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Opioid Crisis / Pediatric Medical Training

Sunday, July 30th

In segment 1, Ashley speaks with Brady Granier, BSN, and Bio Cor President about the opioid crisis.  He addresses detoxing, the pains and experiences of opiate withdrawal, and explains how counselors are key to successful treatment.  In segment 2, Gayle speaks with Dr. Saimi Chaudhry, Vice President for Academic Affairs and Chief Academic Officer, and Dr. Ronald Ford, Program Director of the Pediatric Residency Program for Memorial Healthcare System, about their new residency program that will train medical students in their six-hospital healthcare system.

Transcript - Not for consumer use. Robot overlords only. Will not be accurate.

Welcome to South Florida spotlight on 11 point five to play this MW a YS HD one name W a YSI Miami November. Coral Springs. Here's the latest and community affairs correspondent Ashley. And today's show. We had Brady grinding CEO and president of bio career and days you. About a very hot topic. The crisis that we're going through. Hopefully he's going to be able to clarify what the difference between some of these different drugs are certain only we're going to be speaking about. Detox thing. From the in these various drugs being Finley's can expect. Things those who I have detox had gone through and some of the tips he's learned along the way Brady thank you for joining the program. How exactly did you get involved. In this this detox things fields. I didn't play to the unit CO. I think many people claim to be in this field. I don't actually are registered nurse and I and I previous life. Many years ago before her venturing all. Into that media advertising world. Health care if you altogether it was always. They held scary guy at media company. Are you come across me. Interesting. New potential advertisers need medical space. Because of my background. I came across this. Little clinic in Southern California was treating alcoholics and I've only. Witnessed no track on implant. And it never heard no tracks on before even when analysts and others in the partners should limit mad and critical care. Eight taking care many people separate from addiction and Democrat you know the medication was around. Back. In 1989. So. Long story short. In across this company shall the great work you're doing helping people or alcoholism and contrary intrigue it. For lack of their parent how to edit dictate to what they were doing wanted to wanted to help and lot of researchers this medication called milk trucks are in college he's very active or are alcoholic. Well it will be allayed people sort of Oka a niche. And over the last few years spent a lot attack do more research and see all the changes taking place. And we're mainly treating alcoholics at the time and of course. You know that it. Didn't happen overnight did not. And going on curb for many many years now well the last couple years really. Snowballed. And be on the national headlines that it has been. So just being in the deep you know being in this space. You know and in looking at the difficulties of space we found. Well at all what we were doing with you know crack down. There very effective medication if someone if you can get someone on. And that law and therein lied to challenge when on the street people suffering from. Carolina are. Corruption pills and opulence I can shatter. He opulent based product. It's difficult. To get them on now trucks suddenly irons because. They have to be completely. Clean. I hope he might Okie lite in their system before they can get on no cracks on Claire. So and going through which balls. From infant cold Turkey. And stopping cold Turkey. From using Tokyo it is very very difficult painful. So many people that walkway. They used to know that that this misery that is pending misery coming along with that he can't cry. So. We started looking at you know what how can we help people to get. Off. Opiate like any form in on now tracks. And that's when we came across. East issue particles and products that are out there. One is the bridge to. That you referred to it you know there were talking about today and say it could device that. And it goes on the back of the year we're hearing aid. And it really it's like acupuncture for a year to stimulate nerves your body that mole or leisure on body into orphans. And basically what does it get. You don't you don't body door credentials. Well. Reduce significantly. The painful withdrawal symptoms from populated. We'll Brady you say there are cut. Great rates they were gonna break down and there's definitely three major components to what your talking about and I just want to back it up for a little bit here because the opium crisis is huge this is a very big deal right now and it's not only national news from the pharmaceutical companies bear a little bit of responsibility for. It came about because in the nineties. Pharmaceutical companies are reassured the medical community patients would not become addicted to prescription openly pain relievers. And health care providers sort of prescribing them at greater rates rate without due diligence as far as research is gone. So let's even go to the basics will you please tell us exactly what OP aides even even are and how you can become exposed to them and then highly addicted. All of Oak Hill and rob. The poppy. Add. If it paid. We got it buying news or OP noise. In the brain that usually used in court expecting capacity or. You're breathing in and other Viacom. But it you know it it's depressing it. Decreases pain and and honest that that was the main reason our these it'll be edited it to its earlier. Narcotic. And he's the opening noise. It covers. Many things. Fight it and they are oxy code down so prescription until you got people being big construction pills. I tend to be opiate like you and Greg de anxiety not a golfer. Our Michael realized that at the fight it and immersed in Dokic com. You could only Saturday people familiar it. And also covered Arab street are. Marking. A couple pioli is the turn it covers. And Jenny. Oh the only well I actually. And in critical that I could be. Some medication that you get recede in our little bit also figured it out you go and are being in a box on what you used to truly. He had addiction crisis. Well. They have a utility there but they're also synthetic population so they covered a wide ranging. Is a very big crisis right now the US Department of Health and Human Services has responding they're focusing its offer on five major priority is I don't know if you have. I've seen these priorities Brady. But number one is improving access to treatment and recovery services. Number two promoting use of overdose reversing drugs number three strengthening the understanding of the epidemic through better public health surveillance. Advancing better practices for pain management and number five which is what you guys are kind of doing right now. Is providing support for cutting edge research on Palin and addiction. So with the exception of number five which is what I think you are trying to do with this new technology. Do you feel the US Department of Health and Human Services on the right track. To getting this crisis under control. Well good question I think. Everyone knows the things that need to be got. It. It should if you can pick somebody doing backed government and we are Harry. Very fragmented and the broken. System. You know Larry and record her control. You know database would I think they're trying to improve that it's monitoring this from the middle of restrictions. You know there's an issue it. Caroline coming from southern border. And that is so many aspects and so it went out everyone knows kind of what each other as part implement. So. Yet I think we are. Anger right things like it's probably didn't do. I don't actuarial breaks down. An Indian education and and prevention is the key and we're we're we're play on the on the treatment died in which is very important Nadal is going to be people suffering from addiction but he. Are you out you never stop. Being here going to be here but you have to carry get ahead of the curve. And work in the education and prevention Saturday to reach and we align ourselves with some really organizations. I natural ally which goes into middle schools around the country and at each age kids on how to find their natural high and so you know boys from their Internet and buried. It age to start. So that that those are very very important things here for people to do it loud and prevention Saturday morning education. But it but can't you question I mean it yet almost five point aren't Orton. Not rocket science you know it's it's just it's really. You know getting to work and that's. Where things kind of you know fall apart and hopefully that would change and you'll see. Well and my. Animal and greedy few minutes ago eat and you said that at an addict knows. What's going to happen when they go through withdrawal and it's going to be a painful and uncomfortable process. So a lot of this correction that have to be done even comes from making that detox an experienced. Less. Shocking you know less hard on the system. So let's just talk about undergoing opiate withdrawal what are some of the pain typically experienced by somebody who is going through that kind of withdrawal. On the road to recovery. Well how can speak from experience. You know but the way described by many. It fuels like the worse let your life. Yeah you get mad at them some. Aches and pains him. If you still committed there actually are pretty you have all of those combined experiences. You know I hear. People that complain are severe leg. And it assists in Spain. And inept at it here and hanging. And the only thing that's gonna get rid of that paint. Is using it and then that always had the most. Our pick it is easier to act and it it eat your actual street heroin. And cheaper. In efforts territory are someone can feel better. And edit it took what would not having Eric doing it to get high anymore that he did it feel normal. And that's why it's so difficult to break this cycle and so. I think it's and that's like very important just for education. Are an awareness that hey there is it there are weak. Two if you really want to stop. There are weak stop you only if you don't need to be scared you know there are more comparable week. To do this without a lot of you know a lot of people that believe that all you know wait in your life tackle at any go to. Well you know you are gonna actually let a field. We you know I disagree you know this city busy and I don't think earlier this you know it or those are pointedly this. Pal. You know access to care needs to be better competitors that are that are. 44 million people a big it is and substance alcohol oracle or kill it it would that you can only ten or 15% they seriously. Actually in receiving treatment while. Active security improved no doubt. Treatment for addiction meek start in the emergency room in my opinion. Or going to that law currently lying. But the reality situation on Puget don't wanna quit. Cody athlete big numbers play action the cabinet also a huge percentages they're just not ready and hopefully one day it well. At some point they usually do they. I personally don't. But going back to why. They. Care prediction certainly you artists. I have close members that are you know examine it doesn't it and I can't help them because they are. But every now and enters a window of opportunity. Or they want to. And exude it if you don't help them right into that moment then you lose that opportunity. This is an oddity like any other disease where if you hit. You politely declined treatment courier. Here. This is only have a window of opportunity. And if you'd have to be able to what really happened and that someone had that window of opportunity where they want help. Eighty below walking Chu energy chair an emergency room or something that points or seven. They can and can't you look at retrieving an edit it boomers are would be equipped. Start handling. That person that's going to be probably would trolls when they get and they're raising your hand wanting help that the time that helped. And they only and you have to help in my getting rid of these patrols. And that's where he knew he chalked products and particles coming equation that's where it should be it. You begin there and now you bought them out you bought and some time. You can make some better life Asians. Once they have the pain and misery what troll but I. And said that the that the bigger change it needs a car. I just wanna take a second to re introduce Brady grind yea he's the CEO and president of bio correct. He earned his bachelor degree of science in nursing in 1995. And basically spent most of his medical career as a critical care air transport nurse and medic. Through ER he saw a lot of ways that we can help the various people with addiction and his very instinct philosophy on how we can do that he's been talking with us not the OP crisis. The pain that people experience while undergoing that type of withdrawal. And right now or discuss counts what secular that very important part of the detox process a matter what drug ailment it is your coming off of counseling provided during the recovery phase and this is. It's speaking to why it's so important what you're saying right now what are some other reason that you believe counseling is still important because honestly what you're talking I feel like counseling is what gets you through those even darker moments. When you decided to make the change. And you start feeling the pain and actual physical. Drug coming out of your body I feel like counseling is you're only lifeline. They're the the most important at a counseling you know and other recovery. You know support without. An aide in the small steps in and they are all very very important long term cover but those are freak incident treatment parts. And initial phase went in and get written and then. Let's get murdered and creating. It then that which you do that you you'd see detox from one year he put them on you know our product and are out and I had. And that buys them several months of sobriety and lack of creating so I think that's working window of opportunity now opened. Florida counseling could take place. But now when you remove your moved see it gripping creating. Of the addiction now people are more sick open it teachings out. Pocketed it therapy program and counseling or psychologists psychiatrists who have their seeing. So all of that all of them that I under the counseling umbrella. That behavioral psychosocial. Element and that's that's the most important part for the long term sobriety and an individual you can it contribute medication. So much. Which it should the underlying issues. The addiction. Whether it was physical pain that caught this from an injury Oregon no emotional crane at some sort. It in the any decorum co morbidity. But that's why and yeah sort of counseling part. You know you have to use this time. Sobriety. Teaching to give people better cool. To deal wit why in the future. You work on you look at him move forward and pitch count it and eventually start working on in the past and all the underlying issues. Sometimes when that we talked about various addictions or ailments that people half. Deep talks thing coming out of it. It's different for every one bit it's funny because as I'm talking to you I feel like. It sounds is detox thing from the and or an MP Walid. Is very much the same for everybody is that true or detox in different for different people. I. I would never seen something at the same for everybody would like is there a crossroads and we can. I carried out my only like I just had to girlfriend who went through cancer one of which you had no problems with keen now and the other had basically every problem you could have with key now so I mean that's that's the question is is is it that different for each person when it comes the detox in or is basically. You mean you're gonna go through some flu like symptoms getting this out of your body is not easy to do. Yeah I admit I I think it is all going to be a very good knowledge of indifference that person to person I mean this has. Addiction to spectrum disorder. You know I like you have to look at. Conditioning generals here compared hormone went to guide me. Yeah there's everybody east you have ten diabetic and Aaron editing it and doctor. They're all going to be treated differently because they gonna have their act different severity of their diabetes some people he gets. Not so people can manage it would diet and exercise. So that's how you that you need to check is it an individual case by eight and what's what's good for one person. They had eager for the other side I had a big effort that did peacocks thing out. Issue to eat it came across ordered. I'm sure they're in people that. Quit cold Turkey from Google diligently on the first time despite you know people due to smoking. Which are the hardest thing ever quits. So it would just cannot do it takes them forever all kinds of people can do it the first time so it's really. If that exits and it is inching mutton that he could it would it really is. Different. For every one can be different for everyone. Is a very big crisis right now the US Department of Health and Human Services has responding in their focusing its effort on five major priorities I don't know if you had theme means priority is 380. But number one is improving access to treatment and recovery services. Number two promoting use of overdose reversing drugs number three strengthening the understanding of the epidemic through better public health surveillance. Advancing better practices for pain management and number five which is what you guys are kind of doing right now. Is providing support for cutting edge research on pain and addiction. So with the exception of number five which is what I think you are trying to do with this new technology. Do you feel the US Department of Health and Human Services on the right track to getting this crisis under control. Well good question I think. Everyone knows that things that need to be got. It. It should if you can implementing doing act and we are very. Very fragmented. And broken. System. You know our record our control. You know database would I think they're trying to improve backing up its monitoring this from the middle of corrections. You know there's an issue it. Heroin coming from southern border. I think it is so many aspects and it intelligently all everyone knows how to it would yeah I just arc implement. Yet there I think we are. Anger right thing like it's problem in doing. That I know that's where else breaks down. An Indian education and and prevention is key and it literally will play on on the treatment died at age which is very important. And I saw it in the beat people suffering from addiction equity. Eddie you never gonna stop. Being here going to be here but yeah if I get it and it occurred. And work in the education. And prevention Saturday and we and we align ourselves with some really organizations. Natural high which goes into middle schools around the country and at each age kids on how to find their natural high and so you know boys from their yet to record buried. They each start. So bet that those are very very important things here for people to do it float it on the prevention side and that an education. But I get that can't your question I mean bay yet although I'd point aren't or. It's not rocket science. And it's it's just it's really. You know getting to war and that some. I think I don't. You know fall apart and hopefully that would change or it. Well it sounds like both companies like yours and the department of health are trying to find ways to get this under control. And I feel like that's the silver lining that should be taken from this is that there are good people out working trying to figure out how to help those who are affected by death. And in and you gave us. So much information information about what happens during withdrawal ways that you can help curb withdraw all one few are. EU mainly clean. I'm also some of the dangers of these different kinds of classifications of drugs. But what do you find the three most important things are. People should take away from our conversation this morning. I think most important that they. First aid if they haven't issued issued. Seek help. And not be embarrassed. That's that she you know that they're the stigma of addiction that's changing. I think everyone at this point out should cheers Theo. You know. Better about coming out Larry even though they had a problem. Now not love. It exactly now because it every every when it touched by the ballot should. You know overdose is the leading cause of you know death. And it is correct in saying so it it's affecting everyone's everyone this story so they should feel ashamed to come out and seek out and you know the second thing is that. Here it here. Open open all right. The verdict still PO I don't feel. Scared of the withdrawals. Pain withdrawal because they are. Solution out there now it's getting. It and every one area yet but is expanding. And so there's there's there's better solutions. On the way to. Help with that painful withdrawals so don't you at any excuse not to seek help because it just it's impossible. I mean those those are two important takeaways. And Aaron and third in other. Yeah out that you know getting. And I would encourage people to really look at. Once you're detox. From OP only to really look at some sort of. Now tracks owned based therapy. Attraction comes in. Many forms there's oral orders they injectable ultrasound which is a patrol that's on the market there's no trucks on implant. Where huge advocate of the use of I'll know tracks on maintenance therapy are open for overdosed protection in case of a relaxed. But also to stop some of the innocent people commuting by diminishing creating so I think getting on some sort of medication at fifty treatment program. Inclusive that no cracks down and counseling and we talked about earlier. I think you know I highly encourage people you look into those different programs that are out there a lot of there are a lot of good programs dot Eric. Part of fresh ration. I think a lot times it comes to media. But when it comes to media is bad. We spent a lot of time talking about statistics and the overdoses in this in this country and installation. Center. I went door here this since has yeah. You know written in our traffic that it they like you talk about those. Statistics. Look at statistics are sobering. And yet when it comes shoot the actual. Treatment and ideas about that it doesn't get equal time. And it takes a lot longer talk about that treatment option all of that we're talking about it takes time. Explaining this guy. An immediate and more every ticket immediately and sound bites and you know what I do an interview on certain you know. Mainstream media TV it's usually you just Korea for a minute I get a lot of we organize. Our. And I think big immediate need to do a better job who really. Discussing war you know what our options are edit Ichi the public any thing to do here but there are. There are some answers. I just heard is that I am good media that's what I heard you're good yeah look at 830 minutes. Do a lot oratory and thirty minute he can do due to current core. That's what we love our public affairs shows here's though we can shed light on things like this and also maybe provide a little help for someone out there listening or for someone who knows that the only or friend member. And can latch on to what you said earlier greedy which is. When they're not ready for help you can't help them. But when they come deal that is your window of opportunity. And you need to know what did you first. And once you first hit another. Right mood gated and I say I am so just in awe of how you started in the medical field and despite trying to get out in did back in the medical field helping people. Thank you so much for coming on and speaking with us today about the no pained he talks in this. Oh really crisis that we're facing here in the United States. Yeah I appreciate your time on anything anyone wants to learn more consumer education web site that addiction dot com. It'll water resources on that site. Still be Indian Ocean dot com is a great wrestlers today I think you so much again for coming and speaking with us this is a big deal especially here in South Florida where we are the prescription drug capital of the world. It's that they do very much speaking with us today. At. You're here in South Florida spotlight on one of one point five laid SN. Now community affairs correspondent Gail Norton. Living in a big city you'd never think you wouldn't be able to find a doctor. But it's estimated in ten years the US will face a shortage of as many as 100000. Doctors. Now Florida ranks forty seconds out of fifty in residency opportunities for physicians per population. And since many specialists tend to stay in the areas where they've completed their training. Florida could be losing out but not anymore memorial health care system is building an academic infrastructure. Which will begin training doctors in residency programs within a year. With us to talk about memorials graduate medical education program and more. Is doctor Sammy Chaudhry MI butchering that badly. Sign seen even told me. Vice president for academic affairs and chief academic officer and doctor Ronald fourth I think I got talent that's yeah program director. They're rich pediatric residency program there thank you both for joining us into the can you speak a bit about Florida's overall physicians work force and really the. Issues out there. Sure so let me start with the good news first so festival Florida. Does deserve some credit for increasing. To a certain extent the existing physician work for it's that does work currently in the state. So we now have 45000. Active licensed physicians in the state of Florida. And if you take a look at this number from say 2008. Or so we were down to 37000. So the state has done a good job of increasing. The active physicians who are working. The problem lies in the projections are moving forward. And the workforce. Numbers seem to indicate that the current positions we have. And the ones were producing will not be enough for our future health care needs with an aging population and then with more more people who are now moving into the stating in a Florida just surpassed in New York. As for the third most populous state in the country in half it never when he after California and Texas so. We see exploding population in Florida in the aging population. We do feel we need to produce more physicians and that's where the residency piece of the story comes and do you residents that you training your state like you mentioned often times go on to become your practicing providers in the future and unfortunately. By that metric Florida is not doing so great to redo ranks 42 at a fish he has you just mentioned. In terms of the number of residency slots we have four of the population. That we we currently enjoy. So are we typically behind a lot of other states that we don't have a lot of prisons C programs yes. And we are we are very behind we are 42 and fifteenth in terms of the number of physicians we will be producing for the future and that's the weary. And what do you attribute that to Regis nothing intentionally juicy terrorism. You know it's the larger issue the 60000 foot view is this country has never had. And nationwide. Sort of you know why I guess some of coordination points physician workforce strategy. There's never really been anything on the nationwide level. That. Provides guidance as to. How many physicians the country needs. Let alone the distribution and you know also it's thick it's always been historically. Every state for themselves you know I have ever since Medicaid and Medicare came to be in 1965 so each state just came up with its own strategy. What's happened historically is that the states in the northeast I would say did a very good job of going after these residency spots that's where you know a lot of the universities are also show. So it was just an historical trend it. Over time over the decades and now it's it's catching up to some of the states in the south and and and in Florida as well. Most in demand and now we've got our eye on yes we do and I I do have to say dat. That governor's office does deserve some credit for actually paying attention to this problem yes they they have done a relatively good job of trying to tackle it they've poured. A fair amount of money into. Undergraduate medical education which is the training of medical students. So we do have some really excellent new medical schools in the state of Florida State run medical schools and fire you for instance FAU. They've all been relatively new in the last ten years or so. And now that's they've done a pretty good job of getting more medical students in the states. Of course it it doesn't help if you don't have the residency spots to train them through. And that's for the focuses now as well as to try to increase the number of residency spots and those spots will belong to various hospitals in the. In the states. I think so in terms of memorial. Now we're at the process now where you have a campus. And have you begun or it's about to enroll her house this work you know our plan is and we had a five year strategic. Plans to roll out a variety of different residency programs over the next five years. We will be creating probably somewhere around nine or ten residency is for a five fellowship programs. And a total of about a little over 200 residency spots. That's that's our five year plan. And they will be in all different campuses at memorial memorial has six community hospitals. So we will be distributing the programs in the residence according to the the strength of the different hospitals. It is this something that you're going to be overseeing urged their whole staff. Well is it except I will be overseeing. The entire project so to speak to fight your fight your plan. And non easier is going to be one of the residency program directors and in one of the niners ten residency is that we end up creating. So we have plans yeah it is exciting pediatrics is is is one of the residency is we also. Have plans for an internal medicine residency. A physical medicine and rehab for residency that's because we have a really strong rehabilitation hospital on campus. And in the future will it will roll them out when his time emergency medicine and how did you land you know we'll see what the needs are. And with the community wants and to what the governor is focusing on you know as you down and and proceed accordingly. Now we have hearings to find out with the community months. Well all important meetings are public and so every time we have a meeting for the board of commissioners the public is is typically they're there the press says there are so they certainly have a say in what they want. I can tell you that the State's done a fairly good job of looking at where the needs are and Florida and that types of specialties that are needed and at memorial. We do take that into consideration of course we want to help out the state in whatever way we can there are certain specialties that are considered. Shortage specialties so for instance psychiatry at cleanup comes to mind as being a disciplined. That is more affected by the physician workforce shortage than others. So that uses the severe need for more psychiatrists in the areas that is one of the presidencies were going to be creating. So we're trying to focus on the ones that the state is saying they need more. And and and that's our plan since like that country's one of them neurology is another one. So but absolutely we welcomed the public and our our our board meetings there there typically there and and I ears open. Great now I understand that the Pembroke Pines has is going to have a campus memorial last. Yes we have several campuses so memorial hospital west. Is. Over in net on Flamingo Road at that campus. Just actually open up a beautiful. Really large graduate medical education buildings at two story building. And we just finished construction we have the ribbon cutting. For that from that area and to. The internal medicine residency is going to be primarily located there and the other residency is that we anticipate being there are neurology and did surgery. Presidential Dalton to rotate it all differences and all of them if you go to any memorial facility you may see a resident yeah. Yes so so in the future if you're admitted to a memorial hospital. There's a good chance that you might end up being taken care of by a resident physician. OK so. In terms of I know because I've watched memorial. Go I could think I live in that area and that's what it that's exactly how I finally know. The so I'm. In terms and you've got this five year plan. You got it already over and so. Where you go from here what happens now I eat you have slots to fail is that a way offers us something that you're going to be opening up now. Well. There is a cycle for residency applications is the same every year. So in September how. Applications. Open up so to speak there's an electronic application system that medical students around the country and around the world really. Are able to use submit their application through it it happens to be called RS ER AS every medical student knows about it. And then it hundreds if not thousands of applications will come in and that's six months later in march of every academic and every year. We have what's called a match so the medical students who come to interview with memorial and you know Israel's other places. They make a list today they put in their top hospitals that they wanna work in. The residency programs do the same thing we rank the top applicants that we want to and then threw away. Sophisticated algorithms there's a match that occurs and that matches finding an end in March. The hospitals find out what insurance they get to end the entrance find out where they're gonna be spending the next three to five years of their life can be called not to match the. Yeah automatic kind of like you have to Childs yes I think there is attending a student yeah. Irate. So doctor Ford as a program director of the pediatric residency programs can you tell us about that particular program have a similar. Yeah absolutely come our pediatric residency program will be based on the tournament Jude Children's Hospital. Who we have as I hope most of journalist we know an amazing facility there. It's an amazing faculty and staff who are very excited about the opportunity to teach these young physicians. About it out of the become teachers pediatricians. It's been very exciting to be an on the ground floor with this because. We can develop a curriculum that unique. That it is. Design that will fit our institution. And had to type of positions that we hope to produce from a most residency programs. Prefer most residents they tend to spend a lot of time in the hospital during those three to five years. Absolutely some better hospital days that's assess the pediatrics is primarily an outpatient specialty if you are primary care pediatrician you spend most of time and our office. So I know we hope to go we plan to have our curriculum. More balance so that our residents are spending. They're about equal time in the hospital and in a clinic settings so they did that I'm a more balanced experience. Oh we've been very fortunate to partner with a local primary care office that is very well established very well respected and has some amazing pediatricians practicing and it. And we will actually pay our residents with those penetrations. During their three years as mentors and to follow the a a real primary care setting they get to understand. Not only the dynamics of an office practice but the business aspects to do. Which is something that's often lacking medical training. So I have. I assume so we really think that sound the way we designed this program that will be turning out pediatricians who have a very. Oh well balance and not just learning how to diagnose and prescribe that actually understand that their patients are part of families which make up our communities and and to really teach them how important that is to be involved. In the community and to own represented at these children and their families on the committee level. Drug giant mushrooms been around for quite awhile and and most everybody I know who's apparently had a child there once or twice. So I mean it it does have a great reputations have been in the residency there is just gonna make it even more so I think people are going to be pretty excited about it. Green do you know we have against such amazing. Faculty who were so eager to teach we have. Amazing patients and families that. Are eager to participate in this learning for the residents who you know it's. It's one thing for me to be able to describe a disease process term residents must more. Meaningful for handling them or a patient is able to tell their experience and it's there wasn't really become something and I and hesitated patience we. We have we have I think to really partner with us I'm as we develop this program. Okay you said three to five years while for pediatrics has three years for internal medicine's it is three years. Each specialty. You visited is different in general I sort of have long. You know I think surgeries fighting stance. Yeah so it isn't you wanna go into so special as after that in some additional commitment of two to three years depending upon what are you choose to practice so. If you wanna be a pediatric cardiologist for instance you. The three year pediatric training and you going to do a pediatric fellowship pediatric cardiology fellowship pushes additional time. It was as a resident I know that your following other doctors went out see different. I mean you're are you also moved in. A setting where you're taking tests or is that gone now let's solve the setting and the question not on TV that it just. I feared taking care of the patients on it it's more than as more than just following three of those shows you CN TUX clubs or Grey's Anatomy or it's they're not too far off and that's really what it's Chrysler you're running around you're taking care of patients and you're talking to families near putting in the orders and you're in the OR and doing all the things. That attending physicians do it's a true. Apprenticeship model. And to the United States is really a leader in this regard I mean people come from all over the world to train here to do. Residency we have really the best system in the world you get an excellent training and and memorial I think one of the reasons where we aren't going to be successful end it in the realm of graduate medical education is because our medical staff and our hospitals are already. Pretty top notch facilities I mean if you look at Jodie what's happening I mean we do heart transplants there it's pretty amazing that we don't have a residency you know when you when you can deliver. That type of specialty care that coronary and Tricia married you know type of complicated. Care and and when you take care such complex cases. That's the best way to learn and in fact all of our hospitals are like that memorial regional hospital south which has an expertise and rehabilitation. Madison is just a top notch place where you can go and you get all kinds of rehabilitative services. Memorial hospital west is as you said you you know you live out there is just growing by leaps and bounds. And that hospital is seeing more and more patience and all kinds of complicated patients. As time moves forward so really the health system is expanding we have a very forward thinking CEO we have very supportive board of commissioners. Dame then I would say meal cheerleaders for the idea of having a residency if housed at memorial and transforming the health system into a true academic health center and so excited about that for the future. It sounds exciting if you just joined us for talking about memorial health cares in new. GM eat. Our. I guess that's the best way to describe it program as a residency program. And now it says in three years tomorrow's expected to be accredited and training in physical medicine. Rehabilitation pediatrics internal medicine a BGY and general surgery and emergency medicine is that pretty much everything. Yet we are in fact already accredited four of pediatrics physical medicine and we have an internal medicine. The hardest. We are already credited the others are pending aptly you know you have to put in applications. And then go through it it's a whole series of steps and then you become accredited. So are there any residents write down or yeah. None of our own residence right now we have a few that rotates from other local theater community about places but not ones that are our own. When we started in July of 2018. We will have our own pediatric residents internal medicine and physical medicine and rehab. Yeah every July after that we will ask more. So like in September then if someone is wanting to become a resident at memorial is that when he threw the hookah thing. They apply and also media for the match exactly if you're interested in those three programs in particular you can. The fly starting in September and then come for interviews and then decide if you wanna rank us. And then we do the same and then the following September that you can apply for additional programs and you know symbol will roll them out one at a time over the next five years. OK and so if someone's listening and what is the website they can go to. The web site is GM eat diet and HS dot net so graduate medical education. Died and HS memorial health care system dot net if you just Google graduate medical education or residency programs memorial health care system you'll find us. OK so we've got quite a bit of time left what other things can we talk about in terms of for residencies at memorial. Well we can highlight a little bit of the amazing construction that the health care system has done it's been part of the growth and the support that to the healthcare system has poured into GA me. And I think kids. It's not just the construction I guess I would say it's it's a marker for the general level of support that we've done from the community. From our board from our CEO from our executive staff. You know we have in this country 9000. Residency training programs yet had any given time yeah there's a lot it's 9000 programs across the country I'm talking. Presidencies and fellowships. And in any given time there's about a 130000. Residents. Working in some hospital in the United States is senate since it's an incredible. It's huge and so. There's really no point. Opening residency is unless you're going to improve what already exists. You know for instance I'll tell you for doctor Ford's program we have 200. Approximately 200 residency programs in pediatrics in the country. So. If you're going to be that 201. Your mind as well you know do something that improves the way medical training is being delivered. And the rest of the country. And so our focus and I hope that at memorial really trawler residency is is that. We teach doctors skills that they're going to need for 21 century health care. So if you think about it the residents to start with us in 2018. Will in fact be practicing medicine all the way up until 2050. So it seems like you know far far enough away that. You know what you think about it what woman doesn't look like yeah twenty stay on robotics community people anymore and I mean photos and machine learning and and who knows how it's gonna be financed who knows what it's going to be structured. Like we don't know but we do know that it's going to change. It's it's going to change dramatically. And there's been it. A fair amount and I would say that criticism and analyze them invalid. About the way our healthcare system is currently functioning of or some would say not functioning especially for afford the certain segments of the population and so. Our goal is to make sure that trainees today. Learn skills that they will in fact views over the next few decades. And we would like to train them so that they focused on the not just medical knowledge which if you ask them you know most people. Oh the public. He had the skills that doctors may be lack it's it's usually not a lack of scientific knowledge of the other things that bedside manner the bedside manner that treating a shares and nurses and I. Sanctum issues involved with billing and insurance which drives everyone crazy and you know it's it's those types of skills that doctors today need to navigate and you know one run and I do residency these are not things that we. Had to think a matter has to focus on it was all just okay learned the hard to learn yeah. Yeah yeah yeah and I learned that drugs land the medications Glen Day you know it and today it's so much more it's so much more complicated and so our goal. At memorial is to try to make sure that when we graduate our young physicians. That there are able to navigate what is becoming an increasingly complex health care system and health care environments. Okay and doctor for religion. So I haven't actually heard I don't mind those navigate the complexities of the OK consumer care and yes I echo what countries countries just said. I also think that the type of people. The type of position you want to turn out are those. Do I am are committed to. Lifelong learning as a physician. And again we're training more than I can stations now we want to make sure is that these young people understand. Them how to improve. They're patient care as they go through happily and adapt to come there healthy she ever changing health care system including technology. Come so we have a big focus on training them and patient safety. And quality improvement and learning methodology and how to improve their own practice so that when their out in whatever setting they choose to go. They can constantly. I don't. Examine and revised their own practices to make to hear their providing better. So do you know medicine is much more in 10% of the much more than being indicted Masterson who stays there really is. I'm multifaceted and includes this part of a lifelong learning and self improvement. This abilities not only be able to navigate the health care system yourself. Help your patients do that trouncing that's. No picnic in the wake up every day and there's something news it is it that you're the patience and have to face in terms of who they can go see and how much is gonna cost them. I don't expect that. Changed to stop fighting that's going to be something that they face constantly. We don't know start to Schroeder said but that's gonna look I can even you. Next week much less five tenure Chanel coat we need to prepare them to be able to adapt to those types of changes and help their patients cope with that. Okay. When India and another six hospitals there's memorial regional memorial last. I'm more of south is memorial regional. Eat Miramar. Right down there monitors are campus and marijuana exactly. And did you eat and then Joseph DiMaggio and ask and I made another joke in my shoes with recent they're they're located physically even to consider two different tennis isn't right. Differences it is also memorial hospital Pembroke. And that stuff and that's another one as well I. And so that everybody will be rotating and all of that is clearly out they have specialties. Certain campuses have specialties. Like Joseph for instance Joseph DiMaggio as I was in Children's Hospital civility pediatrics and memorial regional hospital south. It is as a rehabilitation. Focus so they have a lot of beds that are devoted just to we have. So that's where we will do our rehab her residency are our physical medicine and we have residency. Memorial hospital west which is growing. And terms of its medicine and surgery beds is going to house both medicine and surgery. I neurology it'll also be they're so of the presidential rotate around a bit but we also want them to integrate themselves into. Specific hospitals and become part of the workflow and have a relationship with the nurses and get to know the stash and and really become part of the team at the hospitals that that's. That are housing the. I. And also will also looking for opportunities in creating opportunities for them deep become involved in community organizations as where they can learn. And and then pediatrics especially from agencies that devotes. Their efforts to. Taking care of children with special needs for example. Or homeless and things like that so we we you. Are hoping to partner with a variety of organizations that you begin to take him outside the walls of the hospital and the clinic to see how their patients for them. To the broader context of the community here because that's that's ultimately what we're hoping to happen with these on positions that. They're gonna fall in love with this area they haven't already they're gonna wanna if almost the people here and they're gonna wanna stay here and practice here. Palm has quality physicians for the future and and really benefit this community so. This is an investment into the community for the next you know 3040 years that is solutions. And when the residents do graduate. The world could they be hired by memorial at that point of course yes that is that is going to being. One aspect of the training that we're actually looking forward to we'd love for them to either be tired by source none at least be on the medical staff. So they have a good practice should be practicing exactly night and one in Florida's actually been good adult that you know you can say what you want about maybe it is hasn't done a great job of investing in residency spots. The one that the one good piece of news is that when we do have residents compared to other states we are better at retaining them than other states about theft of funds so. This column early part partly patient ends whatever whatever there in her winning personality yeah. So Lilly and lifestyle the beaches whatever it is residents when they do train here compared to other states they are not as likely to jump ship and go elsewhere that they do tend to stay. And if you go to medical school here and you do your residency then you're really likely to stay. So that is that is the gold definitely wee wee we wanna produce more physicians for Florida we'd like to. Keep as many as as we can end in our community in South Florida. And we wanna be able to take care of of patients down here and that is also another reason. Why I think memorial is he uniquely suited to do residency training. It is so connected to the community it has been for so many years and that's something that a lot of other residency programs across the country they don't have that expertise they don't have that comes experience and that's still circus skills that a lot of hospitals are not as integrated to the community. And I think that's an important. Part of the culture. And memorial that residents are gonna have to learn and we'll I think will only make them better physicians. Doctor Chaudhry doctor for the memorial health care system thank you so much. Thank you fashions. You've been hearing South Florida spotlight on one a one point five lite FM the opinions expressed are those of the hosting guests. And do not necessarily reflect the views of our staff management or sponsors your comments and opinions are invited to email them to. Latest M. Late Miami dot com. That's a lie TE SNL. YTE Miami got. 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