A Victory for Physician Mental Health

TCMS Past President Ryan Greiner, MD

Dear Colleagues,

We did it. After years of advocacy, the Minnesota Board of Medical Practice has replaced the licensure question that has long served as a barrier for physicians and medical students seeking mental health care. This is a life-saving victory that was made possible by strong grassroots advocacy from Minnesota’s physicians and medical students, and by collaboration between leading Minnesota organizations, including Physicians Wellness Collaborative, Minnesota Medical Association, Zumbro Valley Medical Society, Minnesota Academy of Family Physicians, NAMI Minnesota, Twin Cities Medical Society, and many more. This is a change worth celebrating, but we all know that there is much more work to be done in service of physician and medical student mental health. I am asking you to join me in continuing to take action: • Spread the news–It is imperative that physicians and medical students across Minnesota know that they will no longer be required to report mental health conditions that are being appropriately treated when they apply for or renew their medical licenses. Please join me in sharing this news with your colleagues. • Save these resources–It can be difficult to know where to turn for support when you are experiencing a mental health condition or substance use disorder. I encourage you to bookmark the resources below, so they are readily available if you or a colleague needs support. • Our partners at the Physicians Wellness Collaborative provide independent, confidential counseling at no cost for all Minnesota physicians, residents, medical students or their families, as well as for advanced practice providers. Help is available by phone 24 hours a day, 7 days a week by licensed mental health professionals. Call (612) 362-3747 or visit pwc-mn.org. • Physicians Serving Physicians has over 35 years of experience supporting physicians with substance use disorders return to successful practice through physician-only monthly meetings and other support services. Receive secure login information by emailing psp.com.

• Check in with your colleagues–The events of the past year and a half have challenged us all as physicians, as healers, and as human beings. If you are experiencing burnout, compassion fatigue, moral injury, grief, anxiety, or depression, you are not alone. Please take a few moments this week to have an honest conversation with your colleagues. It’s important that we continue to support each other and make checking in on each other the norm, not an exception.

Thank you again for your advocacy. I hope you take good care of yourselves and each other during these challenging times.

Ryan Greiner, MD TCMS Past President

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VOLUME 23, NO. 4 WINTER 2021

1 A Victory for Physician Mental Health By TCMS Past President Ryan Greiner, MD 7 IN THIS ISSUE The “Unseen” Impact of COVID-19 on the Physician Community By Peter J. Dehnel, MD

8 PRESIDENT’S MESSAGE Charting a New Future By Sarah Traxler, MD

9 TCMS IN ACTION By Annie Krapek, MPH, CEO

PHYSICIAN HEALTH & WELLBEING — COVID-19 AND BEYOND

10 • COLLEAGUE INTERVIEW: A Conversation with Natalia Dorf-Biderman, MD 15 • Wellness Efforts During Pandemic Times at Emergency Physicians PA By Wendy Laine, MD 16 • An Ethics Oasis in Our Pandemic Journey By Mary Anderson, MD, Nancy O’Connor, MD and Joan Henriksen

18 • SPONSORED CONTENT: It’s OK to Not Be OK By Suzanne Jasberg, MD and Anastasia Ristau, PhD, LP 20 • More Resiliency is Not the Answer By Bindi Parikh, MD 22 • COVID-19 Pandemic and Medical Student Mental Health By Michael H. Kim, MD and Wm. Scott Slattery, PhD 24 • The Cost of Compassion in Healthcare Professionals By Kristen A. Schmidt, MD

26 • PAID EDITORIAL: Better Patient Outcomes Through Innovation in Chest Wall Injury Repair By Peter A. Cole, MD

Winter 2021 MetroMetroDoctorDoctors s

THE JOURNAL OF THE TWIN CITIES MEDICAL SOCIET Y

28 • YOUR VOICE: At the Root By Kellie Lease Stecher, MD

31 • ENVIRONMENTAL HEALTH: The Climate Emergency is Here— Where is Health Care?1 By Bruce D. Snyder, MD • Career Opportunities

32 FUTURE PHYSICIAN LEADERS A Student’s Ask for the Medical Profession By Christopher Johns, MS3

PHYSICIAN HEALTH & WELLBEING

COVID-19 and beyond

In This Issue: • Join TCMS in Building a New Kind of Medical Society • A Victory for Physician Mental Health: Grassroots

Advocacy Leads to Change in BMP Language • Future Physician Leaders

Stress, burnout, moral injury. Just a few words that describe the challenges healthcare workers have had to overcome throughout 2021. Articles feature how physicians are responding with hope. Articles begin on page 10.

MetroDoctorsDoctors

THE JOURNAL OF THE TWIN CITIES MEDICAL SOCIETY

Physician Co-editor Peter J. Dehnel, MD Physician Co-editor Thomas E. Kottke, MD Physician Co-editor Robert R. Neal, Jr., MD Physician Co-editor Richard R. Sturgeon, MD Medical Student Co-editor Zineb Alfath Medical Student Co-editor James Pathoulas Managing Editor Nancy K. Bauer

Production Manager Sheila A. Hatcher Advertising Representative Betsy Pierre Cover Design by Amber Kerrigan

MetroDoctors (ISSN 1526-4262) is published quarterly by the Twin Cities Medical Society, Broadway Place East, Minnesota Medical Joint Services Organization, 3433 Broadway Street NE, Suite 187, Minneapolis, MN 55413. Periodical postage paid at St. Paul, Minnesota. Postmaster: Send address changes to MetroDoctors, Twin Cities Medical Society, 2355 Fairview Ave, #139, Roseville, MN 55113.

To promote its objectives and services, the Twin Cities Medical Society prints information in MetroDoctors regarding activities and interests of the society. Responsibility is not assumed for opinions expressed or implied in signed articles, and because of the freedom given to contributors, opinions may not necessarily reflect the official position of TCMS.

Send letters and other materials for consideration to MetroDoctors, Twin Cities Medical Society, 2355 Fairview Ave, #139, Roseville, MN 55113. E-mail: nbauer@metrodoctors.com.

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MetroDoctors reserves the right to reject any article or advertising copy not in accordance with editorial policy. Advertisements published in MetroDoctors do not imply endorsement or sponsorship by TCMS.

Non-members may subscribe to MetroDoctors at a cost of $15 per year or $3 per issue, if extra copies are available. For subscription information, contact Nancy Bauer at (612) 623-2893.

TCMS Officers

President: Sarah Traxler, MD, MSPH President-Elect: Zeke McKinney, MD, MHI, MPH Secretary: Cora Walsh, MD Treasurer: Alex Feng, MD, MBA Past President: Ryan Greiner, MD At-large: Matthew A. Hunt, MD

TCMS Executive Staff

Annie Krapek, MPH, CEO (612) 362-3715; akrapek@metrodoctors.com

Nancy K. Bauer, Associate Director, and Managing Editor, MetroDoctors (612) 623-2893; nbauer@metrodoctors.com

Kerry Hjelmgren, Executive Director, Honoring Choices Minnesota (612) 362-3704; khjelmgren@metrodoctors.com

Lynn Betzold, Program Coordinator, Honoring Choices Minnesota (612) 362-3703; lbetzold@metrodoctors.com

Lucy Faerber, MPH, Program Manager lfaerber@metrodoctors.com

Amber Kerrigan, Program Coordinator (612) 362-3706; akerrigan@metrodoctors.com

Kate Feuling Porter, MPH, Senior Program Manager (612) 362-3724; kfeuling@metrodoctors.com Advanced Brain & Body Clinic...................... 5 Children’s MN .................Outside Back Cover

COPIC ................................................................... 6

Crutchfield Dermatology..................................... Inside Front Cover Deaf & Hard of Hearing Services................17

HealthPartners....................................................13

Lakeview Clinic .................................................31

MedCraft .............................................................29

Minnesota Department of Health

PartnerServices ......................................... 6

Minnesota Department of Health

Quit Partner............................................14

Mounds Park Academy......Inside Back Cover Orthopedic Trauma Department,

Regions Hospital ...................................27 PrairieCare............................................................. 2

Physicians Wellness Collaborative................30 Superior Wealth Management Group .......... 4

You.

We only have one thing on our mind.

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