rural healthcare

Are you a physician feeling trapped in the relentless grind of medical life? 

Are you dreaming of a break but unsure how to make it happen? You're not alone. Many physicians grapple with the overwhelming demands of work, burnout, and unfulfilled dreams.

In this episode, a seasoned physician, Dr. Paula Lee-Valkov shares her journey of taking a six-week sabbatical and the transformative power of intentional decisions. She unravels the secrets to breaking free from the chains of routine, the art of negotiation, and how to embrace change.

What You'll Learn:

• How to overcome the fear of taking a break and ask for what you deserve
• The art of negotiation and how to have business-driven conversations to get what you want
• Tips for overcoming the fear of change and exploring new horizons
• Actionable tips for making your sabbatical a transformative and enriching experience
• The value of a supportive community and how diversity in experience can propel your financial growth
• How to work hard without compromising your ability to enjoy life

Are you ready to break free from the chains of routine and embrace a life of intentional choices? Join Dr. Paula and Dr. Latifat on this insightful journey, and start your transformation today!

About Dr. Lee

Dr. Paula Lee-Valkov is a board certified diagnostic radiologist with 16 years of experience. She has worked in rural Oregon, Oahu, and Portland, Oregon. She currently enjoys locums tenens work and travels to provide coverage for practices in rural Oregon and the Hawaiian islands.

Dr. Lee-Valkov is also a life coach, passionate about boundary setting and contract negotiation work. She helps people gain clarity on what is important to them, set and enforce boundaries, and negotiate for what they desire so that they can live a life in alignment with their values. She also works with graduating residents and fellows and other physicians considering career or practice changes.

In her free time, Dr. Lee-Valkov manages several real estate holdings, including a short term rental. She also enjoys kayaking, SUPing, hiking, and making latte art. She is also an entrepreneur and is currently bringing her Trini style hot sauce, "Rayz Peppa sauce," to the market.

You can reach Dr. Paula at https://www.drpaulalifecoaching.com


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Dr. David Shulkin was appointed by President Obama, then promoted to the Cabinet to head the Department of Veterans Affairs and eventually fired by President Trump. Now in the private sector he’s a dogged advocate for veterans and involved in everything from drug pricing to living to 100.

In this episode, Dr. Shulkin joins CareTalk to discuss everything from rural health to improving veteran care in the US.

🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.

🎙️⚕️ABOUT DAVID SHULKIN, MD
Dr. David J. Shulkin served as the Ninth Secretary of the US Department of Veterans Affairs under President Trump, having previously been appointed as Under Secretary for Health under President Obama. He managed the nation's largest healthcare system for veterans, held respected healthcare executive roles, and founded DoctorQuality. After leaving government, he became a distinguished health policy fellow and professor, specializing in outcomes research and economics. He's recognized as one of the "One Hundred Most Influential People in American Healthcare" by Modern Healthcare.

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Effective July 27, 2023, Appalachian Regional Heathcare System has changed its brand to UNC Health Appalachian. This move reflects efforts to align with UNC Health’s rebranding strategy.

On this special bonus episode of Mind Your Business, we speak with Chuck Mantooth, President/CEO of the newly named UNC Health Appalachian, about this branding transition and what it means for healthcare in the High Country.

While the community will begin to see the transition to the new logo beginning in October, it will take some time for the new brand to be updated in all places. This will happen in phases and items such as digital assets will change over quickly; however, larger scope projects like signage will gradually transition.

Mind your Business is produced weekly by the Boone Area Chamber of Commerce. This podcast is made possible each week by Appalachian Commercial Real Estate and sponsored in part by Appalachian Regional Healthcare System.

Twenty years ago, health outcomes in Eastern North Carolina lagged behind state averages but those deficits have largely been erased, and Dr. Mike Waldrum, Dean of the Brody School of Medicine at East Carolina University, thinks he knows why. “We’ve done it primarily with a community-based focus and taking students only from North Carolina that we know have a propensity to want to practice medicine in the environments that we're here to serve. That's kind of our sauce,” he tells host Shiv Gaglani. Building on that approach, the university started a rural residency program in recent years, and out of four graduates in its first cohort, two have agreed to stay in the communities in which they trained. And while that kind of incremental progress on the ground level is important, Dr. Waldrum knows change is needed at the system level as well. Some things ECU Health can do on its own, such as implementing a unified electronic medical record across all of its care sites that allows it to model where health needs are and intervene early. But what he sees as the necessary restructuring of how the healthcare system is organized and financed will take a group effort. “We need Medicare, Medicaid, the insurance industry and others as partners in how we transform the system.” Tune in for a thoughtful look at the challenges of improving healthcare in rural communities, and the special role academic “safety-net” health systems play in that effort. 

Mentioned in this episode: https://medicine.ecu.edu/

Newcastle's veteran sports reporter Sonja Karp (we call her the "Ruler of the Sports Galaxy") goes off the page with Bob and Alexis to bring Dogie nation up to speed on the state of Newcastle High School athletics. The award-winning Karpe Dogie columnist talks about the year that was and the year to come at NHS, including some memorable campaigns for some Lady Dogie athletes last year and the high hopes parents, fans and coaches have for the incoming group of athletes. While we were at it, we talked about how hard it is for Middle School success to translate into high school championships in Newcastle, and the newspaper's job to look for the positives in our programs and young athletes to encourage support from the community. Hopefully that won't be a challenge in the coming year, as Sonja throws out some promising reviews (spoiler alert!) of the Dogie/Bobcat wrestling team, and hints that good things are coming for Dogie hoops and swimming programs as well. Alexis also brings us up to speed on a really big week at the hospital — and the budget to match. We also talk about modern cows and new-fangled ranching...not that we really know anything about that stuff!

Check us out at newslj.com to keep tabs on this story, or for more news from Newcastle, Weston County and the Black Hills of northeast Wyoming!

After battling chronic illness as a child, Dr. Janelle Sokolowich swore she’d never step foot in a hospital again and started pursuing a different path in college. But life had a way of bringing her back to the world of medicine. “I started thinking back to all the nurses that made such an impact on me as a child and helped me to grow up to be a functioning adult,” she explains to host Michel Carrese. Now as academic vice president and dean of the Leavitt School of Health at Western Governors University, Dr. Sokolowich is in a position to help many others like herself pay it forward by becoming healthcare providers. The school serves 20,000 to 30,000 students per month and seventeen percent of all BSN holders in the country are graduates, but Sokolowich is keenly aware this can be an unattainable dream when cost and other factors come into play. That’s why Leavitt strives to keep tuition low and her performance as Dean is evaluated based on how much debt students have when they graduate, and if they are earning a livable wage two years post-graduation. “We want to be the most inclusive university in the country and we see ourselves as personally responsible for advancing health equity through education.” Check out this thoughtful conversation about competency-based education, strategies for meeting health needs in rural America and the importance of mentoring. “I want to build that next set of nurse leaders and I take it personally, because I have been gifted and blessed with many that have done it for me.”

Mentioned in this episode: https://www.wgu.edu/online-nursing-health-degrees.html

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In this episode, we journey with Christine, whose unexpected biking accident leads us through a revealing exploration of Portugal's healthcare system. We delve into the stark differences between public and private healthcare, bringing into focus the realities of access, waiting times, and patient experience. This personal account extends our understanding of the Portuguese healthcare landscape beyond its glossy façade. Tune in to unmask the complexities of Portugal's healthcare system.

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Josh Hawley wants to be a man | Rural health clinic in Kentucky making a difference with federal funds | $11B for clean energy projects in rural areas | Conservatives worry they’re ruining their own schools | Sean and Adam talk about the role of public schools in rural America

Sean: Welcome back to flyover view, heartland news and views from the gateway arch to the rocky mountains and the stories impacting folks in the heartland, my name is Sean Diller and I’m here subbing for our regular host Kevin Smith, and with me is Adam Sommer, whaddya say, ready to start the show? 

Adam: Is Ron DeSantis wishing he’d never picked a fight with a mouse? 

1. Josh Hawley (name drop) Is A Man, Bro. 
   1. In his new book, Josh Hawley, the Sr. Sen. for Missouri, not from, is ready to transform America by calling on men and boys to lead.
   2. HOW? 
   3. Great question - it seems, mostly, that Hawley is fixated on sex. Men should stop masturbating and porn should basically be illegal. 
   4. Oh, he must be super concerned for the women being exploited then..
   5. NOPE… just with Men being weakened by lust. Hawley is up for reelection in 2024 against Lucas Kunce. You may recall Kunce from his 2022 campaign for the Democratic nomination and a particular video in which Kunce climbs a very tall poll in his shoes and using his hands. Based on Hawley’s book and his assertion of being the arbiter of manliness, we have to assume the 2024 Missouri senate race will be a series of feats of strength culminating in a caber toss right out of the scottish highland games in which the candidate who throws a tree the farthest will win the seat. No word yet from the Hawley campaign on if Josh’s incredibly soft hands can handle the splinters, we will monitor this one closely. 
2. In more useful news… The federal Rural Health Clinic program started as a way to provide safety-net care to underserved populations. 
   1. https://dailyyonder.com/rural-health-clinic-program-offering-head-to-toe-womb-to-tomb-care/2023/05/17/?utm_medium=email&utm_source=Center%20for%20Rural%20Strategies&utm_campaign=17d1501c13-EMAIL_CAMPAIGN_2023_05_17_03_36&utm_term=0_-17d1501c13-%5BLIST_EMAIL_ID%5D&mc_cid=17d1501c13&mc_eid=33f9e891ee
   2. Waylon Williams (great name) was born in Eastern Kentucky and at just 5 weeks old is already doing his name proud. Waylon is the first child born at a new facility in rural eastern Kentucky called “Beacons of Hope” a temporary housing facility for women facing substance abuse problems., part of the primary care centers of eastern Kentucky.
   3. Beacons of Hope is an extension of PCCEK’s Pregnancy & Beyond, an addiction-treatment program that offers obstetrical services, medication for substance use disorder, prenatal education, pediatrics, and counseling – services that in so many rural communities nationwide are in critically short supply or entirely absent. 
   4. The town of Hazard, where the largest of PCCEK’s four clinics is located, is in Perry County. Perry County ranks 117th among Kentucky’s 120 counties in health outcomes. Life expectancy is 67, as compared with 78.5 for the country. 
   5. Great to see some blue solutions helping out in the blue grass state
3. Money and Power, as usual, go hand in hand
   1. https://missouriindependent.com/briefs/rural-electric-co-ops-to-get-10-7b-in-usda-funds-for-clean-energy-grants-loans/
   2. The U.S. Department of Agriculture will begin to administer two loan and grant programs worth nearly $11 billion to boost clean energy systems in rural areas
   3. Rural areas can have more difficulty than more urban ones in attracting private sector investment, White House National Climate Advisor Ali Zaidi said. The programs are intended to allow those rural areas to take advantage of an industry-wide trend to invest in clean energy production.
   4. “There’s a favorable wind blowing here,” he said. “This allows rural communities to put up a sail.”
   5. The programs are meant to put rural electric cooperatives on equal footing with larger privately owned companies that have already put major funding into clean energy deployment, Vilsack said.
   6. The programs represent the largest single funding effort for rural electrification since President Franklin Roosevelt signed the Rural Electrification Act in 1936, a USDA press release said.
   7. The money is meant not only to address the climate impacts of fossil fuel energy and reduce home energy costs, but to act as an economic engine for rural areas, Zaidi said.
   8. So get ready folks, because that leftist liberal woke power is gonna be indoctrinating your meter before you know it. 
4. Conservatives concerned about right wing extremists impact on schools
   1. https://www.nbcnews.com/news/us-news/woodland-park-colorado-school-board-conservatives-rcna83311?fbclid=IwAR2ernEIIXvA4Vgdw4sD106umXpcK6cjzAGItWm9m4QtUe1TzQipAU4GIvA&mibextid=Zxz2cZ
5. In a story that comes as no surprise to people who live in reality, a school board in Woodland Park, Colorado is now home to a cadre of hard core right wing extremists and folks are not pleased
6. Chief among those concerned? Conservatives (whaaat?)
7. That’s right, it seems actual conservative folks have finally figured out that the MAGA members of their party might not be the best people to put in charge. 
8. Lose Your School, You Lose Your Town - is the headline
   1. Contrary to Lobbyist Social Media Postings, Rural Schools Are At Major Risk, and educators in rural states are not sitting this out. 
   2. https://www.nea.org/advocating-for-change/new-from-nea/school-vouchers-and-rural-schools
   3. Rural schools are also hubs for community engagement through concerts, theatrical productions, and sports. Often, they are a town’s largest employer.  
   4. “At our school, we offer a lot, because our community expects a lot,” says Steve Peterson, a teacher in Decorah, a town in northeastern Iowa. “They want good programs—academic, but also extra-curricular opportunities.” 
   5. Sean and Adam talk about the rural public school we went to

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Rural communities have fewer doctors, nurses and medical facilities per person than the country as a whole. Some rural hospitals have closed, leaving large geographic areas without local services. And the population is older, sicker, more likely to have unhealthy habits like tobacco use and less likely to have access to reliable transportation to get to their appointments.

Rural healthcare is a challenge. But is it all doom and gloom? John and David share their thoughts.

Dive deeper into this episode and read our report: "The Rural Health Crisis: How Disparities Are Hurting Rural Americans"


TOPICS
(1:20) Reviewing the statistics on rural health
(1:57) Do social determinants of health contribute to rural health
(5:42) Challenges rural health faces
(7:09) The difference in healthcare delivery
(12:25) What’s going on with rural hospital closures?
(15:16) Opportunities to innovate emergency services

ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.

GET IN TOUCH
Become a CareTalk sponsor
Guest appearance requests
Visit us on the web

FOLLOW CARETALK
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CareTalk: Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing

 In today's episode, Eukesh Ranjit, MD talks with  Sharon Smaga, MD about the unique challenges faced by providers serving in rural patient populations. They discuss the barriers, solutions and provide successful tips on how to improve early diagnosis clinic practices in rural communities. 

Learning Objectives:

1 - Describe barriers to early detection of Alzheimer’s Disease and related dementias in rural communities

2 - Name ways family physicians can create a supportive environment for early detection of Alzheimer’s disease and related dementias for patients living in rural communities
 
Host: 

Dr. Eukesh Ranjit, MD, Assistant Professor of Family Medicine and Director, Division of Geriatric Medicine at SIU Center for Family Medicine in Springfield, IL

Guest:
Sharon Smaga, MD, SIU Family Medicine Carbondale

This CME activities will meet the  State of Illinois Continuing Medical Education Requirements for Physician License Renewal for Recognizing Dementia. Every licensed healthcare professional who has direct patient interaction with adults age 26 and above must take one hour of training on the diagnosis, treatment, and care of individuals with Alzheimer’s disease and other dementias.

Accreditation

The Illinois Academy of Family Physicians (IAFP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 – The Illinois Academy of Family Physicians designates each Online enduring material for a maximum of 0.50 AMA PRA Category 1 credit™

Healthcare practitioners other than physicians (PAs, NPs) will be issued a certificate of participation to submit to their respective boards to be used toward their continuing education requirements.

Visit www.thebraintrustproject.com for more information

Visit The Brain Trust project to claim CME credit for this podcast, listen to other episodes, and view the toolkit for resources on managing Alzheimer’s and other related dementia’s in your practice.

Visit The Brain Trust project to claim CME credit for this podcast, listen to other episodes, and view the toolkit for resources on managing Alzheimer’s and other related dementia’s in your practice.

Visit The Brain Trust project to claim CME credit for this podcast, listen to other episodes, and view the toolkit for resources on managing Alzheimer’s and other related dementia’s in your practice.

The women’s healthcare access debate is top of mind throughout the country, since the Supreme Court overturned Roe v Wade. But access to care was not equal even before that landmark decision.  On the Mendocino coast, women can face physical and economic stress regardless of their age and choices about having a family.  We talked to Lucresha Renteria, the executive director of the Mendocino Coast Clinics and Judy Leach, the president of the Adventist Health Fort Bragg Hospital about access to care.  We also talked to a new mom about her experience during pregnancy and delivery. 

This week, we’re honored to sit down with Matthew Parks, Director of Philanthropy at the Barbara Bush Children’s Hospital!
Matthew came into our orbit about 7 years ago, when @HesterBissell began exploring ways BBB could give back, leading to the Baby Genius partnership that has raised ~$50k for BBCH since. Matthew discusses the perpetual and limitless task of finding, securing, and maintaining philanthropic funds; balancing positivity and motivation when “you could always raise more”; the myriad ways ANYONE can contribute, and so much more.
He certainly took the long road to Maine, but you’re not going to find a better heart (or accent) on either side of the Atlantic — our conversation is available in full NOW, wherever you listen!
👶🖍👩‍⚕️🏥🤕🚑🎗🌈💪🧸💉⛳️
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Music: “Mountain Climb” by @JakeHillInternet
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@MaineMedicalCenter  #TeleHealth  #Liverpool  #GrainGang

Twenty percent of Americans live in a rural setting and full access to some medical care is limited: often requiring long drives or temporary relocations. That includes specialty palliative care -- the interdisciplinary services of physicians, nurses, social workers, and chaplains aimed at helping patients control symptoms of a serious illness.

On today's podcast, we explore a demonstration project underway in rural Stevens County, Washington undertaken by the Palliative Practice Group at the Providence Institute for Human Caring.

The in-person nursing and chaplaincy providers in two rural hospitals are being joined by physicians and social workers through a Tele-PC video connection or by phone, allowing patients to avoid 70-100 mile drives to seek consultations. And the Tele-PC connection allows far-flung family members to be involved in bedside conversations about the goals of care.

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JOIN US ONLINE ON JUNE 16th

HUMANIZING HEALTHCARE EXPERT SERIES

For information on the June 16th online event, Remote Palliative Care: A telehealth roadmap to reaching rural communities, featuring a number of guests heard on this episode of the podcast, visit this link. Registration is now open.��

.

Gregg VandeKieft, M.D., MA, FAAFP, FAAHPM��

Executive Medical Director,��

Palliative Practice Group and Tele-PC

Providence Institute for Human Caring

Olympia, Wash.

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Kevin Murphy, M.D., MSW��

Executive Director,��

Palliative Practice Group

Providence Institute for Human Caring

Seattle, Wash.

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Adie Goldberg, Ph.D., LICSW��

Palliative Care Social Worker

Spokane, Wash.

.

Amber Moody, RN

Palliative Care Nurse

Providence Mount Carmel Hospital

Colville, Wash.

(LISTEN to extended conversation)

.

Kelly Corcoran

Chief Mission Officer

Providence Mount Carmel Hospital

Colville, Wash.

(LISTEN to extended conversation)

.

Matthew Gonzales, M.D., FAAHPM��

Associate Vice President,��

Chief Medical and Operations Officer

Providence Institute for Human Caring

.

Ira Byock, M.D., FAAHPM

Founder/Senior Vice President for Strategic Innovation

Providence Institute for Human Caring

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Today Margie is joined by Family Nurse Practitioner, Cindy Inman. Cindy talks about her work in healthcare in Correctionville Iowa. Being such a small town, Cindy outlines the importance of building good relationships with her patients. Sometimes healthcare providers are the only advocates for patients that don't have support at home, in school, or at work in these rural areas. Cindy also talks about her approach to healthcare that helps her connect and listen to her patients. 

We head home for a final good-bye to hear how Anasia, Ciara, Erick, Shayla and more are building new legacies exactly where they are.

Featured guests: Crystal Starr Flowers, Katy Kozhamminil, PhD, DaLyah Jones and Tanya Smith-Johnson

For transcripts and more, visit natalstories.com. Follow NATAL on Twitter and Instagram.

Alabama Birth Collective founding member, Nadia Gramby, on the sisterhood of birthwork.

For transcripts and more, visit natalstories.com. Follow NATAL on Twitter and Instagram.

The parents adjust to life postpartum and the powerful transformations they've undergone.

Guest featured this episode: Crystal Starr Flowers

For transcripts and more, visit natalstories.com. Follow NATAL on Twitter and Instagram.

The babies are coming. 

For more on birth plans, listen to our NPR Life Kit episode.

For transcripts and more, visit natalstories.com. Follow NATAL on Twitter andInstagram.

Alabama Birth Collective founder Jasmine Merritt on answering the call to serve.

For transcripts and more, visit natalstories.com. Follow NATAL on Twitter and Instagram.