April 23, 2024 • 37 mins
Ever wonder how medical professionals juggle the constant demands of their careers with life's other passions? Let's traverse this high-stakes tightrope as Dr. Cierrea Roach-Gerald and the up-and-coming Dr. Jayla Calhoun join me to unravel the secrets behind managing the intensive schedules of medical careers. From my own transition to a hospital-focused role to Jayla's academic grind at UNC, our conversation covers the art of maintaining balance - think robust study routines, personal well-being, and the non-negotiables like family and faith.
Switching from the serious to the delightful, our episode takes an unexpected twist into the realms of sports, comfort foods, and silver screen hits during our Bolus Round. Hear us wax poetic about basketball legends, disclose our go-to indulgences for those long study nights, and swap stories about the films that have touched our hearts. Amidst laughter and wisdom, we also peel back the curtain on the aspirations that drive us, exploring the prospect of impacting rural medicine and the thrills and spills of entrepreneurship.
As we draw the curtains on this enlightening session, we tackle the pivotal transitions and challenges within the healthcare landscape. From the joy of connecting with our communities to empowering future generations through children's literature, we leave no stone unturned. Whether it's discussing educational pathways like master's degrees or the diverse career opportunities from private practice to direct primary care, we've got you covered. Join us for a journey through the multifaceted world of healthcare, where resilience and individuality reign supreme.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
We are back for week two of our B-Man Amplified Tour
at North Carolina CentralUniversity.
We're still live and in fulleffect here.
We had an amazing paneldiscussion with Dr Sierra
Roach-Gerald and future Dr JaylaCalhoun.
I'm your host, Dr Jasmine Weiss.
Let's jump right into theepisode.
Speaker 2 (00:35):
There's not many full-scope pediatrics.
Everybody's kind of shiftinginto like you either do hospital
, you do clinic, but notnecessarily all of it anymore.
It's funny that you say thatbecause in the next year I plan
to transition to just hospitalwork because I'm tired of doing
both.
So but that's kind of how myday usually is.
(00:56):
But I also do a lot of teaching.
I teach like NRP, I work withthe residents.
I actually have to prepare alecture for them for Thursday.
It really just depends on theday with me.
So I also do a little locumstoo.
So, like this weekend, I wentto like another hospital and
covered for them.
They're not necessarily in thecountry, but usually it's a lot
(01:18):
of small hospitals that needcoverage, whether people are out
sick or they just don't have adoctor right now, and so it
really just depends on my daybut but actually kind of do a
little bit of everythingthroughout the day.
Speaker 3 (01:33):
It's a pretty busy day.
So for me, as a medical student, our first two years at UNC are
like book work, more didacticlearning stuff.
So for me me, eight to 12 everyday I'm a class goer.
We don't have mandatory class.
I know it changed for the newcurriculum, but for us we didn't
have mandatory class.
(01:54):
So eight to 12 I would go,though, and then I would take a
small break.
And let's say it's a Wednesday,so I have PCC, which is our
patient centered care course,where we would talk about like
clinical care.
Um and I we would do that fromtwo to five and then go home and
probably study for a couplehours, get ready for the next
(02:16):
day.
We were saying that myschedule's changed because I've
been studying for one of our bigexams for the past like two
months, and so now my schedulehas been like wake up at 8 am
and study to five.
Speaker 2 (02:28):
So but one thing I want to add in there is don't
forget to cherish the thingsthat are important to you.
Um.
So, throughout, like medicalschool, throughout, um, even
undergrad for me throughresidency um, going to church
was important to me, um, so Ialways fit that in in and had
that in my schedule.
I'm also an OCD person.
(02:48):
Don't ask my husband how manyschedules I make and it's a
little bit crazy.
But whatever is important toyou, make sure you have time for
that.
Whether it's family, childrenvisiting family, make sure you
set down that time for thoseimportant things.
Whether it's reading 30 minutesor watching your favorite TV
show, whatever it is thatmatters to you, because that's
(03:09):
going to keep you sane, and so,whatever it is, don't forget to
add that into your schedule.
Exercise forgot about that, butyou know, don't forget to add
all that stuff in there.
Speaker 1 (03:21):
I love that, especially because as you go
there will be times where youcan't do as much of what you
love, and then there'll be othertimes where you can fit it in
more.
But the whole time you got totry to find at least a little
window to spend time with family, friends.
For me, prayer, like you said,faith, going to church was big
for me too.
And then from a studyingperspective I know you mentioned
(03:42):
, you know you said eight tofive.
Speaker 4 (03:43):
You said it kind of quietly Sorry, but when you're
studying for your step exams.
Speaker 1 (03:47):
it takes that much dedication and to your point of
going to class.
Some people will be okay withvirtual in med school but for me
I was a class goer too, so Ifelt like going to have the
material.
I would listen to the lecturesthat were you know given to us,
but then go to class because ithelped, to the lectures that
were you know given to us butdidn't go to class because it
helped.
So ultimately I say I'd have tosay find what works for you all
(04:09):
with studying, because it willbe a step up from what you're
doing now to medical school.
The amount of studying you haveto do really does change.
So building on those studyhabits early is important, for
sure.
Speaker 2 (04:19):
Like you might have a whole semester here.
You're going to get that inlike two weeks.
Yeah, that's two or three weeks, um, it's gonna be like one,
two, one test, um, and so yougotta, and you're gonna have
four or five of those classeslike that um, and so, whatever
study habits that are good orbad, um, as you're trying to,
you know, figure out what worksfor you, um, start working on
them, building those um, andit's not gonna be I'm gonna to
(04:42):
start studying at 8pm the nightbefore the test, because you
might as well cancel it.
Speaker 4 (04:48):
It ain't going to work.
Just don't go, don't take thatAbsolutely so.
Speaker 1 (04:53):
I have one.
If you had to leave theseindividual students with one
parting word of wisdom beforethey ask some questions, what
would you leave them with?
And then I have one last bolusround question.
I'll explain in a minute too.
Speaker 2 (05:06):
I guess I would say pray, be consistent, enjoy what
you do and just continue to pushyourself, continue to strive
high.
Speaker 3 (05:19):
I would say that there is value in your
perspective and always know thatyou have value in your
perspective.
So, going forward, always beconfident and stay true to
yourself.
Speaker 1 (05:29):
I love that.
I love that.
And so the bonus round issomething we do on the Be Mad
podcast, where we ask some rapidfire fun questions, and so I'm
just going to ask you all a fewof those fun questions and then
we'll go ahead and have you allask questions, and to do that
I'll have you actually stand up,say your name, what year you
(05:49):
are in your major and then askyour question.
But before that we'll do ourbonus round, all right.
So I know you ladies are bothbasketball fans.
I am too.
It's amazing that we're allgreat ladies, exactly.
So you know Don Staley just won.
But who?
Who is your favorite player andwhy do you admire them?
Speaker 2 (06:08):
Oh, kobe all day.
I might have cried for a dayafter he died, but Kobe all day.
But yeah, I'm a big basketballfan, but definitely Kobe.
The work ethic, everything isjust amazing.
Speaker 3 (06:23):
I would.
I would say Kobe too, but Idon't want to be like a copier
so um.
I'm gonna say Dirk Nowitzki,just because I've always like
admired his play style.
That was kind of like the vibeof my play style and I just
think being able to not be themost athletic person and be able
to do the things that he didwas really impressive to me.
Speaker 1 (06:42):
I love that, love that okay you already know I'm a
Steph Curry fan, but butgreatest shooter of all time, so
I'll just leave it at that.
Speaker 2 (06:48):
Wait, you're a fan.
Because he's North Carolina,I'm a fan because he's North
Carolina and.
Speaker 1 (06:52):
Charlotte, and I was a shooter too.
I was a shooting guard, so youknow he was the perfect person
to look up to, even though heplayed point guard.
So so if you had one meal youcould eat for a month, just one
meal, what would that be?
Speaker 2 (07:08):
I'm not going to lie Pizza.
There you go it's my go-toPizza Pizza.
Speaker 4 (07:12):
Okay.
Speaker 3 (07:14):
Okay, I'm going to sound really weird Chili.
Speaker 6 (07:17):
Okay, why chili?
Speaker 3 (07:19):
I don't know you can eat it with crackers with it,
you can have a whole meal.
Speaker 1 (07:25):
Okay cool, I love it.
Speaker 2 (07:32):
Okay, and top two movies of all time for you?
Oh, go ahead.
I was going to say Love andBasketball, but I ain't got a
second.
Speaker 1 (07:40):
I'm like, yeah, she told me to give me two.
Speaker 3 (07:44):
Okay, Love and Basketball is one I ain't on a
second Okay, I like Lady Singthe Blues because my mom really
liked it and she loved DianaRoss and Slumdog Millionaire.
Speaker 1 (07:56):
Okay, okay, I guess I'll give.
Mine is Coming to America and Ihave three.
That's unfortunate you makeI'll give you one.
Harlem Nights if y'all haven'tseen that before, and Remember
the Titans, I just love thatmovie.
For some reason, I feel so sad.
It's been sad.
(08:17):
And then my last question foryou all is I want you to shout
out any business and tell usmore about your entrepreneurship
side, and then, jayla, for you,you can shout out anything you
want to do in your future thatyou may not have been able to
accomplish it okay.
Speaker 2 (08:31):
So.
So I did the UNC leadership andpublic health degree.
For one, I thought I want toopen my own like practice rural
medicine for low-income familiesAfter starting businesses with
my husband.
I cannot say I want to openanother business right now, even
(08:52):
though we have three, but Ican't say I want to open another
one.
But that was kind of thepurpose of going down that path
was to kind of see, I kind ofstarted at CC Baller.
I got out of the army.
I had like two months before Istarted another job and, I ain't
gonna lie, I was just bored, Iain't had nothing to do.
Um, you can't just give me thismuch time, um.
(09:14):
And so that's when I started tomentor and then kind of just
reaching back, um, and it'spretty much what I do, like I do
a lot with like residents andstuff like that, and so that
kind of does the income of it.
But, um, I just like coming tolike events like this, just
mentoring, um networking withpeople, um motivating people,
going to conferences, stuff likethat.
(09:35):
So, um, and the other one is, um, aspiring Mind Snapshot.
I don't know how we came upwith it, but we went to a selfie
museum when it was a big thinglike five years ago or I guess
three or four years ago, and wefell in love with the idea,
started one in Danville.
Then we ended up.
He actually thought of the ideaof doing it mobile and doing
(09:55):
festivals.
And again, I love kids, so wego to all the like kids
festivals, children's festivals,and so that's how that branched
off and then we ended upselling the um, and so that's
how that branched off, and thenwe end up selling the shop, um,
and so we don't do like the shopanymore and we just do
festivals.
Um, yeah, the residencygraduation we're about to do, so
we just do events like that, um, and so something that's
(10:16):
totally not medical.
Um, that's fun and I just loveit.
Okay, my bad, my bad, I'm sorry.
No, yeah, that's a lot tofollow.
That's a Disney life, I think.
Speaker 3 (10:29):
For me, I want to be able to, in the future, leverage
my position, like you guys aredoing, to empower younger
generations and generationscoming behind you as well as
that, I just want to make it toclinicals and being able to
actually practice some of thethings that I've been learning
over the past couple of yearsand then leave the country.
(10:51):
I want to leave the country.
I've only done that once, Iwent to the Bahamas, so I want
to do it again.
Speaker 1 (10:56):
Love, that love that well, we'll allow you all to ask
questions at this point andI'll just add, like your finish
physician entrepreneur bug isone that I too have, and I think
what is unique about what weget to do, people don't realize.
Your journey to medicine islong and then you get to explore
who you are as a physician andwhat you want to do and what,
(11:17):
how you want to impact the world.
So for your mentoring, forgoing to festivals and and and
being with the children it allkind of feels like the similar
thread of wanting to really bethere to help kids.
For me, impacting black andbrown communities with events
like this or children's booksabout career exploration, you
can really do a lot.
So as you all move through yourjourneys, don't forget to stay
(11:39):
true to who you are, becausethose things will come back with
more time for you to pursue inthe future.
So with that, does anybody havea question?
Speaker 4 (11:48):
all right, we'll go here first, so I'll have you
stand up and my future goals istrauma medicine and trauma
surgery, things like that.
My question is why did y'allget a master's degree before you
went to med school and what yourecommended Like, what's the
(12:09):
pros and cons of getting amaster's degree before you get
an MBA?
Okay, so for me I'm gonna behonest.
Speaker 3 (12:17):
I finished undergrad in three years and I did not
know how to get to where Iwanted to go at that point and I
was 20, I think.
So I was just really young andI had a lot of growing up to do
my master's degree.
I don't think it boosted my myapplication in regards to like
them looking at like grades orGPA, because my GPA here was
(12:39):
really good it was.
I think it was a 4.0.
Um, it was more about theexperiences that I had during
that time period and again, Icould really speak to those
experiences in my interviewbecause they were meaningful to
me um being in the lab, umscribing with Dr Weiss, um, I
did a couple other things aswell, but yeah in just case
anybody't know.
Speaker 2 (13:00):
But you have to start applying a year early, so you
have to finish your applicationsbeginning of your senior year,
and so I actually got mymaster's last year.
I was already done and becauseI went through the Army, I had a
GI Bill and so they give you alot of months and I was trying
(13:20):
to figure out how to use itbecause I didn't have a child or
anybody to pass it to.
Speaker 3 (13:24):
Did you say what your master's was in?
Speaker 2 (13:28):
Leadership in practice, like in medicine.
So it was in public health, itwas in that field, and so that's
why I kind of got one.
And also, I always wanted to bea Tar Heel, but the two other
schools gave me full rides so Ihadn't made it to Chapel Hill
yet so that's kind of how I gotinto the master's program but
(13:49):
yeah, so mine wasn't to likeadvance anything.
It was kind of something.
I don't know if people say fun,but kind of something fun to do
and I just finished it.
Speaker 1 (14:02):
I love that For me, I got my master's after residency
as well, and so the pros andcons to each I would say for me
getting it after training.
I knew how I wanted to use it,so I knew I had gone through
(14:23):
pediatric residency and I wantedto focus on how do I impact
patients more than just onepatient at a time, one visit at
a time.
So getting my masters in healthsciences allowed me to go to
Yale to do two years of learning, kind of the research aspect of
things, and now I do medicaleducation research and so if you
do it beforehand it's still anawesome experience.
You can get a lot of exposureto population health.
If you do public health, somepeople do health care
administration because theythink they want to go into the
(14:44):
business side of medicine.
Some people even get their MBAbecause they want to do the
business side of medicine.
So it's a lot of differentopportunities and it's all about
what makes the most sense forwhere you see your career in the
future as well and you can do,and MPH programs as well, or MD,
phd if you're crazy to do itfor like eight years.
Speaker 2 (15:05):
So there's different tracks you can do.
It doesn't have to be liketraditional track and some of
the like MD, mph, like ECU.
You can do it where you do yourfirst two years, you'll do your
MPH the third year and then yougo back and finish your
clinicals.
That is also how I do it at UNC.
Okay, so there's differentoptions for how to do it.
Speaker 1 (15:25):
Hello everyone.
Are you enjoying the episode sofar this week?
Well, I'm excited to announcethat this week's episode is
sponsored by the B-Med app.
That's right, you heard it theBlack Med Connect app.
This app will be for any blackor brown pre-medical students,
medical students, residents,fellows and attendings, even for
(15:45):
institutions.
We're in the process ofdeveloping our app and we wanted
to share it with you now.
So if you're interested inreceiving updates on when the
B-Med app will be available tothe world, then head on over to
bmedconnectcom slash app A-P-Pand join the wait list.
(16:05):
Let's jump right back into theepisode.
And even though those MD-PhDprograms are long they are long,
they are a lot of them will payfor you to go to school the
whole time.
So if it's something you areinterested in and you wanna do
both the PhD side, you've gottabe really passionate about doing
that side, to do a dual degreelike that.
But that's another option aswell.
(16:27):
All right, you had a question,okay.
Speaker 5 (16:34):
Hi, my name is Genevieve, I'm a first year
sophomore and right now I thinkI don't really know, I guess,
where I want to go.
I have been looking into thetrauma surgery side, though, but
actually adding on to the MPPHsubject right now, because my
major is clinical research, so Ihave an interest in research.
(16:55):
And I actually have done myresearch on, like different
programs and being PhD and allof that, and I wanted to be a
physician scientist and Irealized that you have to get
your MD, phd.
But I was going to ask um, Iactually had two questions.
I was going to ask is therelike any other track or any
other way that you could still,I guess, pursue research with
just MD?
Or if I could, I guess, get anyother degree or anything else
(17:18):
and still pursue research as I'mpursuing my career?
And also, what challenges doyou all face within your
workplace, whether it's youbeing a black woman or just like
in your occupation?
Speaker 4 (17:31):
in general.
Speaker 2 (17:32):
So I can't necessarily answer all the
research I don't necessarily doa lot of like bench research.
But having just an MD, a lot oftimes you like if you were to
go like on Indeed and look youcan just have an MD and get a
lot of those research jobs.
Some of them want you to havePhD as well but MD like
qualifies you to work at likeJohnson Johnson, because there's
(17:54):
a lot of different ways thatpeople don't realize that you
can work and so you could go andactually do like bench research
at Thompson Johnson or maybeyou're just in charge of your
clinical studies and stuff likethat.
So there's a lot of differentpathways that you could do.
I wouldn't limit to yourselfthat if you only got an MD PhD,
(18:15):
that's the only way you could doit.
I wouldn't limit yourself.
I would honestly apply to bothprograms Just MD and MD PhD.
That's the only way you coulddo it.
I wouldn't limit yourself.
I would honestly apply to bothprograms just MD and MD PhD and
see which one kind of once youinterview, talk to them and see
which one fits you more, and sonot limit yourself.
What was the second part?
Oh, the workplace.
(18:36):
No matter what your major is.
No matter what you do in life, Ithink you're going to always
have struggles being a minorityand then being a female, and
then when you have both, I thinkyou're always just going to
have issues and I don't thinkyou're going to ever necessarily
get out of that.
No matter how much culturalcompetence we teach, how much
(18:58):
diversity we teach, we're stillgoing to have those battles,
right, um, and I don't thinkthere's any other than you can
teach your peers about things,um, but you're still going to
have either the bias or thestereotypes or or whatever, um,
they may go through or you maygo through.
You're you're going to alwayshave those.
I would be very naive if I saidthat in 2050, we're never gonna
(19:23):
have that we're still gonnahave issues.
It might be different, becauseI would even say that the LGBTQ
community is having more of theissues than not necessarily more
, but they're more in thespotlight now and having more
issues like oh, can you be adoctor, are you a man or a woman
?
I think they get more criticismthan I might as a black female,
(19:45):
and so I think it's just goingto change how society views
things.
But, just again, being resilient, having having your support
system and knowing that you'reyou're important, that you're
worth, it is going to bevaluable.
And figuring out how to getthrough that, because you're
going to, unfortunately, face itand there's not a master's
(20:07):
course on how to get through it,because you're never going to
know how it's going to come atyou.
Sometimes it comes from thehigh, from the CEO, and
sometimes it comes from theperson that was just sitting at
lunch with you that you thoughtwas your colleague, so you don't
know where it's ever gonnaattack you at.
Speaker 1 (20:24):
Sorry, that was a downer I want to pick you back
off that for the questionregarding research so you don't
have to have your PhD at all tohave to do research, like that's
the definitive answer.
There's so many types ofresearch and so I encourage you
all to explore all the differenttypes, because I think a lot of
(20:47):
students that I talk with theythink basic science, laboratory,
is the only type of researchand so I say, get those
experiences because you reallymight like being in a lab.
Right, I got to do aninternship where I was working
with asthma and mouse lungs.
It was fun, but that wasn'tnecessarily what I wanted to do,
but I learned that by doing theexperience.
So if you can get internshipsto help you decide, like, do you
(21:09):
like laboratory research or doyou like patient interactions,
where a physician is trying todecide if this intervention
after a knee injury is betterthan another intervention, right
, those are clinical experiences.
When we say that, we meandirect patient problems with
solutions in more of theclinical setting, some people
like to do or think aboutmedication trials as research
(21:32):
that you can do and you don'thave to have your PhD to do
those things.
But as a resident, you areexposed.
Med student you're exposed.
Med student you're exposed.
Residency you're exposed.
And if you really want to dospecific types, if you
specialize and do fellowships,then they really have another
kind of set of years where youlearn the research skills that
go along with doing research asa physician without the PhD.
(21:54):
So that's just something Iwanted to add.
In terms of microaggressionsand bias, you're going to
encounter it to your point, drRochard, every step of the way.
You know, at an HBCU you don'tthink about it as much.
But when you go to wherever yougo, if you go to another HBCU,
that's one thing.
But if you go to the next level, you're going to experience
(22:16):
people who will ask you sillythings, things like why are you
here, how did you get here?
And I say the same way you gothere right, like I'm just gonna
tell you this, like I tried notto, um, it can get to you right.
I've had experiences where I'vehad to go to my deans and
experiences of hearing peoplesay the N-word, patients say the
N-word, or hearing otherphysicians not sticking up for
(22:39):
someone else, or your attendingor supervising doctor not making
the right decision and, whenyou are in the room, about how
to maneuver these scenarios.
So the big thing is don't livein it alone, don't sit with it
by yourself, and make sure youreach out to your Dean's or
advisors and now, for me it'snot a Dean or advisor, but I
have a colleague.
When we go through things, weget together and eat lunch and
(23:00):
talk, talk junk about what we'redealing with.
So ultimately, having someoneto talk to about it and if it's
bad enough, you you may have toescalate it.
That's okay too.
Don't be afraid to do that,because each institution you go
to will have a mechanism for youto report these things and they
want to know when things likethis are happening so they can
(23:21):
try to correct them, and they docorrect them, whether that's
behind the scenes, and you maynot know the severity, but I
know that some of the thingsthat we encountered as residents
and as students were corrected.
So don't be afraid to speak upgood questions other questions
(23:42):
okay, I'm studying biomedicalscience.
Speaker 6 (23:45):
I have two questions one about the finance programs
that but I'm talking moreclinical, so I'm not with that
research.
Let's do it clinically, butfinding more programs like that
and how to get into them.
And then about the businessaspect.
You were talking about startingto own, like pediatrician's
(24:08):
insurance and stuff like that,and I like to entertain the idea
of starting my own birthinsurance one day.
I was just wondering how tofind more information.
Speaker 2 (24:20):
I'm gonna tackle the second one last.
I have my own thoughts on birthcenters, but that's me as a
pediatrician having thoughts onbirth centers.
But that was the first questionI forgot.
Oh, programs.
So Google is one big thing.
The last time I looked and thisis not just minority there was
(24:45):
at least like 60 programs outthere.
So the MED there's one beforethe MED it's like SD something
it's SMBEP.
There you go, smbep so you haveto do that one before the MED,
and so both of those are thereand they're like minority
programs.
So, like UNC has one, I thinkDuke has one.
(25:08):
There's a lot of schools.
New Jersey has one.
Ecu is called Summer Programfor Future Doctors.
They have one.
I don't know what Wake Foresthas, but those are the other
three medical schools and whatthey have, but all of them will
have.
If you just Google summerprograms for future doctors, you
(25:28):
will get it like.
Or dentists, if anybody'sinterested in doing dentists's,
the SMDP does future physicianand dentist.
I can't remember pharmacist iscovered in there, but pharmacist
has their own one and Campbellhas a summer program that one of
my girls did.
And so just looking them uplike that or even just going to
(25:49):
the different medical schoolwebsite and they'll have summer
programs or summer opportunitiesand stuff like that, the ones
just going to the differentmedical school website and
they'll have summer programs orsome opportunities and stuff
like that.
Um, the ones that are in thearea, if that's and if this
isn't home, they have them inmaryland, wherever home is.
Um, if you want to do it closerto home, um, private practice,
I don't know, that's a wholenother beast.
Um, I can't say that I'vemastered that one yet.
(26:11):
I haven't 100 decided if I'mgonna ever go down that path,
because that's a whole otherbeast.
I can't say that I've masteredthat one yet.
I haven't 100% decided if I'mgonna ever go down that path,
because it's a lot of work.
So you have the business side ofit and then you have the
medical side of it.
So the medical side, for themost part I could say it's
pretty easy for us, right,you'll start to get it, you'll
get that side.
But this is the business makingsure you're having a profit,
(26:32):
making sure that you work in aninsurance company.
So that part of it I'm notlooking forward to.
So that part is hard.
So what I was talking about wasthe FQHC Federal Qualified
Health Center and those areusually like outpatient clinics,
not usually like like birth incenters, but those are usually
(26:54):
more like outpatient to providethose services and they're
usually in.
So if I would say here, likeBruggemont or maybe something
outside of Durham, that'sdoesn't have, really it's
nothing you mean the FQHC?
Speaker 1 (27:12):
No, like a city.
Speaker 2 (27:13):
Oh.
Speaker 6 (27:14):
I'm thinking of a city.
Speaker 2 (27:15):
But it'd be a city that doesn't have like resources
oh Siler, okay Siler, thatwould be another city.
So it would be those smallcities that don't really have
like they might not even have aclinic.
And that's how you can getfederal funding to be able to
move that forward, get federalfunding for that.
I've never really looked up howto do a birthing center, but
(27:38):
okay, I can't not ignore it.
But my pediatric side theysometimes have high complication
rates because they allow babiesto go home in four hours and
you usually watch babies for atleast that first 24, 48 hours.
And so they had one in Raleighwhen I was stationed, at least
that first 24 or 48 hours.
And so they had one in likeRaleigh.
When I was stationed at FortBragg I hated it.
I'm glad it closed because theyhad like five or six deaths for
(27:59):
neonatal deaths in like sixmonths and so that's why I'm a
little biased and I don't likebirthing centers, gotcha.
But yeah, so that's why I'm alittle biased because I am
totally for midwives going tothe house and all that stuff.
But I think those things youalso have to monitor the
(28:19):
patients and they usually won'tget monitored and everybody
doesn't qualify for being in abirthing center, and if you have
complications you shouldn't goto a birthing center, and so
that's what was going on withthat.
I think somebody's trying toget in here.
Speaker 1 (28:34):
I will add.
I know a lot of OBs that haveprivate practices but then they
are connected or they haveprivileges at hospitals.
So there are more than thereare people that had their own
private practices in OB.
They just have a different wayof connecting.
I think I wanted to start my ownpractice at one point but, to
your point, the business side isa big, big part of it, and so
(28:56):
you've got academic medicine,which is working at a medical
school, and what that looks likeis much different in how you
spend your time because you do alot more teaching.
So for me it's residentteaching.
I see patients a few days aweek.
I do research at a privatepractice A lot of times it's
predominantly all patient care,and so some people have started
what's called direct primarycare or direct to the consumer.
(29:20):
So they don't operate the sameway.
Like, I have a really goodfriend who's a family medicine
physician who owns her own DPCtype practice and she loves that
because she sets her ownschedule.
She's connected to theinsurance companies so the
families pay a payment model,like they pay a monthly
membership fee to be a part ofher practice, and she absolutely
loves that model.
(29:40):
So there's a way for you tokind of explore and these are
some of the things you'll you'llhave the opportunity to explore
if you continue to ask thequestions at every step, because
somebody will be able to likelet you actually see behind the
scenes of what it's like to haveone.
Speaker 2 (29:55):
So that's a great question as well and then you
also have, like, recruitment,because just because you open
the clinic doesn't mean patientsare going to come running.
You have recruitment.
You have marketing, which is alot what we learned.
I'm doing business marketing ishard it's extremely hard and so
because you have to have thetime for it and so I'm not
(30:17):
knocking it.
I would love it.
But then some.
Another avenue is like buyingoutside us retiring or getting
rid of like a practice.
That's another avenue thatpeople go in.
There's a lot of competitionwith employee base, like offices
and clinics, like if you guysjust drive around you'll start
to see that all of them say UNCor Duke.
Right, there's not really manymom-and-pops private practice
(30:40):
because they're getting balledout.
You have to be able to keep upwith the UNC and Duke's and so
health care is going in aninteresting way.
I'm not saying that privatepractice is not the way, but
we're definitely going in ashift right now and it's just
interesting where it will be.
But definitely networking andtalking to people about that,
(31:01):
because it's a lot to go into,and it's a lot when you go into
medicine, opening up practice,then hey, I'm gonna open my own
own salon.
There's a lot more to go intoit, especially the medical legal
side great questions, greatquestions.
Speaker 6 (31:18):
We'll take one last question and then you'll have
plenty of time to ask yourquestions during our networking
portion parents and I am asecond year master's student
here at Central and my questionwas I know you guys talked about
staying true to yourself, likegoing to church and living in
family, but what are ways thatyou prevent burnout,
(31:39):
specifically within your careerand your specialty and also
medical school?
That's a great question Want totackle it.
Speaker 3 (31:49):
Well, okay, yeah, I can say, for me it's just doing
those things that I know calm mymind, that really relax me.
I'm a very anxious person, Ihave anxiety and I can run
myself into the ground before Ieven know it, and for me it's
just taking that moment, if it'sfive minutes at the end of the
(32:10):
day, to just close my eyes andto just let it all go.
If you have to get the Calm app, get the Calm app.
I have the Calm app.
It's great.
That was my app for the Calmapp.
But yeah, so I do have that,though, because sometimes I need
something to calm my brain down.
I have ADHD.
My brain is going a mile aminute a lot of the time.
So having something that's justsome calm music in the corner,
(32:34):
just sit here and relax, don'tdo anything for two minutes,
just calm.
If I can do that once a day,twice a day, I feel a lot better
for me personally.
Speaker 2 (32:44):
I would say knowing that just because you go to
because I know I dealt with thisin medical school just because
you go to church for an hour anda half does not mean you're
going to fail your test.
Okay, you can go to church foran hour and a half and you still
will have enough time to study.
Okay, you probably wasted anhour and a half playing Monopoly
.
Go on your phone like let's behonest, like so, don't like
(33:09):
guilt yourself into, butsometimes you're gonna have to
get that balance.
So I would actually went to themedical school where I was at
home.
I have my own apartment butlike my family was there, but
that support of them cooking medinner sometimes and I had to
worry about that aspect helpedout.
But knowing that sometimes, allright, I can't go to Coco's
(33:33):
graduation party because I needto study for a test this weekend
, or I can only go to this muchpart of the event, but I got to
get back and discipline myselfas well.
So don't miss out on every lifething, but some things,
unfortunately, in Madison you'regoing to miss out on.
You're not going to make it toevery event in Madison you're
going to miss out on.
You're not going to make it toevery event, whether it's call
schedules, school studying,tests.
(33:56):
You're going to miss somethings.
But just having that balance, Ithink that helps with burnout.
But I don't do necessarily alot of research on burnout, but
sometimes I don't think it's100% preventable.
Sometimes I think it's yourbody telling you it's time to
move to something different.
You're burned out from.
(34:16):
You know.
He may have gave him 200% andnow I'm tired and I have nothing
else to give.
I might have to step back, givemyself some and then go
somewhere else and figure outwhat I need to do.
Speaker 1 (34:29):
I love that.
I love everything you all said.
I think when you start to feellike you're getting overwhelmed,
you have to figure out whatgrounds you and then you have to
find the time for it.
And so, even now, whether it'sbusiness or work or too much
research or grants being due orpatient care, you've got to find
the 30-minute window where youdo nothing or you talk to a
(34:51):
friend or you take a walk, andit's up to you and you'll have
to carve the time out.
So block it.
I advise you to like, even as amed student or even for
residents, when I tell them, ifyou're on a lighter rotation,
put on your schedule that you'regoing to go exercise or you're
going to go take a walk, becausehaving it on your schedule, it
(35:12):
feels like you have to do it alittle bit more.
Um, so just making time foryourself, just like you put
anything else on the calendar,because really, if you're not
well, how are you going to helpothers?
And so that's the way to alwayskeep that in the back of your
mind.
Speaker 2 (35:22):
so, um, you all have, go ahead.
Oh, I was gonna say and don't,don't.
Um, I'm not saying run awayafter one problem, but some
places are actually toxic andyou may have to go to a
different environment.
It is not you don't hear aboutit, but people transfer to
residency programs all the time.
People transfer not necessarilymedical schools as much, but
(35:43):
people transfer all the time,like you may be in a toxic
environment where they have somany microaggressions that
you're not making it through theday.
I'm not saying stick throughthat, but just know sometimes
there's different options outthere.
And I'm not saying stay in atoxic place.
But there's going to be abalance and every day is not
(36:04):
going to be a great day.
I wish I could say that.
But every day is not going tobe a great day, no matter.
If there was a perfect job, Ipromise you we would all be
fighting to get there.
Speaker 4 (36:13):
But there is no perfect job out there.
Speaker 2 (36:16):
So you're going to have good and bad, but you want
to make sure, wherever you're at, the good weighs the bad, and
when the bad starts to weigh inmore, it might be time for you
to find a new place.
Speaker 4 (36:28):
Sage words to end the night, Pam I know, I'm like
talking to myself.
But let's clap our hands forboth of our panelists, you all
were amazing.
Speaker 1 (36:37):
We hope you enjoyed this week's episode of the Be
Med Podcast live at NorthCarolina Central University.
This was part two, where weexplored all the experiences of
Dr Sierra, Rose, Gerald andfuture Dr Jayla Calhoun.
If you enjoyed this episode,stay tuned for next week.
Until next time, alwaysremember to dream without limits
(36:58):
.
Be sure to like, comment andsubscribe to Black Med Connect.
We are back for week two of our B-Man Amplified Tour
at North Carolina CentralUniversity.
We're still live and in fulleffect here.
We had an amazing paneldiscussion with Dr Sierra
Roach-Gerald and future Dr JaylaCalhoun.
I'm your host, Dr Jasmine Weiss.
Let's jump right into theepisode.
Speaker 2 (00:35):
There's not many full-scope pediatrics.
Everybody's kind of shiftinginto like you either do hospital
, you do clinic, but notnecessarily all of it anymore.
It's funny that you say thatbecause in the next year I plan
to transition to just hospitalwork because I'm tired of doing
both.
So but that's kind of how myday usually is.
(00:56):
But I also do a lot of teaching.
I teach like NRP, I work withthe residents.
I actually have to prepare alecture for them for Thursday.
It really just depends on theday with me.
So I also do a little locumstoo.
So, like this weekend, I wentto like another hospital and
covered for them.
They're not necessarily in thecountry, but usually it's a lot
(01:18):
of small hospitals that needcoverage, whether people are out
sick or they just don't have adoctor right now, and so it
really just depends on my daybut but actually kind of do a
little bit of everythingthroughout the day.
Speaker 3 (01:33):
It's a pretty busy day.
So for me, as a medical student, our first two years at UNC are
like book work, more didacticlearning stuff.
So for me me, eight to 12 everyday I'm a class goer.
We don't have mandatory class.
I know it changed for the newcurriculum, but for us we didn't
have mandatory class.
(01:54):
So eight to 12 I would go,though, and then I would take a
small break.
And let's say it's a Wednesday,so I have PCC, which is our
patient centered care course,where we would talk about like
clinical care.
Um and I we would do that fromtwo to five and then go home and
probably study for a couplehours, get ready for the next
(02:16):
day.
We were saying that myschedule's changed because I've
been studying for one of our bigexams for the past like two
months, and so now my schedulehas been like wake up at 8 am
and study to five.
Speaker 2 (02:28):
So but one thing I want to add in there is don't
forget to cherish the thingsthat are important to you.
Um.
So, throughout, like medicalschool, throughout, um, even
undergrad for me throughresidency um, going to church
was important to me, um, so Ialways fit that in in and had
that in my schedule.
I'm also an OCD person.
(02:48):
Don't ask my husband how manyschedules I make and it's a
little bit crazy.
But whatever is important toyou, make sure you have time for
that.
Whether it's family, childrenvisiting family, make sure you
set down that time for thoseimportant things.
Whether it's reading 30 minutesor watching your favorite TV
show, whatever it is thatmatters to you, because that's
(03:09):
going to keep you sane, and so,whatever it is, don't forget to
add that into your schedule.
Exercise forgot about that, butyou know, don't forget to add
all that stuff in there.
Speaker 1 (03:21):
I love that, especially because as you go
there will be times where youcan't do as much of what you
love, and then there'll be othertimes where you can fit it in
more.
But the whole time you got totry to find at least a little
window to spend time with family, friends.
For me, prayer, like you said,faith, going to church was big
for me too.
And then from a studyingperspective I know you mentioned
(03:42):
, you know you said eight tofive.
Speaker 4 (03:43):
You said it kind of quietly Sorry, but when you're
studying for your step exams.
Speaker 1 (03:47):
it takes that much dedication and to your point of
going to class.
Some people will be okay withvirtual in med school but for me
I was a class goer too, so Ifelt like going to have the
material.
I would listen to the lecturesthat were you know given to us,
but then go to class because ithelped, to the lectures that
were you know given to us butdidn't go to class because it
helped.
So ultimately I say I'd have tosay find what works for you all
(04:09):
with studying, because it willbe a step up from what you're
doing now to medical school.
The amount of studying you haveto do really does change.
So building on those studyhabits early is important, for
sure.
Speaker 2 (04:19):
Like you might have a whole semester here.
You're going to get that inlike two weeks.
Yeah, that's two or three weeks, um, it's gonna be like one,
two, one test, um, and so yougotta, and you're gonna have
four or five of those classeslike that um, and so, whatever
study habits that are good orbad, um, as you're trying to,
you know, figure out what worksfor you, um, start working on
them, building those um, andit's not gonna be I'm gonna to
(04:42):
start studying at 8pm the nightbefore the test, because you
might as well cancel it.
Speaker 4 (04:48):
It ain't going to work.
Just don't go, don't take thatAbsolutely so.
Speaker 1 (04:53):
I have one.
If you had to leave theseindividual students with one
parting word of wisdom beforethey ask some questions, what
would you leave them with?
And then I have one last bolusround question.
I'll explain in a minute too.
Speaker 2 (05:06):
I guess I would say pray, be consistent, enjoy what
you do and just continue to pushyourself, continue to strive
high.
Speaker 3 (05:19):
I would say that there is value in your
perspective and always know thatyou have value in your
perspective.
So, going forward, always beconfident and stay true to
yourself.
Speaker 1 (05:29):
I love that.
I love that.
And so the bonus round issomething we do on the Be Mad
podcast, where we ask some rapidfire fun questions, and so I'm
just going to ask you all a fewof those fun questions and then
we'll go ahead and have you allask questions, and to do that
I'll have you actually stand up,say your name, what year you
(05:49):
are in your major and then askyour question.
But before that we'll do ourbonus round, all right.
So I know you ladies are bothbasketball fans.
I am too.
It's amazing that we're allgreat ladies, exactly.
So you know Don Staley just won.
But who?
Who is your favorite player andwhy do you admire them?
Speaker 2 (06:08):
Oh, kobe all day.
I might have cried for a dayafter he died, but Kobe all day.
But yeah, I'm a big basketballfan, but definitely Kobe.
The work ethic, everything isjust amazing.
Speaker 3 (06:23):
I would.
I would say Kobe too, but Idon't want to be like a copier
so um.
I'm gonna say Dirk Nowitzki,just because I've always like
admired his play style.
That was kind of like the vibeof my play style and I just
think being able to not be themost athletic person and be able
to do the things that he didwas really impressive to me.
Speaker 1 (06:42):
I love that, love that okay you already know I'm a
Steph Curry fan, but butgreatest shooter of all time, so
I'll just leave it at that.
Speaker 2 (06:48):
Wait, you're a fan.
Because he's North Carolina,I'm a fan because he's North
Carolina and.
Speaker 1 (06:52):
Charlotte, and I was a shooter too.
I was a shooting guard, so youknow he was the perfect person
to look up to, even though heplayed point guard.
So so if you had one meal youcould eat for a month, just one
meal, what would that be?
Speaker 2 (07:08):
I'm not going to lie Pizza.
There you go it's my go-toPizza Pizza.
Speaker 4 (07:12):
Okay.
Speaker 3 (07:14):
Okay, I'm going to sound really weird Chili.
Speaker 6 (07:17):
Okay, why chili?
Speaker 3 (07:19):
I don't know you can eat it with crackers with it,
you can have a whole meal.
Speaker 1 (07:25):
Okay cool, I love it.
Speaker 2 (07:32):
Okay, and top two movies of all time for you?
Oh, go ahead.
I was going to say Love andBasketball, but I ain't got a
second.
Speaker 1 (07:40):
I'm like, yeah, she told me to give me two.
Speaker 3 (07:44):
Okay, Love and Basketball is one I ain't on a
second Okay, I like Lady Singthe Blues because my mom really
liked it and she loved DianaRoss and Slumdog Millionaire.
Speaker 1 (07:56):
Okay, okay, I guess I'll give.
Mine is Coming to America and Ihave three.
That's unfortunate you makeI'll give you one.
Harlem Nights if y'all haven'tseen that before, and Remember
the Titans, I just love thatmovie.
For some reason, I feel so sad.
It's been sad.
(08:17):
And then my last question foryou all is I want you to shout
out any business and tell usmore about your entrepreneurship
side, and then, jayla, for you,you can shout out anything you
want to do in your future thatyou may not have been able to
accomplish it okay.
Speaker 2 (08:31):
So.
So I did the UNC leadership andpublic health degree.
For one, I thought I want toopen my own like practice rural
medicine for low-income familiesAfter starting businesses with
my husband.
I cannot say I want to openanother business right now, even
(08:52):
though we have three, but Ican't say I want to open another
one.
But that was kind of thepurpose of going down that path
was to kind of see, I kind ofstarted at CC Baller.
I got out of the army.
I had like two months before Istarted another job and, I ain't
gonna lie, I was just bored, Iain't had nothing to do.
Um, you can't just give me thismuch time, um.
(09:14):
And so that's when I started tomentor and then kind of just
reaching back, um, and it'spretty much what I do, like I do
a lot with like residents andstuff like that, and so that
kind of does the income of it.
But, um, I just like coming tolike events like this, just
mentoring, um networking withpeople, um motivating people,
going to conferences, stuff likethat.
(09:35):
So, um, and the other one is, um, aspiring Mind Snapshot.
I don't know how we came upwith it, but we went to a selfie
museum when it was a big thinglike five years ago or I guess
three or four years ago, and wefell in love with the idea,
started one in Danville.
Then we ended up.
He actually thought of the ideaof doing it mobile and doing
(09:55):
festivals.
And again, I love kids, so wego to all the like kids
festivals, children's festivals,and so that's how that branched
off and then we ended upselling the um, and so that's
how that branched off, and thenwe end up selling the shop, um,
and so we don't do like the shopanymore and we just do
festivals.
Um, yeah, the residencygraduation we're about to do, so
we just do events like that, um, and so something that's
(10:16):
totally not medical.
Um, that's fun and I just loveit.
Okay, my bad, my bad, I'm sorry.
No, yeah, that's a lot tofollow.
That's a Disney life, I think.
Speaker 3 (10:29):
For me, I want to be able to, in the future, leverage
my position, like you guys aredoing, to empower younger
generations and generationscoming behind you as well as
that, I just want to make it toclinicals and being able to
actually practice some of thethings that I've been learning
over the past couple of yearsand then leave the country.
(10:51):
I want to leave the country.
I've only done that once, Iwent to the Bahamas, so I want
to do it again.
Speaker 1 (10:56):
Love, that love that well, we'll allow you all to ask
questions at this point andI'll just add, like your finish
physician entrepreneur bug isone that I too have, and I think
what is unique about what weget to do, people don't realize.
Your journey to medicine islong and then you get to explore
who you are as a physician andwhat you want to do and what,
(11:17):
how you want to impact the world.
So for your mentoring, forgoing to festivals and and and
being with the children it allkind of feels like the similar
thread of wanting to really bethere to help kids.
For me, impacting black andbrown communities with events
like this or children's booksabout career exploration, you
can really do a lot.
So as you all move through yourjourneys, don't forget to stay
(11:39):
true to who you are, becausethose things will come back with
more time for you to pursue inthe future.
So with that, does anybody havea question?
Speaker 4 (11:48):
all right, we'll go here first, so I'll have you
stand up and my future goals istrauma medicine and trauma
surgery, things like that.
My question is why did y'allget a master's degree before you
went to med school and what yourecommended Like, what's the
(12:09):
pros and cons of getting amaster's degree before you get
an MBA?
Okay, so for me I'm gonna behonest.
Speaker 3 (12:17):
I finished undergrad in three years and I did not
know how to get to where Iwanted to go at that point and I
was 20, I think.
So I was just really young andI had a lot of growing up to do
my master's degree.
I don't think it boosted my myapplication in regards to like
them looking at like grades orGPA, because my GPA here was
(12:39):
really good it was.
I think it was a 4.0.
Um, it was more about theexperiences that I had during
that time period and again, Icould really speak to those
experiences in my interviewbecause they were meaningful to
me um being in the lab, umscribing with Dr Weiss, um, I
did a couple other things aswell, but yeah in just case
anybody't know.
Speaker 2 (13:00):
But you have to start applying a year early, so you
have to finish your applicationsbeginning of your senior year,
and so I actually got mymaster's last year.
I was already done and becauseI went through the Army, I had a
GI Bill and so they give you alot of months and I was trying
(13:20):
to figure out how to use itbecause I didn't have a child or
anybody to pass it to.
Speaker 3 (13:24):
Did you say what your master's was in?
Speaker 2 (13:28):
Leadership in practice, like in medicine.
So it was in public health, itwas in that field, and so that's
why I kind of got one.
And also, I always wanted to bea Tar Heel, but the two other
schools gave me full rides so Ihadn't made it to Chapel Hill
yet so that's kind of how I gotinto the master's program but
(13:49):
yeah, so mine wasn't to likeadvance anything.
It was kind of something.
I don't know if people say fun,but kind of something fun to do
and I just finished it.
Speaker 1 (14:02):
I love that For me, I got my master's after residency
as well, and so the pros andcons to each I would say for me
getting it after training.
I knew how I wanted to use it,so I knew I had gone through
(14:23):
pediatric residency and I wantedto focus on how do I impact
patients more than just onepatient at a time, one visit at
a time.
So getting my masters in healthsciences allowed me to go to
Yale to do two years of learning, kind of the research aspect of
things, and now I do medicaleducation research and so if you
do it beforehand it's still anawesome experience.
You can get a lot of exposureto population health.
If you do public health, somepeople do health care
administration because theythink they want to go into the
(14:44):
business side of medicine.
Some people even get their MBAbecause they want to do the
business side of medicine.
So it's a lot of differentopportunities and it's all about
what makes the most sense forwhere you see your career in the
future as well and you can do,and MPH programs as well, or MD,
phd if you're crazy to do itfor like eight years.
Speaker 2 (15:05):
So there's different tracks you can do.
It doesn't have to be liketraditional track and some of
the like MD, mph, like ECU.
You can do it where you do yourfirst two years, you'll do your
MPH the third year and then yougo back and finish your
clinicals.
That is also how I do it at UNC.
Okay, so there's differentoptions for how to do it.
Speaker 1 (15:25):
Hello everyone.
Are you enjoying the episode sofar this week?
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(16:05):
Let's jump right back into theepisode.
And even though those MD-PhDprograms are long they are long,
they are a lot of them will payfor you to go to school the
whole time.
So if it's something you areinterested in and you wanna do
both the PhD side, you've gottabe really passionate about doing
that side, to do a dual degreelike that.
But that's another option aswell.
(16:27):
All right, you had a question,okay.
Speaker 5 (16:34):
Hi, my name is Genevieve, I'm a first year
sophomore and right now I thinkI don't really know, I guess,
where I want to go.
I have been looking into thetrauma surgery side, though, but
actually adding on to the MPPHsubject right now, because my
major is clinical research, so Ihave an interest in research.
(16:55):
And I actually have done myresearch on, like different
programs and being PhD and allof that, and I wanted to be a
physician scientist and Irealized that you have to get
your MD, phd.
But I was going to ask um, Iactually had two questions.
I was going to ask is therelike any other track or any
other way that you could still,I guess, pursue research with
just MD?
Or if I could, I guess, get anyother degree or anything else
(17:18):
and still pursue research as I'mpursuing my career?
And also, what challenges doyou all face within your
workplace, whether it's youbeing a black woman or just like
in your occupation?
Speaker 4 (17:31):
in general.
Speaker 2 (17:32):
So I can't necessarily answer all the
research I don't necessarily doa lot of like bench research.
But having just an MD, a lot oftimes you like if you were to
go like on Indeed and look youcan just have an MD and get a
lot of those research jobs.
Some of them want you to havePhD as well but MD like
qualifies you to work at likeJohnson Johnson, because there's
(17:54):
a lot of different ways thatpeople don't realize that you
can work and so you could go andactually do like bench research
at Thompson Johnson or maybeyou're just in charge of your
clinical studies and stuff likethat.
So there's a lot of differentpathways that you could do.
I wouldn't limit to yourselfthat if you only got an MD PhD,
(18:15):
that's the only way you could doit.
I wouldn't limit yourself.
I would honestly apply to bothprograms Just MD and MD PhD.
That's the only way you coulddo it.
I wouldn't limit yourself.
I would honestly apply to bothprograms just MD and MD PhD and
see which one kind of once youinterview, talk to them and see
which one fits you more, and sonot limit yourself.
What was the second part?
Oh, the workplace.
(18:36):
No matter what your major is.
No matter what you do in life, Ithink you're going to always
have struggles being a minorityand then being a female, and
then when you have both, I thinkyou're always just going to
have issues and I don't thinkyou're going to ever necessarily
get out of that.
No matter how much culturalcompetence we teach, how much
(18:58):
diversity we teach, we're stillgoing to have those battles,
right, um, and I don't thinkthere's any other than you can
teach your peers about things,um, but you're still going to
have either the bias or thestereotypes or or whatever, um,
they may go through or you maygo through.
You're you're going to alwayshave those.
I would be very naive if I saidthat in 2050, we're never gonna
(19:23):
have that we're still gonnahave issues.
It might be different, becauseI would even say that the LGBTQ
community is having more of theissues than not necessarily more
, but they're more in thespotlight now and having more
issues like oh, can you be adoctor, are you a man or a woman
?
I think they get more criticismthan I might as a black female,
(19:45):
and so I think it's just goingto change how society views
things.
But, just again, being resilient, having having your support
system and knowing that you'reyou're important, that you're
worth, it is going to bevaluable.
And figuring out how to getthrough that, because you're
going to, unfortunately, face itand there's not a master's
(20:07):
course on how to get through it,because you're never going to
know how it's going to come atyou.
Sometimes it comes from thehigh, from the CEO, and
sometimes it comes from theperson that was just sitting at
lunch with you that you thoughtwas your colleague, so you don't
know where it's ever gonnaattack you at.
Speaker 1 (20:24):
Sorry, that was a downer I want to pick you back
off that for the questionregarding research so you don't
have to have your PhD at all tohave to do research, like that's
the definitive answer.
There's so many types ofresearch and so I encourage you
all to explore all the differenttypes, because I think a lot of
(20:47):
students that I talk with theythink basic science, laboratory,
is the only type of researchand so I say, get those
experiences because you reallymight like being in a lab.
Right, I got to do aninternship where I was working
with asthma and mouse lungs.
It was fun, but that wasn'tnecessarily what I wanted to do,
but I learned that by doing theexperience.
So if you can get internshipsto help you decide, like, do you
(21:09):
like laboratory research or doyou like patient interactions,
where a physician is trying todecide if this intervention
after a knee injury is betterthan another intervention, right
, those are clinical experiences.
When we say that, we meandirect patient problems with
solutions in more of theclinical setting, some people
like to do or think aboutmedication trials as research
(21:32):
that you can do and you don'thave to have your PhD to do
those things.
But as a resident, you areexposed.
Med student you're exposed.
Med student you're exposed.
Residency you're exposed.
And if you really want to dospecific types, if you
specialize and do fellowships,then they really have another
kind of set of years where youlearn the research skills that
go along with doing research asa physician without the PhD.
(21:54):
So that's just something Iwanted to add.
In terms of microaggressionsand bias, you're going to
encounter it to your point, drRochard, every step of the way.
You know, at an HBCU you don'tthink about it as much.
But when you go to wherever yougo, if you go to another HBCU,
that's one thing.
But if you go to the next level, you're going to experience
(22:16):
people who will ask you sillythings, things like why are you
here, how did you get here?
And I say the same way you gothere right, like I'm just gonna
tell you this, like I tried notto, um, it can get to you right.
I've had experiences where I'vehad to go to my deans and
experiences of hearing peoplesay the N-word, patients say the
N-word, or hearing otherphysicians not sticking up for
(22:39):
someone else, or your attendingor supervising doctor not making
the right decision and, whenyou are in the room, about how
to maneuver these scenarios.
So the big thing is don't livein it alone, don't sit with it
by yourself, and make sure youreach out to your Dean's or
advisors and now, for me it'snot a Dean or advisor, but I
have a colleague.
When we go through things, weget together and eat lunch and
(23:00):
talk, talk junk about what we'redealing with.
So ultimately, having someoneto talk to about it and if it's
bad enough, you you may have toescalate it.
That's okay too.
Don't be afraid to do that,because each institution you go
to will have a mechanism for youto report these things and they
want to know when things likethis are happening so they can
(23:21):
try to correct them, and they docorrect them, whether that's
behind the scenes, and you maynot know the severity, but I
know that some of the thingsthat we encountered as residents
and as students were corrected.
So don't be afraid to speak upgood questions other questions
(23:42):
okay, I'm studying biomedicalscience.
Speaker 6 (23:45):
I have two questions one about the finance programs
that but I'm talking moreclinical, so I'm not with that
research.
Let's do it clinically, butfinding more programs like that
and how to get into them.
And then about the businessaspect.
You were talking about startingto own, like pediatrician's
(24:08):
insurance and stuff like that,and I like to entertain the idea
of starting my own birthinsurance one day.
I was just wondering how tofind more information.
Speaker 2 (24:20):
I'm gonna tackle the second one last.
I have my own thoughts on birthcenters, but that's me as a
pediatrician having thoughts onbirth centers.
But that was the first questionI forgot.
Oh, programs.
So Google is one big thing.
The last time I looked and thisis not just minority there was
(24:45):
at least like 60 programs outthere.
So the MED there's one beforethe MED it's like SD something
it's SMBEP.
There you go, smbep so you haveto do that one before the MED,
and so both of those are thereand they're like minority
programs.
So, like UNC has one, I thinkDuke has one.
(25:08):
There's a lot of schools.
New Jersey has one.
Ecu is called Summer Programfor Future Doctors.
They have one.
I don't know what Wake Foresthas, but those are the other
three medical schools and whatthey have, but all of them will
have.
If you just Google summerprograms for future doctors, you
(25:28):
will get it like.
Or dentists, if anybody'sinterested in doing dentists's,
the SMDP does future physicianand dentist.
I can't remember pharmacist iscovered in there, but pharmacist
has their own one and Campbellhas a summer program that one of
my girls did.
And so just looking them uplike that or even just going to
(25:49):
the different medical schoolwebsite and they'll have summer
programs or summer opportunitiesand stuff like that, the ones
just going to the differentmedical school website and
they'll have summer programs orsome opportunities and stuff
like that.
Um, the ones that are in thearea, if that's and if this
isn't home, they have them inmaryland, wherever home is.
Um, if you want to do it closerto home, um, private practice,
I don't know, that's a wholenother beast.
Um, I can't say that I'vemastered that one yet.
(26:11):
I haven't 100 decided if I'mgonna ever go down that path,
because that's a whole otherbeast.
I can't say that I've masteredthat one yet.
I haven't 100% decided if I'mgonna ever go down that path,
because it's a lot of work.
So you have the business side ofit and then you have the
medical side of it.
So the medical side, for themost part I could say it's
pretty easy for us, right,you'll start to get it, you'll
get that side.
But this is the business makingsure you're having a profit,
(26:32):
making sure that you work in aninsurance company.
So that part of it I'm notlooking forward to.
So that part is hard.
So what I was talking about wasthe FQHC Federal Qualified
Health Center and those areusually like outpatient clinics,
not usually like like birth incenters, but those are usually
(26:54):
more like outpatient to providethose services and they're
usually in.
So if I would say here, likeBruggemont or maybe something
outside of Durham, that'sdoesn't have, really it's
nothing you mean the FQHC?
Speaker 1 (27:12):
No, like a city.
Speaker 2 (27:13):
Oh.
Speaker 6 (27:14):
I'm thinking of a city.
Speaker 2 (27:15):
But it'd be a city that doesn't have like resources
oh Siler, okay Siler, thatwould be another city.
So it would be those smallcities that don't really have
like they might not even have aclinic.
And that's how you can getfederal funding to be able to
move that forward, get federalfunding for that.
I've never really looked up howto do a birthing center, but
(27:38):
okay, I can't not ignore it.
But my pediatric side theysometimes have high complication
rates because they allow babiesto go home in four hours and
you usually watch babies for atleast that first 24, 48 hours.
And so they had one in Raleighwhen I was stationed, at least
that first 24 or 48 hours.
And so they had one in likeRaleigh.
When I was stationed at FortBragg I hated it.
I'm glad it closed because theyhad like five or six deaths for
(27:59):
neonatal deaths in like sixmonths and so that's why I'm a
little biased and I don't likebirthing centers, gotcha.
But yeah, so that's why I'm alittle biased because I am
totally for midwives going tothe house and all that stuff.
But I think those things youalso have to monitor the
(28:19):
patients and they usually won'tget monitored and everybody
doesn't qualify for being in abirthing center, and if you have
complications you shouldn't goto a birthing center, and so
that's what was going on withthat.
I think somebody's trying toget in here.
Speaker 1 (28:34):
I will add.
I know a lot of OBs that haveprivate practices but then they
are connected or they haveprivileges at hospitals.
So there are more than thereare people that had their own
private practices in OB.
They just have a different wayof connecting.
I think I wanted to start my ownpractice at one point but, to
your point, the business side isa big, big part of it, and so
(28:56):
you've got academic medicine,which is working at a medical
school, and what that looks likeis much different in how you
spend your time because you do alot more teaching.
So for me it's residentteaching.
I see patients a few days aweek.
I do research at a privatepractice A lot of times it's
predominantly all patient care,and so some people have started
what's called direct primarycare or direct to the consumer.
(29:20):
So they don't operate the sameway.
Like, I have a really goodfriend who's a family medicine
physician who owns her own DPCtype practice and she loves that
because she sets her ownschedule.
She's connected to theinsurance companies so the
families pay a payment model,like they pay a monthly
membership fee to be a part ofher practice, and she absolutely
loves that model.
(29:40):
So there's a way for you tokind of explore and these are
some of the things you'll you'llhave the opportunity to explore
if you continue to ask thequestions at every step, because
somebody will be able to likelet you actually see behind the
scenes of what it's like to haveone.
Speaker 2 (29:55):
So that's a great question as well and then you
also have, like, recruitment,because just because you open
the clinic doesn't mean patientsare going to come running.
You have recruitment.
You have marketing, which is alot what we learned.
I'm doing business marketing ishard it's extremely hard and so
because you have to have thetime for it and so I'm not
(30:17):
knocking it.
I would love it.
But then some.
Another avenue is like buyingoutside us retiring or getting
rid of like a practice.
That's another avenue thatpeople go in.
There's a lot of competitionwith employee base, like offices
and clinics, like if you guysjust drive around you'll start
to see that all of them say UNCor Duke.
Right, there's not really manymom-and-pops private practice
(30:40):
because they're getting balledout.
You have to be able to keep upwith the UNC and Duke's and so
health care is going in aninteresting way.
I'm not saying that privatepractice is not the way, but
we're definitely going in ashift right now and it's just
interesting where it will be.
But definitely networking andtalking to people about that,
(31:01):
because it's a lot to go into,and it's a lot when you go into
medicine, opening up practice,then hey, I'm gonna open my own
own salon.
There's a lot more to go intoit, especially the medical legal
side great questions, greatquestions.
Speaker 6 (31:18):
We'll take one last question and then you'll have
plenty of time to ask yourquestions during our networking
portion parents and I am asecond year master's student
here at Central and my questionwas I know you guys talked about
staying true to yourself, likegoing to church and living in
family, but what are ways thatyou prevent burnout,
(31:39):
specifically within your careerand your specialty and also
medical school?
That's a great question Want totackle it.
Speaker 3 (31:49):
Well, okay, yeah, I can say, for me it's just doing
those things that I know calm mymind, that really relax me.
I'm a very anxious person, Ihave anxiety and I can run
myself into the ground before Ieven know it, and for me it's
just taking that moment, if it'sfive minutes at the end of the
(32:10):
day, to just close my eyes andto just let it all go.
If you have to get the Calm app, get the Calm app.
I have the Calm app.
It's great.
That was my app for the Calmapp.
But yeah, so I do have that,though, because sometimes I need
something to calm my brain down.
I have ADHD.
My brain is going a mile aminute a lot of the time.
So having something that's justsome calm music in the corner,
(32:34):
just sit here and relax, don'tdo anything for two minutes,
just calm.
If I can do that once a day,twice a day, I feel a lot better
for me personally.
Speaker 2 (32:44):
I would say knowing that just because you go to
because I know I dealt with thisin medical school just because
you go to church for an hour anda half does not mean you're
going to fail your test.
Okay, you can go to church foran hour and a half and you still
will have enough time to study.
Okay, you probably wasted anhour and a half playing Monopoly
.
Go on your phone like let's behonest, like so, don't like
(33:09):
guilt yourself into, butsometimes you're gonna have to
get that balance.
So I would actually went to themedical school where I was at
home.
I have my own apartment butlike my family was there, but
that support of them cooking medinner sometimes and I had to
worry about that aspect helpedout.
But knowing that sometimes, allright, I can't go to Coco's
(33:33):
graduation party because I needto study for a test this weekend
, or I can only go to this muchpart of the event, but I got to
get back and discipline myselfas well.
So don't miss out on every lifething, but some things,
unfortunately, in Madison you'regoing to miss out on.
You're not going to make it toevery event in Madison you're
going to miss out on.
You're not going to make it toevery event, whether it's call
schedules, school studying,tests.
(33:56):
You're going to miss somethings.
But just having that balance, Ithink that helps with burnout.
But I don't do necessarily alot of research on burnout, but
sometimes I don't think it's100% preventable.
Sometimes I think it's yourbody telling you it's time to
move to something different.
You're burned out from.
(34:16):
You know.
He may have gave him 200% andnow I'm tired and I have nothing
else to give.
I might have to step back, givemyself some and then go
somewhere else and figure outwhat I need to do.
Speaker 1 (34:29):
I love that.
I love everything you all said.
I think when you start to feellike you're getting overwhelmed,
you have to figure out whatgrounds you and then you have to
find the time for it.
And so, even now, whether it'sbusiness or work or too much
research or grants being due orpatient care, you've got to find
the 30-minute window where youdo nothing or you talk to a
(34:51):
friend or you take a walk, andit's up to you and you'll have
to carve the time out.
So block it.
I advise you to like, even as amed student or even for
residents, when I tell them, ifyou're on a lighter rotation,
put on your schedule that you'regoing to go exercise or you're
going to go take a walk, becausehaving it on your schedule, it
(35:12):
feels like you have to do it alittle bit more.
Um, so just making time foryourself, just like you put
anything else on the calendar,because really, if you're not
well, how are you going to helpothers?
And so that's the way to alwayskeep that in the back of your
mind.
Speaker 2 (35:22):
so, um, you all have, go ahead.
Oh, I was gonna say and don't,don't.
Um, I'm not saying run awayafter one problem, but some
places are actually toxic andyou may have to go to a
different environment.
It is not you don't hear aboutit, but people transfer to
residency programs all the time.
People transfer not necessarilymedical schools as much, but
(35:43):
people transfer all the time,like you may be in a toxic
environment where they have somany microaggressions that
you're not making it through theday.
I'm not saying stick throughthat, but just know sometimes
there's different options outthere.
And I'm not saying stay in atoxic place.
But there's going to be abalance and every day is not
(36:04):
going to be a great day.
I wish I could say that.
But every day is not going tobe a great day, no matter.
If there was a perfect job, Ipromise you we would all be
fighting to get there.
Speaker 4 (36:13):
But there is no perfect job out there.
Speaker 2 (36:16):
So you're going to have good and bad, but you want
to make sure, wherever you're at, the good weighs the bad, and
when the bad starts to weigh inmore, it might be time for you
to find a new place.
Speaker 4 (36:28):
Sage words to end the night, Pam I know, I'm like
talking to myself.
But let's clap our hands forboth of our panelists, you all
were amazing.
Speaker 1 (36:37):
We hope you enjoyed this week's episode of the Be
Med Podcast live at NorthCarolina Central University.
This was part two, where weexplored all the experiences of
Dr Sierra, Rose, Gerald andfuture Dr Jayla Calhoun.
If you enjoyed this episode,stay tuned for next week.
Until next time, alwaysremember to dream without limits
(36:58):
.
Be sure to like, comment andsubscribe to Black Med Connect.
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