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Inspiring Residents Through

                             First Tuesdays at the Capitol



             By Robin Reister, MD


              ’ll never forget the first time I
              spoke to a lawmaker. It was a
          Isunny morning in New York
          City, as my fellow residents and I
          piled into a car for the three-hour
          drive to Albany. Stepping into
          the NY State Capitol building, I                     First Tuesday meeting with Representative Stan Gerdes.
          was nervous. What could I—a              During the recent Legislative     what I had realized during my own
          third year Internal Medicine         Session, I took part in the Texas     experience in Albany—that we as
          resident—possibly say to help these   Medical Association’s “First Tuesdays  physicians have a deep understanding
          lawmakers understand the real and    at the Capitol” initiative, when      of how policy decisions affect our
          meaningful impact of expanding       physicians from all over Texas travel   community, and that engaging the
          healthcare coverage?                 to address policymakers. We started   people who make policies is not only
              Proudly wearing my white coat,    the day at the TMA building for      appropriate, but empowering. It is
          I proceeded to speak about the       breakfast and the informative         my hope that the more I can teach
          struggles of my patients in the      presentation, Grassroots Advocacy     residents through experiences such
          Bronx; that many remained without    101. Then we donned our white coats   as First Tuesdays, the more I—and
          coverage to pay for crucial          and walked to the nearby Texas State   we as physician leaders—can inspire
          medications such as insulin. The     Capitol to meet with the lawmakers.   other physicians to have a voice in
          more I spoke, the more I realized        During our first meeting with     shaping and influencing health policy
          how my experience and words as a     a State Representative, I listened as   and to become delegates and leaders
          physician could really matter—       residents shared personal stories, just   in organizations such as TMA and
          reaching beyond just my individual   as I had done years ago. Imbued with   TCMS, and perhaps even some day,
          patient encounters and into the halls   that same passion, they spoke about   to become lawmakers themselves.
          of power—to influence health policy   their devotion to primary care, but
          on a state or even national level.   also about their fears—of practice    Robin Reister, MD, is an Assistant
              Residency is a challenging time   creep, of their enormous student     Professor in the Department of  Internal
          and not just because of endless      debt, of the challenges our patients   Medicine at Dell Medical School and
          physical and cognitive demands.      face accessing care. We walked the    Program Director for the Primary
          It’s also a time when new physicians   hallways of the Capitol, debriefing   Care Track of  the Internal Medicine
          can begin to feel frustrated about    and refining how to tell our stories.    Residency Program
          the ways our healthcare system       I watched with a deep sense of
          and certain governmental policy      pride as their confidence
          decisions affect patients. As an     grew with each encounter.
          educator, I am committed to              At the end of the
          teaching about systems of health,    day, I asked some of the
          and how inequities and social        residents to describe their
          determinants are often more          experience. Comments
          prognostic than a family history or   ranged from “10 out of
          BMI. I often hear from our residents  10!” to “I finally felt like I
          that they want to do something       was doing something.”
          about these big issues, and they     One of the residents told
          want to know how their voices can    me she is now inspired to
          be heard. I see it as part of my job to  be more engaged during
          help all physicians—and residents    future legislative sessions.
          in particular—understand that their   I saw in these residents   Drs. Annelisa Pessetto, Robin Reister, Emily Binford, Brandon
          voices matter.                                                 Herrera-Doerre, Simisola Kuye, and Anupama Kapadia (front).

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