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Population Health

Moral injury describes the challenge of simultaneously knowing what care patients need but being unable to provide it due to constraints beyond our control.¹

During this webinar, we delved into the pressing issues highlighted by a recent New York Times article, which pointed to a "moral crisis" faced by American physicians. The transformation of healthcare, driven by corporatization, has fundamentally altered the practice of medicine, leaving many physicians feeling disconnected from their work. The urgent need for change is apparent: healthcare systems and the interactions within those systems must become more relational and humane.

Webinar attendees heard from esteemed faculty from the Resilient Beginnings Network (RBN). Ken Epstein and Irene Sung shared frameworks and strategies to help attendees identify instances of harm or rupture in patient-physician and other work relationships within the healthcare system. Additionally, Ronda Alexander and Renée Boynton-Jarrett introduced the dignity framework and emphasized the pivotal role of institutional responsibility.

https://vimeo.com/861866251

Download Slide Deck

⏭️ Skip Ahead To:

  • Welcome, About CCI, Agenda, and responding to the prompt: "What brings you joy in your work?" (0:00) → View: participants' responses (poll results)
  • Today's Speakers - Introducing the RBN Faculty (7:45)
  • Starting with Joy (10:30)
  • Understanding Trauma and the Moral Crisis in Healthcare (11:59)
  • Recognition: The Lens of the Mirror and the Landscape (18:11)
  • Activity: Readiness, Response, Recovery, Renewal (23:39)
  • Healing through Restoration and Accountability (28:17)
  • Breaking Cycles of Reactivity (43:30) → View: Cycle of Reactivity and Healing Pathway graphic, developed by the RBN Faculty
  • Story / Case Study: Maggie Gilbreth, MD - Children's Health Center, Zuckerberg San Francisco General Hospital (48:00)
  • Reflect on and discuss the story Maggie shared - RBN Faculty (59:20)
  • Q&A with RBN Faculty (01:12:21)

🔑 Key Resources:

  • Read: Getting from "Broken" to Healing: A Children's Health Clinic Strives to be a Center of Healing for All to learn more about what Dr. Maggie Gilbreth and her team are doing to practice healing and trauma-informed care both with patients and each other 
  • Visit: Trauma Transformed to read more about advancing trauma-informed and healing-centered systems change 

Breaking Cycles of Reactivity - RBN graphic from 09-2023 Webinar

 
¹ Wendy Dean, MD; Simon Talbot, MD; and Austin Dean • Reframing Clinician Distress: Moral Injury Not Burnout, Federal Practitioner, September 2019
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“It Happened Again…” Breaking the Cycles of Trauma through Recognition and Healing

September 14, 2023
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By Weslei Gabrillo
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Moral injury describes the challenge of simultaneously knowing what care patients need but being unable to provide it due to constraints beyond our control.¹

During this webinar, we delved into th…

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Resilient Beginnings: Trauma- and Resilience-Informed ACEs Screening and Response Learning Brief

August 28, 2023
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By Kendra Chaikind
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A growing awareness around the impact of trauma on people’s health and wellbeing has underscored the need for trauma-informed and strengths-based approaches to working with patients and communities….

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Centering Anti-Racism in Trauma-Informed Care

July 19, 2023
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By Weslei Gabrillo
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Racism is trauma. As such, we must acknowledge the role it plays in people’s lives and the impact it has on their health and well-being.
Racial equity is an essential component of trauma-informed c…

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“Collaboration Moves at the Speed of Trust”: Reimagining Partnerships for Healing 

July 17, 2023
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By Diana Hembree
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The Center for Care Innovations (CCI) recently gathered community health leaders to reflect on a key question: How might we imagine partnership work as a way to more deeply connect to one another?…

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Safety Net Health Center Goes Beyond ACEs Screening and Treatment to Trauma Prevention

July 4, 2023
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By Diana Hembree
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Marin Community Clinics has created a roadmap for accessing new funding and reimbursement streams and support services for resilience work.

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Getting from “Broken” to Healing: A Children’s Health Clinic Strives to be a Center of Healing for All

June 22, 2023
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By Diana Hembree
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The Children’s Health Center at Zuckerberg San Francisco General Hospital works hard to elevate patient voices.

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Taking Action to Dismantle Anti-Black Racism: A Talk by Dr. Zea Malawa

June 2, 2023
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By Weslei Gabrillo
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Dr. Zea Malawa’s work focuses on racism as a root cause of health care disparities.

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How One California Clinic Tapped a Bilingual Medical Assistant to Lead ACEs Work 

May 26, 2023
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By Diana Hembree
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Finding an internal champion for childhood trauma screening — a pediatric medical assistant — proved invaluable as Community Medical Centers rolled out its resilience program.

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From Practice into Action: Videos on Key Learnings from the Resilient Beginnings Network

May 22, 2023
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By Weslei Gabrillo
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Watch these videos to find out more about the value of resilience and trauma-informed practices for you and your patients.

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