Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

For more information about bringing Medication for Addiction Treatment (MAT) to your practice, visit BridgeToTreatment.org.

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

To connect with the Real Talk Podcast, record your story with us, or bring Real Talk to your residency program or hospital, get started at https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

To connect with the Real Talk Podcast, record your story with us, or bring Real Talk to your residency program or hospital, get started at https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

1. Be informed, and get your information from accurate sources. This means, unfortunately, not the president or other politicians (who have asserted inaccurate and misleading statements many times over the recent weeks on national TV), random blogs, non medical influencers, or most things you see on Social Media. You should be extremely selective of where you get your information. Accurate sources include:

• Center for Disease Control – https://www.cdc.gov/coronavirus/2019-ncov
• American College of Emergency Physicians – https://www.acep.org/corona/COVID-19/
• World Health Organization – https://www.who.int/

2. Don’t play medical doctor for yourself or others unless you are one. This includes (1) do not attempt to read medical literature and apply it without training on how to do that (watch the video / listen to the episode for more details!), and (2) do notbuy and take medications or supplements that you heard or read may help prevent or treat COVID-19. So far, there is no proven cure or preventative medication and if you take these medications, you can go blind and experience other horrible side effects. Only take medications prescribed by your healthcare provider.

3. What can you do? Take Social/Physical Distancing Seriously. Wash your hands. And stop buying ALL THE THINGS at the store. The coronavirus is not a threat to our food, water, and toilet paper supply; the only threat to these items is people buying more than they normally do.

• Beautiful description of why we must socially distance from Dr. Emily Landon: https://www.uchicagomedicine.org/forefront/coronavirus-disease-covid-19/emily-landon-speaks-about-covid-19-at-illinois-governors-press-conference
• Wash your hands for a full 20 seconds with Gloria Gaynor – you will survive! https://www.youtube.com/watch?v=uvqP5NRXf8g

4. Stay calm, but take this seriously. ESPECIALLY if you work in healthcare! Most people will be fine, even if they get infected, but we all have to do our part – especially healthy people! – to protect our communities from serious illness and rapid spread of disease. Healthcare workers, be sure you are using Personal Protective Equipment appropriately, and hold others accountable when they overuse. The supply is running dangerously low and we must be stewards of our PPE and prioritize provider safety, too!

• CDC guidelines for PPE shortage: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html
• Proper PPE donning/doffing for healthcare workers (start about 5 min in): https://youtu.be/bG6zISnenPg?t=306

5. Thank a healthcare worker. Love on your loved ones. And subscribe to the RealTalk podcast!!! Now is the perfect time to binge listen to our show to get a better understanding of what it's really like for healthcare workers on the front lines of medicine.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/
Intro music: "Honey and Milk" by The 126ers

To connect with the Real Talk Podcast, record your story with us, or bring Real Talk to your residency program or hospital, get started at https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/

Other resources available during this crazy COVID time (as of May 28, 2020, of course subject to change):

Educational Learning & Mental Health Resources

1. Physician Support Line: Peer support line for doctors by Volunteer Psychiatrists. 1-888-409-0141 8am-12am Eastern.
2.  ER Dr. & Chaplain candidate Wendy Lau MD offers personal our group support sessions
3. TalkSpace has lots of videos and other resources from their staff therapists. You can also do virtual counseling/therapy sessions at varying cost levels.
4. EM Pulse released three wonderful pandemic related episodes: Grace, Meditation, & Comfort
5. EM Crit created an ever up-to-date online Internet Book of Critical Care with a chapter constantly being updated with the latest on COVID19
6. EM RAP has a COVID19 response page with information about live update events, a Corependium chapter on COVID19, and other great educational updates about caring for our patients in this pandemic.
7. AMA offers COVID19 education & FAQs along with mental health tips for providers. They also published this article on Creating a Resilient Organization for hospital leaders in caring for providers during COVID19.
8. National Academy of Medicine resources to support clinician health & wellbeing @ NAM resources
9. Med+Ed resources for providers, their families, & hospital leadership @ Med+Ed & Med+Ed Self Care
10. Center for the Study of Traumatic Stress has a page of COVID-19 Pandemic Response Resources
11. American Academy of Pediatrics’ Keeping Well in COVID resources on Padlet
12. ACGME has responded to the pandemic with updates & resources posted here
13. Nature created guidelines for Mentoring During the COVID-19 Pandemic
14. American College of Lifestyle Medicine created info sheets for patients and providers about taking care of your physical and mental health during this time.
15.  Seattle-based researchers at VitalTalk created a “communication playbook” for providers to help give compassionate but clear responses to most patient concerns and questions about COVID19.
16. NY Office of Mental Health & American Psychological Association created Psychological First Aid resources

Physical/Personal Health & Wellness

1. 9to5MAC has a list of free or discounted wellness apps including (you guessed it!) *YOGA* and meditation. ;]
2. Workout Apps/Websites with discounts or free trials: 
   1. Orange Theory Fitness
   2. 24-hour fitness
   3. Pelaton (30 day free trial)
   4. Nike Run Club
   5. Yoga 2.0
   6. Down Dog Yoga (free through July 1, 2020 for healthcare workers)
3. Meditation Apps/Websites with discounts or free trials: 
   1. UCSD Center for Mindfulness guided audio & video meditation
   2. Balance, a new meditation app, offers a free one-year subscription to anyone. Download the app, then email access@balanceapp.com for instructions.
   3. Headspace
   4. Calm (3 months free)
   5. Insight Timer
   6. Ten Percent Happier

Many other discounts on services, uniforms, equipment, lodging and transportation, fitness and more can be seen at HealthJob.

Intro music: "Honey and Milk" by The 126ers

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

Intro music: "Honey and Milk" by The 126ers

To connect with the Real Talk Podcast, record your story with us, or bring Real Talk to your residency program or hospital, get started at https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

The Real Talk with CA Bridge series was recorded during an online Real Talk session with the CA Bridge Program Team.

CA Bridge is a program of the Public Health Institute working to ensure that people with substance use disorder receive 24/7 high-quality care in every California health system. CA Bridge integrates addiction treatment into standard medical practice, increasing access to treatment and saving more lives. Learn more at BridgeToTreatment.org.

Notes about Medication for Addiction Treatment (MAT)

Three main medications are used in MAT: Buprenorphine, Methadone, and Naltrexone.

• Methadone for MAT may only be administered through a federally licensed opioid treatment program, and may not be prescribed for outpatient use from the hospital or emergency department.
• Buprenorphine (ex: Suboxone) for MAT can be started in a clinic, hospital, or emergency department and patients can be treated in the ED or acute care setting for up to 3 days without any special licensing or permission. However, in order to write a prescription for buprenorphine, providers must have a DATA2000 waiver for their DEA license ("DEA-X” or “X waiver”).

Obtaining an X-waiver – Requires an 8-hour training for physicians, 24-hour training for Physician Assistants or Nurse Practitioners.

Note: X-waiver trainings include Continuing Medical Education (CME) credits that qualify toward the one-time 12 units on pain management required for all physicians by the CA Medical Board!

There are several ways to complete the X-waiver training, including partial or full in-person training or fully self-guided online training – ex: through Providers Clinical Support System, an initiative from the Substance Abuse & Mental Health Services Administration (SAMHSA). This training is free to any provider. 

To complete the FREE Online X-waiver Training through PCSS:

1. Go here: https://pcssnow.org/medication-assisted-treatment/
2. Select your role (physician, PA, etc.) and follow the steps to complete the Online 8-hour MAT Waiver Training (doctors) or the 24-hour training (PAs & NPs)
3. Register (free!) by creating an account, then complete the training and post-test (life pro tip: pay attention to the pre-test!!)
4. At the conclusion of the training, you must submit your completion certificate to apply for the DEA X-waiver (also free!). Instructions can be followed in the pop-up window at the conclusion of the training, or accessed directly at: https://buprenorphine.samhsa.gov/forms/select-practitioner-type.php, or select “Apply for a Practitioner Waiver” from: https://www.samhsa.gov/medication-assisted-treatment/training-materials-resources/apply-for-practitioner-waiver

When applying for the X-waiver:

• CA Physician Assistants must list a supervising physician (typically the department chair or medical director). Note this supervisor is not required to have their own respective X-waiver.
• CA Nurse Practitioners do not need to list a supervising physician
• The waiver limits providers to 30 or 100 patients actively on Buprenorphine for MAT at one time. For most acute care providers, it is unlikely they will ever have more than 100 active Buprenorphine prescriptions being filled/taken by patients at one time, so this limit is not a practical issue. However, if desired, providers who meet specific criteria can apply to increase their patient limit to 275 after one year at the 100-patient limit.

Confirming your X-waiver: It takes about two weeks for a X-waiver application to be processed, but the physical X-waiver card can take much longer to arrive in the mail. The status of an individual provider’s X-waiver can be checked online in the meantime (https://www.samhsa.gov/bupe/lookup-form), and that provider can start prescribing Buprenorphine as soon as they are approved.

A provider’s X-waiver number is the same as their normal DEA number, substituting an X for the first letter of their normal number. (Ex: If a provider’s DEA numbers is FK1234567, their X-waiver number will be XK1234567).

Episode intro music: "Honey and Milk" by The 126ers

The Real Talk with CA Bridge series was recorded during an online Real Talk session with the CA Bridge Program Team.

CA Bridge is a program of the Public Health Institute working to ensure that people with substance use disorder receive 24/7 high-quality care in every California health system. CA Bridge integrates addiction treatment into standard medical practice, increasing access to treatment and saving more lives. Learn more at BridgeToTreatment.org.

For more information and resources on Harm Reduction, check out the Harm Reduction Coalition at https://harmreduction.org/.

For more on words and language surrounding addiction, check out this paper from the Office of National Drug Control Policy or this essay from JAMA: Botticelli MP, Koh HK. Changing the Language of Addiction. JAMA. 2016;316(13):1361-1362. doi:10.1001/jama.2016.11874

Episode intro music: "Honey and Milk" by The 126ers

The Real Talk with CA Bridge series was recorded during an online Real Talk session with the CA Bridge Program Team.

CA Bridge is a program of the Public Health Institute working to ensure that people with substance use disorder receive 24/7 high-quality care in every California health system. CA Bridge integrates addiction treatment into standard medical practice, increasing access to treatment and saving more lives. Learn more at BridgeToTreatment.org.

Articles referenced in this episode include:
Melzack R. The tragedy of needless pain. Scientific American. 1990;262(2):27-33. doi:10.1038/scientificamerican0290-27  [PubMed]

For more information on the role healthcare played in driving the opioid epidemic, see this detailed FDA timeline. Information about the Press Ganey pain management questions can be found here.

Episode intro music: "Honey and Milk" by The 126ers

To find information on local needle/syringe exchange programs, search for your city on the North American Syringe Exchange Network.

CA Bridge is a program of the Public Health Institute working to ensure that people with substance use disorder receive 24/7 high-quality care in every California health system. CA Bridge integrates addiction treatment into standard medical practice, increasing access to treatment and saving more lives. Learn more at BridgeToTreatment.org.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

MS1 is commonly used short hand for a Medical Student in their first year.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers
Outro music: "Poured" by Lauren Duski

MS1 is commonly used short hand for a Medical Student in their first year.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers
Outro music: "Poured" by Lauren Duski

MS1 is commonly used shorthand for a Medical Student in their first year. MS2 is a second year student.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers
“Sound of Silence” composed by Paul Simon, performed by Brian.
Outro music: "Poured" by Lauren Duski

MS1 is commonly used shorthand for a Medical Student in their first year.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

Outro music: "Poured" by Lauren Duski

The Vituity Cares Foundation was formed in 2020 in an effort to foster a new, more diverse generation of healthcare leaders, countering underrepresentation in the industry. Vituity Cares is dedicated to healing the most vulnerable, empowering the underrepresented, and ensuring a more equitable future for all. More information is available at https://www.vituitycares.org/.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/

Episode hosted by Javay Walton
Intro music: "Honey and Milk" by The 126ers

Outro music: "Oceanside Bonfire" by The Great North Sound Society

The Vituity Cares Foundation was formed in 2020 in an effort to foster a new, more diverse generation of healthcare leaders, countering underrepresentation in the industry. Vituity Cares is dedicated to healing the most vulnerable, empowering the underrepresented, and ensuring a more equitable future for all. More information is available at https://www.vituitycares.org/.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/
Episode hosted by Javay Walton

Intro music: "Honey and Milk" by The 126ers

Outro music: "Oceanside Bonfire" by The Great North Sound Society

The Vituity Cares Foundation was formed in 2020 in an effort to foster a new, more diverse generation of healthcare leaders, countering underrepresentation in the industry. Vituity Cares is dedicated to healing the most vulnerable, empowering the underrepresented, and ensuring a more equitable future for all. More information is available at https://www.vituitycares.org/.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/
Episode hosted by Javay Walton

Intro music: "Honey and Milk" by The 126ers

Outro music: "Oceanside Bonfire" by The Great North Sound Society

To connect with the Real Talk Podcast or record your story with us, visit https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

Outro music: "Forgiven Fate" by Dan Lebowitz

To connect with the Real Talk Podcast or record your story with us, visit https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

Outro music: "Silent night." Traditional. Performed by Alicia.

To connect with the Real Talk Podcast or record your story with us, visit https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

Outro music: "Instant Crush" by Corbyn Kites

To connect with the Real Talk Podcast or record your story with us, visit https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers
Outro music: "Checkmate" by Nathan Moore

To connect with the Real Talk Podcast or record your story with us, visit https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers
Outro music: "Touch Tone" by The Mini Vandals

Real Talk Unplugged is a series aimed at highlighting the stories of diverse voices in healthcare. Bisaan's story is brought to us by the WAVE Enterprise Resource Group – ensuring that Women At Vituity Excel in fulfilling their career and development goals.

The Vituity Cares Foundation was formed in 2020 in an effort to foster a new, more diverse generation of healthcare leaders, countering underrepresentation in the industry. Vituity Cares is dedicated to healing the most vulnerable, empowering the underrepresented, and ensuring a more equitable future for all. More information is available at https://www.vituitycares.org/.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/
Episode hosted by Melissa Nuñez, Manager of Academic & Scribe Recruiting programs & co-lead of WAVE at Vituity

Intro music: "Honey and Milk" by The 126ers

Outro music: "Hulu Ukulele" by Chris Haugen

To connect with the Real Talk Podcast or record your story with us, visit https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers
Outro music: "Take Your Time" by Dan Lebowitz

To connect with the Real Talk Podcast or record your story with us, visit https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers
Outro music: “Allabout” by Lauren Duski

Real Talk Unplugged is a series aimed at highlighting the stories of diverse voices in healthcare. Nicolle's story is brought to us by the BAAVC Enterprise Resource Group – comprised of Black/African American Vitans for Change.

The Vituity Cares Foundation was formed in 2020 in an effort to foster a new, more diverse generation of healthcare leaders, countering underrepresentation in the industry. Vituity Cares is dedicated to healing the most vulnerable, empowering the underrepresented, and ensuring a more equitable future for all. More information is available at https://www.vituitycares.org/.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/
Episode hosted by Christopher Smith, MD – Emergency Physician with Vituity. Listen to Chris' Story from our BLM series here.

Intro music: "Honey and Milk" by The 126ers

Outro music: "Hulu Ukulele" by Chris Haugen

Real Talk Unplugged is a series aimed at highlighting the stories of diverse voices in healthcare. Daniela's story is brought to us by Vituity's Mental Health Enterprise Resource Group.

The Vituity Cares Foundation was formed in 2020 in an effort to foster a new, more diverse generation of healthcare leaders, countering underrepresentation in the industry. Vituity Cares is dedicated to healing the most vulnerable, empowering the underrepresented, and ensuring a more equitable future for all. More information is available at https://www.vituitycares.org/.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/
Episode hosted by Zach Zeller – Senior Recruiter with Vituity.

Intro music: "Honey and Milk" by The 126ers

Outro music: "Hulu Ukulele" by Chris Haugen

Real Talk Unplugged is a series aimed at highlighting the stories of diverse voices in healthcare. Kristy's story is brought to us by the CAPIE Enterprise Resource Group – the Coalition of Asian & Pacific Islander Empowerment.

The Vituity Cares Foundation was formed in 2020 in an effort to foster a new, more diverse generation of healthcare leaders, countering underrepresentation in the industry. Vituity Cares is dedicated to healing the most vulnerable, empowering the underrepresented, and ensuring a more equitable future for all. More information is available at https://www.vituitycares.org/.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/
Episode hosted by Sandy Phan – Growth Team Proposal Developer with Vituity.

Intro music: "Honey and Milk" by The 126ers

Outro music: "Hulu Ukulele" by Chris Haugen

Real Talk Unplugged is a series aimed at highlighting the stories of diverse voices in healthcare. Nicolle's story is brought to us by the BAAVC Enterprise Resource Group – comprised of Black/African American Vitans for Change.

The Vituity Cares Foundation was formed in 2020 in an effort to foster a new, more diverse generation of healthcare leaders, countering underrepresentation in the industry. Vituity Cares is dedicated to healing the most vulnerable, empowering the underrepresented, and ensuring a more equitable future for all. More information is available at https://www.vituitycares.org/.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/
Episode hosted by Michael Broome – ITS Senior Manager with Vituity.

Intro music: "Honey and Milk" by The 126ers

Outro music: "Hulu Ukulele" by Chris Haugen

Real Talk Unplugged is a series aimed at highlighting the stories of diverse voices in healthcare. Sarah's story is brought to us by Vituity's Mental Health Enterprise Resource Group.

The Vituity Cares Foundation was formed in 2020 in an effort to foster a new, more diverse generation of healthcare leaders, countering underrepresentation in the industry. Vituity Cares is dedicated to healing the most vulnerable, empowering the underrepresented, and ensuring a more equitable future for all. More information is available at https://www.vituitycares.org/.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/
Episode hosted by Arati Manjula – Scribe Regional Lead with Vituity.

Intro music: "Honey and Milk" by The 126ers

Outro music: "Hulu Ukulele" by Chris Haugen

This episode was created together with Vituity, a physician partnership that places clinical expertise and patient outcomes at the center of their work.

Real Talk Unplugged is a series aimed at highlighting the stories of diverse voices in healthcare. Sean's story is brought to us by the VALOR Enterprise Resource Group – the Vituity Alliance for LGBTQ+ Opportunities & Resources.

The Vituity Cares Foundation was formed in 2020 in an effort to foster a new, more diverse generation of healthcare leaders, countering underrepresentation in the industry. Vituity Cares is dedicated to healing the most vulnerable, empowering the underrepresented, and ensuring a more equitable future for all. More information is available at https://www.vituitycares.org/.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/
Episode hosted by Molly Maxwell – Marketing Team Digital Content Manager with Vituity.

Intro music: "Honey and Milk" by The 126ers

Outro music: "Hulu Ukulele" by Chris Haugen

Real Talk Unplugged is a series aimed at highlighting the stories of diverse voices in healthcare. Today's story is brought to us by the WAVE Enterprise Resource Group – ensuring that Women At Vituity Excel in fulfilling their career and development goals.

The Vituity Cares Foundation was formed in 2020 in an effort to foster a new, more diverse generation of healthcare leaders, countering underrepresentation in the industry. Vituity Cares is dedicated to healing the most vulnerable, empowering the underrepresented, and ensuring a more equitable future for all. More information is available at https://www.vituitycares.org/.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/
Episode hosted by Melissa Nuñez, Manager of Academic & Scribe Recruiting programs & co-lead of WAVE at Vituity

Intro music: "Honey and Milk" by The 126ers

Outro music: "Hulu Ukulele" by Chris Haugen

Real Talk Unplugged is a series aimed at highlighting the stories of diverse voices in healthcare. Sean's story is brought to us by the VALOR Enterprise Resource Group – the Vituity Alliance for LGBTQ+ Opportunities & Resources.

The Vituity Cares Foundation was formed in 2020 in an effort to foster a new, more diverse generation of healthcare leaders, countering underrepresentation in the industry. Vituity Cares is dedicated to healing the most vulnerable, empowering the underrepresented, and ensuring a more equitable future for all. More information is available at https://www.vituitycares.org/.

To connect with the Real Talk Podcast or record your story with us, head to https://realtalk.transistor.fm/

Intro music: "Honey and Milk" by The 126ers

Outro music: "Hulu Ukulele" by Chris Haugen