{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/iiif/bn9x05zn5w/manifest","type":"Manifest","label":{"en":["Dr. Theresia Neill"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","metadata":[{"label":{"en":["Rights Statement"]},"value":{"en":["\u003cp\u003eThis item is protected by U.S. copyright and related rights. It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. All other uses require permission from the Center for the History of Family Medicine.  Disclaimer:  The views presented in this broadcast are the speaker’s own and do not represent those of CHFM or the AAFP Foundation. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. \u003c/p\u003e"]}},{"label":{"en":["Source"]},"value":{"en":["video"]}},{"label":{"en":["Language"]},"value":{"en":["English (primary)"]}},{"label":{"en":["Format"]},"value":{"en":["video"]}},{"label":{"en":["Subject"]},"value":{"en":["Covid-19 (topical term)"]}},{"label":{"en":["Keyword"]},"value":{"en":["rural","family medicine","Kansas","vaccine"]}}],"requiredStatement":{"label":{"en":["Attribution"]},"value":{"en":["\u003cp\u003eThis item is protected by U.S. copyright and related rights. It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. All other uses require permission from the Center for the History of Family Medicine. \u0026nbsp;Disclaimer: \u0026nbsp;The views presented in this broadcast are the speaker\u0026rsquo;s own and do not represent those of CHFM or the AAFP Foundation. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice.\u0026nbsp;\u003c/p\u003e"]}},"provider":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/aboutus","type":"Agent","label":{"en":["Center for the History of Family Medicine"]},"homepage":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/","type":"Text","label":{"en":["Center for the History of Family Medicine"]},"format":"text/html"}],"logo":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","type":"Image"}]}],"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/206/685/small/TheresiaNeill%282-17-21%29.mp4_1692892505.jpg?1692892505","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/105889/file/206685","type":"Canvas","label":{"en":["Media File 1 of 1 - Theresia_Neill_(2-17-21).mp4"]},"duration":1085.48,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/206/685/small/TheresiaNeill%282-17-21%29.mp4_1692892505.jpg?1692892505","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/105889/file/206685/content/1","type":"AnnotationPage","items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/105889/file/206685/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-centerforthehistoryoffamilymedicine.s3.wasabisys.com/collection_resource_files/resource_files/000/206/685/original/Theresia_Neill_%282-17-21%29.mp4?1692892504","type":"Video","format":"video/mp4","duration":1085.48,"width":640,"height":360},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/105889/file/206685","metadata":[]}]}],"annotations":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/105889/file/206685/transcript/49120","type":"AnnotationPage","label":{"en":["Transcript of Dr. Theresia Neill interview [Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/105889/file/206685/transcript/49120/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Morgan Weiler: Please give me your full name.\n\nTheresia Neill: Theresia Arlene Neill.\n\nMorgan Weiler: And then your current title?\n\nTheresia Neill: Family medicine physician.\n\nMorgan Weiler: Great. And where did you go to medical school?\n\nTheresia Neill: University of Kansas. The School of Medicine, Salina campus.\n\nMorgan Weiler: Okay. And then where did attend residency?\n\nTheresia Neill: Smoking Hill Family Medicine Residency in Salina.\n\nMorgan Weiler: Okay. And then correct me if I'm wrong, Dr. Kellerman told me you just graduated or graduated a year and a half ago?\n\nTheresia Neill: Nope, just this past June, July. So pretty recent.\n\nMorgan Weiler: Yes. And then can you speak a little bit about your current position and what you do on a daily basis?\n\nTheresia Neill: Yeah, so I am a full spectrum family medicine physician. We do inpatient medicine, some ER medicine. We do clinic, we do procedures in clinic and in the ER, and then we're getting our OB program back up and running. So we've started to deliver babies too.\n\nMorgan Weiler: Great.\n\nTheresia Neill: Kind of a bit of everything.\n\nMorgan Weiler: Yeah. That's wonderful. Then can you tell me a little bit about the patient population that you treat?\n\nTheresia Neill: Okay. So we are in a rural area. Our town population is about 2,500 to 3000. There's about a population of 5,000 in our county. So we treat everybody around here. We have newborns, we treat pregnant women, children, people that are in adolescence, and then all the way to elderly. So we have many long-term care patients in our assisted living and our long term care home as well.\n\nMorgan Weiler: Okay. So now we're going to talk about some COVID questions. So what unique challenges did you and your practice face dealing with COVID-19?\n\nTheresia Neill: Well, I think that it was definitely unique being just so new out of residency. It was nice to have a little bit of experience with COVID in residency. So we kind of dipped our feet into it, but moving to a new area and then being brand new in practice. Also our senior partner had retired, basically retired around that same time. So we were taking over a lot of extra duties as far as health officer between the three of us and dealing with a lot of health department issues along with that. So it definitely added an extra layer of complication, in addition to starting a new practice so recently. It just seemed to take everything and just elevate it to the next level from that.\n\nMorgan Weiler: Yeah. So what were some of the barriers and obstacles you faced during the start of COVID, and you can even speak to since you were in residency during that time, that time as well.\n\nTheresia Neill: Okay. So I guess professionally, as far as the barriers with COVID, with residency our patient numbers got cut drastically as far as face-to-face encounters. I think that definitely had an impact. Thankfully I was already through most of my third year and so had already gotten most of my numbers that I needed for graduation, but you could tell that it really impacted our first year residents that were coming in and trying to get as much experience as they could. For a little while the residents were not able to go into COVID positive rooms, and our faculty weren't going in there just to help minimize exposure. But also if one of us was positive and we were on a certain team, we had to quarantine because who knew who exactly got exposed and where we got exposed from. I feel like that was a little more prominent when we were in the initial stages of COVID.\n\nTheresia Neill: Now that's tamed down a little bit, but probably professionally in a private practice standpoint, it's just made everything a little bit more complicated. From a personal standpoint, especially in residency and even starting in a brand new practice, not being able to see family and not having the support system that you usually would around you, that's been pretty difficult and was more difficult before vaccinations and everything started rolling out. So I think that really affected work-life balance, especially with COVID and we had an outbreak at that point. Not being able to see your family, but also having to work extra hours on top of it for COVID specific encounters, that definitely was an obstacle for us and myself.\n\nMorgan Weiler: Yeah. So a lot of people have brought up this idea that COVID's kind of superimposed the idea of a burnout in medicine. Have you faced that challenge, being a young physician and coming into such a difficult task?\n\nTheresia Neill: I think it's difficult to say burnout because you're still really excited about all the new opportunities in a new position. I'm actually thankful that we're going through this as we're being new physicians rather than 10 years in when you probably are a little more burnt out and stuck in a rut per se, and then having to get out of that rut very quickly to take on this new thing. So I'm actually a little thankful that we're going through this now. From a personal standpoint and professional, I can definitely see how some people are getting burnt out. So thankfully I had good support through our hospital and administration and my partners to help prevent that.\n\nMorgan Weiler: Good. So how did you manage that professional and personal life during a move during the pandemic, what did that balance look like for you?\n\nTheresia Neill: So between residency graduation and starting a new job, it was nice to have that little bit of time off because I think it helped us probably self isolate a little bit more, but we could really take some time for ourselves and not have to deal with a lot of that. I would say it was probably a little more difficult for myself because we were moving to a new town, we were trying to build a house. It wasn't built yet. We were living in a camper for six months. So that really had an impact on us, that was probably more stressful than part of the COVID stuff actually. But also trying to make sure that you're doing right by your family and that you're spending enough time with them or corresponding with them enough to help maintain those relationships and make sure everybody was doing well for yourself and for them. I really tried to focus on that to just help maintain that work-life balance.\n\nMorgan Weiler: Good. So what have you learned through this pandemic?\n\nTheresia Neill: I think we've probably all learned quite a few things. I've learned that technology has its ups and its downs. I'm very thankful that we have technology to do Zoom meetings for our patient visits, because otherwise a lot of our patients could have fallen through the cracks and not have been getting the care that they needed to get. I'm thankful for technology in getting the vaccinations and everything above the ground. But I think that overall it's pretty amazing what science can do, and getting that technology with it, both of those together I think has been really beneficial for us.\n\nMorgan Weiler: Good. Let's see. What did you feel that you did right during the pandemic?\n\nTheresia Neill: So what I think I did right... I tried to learn as much about it at the beginning as I could to help my patients to try and keep up on new technology. Because at the very beginning it was changing so quickly that it was hard to keep up, and trying to make sure that you have the equipment and everything that you need for your patients, and continually trying to get PPE and all of that. I think that's probably one thing that I really tried to focus on and that helped later on. Overall, like personally, I really tried to do a lot of self isolation and tried to maintain that. If I'm going to tell my patients that that's what they need to do, I felt like I needed to do it myself. I feel like that's something that myself and my family did right as well.\n\nMorgan Weiler: Good. If you could do anything over this past year, would you?\n\nTheresia Neill: For myself I think I did most everything that I could correctly. There's definitely a few situations as far as patient care that you always maybe wish that you could have done a little bit differently and caught a little bit earlier, but I think probably overall as a healthcare system, we all wish we had a little bit more PPE in stock. So that would probably be one of the biggest things, just especially rural areas, trying to maintain your emergency management systems and not get complacent with that is something that we'll probably focus on in the future.\n\nMorgan Weiler: Yeah. Who were some people that inspired you or impressed you during the COVID pandemic?\n\nTheresia Neill: So I was really thankful for my partners. I think that they offered a lot of support. Overall the physicians who were working on the vaccinations and everything who really got that technology up off the ground, and got us through the fundraising for it and the technology for developing it so quickly. That has been really, really impressive. I know that has its own ups and downs, but I do think that that was a feat for them to overcome. Overall I've just been impressed by the people who have stood by science and trusted science, even when everything was so politicized with the vaccinations and COVID-19 and everything. So I've been really impressed by the people who actually trust us as healthcare providers and will take our advice.\n\nMorgan Weiler: Yeah. That's been difficult. Yeah. I can't imagine on your side. [crosstalk] also challenging.\n\nTheresia Neill: Yes. Definitely.\n\nMorgan Weiler: So how do you see COVID impacting the learning of students and residents in family medicine? I know you already mentioned less patients in that March, April, May period, but anything else?\n\nTheresia Neill: Overall there's less patient encounters, but also COVID-19 just kind of took over everything as far as learning. So I'm afraid maybe they didn't learn the normal things that we would generally have in our medical education because COVID was so integrated into this entire past year. So making sure that everybody is still able to pass boards and pass steps and have all the knowledge that they need of everything else, in addition to the COVID coverage that we've had over the past year. So I can see that having a negative impact.\n\nMorgan Weiler: Yeah. Were most of your lectures and everything just moved online or were any canceled? Did you have any issues with the content you were getting?\n\nTheresia Neill: I was already kind of past that med school era. So we had a lot of our conferences, which is kind of our learning time during residency that went to online, or we would only be able to have a certain number of people in a room. That happened probably for the last several weeks to the last few months of residency. But overall I think with med school and residency, we rely on each other so much for social support and mental wellbeing. But that's something else that I can see a lot of people struggling with, just because we do need other people, and maybe they weren't getting as much support as they needed.\n\nMorgan Weiler: Yeah. I had a pediatric resident who said she hadn't seen one of her other co-residents in four months because of rotation, and then scheduling, so I can imagine. So what is your sense of where family medicine is going in the future?\n\nTheresia Neill: I think that it's difficult to predict where it's going to go. I know a lot of people think that it may go by the wayside. In rural areas I think that's far from the truth. We rely so much on our training and having physicians in rural areas is very important for our patients, especially with full spectrum family medicine, because we are their everything out here until we're referring out. No one else can replace our training. I think that probably says it all. If we don't have physicians in rural areas and for primary care, then our patients will suffer. So I think otherwise it's alive and well and has a bright future as long as we recognize the importance of having physicians in primary care.\n\nMorgan Weiler: Yeah. So are there any views on important issues in the specialty related to COVID-19 that we haven't addressed or that you'd like to share?\n\nTheresia Neill: I'll put in a plug for rural family medicine, because I think it's important if you are planning to go into family medicine and seek this out that you have the appropriate training. There were so many cases in our area a few months ago, in the end of October, November area, that we weren't able to send our patients elsewhere. So our COVID patients were inundating all the hospitals around us, that they literally could not take any more patients for any other reason. So even if they were a cardiac patient or a trauma patient, we had to keep them longer than what we would usually prefer as a critical access hospital. But coming out of a residency that trained me so well, I felt comfortable doing it. So just seeking out that residency that really aligns with your values and the kind of care that you want to give, I think that's important.\n\nMorgan Weiler: Yeah. Okay. So that's the end of my questions. Is there anything else you'd like to add or anything?\n\nTheresia Neill: No, I don't think so. I guess I'd like to give props to my partners who moved out here with me. We went to medical school together. Dr. McKeller and I went to residency together. So Dr. Marina McKeller and Dr. Josh [inaudible], especially with our senior partner retiring, I feel like we really came together and tried to maintain things as well as we could and figure things out in what was a really trying time.\n\nMorgan Weiler: Yeah. Okay. I'm going to stop.\n\nTheresia Neill: Okay.","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/105889/file/206685#t=0.0,1085.48"}]}]}]}