The Visible Voices

Hella Pick Pioneering British-Austrian Journalist

Hella Pick was born in Vienna, came to the UK on a Kindertransport and has lived in UK since 1939. She is a Graduate of the London School of Economics, was awarded a CBE in 2000, and received an honorary doctorate from Sussex University in 2018. She is a British-Austrian journalist who spent 35 years reporting for the Guardian in Washington, at the UN and all over Europe. Her memoir Invisible Walls was published in 2021She was on the staff of the Guardian newspaper from 1961- 1997, working first as UN correspondent, later Washington correspondent, East-West affairs correspondent, Diplomatic Editor, and Associate Foreign Affairs Editor. She has been a frequent contributor to BBC news programs and appearances on German and Austrian TV.Since 1998 she has worked a Senior consultant first for Lord Weidenfeld’s Club of Three and after its  foundation for his Institute of Strategic Dialogue, where she became Director of the Arts and Culture Programme organising international meetings on political/strategic, economic and arts issues, and also for five years an annual Europe-China Media exchange project. Hella has served on the Advisory Board of the German-Jewish Studies Centre at Sussex University for more than 10 years, and on behalf of Lord Weidenfeld was closely involved in the establishment of the Chair of Israel Studies at Sussex University.  She is currently acting in an advisory capacity for the establishment of the Sussex University Weidenfeld Institute of Jewish Studies She is the author of Simon Wiesenthal - A Life in Search of Justice published by Weidenfeld & Nicolson (1996). Her latest book , her memoir is Invisible Walls – a Journalist in search of her Life’  was published by Weidenfeld&Nicolson (2021).

Don Berwick Nana Twum-Danso The Institute for Healthcare Improvement

Donald M. Berwick, MD, MPP, FRCP, President Emeritus and Senior Fellow, Institute for Healthcare Improvement, is also former Administrator of the Centers for Medicare & Medicaid Services. A pediatrician by background, Dr. Berwick has served on the faculty of the Harvard Medical School and Harvard School of Public Health, and on the staffs of Boston's Children's Hospital Medical Center, Massachusetts General Hospital, and the Brigham and Women's Hospital. He has also served as Vice Chair of the US Preventive Services Task Force, the first "Independent Member" of the American Hospital Association Board of Trustees, and Chair of the National Advisory Council of the Agency for Healthcare Research and Quality. He served two terms on the Institute of Medicine's (IOM's) Governing Council, was a member of the IOM's Global Health Board, and served on President Clinton's Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. Recognized as a leading authority on health care quality and improvement, Dr. Berwick has received numerous awards for his contributions. In 2005, he was appointed "Honorary Knight Commander of the British Empire" by Her Majesty, Queen Elizabeth II in recognition of his work with the British National Health Service. Dr. Berwick is the author or co-author of over 160 scientific articles and six books. He currently serves as Lecturer in the Department of Health Care Policy at Harvard Medical School. Follow Don on TwitterNana Twum-Danso, MD, MPH, FACPM, ​Senior Vice President, Global, Institute for Healthcare Improvement (IHI), leads all global strategy and client development, with top-line revenue responsibility. Previously she was Managing Director for Health at The Rockefeller Foundation, overseeing a strategy designed to transform the practice of public health through data science. She is a public health and preventive medicine physician with 20 years of experience in health policy, practice, strategy, monitoring, learning, evaluation, research, and philanthropy at local, national, and international levels. Dr. Twum-Danso is also an Adjunct Assistant Professor in the Department of Maternal and Child Health at the Gillings School of Global Public Health at the University of North Carolina, Chapel Hill. She worked at the Task Force for Global Health in Atlanta, Georgia; was Director of IHI’s nationwide CQI initiative in Ghana; Senior Program Officer in the MNCH Department at the Bill & Melinda Gates Foundation; independent consultant; and Founder and CEO of MAZA, a social enterprise that provided on-demand health care transportation for pregnant women and sick infants in remote areas of Ghana. She also served on technical advisory committees for the World Health Organization, the US National Academy of Sciences, Engineering and Medicine, and the Canadian International Development Research Centre. Dr. Twum-Danso received her undergraduate and medical education from Harvard University and her public health and preventive medicine residency training from Emory University.  Follow Nana on Twitter.

Mati Hlatshwayo Davis Health Director

Dr. Matifadza (Mati) Hlatshwayo Davis is a Zimbabwean born, American based physician and public health expert in Missouri. Her subspecialty is infectious diseases, with a focus on community engagement addressing health disparities amongst people from historically marginalized groups. She serves as the Director of Health for the City of St. Louis Department of Health.Follow Mati on Twitter and LinkedIn

Joyce Lee and Kristy Shine Design Researchers

Joyce Lee MD is a Physician, Designer, Researcher, and the Robert P. Kelch, MD, Research Professor of Pediatrics at the University of Michigan. She is a Diabetologist (Pediatric Endocrinologist focused on Diabetes) and a clinical/health outcomes researcher with work focusing on the creation of learning health systems. She serves as Ambulatory Clinical Chief of Pediatric Medical Specialties, Associate Chief Medical Information Officer for Pediatric Research, and Associate Chair of Health Metrics and Learning Health Systems for the Department of Pediatrics.  Joyce on TwitterKristy M. Shine, MD, PhD is an Assistant Professor of Emergency Medicine at Thomas Jefferson University and Director of Scholarly Inquiry, Design, at the Sidney Kimmel Medical College. In addition to her role as attending physician and core faculty for the residency, Dr. Shine has worked in the medical device industry and holds graduate degrees in mechanical engineering and medical engineering/medical physics.  She believes that training doctors to be compassionate innovators will change the future of medicine. Kristy on Twitter

Cindy Gallop Women Challenge the Status Quo Because We are Never It

Cindy Gallop is a graduate of Somerville College, Oxford, whose background is over 30 years in brand-building, marketing and advertising - she started up the US office of ad agency Bartle Bogle Hegarty in New York in 1998 and in 2003 was named Advertising Woman of the Year.  She is the founder and CEO of IfWeRanTheWorld, co-action software launched in beta at TED 2010 and subsequently written up and taught as a Harvard Business School case study, which enables brands to implement the business model of the future – Shared Values + Shared Action = Shared Profit (financial and social). She is also the founder of MakeLoveNotPorn – ‘Pro-sex. Pro-porn. Pro-knowing the difference’ - a social sextech platform designed to promote good sexual behavior and good sexual values, which she launched at TED 2009, You can follow her on Twitter @cindygallop.The Future For White Men In Advertising: Cindy Gallop (2019)Cindy Gallop: Where The Money Is – Closing Keynote 2017 3% Conference (2017)

Andrew Petrosoniak and Al’ai Alvarez on The Process of Health Design

Al'ai Alvarez, MD aka LA is a national leader and educator on Wellness and Diversity, Equity, and Inclusion. He is a clinical assistant professor of Emergency Medicine and the Director of Well-Being at Stanford Emergency Medicine. He co-leads the Human Potential Team and serves as the Fellowship Director of the Stanford EM Physician Wellness, and Co-Chair of the Stanford WellMD's Physician Wellness Forum. His work focuses on humanizing physician roles as individuals and teams through the harnessing of our individual human potential in the context of high-performance teams. This includes optimizing the interdependence between Process Improvement (Quality and Clinical Operations), Recruitment (Diversity), and Well-being (Inclusion). Currently, he is one of the 2021-2022 Faculty Fellows at the Stanford Byers Center for Biodesign. Andrew Petrosoniak MD is a trauma team leader and emergency physician at St. Michael's Hospital in Toronto, Canada. He's an assistant professor at the University of Toronto and he leads the translational simulation program at St. Michael's Hospital. His research focuses on the use of in situ simulation and design thinking to support human-centered care. He's also co-principal at Advanced Performance Healthcare Design, a firm that consults with hospitals, start ups and high stake industries using simulation to improve decision making and inform the design of systems, spaces and teams. White paper on simulation informed design.In 2004, Patrick MacLeamy drew a set of curves based on a pretty self-evident observation: an architectural project becomes more difficult to change the more developed it becomes. For this earth-shattering revelation MacLeamy named the curve after himself (although the title should probably go to Boyd Paulson who drew the curve much earlier [see Noel’s comment to this post]). You have probably seen the graph before. It gets trotted out in every slide deck promoting BIM / IPD / or early-stage environmental analysis.  The key point is that architects expel their effort at a time when design changes are relatively costly. MacLeamy and his disciples advocate shifting design effort forward in the project, front loading it, in order to reduce the cost of design changes.

Jenna Lester and Susan Chon Skin Color Program and Representation in Dermatology

We Need More Illustrations of People of Color in Medical Textbooks— The lack of diversity perpetuates health inequality and stereotypes"The consequences of primarily depicting White, lighter skinned individuals with Eurocentric features in medical images supports the persuasive concept of White supremacy. It perpetuates the belief that the White male body is "the standard" to which all other bodies should be compared. It leads to inequality in medical education and further perpetuates harmful stereotypes of Black individuals. As a result, this issue plays a role in inappropriate diagnosis and health management of Black individuals. Furthermore, medical care becomes subjective, discriminatory, and filled with speculatory assumptions based on stereotypes."Jenna C. Lester is founder of the Skin of Color dermatology program at UCSF, which addresses the  persistent issues that arise from the exclusion and marginalization of non-white patients in medical  research and practice. She is combatting medical disparities due to racial inequality, working to fill education gaps in textbooks and curriculum about non-white skin and training a new generation of  doctors. A graduate of Harvard University and The Warren Alpert Medical School of Brown University, she is an assistant professor of dermatology at UCSF where she practices and teaches general dermatology.Jenna's TedX TalkSusan Y. Chon, a 1991 Brown graduate with an independent concentration in children’s literature, is a professor in the Department of Dermatology at the University of Texas M.D. Anderson Cancer Center. Prior to joining the faculty, she earned her M.D. from Stanford University School of Medicine. She then completed her internship in internal medicine and her dermatology residency at Stanford University Hospital. Chon specializes in treating patients with skin cancers, melanomas and skin disorders from cancer treatments. She is a medical educator and an active mentor for medical students and dermatology residents. She is also director of the Skin Cancer Screening and Prevention Program and founded the volunteer physician program for the Brookwood Community, a residential and vocational program for adults with disabilities. Chon is the president of the Brown Club of Houston, helping to maintain the connection between Brown and its graduates throughout the world, and serves as a member of the Women’s Leadership Council, Women’s Launch Pad and Philanthropy Advisory Group. Under-representation of skin of colour in dermatology images: not just an educational issue.Lester JC, Taylor SC, Chren MM.Br J Dermatol. 2019 Jun;180(6):1521-1522. doi: 10.1111/bjd.17608.PMID: 31157429 No abstract available. Clinical photography in skin of colour: tips and best practices.Lester JC, Clark L Jr, Linos E, Daneshjou R.Br J Dermatol. 2021 Jun;184(6):1177-1179. doi: 10.1111/bjd.19811. Epub 2021 Mar 18.PMID: 33448346 No abstract available. Integrating skin of color and sexual and gender minority content into dermatology residency curricula: A prospective program initiative.Jia JL, Gordon JS, Lester JC, Linos E, Nord KM, Bailey EE.J Am Acad Dermatol. 2021 Apr 16:S0190-9622(21)00816-1. doi: 10.1016/j.jaad.2021.04.018. Online ahead of print.PMID: 33872717 No abstract available.Two pandemics: Opportunities for diversity, equity and inclusion in dermatology.Lester JC, Taylorf SC.Int J Womens Dermatol. 2021 Jan 17;7(2):137-138. doi: 10.1016/j.ijwd.2021.01.015. eCollection 2021 Mar.PMID: 33937478 Free PMC article. No abstract available.Encouraging the next generation of skin of color researchers: Funding skin of color research in medical school and residency.Jia JL, Amuzie AU, Lester JC.J Am Acad Dermatol. 2021 Sep;85(3):e161-e163. doi: 10.1016/j.jaad.2020.11.048. Epub 2020 Nov 27.PMID: 33253843 No abstract available.Skin Cancer in People of Color: A Systematic Review.Zakhem GA, Pulavarty AN, Lester JC, Stevenson ML.Am J Clin Dermatol. 2021 Dec 13. doi: 10.1007/s40257-021-00662-z. Online ahead of print.PMID: 34902111BACKGROUND: People of African, Asian, Hispanic or Latino, Pacific Islander, and Native Indian descent are considered people of color by the Skin of Color Society (SOCS). OBJECTIVES: In this study, we assess incidence, risk factors, clinical characteristics, histopathology,  Skin-of-color article representation in dermatology literature 2009-2019: Higher citation counts and opportunities for inclusion.Amuzie AU, Jia JL, Taylor SC, Lester JC.J Am Acad Dermatol. 2021 Mar 24:S0190-9622(21)00617-4. doi: 10.1016/j.jaad.2021.03.063. Online ahead of print.PMID: 33771597 No abstract available.Establishing the diagnosis of rosacea in skin of color patients.Onalaja AA, Lester JC, Taylor SC.Cutis. 2019 Jul;104(1):38-41.PMID: 31487335Rosacea is a chronic inflammatory cutaneous disorder that may be underreported and underrecognized in skin of color (SOC) patients. There are several skin disorders that can present with the classic features of rosacea, such as erythema, papules, and pustules, which …Absence of images of skin of colour in publications of COVID-19 skin manifestations.Lester JC, Jia JL, Zhang L, Okoye GA, Linos E.Br J Dermatol. 2020 Sep;183(3):593-595. doi: 10.1111/bjd.19258. Epub 2020 Jul 16.PMID: 32471009 Free PMC article.Mounting evidence shows that COVID-19 impacts several organ systems, including the s

Celine Gounder A Voice for Public Health Pandemics and Podcasting

Celine Gounder, MD, ScM, FIDSA, is a Clinical Assistant Professor of Medicine and Infectious Diseases at NYU Grossman School of Medicine. She cares for patients on the wards at NYC Health + Hospitals/Bellevue and at Indian Health Service and tribal health facilities across the country.Dr. Gounder is the CEO, President, and Founder of Just Human Production, a non-profit multimedia organization. Dr. Gounder is the host and producer of American Diagnosis, a podcast on health and social justice, and Epidemic, a podcast about the COVID-19 coronavirus.She's written for The New Yorker, The Atlantic, The Guardian US, The Washington Post, Reuters, Quartz, Sports Illustrated, and Bloomberg View. She’s a frequent expert guest on CNN, HLN, MSNBC, Al Jazeera America, CBS, BBC, MTV, Dr. Oz, and Oprah Prime. She’s best known for her print and TV coverage of the Ebola, Zika, COVID-19, gun violence, and opioid abuse epidemics.In early 2015, Dr. Gounder spent two months volunteering as an Ebola aid worker in Guinea. In her free time, she interviewed locals to understand how the crisis was affecting them. She is currently making Dying to Talk, a feature-length documentary about the Ebola epidemic in Guinea.Dr. Gounder is also a consultant for TEDMED and on TEDMED’s 2017, 2018, and 2020 Editorial Advisory Boards.Between 1998 and 2012, she studied TB and HIV in South Africa, Lesotho, Malawi, Ethiopia, and Brazil. While on faculty at Johns Hopkins, Dr. Gounder was the Director for Delivery for the Gates Foundation-funded Consortium to Respond Effectively to the AIDS/TB Epidemic. She later served as Assistant Commissioner and Director of the Bureau of Tuberculosis Control at the New York City Department of Health and Mental Hygiene.She received her BA in Molecular Biology from Princeton University, her Master of Science in Epidemiology from the Johns Hopkins Bloomberg School of Public Health, and her MD from the University of Washington. Dr. Gounder was an intern and resident in Internal Medicine at Harvard’s Massachusetts General Hospital and a post-doctoral fellow in Infectious Diseases at Johns Hopkins University. She was elected a fellow of the Infectious Diseases Society of America in 2016 and featured in the IDSA’s 2017 Annual Report. In 2017, People Magazine named her one of 25 Women Changing the World.Website: https://www.celinegounder.com/

Jennifer Freyd Kevin Webb Institutional Trauma Betrayal and Courage

Jennifer Joy Freyd researcher, author, educator, and speaker. Freyd is an extensively published scholar who is best known for her theories of betrayal trauma, DARVO, institutional betrayal, and institutional courage.Freyd is the Founder and President of the Center for Institutional Courage, Professor Emerit[ of Psychology at the University of Oregon, Adjunct Professor of Psychiatry and Behavioral Sciences in the School of Medicine,[Faculty Fellow at the Clayman Institute for Gender Research, Affiliated Faculty, Women's Leadership Lab, Stanford University, and principal investigator of the Freyd Dynamics Lab.Betrayal trauma Earlier this year, she settled a lawsuit she filed against the University of Oregon after learning that the university was paying her $18,000 less per year than male colleagues closest in rank to her. The university agreed to pay her $350,000 to cover her claims for damages and her attorneys’ fees and also agreed to donate $100,000 to the Center for Institutional Courage.Kevin Webb is a higher education training professional specializing in Title IX compliance and gender-based violence prevention, as well as equity and inclusion. Kevin has developed, implemented, and facilitated in-person and online training and education programs for students, faculty, and staff at large public and private universities, and produced a variety of education and awareness events around sexual assault and relationship violence prevention in collaboration with campus and community partners. Kevin has developed content for online Title IX/sexual misconduct training implemented by a cross section of American colleges and universities, and provided sexual harassment training for private organizations. Kevin has a Bachelor of Arts degree in Sociology and Organizational Behavior and Management from Brown University, where he served as a teaching assistant in sociology courses dealing with issues of race and social justice, and a Master’s degree in Public Administration (MPA) from the Baruch College School of Public Affairs, CUNY.In the news:Institutional betrayal Three graduate students file sexual harassment suit against prominent Harvard anthropology professor (Boston Globe)DARVO A high-flying German media giant is ahead on digital media but seems stuck in the past when it comes to the workplace and deal-making. Axel Springer (NYTimes)Women spoke up, men cried conspiracy: inside Axel Springer’s #MeToo moment (Financial Times)2018 NASEM Report  Sexual Harassment in Academic Science Engineering and MedicineThis study examined the prevalence and impact of sexual harassment in academia on the career advancement of women in the scientific, technical, and medical workforce. The report concludes that the cumulative result of sexual harassment in academic sciences, engineering, and medicine is significant damage to research integrity and a costly loss of talent in these fields. It provides a series of recommendations for systemwide changes to the culture and climate in higher education to prevent and effectively address all forms of sexual harassment.DARVODARVO stands for Deny, Attack, and Reverse Victim and Offender—a perpetrator strategy. The perpetrator may Deny the behavior, Attack the individual doing the confronting, and Reverse the roles of Victim and Offender, so that the perpetrator adopts the victim role and accuses the true victim of being an offender. This can occur when an actually guilty perpetrator assumes the role of "falsely accused" and attacks the accuser's credibility and blames the accuser of being the perpetrator of a false accusation.Institutional courage™Institutional courage is the antidote to institutional betrayal. It includes institutional accountability and transparency, as when institutions respond well to disclosures and when institutions conduct anonymous surveys of victimization within the institution and then use the data to become healthier.Betrayal blindnessBetrayal blindness, a key concept of betrayal trauma theory, is the unawareness, not-knowing, and forgetting exhibited by people towards betrayal. Victims, perpetrators, and witnesses may display betrayal blindness in order to preserve relationships, institutions, and social systems upon which they depend.Betrayal trauma A betrayal trauma occurs when someone you trust and/or someone who has power over you mistreats you. For instance, it’s a betrayal trauma when your boss sexually harasses you. Our research shows that betrayal traumas are toxic. They are associated with measurable harm, both physical and mental.Institutional betrayalInstitutional betrayal, developed from betrayal trauma theory, occurs when the institution you trust or depend upon mistreats you. It can be overt but it can also be less obvious, for instance, a failure to protect you when protection is a reasonable expectation. Our research shows that institutional betrayal is also related to measurable harm —again both mental and physical.

Ashley McMullen Storyteller and Human Doctor

Dr. Ashley McMullen is an assistant professor of medicine at the University of California, San Francisco and a primary care internist based at the San Francisco VA Hospital. She is a Houston, TX native and lifelong book nerd, who grew up nurtured by her mother, a pediatric nurse, and grandmother, an ordained minister. Dr. McMullen’s work focuses on the role of narrative and storytelling in medical education as a mechanism for healing, advocacy, and improving care across differences. She served as the host and producer of The Nocturnists: Black Voices in Healthcare Series, a 2021 Webby Award Honoree, and recently launched a new story-telling podcast with Dr. Kimberly Manning called, The Human Doctor.