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Yale Psychiatry Grand Rounds: June 17, 2022

June 17, 2022

Yale Psychiatry Grand Rounds: June 17, 2022

 .
  • 00:00We are in for we are in for a real
  • 00:04treat today as as you all know.
  • 00:08Before I introduce our our
  • 00:12graduation address presenter,
  • 00:14let me just make a few housekeeping comments.
  • 00:18One is just to acknowledge that we've
  • 00:21had a wonderful graduation ceremony at
  • 00:23the Greenberg Center for our psychology
  • 00:26interns last night we had the residents
  • 00:29graduation ceremony at the Lawn Club and
  • 00:32at 4:00 o'clock today we'll have a a
  • 00:35virtual graduation ceremony for our fellows.
  • 00:38This is a. A wonderful time of year and
  • 00:42just an incredible reminder of how just.
  • 00:46A talented and wonderful
  • 00:49are are trainees are and.
  • 00:52And it's just a pleasure to see them
  • 00:56move forward in their lives and careers.
  • 00:59A reminder also that the mission
  • 01:02Vision Values Questionnaire is out.
  • 01:05Kyle, you're going to put in the chat a
  • 01:09link so that people who have not yet had
  • 01:12an opportunity to to provide feedback
  • 01:15on the mission vision value statement
  • 01:17that was drafted drafted by the committee.
  • 01:21I want to thank.
  • 01:22Again,
  • 01:22Kylie for you for leading the effort
  • 01:24to pull that draft together and for
  • 01:27the many people on that committee.
  • 01:29Who worked very hard to to come up with
  • 01:34the draft that is being shared at this point.
  • 01:38I also want to acknowledge.
  • 01:41Next week is the state of the department
  • 01:45address and in the usual grand rounds slot.
  • 01:49And I I look forward to sharing a few
  • 01:52thoughts about the department at that time.
  • 01:55So today it's my tremendous pleasure
  • 01:58to welcome back somebody who's
  • 02:00never really left,
  • 02:02and in our hearts will never
  • 02:04really leave Ayanna Jordan,
  • 02:06who is the Barbara Wilson associate
  • 02:09professor of psychiatry pillar
  • 02:10lead for community engagement in
  • 02:13the Institute for Excellence in
  • 02:15HealthEquity at New York University.
  • 02:20Ayana got her MD and pH.
  • 02:22D degrees at Albert Einstein University.
  • 02:25She completed her Residency
  • 02:27Addiction Fellowship here at Yale,
  • 02:30joined our faculty,
  • 02:32and and contributed to our
  • 02:34department in so many ways.
  • 02:37As associate program director of the
  • 02:39Residency director of the Yale Global
  • 02:42Mental Health Residency Program,
  • 02:43director of the Social Justice and
  • 02:46HealthEquity curriculum in the
  • 02:48residency director of the medication.
  • 02:51The addiction treatment
  • 02:53consultation center at CMHC,
  • 02:55and she's really quite
  • 02:56accomplished in many many ways,
  • 02:58but I'll I'll just highlight her R1 funded
  • 03:02Pro research program with Cheryl Bellamy,
  • 03:06the Imani Breakthrough Project,
  • 03:08which is an incredible initiative
  • 03:11which collaborates with local churches,
  • 03:14local African American churches.
  • 03:18Predominantly African American churches to.
  • 03:21To.
  • 03:23Be loci for addiction treatment.
  • 03:29Ayana is accomplished in so many other ways.
  • 03:32There's not time to really address
  • 03:35all of her accomplishments today,
  • 03:38but as a resident she was a member
  • 03:40of the American Psychiatric
  • 03:41Association Board of trustees.
  • 03:43She's been a speaker involved in
  • 03:45the National Academies of Science,
  • 03:48Engineering, and Medicine Action
  • 03:50Collaborative on research training.
  • 03:52She's someone who has been recognized
  • 03:55repeatedly for her outstanding
  • 03:56contributions to residency.
  • 03:58Education, including two PPRA
  • 04:00teaching awards she's received,
  • 04:03travel awards and other awards for
  • 04:05many from many other organizations,
  • 04:08both in the space of education
  • 04:11and in research so.
  • 04:14But but most importantly,
  • 04:16Iona is a is a force of nature,
  • 04:20someone who who who?
  • 04:26Calls things as she sees them and
  • 04:29the honesty and power of her words
  • 04:33were highly valued at when she
  • 04:35was full time in New Haven, but.
  • 04:40Make us very much look forward
  • 04:42to to hearing her today and and
  • 04:45seeing how her career progresses.
  • 04:48So Aiyana just a thrill to to
  • 04:52that that you are speaking with us
  • 04:55today and sharing your thoughts on
  • 04:59protecting your peace so. Please,
  • 05:03thank you so much John.
  • 05:05That was really just a wonderful,
  • 05:07heartfelt introduction and I appreciate
  • 05:09you kind of outlining all of the
  • 05:12things because sometimes you forget,
  • 05:14so it's good to be shared
  • 05:17on the larger platform.
  • 05:18Thank you John so much.
  • 05:20I deeply, deeply appreciate that I'm
  • 05:23going to go ahead and share my screen.
  • 05:27Can you all see?
  • 05:29The slides OK, awesome thank you.
  • 05:32And for those of you who
  • 05:34have heard me speak before,
  • 05:37you know I really.
  • 05:40Have I think been socialized in
  • 05:42the way of call and response and I
  • 05:45really need you guys to participate
  • 05:47in the best way that you can.
  • 05:49So I'm going to call on you several times
  • 05:52throughout this talk to participate,
  • 05:54so don't feel shy to take yourself
  • 05:57off mute and respond back because
  • 06:00I will ask a few questions.
  • 06:04So the title of the talk is
  • 06:06really protect your peace. PE ACE.
  • 06:09Protect your peace and I just want to again,
  • 06:14thank the graduates for allowing
  • 06:16me to give this talk today.
  • 06:19I want to start off by saying you did it,
  • 06:23you made it.
  • 06:24You are still standing here and I am
  • 06:28just so excited for the next chapter.
  • 06:31So really, just an immense gratitude.
  • 06:34To the Yale Psychiatry graduating
  • 06:37class of 2020, 2020 22.
  • 06:41With all that I do,
  • 06:43I'd like to start off with land
  • 06:46acknowledgements to really honor the
  • 06:48indigenous people who are allowing us
  • 06:51to borrow the the land in which we do
  • 06:54research and take care of patients.
  • 06:57All land in Connecticut,
  • 06:58where I am right now,
  • 06:59was once native territory,
  • 07:01and it is our duty to acknowledge
  • 07:03that many of the institutions
  • 07:05where we work where we take care
  • 07:08of patients or conduct research
  • 07:10are indeed on native land.
  • 07:11So we give thanks to the indigenous
  • 07:14people for allowing us to be here.
  • 07:16Always remembering that landing
  • 07:18demolishment's do not exist in the
  • 07:20past tense or historical context.
  • 07:22Colonialism is a current ongoing
  • 07:25process and we need to be mindful
  • 07:28of our present participation.
  • 07:30So I'd like to thank the
  • 07:32indigenous peoples and nations,
  • 07:34including Mohegan Mason Tucket Pequot
  • 07:38Eastern Pequot Scatacook, Golden,
  • 07:42Hill Percocet, Niantic, Quinnipiac.
  • 07:46And other Algonquian speaking peoples
  • 07:48who have stewarded through generations.
  • 07:51The lands and waterways of what is
  • 07:54now the state of Connecticut oshay.
  • 07:58I don't have any disclosures,
  • 08:01no financial disclosures,
  • 08:02no conflicts of interest except I
  • 08:06will always love y'all physiatry.
  • 08:09This is the environment that made me.
  • 08:12I am so grateful to be socialized
  • 08:14in the streets of New Haven and
  • 08:16to really have my training here.
  • 08:18I'd like to thank the leadership
  • 08:21shout out to John Crystal for
  • 08:23shepherding me for over 11 years,
  • 08:25the residents collaborators.
  • 08:27Colleagues and friends,
  • 08:29and especially the class of 2022.
  • 08:36So before I really get into it,
  • 08:38I want to be very honest to what
  • 08:40kind of John was alluding to this
  • 08:44sense of authenticity when I heard
  • 08:46from John and Trish and JD a,
  • 08:49Jennifer Dolan, Auden that I would
  • 08:51have the chance to do this talk.
  • 08:53I was spending so much time
  • 08:56thinking about what I wanted to say
  • 08:59to you all the graduating class.
  • 09:02I had to figure out what exactly
  • 09:05what I am part this morning.
  • 09:08And that led to so much contemplation,
  • 09:11mainly in part because of my recent
  • 09:14transition away from Yale to NYU,
  • 09:16I wanted to be seen as this Wiz this this
  • 09:20guy that had all of this wisdom to impart,
  • 09:23reflect on what I've learned,
  • 09:25how high I have developed in
  • 09:28my career over the years.
  • 09:30But also,
  • 09:31I just wanted to be very real
  • 09:34and to acknowledge how many of
  • 09:37us are feeling at this time.
  • 09:39And the word that came to mind
  • 09:42for me was depleted.
  • 09:44Given the state of the world and
  • 09:46all that we've experienced globally
  • 09:48over these past through few years,
  • 09:51I really,
  • 09:52genuinely feel like the world is on fire,
  • 09:55so I was really torn and I called
  • 09:57Tobias Doctor Wasser and I was
  • 10:00looking for some inspiration.
  • 10:02How could I possibly inspire
  • 10:04or imbue hope during this time
  • 10:08without being authentic?
  • 10:10Because at the very heart of the matter,
  • 10:12that is who I am and authentic
  • 10:15person who has learned to lean
  • 10:18into my leadership style speak up.
  • 10:22Even when my voice shakes and help
  • 10:24others to develop and nurture their
  • 10:27individual talents and skill sets
  • 10:29that make them the incredible leaders
  • 10:32and change makers that they are.
  • 10:34So today I say to you,
  • 10:37you are a class of change agents.
  • 10:41This is indeed a time of celebration,
  • 10:44a time of great achievement.
  • 10:46And I promise you we will get there, right?
  • 10:49We'll get to the accolades.
  • 10:51But before we do.
  • 10:52Get to the other side and celebrate
  • 10:55all that you accomplished,
  • 10:57especially during such trying times.
  • 11:00We must take a moment to reflect.
  • 11:05Reflect all that has happened.
  • 11:10We must take a look back
  • 11:13and the spirit of sankofa,
  • 11:16a symbol of African wisdom and teaching.
  • 11:19We must look back to
  • 11:21understand how to move forward.
  • 11:23So for the icon people of Ghana,
  • 11:25this bird picture here is generally
  • 11:28depicted with its head turned backwards.
  • 11:31Taking an egg from its back and this really
  • 11:35expresses the importance of reaching
  • 11:37back to gain knowledge of the past.
  • 11:40And bringing it into the present
  • 11:42in order to make positive progress.
  • 11:45So for the next few minutes.
  • 11:47That is what I'm going to do.
  • 11:49No matter, no matter how painful it may be,
  • 11:52I am going to take a look back from 2020
  • 11:55until now to see all that we've been through.
  • 11:58I do want to put up a warning because
  • 12:01I am going to be talking about grief.
  • 12:04Death. Racism and terrorism.
  • 12:09So what that let me review a few moments
  • 12:13over the past years that have forever
  • 12:15changed me as a leader as a physician,
  • 12:19as a physician scientist,
  • 12:21and I hope that has changed you.
  • 12:24Beginning with the COVID-19 pandemic.
  • 12:32Devastation felt worldwide. Well,
  • 12:37we live the uncertainty of what's to come.
  • 12:42The outward surprisingly rejection by so
  • 12:45many as scientific principles and advances.
  • 12:49Not having access to personal protective
  • 12:52equipment early in the pandemic being
  • 12:56and just unabashedly vulnerable,
  • 12:58I'm going to tell you I during
  • 13:02the pandemic working at Yale,
  • 13:04I prepared a will for the
  • 13:07very first time in my life.
  • 13:09Not really knowing what's that going to be
  • 13:13infected in a way that would leave my family.
  • 13:18In what, in my absence,
  • 13:19so much heartache, despair,
  • 13:22millions of lives lost and an ongoing
  • 13:26question questioning of what is to come.
  • 13:30A global lockdown demanded us to reflect.
  • 13:36What are our core values?
  • 13:39What is essential?
  • 13:41What is most important in life and one
  • 13:45of the things that I will say to you?
  • 13:47The graduating class of 2022 is
  • 13:50you have to slow down and reflect.
  • 13:53If the pandemic didn't do it.
  • 13:57I am asking you if you take nothing from
  • 13:59this lecture today or this graduation talk,
  • 14:02you have to slow down.
  • 14:04You have to figure out your core values.
  • 14:06What is essential? What is the
  • 14:09legacy that you would like to leave?
  • 14:13Next, George Floyd.
  • 14:16May 25th, 2020 will forever.
  • 14:21Change our lives. It's been over two years.
  • 14:26Since a police officer.
  • 14:29Assassinated George Floyd in Minneapolis.
  • 14:35I can't breathe.
  • 14:39I cannot breathe calling out for his
  • 14:42mother for the whole world to watch.
  • 14:45For nearly nine minutes until
  • 14:47he took his last breath.
  • 14:50His death, triggering a global
  • 14:52introspection of race relations in
  • 14:54this country and throughout the world.
  • 14:57What does it mean to be black in America?
  • 14:59What does it mean to be black in the world?
  • 15:02What does it mean to truly
  • 15:04show up as an ally?
  • 15:05What does it mean to take
  • 15:07care of black patients?
  • 15:08How could we, the collective we
  • 15:12not stand by and do anything?
  • 15:16This. Global display of violence
  • 15:20must propel us to act.
  • 15:23We must do something our
  • 15:25patients are depending on us.
  • 15:28The future is depending on us.
  • 15:31Do not allow summers of protests
  • 15:34demanding racial justice and
  • 15:36advancements in all facets of
  • 15:39academic institutions to be stalled.
  • 15:42Class of 2022 I need you.
  • 15:46This should spur you to action.
  • 15:50The opioid crisis thousands of
  • 15:53unintentional deaths due to drug overdoses,
  • 15:58largely spurred now for fentanyl ingestion,
  • 16:01a devastation of whole communities.
  • 16:04We watch neighborhoods and
  • 16:07States and total disarray.
  • 16:10Graduating class,
  • 16:11what are you doing about this?
  • 16:14How were you helping in a way
  • 16:16that is going to make it impact?
  • 16:18Should you be involved in advocacy?
  • 16:21Public policy.
  • 16:22Supporting the opiate Treatment Access Act.
  • 16:25Thinking about safe supply,
  • 16:28thinking about harm reduction
  • 16:30this has to propel you to act.
  • 16:33January 6th insurrection.
  • 16:38White supremacy on display.
  • 16:43A full on attack on our democracy.
  • 16:47Violence and rage up front and center.
  • 16:53How did we get here?
  • 16:55Where are we going as a nation?
  • 16:59Vicarious trauma associated
  • 17:02with the public display of hate.
  • 17:06Graduating class of 2022.
  • 17:09If we if you never thought that
  • 17:13your presence is necessary,
  • 17:15it is indeed essential.
  • 17:17Now we have to have experts to help us
  • 17:23process this trauma. Anti Asian hate.
  • 17:26Starting with the pandemic.
  • 17:28Well not starting but being exacerbated.
  • 17:32I think by the pandemic calling it
  • 17:34the Chinese flu and many off color
  • 17:37remarks leading to violence and death.
  • 17:40A multitude of killings are Asian
  • 17:43brothers and sisters feeling unsafe
  • 17:46to walk the streets to leave their
  • 17:48homes to practice in the hospital
  • 17:51for fear of them being attacked.
  • 17:53What can you do to help?
  • 17:56What does it mean to really show
  • 17:58up and be a ally class of 2022?
  • 18:03The Buffalo killing.
  • 18:06Say their names. Again,
  • 18:09the vileness of anti black racism.
  • 18:12The false and inherently dangerous
  • 18:15belief in the superiority of whiteness
  • 18:17and the replacement theory on display.
  • 18:20How do we show care to
  • 18:23those who are affected?
  • 18:25How do we move forward as a nation?
  • 18:30And finally the Uvalde killings.
  • 18:36Children and teachers.
  • 18:39I like killed parents and anguish.
  • 18:43A whole community,
  • 18:45a whole nation forever affected kids
  • 18:48and communities likely in need of life.
  • 18:51Long psychiatric support.
  • 18:54Graduating class of 2022.
  • 18:57We need you. You are necessary.
  • 19:01Stand up, show out, speak up.
  • 19:05You have had amazing training.
  • 19:08You have had awesome.
  • 19:12Privilege how can you leverage that
  • 19:15privilege to bring about change?
  • 19:17This is the time.
  • 19:21Why am I sharing all this during a
  • 19:24graduation? Speech Doctor Jordan you
  • 19:26were brought here to inspire one of the
  • 19:30things that I must say is that you you
  • 19:34all the graduating class are still here.
  • 19:38The very fact that you survived all
  • 19:41that I just discussed. During training.
  • 19:46Inherently shows that there is
  • 19:48a very purpose in your being.
  • 19:51Just in your presence. But I must say.
  • 19:56There were hashing of such tragic events.
  • 19:59It's necessary because that is the reality.
  • 20:03This is the truth.
  • 20:04This is the reality of the of the world
  • 20:08as we know it and graduating class.
  • 20:11If you want different for the future,
  • 20:14you have to be the change that
  • 20:17you have to see.
  • 20:19You must persist, you must.
  • 20:23Be unapologetic about being change
  • 20:26agents 1 foot in front of the other,
  • 20:30figuring it out trying to affect
  • 20:33change to help others live
  • 20:36more fuller and optimal lives.
  • 20:39We must never forget the sadness
  • 20:41we must plug into the pain,
  • 20:43because only in that depth
  • 20:45of anguish are we really,
  • 20:48really called to move and understand
  • 20:50the need of need for change.
  • 20:53So class of 2022 in this time of cocount
  • 20:57contemplation in the spirit of Sankofa,
  • 21:00how can you look back and learn from
  • 21:03the past in order to move forward?
  • 21:06I'd like to share a poem from Amanda Gorman.
  • 21:11She is an American poet and activist.
  • 21:13Gorman was the first person to be
  • 21:16named the National Youth Poet Laureate.
  • 21:19And it's called him for the hurting.
  • 21:25Everything hurts.
  • 21:27Our hearts shadowed and strange.
  • 21:31Mines made muddled, muddied and mute.
  • 21:35We carry tragedy.
  • 21:38Terrifying and true.
  • 21:40And yet none of it is new.
  • 21:43We knew it as home.
  • 21:46As horror as heritage,
  • 21:49even our children cannot be children.
  • 21:53Cannot be. Everything hurts.
  • 21:56It's a hard time to be alive.
  • 22:00And even harder to stay that way,
  • 22:03we're burdened to live out these days while
  • 22:07at the same time the last to outlive them.
  • 22:12This alarm is how we know we must be
  • 22:16altered that we must differ or die,
  • 22:20that we must triumph or try.
  • 22:24That's while hate cannot be terminated.
  • 22:27It can be transformed into
  • 22:30a love that lets us live.
  • 22:34May we not just grieve, but give?
  • 22:37May we not just ache but act?
  • 22:42May our sign right to bear arms never
  • 22:45blind our sight from shared harm.
  • 22:49May we choose our children over chaos?
  • 22:52May another innocent never be lost?
  • 22:56Maybe everything hurts our hearts,
  • 23:00shadow and strange,
  • 23:02but only when everything hurts.
  • 23:05May everything change.
  • 23:10Everyone that can hear my voice,
  • 23:12I just ask for a moment of silence for
  • 23:16us to reflect on all of the lives lost.
  • 23:20All that we have been through.
  • 23:23And yet we are still standing.
  • 23:2630 seconds of silence, please.
  • 24:05Thank you. All right? Class of 2022.
  • 24:11I'm going to share with you.
  • 24:15The inner experience.
  • 24:17Of what kept coming to me during my
  • 24:21periods of introspection and reflection.
  • 24:24If you all don't know,
  • 24:26Grandmaster Flash and the Furious 5
  • 24:28let me give take this opportunity
  • 24:31to school you on one of the Best
  • 24:35Hip Hop groups ever, all right.
  • 24:39I'm just gonna play it.
  • 24:40I think you guys will
  • 24:42understand why it's necessary,
  • 24:44but let me make sure my
  • 24:46volumes up here we go.
  • 24:50Ohh
  • 24:53no. No. Wait, I gotta stop sharing because
  • 25:00I have got to play this. This is key.
  • 25:06Don't worry, technical difficulties but.
  • 25:09Wait? Maybe I can share it this way.
  • 25:16You might not be able to see it,
  • 25:18but you can still listen.
  • 25:21You couldn't make it.
  • 25:23Sneak 'cause I'm close to the edge.
  • 25:27I'm trying not to lose my head.
  • 25:33Times the Bixby wonder how
  • 25:35about keeping going under?
  • 25:37It's like a jungle.
  • 25:38Sometimes it makes me wonder how I
  • 25:40keep from going under so brothers
  • 25:42doing fast though my mother's TV
  • 25:43says she watched it too much.
  • 25:45It's just not healthy.
  • 25:46Alright, I gotta play it again.
  • 25:48Here we go.
  • 25:52Because I'm close to the edge,
  • 25:55I'm trying not to lose my head.
  • 26:01Sometimes it makes me wonder how
  • 26:03about you keep from going under hey.
  • 26:07Wonder how I keep from going under?
  • 26:10Alright guys I'm gonna stop sharing.
  • 26:12I'm gonna have to do that with but don't
  • 26:16push me because I'm close to the edge.
  • 26:20I'm trying not to lose my head.
  • 26:24It's like a jungle. Sometimes it makes
  • 26:26me wonder how I keep from going under.
  • 26:27OK, that is the Internet experience.
  • 26:30Y'all don't push me because I'm
  • 26:32close to the edge now graduates.
  • 26:34Why is she playing Grandmaster
  • 26:37Flash at the graduation speech?
  • 26:39Because many of us. Are close to the edge.
  • 26:43Many of us are trying to figure out how
  • 26:46do we keep from losing our head right?
  • 26:50And so that is the spirit of which I
  • 26:53give this talk. Protect your peace.
  • 26:57Alright, protect your white PE ACE,
  • 27:02so let me get back to the top.
  • 27:05And we'll get into it,
  • 27:07but it's important guys.
  • 27:08It's important to protect your peace.
  • 27:11I don't want to share that I need to
  • 27:14get out of my. I'm going to close this.
  • 27:18And. And get back to the actual.
  • 27:24Top.
  • 27:25All right,
  • 27:26here we go.
  • 27:30Alright, so. What do I
  • 27:34mean by protect your piece?
  • 27:36I often and can you all see
  • 27:38that you guys have to tell me?
  • 27:40OK, good is really the words of Audrey,
  • 27:44Lord, who is just an amazing activist.
  • 27:48Poet may she up forever rest in peace
  • 27:50but she says self preservation is
  • 27:52an act of political warfare, right?
  • 27:55Caring for myself is not self indulgence.
  • 27:58It is self preservation and that is
  • 28:01indeed an act of political warfare.
  • 28:03So what that that song helped me to
  • 28:07see coupled with this quote that I
  • 28:10hold dearly into my heart is that we
  • 28:13have to find a way to live through
  • 28:15and manage the multiple tragedies.
  • 28:18AN and day out graduating class in
  • 28:21order for us to help anyone else and
  • 28:24be the best change made agents that
  • 28:27we can be and be the best leaders in
  • 28:30scientific innovators of tomorrow.
  • 28:32We have to center our own selves.
  • 28:35We have to figure out a way to access
  • 28:38psychological Wellness so that we
  • 28:41are indeed available to serve others.
  • 28:43Because self preservation really
  • 28:46is talking about radical.
  • 28:48About care which allows for psychological
  • 28:51Wellness at that begets self actualization.
  • 28:55And so when I got that right,
  • 28:58protect my peace. Self preservation
  • 29:01as an act of political warfare.
  • 29:04It was so simple.
  • 29:05I was like I know what we need
  • 29:08to do as psychiatrist.
  • 29:09I know what we need to do as leaders
  • 29:11in the field of mental health with an
  • 29:14ever growing need for our expertise.
  • 29:16Given the ongoing trauma,
  • 29:17death and despair that is,
  • 29:19there is not a more crucial time
  • 29:23to protect yourself.
  • 29:24To garner and really think about
  • 29:26what do you need to be?
  • 29:28Well, this was the inspiration for the top.
  • 29:32Protect your piece.
  • 29:34Now I need the graduates to unmute,
  • 29:37mute yourself, unmute,
  • 29:39it's OK, it's OK, we're family.
  • 29:42We know what another like John says at
  • 29:46graduation. He will always take credit.
  • 29:49Yale Psychiatry will always take credit
  • 29:51for whatever you do, so we're family.
  • 29:53Now unmute yourself I want you is everybody.
  • 29:57I'm unit, I can't see everybody,
  • 29:59just the graduates graduates.
  • 30:01Don't let me down here.
  • 30:03I need you.
  • 30:04Alright,
  • 30:05what I want you guys to do is
  • 30:08to repeat after me.
  • 30:10I must protect my peace.
  • 30:16I must protect my teeth.
  • 30:19OK, let's try this again y'all.
  • 30:21Cause we weren't really in unison,
  • 30:23but I am feeling very encouraged
  • 30:25and inspired that you are going
  • 30:27to get it together on 321.
  • 30:29I'm going to go first,
  • 30:30then you repeat after me.
  • 30:32I must protect my peace.
  • 30:36I must protect.
  • 30:38Peace, I must protect my peace.
  • 30:46I must protect my thank you in order
  • 30:50for you all to lead authentically
  • 30:55empathize fully and take care of
  • 30:58others during time such as these.
  • 31:01You must protect your peace because
  • 31:04how can we truly be leaders in the
  • 31:07field of psychiatric innovation,
  • 31:09research and clinical care and help
  • 31:12others access Wellness if we are not?
  • 31:15Indeed, taking care of ourselves, everybody.
  • 31:18When you're feeling overwhelmed.
  • 31:20TuneIn, what did Doctor Jordan say?
  • 31:22I must protect my peace all right.
  • 31:27So now we're going to go through
  • 31:29Everywhere poll and I'm going to
  • 31:31ask everyone here because I want to
  • 31:33share this with the graduates when
  • 31:35we're done is to come up with the
  • 31:37word cloud of what is 1 activity that
  • 31:39you all can do and this is a shared
  • 31:43experience to protect your peace and.
  • 31:45All of the answers that we come up with,
  • 31:47I'm going to save and give to the
  • 31:50graduates so they have it on display.
  • 31:53So let me get go to guys.
  • 31:56I'm doing a whole bunch of multimedia.
  • 31:58I didn't know, but my links aren't working,
  • 32:00but that's OK.
  • 32:00I'm rolling with it because I must
  • 32:02protect my peace and it's going
  • 32:04to be what it's going to be.
  • 32:05So I'm figuring it out.
  • 32:08But I'm going to.
  • 32:11Go here.
  • 32:12And I'm going to share with you all how to.
  • 32:17Get on.
  • 32:19Wait?
  • 32:22I'm going to. Go here. All right,
  • 32:27and hopefully it'll let me share.
  • 32:36OK, can you all see that?
  • 32:40Yeah, all right.
  • 32:40So what I want you guys to do is to,
  • 32:43uh, take out your phone.
  • 32:45And you're going to in the two
  • 32:48where you put the number you're
  • 32:50going to put 37607 and then
  • 32:52where you type in the message,
  • 32:54you're going to put Ayanna Jordan 444.
  • 33:00Ayanna Jordan 444. And it should
  • 33:05say that you are able to. Join
  • 33:16and So what I would love for you
  • 33:19to do is Yep, start to type ways in
  • 33:21which you can protect your peace.
  • 33:28I'm going to keep doing that for.
  • 33:54This is awesome guys. This is awesome.
  • 33:57Awesome. Keep going, keep going.
  • 34:11OK. Slowing down anymore last minute.
  • 34:15This is great. I love this,
  • 34:18so for those who may not know the way
  • 34:20that it works out works, is that the
  • 34:22more people say things that are similar,
  • 34:25the larger that the word is,
  • 34:27the more that you have kind
  • 34:28of overlap or agreement.
  • 34:30The larger that that word or phrase is.
  • 34:32So I love that you guys are saying family
  • 34:35and boundaries friends, time truths no.
  • 34:41Speak garden therapy.
  • 34:43Practice water dance,
  • 34:46meditate vacation hugs with wisdom on and on.
  • 34:52And so I want us to really center these
  • 34:55things because we're going to need to access
  • 34:58these things in order to be successful.
  • 35:00In order to truly be those change agents,
  • 35:03we can't move forward, right?
  • 35:05If we don't protect our peace.
  • 35:07So thank you so much for that.
  • 35:09I'm going to stop sharing.
  • 35:10I'm going to lock in those.
  • 35:12Responses and I'll send
  • 35:13them out to Trisha and JD.
  • 35:16A Jennifer Dolan ottan so that she
  • 35:18can share it with our graduating
  • 35:20class because I think that's
  • 35:23really important to remember.
  • 35:24The importance of protecting your peace,
  • 35:27but also what can you actually do?
  • 35:30Having some tangible examples all right?
  • 35:33So let me go back to.
  • 35:36Umm?
  • 35:37The presentation and.
  • 35:41As you all have seen,
  • 35:44there are many different ways
  • 35:45that you can protect your peace.
  • 35:46I just wanted to share my list with
  • 35:50you that I have really developed over
  • 35:53the last really two years and I wanted
  • 35:56to have this concept of a minimal
  • 35:59meeting summer and those who've you
  • 36:02who know me know that I love Twitter.
  • 36:05That's one of my ways to just kind of
  • 36:07really interact with the world and
  • 36:09learn about different research papers,
  • 36:10etcetera.
  • 36:11Advocate and Doctor Eugenia South.
  • 36:15She had this amazing tweet and it
  • 36:17inspired me to protect my summer right
  • 36:20as a means of protecting my peace.
  • 36:22So she says my second annual
  • 36:26minimal meaning summer starts
  • 36:28on July 5th in order to prepare.
  • 36:31I've already started to say not now.
  • 36:33Reach back out in the fall
  • 36:36to meetings for me.
  • 36:37This is about career sustainability,
  • 36:40Wellness and joy.
  • 36:41Yeah,
  • 36:41I really do think graduating class
  • 36:44of 2022 you all get it better
  • 36:47than some of us from Generation
  • 36:50Y or geriatric millennials is
  • 36:52really thinking about how can you
  • 36:54organize your time in a way that
  • 36:57you can have career sustainability,
  • 36:59Wellness and joy.
  • 37:00So I'm going to be enacting this July 5th.
  • 37:03I encourage you all to join in with
  • 37:05me if you ask me for a meeting.
  • 37:08You heard it here at the
  • 37:10commencement talk of 2022.
  • 37:11Minimal meaning summers Doctor
  • 37:13Jordan is protecting her peace.
  • 37:16Another thing is really saying no to new
  • 37:19projects until old ones are completed.
  • 37:22I know how interesting it may be,
  • 37:24but I don't know if you guys
  • 37:26have seen that mean where there's
  • 37:28somebody looking that the next
  • 37:29best thing we have to finish up
  • 37:31all things before we say
  • 37:33yes to something new.
  • 37:35Accepting help from others.
  • 37:37Charlotte intimately knows this.
  • 37:40It's so hard. For me,
  • 37:42or it has been so hard for me to say yes,
  • 37:46I need help from others,
  • 37:47but I realize that as I get
  • 37:51more advanced in my career,
  • 37:52this is indeed necessary, right?
  • 37:56Also shout out to Doctor
  • 37:58Joel Allison weekly therapy.
  • 38:01I always say even on Twitter
  • 38:04every Tuesday at 11 that is my
  • 38:08time to really go through and see
  • 38:11how I'm doing psychologically.
  • 38:13Am I well?
  • 38:14Do I need just a period of
  • 38:17rest so I encourage you all to
  • 38:19get whatever mental health or
  • 38:22psychiatric treatment that you need?
  • 38:24Facetiming with my nieces and nephews,
  • 38:26I realized that I am no longer young.
  • 38:29My nephew, who is 12 about to be 13,
  • 38:32said Auntie.
  • 38:33Your slang is so old you're embarrassing me.
  • 38:36So really protecting my peace is
  • 38:38thinking about how can I surround
  • 38:41myself with young people with loved
  • 38:43ones that keep me relevant and
  • 38:46encouraged and can tune out from the
  • 38:48horrors that are often happening.
  • 38:51Not listening to the news.
  • 38:53These are some things that just.
  • 38:54Are necessary to protect my peace.
  • 38:56Limiting social media.
  • 38:58Taking social media breaks.
  • 39:00Instagram is good but we all know.
  • 39:04IG is not the truth right?
  • 39:06So sometimes as we think about
  • 39:08going out in our own leadership,
  • 39:11we have to pull back and take
  • 39:14me breaks from social media.
  • 39:17In my own career and I and
  • 39:19ioffer this as an example,
  • 39:20I've had to surround myself with
  • 39:23black academicians who understand
  • 39:25the daily struggles of what it
  • 39:27is to really work and operate,
  • 39:29and institutions that really
  • 39:31perpetuate white supremacy and
  • 39:34really think about how can we center
  • 39:36other ways to do things differently.
  • 39:39I surround myself with allies
  • 39:42that truly understand what it
  • 39:45is to fight for justice.
  • 39:47Many of whom are here today
  • 39:49and then finally donating to
  • 39:52social justice organizations.
  • 39:53I just wanted to bring up these
  • 39:56couple of pictures because it really
  • 39:59underscores some of the things that
  • 40:02happen at Yale and I'm speaking to the
  • 40:05graduates now because I didn't realize.
  • 40:08Back when I came to Yale in 2011,
  • 40:11the lasting friendships that would
  • 40:14allow me to have a sense of Wellness
  • 40:18to be able to do all that I do so
  • 40:23shout out to Noah and Dale and Brady.
  • 40:26We all train together.
  • 40:28We were in the CIU together, y'all.
  • 40:30We were in WS2 together CMHC for floor.
  • 40:35These relationships has has begun at Yale
  • 40:40and lasted throughout over a decade,
  • 40:43right?
  • 40:44And really seeing that.
  • 40:46The relationships that you all have
  • 40:48made at Yale will indeed sustain you.
  • 40:51Don't be afraid to reach out
  • 40:53to people to keep in touch.
  • 40:55This is a way to really lean
  • 40:59into your leadership and really
  • 41:02be whole while doing so.
  • 41:04And I just wanted to highlight
  • 41:06all of the lovely black women
  • 41:08that are now a part of the Yale
  • 41:11Psychiatry Residency program.
  • 41:13I'm getting for client.
  • 41:23How can we enter spaces and
  • 41:26make them more inclusive?
  • 41:31Yo graduating class of 2022.
  • 41:34You all truly inspire me because you
  • 41:37all there are the change that I know.
  • 41:41Will come to pass.
  • 41:43This generation gets it.
  • 41:45You all get it and I encourage
  • 41:47you to enter spaces and and leave
  • 41:50them better than they came in.
  • 41:53So when I say to you,
  • 41:55I'll protect your peace.
  • 41:56It's not just because it's like oh,
  • 41:58a nice thing to say.
  • 42:00It really is, because clarity.
  • 42:03Having the moments of clarity,
  • 42:05it begets creativity and ingenuity.
  • 42:10So not too long ago though.
  • 42:13Bob knows Bob rorbach.
  • 42:15I was so excited, right?
  • 42:18I was exactly where you all were.
  • 42:20Although your digs are much better,
  • 42:22my graduation wasn't as nice as you all,
  • 42:24but it's OK.
  • 42:26I was graduating from Yale
  • 42:30Psychiatry Residency class of 2015.
  • 42:32Shout out to the chief resident.
  • 42:35I had my chief residence certificate.
  • 42:37I was really feeling myself.
  • 42:39I was so nervous yet excited to
  • 42:42begin my career as an attending.
  • 42:45I can tell you y'all,
  • 42:46seven years flew by so fast
  • 42:49I cannot believe here.
  • 42:51We are seven years later and I
  • 42:54look back because I've had those.
  • 42:56Home is to protect my peace because
  • 42:58I've had those times of introspection.
  • 43:01I've had the time to look back
  • 43:03and have an intense amount of
  • 43:05gratitude for the flexibility
  • 43:07that my training at Yale allow.
  • 43:10Three months.
  • 43:13To really develop any scientific
  • 43:15question that I was interested in,
  • 43:19the opportunity to build on and
  • 43:21develop one of the most progressive
  • 43:24curriculums for psychiatry in the nation.
  • 43:28I will always be grateful to
  • 43:31doctor Diaz for allowing me as a
  • 43:35resident to have such autonomy
  • 43:38and input to the curriculum,
  • 43:41which later went on to become.
  • 43:43Social justice and HealthEquity The
  • 43:47chance to work with such amazing people.
  • 43:50The mayor of New Haven,
  • 43:52Kim Guy Richard Ewings Sharelle Bellamy,
  • 43:57awesome researcher.
  • 43:58Hopefully soon to be full professor
  • 44:01at yell to build relationships in a
  • 44:05research program that centers black people.
  • 44:09People of Latinx descent and form
  • 44:11relationships and working collaborations
  • 44:13with people who use drugs and
  • 44:15have problems related to their.
  • 44:17Drug use we are actually making changes,
  • 44:22hopefully figuring out how to
  • 44:24reconceptualize how treatment is
  • 44:26provided because of the opportunities
  • 44:29that were given to me at Yale.
  • 44:31So I say to you all graduates,
  • 44:34you all are destined for greatness,
  • 44:37not because it's just a nice thing to do,
  • 44:39say, but because I'm a living example of it,
  • 44:42and I know that you guys have all of the
  • 44:45tools within you and have been prepared.
  • 44:48Higher education to do just that.
  • 44:51I am literally speaking
  • 44:52into existence on this day.
  • 44:55The Jordan Wellness Collaborative Center
  • 44:57of Racial Justice Research and Mental
  • 45:01Health that's going to be the next,
  • 45:04I think.
  • 45:05Accomplishment for me,
  • 45:07but I'm really,
  • 45:08really so excited to enter this new
  • 45:11chapter as an in doubt Professor,
  • 45:13it means so much to me.
  • 45:15And it's not just for my own accolades,
  • 45:18but really,
  • 45:19for an example of what can be
  • 45:22an example to so many.
  • 45:24How many emails I get from young
  • 45:27people that say Doctor Joanna?
  • 45:28I wanna be you.
  • 45:30I'm thinking about psychiatry.
  • 45:31I didn't even know this was possible.
  • 45:33Can I do a research internship in your lab?
  • 45:36Can I do all of these things?
  • 45:39So psychiatry.
  • 45:41Graduating class of 2022.
  • 45:44You can leave this world a better
  • 45:47place than you found it.
  • 45:49You must protect your peace.
  • 45:51You have all of the privilege.
  • 45:54In order to do so.
  • 45:55So one of the things that I'd like to
  • 45:58do and we have some time is share one
  • 46:01of the songs from sounds of blackness.
  • 46:06It's called keep your head to the sky.
  • 46:08I'm going to just play it.
  • 46:11Probably from my computer.
  • 46:12But I'm going to read the first
  • 46:15stanza and then I'll play the chorus.
  • 46:17It says when, in the midst of sorrow,
  • 46:20you can't see up when
  • 46:22looking down a brighter day.
  • 46:25Tomorrow will bring.
  • 46:26You hear the voice of reason telling
  • 46:30you this can't never be done,
  • 46:32no matter how hard reality seems.
  • 46:35Just hold on to your dreams.
  • 46:38Don't give up and don't give in.
  • 46:41Although it seems you never win,
  • 46:44you will always pass the test as long
  • 46:48as you keep your head to the sky,
  • 46:51you can win as long as you keep
  • 46:54your head to the sky you can win.
  • 46:57As long as you keep your head to the sky,
  • 47:01face towards the sky, be optimistic.
  • 47:05So let me see if I can.
  • 47:07Of course this is not going to work,
  • 47:09but that's OK,
  • 47:10we'll just do it like I did before.
  • 47:13And share this.
  • 47:14I've spent so much time in betting my audios,
  • 47:17but you know, such as life, Anita's,
  • 47:21millennial to help me next time, OK?
  • 47:54You can win, yes, as long as
  • 47:57you keep your head to the sky.
  • 48:00Be optimistic you can win alright y'all.
  • 48:04I'm nearing towards the end, I promise,
  • 48:06but there's a couple of things that I
  • 48:10want to share and this was a quote from.
  • 48:13Tracy case meth,
  • 48:14who was an American poet and educator.
  • 48:16She served as the 22nd Poet laureate of
  • 48:20the United States from 2017 to 2019,
  • 48:23and she says you all have the power
  • 48:26to move the field and a new way.
  • 48:29I am inviting you to consider that
  • 48:31there are tools in terms beyond those
  • 48:34typically indexed to the work we do,
  • 48:36which are nevertheless also essential to
  • 48:39the project of collective human flourishing.
  • 48:42I'm thinking beyond health care,
  • 48:45education, public policy and more
  • 48:49beyond the essential fields and
  • 48:51disciplines which help us measure,
  • 48:53hold, accountable and sustain
  • 48:55our social institutions.
  • 48:57I'm thinking about what else
  • 49:00bolsters our health, dignity,
  • 49:01access and sets the terms of
  • 49:04our civic care and regard.
  • 49:06What does it mean to flourish
  • 49:08in a time of uncertainty?
  • 49:10Uncertainty might flourishing.
  • 49:11Need the result of living together in such
  • 49:15a way that love rather than tolerance,
  • 49:18community rather than division or
  • 49:21tribalism and reciprocity rather
  • 49:23than transactional exchange,
  • 49:26comprise the things we seek to
  • 49:29offer and receive. Let me tell you.
  • 49:33Graduating class of 2022 you all indeed
  • 49:36have the power to move the field in
  • 49:40a new way to protect your peace.
  • 49:43We need you. What can I do without you?
  • 49:47First of all,
  • 49:48I have to give a very special shout
  • 49:51out to each and every one of you.
  • 49:53All you all did it.
  • 49:55You deserve all of the praise.
  • 49:58I am so incredibly proud of you
  • 50:00for all that you've learned,
  • 50:02all that you've achieved and all
  • 50:04the ways that you have grown,
  • 50:06you've learned how to care for
  • 50:08the wounded and afflicted.
  • 50:10How determined how to determine
  • 50:11why someone is suffering.
  • 50:13And what can be done to improve
  • 50:15their quality of life?
  • 50:16You've learned how to navigate
  • 50:18unjust systems and fight for equity,
  • 50:20how to center truth and dismiss hate,
  • 50:23how to expand the notion of doctoring
  • 50:26and leverage your positions of
  • 50:28privilege for lasting change.
  • 50:30You've used complex methodologies,
  • 50:33technologies,
  • 50:34and sophisticated statistics to
  • 50:36do remarkable research,
  • 50:38and you've begun to learn how to navigate
  • 50:41the tricky and at times treacherous.
  • 50:43Waters of science and academia.
  • 50:46You've done all this and more
  • 50:49through such such difficult times,
  • 50:52so all of this to say that I want
  • 50:55you to go out with your head tall.
  • 50:57Walk tall and achieve and do great things.
  • 51:01Make important discoveries.
  • 51:03You are literally the future
  • 51:05of the field I depend on you.
  • 51:08Your patience depend on you.
  • 51:10We depend on you to protect your peace.
  • 51:13And to access wisdom.
  • 51:15What in and access the necessary
  • 51:18discernment to push our field ahead and
  • 51:21ways that we could never imagine ourselves?
  • 51:25My charge to you is to please put great
  • 51:29thought and care into your own self.
  • 51:32Self preservation is indeed
  • 51:33an act of political warfare.
  • 51:36Put as much thought into yourself as
  • 51:37you do in making important advancements,
  • 51:40designing studies and taking care of
  • 51:43patients during these times of uncertainty.
  • 51:45Violence. Injustice and intense sorrow,
  • 51:49you must find a way to protect your peace,
  • 51:52both mentally, spiritually,
  • 51:55psychologically, physically.
  • 51:57And comprehensively find a way
  • 52:00to access Joy's class of 2022.
  • 52:04You all are my inspiration.
  • 52:07I was looking for ways to inspire
  • 52:10you but yet you inspire me.
  • 52:13Today is about you celebrating
  • 52:16all the sacrifices you've made.
  • 52:18Today is about your support system,
  • 52:21your community, whatever.
  • 52:22And whoever that means to you,
  • 52:25everyone that has helped you along the way.
  • 52:27So I say Congrats to you.
  • 52:29Congrats to the parents.
  • 52:33Mom's dad's children, aunties,
  • 52:35uncles, grandparents,
  • 52:36Nana's elders and ancestors
  • 52:38that are with us today.
  • 52:41Today is indeed a day of celebration,
  • 52:45and while we are facing some really,
  • 52:48really tough times,
  • 52:50we celebrate and we honor you.
  • 52:53This is a huge accomplishment.
  • 52:55Congratulations everybody.
  • 52:56Take yourself off you and give
  • 52:59them a round of applause when
  • 53:02they graduating class but 2022.
  • 53:04I approve,
  • 53:05but at the name and have the last song.
  • 53:11I'm gonna stop sharing.
  • 53:12Ohh we can just listen to it.
  • 53:17Yes, celebrate this sign.
  • 53:24This is a good one.
  • 53:34Come on.
  • 53:41Times come on.
  • 53:46Alright. Alright guys I am done UMI,
  • 53:52just want to have some acknowledgements.
  • 53:54I promise I'm done.
  • 53:55I didn't even know I was going to
  • 53:57take all the time but you know I
  • 53:59take a lot of time but I do have to
  • 54:01thank all of my colleagues and NYU
  • 54:04all of my ongoing collaborators.
  • 54:08Yeah, I you know. I always think,
  • 54:11Kathy my mentor is watching
  • 54:13over me and so proud. I.
  • 54:18You know? Yeah yeah,
  • 54:19I just I found out some great news.
  • 54:22I got a really awesome score on a grant.
  • 54:27Shout out to Nida because I
  • 54:29think it's going to get funded,
  • 54:31but I was just like what an
  • 54:33amazing journey we have come.
  • 54:35So thank you for allowing us to be here.
  • 54:37Thank you for allowing me to share space.
  • 54:39I am sincerely thankful to the
  • 54:41people that helped me get the
  • 54:43audio clips and put them in.
  • 54:45And the last thing I'll say is stay in touch.
  • 54:48You all are my family congratulations
  • 54:50and that is the best way to find me is
  • 54:53on Twitter because I'm always there.
  • 54:55I'll stop that and I am done.
  • 54:57Are you finished? Are you done?
  • 54:59I'm done, this was lovely congratulations.
  • 55:02Thank you. Thank you. Thank you.
  • 55:04Yes. Be well, take care.