Quarterly SOHLstice
March 2021
In This Issue
Regent's Message
President's Message
SOHL Awards and Recognitions
SOHL Programs: Quarterly Update
Welcome Our Newest Members of SOHL
Q1 2021 National News
Resourcefulness: A Key Leadership Skill
Accomplishments Build Careers
Special Thanks to Our Platinum and Gold Sponsors
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Chapter Officers

Executive Board


Regent (California - Southern)
Harry C. Sax, , MD, FACHE, FACS
Cedars Sinai Medical Center

 

President
Nora Bota
County of San Diego

 

Immediate Past Co-Presidents
Dasha Dahdouh
Rady Children's Hospital - San Diego

Darrell Atkin

Johan Otter
Scripps Health

 

President Elect
Jessica Taylor
Jessica Taylor Consulting


Co-Treasurers
Sarah Norwood
Tech Coast Angels San Diego

James Revels
UC San Diego Health

 

Secretary
Peter Chu
UC San Diego Health


Board of Directors


Membership
Debbie Jacobs
Catalyst

Aubrianna Schumacher
UC San Diego Health Physician Group


Programs
Jack Hallmark
Optum

Lydia Isabel Napa
UC San Diego Health


Marketing and Communications
Ana Victoria Ramirez
Sharp Coronado Hospital

Sean Olmo
Scripps Health


Sponsorship
Barbara Gerber
Devon Hill Associates, LLC

Gary Fybel
FMG Leading


Career Development
Alice Dang
Scripps Health

Sarah Guerard
VA San Diego Healthcare System

 

Subcommittee Members


Diversity Council
Kelly Price Noble
University of Phoenix


Imperial County Liaison
TBD


Allied Healthcare Professional Council
County: Nora Bota, County of San Diego

Military: LT Jac Thomas

VA: Sarah Guerard, VA San Diego Healthcare System

Community Health: TBD


Volunteer Coordinator
Kristine Ortwine
Integrated Health Partners


Annual Conference
Peter Chu
UC San Diego Health

Johan Otter
Scripps Health

 

Newsletter
Mike De Castro
ECG Management Consultants


Social Media
Lilly Najera
County of San Diego


Website Manager
Jeffrey Jimenez
County of San Diego


Marketing Volunteer
Susan Stone
Sharp HealthCare


Mentoring
TBD

 

Executive Program
Celerina Cornett
UC San Diego Extension

Jack Hallmark
Optum


Advancement Study Group
Carol Cannizzo
County of San Diego

 

Early Careerists
Jennifer Reyes
Family Health Centers of San Diego


Graduate Program Council, San Diego State University
Brandy Lipton

Thuy Do

Britney Seidemann

 

Graduate Program Council, National University
Negin Iranfar

Joy De Dios

 

Graduate Program Council, UC San Diego
Robert Kaplan

Justin Sigmund

Michael Chan


Graduate Program Council, University of Phoenix
Kelly Price Noble
University of Phoenix


College Bowl
Negin Iranfar
National University


Senior Advisors Council
Mary Parra
Neighborhood Healthcare

Mark Campbell
TRICARE Regional Office – West


Members-At-Large
Jared Vogt
Rady Children's Hospital

Trish Daly
Daly Consulting Solutions

Regent's Message

Message From Your ACHE Regent
Winter 2020


Fear and Loathing in Health Care

In this new year, it is easy to become overwhelmed by multiple events that seem beyond our control and perhaps feel a sense of doom. On reflection, much of this is fear. Fear is a powerful emotion that drives behaviors.

As healthcare leaders, we must acknowledge that fear is pervasive in Medicine. Our patients fear whether their illness will be cured and that they could be financially bankrupted due to inadequate coverage. Our front-line providers have feared for their lives over the last year, a fear that is thankfully being mitigated by vaccination and falling COVID-19 numbers. Our practitioners feel concerned about whether they can fully care for their patients and always have the lurking threat of litigation hanging over them.

If we are honest with ourselves, many of us fear that we cannot provide all that is necessary to help our constituents or that we are inadequate to the task of servant leadership.

Before I started my surgery internship in 1982, I was both excited and scared. Confiding in a resident, he told me to read three books: House of God, by Sam Shem, a semi-fictional account of his first year as a medicine resident at a Boston teaching hospital; The Right Stuff, Tom Wolfe’s portrayal of the test pilots who would subsequently become the Mercury 7 astronauts; and Hunter Thompson’s drug-fueled, gonzo journalism missive from 1971 - Fear and Loathing in Las Vegas. My resident wanted me to understand the culture that I was about to immerse myself in – one of high energy, hard work, the need for confidence, living a bit on the edge, and the recognition that all this would be scary.

In House of God, the protagonist learns how to keep his patients alive and avoid being chastised, deals with his fear that he’ll hurt someone, loses his idealism, has a few memorable adventures in the call room, and subsequently changes specialties to psychiatry. The test pilots in the ’50s and ’60s had tremendous skill and bravado and recognized that they could well be killed doing their job. But they were the best of the best. Their fear was covered by the attitude that if someone augured in – it was because they didn’t have enough of “The Right Stuff.” But when you got inside their heads, there was a drive to succeed and fear and doubt. Alan Shepard was heard muttering, “God, please don’t let me screw this one up,” before the first Mercury launch. Such studied confidence is vital in any high-risk profession, and for those that combine that skill with realistic insight, the results are spectacular. The late Hunter Thompson was the National Affairs editor for Rolling Stone. His books involve completely immersing oneself in an experience, in his case, while under the influence of numerous drugs. He traveled to Las Vegas to cover a convention of District Attorneys dealing with the “The fear and loathing caused by the drug problem in America.” In the backdrop of Las Vegas, the combination of polarized attitudes leads to an interesting study of pushing limits and seeing two alternatives, yet concurrent, realities.

As a provider, before I volunteered in Haiti after the earthquake, I was asked if I was afraid of the violence or if I could deal with the extent of the disaster. Perhaps because I was older and my children were grown, I didn’t fear as much for my safety. But there was intense doubt about how I would handle what I would see. I learned that by depending on those around you, fear was shared and diluted.

The adversarial nature of our tort system creates anxiety and fear and impacts on the patient /physician relationship. Politically, as the health care reform debate continues to play out, both sides use fear to influence their base. Medicare “Death panels” vied with “Losing my insurance because I have cancer.” Based on a long history of racial disparities and distrust, those that would benefit most from the COVID-19 vaccination are also more likely to refuse it.

Because fear is a basic human emotion, just like joy and passion, it can powerfully influence behavior. How we chose to handle fear can define how we live our lives.

We all deal with fear differently. Some become overly arrogant, never admitting to a second thought and subsequently forging forward to a disaster. Others are paralyzed by fear and do not take any chances, achieving and experiencing little. Perhaps the best tactic is to recognize that the fear you feel is a sign to be a bit more aware, a bit more prepared, a bit more willing to reach out for advice, a different perspective, and support. When you can integrate fear, both your own and others, into the overall experience and balance it with planning, confidence, and a little bit of faith, your abilities as a leader are enhanced.



Harry C. Sax, MD, FACHE
Regent for California – Southern
harry.sax@cshs.org

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