Alright, well, like Dr. DeFaria said, we're so pleased to see all of you here and joining us for the last session of today's APA. We hope you will have a wonderful time just sitting back, hearing about AWP history, hearing about the work of women across the APA, hearing about allies and the need for allies. And then we hope you will have enough energy to come join us at the Marriott. We have our annual membership. You don't have to be a member. You can become a member. So that's the AWP meeting at the Marriott, sixth floor, the Majestic and Music Box rooms, and that's at 545 to 745 tonight. Just know that we have a meeting every year at the APA that's very similar and we always have a great time. So, yeah. »» We do. We do. I confirm. »» What floor? The sixth floor? »» Sixth floor. All right. So how many people are a part of the AWP here? Can you raise your hand? Wonderful. And if you're not, it's not a big deal. We hope to convince you. You want to be part. Wonderful. Wonderful. Come see us afterwards and we'll get you connected. We meet in person once a year at the APA, but we also meet throughout the year virtually. We have a lot of young people and interested, if you are a med student, resident, or fellow, we'd love to have your involvement and see what you're doing and see how we can help and see how we can help with mentorship. And if you are early career, mid-career, late career, your expertise is also very, very valuable. And mentors, we really value mentors in this. So if you have any interest in that, please come to our networking sessions or let us know. So all right. This is our presidential session. We're very grateful to the APA who has given us five years of presidential sessions and this is the second year in that. And the title of our presentation is Women and Men of the APA, the Leadership of the Association of Women Psychiatrists. We have a brand new logo. We had a logo for 40 years that we had hired a firm to design and then we decided we probably needed to update the logo and make it more diverse and inclusive. So this is our brand new logo created by one of our medical students. So we're very proud. So allow me to introduce myself. I'm Amy Alexander. I'm a clinical assistant professor at Stanford University and my area of work is in college mental health as well as in diversity and cultural issues. I also want to introduce Dr. Ludmila Dufuria, who's an associate professor at the University of Florida and also currently chairing the new Council on Women, which we'll go ahead and discuss more of that. Also we have Dr. Francis Liu who's sitting up in front. I'm going to raise your hand. He's a emeritus professor in cultural psychiatry at UC Davis. And then we also have the heart and backbone of our organization here at AWP, Dr. Sylvia Olarte, clinical professor of psychiatry and behavioral sciences at New York Medical College. So she will be our discussant today. I don't know what's... Do we know what's going on now? Okay. Be careful, Lu. Don't... Oh, I see. Hmm. Okay. All right. Well, that's okay. We will adjust. So I want to just go over a little bit of history of the women in the APA. Our first women trustee of the APA was in 1970 to 1971, Henriette Klein, who was a psychoanalyst in New York City. Then Viola Bernard was a pioneer in social and community psychiatry and served as vice president of the APA from 1971 to 1972 and also helped establish what now is ACAP, the Group for Child Psychiatry. We also want to spend some time talking about Jean Spurlock because we have an AWP award named after her, who is a champion of workforce diversity in psychiatry, was the chair of psychiatry at Meharry Medical College, and also served as the first director of the Office of Minority and National Affairs at the APA, also founded the Minority Fellowship Program and was deputy medical director. And the Jean Spurlock Minority Fellowship Achievement Award was established in 1999. Then we should talk a little bit about AWP and how AWP was formed. Some of this history comes from Dr. Olarte, who we've had a couple conversations about this and about the time. We celebrated 40 years anniversary of the establishment of AWP last year, but at the time of its inception, it was really hard for women to break the glass ceiling or to have much voice or to hold positions of leadership in the APA and also at their own institutions. It was just a time of great struggle and trying to navigate and get leadership positions within the APA was really, really challenging and much different than it is today. They found the need to establish a separate group outside of the APA, and that was the Association of Women Psychiatrists that had more flexibility, more opportunities for women to be leaders, and one of the pioneers of this was Alexandra, also known as Ali Simmons. She was an APA Life Fellow and Psychoanalyst and founded the AWP along with several other dynamic women psychiatrists in 1983. I think there were also other people who followed soon after that, including Dr. Olarte and Dr. Leslie Guise as well, so a lot of people were involved at its inception after it was formed just to help continue the group and help to keep it going. The APA's Alexandra Simmons Award was established in 1997 to honor a female psychiatrist who has made significant contributions to promoting women's health and the advancement of women. AWP was very proud this year to award the Alexandra Simmons Award to Dr. Lynn Miller. She gave the award lecture on Saturday. Some of the goals of AWP is really to have mentoring at a national and international level and to provide professional development opportunities, to also recognize women psychiatrists at every level of professional training, and to promote leadership opportunities and encourage leadership, and then finally to also address important health needs for women patients, which as we know is a very, very current topic these days. Here is a picture of Dr. Alexandra Simmons, and she was the first AWP president from 1983 to 1987. Here is a picture of, pictures of our APA's female presidents. It took a long time to finally get a woman president, and then more recently there's been an acceleration in more women leaders, and it's very exciting to think about this and think that one of our future APA presidents could be in the audience here today. We really encourage you to, anybody who has aspirations to that level, please come and get the support of AWP. Many of the APA women presidents have been involved with AWP or have even been AWP presidents. I'm going to mention Carol Nadelson, who we were so fortunate to have come speak at our presidential session last year. She became APA's first woman president in 1985, and she was the first woman editor-in-chief of APA Press, which is now known as APPI, and she was a founding member and past president of the Association for Academic Psychiatry. So she's had a long career, still is involved as much as she can with AWP, and is just really inspiring. Here are the AWP past presidents, and I just wanted to show you a list of all of our leaders. I'm actually going to talk in some detail about some of them as we go along. So yes, so we talked about Dr. Alexandra Simmons, who was the first AWP president. Our second AWP president is Dr. Leah Dickstein from 1987 to 1991. How many people knew or was mentored by Leah Dickstein? Yes, wonderful. And even myself as a resident and then early career psychiatrist, I'd come into AWP and Women's Caucus meetings and not really say much, and she was always there to welcome trainees with open arms and wanted to know who we were, you know, told us to make our badge prominent, you know. When I heard her name, I immediately said, it's so hot. So she has left a wonderful legacy, and we lost her a few years ago, but early on she said we have to have awards, and so she helped to get the awards established at AWP, I guess relatively early on, and she was just a very, very exceptional person, mentor, and so vibrant. So we really do miss her. Dr. Nada Stotland was AWP president from 1997 to 1999, and many of you may know her as a past APA president, 2008 to 2009, and she was just here on Saturday giving her talk and so she's still very active. She's active in our monthly Zoom meetings and just so supportive of trainees and anyone who just wants to get more involved, and she's known for her work in women's mental health and particularly in reproductive rights. So Dr. Marion Butterfield, also known as Mimi Butterfield, was AWP president from 1999 to 2001, and her work was primarily in PTSD and trauma interventions for women, especially for women veterans. She helped to start the Alexandra Simmons Award, and we do actually have an annual award at the AWP given annually, so the Marion Butterfield Early to Mid-Career Psychiatrist Award in her honor, and I think we have our winner here. Do you want to raise your hand, Dr. Reed Mergler? So we'll be awarding her that at our meeting. So unfortunately, we lost her too soon. She didn't quite get to late career yet, but I saw that in her obituary, they talked about she was a gifted artist. She painted life in bright colors, and purple was her favorite. I thought that was very significant because so much of our AWP things are in purple as well, so yeah. Okay, and then we have Dr. Sylvia Olarte, who was AWP president from 2001 to 2003. She joined the organization with Alexandra Simmons and Ann Turkle, and they were her mentors from the Academy of Psychoanalysis, and also spent time with the Committee on Women at the time, and it was not really a steady source of power. It was kind of subjected to the political view of those who were above and in charge, so it kind of waxed and waned in terms of how much power, how much they could do, how much they could accomplish on the committee. And Dr. Olarte came from Argentina and was an international fellow that came over, right? So initially, just we're sitting back and just watching all the things that were happening, but you watched the meetings that discussed the formation of the AWP, which is very special. And in recent years, Dr. Olarte has done so much for the organization just to keep it going, so we're very extremely grateful. Many of you know Dr. Althea Stewart, who was AWP president from 2003 to 2005. She is the first and only black president of the APA from 2018 to 2019, and currently the president of the American Association for Community Psychiatry. Althea has done a lot to put diversity and health equity issues to the forefront, including advocacy for women, and just a wonderful source of inspiration to so many of us. Dr. Mary Kay Smith—sorry, we don't have a picture there—is AWP president from 2005 to 2007. She's a very dynamic president that connected us internationally to her work in Africa. She really gave a lot of life to the AWP awards and brought energy, new residents, and early career psychiatrists into AWP, and really brought a sense of belonging, so we're very grateful for her. We have Dr. Tana Grady-Wielicki, who was AWP president from 2007 to 2009. She was a very early advocate and did a lot of work in diversity and health equity at that time, and was the associate dean for undergraduate medical education at Oregon Health Sciences University. Unfortunately, we also lost her at a relatively young age. She gave a special gift to the executive council at the AWP, this glass with the pink ribbon for breast cancer as she was going through cancer at that time. At the University of Rochester, there's an annual Dr. Tana Grady-Wielicki MD lecture on women and diversity in medicine ever since 2011, and it's wonderful to see that her memory is still kept alive with this special award lecture. We have Dr. Patty Ordovica, who was AWP president from 2011 to 2013. This was when APA was just beginning to include psychiatrists from minority groups and starting to recognize the importance of this. She's an addiction psychiatrist who got very energetic and was involved in multiple parts of the APA and was a wonderful advocate, and so we've been very lucky to have Patty's involvement as well. Dr. Mary Barber is the AWP president from 2015 to 2017. She has a very interesting path where she went to get a master's of divinity and is doing work in that area now, but also a very wonderful leader for AWP. Some of you may know Dr. Geeta Jayaram, who was AWP president from 2017 to 2019. She's still very active in the APA as a board of trustees and also doing a lot of work with IMGs and also her continued international humanitarian work, and she's on faculty at Johns Hopkins. After that, we had Dr. Warshaw Faizan, AWP president from 2019 to 2021, a very special woman who was valedictorian in 1985, obtained a full scholarship to attend the University of North Carolina School of Medicine, both for medical school and residency. She was an APA public psychiatry fellow and a geriatric psychiatrist and medical director for women and men's health at Pfizer. She's a classical pianist and flautist and a strong advocate of the arts, and she also talked a lot about stamp collecting that she had as well, but unfortunately, we also lost her early, and so she passed away in 2022. She was our newsletter editor and was a fabulous writer, and she would send many uplifting messages during her time as president, so just has been a wonderful example. Then finally, right before me is Dr. Christina Kahn, who's AW president from 2001 to 2003. Do you want to wave? Yay. You might not have known we were going to do this, but ... She's my colleague at Stanford University and the director of the Thrive Clinic, which is a clinic that specializes in care for LGBTQ patients. Lots of involvement at the APA, including the ... Is it the diversity and health equity committees, and we just really appreciate her steady leadership of AWP, especially during the COVID pandemic, which was very hard to not be able to meet in person, so thank you, Christina. That brings us to today, so what are some things at AWP to know about? We have awards that we give out annually at the APA. They probably will be due sometime at the end of this year, so if you have med students or residents that you want to encourage to apply for this, let them know now. The application will probably open late summer, early fall. We have the Leah Dickstein Award given to medical student, Alexandra Simmons given to residents and fellows, the Jean Spurlock Award, which is a social justice award, the Mimi Butterfield Early Mid-Career Award, we have the Alexandra Simmons Awards Lecture through the APA for Distinguished Career Award, and then we have the Martin Simmons Man of Good Conscience given to a man who is an ally and advocate for women. I also want to talk about our AWP Scholars Program, headed by Dr. Reed Mergler from the Executive Council at AWP. This is a new program that we're starting this year. Do we have any scholars in the audience? Yay, congratulations, so we'll give a round of applause. We'll recognize you in the next meeting, but we're training about 10 medical students to residents per year. It'll be a year-long program with opportunities for networking, mentoring, and an opportunity to participate in AWP's activities. We want to keep encouraging people, so if they complete one year and they're still in training, we're going to welcome you to renew for another year if you'd like, but just we would like to just create a consortium of young people and fully support them. This is one of the things we've been working on. We also are starting an annual virtual conference. This year would be our second annual AWP virtual conference. It's already set for Friday, November 8th, and we will offer CME credit for this. We will have a call for abstracts likely due end of June, and we encourage anybody who has a specific topic they want to talk about. Maybe you gave the talk here at the APA. Maybe you submitted the abstract this year and it didn't get accepted, and that's okay. You could submit it with us, or you have some other idea that you'd like to do. We really welcome abstract submissions, and it won't be an extensive process to apply, but we just want you to get thinking about that now. The Man of Good Conscience Award, I'm going to have Dr. Francis Liu talk more about this, but I will also just put up the name of some of the awardees here as well. So yeah, so that is it for my portion, and thank you very much for your time. Thank you. All right, hello everybody, it's very nice to be here. We're trying to do this every year that we have the AWP presidential session and then we kind of trying to join forces with a member of the APA. And last year we had Dr. Alta and we had Carol Nadelson sitting in the panel and this year they chose me, so I apologize. It was like, it's a tough act to follow, those two pioneers. So I represent sort of the women's side of the APA and it's very interesting when I prepared this presentation, I had not heard certain things that just kind of came up in the conversation. Three years ago, after two task forces, the APA decided to bring back the Committee on Women's Mental Health. So if Leslie Geise was here, she was going to say yes, the 2.0 version, because there had been a committee a long time ago, but because, you know, a lot of times and people who have been going to my lectures because I gave a few prior to this one in this meeting will know that I'm sounding like a broken record. Because women still don't have equal standing, things that are given to us can be very easily taken away. And so we had the Committee on Women and a council and it was taken away. Part of this movement is actually what prompted the creation of something like the AWP, that is an independent organization that is separate from the APA, where we can continue to drive our agenda because we are not dependent on the whims of a larger organization, right? But I'm thankful for past President Oquendo, Maria Oquendo, Representative Joe Napoli, who was in the Assembly, Dr. Liu and Dr. Shapiro, a lot of supporters within the APA that pushed to bring back the committee and to bring back the council eventually. Why? Because, you know, a rising tide lifts all boats. I heard somebody say, well, now that you have a council, you don't need the Women's Caucus because I'm going to explain the different committees. And the way I'm thinking is why do, like, and it's typically men, sorry to the men of good conscience in the audience, but it's typically men, it's like only one thing woman is enough, but it's not because we're half of the population. So, you know, it's not a problem that we have in essence three different entities, the AWP, the Council on Women, the Women's Caucus, because we can work synergistically. We have the same mission, advancing women and gender issues, but we can do things slightly different and we have slightly different processes within the components. And so it's very silly to say that. And that's why I wanted to show this slide because I really think that we're not taking it from anybody. And my personal hero, Ruth Bader Ginsburg, proved that by presenting in front of the Supreme Court only cases that affected men that had been, unfortunately, received a setback because of laws that had to do with women. And so by working on those cases, she advanced women causes, helping men. So a rising tide does lift all boats and we can just come together and do this. Amy talked a lot about the history of the AWP women and some of it overlaps with the APA, which is a good thing. That's the synergy. So the very first woman to be in the APA was admitted in 1880. Her name was Alice Bennett and she was the, you know, when I read this, I was completely misled. The first woman resident physician of a psychiatric hospital, not so fast, everybody. She actually wanted to be a professor of anatomy and was in the process of studying anatomy to teach, but they needed a doctor in an asylum. No man wanted to do that. So they all looked at her and she's like, well, I guess I'll do it. So she went in to be a quote, psychiatrist without any training. And she proceeded to bring a lot of good things to the women who were there. One of them, one of them is that at the time that she went into this asylum or state hospital, they were still keeping people in restraints, in straitjackets. And, you know, she felt that that was a unnecessary cruelty. And she started to implement ways of not putting women and men in straitjackets. And she introduced occupational therapy so ahead of her time, you know, and it was such a successful program in, in towards rehabilitation, really way like centuries before we talked about recovery in psychiatry, right? That several other state hospitals start adopting that. So she wasn't a resident. She was just asked to do that because as sometimes it happens, you know, when it's a job that is considered not glamorous and hard, they usually push it to kind of the marginalized or the lesser person. And in that, that occasion was Dr. Bennett. She raised to the occasion, and she was also the first superintendent for a state hospital in the country. And I'm glad that she advanced the cause of the mentally ill by eliminating cruelty in the way that they were handled. And of course, we have, oh, sorry, Dr. Spurlock, sorry, I did like, I used this slide before to reveal the name. And she, you know, was a deputy director at the APA, which is kind of a big deal. And while she was doing that, she advanced a lot of the causes. So prior to Dr. Levin taking over as CEO, the APA had a medical director and a deputy medical director. I just wanted to say that. So in today's terms, it means she would be kind of like the COO to the CEO. That's how big a deal it was at the time. And of course, she was a champion for diversity, and we're very thankful to her. I was the recipient of the Jane Spurlock Award last year, and I display it with pride in my office because I really feel that I can only aspire to be the kind of social warrior that she was and the champion. Amy showed you this. I wanted to just add the president-elect, Christina Miskiman. She is taking over as president-elect at the end of this meeting. And so next year, when Dr. Vis is the past president, then she will take over as president. You want to say something? I'm not Christina. Oh, Teresa. Sorry. Sorry. Teresa Miskiman. Sorry about that. Oh, my God. Don't tell Teresa. Because you're looking at Christina. Yeah, I know. It's because I'm looking at Christina. Yes. And I'm going to give credit to Christina because she created this timeline last year. Thank you, Christina. And I kind of like took it over. I think my date in the middle is wrong, and I'm asking Frances Liu, Gabriel Shapiro, Silvia to correct me. When did the MUR caucus were established after they dismantled all the committees? Does anybody know that? It's not a tricky question. It's because I really couldn't find the date. The caucus started in the early 70s and continued. The committees that started in the 70s and they were eliminated in 2009. So, for those of you who didn't hear because of all the noise, the caucus started in the 70s and continue to today. And there are seven minority and underrepresented caucuses. And there was then committees formed for women and black psychiatrists, et cetera, et cetera. And they started in the 70s, but then because of lack of funds, they were eliminated. And for me, this is very pertinent history because thankfully to people who were very supportive of the creation of a council, one of the barriers that we had to reestablish in the council is that people at the board didn't feel that the APA had enough money to support a council on women, which I say, we're half of your constituents. What do you mean? More, more than half of your members. What do you mean you don't have money for us? We are paying the dues and they felt that, so, and it's history repeating itself, right? Same thing with all of the other committees that were many, that were all kind of taken away in order to save money. And my plight here with this slide is to remember people to continue to be vocal and continue to demand that the organization that you belong to, whether it's APA or AWP, interface with it and ask and speak up because that's the only way that the organization can decide what's the best path to take, right? I'm kind of including you because I know you and I have talked a lot about that. And so finally in 2023, we became a council again. On Wednesday, tomorrow, we are officially a council on women. Yes, I am, I'm very happy to report that we had our official meeting still being called the Committee on Women's Mental Health. We already have several areas that are considered hot topics. And I know you're all going to be surprised. I know Dr. Gamal was there. Abortion and reproductive rights, shocking, but also access to marginalized populations, women in marginalized populations, education, you know, meaning training and maternal mental health, legal issues, substance use disorders. Did I forget anything, Dr. Gamal? That was it. We had work groups formed within the council and people self-assigned to these work groups within their expertise. And they already have a list of deliverables that they're going to be working on because that's what women do, right? We get together and we're like, raise our things and let's get to work. And so we are going to be working on position statements and action papers to move through the assembly. And for those of you who are not familiar with this, the assembly is the legislative arm of the APA and it's kind of separate from the components, but people put action papers that or position statements that are then approved by the board, Gabrielle and Dr. Lu, I might need you guys to vote, you know, if I misspeak, correct me. And then once those position statements are approved, then the APA can officially talk about those position statements. So it's very important to do that work. Go ahead. And the only other thing I wanted to ask, Marquita Wills is our first Black CEO. That's right. Yeah, I'm sorry that I didn't include that. And I think we're going to be in a good place as women in the classroom. Yes. She is the first Black CEO for the APA. No longer a deputy director, but now the actual CEO. And she's a woman. And for some of my friends that work in college mental health, she is a college mental health person. So from any angle that I look, I am satisfied. It's like all of the intersectionality, it makes me happy. She's an MD. Yes. Yeah, yes. Oh an advisory body, okay. Thank you. Yes, I appreciate you correcting. That's a neck that's a very interesting thing. Thanks for letting me know. We and I will be talking a little bit about what does each component do so to speak. That's okay, that's all right. Thank you, thank you Gabrielle. But the thing that I want to bring sort of light to is that we have all of these venues for women to speak up and I do think we need to use it. For the council, which is something that I want to put for the entire membership, I run, I like to call it a big tent caucus, so everybody's welcome. You don't need to be an appointed member. We have 12 officially appointed members and a few other that are corresponding members. I can tell you that the invite in the email goes on to 37 different people, so it's way bigger than the official council and some, I cannot tell you who is an official member, who is not because everybody puts so much work into the council that it really makes it easy to promote some of the ideas. If you are interested, just let me know. I'm going to ask Agathe, who is our liaison person from the APA, to include you in the email and you can come. We meet virtually. We were doing it first Friday of the month from 12 to 1 and I put it out to the new members of the council if they wanted to change. That was sort of like a unanimous decision that we all wanted to continue and I promise you it wasn't me. I'm in Florida. I have to take vacation every time I run a meeting because I'm not allowed to work with an individual population. Like I cannot do, you know, if it's not for everybody, I cannot do it and so I could do it any day, but the members felt that that was the best day. So if the first Friday of every month at lunchtime you have nothing to do, come have lunch with us. We do talk a lot. Dr. El Gamal. Yeah, don't we? Yeah, we do. Amy has been there too. Yeah, we do talk a lot, but it's good talk. Yes. What else? So what does the council do? This is actually the task. If you go to the official APA page and you Google council on women, you're going to see this. We're there to prioritize and advance clinical knowledge and research related to the diagnosis and treatment of psychiatric illnesses unique to women, the treatment of disorders during the reproductive years, the special risk factors and pharmacological considerations unique to female patients and health care access and outcome disparities associated with gender, including intersectional issues. And we're supposed to facilitate, sort of be the central warehouse for anything women in the APA. And so whatever makes your boat float, since we're in the boat metaphors for the stock, come talk to us. We have a place for you. And what does the caucus do? Because we've been talking a lot about the caucus. The caucus is membership. It's the place for members that identify with that issue. So you don't need to be a woman to care about women's issues and to support that. The caucus has a listserv, and if you go to your membership page, you can select. You can be in more than one caucus, but you can only vote on one. And lucky for us, the caucus staggered their elections, so if you belong to different caucus, you can hop from one to the other in order to vote on all of them. Well, I think it's great. You know why? Because when I was in the Assembly, I was the rep for the Women's Caucus when I first decided to come back to the APA because I was feeling very isolated and siloed where I was in my job, and I wanted my community, and I came to the APA. And so at the time, you could not belong to more than one caucus. And so I was approached by the three caucuses that think that I belong in them, the International Medical Graduate Caucus, the Spanish, and I see Sylvia shaking because Sylvia probably had the same thing, the Spanish Caucus or the Hispanic Caucus, and the Women's Caucus. Personally, and I teach this to my residents, we all have intersectional identities, multiple. I can tell you some of the ones that I have. I'm a mother, I'm a psychiatrist, I'm an immigrant, you know, I'm a runner. So it depends on the group that I'm with, some identities will emerge. For the purposes of the APA, I felt the Women's Caucus represented me because it doesn't matter what group you are, half of that group is women. Doesn't matter, LGBTQ, Asian Caucus, Hispanic Caucus, half of your group identifies as women. And so I felt those were my people. And at the time, the Hispanic Caucus and the ING Caucus was like, but you belong with us. And so for me, personally, it is a good thing that the caucus now allow people to really explore and actualize their identities and still be able to work within the APA. And I'm certainly happy that we can collaborate with outside agencies that do, that care about the same things that we care, even though they might do things in a slight different way. So, and the caucus is where the members can talk to each other, can receive information, and can potentially meet people within the organization. And instead of just being in the caucus, actually move to be in one of the components, whether it's the assembly or the, you know, any other council. Doesn't need to be the Council on Women. There are plenty of other caucus, councils on the APA. And I think I kind of got to the end of my presentation. Thank you very much. And remember, it doesn't have to, it's not pie. We're not taking it from people if we're getting more standing. Okay, yours is here Okay, well, this is a wonderful crowd for Tuesday afternoon. Thank you all for coming, and thank you very much for inviting me to say a few words about how can men help AWP and its members. No disclosures. And so, I'm sure you've run across these terms of mentorship, sponsorship, and allyship. They're related, but distinctly different. And I was just Googling allyship, and from Stanford, of all places, from the Vaden Health Services, there's a description of what allyship means, that allies are supportive advocates for non-dominant communities in their personal and professional lives, or people who recognize the impact of their majority identity and work to end the oppression of marginalized groups. An ally is someone whose personal commitment to fighting oppression and prejudice is reflected in the willingness to participate in these kinds of activities, a sense of cultural humility, educating oneself about different identities, being aware of biases that one might have that's so important, and then to take action to create interpersonal, societal, and institutional change. So as Amy mentioned, established in 2000 by Mimi Butterfield, was the Martin Simmons MD Man of Good Conscience Award. And this was a term that Leah Dickstein had put forward earlier on. And this was to identify and honor men with professional power who use their power fairly to nationally interact with, assist, recommend competent and willing women for leadership roles and other professional opportunities. So again, this is a list of the awardees. And Martin Simmons was the husband of Dr. Simmons. So that was the original award. And I've indicated that there are four APA presidents that have gotten this award, Dr. Marmer, Dr. Herb Partes, who just passed away recently. Daryl Kirsch, who was the AAMC president and CEO, got it in 2010, John Oldham, another past president, and Carl Bell, who passed away. And then Dilip Jesti, another past president, and then I was the awardee last year. And so just some of the things that I've done in my career in cultural psychiatry, in patient care and in education, my lectures and writings, I've always incorporated gender as one of the many intersectional cultural identity variables, as is now more fully described in the Outline for Cultural Formulation, Part A of the DSM-5TR. And then from 2002 to 2007, I did chair the Council on Minority Mental Health and Health Disparities. And we had the seven MUR committees that had existed since the 70s report to that council. So I actively worked with the Committee of Women Psychiatrists, again, both advocating for women psychiatrists as well as women's mental health issues. And as a member of AWP, and men can join AWP, I participate on the Listserv, I come across resources and opportunities, and I post on the Listserv, and I participate in the Zoom networking sessions. And then secondly, as a faculty member at UCSF for 32 years and at UC Davis, and now I'm an emeritus faculty member, and as a member of many organizations, I've mentored many women over the years, and those are a list of the different organizations that I belong to in addition to AWP. So just as an example, two examples, and these are my last two slides. We have Rona Hugh, who I recruited into UCSF residency program in the early 1990s, and encouraged her to apply for the APA SAMHSA Minority Fellowship, which she got. And one year, we were both in Washington for the September components meeting, and we went up to Rockville to visit NIMH. And I encouraged her to pursue a fellowship there in research, which she did. And she subsequently came back as a Stanford faculty member, is now a clinical professor, and has done a lot of creative things. And she did receive the Kung Po Su Award for a psychiatrist who has integrated Asian issues into psychiatry a couple of years ago. And then this is my last slide, Tiffany Ho, also is a member of the UCSF Selection Committee. I recruited her. She originally came from Vietnam, did her medical school at University of Pennsylvania, and I also encouraged her to get the APA SAMHSA Minority Fellowship, which she did. And post-residency, she worked at the SAMHSA Center for Mental Health Services, became the Marin County, just north of San Francisco, Community Mental Health Medical Director, and then in 2008, took on that role in Santa Clara Community Mental Health. And it has the largest Vietnamese community in the U.S., and she has pursued recruiting and training a diverse psychiatric workforce to care for the very diverse population of the South Bay, and about maybe four or five years ago, she did receive the Jean Spurlock Achievement Award for a SAMHSA Minority Fellow. So thank you very much. can only vote in one caucus and usually if you belong to the caucus and you're in the listserv, you will get a notification from the caucus. You have to change your status or make sure that you are voting on that caucus by X date. So you kind of cannot just throw away this otherwise if you belong to multiple caucuses. My remarks are going to be very short, because then I want the floor to discuss. The most important thing that I want to say is the following. I am an example of what AWP does versus APA. By the way, I'm going to put a plug for ... I'm active in three associations, the Association of Women Psychiatrists, the American Academy of Psychodynamic Psychiatry and Psychoanalysis. It has a wonderful, wonderful journal, it's Guilford Press. If you go to guilfordpress.com, you go then to the journals, you get Psychodynamic Psychiatry. That journal, which goes on from 73 to the present, has always talked about psychodynamic psychiatry. It's mainly for MDs, and it is free to download anything for one month, the month of May. You can just go and cruise it out. Now, there I personally have an article, I mean, I have many articles. I've only published in that journal and then at the APA, and we shall talk about it, three articles and then two articles at the journal of the community, what is it, the institute? The mental health institute? Mental health, yeah. But at the journal, what is important is that you can talk about things that pertain to medicine and psychodynamic psychiatry. If you look for my name, you'll get, and I would advise you to read the last article because it tells about my career for 50 years in psychodynamic psychiatry and the changes, and I think that it's a fun read, it's nothing extraordinary but fun. But the point is, I've worked diligently in three of the institutions. The two smaller institutions, I've been president and now I'm a past president, I can continue to be part of them. At the APA, when I came and I was an IMG woman, a Hispanic, and I worked very hard, I like doing this work, so what happened was that at the APA, there's only a window of when you can really be active, and then that window, you can be, if you're a woman, they will give you the voice, but then, somehow, that voice, if you can do any change there, it stays, if not, the voice kind of dies out, and then your power sources died out, like for example, the Committee on Women in 1983, under the direction of Nanette Gartrell, dealt with one issue that had been in our code of ethics from the beginning, but had never been utilized, which was the sexual abuse of patients by psychiatrists, and it was not rampant, but it was not spoken about, and it was happening, so the Committee on Women started, and we fought for it. I was lucky to be one of the three women that did it, but I was the third, and we were able to do a survey that we had to, we presented the survey we wanted to do within the APA to the Council, to the Executive Council of the APA, the board, and they said, oh, no, no, this is not a big problem, and besides, if we show up that we do it, it's going to go against the APA, so no, you don't have permission. So we said, can we take it out of the APA, and can we do something with it, and they thought that we were not going to be able to do it, so they said, sure, it's your survey, do it. Now, we went to a Committee on Women, slash, caucus, slash, EWP, because it was already existing, and in one meeting, we asked for $100 to do the survey. We got the $10,000 we needed to do the survey. We did the survey, and the history now tells us not only, it took us three years to publish it in the Green Journal, and the Boston Globe had to get hold of the work that we were doing, put it there, so then the APA was ashamed, because we didn't want to, but this is the kind of politics that goes on. We did not want to do it outside of the APA because we were not going to have strength. We did it, and now you not only can read it, it says sexual abuse of patients is always unethical because what they would do is, you cannot be my patient anymore, go here, and then what had been like a fair as a patient, then they could become open. Anyway, this is the synergism of these associations. Now, in AWP, if you want to work, you have longevity because they always welcome you. At the beginning, they want your hard work, then they want your experience as a professional, and then they want your wisdom, if you have any. And if you don't, they still are going to hear you. So I've been around for a long, long time, but now the AWP is in a pivotal point. As you have heard, marvelous awards, marvelous awards, very important. Women presidents, we just don't need anything to push them. And now we have launched our virtual conference. And that's the future of this association from the academic standpoint, because this is going to be, we're going to start small. I mean, we have one day at a time, one day, but we can do two, we can do three. Why did we do it virtual? Because women cannot travel as easily as men, and they definitely want to participate. So if we give them something that they can do from their homes, and that improves their academic standing, because they are participating, and then they can start with us, and then they can edit their papers, and then go and publish it somewhere. We have a place where even when we are taking care of our parents, or our children, or our homes, we can still have a parallel academic career. And that's what we want to do. So with that, I open the floor to discussion. Thank you. And if you have comments, if you could go to the microphone, that would be great. Come on up, come on up. I'm Dr. Chu, I was a student of Dr. Lu, and I did my first research in Filipino depression at San Francisco General Hospital. And I saw him the other day, and he invited me to come, and I'm very pleased to be part of this organization. I'm not yet really officially part, but going to be. My question in that survey of women abused by psychiatrists, how many percent were children? I'm a child adolescent psychiatrist. How many percent were children of that survey? Percentage, is she saying? Percentage of, sorry, percentage of a child psychiatrist? No, no, no, how many percent of the victims were children? That's what I'm curious about. Women under the age of 18, precisely? Is that what you're asking? Yeah, yeah, how many percent? Did you guys have an age breakdown, and did you look at people under the age of 18? That's what she's asked, for the victims. Yeah. No, you're talking about our survey? No, our survey was, we surveyed professionals. We surveyed psychiatrists. We asked psychiatrists who they had been, and it was, we were dealing with adult patients. We did not do children, because we wanted to, we thought that it was a, that would have been a subject matter, that it would have been, because abuse of children is illegal, and it would have involved the, the Department of, you know, the safety of children. It would have stopped our survey. So we surveyed only psychiatrists, and it was through the list of the AMA, all the psychiatrists in the country, but not everybody, just one in 10. We did not use the APA list to make it broader, because not everybody is an AMA, an APA member, and we were not the worst, you know, but that, we brought it out. Now, the abuse of children is illegal, so then immediately it goes through the courts and through the judicial system. The reason I'm curious, because, you know, one of my patients was abused by a pediatrician, not by a psychiatrist. And she could not tell her mother, and she just cried why she has to be brought to the pediatrician, but, I mean, I don't think it's rare phenomenon nowadays that children could be related with different disciplines. That's why I'm curious. That's why we did not do it. We are talking about the 80s. You know, probably now, anybody can do it, probably, in the 20s, you know, 40 years. I didn't hear the, I didn't know that, what they were asking. My name is Sabina. I'm an early career psychiatrist doing inpatient psychiatry. And I had a question about how to navigate workplace climates. I think, I'm preaching to the choir when I say that I think our workplace is still very unfair to women, that it's unequal, and, you know, there's microaggression, there's all these things. It turns out that, actually, this is why we're not progressing to higher leadership positions. And one of the things that I've noticed is that it's been very difficult to engage men. And without the numbers, it's very difficult to advocate for change in whatever workplace you're part of. So I just wanted to ask for if you had any advice or guidance on how to navigate that. Personally, I'm still on the rising tide, lift all boats. I think I find that, I found it more helpful in my workplaces to advocate for some of the things that I wanted for myself, but say, you know, how can everybody achieve that and put it in a framework and the process in place that when I go for it, since the process has been placed in, nobody can kind of sort of sidestep, nobody can be sidestepped because they're women. I'm also lucky, and hopefully this is one of the things that you can do at work, is that that can be sort of, in my institution is a promotion and tenure committee. And they start looking at people's CVs and how their folio looks many years before they go for promotion. And so actually the women's in medicine and science in my institution has a template CV where you can actually put your CV against it and see where the empty spots are for the things that you need to work on in order to have a successful promotion when you go in front. Because the data is there from the WAMC that for women, women apply for promotion to go from assistant to associate and then to full professor at much lesser rates and it takes longer than men. And so it's nice when there is a process in place that helps everybody. They don't just help women, but because the process in there is there, it's very easy for me to come in and say, what do I need? The other thing is also find a sponsor and somebody that is supporting you with whom you can get connected for potentially moving to a better kind of work environment who can get you, who can be the letter writer for you to move on. It's very important to do that. Often institutions or the workplace want somebody that is from the outside to kind of show that you have connections and you're more widely recognized. Are you an academic? I'm speaking as if you're, yeah. Yeah, so if you have a women's in medicine and science sort of chapter, I highly recommend you connect with them because typically the people who are in leadership at those places, they're there to help and they know the lay of the land. So I would highly recommend. I also want to add that that's very important, a mentorship and somebody that will promote you. Men can be at that level as good as women and promoting you. So we just go to whoever is available. And the next thing is if you have an area of interest that you really want to develop your career there and if there is a way that your clinical work is becoming important in that specific place, you go to your supervisor with the problem and the solution. If you're known to be somebody that has a problem based on the work you're doing and then you go to the administration and say, look, this is the problem. This is a possible solution. I would like very much to work with you and this is my solution because I'm doing it, I'm there, but I'm open to any solution. And what can we do? What can we do? And then they're so happy that somebody wants to do some work, but then they give you all kinds of ideas. You then bring it down to what it can be done. You choose the people that can help you and you begin to use the data that you get, which is very clinical, for their review, the local review. You don't go directly to the paper. You say, look, the quality assurance committees, whatever they are right now. So you go and you say, this is, you go back to your supervisor or to the chief, that immediate person, and you say, this is what we now, we, always we, this is what we have. And this is the data that we are collecting. And shouldn't we present it? Don't you want to present it at this, because it makes us look good. So you include yourself all the way through. And then all of a sudden, they think of you as somebody that has a problem with a solution and they begin to move you around. So I have found that. And I also wanted to say that we have a lot of hope for the future with the generations that are coming up. And so if you have colleagues, peers, who are men, who are supportive of women, send them our way. This is why I wanted, really wanted Dr. Francis Liu to come because he's been such a great ally to our group. And I see another man in the audience, hi. Just wanted to make mention of a couple of organizations. First, if you just Google AAMC GWIMS, G-W-I-M-S, that stands for the Group of Women in Science at the AAMC and they have resources because this is a common problem that women in academic psychiatry, academic medicine face. It's really, it's a huge, it's an endemic problem. Okay, so AAMC GWIMS. Another organization I highly recommend is the Association for Academic Psychiatry. So just AAP Psychiatry. We have an annual meeting in September. I've been a member since 1989. You know, it's a great organization around career development, mentorship, and a focus on teaching. So if you're a clinician educator, that's the perfect place to go. It's a small meeting, 300 people, so you can actually meet people. So those are two resources I would recommend. Thank you. See, I said you were a man of good conscience. Aloha, everybody. I'm Jeff Akaka from Honolulu, Hawaii. And the people up in the front were mentors of mine, actually, in the assembly, when I first got into the assembly. Following up on Dr. Olarte's very kind comment that sometimes there's men out there that could be helpful. When I was speaker of the APA Assembly, I did two things to try to relieve the disparity. One was that we had a committee, the Assembly Committee on Planning, that had been populated mostly by old white guys. And when I became speaker, I restructured the committee by removing the area council chairs and tried to populate it to better reflect the patients we served, so that the new population was four men and three women, and minority women, too. So that was one thing. Then the other thing we did was there had not been a woman officer in the assembly since 2007, since 2002. And I was speaker in 2007, 2008. And prior to that speaker, the previous one was in the 90s. 98, 99 was Donna Norris. And then was Neda Stotland in 2002. So I thought it was high time we had another woman. Teresa, no? Teresa was a speaker, but I don't remember when. Teresa was around like 2015, 2015? Yeah, much later, much later. So there had only been two women speakers in the assembly. The first was Donna Norris, 98 to 99. And then there was Neda Stotland, 2002, 2003. And I came along in 2007, and I thought, wait a minute. It's been too long. So what I did, the speaker, when the speaker term ends, the speaker becomes chair of the nominating committee. And what we did was to ensure that the office of recorder had two women on the ballot, which guaranteed that the next recorder was gonna be speaker, was gonna be recorder, which usually goes on to become speaker. And that's what happened. We got Ann Sullivan elected to recorder, and she went on to become speaker. So my advice to you guys is you gotta vote, you know? Vote for good, solid women candidates because you don't wanna vote for an embarrassment just because somebody's a woman. It's gonna set you back. And the other thing is to run yourself because the people who are elected are the ones who choose appointments and can do things to lift you up. So anyway, thank you. And Dr. Ataka. I agree, and I wanna say, if nobody gives you a seat at the table, bring your own folding chair, right? Now, he was the one that said to the APA, we can have a meeting in Hawaii. And he did it, single-handed. Yay, yes. Hi, welcome. Hi, how are you? My name is Aidata Fera. I am an early career psychiatrist from Ethiopia. Thank you. Thank you. I'm UCSF doing my fellowship in brain health equity. So there are two things that come to my mind in terms of women and mental health. I've been a mental health director of a mental health facility which gives service to 175 inpatient units and seven outpatient units. So it was big, huge, and I was in charge of nearly 60 mental health professionals. So during that time, it was during the pandemic, and two things stood out to me in terms of women. One is the care providers, mental health care providers who are women are very terrified to approach patients, especially the nurses, because most of the time we have male patients who are highly aggressive, who are well-built, and the nurses are petite in physique, and it's very difficult. So whenever you assign them to the inpatient wards, they'll find it difficult unless there is a male nurse with them. And the number is not okay. I mean, it's not, the ratio is not usually the same. We usually have more females than males, so it was very difficult to do the duty and the rotation. I think in this country, what I saw is there are nurse assistants, physician assistants, male, well-built, who can really support the team. And we don't have that in our country. So my request to the American WPA is maybe to have a sort of guideline, because when such things come from America or some other country, there is a tendency for the hospital administrators to take it seriously. When we request for nurse assistants, physician assistants, usually there's no funding or this or that, so that has been one of the hurdles. The other is, you were mentioning about sexual abuse, but in my career, what I saw was patients, male patients abusing female patients, because we don't have the resources to fully segregate the male and the female wards, and it has been very difficult to the extent that we were obliged to close the female ward for a certain amount of time until we find a way to keep them safe, because we don't want to bring them to the hospital to add more trauma. So those are the two things. Maybe if you'd like, we can work on that, writing some guidelines. In low and middle income countries, I think this is very important. Thanks. Thank you. Thank you for bringing these safety issues up, and yeah, I definitely would love to hear more about what we could do together. So, all right. Well, we are almost near the end of our session, and some of us have to head over to the Marriott now, so I think I'm gonna end this session here. We can do a mass migration over to the Marriott. Thank you so much for coming today. It's wonderful to see all of you. Thank you.

Association of Women Psychiatrists

APA

women's roles

leadership opportunities

advocacy

mentorship

allyship

workplace inequalities

representation

psychiatry

networking