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Family Medicine

Weith, Wiewel and Wittels Wrap Up Medical School, Share a Common Destination – University of Missouri School of Medicine

The MU School of Medicine Class of 2024 will soon walk across the stage at graduation, a symbol of how far theyve come in their medical careers and education. But theyre only just beginning.

Most of these graduates will begin orientation for residency soon, though the exact date depends on the program. For Katelyn Weith, Brooke Wiewel and Andruw Wittels, they will officially start their residency July 1 at the Fulton Family Health Clinic. All three students are part of the family medicine integrated residency program and happen to be great friends.

I've known Andruw and Brooke all through medical school, and they both have similar backgrounds to me from smaller towns, Weith said. We've gotten pretty close -- I'm really excited to be working with them in Fulton.

Learn more about the trio.

Katelyn Weiths been around health care for as long as she can remember. Her mom works in medical imaging and her aunt is a nurse, but not in Weiths hometown of Wardsville, Missouri. Both currently commute about 20 minutes to Jefferson City.

Its not a lengthy drive, but Weiths met people who havent seen a specialist in years because of the distance. Her grandfather, for example, had to travel more than two hours to see a cardiologist for heart problems. Her experiences from growing up and working in rural clinics affirmed her choice to go into rural medicine.

Those primary care offices end up being a one-stop shop for anything a patient might need, and those doctors are really well-rounded physicians, Weith said.

Part of what drew Weith to family medicine was the ability to develop a wide base of knowledge and skills, across multiple medical fields, to provide preventative care. Its whats needed to serve patients in rural communities, and to be that one-stop shop Weith wants.

Another reason was the friendships she saw curated between a patient and physician, and hopes shell be able to do her part in connecting rural areas to long-term, primary care.

I want to be with patients throughout their health care journey, Weith said. I didn't want to see just a small snapshot of what's going on with them. I want to work alongside them and walk them through the health care process.

Similar to Weith, Brooke Wiewel was also exposed to healthcare at a young age, though not in the same way. When she was 12, her older sister had a traumatic accident and needed lifesaving surgery.

After that, it just really opened my eyes to how incredible the human body is, with how she was still able to survive and function after all of the organ damage, and how the surgeons were able to save her, Wiewel said.

Watching her sister survive and later make a full recovery sparked her interest in becoming a doctor. Wiewel was initially drawn to emergency medicine, and even worked as an EMT during college and at the former MU Women and Childrens Hospital Emergency Room. It was her experiences in the ER, though, that ultimately led her to family medicine.

You often see a lot of patients with chronic medical conditions and people who come into the emergency room with things that could have been addressed or prevented if they had adequate preventative and primary care, Wiewel said.

Doing rural family medicine would let her provide that preventative care. Plus, the location meant she could do obstetrics, see pediatric patients and even do emergency medicine, when cases presented themselves fields she still wants to pursue. She looks forward to learning more in her coming residency.

I just am really grateful and excited to be continuing residency here at Mizzou, because Mizzou Family Medicine is what ultimately solidified my passion for family medicine and my passion for rural health care, Wiewel said. I can't think of a better place to be able to continue along with some of my classmates, who I really admire.

Unlike his two friends, Andruw Wittels never dreamed of being a doctor. If it wasnt for his high school anatomy class, which required shadowing a physician, his life would look very different.

I had no idea that somebody from where I grew up or how I grew up could go into medicine, Wittels said. Where I went to high school, the biggest thing that they pushed was trade school, as well as just entering the workforce in general. There was really no mention at all about pursuing medicine. And I don't think, if it wasnt for that class, I would've never thought about doing medicine in the first place.

Wittels grew up near Osage Beach and knows what it was like to rely on one person for your medical needs. As he learned more about medically underserved areas and the physician shortage, he couldnt just sit idle while knowing he could help.

Its one reason Wittels went into family medicine, but he also enjoys providing intergenerational care and challenging himself with the ever-changing nature of a rural clinic.

Anything can walk through the door in a family medicine clinic, Wittels said. You could have a toenail removal, then an IUD insertion and then you could talk to somebody about their diabetes.

As Wittels and his friends prepare for the next phase of their medical journey, one word describes them all theyre ready.

This feels like its something that I was meant to do, Wittels said.

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Weith, Wiewel and Wittels Wrap Up Medical School, Share a Common Destination - University of Missouri School of Medicine

Family Medicine

Beebe’s Residency Program One of 25 in the U.S. Selected for Pilot Project Led by the Society for Teachers of Family … – Beebe Healthcare

Beebe Healthcares R. Randall Rollins Center for Medical Education is proud to announce that its Family Medicine Residency program is one of just 25 across the country that has been selected to participate in a special pilot project facilitated by the Society for Teachers of Family Medicine (STFM).

The project is designed to elevate the importance of competency-based medical education while integrating a more individualized and personalized approach to learning for medical residents.

There is so much benefit in developing individualized learning plans for our residents, with consideration for each persons special needs, strengths, and goals, said Joyce Robert, MD, FAAFP, Program Director. We are incredibly excited to be part of this project and to have the opportunity to lead the way and set an example for other residency programs to follow.

In addition to implementing new hands-on approaches in the clinical training environment, the STFM program will put new technologies in the hands of residency program leaders, who will be spending more time on direct observation as they are working with clinical residents. The goal is to allow for real-time assessments in medical training environments. Additionally, the program promotes the importance of communication, teamwork, and leadership from a professional development standpoint, and work/life balance and wellness on a personal level.

This project encourages us to look at what we are doing through a different lens and take a more holistic approach as we grow our people, and therefore our program, said Dr. Robert. Its a chance to be at the forefront of positive change and we are excited to be part of it.

Beebes Family Medicine Residency program welcomed it inaugural cohort of residents in summer 2023, and recently announced the second group of residents, who will come onboard this July. The program is led by Dr. Robert and Miri Shlomi, MD, Associate Program Director, both of whom will participate in a series of conferences sponsored by STFM, as Beebe adopts and implements its competency based medical education curriculum. They and their colleagues will have opportunities in the future to share their experiences and learned best practices through their activism in the Delaware Academy of Family Physicians (DAFP).

Recently, Dr. Robert was inducted as DAFPs President-Elect and Ryan Arias, DO, primary care physician and faculty member within Beebes Family Medicine Residency program, was named DAFP Teacher of the Year.

We have come a long way in a short period of time, said Dr. Robert. So many wonderful things are happening because our team is made up of a group of people who are passionate about the work, dedicated to doing things the right way, and committed to growing in a way that positions Beebe as a premier place to come for family medicine residency training.

Caption: From left to right, Wendi Schirvar, PhD, Ryan Arias, DO, Miri Shlomi, MD, Joyce Robert, MD, Tanya Ray, MS, Jeffrey Hawtof, MD, and Cynthia Lamour, DO.

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Beebe's Residency Program One of 25 in the U.S. Selected for Pilot Project Led by the Society for Teachers of Family ... - Beebe Healthcare

Family Medicine

Monroe physicians collaborate with Reach Out and Read – AOL

ProMedica Physicians Monroe Pediatrics and ProMedica Monroe Family Medicine Residency Center are incorporating books into pediatric care and encouraging families to read aloud together.

MONROE ProMedica Physicians Monroe Pediatrics recently held an open house to share information about their collaboration with Reach Out and Read Michigan and the Monroe County Intermediate School Districts (ISD) Great Start Collaborative.

The partnership has provided high-quality program support, educational literacy materials and 3,200 developmentally appropriate and diverse books to ProMedica Physicians Monroe Pediatrics and ProMedica Monroe Family Medicine Residency Center.

More than 1,600 children and their families benefit from the collaboration.

Reach Out and Read is the only national pediatric reading model endorsed by the American Academy of Pediatrics, is evidence-based and has been effective in promoting parental involvement and healthy development, increasing reading at home and improving childrens language scores.

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I have noticed that the children really gravitate towards the books and the parents are excited to receive them. Several families have already started reading the books in the room and loved the informational flyers and posters, Dr. Nivhan Arumugasamy of ProMedica Physicians Monroe Pediatrics said. The families are very receptive to the discussion of how impactful reading can be for language and other developmental skills, from newborns to teenagers. It even helps foster bonding between children and their families and we've seen it. ProMedica partnering with Reach Out and Read and the Monroe County ISD is having a positive impact on our young families and the community.

Reach Out and Read, 501(c)(3) nonprofit organization, gives young children a foundation for success by incorporating books into pediatric care and encouraging families to read aloud together. The program recommends parents and guardians read daily with their children to promote healthy brain and language development as well as quality time as a family.

This article originally appeared on The Monroe News: Monroe physicians collaborate with Reach Out and Read

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Monroe physicians collaborate with Reach Out and Read - AOL

Family Medicine

UVA Health expands footprint in Northern Virginia | News – Prince William Times

UVA Health will acquire Piedmont Family Practice, a private family medicine clinic in Warrenton, this summer.

Piedmont Family Practice is the largest primary care practice in Warrenton and has served the area since 1993. In addition to general family medicine, it offers women's health, in-office surgeries and includes Piedmont Urgent Care and the Bariatric & Metabolic Weight Loss Center.

It employs about 90 staff members, including seven physicians, 17 nurse practitioners or physician assistants, a certified diabetic educator and a registered dietitian.

The acquisition will expand UVA Health's primary care provider footprint 61% in the area, according to a news release.

Dr. K. Craig Kent, CEO of UVA Health and executive vice president for health affairs at the University of Virginia, said the agreement helps fulfill key goals for the health system.

The acquisition of Piedmont Family Practice helps UVA Health address many components of our 10-year strategic plan, including the expansion of our statewide care network and access to primary care, by providing a geographic connection to our primary care network, which will now extend from Culpeper through Warrenton and throughout Northern Virginia, Kent said in a news release. Piedmont Family Practice is a group of outstanding physicians and allied health providers, and we are so thrilled they are joining our UVA Health family.

UVA Health officials say they plan to continue employing all the current Piedmont Family Practice team members and "support the practices growth ambitions over time."

The academic health system already boasts a surgical care center, cardiology and obstetrics and gynecology services in Warrenton.

The closest UVA Health family medicine or primary care offices are currently in Gainesville and Haymarket. UVA Community Health also offers services in Culpeper.

The Piedmont Family Practice team is a well-known, high-quality group of care providers with a longstanding commitment to serving the community, Erik Shannon, chief executive officer of UVA Community Health, said in a news release Tuesday. This partnership provides both Piedmont Family Practice and UVA Health an opportunity to benefit from each organizations best practices as we strive for excellence in our primary care offering.

Dr. Steven W. von Elten, a founding member and physician partner inPiedmont Family Practice, praised the merger.

Personalized, quality health care is a key shared value of Piedmont Family Practice and UVA Health, von Elten said in a news release. Joining forces with UVA Health will enable us to enhance the care we provide by providing a valuable investment in the latest technology as well as making it easier for our patients to access subspecialty care.

Want to stay up to date on the best stories about Woodbridge and Prince William County? Sign up for the Prince William Times newly revamped daily newsletter, The JAM.Subscribe here.

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UVA Health expands footprint in Northern Virginia | News - Prince William Times

Family Medicine

Medical residents are increasingly avoiding states with abortion restrictions – News-Medical.Net

Isabella Rosario Blum was wrapping up medical school and considering residency programs to become a family practice physician when she got some frank advice: If she wanted to be trained to provide abortions, she shouldn't stay in Arizona.

Blum turned to programs mostly in states where abortion access and, by extension, abortion training is likely to remain protected, like California, Colorado, and New Mexico. Arizona has enacted a law banning most abortions after 15 weeks.

"I would really like to have all the training possible, she said, so of course that would have still been a limitation."

In June, she will start her residency at Swedish Cherry Hill hospital in Seattle.

According to new statistics from the Association of American Medical Colleges, for the second year in a row, students graduating from U.S. medical schools were less likely to apply this year for residency positions in states with abortion bans and other significant abortion restrictions.

Since the Supreme Court in 2022 overturned the constitutional right to an abortion, state fights over abortion access have created plenty of uncertainty for pregnant patients and their doctors. But that uncertainty has also bled into the world of medical education, forcing some new doctors to factor state abortion laws into their decisions about where to begin their careers.

Fourteen states, primarily in the Midwest and South, have banned nearly all abortions. The new analysis by the AAMC a preliminary copy of which was exclusively reviewed by KFF Health News before its public release found that the number of applicants to residency programs in states with near-total abortion bans declined by 4.2%, compared with a 0.6% drop in states where abortion remains legal.

Notably, the AAMC's findings illuminate the broader problems abortion bans can create for a state's medical community, particularly in an era of provider shortages: The organization tracked a larger decrease in interest in residencies in states with abortion restrictions not only among those in specialties most likely to treat pregnant patients, like OB-GYNs and emergency room doctors, but also among aspiring doctors in other specialties.

"It should be concerning for states with severe restrictions on reproductive rights that so many new physicians across specialties are choosing to apply to other states for training instead," wrote Atul Grover, executive director of the AAMC's Research and Action Institute.

The AAMC analysis found the number of applicants to OB-GYN residency programs in abortion ban states dropped by 6.7%, compared with a 0.4% increase in states where abortion remains legal. For internal medicine, the drop observed in abortion ban states was over five times as much as in states where abortion is legal.

In its analysis, the AAMC said an ongoing decline in interest in ban states among new doctors ultimately "may negatively affect access to care in those states."

Jack Resneck Jr., immediate past president of the American Medical Association, said the data demonstrates yet another consequence of the post-Roe v. Wade era.

The AAMC analysis notes that even in states with abortion bans, residency programs are filling their positions mostly because there are more graduating medical students in the U.S. and abroad than there are residency slots.

Still, Resneck said, "we're extraordinarily worried." For example, physicians without adequate abortion training may not be able to manage miscarriages, ectopic pregnancies, or potential complications such as infection or hemorrhaging that could stem from pregnancy loss.

Those who work with students and residents say their observations support the AAMC's findings. "People don't want to go to a place where evidence-based practice and human rights in general are curtailed," said Beverly Gray, an associate professor of obstetrics and gynecology at Duke University School of Medicine.

Abortion in North Carolina is banned in nearly all cases after 12 weeks. Women who experience unexpected complications or discover their baby has potentially fatal birth defects later in pregnancy may not be able to receive care there.

Gray said she worries that even though Duke is a highly sought training destination for medical residents, the abortion ban "impacts whether we have the best and brightest coming to North Carolina."

Rohini Kousalya Siva will start her obstetrics and gynecology residency at MedStar Washington Hospital Center in Washington, D.C., this year. She said she did not consider programs in states that have banned or severely restricted abortion, applying instead to programs in Maryland, New Hampshire, New York, and Washington, D.C.

"We're physicians," said Kousalya Siva, who attended medical school in Virginia and was previously president of the American Medical Student Association. "We're supposed to be giving the best evidence-based care to our patients, and we can't do that if we haven't been given abortion training."

Another consideration: Most graduating medical students are in their 20s, "the age when people are starting to think about putting down roots and starting families," said Gray, who added that she is noticing many more students ask about politics during their residency interviews.

And because most young doctors make their careers in the state where they do their residencies, "people don't feel safe potentially having their own pregnancies living in those states" with severe restrictions, said Debra Stulberg, chair of the Department of Family Medicine at the University of Chicago.

Stulberg and others worry that this self-selection away from states with abortion restrictions will exacerbate the shortages of physicians in rural and underserved areas.

"The geographic misalignment between where the needs are and where people are choosing to go is really problematic," she said. "We don't need people further concentrating in urban areas where there's already good access."

After attending medical school in Tennessee, which has adopted one of the most sweeping abortion bans in the nation, Hannah Light-Olson will start her OB-GYN residency at the University of California-San Francisco this summer.

It was not an easy decision, she said. "I feel some guilt and sadness leaving a situation where I feel like I could be of some help," she said. "I feel deeply indebted to the program that trained me, and to the patients of Tennessee."

Light-Olson said some of her fellow students applied to programs in abortion ban states "because they think we need pro-choice providers in restrictive states now more than ever." In fact, she said, she also applied to programs in ban states when she was confident the program had a way to provide abortion training.

"I felt like there was no perfect, 100% guarantee; we've seen how fast things can change," she said. "I don't feel particularly confident that California and New York aren't going to be under threat, too."

As a condition of a scholarship she received for medical school, Blum said, she will have to return to Arizona to practice, and it is unclear what abortion access will look like then. But she is worried about long-term impacts.

"Residents, if they can't get the training in the state, then they're probably less likely to settle down and work in the state as well," she said.

This article was reprinted from khn.org, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF - the independent source for health policy research, polling, and journalism.

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Medical residents are increasingly avoiding states with abortion restrictions - News-Medical.Net

Anesthesiology

Anesthesiology house officers present research at GME Symposium – University of Nebraska Medical Center

Anesthesiology residents and fellows presented their research including both poster and oral formats at the sixth annual Graduate Medical Education Research Symposium on Monday, April 22.

The symposium provides the opportunity for house officers to present their research in all areas, including clinical outcomes, basic science, education, business, health policy and humanities.

Peter Ricci Pellegrino, MD, PhD, received an award for his oral presentation on Sympathetic Vasomotion Correlates With the Magnitude of Hemorrhage in Conscious Rabbits.

Chandra Are, MBBS, the UNMC College of Medicines associate dean of Graduate Medical Education, said close to 120 research abstracts were presented at the event, nearly 50 more than when the symposium first premiered in 2018.

UNMC Department of Anesthesiology presenters at the event included:

Patrick Barone, MD, pediatric anesthesiology fellow Incompatible Batteries With Potential Hazard in MRI Environment

Mark Cheney, MD, critical care anesthesiology fellow Mind the Gap! Unexpected Euglycemic Ketoacidosis in a Case of Apparent Volume Overload

Nate Goergen, MD, PhD, resident NextSTAT: A Low-Cost Lot Based Paging Solution to Request Urgent Help in the or Using Amazon AWS Cloud A Novel, In-House, Rapid Response Solution to a Critical Supply Crisis Affecting Hyperbaric Oxygen Therapy Centers Nationwide Jenkins: An Anesthesia Intra-Op Voice Assistant to Improve Patient Outcomes and Situational Awareness in the OR

Peter Ricci Pellegrino, MD, PhD, pain medicine fellow Sympathetic Vasomotion Correlates With the Magnitude of Hemorrhage in Conscious Rabbits

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Anesthesiology house officers present research at GME Symposium - University of Nebraska Medical Center

Anesthesiology

Anesthesiology resident inducted into the Alpha Omega Alpha Medical Honor Society – University of Nebraska Medical Center

Theodore (Teddy) Black, MD, a UNMC Department of Anesthesiology resident, was inducted into the Alpha Omega Alpha Medical Honor Society in April.

Founded in 1902,Alpha Omega Alpha is dedicated to the belief that in the profession of medicine, we will improve care for all by:

Members may be elected throughout their career and epitomize professionalism, leadership, academic and clinical excellence, research, community service and being worthy to serve the suffering.

Incoming resident Mariah Tessin, MD, also received an award for her senior honors thesis titled, The Role of RASP Inhibitors in Preventing MAA-Modified Proteins from Initiating Pro-inflammatory Cytokines in Macrophages.

I am incredibly grateful to have found a research environment that provides me with the opportunity to navigate the entire research process from start to finish, Dr. Tessin said. It is an honor to have my thesis recognized by AOA.

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Anesthesiology resident inducted into the Alpha Omega Alpha Medical Honor Society - University of Nebraska Medical Center

Anesthesiology

Robert Stephens MD Spotlights Anesthesiologists’ Role in Patient-Centered Care – openPR

In an extensive feature published by the San Francisco Post Dr. Robert Stephens, MD, discusses the vital role of anesthesiologists in enhancing patient-centered care within the healthcare system In an extensive feature published by the San Francisco Post Dr. Robert Stephens, MD, discusses the vital role of anesthesiologists in enhancing patient-centered care within the healthcare system. The article titled "Robert Stephens MD Spotlights Anesthesiologists' Role in Patient-Centered Care" explores the comprehensive involvement of anesthesiologists in patient care, from preoperative assessment to postoperative recovery.

Dr. Stephens, a dedicated Anesthesiologist based in Southern California, emphasizes the significant yet often overlooked contributions anesthesiologists make beyond the operating room. "Our job starts long before and goes far beyond the OR," Dr. Stephens explains. "We play a crucial role in patient assessments, where we develop individualized care plans, and continue our care through vigilant intraoperative management and postoperative recovery strategies."

The feature details how anesthesiologists like Dr. Stephens prioritize effective communication with patients to demystify surgical procedures, alleviate anxiety, and enhance patient autonomy in decision-making processes. This approach not only fosters trust but also improves overall patient outcomes.

Further highlighting the multi-faceted role of anesthesiologists, the article discusses their advocacy for patient safety and involvement in implementing best practices across healthcare settings. Dr. Stephens shares insights into the evolution of anesthesiology with innovations such as non-opioid anesthetics and precision medicine, underscoring anesthesiology's pivotal role in the future of patient-centered care.

Dr. Stephens' dedication to the field and his patients is evident as he continues to push for advancements in anesthesiology to better serve patient needs and enhance the quality of care provided. His work and commitment exemplify the critical impact anesthesiologists have on the healthcare system, ensuring that patient well-being remains at the core of medical practice.

The full article can be accessed on the *San Francisco Post* website and is an essential read for healthcare professionals and anyone interested in understanding the integral role of anesthesiology in patient-centered care.

To read the full Article, click here [https://sanfranciscopost.com/robert-stephens-md-spotlights-anesthesiologists-role/].

About Dr. Robert Stephens, MD

Dr. Robert Stephens, MD, is a distinguished Anesthesiologist with over a decade of experience in the field. His dedication to patient care, continuous learning, and contribution to the evolving field of anesthesiology mark him as a leading figure in his profession. Media Contact Company Name: Robert Stephens MD Email: Send Email [http://www.universalpressrelease.com/?pr=robert-stephens-md-spotlights-anesthesiologists-role-in-patientcentered-care] City: San Diego State: California Country: United States Website: https://www.robertstephens.net/

This release was published on openPR.

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Robert Stephens MD Spotlights Anesthesiologists' Role in Patient-Centered Care - openPR

Human Behavior

30000 years of history reveals that hard times boost human societies’ resilience – Livescience.com

The old saying may be true: What doesn't kill you makes you stronger. At least that's the case for human civilizations across 30,000 years of history, according to a new analysis published May 1 in the journal Nature. The study found that, across the globe, ancient human societies that experienced more setbacks were also quicker to bounce back from future downturns.

"The more often a population experiences disturbances or downturns, the more likely it is to be able to recover faster the next time around," study leader Philip Riris, an archaeologist at Bournemouth University in the U.K., told Live Science.

This seesaw between vulnerability and resilience was particularly strong among early farmers and herders, Riris and his colleagues found. Agricultural communities throughout history experienced more downturns overall than other societies, such as hunter-gatherer groups, but they also recovered from these downturns more quickly than other groups.

"It's an important paper," said Dagomar Degroot, an associate professor at Georgetown University who studies how climate change influenced human history and who was not involved in the research. "There is a lot of really influential work on the collapse of societies faced with climate change," Degroot told Live Science, "but a focus on resilience and only resilience is significantly rarer."

Historians and archaeologists have published many case studies on individual societal crises, Riris agreed. But it's hard to compare these experiences across space and time. He and his team pulled together data from 16 separate archaeological sites around the globe, spanning from South Africa to Canada, with data stretching back as far as 30,000 years ago.

Related: What's the deadliest month of the year?

To determine downturns and recoveries, the researchers used a method called "dates as data." Each site had records of radiocarbon dating, which gives an age for organic materials based on the decay of carbon-14, a radioactive form of carbon. Previous studies have established that the number of carbon-14 dates available for a certain time and place is correlated with population. When there are more people, it means more activity, buildings, trash heaps and firepits to excavate and date.

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Most of the downturns in the study took place on decades-plus timescales and had a variety of causes, ranging from environmental change to societal upheaval. In some cases, the researchers had specific historical or climatological information about what those crises were, such as a cold snap in Norway that led to crop loss. Farmers and herders may be inherently more vulnerable to disaster, Riris said, since one bad growing season or a drought can mean immediate famine. But agricultural and herding societies also may be well positioned to recover from disaster.

"The winners [after a disturbance], either they're just lucky or they have some sort of technology or practice or behavior or social institution that means that they did better during the crisis," Riris said. "As a result, they're more likely to pass down that learning, that aspect of culture that will enable their descendants to do better down the line."

The archaeological findings mesh well with historical case studies, said Degroot, who has researched resilience in the Dutch Republic in the face of the Little Ice Age in the 17th century. "I had found those things for a very narrow case study," he said, "and here the authors find them for a much broader set of case studies."

Whether modern humans can pull directly from these lessons is less certain, Degroot said. All of the societies in the study were preindustrial and might have little in common with today's global order. However, Riris said, the ability to compare societies and look for patterns is important.

"It provides that overarching framework that will allow resilience to be tackled systematically," he said.

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30000 years of history reveals that hard times boost human societies' resilience - Livescience.com