drive. If you answer in the affirmative that you’ve been diagnosed with a mental health disorder/problem, you can not drive a commercial vehicle.
I could go into that lifestyle and the triggers that exist for one to experience those symptoms that will eventually evolve into a condition in desperate need of help and treatment; but I’ll digress and just restate the facts. Don’t admit to it or get found out that you have mental health problems - you will be out of a job.
We as a society have a long way to go in order to achieve our full capacity for greatness.
TOO QUIET! Can you please turn the volume up on this video? I have all my stuff turned up to the maximum and can barely hear this guy speaking.
I cried
hope change happens soon. Really!
Words>>
And how about when patients are humiliated, bullied, invalidated, and insulted by Doctors in the Emergency Dept.? How about that??
Truth is nobody cares, we usedto be on call from Friday 4pm till Monday 2pm, for our internal medicine rotation
What's my child's birthstone?
Start out backwards and only allow one direction ZYXWVUTSRQPONMLKJIHGFEDCBA and then ABCDEFGHIJKLMNOPQRSTUVWXYZ Might as well see were there all at with everyone that way you find out the areas of struggle to find out why.