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Indexed in MEDLINE, PubMed, and PubMed Central National Library of Medicine S P E C I A L I S S U E September 2020 A peer-reviewed journal of medical science, social science in medicine, and medical humanities Women in Medicine Commentary Original Research Articles 1 Celebrating Women in Medicine 32 Assessment of Burnout: A Pilot Study of International 3 They Were There: American Women Physicians Women Physicians and the First World War 37 Let’s Get Personal: Academic Office Displays 7 Women Physicians and the Suffrage Movement and Gender 11 Inequity and Women Physicians: Time to Change Special Report Millennia of Societal Beliefs 43 Proceedings from the American Medical Women’s 17 Discovering and Reflecting on Bias: A Discussion about Association Graduate Medical Education Symposia: Challenges and Benefits of Culturally Centered Patient The First Three Years, 2018-2020 Care with Women Physicians of the East Bay Narrative Medicine 22 Women in Podcasting: We Should Tune In 58 Collaborations, Connections, and Conversations: 25 Preinvisible: An Early-Career Perspective on a A Journey to Meaning in Medicine Midcareer Phenomenon 29 Been There, Tried That, Learned This: Two Physicians’ Life-Care List for Colleagues TABLE OF CONTENTS COMMENTARY Williams, MS; Anisa Haffizulla; Patrick 49 Stress, Burnout, and Depression in 1 Celebrating Women in Medicine. H Nicole Hardigan, PhD; Kim Templeton, MD, FAAOS, Graduate Medical Education. Carol A Tran, MD, PhD; Eliza Lo Chin, MD, MPH FAOA, FAMWA Bernstein, MD ’ fi 3 They Were There: American Women 37 Let s Get Personal: Academic Of ce Medical Humanities Physicians and the First World War. Displays and Gender. Katelyn Moretti, MD, 50 Using Story to Change Medical Culture. Mollie C Marr, BFA; Iris Dupanovic, MS; MS; Andrew Musits, MD, MS; Alyson Jessica Nutik Zitter, MD, MPH Victoria Z Sefcsik, MS; Nitisha Mehta; McGregor, MD, MA; Adam Aluisio, MD, MSc Eliza Lo Chin, MD, MPH 51 Art and Critique in Medicine. Somalee Banerjee, MD, MPH; Yoko Kiyoi, MA 7 Women Physicians and the Suffrage SPECIAL REPORT Movement. Eliza Lo Chin, MD, MPH; 43 Proceedings from the American Preparing Trainees for Practice Morgan S Levy, BS; Alyssa D Brown, BS; Medical Women’s Association 52 Developing a Fellows’ Academy to Mollie C Marr, BFA; Prachi M Keni, BS; Graduate Medical Education Symposia: Prepare Senior Trainees for Independent Naveena Daram, BS; Courtney A Chau; The First Three Years, 2018-2020. Practice. Rini Banerjee Ratan, MD Naseem Rangwala, BA; Katarina Watson Women in Graduate Medical Education 52 Physician Reentry to Practice: The Role of 11 Inequity and Women Physicians: Time to 43 Establishing a Graduate Medical Graduate Medical Education. Kimberly Change Millennia of Societal Beliefs. Education Task Force for the American Templeton, MD, FAMWA Connie Newman, MD; Kim Templeton, MD; Medical Women’s Association. Eliza Lo Chin, MD, MPH Joan C Lo, MD, MS, FACP Expanding Graduate Medical Education 53 So You Think You Want to Start a Family 17 Discovering and Reflecting on Bias: A 44 Leveling the Playing Field for Women Medicine Residency. Deborah Edberg, MD; Discussion about Challenges and Benefits in Medicine and Training. Theresa Lauren Anderson, MEd of Culturally Centered Patient Care with Rohr-Kirchgraber, MD, FACP, FAMWA Women Physicians of the East Bay. 54 Graduate Medical Education Expansion Chelsea Gong, MD; Carroll-Anne Heins, DO Institution and Environment to Rural Community Hospitals: 45 Women in Medicine: Creating a JEDI Residency Training Beyond the 22 Women in Podcasting: We Should Tune Health Care Environment. Darilyn V Moyer, Academic Health Center. Stephen John In. Jessie L Werner, MD; Resa E Lewiss, MD; MD, FACP, FRCP, FIDSA Cico, MD, MEd Gita Pensa, MD; Alyson J McGregor, MD, MA 46 Ensuring Safe and Equitable Faculty Development and Advancement 25 Preinvisible: An Early-Career Perspective Environments for Women Training to 55 Training Future Faculty with the on a Midcareer Phenomenon. Chen He, Become Physicians. Samyukta Mullangi, Clinician-Educator Training Pathway. MD; Alyson J McGregor, MD, MA; Resa E MD, MBA; Reshma Jagsi, MD, DPhil Christen K Dilly, MD, MEHP Lewiss, MD Trainee Support and Mentorship 56 Advancing an Academic Career in the 29 Been There, Tried That, Learned This: — Graduate Medical Education ’ 46 Nurturing Residents A Rewarding Two Physicians Life-Care List for Career. Marshall A Wolf, MD, MACP Environment. Anne Walling, MB, ChB Colleagues. Linda Hawes Clever, MD, MACP; Sharon Krejci Mowat, MD, FAAP 47 Women’s Leadership and Gender Bias Curriculum for Internal Medicine NARRATIVE MEDICINE Residents. Maria A Yialamas, MD 58 Collaborations, Connections, and ORIGINAL RESEARCH ARTICLES Conversations: A Journey to Meaning 32 Assessment of Burnout: A Pilot Study Resiliency and Wellness in Medicine. Lisa Sanders, MD; of International Women Physicians. 48 Promoting Wellness during Residency Belen Gallarza-Wilson, MD Farzanna S Haffizulla, MD, FACP, FAMWA; Training: Examples from the Field. Connie Newman, MD, FACP, FAHA, Joan Younger Meek, MD, MS, FAAP, FABM FAMWA; Shivani Kaushal, BS; Caitlin A EDITORIAL & PUBLISHING OFFICE PERMISSIONS AND REPRINTS The Permanente Journal, Reprint Permission Form available at: The Permanente Federation www.thepermanentejournal.org/about- c/o Laura Fegraus us/5818-reprint-permissions.html. 1 Kaiser Plaza 27th Floor The Editorial Staff have disclosed that they have no personal, professional, or Oakland, CA 94612 fi Email: [email protected]. nancial involvement in any of the manu- scripts they might judge. Should a conflict INSTRUCTIONS FOR SUBMISSION arise in the future, the Editorial Staff have Instructions for Authors are available agreed to recuse themselves regarding along with a link to our manuscript any specific manuscripts.The Editorial The submission center at www. Staff also will not use the information thepermanentejournal.org/authors.html. gained through working with manuscripts Permanente Journal for private gain. Sponsored by the 8 Permanente Medical Groups The Permanente Journal (ISSN 1552-5775) is a quarterly publication of articles from Mission: The Permanente Journal advances Circulation: 2 million page views of TPJ the online journal of record, which is available at: www.thepermanentejournal.org. knowledge in scientific research, clinical medicine, articles in PubMed from a broad international Copyright © 2020 The Permanente Journal and innovative health care delivery. readership. ON THE COVER Artwork for Women in Medicine Special Issue: Mighty Women Mighty Women, oil on canvas. Kathryn Ko, MD, MFA. This painting was created in 2016 for the American Medical Women’s Association Artist in Residence program 2015-2016. The painting was inspired by the Statue of Liberty and the poem inscribed on her pedestal, “The New Colossus,” by Emma Lazarus. Women physicians are the new colossus in medicine and will fundamentally change the practice. The Permanente Journal·Sept 2020·SPECIAL ISSUE PermanenteThe Journal EDITOR-IN-CHIEF: Stephen L. Tarnoff, MD ISSUE EDITOR: Nicole Tran, MD SENIOR EDITORS James J. Annesi, PhD, FAAHB, FTOS, FAPA Gus M. Garmel, MD, FACEP, FAAEM Professor, School of Health Professions Clinical Professor of EM (Affiliate) University of Alabama at Birmingham Stanford University Senior Emergency Physician Philip I. Haigh, MD, MSc, FRCSC, FACS Kaiser Permanente Santa Clara Medical Center Assistant Chief, Department of Surgery Santa Clara, CA Kaiser Permanente Los Angeles Medical Center Los Angeles, CA Eric Macy, MD, MS, FAAAAI Department of Allergy David Riley, MD Kaiser Permanente San Diego Medical Center Founder, Scientific Writing in Health and Medicine Southern California Permanente Medical Group Adjunct Instructor San Diego, CA National University of Natural Medicine Portland, OR H. Nicole Tran, MD, PhD Internal Medicine Physician, Department of Adult and Family Medicine Director for Quality Improvement and Patient Safety, Internal Medicine Residency Kaiser Permanente Oakland Medical Center Oakland, CA ASSOCIATE EDITORS Gary W. Chien, MD Wynnyee Tom, MD Urology Residency Program Director Department of Pediatrics Kaiser Permanente Los Angles Medical Center San Jose Medical Center Los Angeles, CA San Jose, CA Carrie Davino-Ramaya, MD Calvin Weisberger, MD, FACC, FACP Practice Leader and Methodologist of Guidelines Cardiologist and Evidence-Based Medicine Partner Emeritus Department of Quality Management and Systems Southern California Permanente Medical Group Northwest Permanente, P.C. Pasadena, CA Portland, OR Chairman, Southern California Regional Product Council Los Angeles, CA Lisa J. Herrinton, PhD Research Scientist, Division of Research Scott S. Young, MD Kaiser Permanente Northern California Associate Executive Director, Clinical Care and Innovation Oakland, CA Senior Quality Director The Permanente Federation Tom M. Judd, MS, CPHIMS, CPHQ, CCE, FACCE, FHIMSS, FAIMBE Oakland, CA Information Technology and Quality Senior Medical Director and Executive Director, Care Management Institute Former National Project Director Oakland, CA Kaiser Permanente Clinical Technology Marietta, GA Pat Zrelak, RN, PhD, FAHA, NEA-bc, CNRN, SCRN Health Technology Advisor Clinical Practice Consultant World Health Organization Clinical Education, Practice, & Informatics Washington, DC Kaiser Permanente Board Chair, Global Clinical Engineering Federation Sacramento, CA Ashok Krishnaswami, MD, MAS Cardiologist Kaiser Permanente San Jose Medical Center San Jose, CA EDITORIAL & PUBLISHING OFFICE The Permanente Press Monica Leigh:
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