Episode Transcript
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Speaker 1 (00:02):
Welcome to k MET fourteen ninety am, ABC News Radio
and the Southern California Business Report with the Vett Walker,
a show dedicated to highlighting successful Southern California businesses and
the people behind there.
Speaker 2 (00:18):
Welcome and thank you for joining Southern California Business Report
on ABC News and talks KMET fourteen ninety AM, ninety
eight point one FM and km ETTV. I'm e Vetwalker
live blasting our signal from the center of Southern California,
serving a population of over twenty five million. Get us
crystal clear and on demand by downloading the free live
(00:40):
streaming app on Google Play and the Apple App Store.
As always, a huge shout out to the team Mitch,
Bill and Sean I love you guys, and to our
special advisory committee that can be found at www dot
scbr talk dot com Forward Slash Advisory Committee. Click on
(01:01):
the link and learn about the incredible leaders doing the work.
Of course, as always, I am an absolute awe and
honor to introduce in a time when the health of
our community hinges on, visionary leaders Doctor Lisa Warren and
doctor Mary Lopez stand as beacons of hope and progress.
(01:22):
As deans and trailblazers in osteopathic medicine and nursing. They
unite passion with purpose, championing holistic care and forging pathways
for the next generation of healthcare professionals. Doctor Warren, an
acclaimed pediatrician and academic leader, and doctor Lopez, a transformative nurse, scientist,
and educator, share a steadfast commitment to nurturing resilient nurses,
(01:46):
nurse practitioners, and physicians. Together they confront the behavioral health
crisis and health inequities with innovative education and compassionate mentorship,
shaping a future where wellness, empathy, and leadership are woven
into the fabric of medicine. Their work not only addresses
today's urgent challenges, but inspires tomorrow's healers to lead with
(02:09):
heart and vision. Thank you so much for being with
us today today, doctor Warren and doctor Lopez.
Speaker 3 (02:17):
It's my pleasure.
Speaker 2 (02:19):
Thank you wonderful. So I am just absolutely thrilled. I
know you guys just had a major event on campus
and you are taking time to share what it is
that you're doing and what makes Western University of Health
Sciences so unique and so critical at a time like today.
But before we start, as you know, I like to
kind of get into a little brief history and time
(02:42):
of my guests and kind of share what inspired you
to pursue the path that you're on today. So if
it's okay with you, Doctor Warren, I will start with
doctor Lopez.
Speaker 3 (02:53):
Well, thank you for that. I've always wanted to be
a nurse, and I tell the story when I was
four years old, I have three brothers and a sister,
and my brothers are out fighting each other with bows
and arrows and guns and falling dead onto the ground,
and my mother bought my sister and I these blue
capes with red crosses, and we run out there and
(03:16):
we patch them back together and they jump up and
they're ready to go again. And so even from that
memory of being a small child, I've always wanted to
pay attention to others, to serve others, to patch them up,
heel them and get them on their way, and that
I've always wanted to be a nurse. And so I
(03:37):
did become a nurse right out of high school, out
of college and went on to get my PhD. And
I've led nursing units. I've been a VP of nursing
and hospitals and have worked in critical care emergency departments
and always in leadership positions. And I find myself here
(03:58):
in academia being able to the students and it's wonderful
professional and I'm happy to be here.
Speaker 2 (04:05):
Wow, what a remarkable story. It's ingrained in your DNA.
Speaker 3 (04:08):
That's right, I love it.
Speaker 2 (04:10):
A Doctor Warren, please share a little bit about what
inspired you to pursue the area of healthcare and now
leading such a nationally renowned institutions such as Western University
of Health Sciences.
Speaker 4 (04:23):
Yeah, thank you. That maybe a little slightly different variation
from doctor Lopez is but I grew up in an
environment where healthcare was just around me, so I was
easily immersed from early on to become a physician and pediatrician.
So my dad's a pediatrician. He still works, is actually
(04:46):
going to be retiring this year after fifty plus years
in practice and from the Corona area. But in it
I got to see how and what it takes to
being a PDT try in a community. I think partly
it's not only the knowledge, but the impact that you
(05:06):
have when we would go to the grocery stores or
just even going to church or whatever. It may be,
you know, they always came up to him, and I
had that admiration just very early on. But through it all,
I just always had that sense in between my siblings
and I were all my sisters and I are in
healthcare of some sort, but really felt they need to
(05:29):
help others, to really be involved in making a difference
in someone's life, and medicine was just a very natural
progression to it. I've also been very passionate about health, wellness,
physical activity, and sports. I was an athlete and went
to undergraduate and played athletic sports in college, and so
(05:53):
for me it was always my own personal optimization, but
also for those around me and my teammates. So I
went to Western ukamp I'm a graduate of the university
and for me in it to be able to be
part of that as a student and be able to
form those relationships and experiences, but also the rotations, you know,
(06:16):
you try to look for finding your space. But pediatrics
still hit me and I thought, okay, well I'm going
to do what my dad did.
Speaker 3 (06:23):
Yes, and I.
Speaker 4 (06:24):
Had that sort of experience, but why, And I will
say it's because I think to have such a diverse
age range is a very unique space from the moment
that they're born all the way to when they transition
into their adulthood. You get to learn about the different
ages and stages of that progression of development, but also
(06:45):
the impact that it has within the families, the educational system,
and then of course treating their particular health issues as
they are maturing on.
Speaker 2 (06:55):
Oh my goodness, I'm going to leave this conversation being
convinced that this is just programmed into your DNA from
day one. From both aspects, that are both remarkable stories. So,
doctor Warren Western University emphasizes humanism and patient centered care.
How do you integrate these core values into the daily
(07:16):
training of future osteopathic physicians and why are they especially
important in today's healthcare landscape?
Speaker 4 (07:24):
Yeah, you know, I mean it starts from day one. Yeah,
it's even before day one. You know, how do you
set up an experience in a curriculum that's going to
be able to give them both that human touch, that experience,
that communication and connection with a patient, but also taking
in the medical knowledge and being able to care for
(07:45):
those patients, so they early on have both a blended
hands on experience as well as an experience you know,
learning the medical knowledge together. They are their first patients
as they're in the clinical skills in the omm lab.
Their other patient is their cadap for their human body
(08:05):
that they're learning anatomy from. And in those early on
immersive experiences they are taught to really treat each other,
treat these as their first patients, and being able to
include that in respecting their peers, respecting what they're learning,
(08:27):
and how to role model that is really what is
going to lead them into continuing that as they treat
their future patients. And why is this so important Because
everything you know, there's a bit of where we have
this disconnect with technology and maybe even trust within the
healthcare system. But if you're able to get to that
(08:49):
core of humanism, that core that you really do care
about that person, getting those extra whys and getting to
know them at their core is how you build those
relationships and that trust so that you can help guide
them through their medical and personal journeys.
Speaker 2 (09:07):
That's remarkable because those are key elements, like you mentioned,
in an age of technology and maybe mistrust of the
healthcare system, that that core value of human to human
and even the osteopathic philosophy of human touch just are
going to go so far in today's landscape and is
much needed, of course, doctor Lopez, with a national shortage
(09:30):
of primary care providers, particularly in the Inland Empire, as
we all know, how are you preparing graduate nursing students,
particularly family nurse practitioners, to address this critical gap in
healthcare access?
Speaker 3 (09:45):
Well, you know there is a national shortage of primary
care providers. There are four hundred and sixty thousand nurse
practitioners in America today, a seven percent increase from last year,
yet still there's a shortage of primary health care provider.
Millions of Americans choose nurse practitioners as their primary care provider.
(10:06):
Nurse practitioners are advanced practice registered nurses who prepare at
the doctoral level to provide primary care to patients of
all ages and backgrounds, and as clinicians who blend clinical
expertise in diagnosing and treating health conditions with an emphasis
on disease prevention and health management. Nur's practitioners bring a
(10:28):
competent and personal touch to the healthcare. So utilizing nurse
practitioners to their fullest extent of their education in clinical training,
especially in primary care, is critical to meeting the nation's
health care needs and combating chronic disease and rising health
care costs. At Western University, we take this responsibility so seriously.
(10:50):
Our curriculum and clinical partnerships are intentionally designed to prepare
family nurse practitioners to lead in expanding access to primary care.
Western u has expanded their nurse practitioner programs to meet
this growing need of primary care, both in California and
especially in the Inland Empire.
Speaker 2 (11:10):
And so, just to give us a little bit of
background between what a physician can do at an appointment
versus what a nurse practitioner can do, can you give
us a general rundown of what the similarities or differences are.
Speaker 3 (11:23):
Sure, I always have the idea that there's room for
every health care provider in the continuum. And so it's
not a physician or a nurse practitioner. It's a physician
and a nurse practitioner. And so nurse practitioners can assess,
they can diagnose, they can come up with a treatment plan,
and they can evaluate the care. And they do have
(11:44):
an individual and unique scope of practice apart from physicians.
Yet sometimes patients come to them that are very, very
acute and so sick, and at that time the nurse
practitioner knows this is beyond my scope of practice. Is
I need to call a physician, especially a specialist, to
come in and advise with me to do the best
(12:05):
for the patient. So these two professions, both medicine and nursing,
work really well together.
Speaker 2 (12:11):
That's a great way of breaking it down for us,
doctor Warren. Osteopathic medicine is unique in its holistic approach,
including OMT. How do you ensure that students master both
the science and the art of healing through hands on techniques.
Speaker 4 (12:31):
Yeah, as I mentioned, our students from day one are
in the classroom learning techniques and learning the skills and
in it is not initially it's together in conjunction with
their curriculum. So they're learning anatomy. They're understanding the path
of physiology because you can put your hands on someone,
(12:53):
but it doesn't mean that you have the diagnostic and
the understanding of how to then treat because these are
treatment modalities. It's diagnostic and treatment in there. So you
have to build those fine neurosenses within your hands to
be able to gently touch and really be able to
assess the patient. So they get over four hours a
(13:13):
week throughout their entire first two years of the pre
clinical curriculum, and they get of course assessed throughout that
time based on the different treatment mod i got methods
that they're learning at that time. And of course we
have role modeling with our DOO faculty who are at
(13:34):
the Western New Health Clinic who are then also teaching
and mentoring those students who are in their third years
and really trying to reinforce those skills and give them
an understanding that this is not only something that you
do as a no amen physician, but even beyond that,
how do you take that being a pediatric osteopathic position
or surgical osteopathic physition and take that into their clinical
(13:57):
practices or clinical experiences when they move on into their
third and fourth year and move on to their residency trainings.
So there's a lot that we have to do reinforcement.
We do see some drop off, and in knowing that,
we work with graduate medical education programs to try to
reintroduce or remind how they can integrate it into their
(14:19):
day to day as well as our alumni and geocolleagues
through continuing medical education opportunities for them to refine and
learn how to incorporate it into their day to day practice.
Speaker 2 (14:32):
And what results have been gauged and tracked to show
that the hands on method is not only useful for
the physician or the treating nurse practitioner, but for the patient.
In this case, you know, a pediatric patient, how does
that human touch impact the acceleration or the results of healing.
Speaker 4 (14:55):
Yeah, well, and in this it's an ad and you know,
and your treatment and you know, you go through the
usual that you do, you get your history, you do
your physical exam. You are giving a differential trying to
really understand what's going on with the patient. And it
may also include just a structure of function, a component
(15:17):
in which maybe either the cause or just inhibiting the
progress of healing. And then once you make that assessment,
using OMM in those particular instances, you can facilitate it.
So if you have an infection, even just a simple cold,
there's a lot of tension and maybe even fascial issues
(15:40):
or congestion, and being able to do some simple lymphatic
drainage to help with flow will help improve or decrease
even the duration of that illness. Just by doing those
simple techniques and of course, in my case, I even
try to share with parents how to do that for
(16:00):
their children and they feel better. You see it immediately
in the room where they're just being able to perhaps
breathe a little bit slower and a little more comfortably,
or they're smiling when they were very fusty and irritable,
and so you can see some even immediate effects within
the office visit.
Speaker 2 (16:21):
That is remarkable. I can only imagine having, you know,
these young children being in their minds probably thinking, oh,
mom's massaging me or Dad's rubbing the back of my neck,
you know, and that in itself can calm a child,
and I know that it could be very soothing, you know,
with of course, the other primary reason to be doing it,
which is to you know, kind of clear out that
(16:42):
lymphatic system and help the drainage. As you mentioned, doctor Lopez,
mental health access remains a major concern in the US,
and we know this with so many need for behavioral
health and so many other resources. How is the college
graduate nursing equipping psychiatric nurse practitioners to meet this urgent
(17:05):
need and what innovative approaches are you adopting?
Speaker 3 (17:09):
You know, mental health access is such a concern, especially
since the pandemic. The College of Graduate Nursing is deeply
committed to expanding behavioral health workforce through the preparation of
highly skilled psych mental health nurse practitioners. Our program equips
graduates with the competency that they need to address mental health,
(17:32):
especially amongst the underserved. Western U also supports an emphasis
on reaching out to the youth, especially those that have
suicidal ideation and in those in urban and rural communities.
So we integrate innovative training approaches such as simulation in
psychiatric assessment. We have a standardized patient program where our
(17:56):
standardized patients take on a mental health diagnosis and act
that out for the students. So the students need to
talk with that standardized patient, find out what's wrong with them,
and come up with a treatment plan. And then we
also have interprofessional team based care because as we know,
(18:16):
nurses are never alone in treating patients. We're always part
of a team, and so we do a lot of
inter professional team based care with physicians, social workers and
another team members. So repairing rigorous clinical preparations with a
strong focus on trauma and formed care, cultural humility, integrated
(18:36):
behavioral health models, Western new graduate practitioners are ready to
improve access, advance equity, and deliver compassionate care in the
mental health realm. It's so needed here. We've seen so
much come out since the pandemic, and really stigma of
having mental health is going down and more people are
(18:58):
asking for help and the mental health Psychiatric mental health
nurse practitioners are just one component of the whole team
that takes care of mental health in the community.
Speaker 2 (19:09):
What a remarkable, multifaceted approach to being sensitive to the
needs of all communities. Right, You mentioned so many different
elements that maybe one doesn't really consider when you're thinking
about it from the outside, but from the inside looking out,
you know, all of these considerations, cultural sensitivities, humility, all
(19:32):
of these aspects that really must resonate with the patient.
And it's you know, those sensitivities that make a patient,
I would imagine, more receptive to these services and to
the help that is being rendered by these psychiatric nurse practitioners.
Speaker 3 (19:51):
Right. You know, we just believe in treating everybody, no
matter what their background, no matter who they are, no
matter what's going on in their lives. They're all people
to us and We're going to take care of whoever
is in front of us in the situation and the
context that they live in. And so we can never
be culturally competent in other cultures, but we can at
(20:12):
least be sensitive to their cultures and then treat them
as they want to be treated. And that's part of
what nurses do, it's part of what all healthcare professionals
do in caring for others.
Speaker 2 (20:23):
Right, and so many things to integrate. And with that,
doctor Warren, as you innovate, you can't escape technology and
especially AYI in today's landscape. How do you balance integrating
these advances in AI with the essential human to human
touch that defines osteopathic medicine.
Speaker 4 (20:44):
It's a tough one. It honestly is a very tough
balance to know how much and where and when. And
we've always had tech. We're in evolving, just society, just
generally human. Part of our human evolution is to innovate
and to create, and technology is a piece of that.
(21:07):
The other part that it is a fine balance in
trying to integrate is that the patients come very knowledgeable
through what is readily available to them. Then it may
have been you know, fifty plus years ago where it
was a little bit different, and so one we have
to we acknowledge it and we definitely try to incorporate
(21:32):
some elements of it, but also in it educating our
students on the limitations of it. There's so much that
you don't know unless you're interface and you really ask
and get deeper into that human communication and connection. The
(21:52):
other part, as I always reflect on, is the patients.
They have their conditions and whatever they came in with
into the open wherever they're at is one piece of it,
but often they're just maybe hurting or suffering inside and
taking those moments again where you can just palpit and
put your hand on them. There's so much that you
can get from the touch. You can feel the attention,
(22:15):
you can feel their heart right, you can get some
indication of where they're at, and that in itself is
a treatment. Is just knowing that you're there with them
and to guide them and then help try to include
all of that in the way you look at them.
So we try to emulate, try to share these different
(22:37):
ways of approaching patient care with our students through our simulation,
through our standardized patient experiences. As they are learning and
trying to treat each other through the techniques that they're learning,
and then as they go through their clinical rotations to
get reinforced by different role modeling that they're experiencing during
(22:58):
their education.
Speaker 2 (23:00):
So the bottom line is the human touch will never
be replaced through innovation or AI Thank God.
Speaker 4 (23:06):
Thank goodness. And I don't think people want it to
go away. I think we crave each other, we crave relationships,
We want to be seen and heard. There's different ways
of doing it, but the touch is definitely a way
to just keep the human humanistic piece together.
Speaker 2 (23:22):
That is remarkable. Thank you so much for that, doctor Warren.
And with that, we are coming up on a break
stand by doctor Lopez and doctor Warren. Yvette Walker with
ABC News and Talks Southern California Business Report. In an
era of profound health care challenges, doctor Lisa Warren and
doctor Mary Lopez deans at Western University of Health Sciences
(23:42):
who champion holistic, patient centered care. Their visionary leadership in
osteopathic medicine and nursing empowers the next generation of practitioners,
inspiring future leaders to confront the behavioral health crisis and
advance a future where communities and individual rules truly flourish
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Speaker 2 (27:12):
Welcome back everyone. Ivette Walker with ABC News and Talks
Southern California Business Report. In an era of profound healthcare challenges,
Doctor Lisa Warren and doctor Mary Lopez, deans at Western
University of Health Sciences, who champion holistic patient centered care,
share their visionary leadership in osteopathic medicine and nursing, which
(27:33):
empowers the next generation of practitioners, inspiring future leaders to
confront the behavioral health crisis and advance a future where
communities and individuals truly flourish. Thank you so much for
being with us today, doctor Lopez and doctor Warren.
Speaker 3 (27:48):
It's our pleasure.
Speaker 2 (27:50):
Wonderful. So prior to the break, we heard it from
doctor Warren that technology and AI will never replace the
human touch. Although humans are constantly evolving and innovating and
creating nothing obviously is ever going to replace the human touch,
and that's what osteopathic medicine is pretty much centered around.
(28:12):
So let's move on with doctor Lopez. Doctor Lopez, and
what ways are your programs fostering inter professional collaboration between
nurses and other health professional professionals to improve patient outcomes?
Speaker 3 (28:27):
Right, as we know that nurses never work alone. We
always work in teams. And one of the things that's
important throughout our healthcare professions, whether it's medicine, optometry, pedietary, dentistry,
all of the professions, is that we understand each other's
roles and responsibilities. So one of the ways we do
that at Western new is through interprofessional education. And so
(28:52):
because in clinical practice, we never practice alone. How many
times have you been to a hospital or a physician's
office or a nurse practitioner clinic and you only see
one professional there? Like never, you always see several professionals
and they're always working together. So it's important for them
to understand each other's roles and responsibilities so that they
(29:12):
can be the best team that they can be. And
that's what happens at Western U. We have eight different
professions and we all learn together. And so that's one
of the reasons why our students love coming to Western
you is because they're not going to school with it
just a nursing school or just a medical school. They're
going to a university that has all of those different
(29:33):
professions available so that they can learn as a team
because in the clinical setting, they're going to be on
a team. So we teach our nurse practitioners how to
be leaders, how to lead a team. So sometimes nurses
lead teams and sometimes we're followers on teams, and so
we teach them have a chance for them to role
model both team leading and then also being a follower
(29:55):
and feeling good in both roles. Because of course, it's
not about us, is the It's about the patients, and
we want the patients to get the best care possible,
and research shows that the best care possible is through
a team based approach, an interprofessional care team. So you know,
that's why that's so important for us, and that's where
(30:16):
the unique things about Western New.
Speaker 2 (30:19):
I love that unique aspect of actually being able to
build a true team, a team that they would experience
in a clinical setting treating patients and taking turns leading
and seeing exploring what that is like. That is remarkable.
That is unlike anything like you said students would learn
at a school that is strictly teaching, you know, future
(30:41):
nurses or future physicians, but integrating all these different practices
and specialties to start building those teams and that team
mentality is absolutely exceptional.
Speaker 3 (30:53):
Well, thank you. It's something that we're really proud of
and that we do really well. And we've done it
for years and years. We're experts in the field and
we've had in a professional education for over fifteen years
here at Western View. So it's something that's great about
working at this university.
Speaker 2 (31:12):
That's wonderful. That sounds so fulfilling and exciting, you know,
always something new, always something different, and so incredibly dynamic.
You know, Doctor Warren, you mentioned earlier kind of the
osteopathic human touch in the pediatric office. Can you share
some expanded clinical research that supports the benefits of hands
(31:35):
on healing.
Speaker 8 (31:37):
I know we.
Speaker 2 (31:37):
Mentioned talking about maybe some recent findings or studies from
Western you that highlights the enhanced health outcomes of osteopathic treatments.
Speaker 4 (31:47):
Yeah, Well, as always, there's always this intuition that you
know it works and we see it work, and we
hear from our patients, but it's more powerful to not
only the medical community but also just the general public
that we show the science behind our treatment modalities. And
(32:11):
so one of the studies that has actually been published
quite a bit in his recent you know, recently been
out in the circuit is one that I'm very proud
of with our PIS is the augmentation of Immune response
to COVID nineteen vaccination and through omt in using a
(32:32):
technique called lymphatic pump. And this is a study that
really just showed giving the vaccine, being able to do treatment,
be able to do you know, some blood analysis and
in that look at the immune modulation and how this
has some impact. Kind of hinging a bit of what
(32:52):
doctor Dean Lopez just shared this. These clinical trials, in
these projects are part of a multifaceted team on this
includes not only our clinicians, but also include our basic
science PhD faculty who were able to work together collaboratively
in this project. And then we have another one that
(33:13):
one of our other colleagues is doing and actually with
the College of Podiatric Medicine looking at diabetic foot ulcers
and being able to use OMM treatments and being able
to facilitate healing through through OMM and observing that. And
this is always in conjunction with treatment antibi antibacterials and such.
(33:38):
But these are a couple of, I guess, demonstrated current
research projects that are out there, and really the hope
is that as we can demonstrate the science behind it,
that there's definitely more awareness and also acceptance of these
treatments as part of day to day practice.
Speaker 2 (33:57):
That is remarkable and I love that that method is
being studied more carefully and there's more data behind the
enhanced outcomes when it comes to the hands on OMM
treatment for patients. Doctor Lopez, you know, speaking of the
(34:18):
osteopathic method and mental health, what unique contributions do psychiatric
nurse practitioners bring to the mental health field and how
does your college support their professional development and advocacy as
they prepare to be in the field.
Speaker 3 (34:36):
Right our psychiatric nurse practitioners are nurses at their core,
which means that they're empathetic, they're caring, and they're skilled
at listening. Well, all nurse practitioners advocate for their patients.
Advocacy starts with a strong provider that has demonstrable skills
and are needed to improve outcomes. But nurses are problem
(34:58):
solvers and leaders of change, and all these attributes are
nurtured and strengthened through the Doctor of Nursing Practice program
that our psych nurse practitioners go through. We also empower
our psyche mental health nurse practitioners to be strong advocates
for mental health equity, so we provide mentorship, professional organizational engagement,
(35:21):
and opportunities participate in policy conversations that shape access to
behavioral health services. Our goal is to graduate psychiatric nurse
practitioners who not only deliver exceptional care, but lead efforts
to reduce stigma of mental health, to expand services, and
advocate for the vulnerable and the underserved. So our mental
(35:44):
health nurse practitioners leave the College Graduate Nursing at Western
U with both the clinical experience and the moral purpose
needed to make a lasting impact on individuals, families, and communities.
Speaker 2 (35:57):
Thank you so much for that, and you know it's
so needed today, as you know, especially on the heels
of the pandemic and everything that people are overcoming through isolation, loss, grief,
so many things that were experienced in such a short
amount of time that, you know, so many are still
healing from the world is still healing from it. The
whole world went through it together. So it's just remarkable
(36:21):
how these needs just really truly impact everybody.
Speaker 3 (36:25):
And it's not only the psychiatric nurse practitioners that are
experts at this. It's also that all of us have
psychiatric something about our mental health that needs attention, right.
We all have something within our beings that needs to
be healed, and so we integrate this not only through
our psychiatric nurse practitioner program, but also our family nurse
(36:48):
practitioner program, because folks with chronic disease also may have
mental health issues and so maybe they're seeing a family
nurse practitioner, but they also need their mental health issues addressed.
So we integrate and weave this in through all of
our curriculum across our programs, so that no matter how
that contact is made, that those mental health needs get addressed.
Speaker 2 (37:11):
Right, and continuing that mind body connection and not just
you know, segregating it separate as but the complete human right.
As you mentioned, everybody has a need for some level
of healing in their mind, especially as everybody has overcome
the same trauma from what was experienced during the pandemic.
(37:32):
So I love that you integrate that and you prioritize
that as something that needs to be integrated as the
complete area of attention to the patient for a patient
centered focus and better health outcomes. Gosh, doctor Warren, one
third of the US gross domestic product is invested in healthcare.
(37:57):
Get outcomes lag behind. How does Western use osteopathic philosophy
aim to address chronic health challenges and drive systemic improvement.
Speaker 4 (38:09):
Yeah, that's like the million dollar question, Rightang, we do
need to flip that. We got to convert from a
health system to a much more preventative wealth system. I
think the first and I'm going to take osteopathic. Our
entire university is centered on that. As you just heard
from Dean Lopez, mind body's Spirit. I think there's the
(38:31):
philosophy that we each and no matter what health profession
is part of our community, they all take that singular
approach of what is behind the patient, what is affecting
the patient, the socioeconomic barriers, to the food insecurities, to
their home environment, and so it's important and I think
that's where we do have that offered proposition of really
(38:53):
being able to have that centered focus of going how
can we help the patient in its in their cells,
but also their community. And that's I think partly a
way to change it is just changing that dynamic of
really being more preventative focus and then in it, as
(39:13):
she shared earlier, Dean Lopez shared earlier, it's how do
we integrate our resources that we have the expertise around
us since not be so siloed or so expertise, but
how do we have some overlap and shared resources within
our medical expertise, and then how do we go into
integrating all of those with the community using community resources,
(39:38):
integrating that to meet the patients where they are at.
It's changing one patient at a time is how you
will be able to do that. And then it's also
then trying to find new and innovative models of how
to flip the way we deliver care. It's going to
take time, but we are at such a pinnacle in
(40:00):
which we cannot sustain our economy by still functioning the
way we do care in this way, and so we
do need to look at it from from a wellness
preventative patient community centered approach.
Speaker 2 (40:17):
Absolutely, and you know you mentioned everything from our dietary intake.
You know, everything has an impact in our bodies what
we consume, and I believe also what we consume, what
we read, what we listen to, how that impacts our
mood or our outlook, what we eat. You are what
you eat, right, So all of those factors we really
(40:38):
need to pay close attention to and really discern and
determine if the things that we are consuming are making
us feel better or worse and really proactively making an
effort to take a diet from those things that don't
make us better but make us worse right or bring
(40:58):
us down. So thank you for sharing that part, doctor Lopez.
What are the most significant challenges your students face during
training and how does your college support their transition from
classroom to clinical practice.
Speaker 3 (41:14):
I think the most currently the most significant challenge where
they seeing in nursing education and especially in nurse practitioner
training and clinical rotations is access to what's called preceptors.
So nursing students learn in the classroom, they learn in
our skills lab, but they then go out into the
(41:35):
clinical setting and a nurse practitioner or a physician precepts
or guides the student in the clinical setting. Some of
those preceptors are hard to find. Quite a few nurses
and physicians left the field during COVID, and many of
those practices now are looking for more healthcare providers, and
(41:58):
so preceptors are scarce, especially in a specialty areas like
pediatrics for my good friend de Morin and also OB,
so in pediatrics and OB it's hard for us to
find preceptors, and that's probably our biggest challenge. So what
we've offered stipends to the preceptors to support clinical training.
(42:21):
We've worked creatively to get grant funding to give both
our students and the preceptors stipends for doing that work.
And then we also really encourage our students to do
their clinical and medically underserved areas because those areas are
(42:41):
more likely to take students for traineeships, and many when
they do that precepting, many are hired right from that
precepted experience because they get to know our students, they
get to like our students, they see that our students
are competent and that they're carrying and compassionate, and they
do a good job and want to hire them. So
that's an easy transition into getting their first job. But
(43:04):
you know, getting your first job as nurs practitioner is
really daunting. So at Western w we cultivate a learning
environment that's granted in wellness and professionalism and psychological safety,
so the students feel supported as they are growing through
their academic career. So by time they enter into practice,
they've had the hands on preceptorship and then this really safe, learning,
(43:28):
thriving educational environment. So not only are they clinically prepared,
but they're resilient, they're reflective, and they're ready to lead
in dynamic health care settings. So when they go out
and get their first job, they're successful and they've launched
their career.
Speaker 2 (43:48):
That is remarkable. I love that you have these next
generation of healthcare providers, you know, working on their resilience muscle, right,
because you must be resilient to walk into these different
landscapes and settings to treat patients of all ranges, of
all you know, all backgrounds and all needs. Doctor Warren Western,
(44:13):
you as at the forefront of healthcare education. How do
you measure success in training the next generation of osteopathic physicians?
Speaker 4 (44:24):
Yeah, well, you know, one success is just taking a
look at each alumni and just observing and just hearing
their stories. You know, I really think that's that's one
piece of it is you can have numerics so many
percentage in these areas and such, but when you get
to hear about how their trajectory was and the impact
(44:46):
that each alum is making, and that's that's when you
really can start to really quantify the compounding ripple positivity
and the effect that they're making in their communities. Other
ways in which definitely can measure some success is them
(45:07):
becoming our preceptors, being the mentors, the advocates for the profession,
their future leaders in the health system, and trying to
make those changes that they know inherently need to be
made and willing to speak up and advocate for those changes.
That's what we train them early on in their education
(45:29):
while they're at Western, You really giving them that safe
space to start to find their voice, their place, so
that when they transition into their next steps of their career,
they are at least empowered first, but also have some
tools and skills to be able to continue to be
those leaders and really train those next generation of ostopathic
(45:53):
physicians to make some wonderful changes in the lives of
their patients and communities.
Speaker 2 (45:58):
That is remarkable, And what would you say to anyone
that's listening that is exploring a future in healthcare and
considering Western You as their starting point.
Speaker 4 (46:09):
Well, one is that you have to know your why.
You know, know your why and in it finding that
place where you will have the resources but also also
the mentorship the support in the community to help nurture
you through your own personal goals. I think that is
(46:32):
something that we do really really well at Western You.
Our centered focus, our singular mission is about the student.
Everything that we do, whether you're an administrator, a faculty,
a staff, appear anyone there is all about how to
make the students experience the most meaningful and ready for
(46:55):
their next steps in their career. And so for me,
it's a wonderful place. I can honestly attest that I
am a success story through it, but I know my
peers and colleagues and have seen their successes as well.
So for those of you that are out there and
looking for a career in whatever part of the healthcare
(47:17):
field you're interested in, Western You has the mentors to
support the educational framework to make you the best whoever
healthcare provider you're going to be.
Speaker 2 (47:28):
That's absolutely remarkable. I love it, and yes, it's for you,
a full circle moment and the true product and advocate
for Western You. Doctor Lopez, looking ahead, how do you
see Western you adapting and innovating to meet the continuous
evolving needs of both patients and the healthcare workforce.
Speaker 3 (47:51):
Well, you know, I think that artificial intelligence is bringing
healthcare into a new realm of diagnostics and management of
so many health outcomes, from genetics to mental health solutions
and care generative solutions, bots, critical thinking. It's like an
entirely new plane. I think that we are teaching our
(48:14):
students to work with AI, not only to learn because
it's here to stay, but we're also teaching them to
work ethically with AI and responsibly while engaging AI to
maximize the opportunities that AI is offering them as they
navigate this new world. AI is now going to be
(48:36):
embedded throughout the healthcare arena, and so I don't think
that nurses or physicians will be replaced by AI, as
some people, you know, catastrophize, because as Dean Warren was saying,
that that physical touch is always needed by human beings,
and I don't think robots can do that they can
(48:59):
work off of a proto call, for example. But we
learned over twenty years ago that cookbook medicine, whether it's
in nursing or in the medical field, doesn't work. It's
got to be individualized care. So we need to use
AI ethically. But we are integrating it. We're integrating it
in our mechanics, so you know, IV pumps, ventilators, follies,
(49:20):
everything can have smart medicine in it to just give
us information faster. And we're integrating telehealth, simulation, data informed practice,
team based care models. All of that is going to
have AI integrated through it, but it's just going to
strengthen our focus on behavioral health, primary care and service
(49:41):
to underserved communities. Above all, we remain committed to being compassionate,
hands on practitioners.
Speaker 2 (49:49):
That is so exciting and a relief to hear that
this innovation and technology will be used, you know, with
the utmost care for the page to create smarter, faster diagnosis,
a treatment, and various other opportunities to treat the patient.
(50:12):
Doctor Warren, doctor Lopez, thank you both so much for
taking the time to share the remarkable work, innovation and
personal human touch that is taking place at Western University
of Health Sciences.
Speaker 3 (50:26):
Thank you for having us, Yeah, thank you, it was fun.
Speaker 2 (50:29):
Thank you all right for everybody listening, don't forget to
find us on Facebook, YouTube, LinkedIn, and Instagram. Don't miss
my conversation with doctor Eileen Dingjian, an architect of community
health and visionary leader who forges powerful alliances that bridge
education and equity across sectors. With the legacy of innovative
workforce driven program she transforms healthcare for underserved youth. Alongside
(50:54):
her syrah Ram Chita, once a non clinical intern, stands
as a catalyst for progress, each amplifying the other's impact. Together,
they redefine what's possible in regional health and opportunity at
the Louis San Antonio Community Health Institute. Next week we
will have in time for Thanksgiving and all the wonderful
(51:16):
gatherings we're going to be experiencing between Thanksgiving, Holidays, Christmas
and New Year's. Christine Joy Ferreira is a dynamic etiquette
coach and creator of the Polished Message method. With over
a decade of experience, she empowers individuals and organizations to
elevate their presence, confidence, and professionalism through hands on practical learning.
(51:40):
Christine's engaging approach and expertise have inspired audiences from universities
to global pageants, making her the go to expert for
transforming first impressions and mastering social and professional success. Etiquette
is more than a knife and fork. You do not
want to miss it. We will see you all next week.
Welcome to k MET fourteen ninety am, ABC News Radio
and the Southern California Business Report with the Vett Walker,
a show dedicated to highlighting successful Southern California businesses and
the people behind there.
Speaker 2 (00:18):
Welcome and thank you for joining Southern California Business Report
on ABC News and talks KMET fourteen ninety AM, ninety
eight point one FM and km ETTV. I'm e Vetwalker
live blasting our signal from the center of Southern California,
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crystal clear and on demand by downloading the free live
(00:40):
streaming app on Google Play and the Apple App Store.
As always, a huge shout out to the team Mitch,
Bill and Sean I love you guys, and to our
special advisory committee that can be found at www dot
scbr talk dot com Forward Slash Advisory Committee. Click on
(01:01):
the link and learn about the incredible leaders doing the work.
Of course, as always, I am an absolute awe and
honor to introduce in a time when the health of
our community hinges on, visionary leaders Doctor Lisa Warren and
doctor Mary Lopez stand as beacons of hope and progress.
(01:22):
As deans and trailblazers in osteopathic medicine and nursing. They
unite passion with purpose, championing holistic care and forging pathways
for the next generation of healthcare professionals. Doctor Warren, an
acclaimed pediatrician and academic leader, and doctor Lopez, a transformative nurse, scientist,
and educator, share a steadfast commitment to nurturing resilient nurses,
(01:46):
nurse practitioners, and physicians. Together they confront the behavioral health
crisis and health inequities with innovative education and compassionate mentorship,
shaping a future where wellness, empathy, and leadership are woven
into the fabric of medicine. Their work not only addresses
today's urgent challenges, but inspires tomorrow's healers to lead with
(02:09):
heart and vision. Thank you so much for being with
us today today, doctor Warren and doctor Lopez.
Speaker 3 (02:17):
It's my pleasure.
Speaker 2 (02:19):
Thank you wonderful. So I am just absolutely thrilled. I
know you guys just had a major event on campus
and you are taking time to share what it is
that you're doing and what makes Western University of Health
Sciences so unique and so critical at a time like today.
But before we start, as you know, I like to
kind of get into a little brief history and time
(02:42):
of my guests and kind of share what inspired you
to pursue the path that you're on today. So if
it's okay with you, Doctor Warren, I will start with
doctor Lopez.
Speaker 3 (02:53):
Well, thank you for that. I've always wanted to be
a nurse, and I tell the story when I was
four years old, I have three brothers and a sister,
and my brothers are out fighting each other with bows
and arrows and guns and falling dead onto the ground,
and my mother bought my sister and I these blue
capes with red crosses, and we run out there and
(03:16):
we patch them back together and they jump up and
they're ready to go again. And so even from that
memory of being a small child, I've always wanted to
pay attention to others, to serve others, to patch them up,
heel them and get them on their way, and that
I've always wanted to be a nurse. And so I
(03:37):
did become a nurse right out of high school, out
of college and went on to get my PhD. And
I've led nursing units. I've been a VP of nursing
and hospitals and have worked in critical care emergency departments
and always in leadership positions. And I find myself here
(03:58):
in academia being able to the students and it's wonderful
professional and I'm happy to be here.
Speaker 2 (04:05):
Wow, what a remarkable story. It's ingrained in your DNA.
Speaker 3 (04:08):
That's right, I love it.
Speaker 2 (04:10):
A Doctor Warren, please share a little bit about what
inspired you to pursue the area of healthcare and now
leading such a nationally renowned institutions such as Western University
of Health Sciences.
Speaker 4 (04:23):
Yeah, thank you. That maybe a little slightly different variation
from doctor Lopez is but I grew up in an
environment where healthcare was just around me, so I was
easily immersed from early on to become a physician and pediatrician.
So my dad's a pediatrician. He still works, is actually
(04:46):
going to be retiring this year after fifty plus years
in practice and from the Corona area. But in it
I got to see how and what it takes to
being a PDT try in a community. I think partly
it's not only the knowledge, but the impact that you
(05:06):
have when we would go to the grocery stores or
just even going to church or whatever. It may be,
you know, they always came up to him, and I
had that admiration just very early on. But through it all,
I just always had that sense in between my siblings
and I were all my sisters and I are in
healthcare of some sort, but really felt they need to
(05:29):
help others, to really be involved in making a difference
in someone's life, and medicine was just a very natural
progression to it. I've also been very passionate about health, wellness,
physical activity, and sports. I was an athlete and went
to undergraduate and played athletic sports in college, and so
(05:53):
for me it was always my own personal optimization, but
also for those around me and my teammates. So I
went to Western ukamp I'm a graduate of the university
and for me in it to be able to be
part of that as a student and be able to
form those relationships and experiences, but also the rotations, you know,
(06:16):
you try to look for finding your space. But pediatrics
still hit me and I thought, okay, well I'm going
to do what my dad did.
Speaker 3 (06:23):
Yes, and I.
Speaker 4 (06:24):
Had that sort of experience, but why, And I will
say it's because I think to have such a diverse
age range is a very unique space from the moment
that they're born all the way to when they transition
into their adulthood. You get to learn about the different
ages and stages of that progression of development, but also
(06:45):
the impact that it has within the families, the educational system,
and then of course treating their particular health issues as
they are maturing on.
Speaker 2 (06:55):
Oh my goodness, I'm going to leave this conversation being
convinced that this is just programmed into your DNA from
day one. From both aspects, that are both remarkable stories. So,
doctor Warren Western University emphasizes humanism and patient centered care.
How do you integrate these core values into the daily
(07:16):
training of future osteopathic physicians and why are they especially
important in today's healthcare landscape?
Speaker 4 (07:24):
Yeah, you know, I mean it starts from day one. Yeah,
it's even before day one. You know, how do you
set up an experience in a curriculum that's going to
be able to give them both that human touch, that experience,
that communication and connection with a patient, but also taking
in the medical knowledge and being able to care for
(07:45):
those patients, so they early on have both a blended
hands on experience as well as an experience you know,
learning the medical knowledge together. They are their first patients
as they're in the clinical skills in the omm lab.
Their other patient is their cadap for their human body
(08:05):
that they're learning anatomy from. And in those early on
immersive experiences they are taught to really treat each other,
treat these as their first patients, and being able to
include that in respecting their peers, respecting what they're learning,
(08:27):
and how to role model that is really what is
going to lead them into continuing that as they treat
their future patients. And why is this so important Because
everything you know, there's a bit of where we have
this disconnect with technology and maybe even trust within the
healthcare system. But if you're able to get to that
(08:49):
core of humanism, that core that you really do care
about that person, getting those extra whys and getting to
know them at their core is how you build those
relationships and that trust so that you can help guide
them through their medical and personal journeys.
Speaker 2 (09:07):
That's remarkable because those are key elements, like you mentioned,
in an age of technology and maybe mistrust of the
healthcare system, that that core value of human to human
and even the osteopathic philosophy of human touch just are
going to go so far in today's landscape and is
much needed, of course, doctor Lopez, with a national shortage
(09:30):
of primary care providers, particularly in the Inland Empire, as
we all know, how are you preparing graduate nursing students,
particularly family nurse practitioners, to address this critical gap in
healthcare access?
Speaker 3 (09:45):
Well, you know there is a national shortage of primary
care providers. There are four hundred and sixty thousand nurse
practitioners in America today, a seven percent increase from last year,
yet still there's a shortage of primary health care provider.
Millions of Americans choose nurse practitioners as their primary care provider.
(10:06):
Nurse practitioners are advanced practice registered nurses who prepare at
the doctoral level to provide primary care to patients of
all ages and backgrounds, and as clinicians who blend clinical
expertise in diagnosing and treating health conditions with an emphasis
on disease prevention and health management. Nur's practitioners bring a
(10:28):
competent and personal touch to the healthcare. So utilizing nurse
practitioners to their fullest extent of their education in clinical training,
especially in primary care, is critical to meeting the nation's
health care needs and combating chronic disease and rising health
care costs. At Western University, we take this responsibility so seriously.
(10:50):
Our curriculum and clinical partnerships are intentionally designed to prepare
family nurse practitioners to lead in expanding access to primary care.
Western u has expanded their nurse practitioner programs to meet
this growing need of primary care, both in California and
especially in the Inland Empire.
Speaker 2 (11:10):
And so, just to give us a little bit of
background between what a physician can do at an appointment
versus what a nurse practitioner can do, can you give
us a general rundown of what the similarities or differences are.
Speaker 3 (11:23):
Sure, I always have the idea that there's room for
every health care provider in the continuum. And so it's
not a physician or a nurse practitioner. It's a physician
and a nurse practitioner. And so nurse practitioners can assess,
they can diagnose, they can come up with a treatment plan,
and they can evaluate the care. And they do have
(11:44):
an individual and unique scope of practice apart from physicians.
Yet sometimes patients come to them that are very, very
acute and so sick, and at that time the nurse
practitioner knows this is beyond my scope of practice. Is
I need to call a physician, especially a specialist, to
come in and advise with me to do the best
(12:05):
for the patient. So these two professions, both medicine and nursing,
work really well together.
Speaker 2 (12:11):
That's a great way of breaking it down for us,
doctor Warren. Osteopathic medicine is unique in its holistic approach,
including OMT. How do you ensure that students master both
the science and the art of healing through hands on techniques.
Speaker 4 (12:31):
Yeah, as I mentioned, our students from day one are
in the classroom learning techniques and learning the skills and
in it is not initially it's together in conjunction with
their curriculum. So they're learning anatomy. They're understanding the path
of physiology because you can put your hands on someone,
(12:53):
but it doesn't mean that you have the diagnostic and
the understanding of how to then treat because these are
treatment modalities. It's diagnostic and treatment in there. So you
have to build those fine neurosenses within your hands to
be able to gently touch and really be able to
assess the patient. So they get over four hours a
(13:13):
week throughout their entire first two years of the pre
clinical curriculum, and they get of course assessed throughout that
time based on the different treatment mod i got methods
that they're learning at that time. And of course we
have role modeling with our DOO faculty who are at
(13:34):
the Western New Health Clinic who are then also teaching
and mentoring those students who are in their third years
and really trying to reinforce those skills and give them
an understanding that this is not only something that you
do as a no amen physician, but even beyond that,
how do you take that being a pediatric osteopathic position
or surgical osteopathic physition and take that into their clinical
(13:57):
practices or clinical experiences when they move on into their
third and fourth year and move on to their residency trainings.
So there's a lot that we have to do reinforcement.
We do see some drop off, and in knowing that,
we work with graduate medical education programs to try to
reintroduce or remind how they can integrate it into their
(14:19):
day to day as well as our alumni and geocolleagues
through continuing medical education opportunities for them to refine and
learn how to incorporate it into their day to day practice.
Speaker 2 (14:32):
And what results have been gauged and tracked to show
that the hands on method is not only useful for
the physician or the treating nurse practitioner, but for the patient.
In this case, you know, a pediatric patient, how does
that human touch impact the acceleration or the results of healing.
Speaker 4 (14:55):
Yeah, well, and in this it's an ad and you know,
and your treatment and you know, you go through the
usual that you do, you get your history, you do
your physical exam. You are giving a differential trying to
really understand what's going on with the patient. And it
may also include just a structure of function, a component
(15:17):
in which maybe either the cause or just inhibiting the
progress of healing. And then once you make that assessment,
using OMM in those particular instances, you can facilitate it.
So if you have an infection, even just a simple cold,
there's a lot of tension and maybe even fascial issues
(15:40):
or congestion, and being able to do some simple lymphatic
drainage to help with flow will help improve or decrease
even the duration of that illness. Just by doing those
simple techniques and of course, in my case, I even
try to share with parents how to do that for
(16:00):
their children and they feel better. You see it immediately
in the room where they're just being able to perhaps
breathe a little bit slower and a little more comfortably,
or they're smiling when they were very fusty and irritable,
and so you can see some even immediate effects within
the office visit.
Speaker 2 (16:21):
That is remarkable. I can only imagine having, you know,
these young children being in their minds probably thinking, oh,
mom's massaging me or Dad's rubbing the back of my neck,
you know, and that in itself can calm a child,
and I know that it could be very soothing, you know,
with of course, the other primary reason to be doing it,
which is to you know, kind of clear out that
(16:42):
lymphatic system and help the drainage. As you mentioned, doctor Lopez,
mental health access remains a major concern in the US,
and we know this with so many need for behavioral
health and so many other resources. How is the college
graduate nursing equipping psychiatric nurse practitioners to meet this urgent
(17:05):
need and what innovative approaches are you adopting?
Speaker 3 (17:09):
You know, mental health access is such a concern, especially
since the pandemic. The College of Graduate Nursing is deeply
committed to expanding behavioral health workforce through the preparation of
highly skilled psych mental health nurse practitioners. Our program equips
graduates with the competency that they need to address mental health,
(17:32):
especially amongst the underserved. Western U also supports an emphasis
on reaching out to the youth, especially those that have
suicidal ideation and in those in urban and rural communities.
So we integrate innovative training approaches such as simulation in
psychiatric assessment. We have a standardized patient program where our
(17:56):
standardized patients take on a mental health diagnosis and act
that out for the students. So the students need to
talk with that standardized patient, find out what's wrong with them,
and come up with a treatment plan. And then we
also have interprofessional team based care because as we know,
(18:16):
nurses are never alone in treating patients. We're always part
of a team, and so we do a lot of
inter professional team based care with physicians, social workers and
another team members. So repairing rigorous clinical preparations with a
strong focus on trauma and formed care, cultural humility, integrated
(18:36):
behavioral health models, Western new graduate practitioners are ready to
improve access, advance equity, and deliver compassionate care in the
mental health realm. It's so needed here. We've seen so
much come out since the pandemic, and really stigma of
having mental health is going down and more people are
(18:58):
asking for help and the mental health Psychiatric mental health
nurse practitioners are just one component of the whole team
that takes care of mental health in the community.
Speaker 2 (19:09):
What a remarkable, multifaceted approach to being sensitive to the
needs of all communities. Right, You mentioned so many different
elements that maybe one doesn't really consider when you're thinking
about it from the outside, but from the inside looking out,
you know, all of these considerations, cultural sensitivities, humility, all
(19:32):
of these aspects that really must resonate with the patient.
And it's you know, those sensitivities that make a patient,
I would imagine, more receptive to these services and to
the help that is being rendered by these psychiatric nurse practitioners.
Speaker 3 (19:51):
Right. You know, we just believe in treating everybody, no
matter what their background, no matter who they are, no
matter what's going on in their lives. They're all people
to us and We're going to take care of whoever
is in front of us in the situation and the
context that they live in. And so we can never
be culturally competent in other cultures, but we can at
(20:12):
least be sensitive to their cultures and then treat them
as they want to be treated. And that's part of
what nurses do, it's part of what all healthcare professionals
do in caring for others.
Speaker 2 (20:23):
Right, and so many things to integrate. And with that,
doctor Warren, as you innovate, you can't escape technology and
especially AYI in today's landscape. How do you balance integrating
these advances in AI with the essential human to human
touch that defines osteopathic medicine.
Speaker 4 (20:44):
It's a tough one. It honestly is a very tough
balance to know how much and where and when. And
we've always had tech. We're in evolving, just society, just
generally human. Part of our human evolution is to innovate
and to create, and technology is a piece of that.
(21:07):
The other part that it is a fine balance in
trying to integrate is that the patients come very knowledgeable
through what is readily available to them. Then it may
have been you know, fifty plus years ago where it
was a little bit different, and so one we have
to we acknowledge it and we definitely try to incorporate
(21:32):
some elements of it, but also in it educating our
students on the limitations of it. There's so much that
you don't know unless you're interface and you really ask
and get deeper into that human communication and connection. The
(21:52):
other part, as I always reflect on, is the patients.
They have their conditions and whatever they came in with
into the open wherever they're at is one piece of it,
but often they're just maybe hurting or suffering inside and
taking those moments again where you can just palpit and
put your hand on them. There's so much that you
can get from the touch. You can feel the attention,
(22:15):
you can feel their heart right, you can get some
indication of where they're at, and that in itself is
a treatment. Is just knowing that you're there with them
and to guide them and then help try to include
all of that in the way you look at them.
So we try to emulate, try to share these different
(22:37):
ways of approaching patient care with our students through our simulation,
through our standardized patient experiences. As they are learning and
trying to treat each other through the techniques that they're learning,
and then as they go through their clinical rotations to
get reinforced by different role modeling that they're experiencing during
(22:58):
their education.
Speaker 2 (23:00):
So the bottom line is the human touch will never
be replaced through innovation or AI Thank God.
Speaker 4 (23:06):
Thank goodness. And I don't think people want it to
go away. I think we crave each other, we crave relationships,
We want to be seen and heard. There's different ways
of doing it, but the touch is definitely a way
to just keep the human humanistic piece together.
Speaker 2 (23:22):
That is remarkable. Thank you so much for that, doctor Warren.
And with that, we are coming up on a break
stand by doctor Lopez and doctor Warren. Yvette Walker with
ABC News and Talks Southern California Business Report. In an
era of profound health care challenges, doctor Lisa Warren and
doctor Mary Lopez deans at Western University of Health Sciences
(23:42):
who champion holistic, patient centered care. Their visionary leadership in
osteopathic medicine and nursing empowers the next generation of practitioners,
inspiring future leaders to confront the behavioral health crisis and
advance a future where communities and individual rules truly flourish
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Speaker 2 (27:12):
Welcome back everyone. Ivette Walker with ABC News and Talks
Southern California Business Report. In an era of profound healthcare challenges,
Doctor Lisa Warren and doctor Mary Lopez, deans at Western
University of Health Sciences, who champion holistic patient centered care,
share their visionary leadership in osteopathic medicine and nursing, which
(27:33):
empowers the next generation of practitioners, inspiring future leaders to
confront the behavioral health crisis and advance a future where
communities and individuals truly flourish. Thank you so much for
being with us today, doctor Lopez and doctor Warren.
Speaker 3 (27:48):
It's our pleasure.
Speaker 2 (27:50):
Wonderful. So prior to the break, we heard it from
doctor Warren that technology and AI will never replace the
human touch. Although humans are constantly evolving and innovating and
creating nothing obviously is ever going to replace the human touch,
and that's what osteopathic medicine is pretty much centered around.
(28:12):
So let's move on with doctor Lopez. Doctor Lopez, and
what ways are your programs fostering inter professional collaboration between
nurses and other health professional professionals to improve patient outcomes?
Speaker 3 (28:27):
Right, as we know that nurses never work alone. We
always work in teams. And one of the things that's
important throughout our healthcare professions, whether it's medicine, optometry, pedietary, dentistry,
all of the professions, is that we understand each other's
roles and responsibilities. So one of the ways we do
that at Western new is through interprofessional education. And so
(28:52):
because in clinical practice, we never practice alone. How many
times have you been to a hospital or a physician's
office or a nurse practitioner clinic and you only see
one professional there? Like never, you always see several professionals
and they're always working together. So it's important for them
to understand each other's roles and responsibilities so that they
(29:12):
can be the best team that they can be. And
that's what happens at Western U. We have eight different
professions and we all learn together. And so that's one
of the reasons why our students love coming to Western
you is because they're not going to school with it
just a nursing school or just a medical school. They're
going to a university that has all of those different
(29:33):
professions available so that they can learn as a team
because in the clinical setting, they're going to be on
a team. So we teach our nurse practitioners how to
be leaders, how to lead a team. So sometimes nurses
lead teams and sometimes we're followers on teams, and so
we teach them have a chance for them to role
model both team leading and then also being a follower
(29:55):
and feeling good in both roles. Because of course, it's
not about us, is the It's about the patients, and
we want the patients to get the best care possible,
and research shows that the best care possible is through
a team based approach, an interprofessional care team. So you know,
that's why that's so important for us, and that's where
(30:16):
the unique things about Western New.
Speaker 2 (30:19):
I love that unique aspect of actually being able to
build a true team, a team that they would experience
in a clinical setting treating patients and taking turns leading
and seeing exploring what that is like. That is remarkable.
That is unlike anything like you said students would learn
at a school that is strictly teaching, you know, future
(30:41):
nurses or future physicians, but integrating all these different practices
and specialties to start building those teams and that team
mentality is absolutely exceptional.
Speaker 3 (30:53):
Well, thank you. It's something that we're really proud of
and that we do really well. And we've done it
for years and years. We're experts in the field and
we've had in a professional education for over fifteen years
here at Western View. So it's something that's great about
working at this university.
Speaker 2 (31:12):
That's wonderful. That sounds so fulfilling and exciting, you know,
always something new, always something different, and so incredibly dynamic.
You know, Doctor Warren, you mentioned earlier kind of the
osteopathic human touch in the pediatric office. Can you share
some expanded clinical research that supports the benefits of hands
(31:35):
on healing.
Speaker 8 (31:37):
I know we.
Speaker 2 (31:37):
Mentioned talking about maybe some recent findings or studies from
Western you that highlights the enhanced health outcomes of osteopathic treatments.
Speaker 4 (31:47):
Yeah, Well, as always, there's always this intuition that you
know it works and we see it work, and we
hear from our patients, but it's more powerful to not
only the medical community but also just the general public
that we show the science behind our treatment modalities. And
(32:11):
so one of the studies that has actually been published
quite a bit in his recent you know, recently been
out in the circuit is one that I'm very proud
of with our PIS is the augmentation of Immune response
to COVID nineteen vaccination and through omt in using a
(32:32):
technique called lymphatic pump. And this is a study that
really just showed giving the vaccine, being able to do treatment,
be able to do you know, some blood analysis and
in that look at the immune modulation and how this
has some impact. Kind of hinging a bit of what
(32:52):
doctor Dean Lopez just shared this. These clinical trials, in
these projects are part of a multifaceted team on this
includes not only our clinicians, but also include our basic
science PhD faculty who were able to work together collaboratively
in this project. And then we have another one that
(33:13):
one of our other colleagues is doing and actually with
the College of Podiatric Medicine looking at diabetic foot ulcers
and being able to use OMM treatments and being able
to facilitate healing through through OMM and observing that. And
this is always in conjunction with treatment antibi antibacterials and such.
(33:38):
But these are a couple of, I guess, demonstrated current
research projects that are out there, and really the hope
is that as we can demonstrate the science behind it,
that there's definitely more awareness and also acceptance of these
treatments as part of day to day practice.
Speaker 2 (33:57):
That is remarkable and I love that that method is
being studied more carefully and there's more data behind the
enhanced outcomes when it comes to the hands on OMM
treatment for patients. Doctor Lopez, you know, speaking of the
(34:18):
osteopathic method and mental health, what unique contributions do psychiatric
nurse practitioners bring to the mental health field and how
does your college support their professional development and advocacy as
they prepare to be in the field.
Speaker 3 (34:36):
Right our psychiatric nurse practitioners are nurses at their core,
which means that they're empathetic, they're caring, and they're skilled
at listening. Well, all nurse practitioners advocate for their patients.
Advocacy starts with a strong provider that has demonstrable skills
and are needed to improve outcomes. But nurses are problem
(34:58):
solvers and leaders of change, and all these attributes are
nurtured and strengthened through the Doctor of Nursing Practice program
that our psych nurse practitioners go through. We also empower
our psyche mental health nurse practitioners to be strong advocates
for mental health equity, so we provide mentorship, professional organizational engagement,
(35:21):
and opportunities participate in policy conversations that shape access to
behavioral health services. Our goal is to graduate psychiatric nurse
practitioners who not only deliver exceptional care, but lead efforts
to reduce stigma of mental health, to expand services, and
advocate for the vulnerable and the underserved. So our mental
(35:44):
health nurse practitioners leave the College Graduate Nursing at Western
U with both the clinical experience and the moral purpose
needed to make a lasting impact on individuals, families, and communities.
Speaker 2 (35:57):
Thank you so much for that, and you know it's
so needed today, as you know, especially on the heels
of the pandemic and everything that people are overcoming through isolation, loss, grief,
so many things that were experienced in such a short
amount of time that, you know, so many are still
healing from the world is still healing from it. The
whole world went through it together. So it's just remarkable
(36:21):
how these needs just really truly impact everybody.
Speaker 3 (36:25):
And it's not only the psychiatric nurse practitioners that are
experts at this. It's also that all of us have
psychiatric something about our mental health that needs attention, right.
We all have something within our beings that needs to
be healed, and so we integrate this not only through
our psychiatric nurse practitioner program, but also our family nurse
(36:48):
practitioner program, because folks with chronic disease also may have
mental health issues and so maybe they're seeing a family
nurse practitioner, but they also need their mental health issues addressed.
So we integrate and weave this in through all of
our curriculum across our programs, so that no matter how
that contact is made, that those mental health needs get addressed.
Speaker 2 (37:11):
Right, and continuing that mind body connection and not just
you know, segregating it separate as but the complete human right.
As you mentioned, everybody has a need for some level
of healing in their mind, especially as everybody has overcome
the same trauma from what was experienced during the pandemic.
(37:32):
So I love that you integrate that and you prioritize
that as something that needs to be integrated as the
complete area of attention to the patient for a patient
centered focus and better health outcomes. Gosh, doctor Warren, one
third of the US gross domestic product is invested in healthcare.
(37:57):
Get outcomes lag behind. How does Western use osteopathic philosophy
aim to address chronic health challenges and drive systemic improvement.
Speaker 4 (38:09):
Yeah, that's like the million dollar question, Rightang, we do
need to flip that. We got to convert from a
health system to a much more preventative wealth system. I
think the first and I'm going to take osteopathic. Our
entire university is centered on that. As you just heard
from Dean Lopez, mind body's Spirit. I think there's the
(38:31):
philosophy that we each and no matter what health profession
is part of our community, they all take that singular
approach of what is behind the patient, what is affecting
the patient, the socioeconomic barriers, to the food insecurities, to
their home environment, and so it's important and I think
that's where we do have that offered proposition of really
(38:53):
being able to have that centered focus of going how
can we help the patient in its in their cells,
but also their community. And that's I think partly a
way to change it is just changing that dynamic of
really being more preventative focus and then in it, as
(39:13):
she shared earlier, Dean Lopez shared earlier, it's how do
we integrate our resources that we have the expertise around
us since not be so siloed or so expertise, but
how do we have some overlap and shared resources within
our medical expertise, and then how do we go into
integrating all of those with the community using community resources,
(39:38):
integrating that to meet the patients where they are at.
It's changing one patient at a time is how you
will be able to do that. And then it's also
then trying to find new and innovative models of how
to flip the way we deliver care. It's going to
take time, but we are at such a pinnacle in
(40:00):
which we cannot sustain our economy by still functioning the
way we do care in this way, and so we
do need to look at it from from a wellness
preventative patient community centered approach.
Speaker 2 (40:17):
Absolutely, and you know you mentioned everything from our dietary intake.
You know, everything has an impact in our bodies what
we consume, and I believe also what we consume, what
we read, what we listen to, how that impacts our
mood or our outlook, what we eat. You are what
you eat, right, So all of those factors we really
(40:38):
need to pay close attention to and really discern and
determine if the things that we are consuming are making
us feel better or worse and really proactively making an
effort to take a diet from those things that don't
make us better but make us worse right or bring
(40:58):
us down. So thank you for sharing that part, doctor Lopez.
What are the most significant challenges your students face during
training and how does your college support their transition from
classroom to clinical practice.
Speaker 3 (41:14):
I think the most currently the most significant challenge where
they seeing in nursing education and especially in nurse practitioner
training and clinical rotations is access to what's called preceptors.
So nursing students learn in the classroom, they learn in
our skills lab, but they then go out into the
(41:35):
clinical setting and a nurse practitioner or a physician precepts
or guides the student in the clinical setting. Some of
those preceptors are hard to find. Quite a few nurses
and physicians left the field during COVID, and many of
those practices now are looking for more healthcare providers, and
(41:58):
so preceptors are scarce, especially in a specialty areas like
pediatrics for my good friend de Morin and also OB,
so in pediatrics and OB it's hard for us to
find preceptors, and that's probably our biggest challenge. So what
we've offered stipends to the preceptors to support clinical training.
(42:21):
We've worked creatively to get grant funding to give both
our students and the preceptors stipends for doing that work.
And then we also really encourage our students to do
their clinical and medically underserved areas because those areas are
(42:41):
more likely to take students for traineeships, and many when
they do that precepting, many are hired right from that
precepted experience because they get to know our students, they
get to like our students, they see that our students
are competent and that they're carrying and compassionate, and they
do a good job and want to hire them. So
that's an easy transition into getting their first job. But
(43:04):
you know, getting your first job as nurs practitioner is
really daunting. So at Western w we cultivate a learning
environment that's granted in wellness and professionalism and psychological safety,
so the students feel supported as they are growing through
their academic career. So by time they enter into practice,
they've had the hands on preceptorship and then this really safe, learning,
(43:28):
thriving educational environment. So not only are they clinically prepared,
but they're resilient, they're reflective, and they're ready to lead
in dynamic health care settings. So when they go out
and get their first job, they're successful and they've launched
their career.
Speaker 2 (43:48):
That is remarkable. I love that you have these next
generation of healthcare providers, you know, working on their resilience muscle, right,
because you must be resilient to walk into these different
landscapes and settings to treat patients of all ranges, of
all you know, all backgrounds and all needs. Doctor Warren Western,
(44:13):
you as at the forefront of healthcare education. How do
you measure success in training the next generation of osteopathic physicians?
Speaker 4 (44:24):
Yeah, well, you know, one success is just taking a
look at each alumni and just observing and just hearing
their stories. You know, I really think that's that's one
piece of it is you can have numerics so many
percentage in these areas and such, but when you get
to hear about how their trajectory was and the impact
(44:46):
that each alum is making, and that's that's when you
really can start to really quantify the compounding ripple positivity
and the effect that they're making in their communities. Other
ways in which definitely can measure some success is them
(45:07):
becoming our preceptors, being the mentors, the advocates for the profession,
their future leaders in the health system, and trying to
make those changes that they know inherently need to be
made and willing to speak up and advocate for those changes.
That's what we train them early on in their education
(45:29):
while they're at Western, You really giving them that safe
space to start to find their voice, their place, so
that when they transition into their next steps of their career,
they are at least empowered first, but also have some
tools and skills to be able to continue to be
those leaders and really train those next generation of ostopathic
(45:53):
physicians to make some wonderful changes in the lives of
their patients and communities.
Speaker 2 (45:58):
That is remarkable, And what would you say to anyone
that's listening that is exploring a future in healthcare and
considering Western You as their starting point.
Speaker 4 (46:09):
Well, one is that you have to know your why.
You know, know your why and in it finding that
place where you will have the resources but also also
the mentorship the support in the community to help nurture
you through your own personal goals. I think that is
(46:32):
something that we do really really well at Western You.
Our centered focus, our singular mission is about the student.
Everything that we do, whether you're an administrator, a faculty,
a staff, appear anyone there is all about how to
make the students experience the most meaningful and ready for
(46:55):
their next steps in their career. And so for me,
it's a wonderful place. I can honestly attest that I
am a success story through it, but I know my
peers and colleagues and have seen their successes as well.
So for those of you that are out there and
looking for a career in whatever part of the healthcare
(47:17):
field you're interested in, Western You has the mentors to
support the educational framework to make you the best whoever
healthcare provider you're going to be.
Speaker 2 (47:28):
That's absolutely remarkable. I love it, and yes, it's for you,
a full circle moment and the true product and advocate
for Western You. Doctor Lopez, looking ahead, how do you
see Western you adapting and innovating to meet the continuous
evolving needs of both patients and the healthcare workforce.
Speaker 3 (47:51):
Well, you know, I think that artificial intelligence is bringing
healthcare into a new realm of diagnostics and management of
so many health outcomes, from genetics to mental health solutions
and care generative solutions, bots, critical thinking. It's like an
entirely new plane. I think that we are teaching our
(48:14):
students to work with AI, not only to learn because
it's here to stay, but we're also teaching them to
work ethically with AI and responsibly while engaging AI to
maximize the opportunities that AI is offering them as they
navigate this new world. AI is now going to be
(48:36):
embedded throughout the healthcare arena, and so I don't think
that nurses or physicians will be replaced by AI, as
some people, you know, catastrophize, because as Dean Warren was saying,
that that physical touch is always needed by human beings,
and I don't think robots can do that they can
(48:59):
work off of a proto call, for example. But we
learned over twenty years ago that cookbook medicine, whether it's
in nursing or in the medical field, doesn't work. It's
got to be individualized care. So we need to use
AI ethically. But we are integrating it. We're integrating it
in our mechanics, so you know, IV pumps, ventilators, follies,
(49:20):
everything can have smart medicine in it to just give
us information faster. And we're integrating telehealth, simulation, data informed practice,
team based care models. All of that is going to
have AI integrated through it, but it's just going to
strengthen our focus on behavioral health, primary care and service
(49:41):
to underserved communities. Above all, we remain committed to being compassionate,
hands on practitioners.
Speaker 2 (49:49):
That is so exciting and a relief to hear that
this innovation and technology will be used, you know, with
the utmost care for the page to create smarter, faster diagnosis,
a treatment, and various other opportunities to treat the patient.
(50:12):
Doctor Warren, doctor Lopez, thank you both so much for
taking the time to share the remarkable work, innovation and
personal human touch that is taking place at Western University
of Health Sciences.
Speaker 3 (50:26):
Thank you for having us, Yeah, thank you, it was fun.
Speaker 2 (50:29):
Thank you all right for everybody listening, don't forget to
find us on Facebook, YouTube, LinkedIn, and Instagram. Don't miss
my conversation with doctor Eileen Dingjian, an architect of community
health and visionary leader who forges powerful alliances that bridge
education and equity across sectors. With the legacy of innovative
workforce driven program she transforms healthcare for underserved youth. Alongside
(50:54):
her syrah Ram Chita, once a non clinical intern, stands
as a catalyst for progress, each amplifying the other's impact. Together,
they redefine what's possible in regional health and opportunity at
the Louis San Antonio Community Health Institute. Next week we
will have in time for Thanksgiving and all the wonderful
(51:16):
gatherings we're going to be experiencing between Thanksgiving, Holidays, Christmas
and New Year's. Christine Joy Ferreira is a dynamic etiquette
coach and creator of the Polished Message method. With over
a decade of experience, she empowers individuals and organizations to
elevate their presence, confidence, and professionalism through hands on practical learning.
(51:40):
Christine's engaging approach and expertise have inspired audiences from universities
to global pageants, making her the go to expert for
transforming first impressions and mastering social and professional success. Etiquette
is more than a knife and fork. You do not
want to miss it. We will see you all next week.
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