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PACEs in Medical Schools

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Donald Trump is the product of abuse and neglect. His story is common, even for the powerful and wealthy.

“In order to cope,” writes Mary Trump, “Donald began to develop powerful but primitive defenses, marked by an increasing hostility to others and a seeming indifference to his mother’s absence and father’s neglect….In place of [his emotional needs] grew a kind of grievance and behaviors—including bullying, disrespect, and aggressiveness—that served their purpose in the moment but became more problematic over time. With appropriate care and attention, they might have been overcome.”

GUEST EDITORIAL: We need a new model for mental health [heraldtribune.com]

By Andrea Blanch, Sarasota Herald-Tribune, July 27, 2020 People are really stressed out right now. A recent national survey reports that “serious psychological distress” — the kind that can lead to longer-term psychiatric disorders — has more than tripled since this time last year. We are already seeing the consequences in Sarasota County, with the number of opioid-related deaths in the first half of 2020 more than double the number in all of 2019. And based on experience with SARS, experts...

Navigating Trauma in Your Personal Statement for Medical School (In-Training)

By Britt D. K. Gratreak, July 21, 2020, University of Arizona College of Medicine - Tucson I applied to medical school twice. In retrospect, I was unsuccessful the first time for a few reasons: my timing was terrible, I had too much humility about my achievements, and I didn’t ask for enough opinions about my application from people who were rooting for me. My trauma was also too raw and recent to write in a way for strangers to understand. After taking a few years to focus on research, I...

Adverse childhood experiences and decreased renal function: Impact on all- cause mortality in US adults (mdlinx.com)

By Ozie MN, Garacci E, Campbell JA, et al American Journal of Preventive Medicine | July 20, 2020. Via performing longitudinal survey of adults, researchers investigated how coexistence of adverse childhood experiences and reduced renal function (an estimated glomerular filtration rate < 60 milliliter/minute/1.73 m 2 ) affects all-cause mortality in a sample of U.S. adults. They analyzed data from a total of 1,205 adults participating in the Midlife Development in the United States series...

Health Disparity, Racial Weathering, and Social Determinants: How Do We Create Antiracist Healthcare? [saragottfriedmd.co]

By Sara Gottfried, Dr. Sara Gottfried MD, July 13, 2020 I take respectful care of my patients regardless of skin color, but in the past few years, I’ve realized that is not enough. There are many sources of information that have influenced me. Conversations, particularly a recent interview with integrative physician Andrea Pennington MD. Books, mentioned in this article, including How to Be an Antiracist by Boston University Professor Ibram X. Kendi and founder of the Antiracism Center for...

Do safe, stable, and nurturing relationships work? New research has important findings for responding to ACEs

While we know that adverse childhood experiences (ACEs) can cause risk behaviors, research has told us that the presence of protective factors can help mitigate the effects of ACEs. Common risk behaviors such as smoking tobacco and alcohol misuse can be a result from the trauma of childhood disadvantage. In responding to ACEs, public health research proposes that protective factors such as safe, stable, nurturing relationships (SSNRs) with a caring adult can mitigate the long-term effects of...

Central Valley’s first four-year medical school soon will welcome its first class (Your Central Valley)

By Dennis Valera, July 5, 2020, Your Central Valley. CLOVIS, California (KSEE) — For decades, the Central Valley has struggled to have enough doctors. A small step in fixing that: having a local medical school. In a matter of weeks, 75 medical students will be California Health Science University’s first class in its College of Osteopathic Medicine. The 94,000 square foot building is meant to house 600 students, along with its faculty and staff. [ Please click here to read more. ]

Donor to help School of Medicine students understand and address systemic racism (SC.edu)

By Alyssa Yancey, July 1, 2020, SC.edu. A surprising gift and commitment from bestselling author and Giraffe University founder Chris Jarvis comes at an important time. In support of the University of South Carolina School of Medicine Columbia’s commitment to diversity and inclusion, Jarvis has ensured all first-and second-year medical students receive a copy of “ Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-first Century ” by Dorothy Roberts.

'A Better Normal' Community Discussion Series: How to Grow a Resilient Community - July 7, 2020

Interested in learning what it takes to Grow a Resilient Community? Do you want to learn how to become a member of ACEs Connection Cooperative of Communities? If so, please join us Tuesday, July 7th, 12-1pm PDT for our next 'A Better Normal' community discussion series. In this discussion we will be talking with Brian Semsem of Fresno's Every Neighborhood Partnership. We will be talking to Brian about what led him to work with ACEs and resilience. In addition, we will be discussing the path...

Help Navigating the Road to Community Resiliency

The first time I ever heard the words trauma-informed care and the Adverse Childhood Experiences (ACEs) study was in the summer of 2014. At the time, I was working for the local Police Department as the Director of a grant-funded Crime Reduction Project aimed at reducing drug-related and violent crime. Of the many program goals, one was to develop a rehabilitative corrections program for felony offenders with addictions in order to reduce recidivism. Though I’ve lived in this region for...

Reimagining Healthcare as a Community Investment

At this point, COVID-19 has been a part of our lives for nearly six months now. While the most recent current events are not unfamiliar social problems, this pandemic has provided us with a stronger lens with which to see many of the underlying inequities within our communities. This article, “The Moral Determinants of Health,” explores these inequities by illustrating the systemic imbalances within the field of medicine and the amount of resources we allocate to solving problems as opposed...

Academic Medicine and Black Lives Matter Time for Deep Listening (NEJM)

By Clyde W. Yancy, MD, MSc 1 , JAMA. Published June 30, 2020. doi:10.1001/jama.2020.12532 E choes of “medicine as the noble profession” continue to resonate, now 35 years since my legendary Chair of Medicine imbued me with this guiding ethos. Nobility in medicine is not obsolete; the selflessness, courage, self-sacrifice, and altruism on gallant display in the response to COVID-19 reassures that at its core, this ethic of egalitarian service remains intact and deeply established in the DNA...

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