Monday, December 11, 2023

Who Are We? Beyond Earth at the Intersection of Bioscience and Religion

From the December 16, 2022 issue of the Transformational Times


Who Are We? Beyond Earth at the Intersection of Bioscience and Religion


Annie Friedrich, PhD and Ryan Spellecy, PhD


In December 2022, the Medical College of Wisconsin, Marquette University, and Viterbo University hosted its first seminar on ‘Big Questions’ at the intersection of bioscience and religion. A perhaps unlikely pairing of a theologian and an astronomer explored what it means for humans to be unique in the vastness of the universe…


A theologian and an astronomer walk into a room…while this may sound like the beginning of a joke, this was the scene on December 5, 2022, for the inaugural session of a new seminar series called "Big Questions," which explores the intersection between bioscience and religion. Moderated by MCW’s Aasim Padela, MD, this series aims to foster interdisciplinary humble and fruitful dialogue, build bridges of understanding, and spark curiosity at the juncture of religion and science. The series seeks to replace the question of science or religion with “where do science and religion find common ground?”


More than 50 MCW faculty, staff, medical students, and community members heard from Astronomer Jennifer Wiseman, PhD and theologian Jonathan Crane, PhD, MPhil, MA. Dr. Wiseman is the Emeritus Director of the Dialogue on Science, Ethics, and Religion at the American Association for the Advancement of Science. Dr Crane is the Raymond F. Schinazi Scholar of Bioethics and Jewish Thought at the Ethics Center, and Professor of Medicine and Religion at Emory University.

The question that began this series is a simple one: if there is life on other planets, what does that mean for human significance? Dr. Wiseman explored this question in light of astronomical discoveries, while Dr. Crane offered a Jewish perspective on the question of human uniqueness in the context of life beyond earth. While these perspectives may seem to be at odds, Drs. Wiseman and Crane had more in common than one might think, which is perhaps the point of interdisciplinary dialogues such as these.


In the vastness of the universe, are humans significant?

As Dr. Wiseman approached the podium, the lights were dimmed as a breathtaking photo of thousands of stars filled the screen. Thanks to technology like the Hubble Telescope, stars are no longer just small pinpricks of light; the image on the screen showed bright flashes of red, blue, and yellow. According to Dr. Wiseman, there are more than 200 billion stars in our Milky Way galaxy alone, which may lead one to feel small and insignificant.

Astronomer Carl Sagan may sum up this feeling of insignificance: “Who are we? We find that we live on an insignificant planet of a humdrum star lost in a galaxy tucked away in some forgotten corner of a universe in which there are far more galaxies than people.” And yet, Dr. Wiseman did not find this insignificance or smallness deterministic or fatalistic. Rather, she saw this as an opportunity to be inspired. Space exploration provides an invitation to explore what we don’t yet know or have not yet encountered, and Dr. Wiseman accepts that invitation gladly.


Betzelem Elohim: A Jewish perspective on human uniqueness

At the end of her remarks, Dr. Wiseman offered a counter to Dr. Sagan’s quote in Psalm 8:3-4 which says, “When I look at your heavens, the work of your fingers, the moon and the stars, which you have set in place, what is the man that you are mindful of him, and the son of man that you care for him?” Dr. Crane picked up the Psalms, as well, acknowledging that Jewish tradition recognizes that things outside of this earth are significant because God created them.

Yet, their significance is not a threat to our own. Humans are particularly unique, according to Dr. Crane, because humans are betzelem Elohim, made in the image of God. But what if other beings who are also “made in the image of God” are discovered? Would human uniqueness and superiority fail? We may not be the exclusive owners of betzelem Elohim, but we were given revelation, and Dr. Crane notes that this dialogue with God is what matters.


The significance of human significance

While questions of human uniqueness and significance are surely important questions worthy of exploration for their own sake, one might well be skeptical of the importance of these questions when our pediatric hospital is at—or over—capacity due to a triple threat of COVID, RSV, and influenza. When pressing deadlines or clinical responsibilities overwhelm, taking time for philosophical reflection may seem trivial at best or irresponsible at worst.

But, as Dr. Crane argued, being “made in the image of God” provides a certain comfort that allows us to “take risks” about science, healthcare, and the pursuit of knowledge. Reflecting on human significance—whether from a religious or scientific perspective—encourages us to push forward in our research endeavors and to take risks in our teaching as we develop a new curriculum and employ teaching techniques and modalities that may stretch us. As we seek to transform medical education, surely, we could all use comfort and the permission to take risks, as transformation does not come without challenges and risks.

Perhaps some of us are already confident of human significance. When a learner comes to us for help, overwhelmed by the subject matter or stresses of life, we take time to listen because we know they are unique and significant. If we did not believe in human significance and the intrinsic value of human beings, perhaps we would not have chosen this field in the first place.

Yet this affirmation of human significance, whether from a scientific or religious perspective, reminds us to approach our work with a spirit of service and compassion that can transform the practice of medicine, medical education, and the biomedical sciences.


Annie Friedrich, PhD, HEC-C is an Assistant Professor of Bioethics and Medical Humanities in the Institute for Health and Equity at MCW.

Ryan Spellecy, PhD, is the Ursula von der Ruhr Chair in Bioethics and Professor of Bioethics and Medical Humanities, and Psychiatry and Behavioral Health, at MCW.

Thursday, December 7, 2023

Remembering the Earliest Days of the Pandemic: The Institute Responds to Times of Transition

From the April 24, 2020 issue of the Transformational Times



Remembering the Earliest Days of the Pandemic: The Institute Responds to Times of Transition


Adina Kalet, MD, MPH


This April 2020 essay was originally published six weeks after classes shut down at MCW. Despite the unknown risks, our physicians, nurses, and front line workers stayed on the job. 

During the very earliest days of the COVID-19 pandemic, we were all scared for our lives; the danger was very, very real and the future was uncertain. Despite this, the Kern Institute's leaders and educators shifted the Institute's focus to make certain students were supported and prepared. As you read, recall those days when we worried about the transitions and the future. 

In the coming months, the Robert D. and Patricia E. Kern Institute for the Transformation of Medical Education will transition again. Those of us associated with the Institute hope that whatever iteration emerges will continue to provide a sustained, innovative, and character-driven platform that influences the future of health sciences education. 

 

The COVID-19 pandemic has hit our economy hard. On our own campuses, saving and protecting lives has caused unprecedented revenue shortfalls within our community, to our hospitals, and to the Medical College of Wisconsin. Ironically, just when health care provision, education, and research are needed most, our work is threatened. Those on the “front line” of the pandemic deserve hazard pay for taking on risks for the rest of us, yet our staff is facing salary reductions and furloughs. 

Along with many of our peer institutions, MCW is implementing a financial austerity plan. We have hit a very rough patch and more changes are coming. Our futures are uncertain. People are scared. In this context, the Kern Institute is working to be good citizens by aligning emerging needs with our resources.


There can be opportunity in adversity

Historians point out that even devastating crises offer opportunities to societies. We have already seen unprecedented innovations in the face of immediate problems. Unable to deliver required clinical rotations, faculty and students are co-creating ways to fill curricular gaps through telehealth and service learning. New levels of collaboration and cooperation among medical schools and with accreditors have broken-down traditional silos, suddenly changing systems and shifting long-held policies. 

We must leverage these transformative opportunities for the better. If we work together to retain our senses of mission, purpose, and meaning, we will increase our individual and organizational well-being and resiliency. 


Pivoting what we do, yet remaining thoughtful

In our pre COVID-19 lives, the Kern Institute had been working to clarify our philosophy of medical education transformation. We referred to this as our “topology of transformation,” seeking to best understand why we are doing what we are doing. By thinking, dialoging, reading, and writing, we wrestled with uncovering which experiences are essential as a student transforms into the “good physician.” Then, and only then, would we allow ourselves to talk about the instructional or pedagogical evidence that drives the design and implementation of programs that achieve this transformation. For most of us, especially impatient physicians, it takes discipline not to jump into the “doing” too soon.


Suddenly, COVID-19 accelerated our work

Plato is credited with the phrase, “Necessity is the mother of invention,” sometimes translated more literally as, “Our need will be the real creator." While I prefer the more feminine flourish, now is the time when innovation is needed most. Over the past few weeks, Kern has pivoted to assist MCW’s rapidly transforming educational programs in response to immediate needs and we are designing ways to streamline and sustain the best of these changes. 

We are collaborating with partners in Academic Affairs and Student Affairs to support well-being, prepare students to meet their graduation requirements, provide meaningful clinical experiences, sustain and strengthen MCW’s long-term investments in diversity and inclusion, and speed the design and implementation of a dynamic, state of-the-art fully virtual curriculum.


Some things are the same in both 2020 and 2024

These are historic times globally and locally. As we adapt our educational work to the new reality, we will study the outcomes, learn from our successes and shortcomings, and look for the new topology of transformation. 


The essay was originally published on April 24, 2020 as, "Transforming Educational Strategies on a Dime."

Adina Kalet, MD MPH is the Director of the Robert D. and Patricia E. Kern Institute for the Transformation of Medical Education and holder of the Stephen and Shelagh Roell Endowed Chair at the Medical College of Wisconsin.

Monday, December 4, 2023

MCW's Seventh MedMoth Storytelling Evening

  

MCW's Seventh MedMoth Storytelling Evening


MCW MedMoth, a student-initiated and student-led storytelling event, was held on November 30, 2023. Over 100 appreciateive listeners came to support the ten storytellers as they shared tales on everything from the lifelong scars left after shoplifting to lessons learned from running a food pantry program to a death in the ICU. 

Some of the stories will soon be featured on the Medical Education Matters podcast

Thanks to the Kern Institute, the Kern Family Foundation, and the Charles E. Kubly Foundation for support of MCW MedMoth over the past four years. These events reflect human centered design principles and character. MedMoth supports students, staff, faculty, and health care professionals in human flourishing and resilience.

Big props to the MedMoth team: MCW students Meg Summerside, Linda Nwumeh, Amber Bo, Meghan Schilthuis, Corey Briska, and Maya Martin, and to Kern faculty/staff Shannon Majewski, Devarati Syam, Adina Kalet, Bruce Campbell, and Cassie Ferguson. 

Look for the next MCW MedMoth evening in Spring 2024!



Thursday, November 30, 2023

My Night in the ED: Treating My Community During a Mass Casualty Incident

 From the December 17, 2021 issue of the Transformational Times



My Night in the ED: Treating My Community During a Mass Casualty Incident



On November 21, 2021, Evan Gibson was a third-year medical student at the MCW-Milwaukee campus. He was working a shift in the ED that evening when Froedtert Hospital and Children’s Wisconsin ran a mass casualty incident in response to the Waukesha Parade Tragedy

In this "Take 3" exchange published two weeks after the event, he answered three questions on his experience working a mass casualty event from his perspective as a medical student…


Transformational Times: What emotions did you experience hearing about the incident/treating the patients?

Evan Gibson: Fear was the first emotion that I experienced, which surprised me as I worked in EMS for multiple years and experienced challenging situations. I think that framed the seriousness of the incident for me. I have fortunately never been a part of a mass casualty incident and wasn’t sure what experiences were going to come in the following hours.

As I’m from Southeastern Wisconsin, I was also fearful that I might know a patient that came in. There is quite a difference between a friend texting you to ask what they should take for their cold vs. treating them (or their family) for a life-threatening injury.


Transformational Times: How did you harness your fear in the moment? What advice did you receive from fellow students or physicians prior to the arrival of the patients?

Evan Gibson: Fortunately, Dr. Jason Liu, who is an expert in Disaster Management, came to the ED after hearing of the event and helped lead the response. He reminded us that “the pathology is the same,” and this was a calming message for me. It reminded me that these individuals would be no different than the previous patients that have presented to the trauma bay and helped ground me.


Transformational Times: Did you notice any characteristics or traits that the Froedtert Hospital/Children’s Wisconsin-Milwaukee Hospital workforce demonstrated that stood out to you?

The dedication of everyone stood out most to me. There were multiple nurses, techs, and physicians that came to the ED or called in asking how they could help even though they were not scheduled. Everyone wanted to help their community in any way they could. The swiftness and preparedness of the nursing staff stood out to me as well. They quickly moved patients to the floor and made sure that there were plenty of rooms available within the ED. Everyone appeared prepared and eager to run a smooth mass casualty


Evan Gibson, MD, graduated from MCW in 2023. He is currently a PGY1 in Emergency Medicine at the Medical College of Wisconsin.