WEBVTT
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On behalf of the Society for Equity Neuroscience. Welcome to
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No Brain Behind. The mission of the Society for Equity
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Neuroscience or SEQUENCE is to enhance brain health equity through
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scientific research.
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This podcast is dedicated to conversations with equity focused neuroscientists
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and thought leaders. Our guests are working to understand and
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address barriers too and facilitators of optimal brain health and
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nervous system function for everyone everywhere. No Brain Behind explores
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cutting edge research methods, amplifies new discoveries, and foster's collaboration
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within the scientific community. I'm doctor Gitanjeli Das.
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I am doctor Angel Katja.
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And I'm doctor Chris Orlando.
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We are clinician scientists in the field of health equity
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neuroscience who have the distant pleasure of being your host
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on No Brain Behind. Join us as explorer the scientific
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challenges hanging innovations shape in the future of equity neuroscience.
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Hello again to our listeners, and a warm welcome to
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doctor Rachel Foreman and a mom in Nacvie. Today we
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want to highlight one of the Society's training initiatives, the
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SEQUENCE Scholars Program. Doctors Foreman and Nocvie are among the
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faculty who lead the program, and we're very pleased to
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have them with us. I'd love it if you'd each
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introduce yourselves to us or listeners can get to know
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you a little bit. Doctor Foreman. We've heard from you
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as a guest interviewer, but this is the first time
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that we get to have you as our interviewee. Would
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you care to tell us a little bit about yourself,
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about your career and what you do for us here
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at Sequence.
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Sure, thanks so much for having me, Chris and Josh
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in the background. It is nice to be on the
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other side. So my name is Rachel Foreman. I'm a
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stroke neurologist at Yale, and I'm really passionate about community
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engagement and health advocacy. It's been really amazing to have
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the opportunity to help on different initiatives with Sequins, including
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this podcast, the Sequence Scholars Program, among others, and just
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learned from really amazing faculty and mentors, people that I've
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always looked up to since I was a trainee myself,
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including my guests here today. So that's a little bit
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about me. I also do research for post stroke high
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blood pressure, you know, community engagement research funded by the
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American Heart Association. So yeah, I'll pass it off to
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doctor Knackvie.
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Hi everyone, thanks for joining us to talk about sequence scholars.
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It's it's really become this amazing pipe project of Rachel
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and mine, and it really ghost show the interest that
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our entire community has in equity research, that there are
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so many people engaged, such as yourselves, and that we're
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doing this podcast today, So thanks for having us. So
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I am a vasculine neurologist as well, and i am
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at Columbia University. I'm the director of the Outpatient Services
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and my clinical research is environmedical Informatics approaches team science
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to engage in behavioral interventions for stroke survivors, and it
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all culminates to thinking about health disparities and how we
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are promoting a change with the interventions that we're targeting
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for our stroke populations. We could all do better in
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how we think about intervention design for inclusivity of all
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stroke populations, and for that we need to have that
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built in education starting early for all clinicians, the ones
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that we're focused on, our medical students and residents, because
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that's really when you start thinking about what you can
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do to make a difference, and that's where our science
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is heading. We kind of all know what the problems are,
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but finding those solutions. If we could have those tools
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a little bit early, we can progress hopefully faster, and
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so that's kind of why we want to do Sequence Scholars.
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That's great. It's a pleasure to have both of you
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here with us. Doctor Knackvitz, We're thrilled to have you
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on the podcast for the first time, but some of
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our listeners might recognize your voice from Sequence webinars, and
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so to start off, I'd love to hear from both
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of you about kind of the story of the Sequence
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Scholars program specifically, what was the need that we identified
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as a society that the program needs to fill. What's
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the purpose of the program, what are we trying to
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accomplish with it.
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Well, a Mama and I have been talking about this
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and it just sort of naturally flowed into the idea
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of having the Sequence Scholars program. That there is this
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huge drop off of people that are engaged in quote,
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community service. So when you think about kids in high
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school and college and even in medical school, like for you, Josh,
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there there's kind of this expectation that you're engaging with
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your community and doing these extracurricular activities with your community.
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And then if you think about how many faculty and
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a neurology department are doing this, there's right only a handful.
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And why is that big drop off?
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I know it's because you know, people get busy with
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their clinics and there are other research projects. But I
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think that we can avoid having it so siloed where
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only like a handful of people are the quote experts
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in community engagement if we train medical students and neurology
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residents earlier and give them the tools so that they
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can carry these aspects of their research, you know, throughout
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their career. So for instance, if someone is learning as
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a resident how to do good community engage research, has
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a mentor learns how to be a health advocate, learns
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how to do really strong QI work where they're learning
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how to do the interventions a mama has alluded to previously.
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And then if you like, say I'm going to go
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into MS research at the bench, you don't, you know,
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you could still have the tools to have a community
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advisory board as a part of that, or or recruit
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in the community and you're still quote like have your engagement.
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So I think by by having this pipeline, it creates
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a way for there to be sustainability for people engaging
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in community.
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I'll say, this is a fantastic community to in community work.
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And when I started out, I preventive health and that's
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what I still do, Like, stroke prevention is my jam.
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And that's why we're vasculinologists because when we say a
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patient with a second stroke, it's like, oh my god,
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what could have done better?
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Right?
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But then a lot of us don't think about, well,
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this person's going back in a community, what does that
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community look like? How is that person's experience getting better
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in the community. Are we thinking about how to advocate
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for them at the right instance. Are we thinking about
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how the quality of their life could be better by
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just making their transitions smoother? What is their disability going
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to look like? Are we really equipping them with the
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kind of supports that they need once they're out of
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the hospital, which is when they're back in their community.
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And so thinking about all those things really makes you
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think about, Okay, so you're going to do all of that,
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but then now that you understand what community is, but
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then what is engagement? How do we engage in a
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way that's meaningful and, like Rachel said, sustainable, And what
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does that sustainability look like? What are focused groups? What
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are support groups? What are SAPs, what are ca bs?
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What do all of these mean? We don't get any
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of that exposure anywhere in medical school, but we're expected
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to do something that fulfills those needs. So I think
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that's kind of the gap that we're trying to fill here,
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is giving enough time to reflect on what it is
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that a healthcare professional in our current environment is able
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to impact in perhaps a small but meaningful enough way
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that they can take that forward into hopefully more people
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who are engaged in equity research.
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Yeah, doctor Doctie, what you were saying to me about
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how we need to be better at dealing with interventions,
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it makes me designing interventions, I mean just brings me
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back to the very first episode of this podcast. I
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had the chance to talk to doctors ob Viagli and
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doctor Mesco, who who lead the society, and that was
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one of the first things he highlighted is the one
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of the primary missions of sequences that we've spent decades
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now describing disparities, but we haven't done a whole lot
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to really narrow them, and the obviously one of the
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Society's missions is to change that, and as you pointed out,
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that's one of the purposes of the Sequence Scholars program
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is to give trainees the tools to do that. So
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tell us little bit more, what does involvement in the
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program look like, What learning activities to participants engage in,
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What opportunities do they do they get?
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So the Sequence Scholars curriculum is takes place over one year,
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So we just started with our first cohort in October
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of twenty twenty five. Out of over seventy applicants nationwide,
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we selected twenty ten medical students and ten neurology residents.
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We were very intentional to make sure that we had
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good geographic representation, especially in rural parts of the country
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where they might not get the same type of exposure.
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So that's how we kind of made the selection. And
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then for folks who were not selected this year, we
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have an Associate Scholars track where they can still participate
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in some of the activities because we don't want to
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just send people away if they have a genuine interest.
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We still want to help to foster them growing in
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this space. So we have a core curriculum, so that
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includes health advocacy, community engage, research techniques.
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That's what a Mama and me lead.
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We also have doctor Stephanie Laden from Utah who is
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a rural health expert and med ED expert. We have
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Jeremie A. Dare who teaches about QI. Jill Berkman talks
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about health equity in the curriculum I believe, Yep, go ahead.
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Who does implicit bias and cultural competency training. So that's
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about six other UH people who are sort of specialists
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in these things. And the reason we curated these dinactics
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specifically is because the way we would think about it
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is it's not about designing a big intervention. It's about
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finding a small thing that you can do at the
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place that you are that would perhaps help you think
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about your next plans. So like even something as simple
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as a QI initiative as some of our scholars have
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worked on, has been super helpful and for them to
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think about and perhaps we can touch on that next.
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Yeah. So we do have those core curriculums.
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We also have office hours, so we've had at least
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five to seven this year where you know, different folks
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from around the country who are experts along the spectrum
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have little drop.
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In hours where they talk.
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People can join you know the quote office hours virtually
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and do meet and griefs with you know, people that
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are real leaders in this space. We also do a
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curriculum for the associate scholars, so we've had two or
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three lectures for them that the Sequence scholars are also
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invited to. The scholars also have planned at least two
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they're working on their third Sequence Scholars social so it's
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virtual and they just get together to you know, foster
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mentorship and collaboration between them because you know, they there's
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neurology residents and medical students and first year medical students,
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fourth year medical students, so even within that they're closer
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than we are a mom as we get further and
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further away to give good advice and you know, collaborate
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on projects together if they're especially if they live near
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each other. So so those were kind of like the
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big hallmarks of the program.
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And then a Mama, maybe you want.
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To discuss the capstone project and what that entails, because
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that's a really big part of the curriculum as well.
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Yeah, I mean, I think it's been great to have
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some brainstorming when we initially started out with the twenty
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participants that we had, as they were starting to think
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about the projects that they'll be interested in, and it
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was really interesting to note that they were there was
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quite a bit of overlap in what they wanted to do,
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like the peag zerology residents, the medical students who are
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interested in peace neurology residency like moving on to that track.
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So that sort of cross pollination has been fantastic and
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something that I think we could harbor even more somehow
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moving forward. But it also helped them think about their
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capstone projects and to try to make it a little
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bit more sort of easier for them to do where
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they are, and perhaps as next steps they could disseminate
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at other centers where they've learned of similar minded people.
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The associates Truck they specifically do not have capstone projects,
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because again it's sort of giving them time and grace
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to think about how they could be engaged perhaps even
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a little bit more, and they are prioritized for the
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active co hurt moving forward, so that they've had a
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little bit more time to think about it, they don't
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have a capstone, but they are required or ask to
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join the lecture series and to learn from everything else.
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In terms of the capstone projects, you know, we do
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give them a little bit of time to decide what
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the final title is going to be, what that abstract
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looks like, but midway through the year they should have
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made that decision and they'll keep us updated on how
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the IRB is progressing, if there's any things that need troubleshooting.
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Also identifying mentors sometimes if you're looking at big data
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and EPI, it's a it's a little bit harder when
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it's a cross disciplinary to find a mentor, so we've
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been able to guide them along for that. The projects
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are really variable. There's one that Allison Stevens at Vayder
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and Pets is working on improving sexual health education for
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patients with your developmental disabilities, something that she was really
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passionate about and she's been able to bring that into
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the clinic setting where she's been working. Her mentor is
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doctor Stephen Lazaar too, like in the community such as
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Alisa here who's working on barbershops and how perhaps improving
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stroke awareness and knowledge could be done in the African
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American community, you know, similar to the Gospel study that
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was conducted some years ago where there was this was
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for primary prevention. He sort of wanted to take it
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a step further. Had an idea of how we could
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engage into the community, but didn't know what he could
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do with the community. So that was something that we
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were able to come together and think about in terms
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of gaging self efficacy skills and focusing on education, which
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he was interested in doing. So, yeah, it's it's been. Uh,
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some of the projects are super innovative. There's one that
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Geffen that Rachel you could talk maybe a little bit
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more about, has been working on.
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Yeah.
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So Geffen is one of the neurology residents at Yale
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and she has partnered up with stroke support organizations. One
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of them is called Stroke O T and the other
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one is called Stroke Onward and Stroke Onward is a
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national one and Stroke O T It's not meant to
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be Stroke Occupational Therapy is called Stroke o T. They
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are based out of Connecticut and their CEO, oh Carolyn Brown,
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actually made a survey for her the people in stroke
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OT to fill out about different social needs and insurance needs,
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and we partnered with her and shared that survey. More broadly,
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we have about two hundred or two fifty people that
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have responded so far, and Geffen has submitted this for
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an abstract. She's also writing it up as a manuscript,
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and importantly she has her co authors as the people
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who are involved in these organizations, So again really bringing
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home the importance of when you're partnering with the community,
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you don't just kind of use them for your research
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and leave like a helicopter research. You really need to
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stay and be partners throughout the long term and share
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the results together as a team.
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And the fact that the co authors on the appstract,
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I mean we know that community members really ever get
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to be on the academic side of things and be
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actually recognize for their participation. So that's fantastic And that's
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actually really interesting because I think our inche show a
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project was association between historic redlining and gleoblastoma outcomes. I
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think that's super great that going from that and then
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recognizing what are the actual resources that are available to
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you where you're going to have more of an impact
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in terms of the results that you can gather. That's
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also super important and that's something that you learn further
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along in your research timeline, because everybody thinks to start
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out with this amazing passion for this interest, for this
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like one thing you want to do, and then that
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becomes your niche. When you actually do research, you realize
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a lot of it is environment based, and because all
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of us live in this socio ecological framework.
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Yeah, I'll go ahead and give a shout out to
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Sylvestria Cortez who's a about to start medical school and
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he's been working with doctor Mesco's research group at USCE
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that I also have the privilege of working with. And
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he leveraged the large TriNet x database and was able
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to look into a concept called the MS prodrome, which
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is still, you know, something we're trying to figure out
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exactly what it is and if it truly even exists.
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But they were able to not only look at some
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of the healthcare utilization before the onset of multiple scorosis
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that might give us some clues as to what some
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of those prodromal phenomenon might be, but they were also
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able to look at how that might differ between different
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demographic groups, especially between different you know, people of different
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races and ethnicities, which is I think important as the
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concept of prodrome is still fairly newish and still fairly undefined,
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that we from the very beginning his project is helping
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to steer the conversation towards making sure, you know, we're
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we're looking at the needs of of of diverse groups
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and not just you know, lumping everybody together, which of
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course runs the risk of not identifying the key needs
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of underserved and underrepresented populations. So yeah, I would go
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so far as to say the Sequence Scholar program is
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already making a difference in in you know, multiple fields
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within the within the realm of neurology and equity neuroscience.
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And I'd love it if we just could bring it
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home by inviting the two of you to maybe give
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us kind of a quick elevator pitch for any trainees
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who are listening, or any people who are may be
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interested in being mentors, or maybe just faculty who know
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of trainees who might be interested in what where should
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they go to learn more and who or who should
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they contact?
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Thank you, Chris. So you can go to the Sequence website.
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We have a sub section on there Sequence Scholars. It
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will have a call soon call out for applications within
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the next month or two to start our second year
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in October twenty twenty six. If you are a student,
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anyone who's eligible would be a medical student or a
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neurology resident. And for mentors, of course, it would just
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be if you have the bandwidth. You know, we wanted
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to be a serious commitment for the year. If you
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don't have the bandwidth to be a full on capstone mentor,
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we can also have you for office hours, we can
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have you for a guest lecture for the associate track.
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So we do not turn anyone away sequence scholars. We
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always find a place for them. And if you wanted
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to speak directly to one of us, you know, feel
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free to email. They can put you in touch with us.
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But we really we want to find people that are
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passionate about this and want to carry it.
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Throughout their careers.
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And I would also encourage people to check out We
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only were able to obviously highlight like three or four
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of the scholars as programs and capstone projects, but there's
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some really awesome projects going on. So if you wanted
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to collaborate and learn more, just go to the website
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and you can read more about what the projects are.
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We do have a way of moving this forward in
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the sense that if you do have abstracts that are
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in as a scholar quickly enough, they get presented at
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the Sequence Scholars UH section at the Sequence conference that's
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held yearly. We also have some representation at the a
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N They've been fantastic at sending out invites for us,
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so stay tuned there. That's that's another with that we'll
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be advertising this for the next cohort. We will hopefully
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start sending out invitations around July, and we have expect
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to finalize the cohort for the October timeline. So if
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you're interested, then keep a look out on our Sequence
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website and going out through a You know, the program
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directors mostly are also aware of this as well, so
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as you're thinking about your projects, do reach out to
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your program director if you're a resident, make sure you
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have alignment with your program as you commence on your
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capstone projects.
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I will also add in two additional points that I
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thought of for people interested in applying to be a scholar.
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The first thing is is you do not have to
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have a mentor identified. I know it can be hard
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to find a mentor, especially locally. So if you just want,
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if you know, you're passionate about community engagement and health
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equity work and you want to learn from this program
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and apply, that's fine. If you don't have a mentor,
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we will help you find one, ideally someone at your institution,
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whether that's in neurology or in a different area. And
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then the other thing is is we just you know,
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we'll need to have a commitment from either your medical
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school or residency that you'll be excused for the handful
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of lectures because it's really important to because we are
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all virtual to be present in the limited you know,
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lectures that we do have. So just two small points
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to add that not to let you know the lack
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of a mentor identified on the front end steer you away.
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We will definitely be able to help people, as we
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have done this past year, find local mentors.
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Well.
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Thank you both so much for joining us. We will
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definitely put the link to the Sequence Scholar section of
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the website in the description of this podcast and some
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contact information for people who are interested. We want to
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thank our listeners for joining us, and we are excited
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to have some of you join us as future Sequence Scholars.
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Thank you for listening to No Brain Behind. No Brain
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00:26:02.519 --> 00:26:05.440
Behind is the official podcast of the Society for Equity
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Neuroscience opinions shared in this episode or those of the
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individuals being interviewed.
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To hear more from sequence, subscribe to the podcast, follow
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us on social media, and give us feedback and what
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we'd like to hear in future episodes. No Brian Behan
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is brought to you by the Society for Equi Neuroscience,
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led by doctors Bruce Obiagli and Leanna Mascot.
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This podcast is produced by doctors Vanessa Cooper, Rachel Foreman,
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and Parnit Greywall and her production team include Sonia Gleicher,
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00:26:31.960 --> 00:26:36.839
Tino Delamer, Said, Joshua hams U Chen Huang, Doctors Angel Kadina,
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Teja Gitanjali Das, and Chris Orlando are hosts.
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On behalf of the Society for Equity Neuroscience. Welcome to
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No Brain Behind. The mission of the Society for Equity
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Neuroscience or SEQUENCE is to enhance brain health equity through
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scientific research.
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This podcast is dedicated to conversations with equity focused neuroscientists
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and thought leaders. Our guests are working to understand and
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address barriers too and facilitators of optimal brain health and
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nervous system function for everyone everywhere. No Brain Behind explores
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cutting edge research methods, amplifies new discoveries, and foster's collaboration
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within the scientific community. I'm doctor Gitanjeli Das.
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I am doctor Angel Katja.
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And I'm doctor Chris Orlando.
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We are clinician scientists in the field of health equity
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neuroscience who have the distant pleasure of being your host
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on No Brain Behind. Join us as explorer the scientific
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challenges hanging innovations shape in the future of equity neuroscience.
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Hello again to our listeners, and a warm welcome to
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doctor Rachel Foreman and a mom in Nacvie. Today we
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want to highlight one of the Society's training initiatives, the
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SEQUENCE Scholars Program. Doctors Foreman and Nocvie are among the
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faculty who lead the program, and we're very pleased to
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have them with us. I'd love it if you'd each
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introduce yourselves to us or listeners can get to know
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you a little bit. Doctor Foreman. We've heard from you
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as a guest interviewer, but this is the first time
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that we get to have you as our interviewee. Would
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you care to tell us a little bit about yourself,
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about your career and what you do for us here
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at Sequence.
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Sure, thanks so much for having me, Chris and Josh
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in the background. It is nice to be on the
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other side. So my name is Rachel Foreman. I'm a
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stroke neurologist at Yale, and I'm really passionate about community
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engagement and health advocacy. It's been really amazing to have
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the opportunity to help on different initiatives with Sequins, including
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this podcast, the Sequence Scholars Program, among others, and just
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learned from really amazing faculty and mentors, people that I've
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always looked up to since I was a trainee myself,
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including my guests here today. So that's a little bit
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about me. I also do research for post stroke high
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blood pressure, you know, community engagement research funded by the
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American Heart Association. So yeah, I'll pass it off to
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doctor Knackvie.
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Hi everyone, thanks for joining us to talk about sequence scholars.
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It's it's really become this amazing pipe project of Rachel
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and mine, and it really ghost show the interest that
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our entire community has in equity research, that there are
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so many people engaged, such as yourselves, and that we're
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doing this podcast today, So thanks for having us. So
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I am a vasculine neurologist as well, and i am
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at Columbia University. I'm the director of the Outpatient Services
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and my clinical research is environmedical Informatics approaches team science
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to engage in behavioral interventions for stroke survivors, and it
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all culminates to thinking about health disparities and how we
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are promoting a change with the interventions that we're targeting
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for our stroke populations. We could all do better in
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how we think about intervention design for inclusivity of all
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stroke populations, and for that we need to have that
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built in education starting early for all clinicians, the ones
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that we're focused on, our medical students and residents, because
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that's really when you start thinking about what you can
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do to make a difference, and that's where our science
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is heading. We kind of all know what the problems are,
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but finding those solutions. If we could have those tools
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a little bit early, we can progress hopefully faster, and
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so that's kind of why we want to do Sequence Scholars.
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That's great. It's a pleasure to have both of you
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here with us. Doctor Knackvitz, We're thrilled to have you
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on the podcast for the first time, but some of
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our listeners might recognize your voice from Sequence webinars, and
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so to start off, I'd love to hear from both
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of you about kind of the story of the Sequence
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Scholars program specifically, what was the need that we identified
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as a society that the program needs to fill. What's
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the purpose of the program, what are we trying to
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accomplish with it.
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Well, a Mama and I have been talking about this
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and it just sort of naturally flowed into the idea
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of having the Sequence Scholars program. That there is this
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huge drop off of people that are engaged in quote,
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community service. So when you think about kids in high
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school and college and even in medical school, like for you, Josh,
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there there's kind of this expectation that you're engaging with
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your community and doing these extracurricular activities with your community.
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And then if you think about how many faculty and
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a neurology department are doing this, there's right only a handful.
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And why is that big drop off?
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I know it's because you know, people get busy with
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their clinics and there are other research projects. But I
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think that we can avoid having it so siloed where
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only like a handful of people are the quote experts
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in community engagement if we train medical students and neurology
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residents earlier and give them the tools so that they
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can carry these aspects of their research, you know, throughout
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their career. So for instance, if someone is learning as
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a resident how to do good community engage research, has
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a mentor learns how to be a health advocate, learns
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how to do really strong QI work where they're learning
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how to do the interventions a mama has alluded to previously.
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And then if you like, say I'm going to go
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into MS research at the bench, you don't, you know,
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you could still have the tools to have a community
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advisory board as a part of that, or or recruit
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in the community and you're still quote like have your engagement.
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So I think by by having this pipeline, it creates
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a way for there to be sustainability for people engaging
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in community.
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I'll say, this is a fantastic community to in community work.
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And when I started out, I preventive health and that's
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what I still do, Like, stroke prevention is my jam.
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And that's why we're vasculinologists because when we say a
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patient with a second stroke, it's like, oh my god,
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what could have done better?
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Right?
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But then a lot of us don't think about, well,
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this person's going back in a community, what does that
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community look like? How is that person's experience getting better
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in the community. Are we thinking about how to advocate
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for them at the right instance. Are we thinking about
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how the quality of their life could be better by
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just making their transitions smoother? What is their disability going
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to look like? Are we really equipping them with the
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kind of supports that they need once they're out of
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the hospital, which is when they're back in their community.
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And so thinking about all those things really makes you
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think about, Okay, so you're going to do all of that,
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but then now that you understand what community is, but
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then what is engagement? How do we engage in a
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way that's meaningful and, like Rachel said, sustainable, And what
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does that sustainability look like? What are focused groups? What
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are support groups? What are SAPs, what are ca bs?
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What do all of these mean? We don't get any
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of that exposure anywhere in medical school, but we're expected
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to do something that fulfills those needs. So I think
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that's kind of the gap that we're trying to fill here,
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is giving enough time to reflect on what it is
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that a healthcare professional in our current environment is able
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to impact in perhaps a small but meaningful enough way
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that they can take that forward into hopefully more people
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who are engaged in equity research.
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Yeah, doctor Doctie, what you were saying to me about
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how we need to be better at dealing with interventions,
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it makes me designing interventions, I mean just brings me
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back to the very first episode of this podcast. I
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had the chance to talk to doctors ob Viagli and
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doctor Mesco, who who lead the society, and that was
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one of the first things he highlighted is the one
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of the primary missions of sequences that we've spent decades
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now describing disparities, but we haven't done a whole lot
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to really narrow them, and the obviously one of the
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Society's missions is to change that, and as you pointed out,
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that's one of the purposes of the Sequence Scholars program
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is to give trainees the tools to do that. So
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tell us little bit more, what does involvement in the
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program look like, What learning activities to participants engage in,
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What opportunities do they do they get?
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So the Sequence Scholars curriculum is takes place over one year,
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So we just started with our first cohort in October
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of twenty twenty five. Out of over seventy applicants nationwide,
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we selected twenty ten medical students and ten neurology residents.
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We were very intentional to make sure that we had
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good geographic representation, especially in rural parts of the country
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where they might not get the same type of exposure.
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So that's how we kind of made the selection. And
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then for folks who were not selected this year, we
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have an Associate Scholars track where they can still participate
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in some of the activities because we don't want to
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just send people away if they have a genuine interest.
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We still want to help to foster them growing in
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this space. So we have a core curriculum, so that
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includes health advocacy, community engage, research techniques.
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That's what a Mama and me lead.
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We also have doctor Stephanie Laden from Utah who is
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a rural health expert and med ED expert. We have
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Jeremie A. Dare who teaches about QI. Jill Berkman talks
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about health equity in the curriculum I believe, Yep, go ahead.
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Who does implicit bias and cultural competency training. So that's
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about six other UH people who are sort of specialists
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in these things. And the reason we curated these dinactics
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specifically is because the way we would think about it
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is it's not about designing a big intervention. It's about
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finding a small thing that you can do at the
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place that you are that would perhaps help you think
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about your next plans. So like even something as simple
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as a QI initiative as some of our scholars have
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worked on, has been super helpful and for them to
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think about and perhaps we can touch on that next.
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Yeah. So we do have those core curriculums.
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We also have office hours, so we've had at least
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five to seven this year where you know, different folks
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from around the country who are experts along the spectrum
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have little drop.
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In hours where they talk.
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People can join you know the quote office hours virtually
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and do meet and griefs with you know, people that
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are real leaders in this space. We also do a
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curriculum for the associate scholars, so we've had two or
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three lectures for them that the Sequence scholars are also
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invited to. The scholars also have planned at least two
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they're working on their third Sequence Scholars social so it's
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virtual and they just get together to you know, foster
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mentorship and collaboration between them because you know, they there's
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neurology residents and medical students and first year medical students,
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fourth year medical students, so even within that they're closer
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than we are a mom as we get further and
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further away to give good advice and you know, collaborate
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on projects together if they're especially if they live near
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each other. So so those were kind of like the
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big hallmarks of the program.
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And then a Mama, maybe you want.
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To discuss the capstone project and what that entails, because
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that's a really big part of the curriculum as well.
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Yeah, I mean, I think it's been great to have
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some brainstorming when we initially started out with the twenty
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participants that we had, as they were starting to think
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about the projects that they'll be interested in, and it
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was really interesting to note that they were there was
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quite a bit of overlap in what they wanted to do,
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like the peag zerology residents, the medical students who are
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interested in peace neurology residency like moving on to that track.
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So that sort of cross pollination has been fantastic and
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something that I think we could harbor even more somehow
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moving forward. But it also helped them think about their
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capstone projects and to try to make it a little
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bit more sort of easier for them to do where
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they are, and perhaps as next steps they could disseminate
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at other centers where they've learned of similar minded people.
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The associates Truck they specifically do not have capstone projects,
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because again it's sort of giving them time and grace
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to think about how they could be engaged perhaps even
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a little bit more, and they are prioritized for the
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active co hurt moving forward, so that they've had a
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little bit more time to think about it, they don't
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have a capstone, but they are required or ask to
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join the lecture series and to learn from everything else.
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In terms of the capstone projects, you know, we do
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give them a little bit of time to decide what
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the final title is going to be, what that abstract
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looks like, but midway through the year they should have
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made that decision and they'll keep us updated on how
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the IRB is progressing, if there's any things that need troubleshooting.
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Also identifying mentors sometimes if you're looking at big data
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and EPI, it's a it's a little bit harder when
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it's a cross disciplinary to find a mentor, so we've
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been able to guide them along for that. The projects
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are really variable. There's one that Allison Stevens at Vayder
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and Pets is working on improving sexual health education for
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patients with your developmental disabilities, something that she was really
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passionate about and she's been able to bring that into
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the clinic setting where she's been working. Her mentor is
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doctor Stephen Lazaar too, like in the community such as
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Alisa here who's working on barbershops and how perhaps improving
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stroke awareness and knowledge could be done in the African
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American community, you know, similar to the Gospel study that
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was conducted some years ago where there was this was
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for primary prevention. He sort of wanted to take it
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a step further. Had an idea of how we could
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engage into the community, but didn't know what he could
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do with the community. So that was something that we
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were able to come together and think about in terms
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of gaging self efficacy skills and focusing on education, which
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he was interested in doing. So, yeah, it's it's been. Uh,
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some of the projects are super innovative. There's one that
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Geffen that Rachel you could talk maybe a little bit
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more about, has been working on.
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Yeah.
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So Geffen is one of the neurology residents at Yale
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and she has partnered up with stroke support organizations. One
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of them is called Stroke O T and the other
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one is called Stroke Onward and Stroke Onward is a
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national one and Stroke O T It's not meant to
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be Stroke Occupational Therapy is called Stroke o T. They
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are based out of Connecticut and their CEO, oh Carolyn Brown,
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actually made a survey for her the people in stroke
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OT to fill out about different social needs and insurance needs,
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and we partnered with her and shared that survey. More broadly,
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we have about two hundred or two fifty people that
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have responded so far, and Geffen has submitted this for
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an abstract. She's also writing it up as a manuscript,
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and importantly she has her co authors as the people
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who are involved in these organizations, So again really bringing
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home the importance of when you're partnering with the community,
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you don't just kind of use them for your research
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and leave like a helicopter research. You really need to
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stay and be partners throughout the long term and share
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the results together as a team.
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And the fact that the co authors on the appstract,
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I mean we know that community members really ever get
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to be on the academic side of things and be
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actually recognize for their participation. So that's fantastic And that's
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actually really interesting because I think our inche show a
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project was association between historic redlining and gleoblastoma outcomes. I
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think that's super great that going from that and then
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recognizing what are the actual resources that are available to
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you where you're going to have more of an impact
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in terms of the results that you can gather. That's
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also super important and that's something that you learn further
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along in your research timeline, because everybody thinks to start
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out with this amazing passion for this interest, for this
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like one thing you want to do, and then that
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becomes your niche. When you actually do research, you realize
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a lot of it is environment based, and because all
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of us live in this socio ecological framework.
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Yeah, I'll go ahead and give a shout out to
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Sylvestria Cortez who's a about to start medical school and
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he's been working with doctor Mesco's research group at USCE
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that I also have the privilege of working with. And
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he leveraged the large TriNet x database and was able
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to look into a concept called the MS prodrome, which
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is still, you know, something we're trying to figure out
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exactly what it is and if it truly even exists.
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But they were able to not only look at some
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of the healthcare utilization before the onset of multiple scorosis
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that might give us some clues as to what some
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of those prodromal phenomenon might be, but they were also
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able to look at how that might differ between different
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demographic groups, especially between different you know, people of different
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races and ethnicities, which is I think important as the
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concept of prodrome is still fairly newish and still fairly undefined,
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that we from the very beginning his project is helping
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to steer the conversation towards making sure, you know, we're
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we're looking at the needs of of of diverse groups
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and not just you know, lumping everybody together, which of
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course runs the risk of not identifying the key needs
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of underserved and underrepresented populations. So yeah, I would go
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so far as to say the Sequence Scholar program is
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already making a difference in in you know, multiple fields
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within the within the realm of neurology and equity neuroscience.
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And I'd love it if we just could bring it
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home by inviting the two of you to maybe give
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us kind of a quick elevator pitch for any trainees
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who are listening, or any people who are may be
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interested in being mentors, or maybe just faculty who know
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of trainees who might be interested in what where should
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they go to learn more and who or who should
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they contact?
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Thank you, Chris. So you can go to the Sequence website.
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We have a sub section on there Sequence Scholars. It
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will have a call soon call out for applications within
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the next month or two to start our second year
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in October twenty twenty six. If you are a student,
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anyone who's eligible would be a medical student or a
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neurology resident. And for mentors, of course, it would just
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be if you have the bandwidth. You know, we wanted
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to be a serious commitment for the year. If you
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don't have the bandwidth to be a full on capstone mentor,
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we can also have you for office hours, we can
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have you for a guest lecture for the associate track.
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So we do not turn anyone away sequence scholars. We
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always find a place for them. And if you wanted
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to speak directly to one of us, you know, feel
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free to email. They can put you in touch with us.
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But we really we want to find people that are
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passionate about this and want to carry it.
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Throughout their careers.
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And I would also encourage people to check out We
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only were able to obviously highlight like three or four
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of the scholars as programs and capstone projects, but there's
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some really awesome projects going on. So if you wanted
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to collaborate and learn more, just go to the website
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and you can read more about what the projects are.
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We do have a way of moving this forward in
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the sense that if you do have abstracts that are
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in as a scholar quickly enough, they get presented at
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the Sequence Scholars UH section at the Sequence conference that's
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held yearly. We also have some representation at the a
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N They've been fantastic at sending out invites for us,
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so stay tuned there. That's that's another with that we'll
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be advertising this for the next cohort. We will hopefully
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start sending out invitations around July, and we have expect
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to finalize the cohort for the October timeline. So if
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you're interested, then keep a look out on our Sequence
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website and going out through a You know, the program
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directors mostly are also aware of this as well, so
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as you're thinking about your projects, do reach out to
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your program director if you're a resident, make sure you
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have alignment with your program as you commence on your
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capstone projects.
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I will also add in two additional points that I
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thought of for people interested in applying to be a scholar.
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The first thing is is you do not have to
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have a mentor identified. I know it can be hard
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to find a mentor, especially locally. So if you just want,
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if you know, you're passionate about community engagement and health
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equity work and you want to learn from this program
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and apply, that's fine. If you don't have a mentor,
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we will help you find one, ideally someone at your institution,
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whether that's in neurology or in a different area. And
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then the other thing is is we just you know,
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we'll need to have a commitment from either your medical
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school or residency that you'll be excused for the handful
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of lectures because it's really important to because we are
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all virtual to be present in the limited you know,
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lectures that we do have. So just two small points
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to add that not to let you know the lack
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of a mentor identified on the front end steer you away.
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We will definitely be able to help people, as we
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have done this past year, find local mentors.
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Well.
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Thank you both so much for joining us. We will
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definitely put the link to the Sequence Scholar section of
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the website in the description of this podcast and some
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contact information for people who are interested. We want to
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thank our listeners for joining us, and we are excited
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to have some of you join us as future Sequence Scholars.
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Thank you for listening to No Brain Behind. No Brain
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Behind is the official podcast of the Society for Equity
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Neuroscience opinions shared in this episode or those of the
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individuals being interviewed.
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To hear more from sequence, subscribe to the podcast, follow
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us on social media, and give us feedback and what
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we'd like to hear in future episodes. No Brian Behan
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is brought to you by the Society for Equi Neuroscience,
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led by doctors Bruce Obiagli and Leanna Mascot.
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This podcast is produced by doctors Vanessa Cooper, Rachel Foreman,
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and Parnit Greywall and her production team include Sonia Gleicher,
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00:26:31.960 --> 00:26:36.839
Tino Delamer, Said, Joshua hams U Chen Huang, Doctors Angel Kadina,
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Teja Gitanjali Das, and Chris Orlando are hosts.
