The Student Wellness Centre’s gender affirming care isn’t just important, it’s lifesaving
By: Finnick Appollo Brisson, Opinion Contributor
this article contains images that may be sensitive for some readers
Navigating university is hard and when you’re balancing that with a diverse identity like living as a trans student it can be even more exhausting. We are met with more challenges than our cisgender classmates with challenges and barriers in our way while trying to transition through university life.
For students navigating these challenges, the support and gender affirming care offered by McMaster’s Student Wellness Centre can make a lifesaving difference. My story is a testament to that.
My name is Finnick Appollo Brisson, I go by he/him pronouns, and I’m going into my 4th year at McMaster University in the faculty of social science. I’m a trans man.
I started at McMaster before coming out as trans and navigating transitioning through university has been difficult. If it wasn’t for the Student Wellness Center, I doubt that I would have made it.
When I first arrived at university, a therapist at the Student Wellness Center recommended I attend Embracing Gender Diversity, a support group made of trans and gender-nonconforming students.
The first day I attended the group, I felt like I had a reason to live. I felt like what I had been experiencing my entire life could finally be put into words. I began to attend this group weekly because I was able to discuss things there that would have been unsafe anywhere else.
I soon learned that the group wasn’t the only gender-affirming care on campus.
The Student Wellness Center offers counseling and medical care for all trans and queer students with counselors well trained in gender diversity and doctors who are equipped and able to provide lifesaving care.
I was able to access hormone replacement therapy because of one of these doctors and I’m able to get weekly injections from the lovely nurses there.
Additionally, the Wellness Center can help students begin the legal process of changing both names and gender markers.
One of the biggest reasons I made it to top surgery in the first place was because I was able to work with a counselor. Previously, I had gone through the system and was passed from one mental health professional to another, until I came to the wellness centre and found the counselor who saved my life.
I’ve been taking testosterone for over two years now, and I had top surgery a year and a half ago. Without the care and kindness that the wellness centre provided me, I wouldn’t be here today.
Today I am a proud 4th year trans man with pursuing a Master’s in psychotherapy after my undergraduate. Without the support that the Student Wellness Centre provides, I would never have made it this far.
Being a student is hard and balancing a diverse identity makes it harder. Mcmaster Student Wellness offers the support that trans students so badly need in today’s social and political environment. I hope hiring more gender diverse staff can be a part of expanding this support.
Gender affirming care is lifesaving, and for trans students at any stage of that journey, the Student Wellness Centre is there, with its help, university can be the life changing opportunity every trans student deserves.
The new interdisciplinary course explores sustainable healthcare, equips students with practical skills and aims to bridge the gap between environmental sustainability and healthcare
At the start of the winter semester, McMaster University launched SUSTAIN 3HC3: Sustainability and Healthcare, a new course open to students from all faculties and backgrounds. The course allows students to explore environmentally conscious practices in healthcare.
Unlike traditional lecture-based courses, SUSTAIN 3HC3 emphasizes experiential learning, giving students the opportunity to apply their knowledge through case studies and group work. The course structure consists of lectures and tutorials, where students engage in discussions that focus on key topics such as green care, procurement, policy and advocacy and equity.
Sarah Precious and Marijke Ljogar, co-instructors of the course, spent years in discussion and planning to create a curriculum driven by student interest, healthcare professionals and the need to equip the future workforce with sustainability knowledge and skills.
Precious mentioned that they collaborated with over nine different experts across various healthcare and sustainability sectors to help co-develop the course. They worked closely with these experts to shape the learning material and pre-recorded guest lectures, allowing students to gain firsthand insights from leaders in the healthcare field.
According to Precious, the course is capped at 200 students, with approximately 160 enrolled this semester.
“We recognize that it’s a larger class, but we have heard from students over the years that they’re often part of very large classrooms. So, we priortize giving them the opportunity for those [meaningful] interactions, not only with their peers but also with the instructors and TAs. We do things a little untraditionally in the sense of providing as much discussion and conversation time as we can to explore these topics with them,” said Precious.
We do things a little untraditionally in the sense of providing as much discussion and conversation time as we can to explore these topics with them
Sarah Precious, Co-instructor SUSTAIN 3HC3
McMaster University
Ljogar mentioned that in each session the class will cover different topics, with one week focused on case studies relevant to the healthcare sector. These case studies will change annually and will explore topics such as healthcare leadership and management and the role of AI in sustainable healthcare.
“We have a week dedicated to equity, where students will review modules, such as the equity module through McMaster.You can’t talk about climate change and not talk about the inequitable impacts it has on individuals in different communities. We’ll discuss these issues not only on a global level, but also on a local level, including case studies like the Code Red study in Hamilton,” said Ljogar.
Precious mentioned that they are seeing trends in hiring, with companies increasingly seeking individuals with experience in environmental sustainability across sectors.
“Our hope is that, regardless of what sector you work in — whether it’s environmental sustainability, healthcare or another sector — these are complex issues that require cross-sectoral approaches. We need people in all sectors to understand the impacts of environmental sustainability, and work together across systems,” said Precious.
These are complex issues that require cross-sectoral approaches. We need people in all sectors to understand the impacts of environmental sustainability, and work together across systems
Sarah Precious, Co-instructor SUSTAIN 3HC3
McMaster University
Ljogar noted that one critical skill exercised in the course is the ability to not only identify an issue and its intersection, but also knowing how to communicate it, especially with people who may not have the background information to understand it well.
Additionally, students will develop communication and advocacy skills through an experiential learning project, where they will choose from real-world topics including sustainable procurement, improving healthcare access to vulnerable populations, plant-based approaches for chronic disease management and empowering patients to make sustainable healthcare choices. Students will have the opportunity to present their projects to an expert panel.
Precious and Ljogar emphasized that they encourage students from all backgrounds to take the course, as it is not just for those pursuing careers in the healthcare sector.
“We have healthcare professionals who understand the healthcare system well and environmental scientists who are experts on climate change impact. The gap between these fields is often not very large, and that’s what we’re trying to bridge. You need to understand both to make this work. Anyone interested in this course, we would really encourage them to take it,” said Ljogar.
As this semester is the first time the course is being offered, Ljogar and Precious are hopeful for its continuation as they actively seek feedback and work to engage students in the course.
McMaster students share their experiences accessing the SWC and what the service has done to enhance student accessibility
The Student Wellness Centre is a McMaster University service that provides undergraduate and graduate students counselling and medical care as well as undertakes health promotion initiatives. In September 2023, the Silhouette spoke with Debbie Nifakis, a psychologist and SWC’s associate director of counselling, as well as with three undergraduate students about their relationship with the SWC.
Nifakis shared that the SWC cares very deeply about their counselling services. Currently, the SWC operates under the Pathways to Care model, which offers students a diverse array of resources in an effort to help find the best combination of service for an individual.
“With Pathways to Care, it helps people to see what are the different options that you have when you come here ... So it really helped the counselor and the student together to look at "what are your needs and where would you best get them met?",” said Nifakis.
Fiona Allen, a fourth-year Health Sciences student at McMaster, has accessed both SWC medical care and mental health services. Allen explained that she found the service to be very helpful and organized, as she was able to have both a general practitioner and a psychiatrist through the SWC
“I found even like the general physicians, who see you for all of your medical needs, they're very knowledgeable of mental health and they were very understanding,” said Allen.
Breanne Poernbacher, a fourth-year anthropology student at McMaster, sought out mental health support from the SWC this past summer. She explained that she is very appreciative of the medical care she has received and encouraged those who need it to seek support from the SWC. She emphasized how the SWC's trauma-centered approach was a good fit for her while seeking support.
“Even before the whole procedure, which is a very safe procedure, [the doctor said] "Yeah, [any] worries that I can address? Do you want me to like tell you before I touch you, or are you comfortable with this?" It's just really nice that that's in their practice. It makes it a lot more comfortable as someone that survived trauma to access that,” said Poernbacher.
Poernbacher explained that while she felt the support she received from the SWC was a positive experience, she also felt she had to overshare to the front desk in order to convey the urgency of her requiring support.
“If I left that information out they probably would have tried to push my appointment to the next day or the next week even,” said Poernbacher.
Anisah Ali, a fourth-year Health and Society with a specialization in Mental Health and Addiction student at McMaster, accessed the counselling service at start of her undergraduate education and now again in her last year.
Ali shared that she began counselling in Aug. 2023. She shared that despite the overall positive and smooth intake, she was a bit disappointed to learn that they currently do not have any South-Asian therapists working.
Ali shared that during the time of her intake, the only South-Asian therapist employed was on leave. In a follow-up statement six months later, she stated she had become well acquainted with her current therapist and was not interested in switching. However, she noted that to her knowledge therapists at SWC lack diversity relative to who they treat.
“It was unfortunate to not have somebody who gets my cultural background, because obviously, that informs what I see from therapy,” said Ali.
It was unfortunate to not have somebody who gets my cultural background, because obviously, that informs what I see from therapy.
Anisah Ali
Fourth-year Health and Society student
Moreover, both Allen and Ali both expressed that an area for improvement would be the capacity of staff for counselling services. Allen shared that overall she is very happy with her service, but she wished the wait times could be reduced. Ali expressed that with a larger capacity, they would be able to take more students in per day.
“Probably, if anything, it would just be reducing the wait times. I know that's difficult because there's obviously a lot of students and a lot of students who have mental health needs [and] general medical needs and only so many staff, but I feel that that would be a great place to invest,” said Allen.
Nifakis shared that her team wanted to counter this by introducing a walk-in system last year, which is now titled the drop-in system. The goal was to make counselling more accessible so people could get the help they needed on the same day.
Nifakis shared that there was an overwhelmingly positive response, but did not provide any data to support this claim when asked through email correspondence.
Nifakis also explained that sometimes despite their best efforts, sometimes they need to turn people away. She explained that situations deemed emergencies are prioritized. Nifakis expressed that resources are limited for the service, though they plan to hire a few more people.
“Now even walking in is a little bit limited because if we had two or three counselors on there would only allow for maybe six, seven people. So there were days where we might have had to turn people away, because we just didn't have enough openings for the walk in. So that's always a bit of an issue,” said Nifakis.
Poernbacher shared an earlier experience where she was unable to receive counselling care at a frequent basis that accommodated her well-being.
Poernbacher partook in one of their counselling services that help students overcome a particular situation in their life, but she expressed that not being able to access that therapist after the eighth-week mark had been difficult.
“Now I am without a therapist and I have been recommended to continue long term care. So that's why I ended up finding a therapist outside of SWC and pretty much paying out of pocket,” said Poernbacher.
Now I am without a therapist and I have been recommended to continue long term care. So that's why I ended up finding a therapist outside of SWC and pretty much paying out of pocket.
Breanne Poernbacher
Fourth-year Anthropology student
In March 2024 we reached out to Fezan Khokhar, the director of the McMaster Students Union's Emergency First Response Team, to discuss findings from the report they shared with the MSU Executive Board in February 2024.
In their report, it was noted that between August 2023 and February 2024 there was a decrease in mental health calls, in comparison to the previous year’s report. Khokhar shared that these statistics are subject to change as the full year's data has not yet been collected.
In the EFRT report, they also attributed this decrease in part to SWC drop-in counseling and the hiring of a mental health nurse through a McMaster initiative initiative called the Student Urgent Response Team. The goal of the latter program was to have someone specialized in order to support students in crisis, alongside other campus security staff. This project was funded by Bell Let's Talk's implementation grant, which provided McMaster $100,000.
Khokhar explained that in a conversation with Rosanne Kent, SWC director, she expressed their efforts to provide increased access to counselling. Khokhar shared that he hoped those responsible for the finances of SWC continue to help them build their drop-in counselling services.
“I'm viewing it, as in my opinion, that we're seeing [the] Student Wellness Center provide more support towards individuals who have any mental health illnesses or are going through any crisis so that they don't reach the point of panic attacks or intense thoughts of suicide. [This] tends to be when we're called,” said Khokhar.
The Silhouette was able to recently follow up with two of the undergraduate students we spoke to earlier in the year.
Allen expressed that she actually had to switch doctors this past year. She was greatly appreciative of the effort that the SWC took to ensure the transition was smooth internally and that her care continued without any issues.
Furthermore, she shared that since the last time she spoke with The Silhouette, she had come to terms with the unchangeable chronic aspects of her mental health conditions. While that process had been difficult, the SWC's treatment provided her with a sense of self. She shared that as she prepares for graduation, the SWC has effectively helped her begin to plan the transfer of her medical care.
"Sometimes, my [mental health] makes me feel like I am completely out of control. It is nice to get a degree of control back through the autonomy and respect I’m given as a patient at the SWC. Although I’ll lose access to the SWC shortly after I graduate this year, I feel empowered to advocate for myself and my needs," said Allen in an email statement to the Silhouette.
Conversely, Ali's follow-up statement expressed that she believed the SWC does not significantly recognize the chronic treatment of mental health. She wishes that cultural aspects of mental health presentation were more clearly acknowledged.
"I think they should improve how they engage in actual sessions to take note of cultural differences present in how [mental health] symptoms arise," said Ali in an email statement to The Silhouette.
Overall, students who have used the counselling services have a deep appreciation for the SWC and any suggestions for improvement merely stem from their personal experiences with the center.
If you would like to share your pwn experiences with the SWC, the centre is asking those who have used the service in the past twelve months to share their experiences anonymously.
Black individuals are continuing to face disparities within the healthcare system, regardless of how universal our healthcare coverage may be
I believe the Canadian healthcare system was not designed in a way that allows for patients to be treated equally. Numerous times, it has been discussed that people of colour are not receiving adequate care compared to their European counterparts.
Although we live in a progressive society that sheds light on these topics, a plethora still needs to change. Through patient advocacy, we can make these changes within our healthcare system.
The black population of Canada has had a substantial history with medicine and the healthcare system. Due to this history and the means of patient advocacy, we are seeing improvements to make our healthcare system more inclusive and representative of the needs of black individuals.
Unfortunately, our healthcare system has not always been like this. For example, black individuals faced racial inequality and injustice regarding the care they received.
A mountain of evidence has displayed a lack of health research concerning the black population. This has led to their care being inaccurate since it is based on research conducted on individuals of European descent. Instances like these have created a space for the healthcare system to make inferences on how to treat black individuals best.
For example, there is a racial bias in administering pain medication for the black population compared to their European descent counterparts. This medical practice is rooted in the belief that black individuals had a higher pain tolerance than those of European descent.
As of this, it was reported that black individuals were undertreated for pain symptoms, leading to increased chances of being denied pain medication. In addition, according to a study, black individuals are more likely to be underestimated with experienced pain despite their verbal communication of discomfort.
The aforementioned belief was so prominent in the healthcare system that it implicated individuals during childbirth. Regardless of an individual's insurance policy, the status of the admitted hospital, and other factors which may influence the presence of epidurals, black individuals are less likely to be administered an epidural before childbirth.
Not only does this policy demonstrate racial bias, but in my opinion, it also displays prominent concerns for care inequality. For example, women should not be denied epidurals during excruciating moments such as childbirth due to higher perceived pain tolerance.
According to a study investigating the relationship between race and usage of Epidural Analgesia during childbirth, "Black patients with private insurance had rates of epidural use similar to those of white/non-Hispanic patients without insurance coverage." Although these are American statistics from 2003, it demonstrates the racial disparities black individuals faced in the past.
On a positive note, the Canadian healthcare system has shown promise for improvement towards racial bias and inequality. Recently, medical textbooks have included medical illustrations of black individuals to demonstrate inclusion.
Modern medicine also recruits larger populations of black students to promote equality of opportunity and representation among healthcare staff and patients. This newfound representation provides our healthcare system with more diverse voices for social issues within this system. In addition, it may provide a better basis for black individuals to receive equal care as their providers could better relate to them.
With advocacy against the lack of research on various racialized groups, there has been an increase in medical research focusing on black individuals in recent years. The uptake of research has provided medical practitioners with a better understanding of how illness presents itself within the black population and how to treat it better.
With advocacy against the lack of research on various racialized groups, there has been an increase in medical research focusing on black individuals in recent years. The uptake of research has provided medical practitioners with a better understanding of how illness presents itself within the black population and how to treat it better.
The Canadian healthcare system has drastically improved concerning the inclusivity, representation, and treatment of the black population in medicine and health. However, I believe much improvement still needs to be done to reconcile past actions and promote equality.
Since there are already practices in place enhancing the representation of black individuals and correcting the quality of care through specified research, patient advocacy is the primary method of improving our healthcare system for black individuals.
I believe this to be true because through raising awareness on issues that impact specific communities, we have the power to implement change. In addition, by exercising patient advocacy, we can ensure that these strategies continue to support the black community within medicine.
Through showcasing prominent issues and demanding change, we can promote inclusivity, more health research conducted on black individuals and representation. With these factors, I believe we can create a further significant shift in healthcare, improving the quality of care we provide to the black community.
Although Canada provides its citizens and permanent residents with access to healthcare, there are disparities between the quality care provided to racialized and non-racialized groups
Canadian citizens and permanent residents are privileged to receive accessible healthcare under the country’s universal healthcare system. The ease of access to care through family doctors or walk in clinics, links society and healthcare in a way that allows individuals to receive surgeries, medical tests and treatments when sick for no upfront cost.
Although we receive many crucial benefits in medical care compared to other countries in the world, our healthcare system is far from perfect. When viewing the social aspect of our healthcare system, I strongly believe there is a lack of compassion and consideration toward patients of colour, which results in racial inequality for indiviudals accessing the health care system.
The racial inequality in Canada's healthcare system in particular has created distress and barriers for many of the population.
Historically, clinical research has been conducted on males of European descent. Thus, our medical knowledge is largely derived from a distinct population.
As taught by Dr. Verónica G. Rodriguez Moncalvo in Research Methods in The Life Sciences (LifeSci 2A03), to generalize the results obtained from a research study, the sample must be representative of the population.
However, the healthcare system does not seem to acknowledge this rule since the results obtained from a specific sample are applied to the general population.
This is also a prime example of racial inequality in Canada's healthcare system. The racial disparities experienced within medicine stem from the lack of knowledge of how various health issues present themselves in differing groups.
For example, South Asians are at a higher risk of developing a detrimental cardiovascular disease than their White Caucasian counterparts. However, this was only recently brought into public knowledge due to the lack of data on the correlation between South Asians and cardiovascular disease.
For example, South Asians are at a higher risk of developing a detrimental cardiovascular disease than their White Caucasian counterparts. However, this was only recently brought into public knowledge due to the lack of data on the correlation between South Asians and cardiovascular disease.
Racial inequality in our healthcare system leads to racial disparities, ultimately creating a divide between patients of colour and the medical system. Now, you may be thinking, "What does this have to do with patient advocacy?" Well, the issues discussed are all connected through their lack of advocacy for the rights of patients of colour.
Patient advocacy exists to correct these social injustices and beyond. Although health advocacy is a profession within Canada, I believe that anyone can practice patient advocacy. For example, if you had visited someone in medical care, you might have engaged with this practice.
It can be challenging to navigate the healthcare system due to low socioeconomic status or language barriers along with being racialized, for exmaple. In addition, the lack of education concerning health issues of racialized groups creates more difficulty in receiving medical care.
On a simpler scale, patient advocates are individuals who take on the responsibility of voicing patient concerns. For example, racial inequality requires patient advocacy because when these issues arise, it more often than not takes a family member to advocate for the patient's rights.
Unfortunately, due to the stress placed on our healthcare system, patients needs often get overlooked, even more so for racialized groups. Patient advocacy is crucial in resolving social inequalities experienced in the healthcare system because it is the most consistent. Advocates are with the patient throughout the healthcare system, ensuring that the patient receives the best care possible.
Unfortunately, due to the stress placed on our healthcare system, patients needs often get overlooked, even more so for racialized groups. Patient advocacy is crucial in resolving social inequalities experienced in the healthcare system because it is the most consistent.
Fortunately, medical students have understood the importance of patient advocacy through the pandemic. A collective of McMaster University medical students have advocated for creating an accessible paid sick leave program for Ontario workers during the pandemic.
This movement provided upcoming doctors with experiential evidence that patient advocacy is a necessity within the medical field. As society evolves, it is important for us to acknowledge that we all play a role in patient advocacy. Without it, the social injustices concerning racial inequalities occurring in medicine will prevail.
Racially discriminatory healthcare, anyone? It’s free!
C/O Ashkan Forouzani
By: Hadeeqa Aziz, Contributor
Throughout school, we’ve been taught about all the ways Canada’s healthcare system is perfect. We’ve got free healthcare, for goodness’ sake!
It seems as though this phrase has made itself quite comfortable in our heads. Even now, while engaging in friendly conversation with our American counterparts, we don’t leave without mentioning: “we’ve got free healthcare”.
What our education systems have failed to teach us, however, is the masked reality of healthcare services in Canada. Various healthcare disparities most definitely exist here and remain persistent.
Indigenous, immigrant, refugee and racialized groups are at a greater risk for the negative health outcomes that result from health inequalities. These inequalities arise from poverty, socioeconomic status, race, identity and other social determinants.
Why is this the case? Although Canada promises free health care to all its citizens, we need to take a second to examine how accessible and adequate such services are to different groups of Canadians.
Don’t believe that racism can exist in a healthcare setting? Think again. When ideas of superiority and inferiority come to life in such a way that it interferes with an individual’s health and their access to health resources, you’re staring right at racism.
Don’t believe that racism can exist in a healthcare setting? Think again. When ideas of superiority and inferiority come to life in such a way that it interferes with an individual’s health and their access to health resources, you’re staring right at racism.
Did you know that Black, Indigenous and People of Colour communities, as well as those of lower educational attainment levels, are at greater risk for things such as diabetes, mental health illnesses, suicide rates and heart disease?
Racial discrimination has earned its title as the leading health issue affecting racialized communities. When these communities are trapped in a system where they are consistently oppressed, how can you not expect them to be at a greater risk of chronic diseases?
For example, with Indigenous communities, the experience of colonization and the permanent effects of it has resulted in large disparities between their health status — including physical, mental and social health — compared to non-Indigenous peoples.
Approximately 50 per cent of Canadian First Nations live on reserves, where poor housing conditions also lead to several health issues. These issues include increased prevalence of infectious diseases such as tuberculosis, bronchitis, influenza and more recently, COVID-19.
Of course, a conversation about racism and discrimination isn’t complete without a discussion about how whiteness and Eurocentric ideologies have made themselves embedded within modern health care practices and processes.
Eurocentric ideas have become normalized in health care assessments, diagnosis and treatment plans. They are often used as yardsticks by which non-white groups are judged. How does that make sense when these groups have drastically unique experiences and lifestyles? Mainstream healthcare services are unequipped to adequately meet the needs of these communities.
It is also not surprising that these groups, especially immigrants, refugees and those living on Indigenous reserves do not have the same accessibility to health education. This often results from the intersections that those who identify as BIPOC have with lower socioeconomic status.
In Hamilton, 43 per cent of BIPOC live in low-income households, while only 15 per cent of white residents find themselves in the same category. See how the two determinants are often coupled with each other? Being a victim of both these health determinants inevitably puts an individual at risk of another: access to education.
Having access to health education means knowing what is beneficial and what is harmful to our bodies. When there are disparities with education attainment, these lines become blurry, leaving detrimental effects on an individual’s health.
Having access to health education means knowing what is beneficial and what is harmful to our bodies. When there are disparities with education attainment, these lines become blurry, leaving detrimental effects on an individual’s health.
Hamiltonians of lower-income class, which often consists of BIPOC communities, account for 27 per cent of COVID-19 cases, despite making up only 19 per cent of the population. Some determinants of contracting COVID-19 include education and money.
Being an immigrant or refugee already makes a person less likely to have access to an adequate education. Without one, a person may be less likely to know, or fully comprehend COVID-19 guidelines.
Let’s pretend that the person is fully educated on COVID-19 matters. Being of a lower socioeconomic class limits their access to resources, such as face masks and forces them into dangerous situations such as taking public transportation and living in crowded homes.
Even if they had funds to avoid all these things, racial discrimination remains the leading cause of health issues in these communities. See the trap? See how these intersections build upon each other?
Increased access to healthcare services by racialized groups must begin with first determining how these representations are manifested in our healthcare system as well as in “everyday interactions with clients”. We have to not only recognize but appreciate how multiple social identities operate in the lives of racialized communities and have a willingness to tackle issues from an intersectional perspective. Canada proudly identifies itself as a racially and culturally diverse nation — perhaps it’s time our healthcare system recognizes that.
As COVID-19 continues to place strain on healthcare workers, McMaster University provides isolated and affordable accommodations
For many healthcare workers, the struggle to keep society safe has come at a personal cost. Throughout the COVID-19 pandemic, healthcare workers have faced an increased risk of infection, as well as the emotional impacts of dealing with this public health crisis.
Offering residence rooms to healthcare workers was a way for McMaster University to provide support to those on the frontlines. The aim of this program is to provide frontline healthcare workers with a safe and affordable place to self-isolate.
As these workers are at an increased risk of contracting COVID-19, living away from home for a period of time helps them to protect their families.
According to Laurie Ham, manager of conference and event services at McMaster, an organization heavily involved with this program is the Thrive Group. As Ham explained, the Thrive Group is a non-profit organization that has been helping to connect McMaster with healthcare workers who are interested in accessing this program.
“They receive the initial inquiry and they work with people interested,” said Ham.
The Thrive Group’s Vice-President of Business Strategy, Vickie Baird, reflected on the importance of having this program in place.
“We knew that there was some anxiety that these healthcare workers would bring the virus home to [their] families, so we wanted to be able to give them an affordable option that would allow them to stay somewhere safe during their work term,” said Baird.
The program, which launched on Jan. 20, allows healthcare workers to book a stay in McKay Hall at an affordable rate, with the option to order meals to their rooms as well.
“We had heard that [healthcare workers] really did want some options, other than calling a local hotel and paying a hundred plus dollars per night,” Baird explained.
“We had heard that [healthcare workers] really did want some options, other than calling a local hotel and paying a hundred plus dollars per night,” Baird explained.
Ham explained that McKay Hall was well-suited for this program.
“The building has just completed a major modernization of all of the washrooms throughout, so it makes it a perfect opportunity to have [healthcare workers stay in] a safe, comfortable setting,” said Ham.
Healthcare workers can stay at McKay Hall from three to 14 days, a policy which was created to accommodate as many workers as possible. Baird added that McMaster would be willing to consider extension requests.
As of Feb. 4, the program has received nine inquiries from healthcare workers, although none have registered yet. According to Baird, healthcare workers may be waiting to see if their employers would cover the cost, or they may be unsure about the meal plan, as it isn’t designed with long shift schedules in mind.
“I think it's still early. Even though we launched the program two weeks ago, it takes a while for the information to filter through,” Baird said.
Along with space reserved for healthcare workers, McMaster’s campus is still inhabited by a small number of students currently living in residence. To ensure effective social distancing and other safety protocols, Ham highlighted that healthcare workers and students are isolated from one another.
“It's entirely separate. It's a separate building; it's a separate series of standard operating procedures and protocols,” said Ham.
A number of McMaster departments have been involved to create this initiative. From parking to hospitality services, it takes a village to bring the community together.
“To be able to come up with a comprehensive [program] requires participation from [many] people,” said Ham.
Overall, Ham described this program as an opportunity for McMaster to give back to Hamilton’s healthcare workers.
“We were able to work through a plan to demonstrate the university's commitment to supporting these dedicated, passionate, relentless professionals who are caring for everyone else to make sure people stay well,” said Ham.
By Elisa Do, Contributor
“How many of you are thinking of pursuing a career in health care?”
Since my first day at McMaster, I have — on several occasions — been asked this same question by various professors.
Every time, the classroom flooded with hands in the air. And it was safe to say that none of us were surprised.
Health care encompasses a growing range of professions that have become increasingly popular in our world today. This popularity arises from various circumstances, but it is especially due to the growing number of aged “baby boomers.” As folks of that generation age, the number of individuals seeking healthcare also increases. Thus, leading to greater needs for healthcare professionals, and further emphasis on the field’s importance. Considering this, many children are being taught the benefits of building a career within health care, and more specifically, the benefits of becoming a physician. Physicians are known to have high paying salaries, receive a high level of respect, and face considerable job demands.
However, working in health care is meant to be attractive beyond these practical values. To work in healthcare means providing for others; it means caring for complete strangers. And that, to me, is something meaningful.
Unfortunately, when thinking about the opportunities that healthcare can offer, folks tend to brush aside other crucial professions within the field. One of which include the profession of nursing. Nurses are often viewed as inferior to physicians and portrayed as mere subordinates within the media. They are thought to hold fewer skills, when in truth, they simply hold an extremely valuable set of different skills.
When I think about the time I spent in the hospital with my family, I think about the warm smiles of the nurses. I remember their patience, and their acts of kindness that brought my family comfort. That is not to say that the doctors were not helpful during our difficult times, but the level of intimacy was not the same. I remember the way they cheered my family on, and I remember thinking to myself, “I have to give back to this community someday. I have to bring kindness to other families the way that they did for me today.” In the short amount of time that the hospital became my home, those nurses touched me and my family in a way that will last a lifetime.
When I think about the time I spent in the hospital with my family, I think about the warm smiles of the nurses. I remember their patience, and their acts of kindness that brought my family comfort. That is not to say that the doctors were not helpful during our difficult times, but the level of intimacy was not the same. I remember the way they cheered my family on, and I remember thinking to myself, “I have to give back to this community someday. I have to bring kindness to other families the way that they did for me today.” In the short amount of time that the hospital became my home, those nurses touched me and my family in a way that will last a lifetime.
Nurses are not only caregivers, but they can also be involved in treating injuries, administering and managing medications and performing basic life support. Many of their responsibilities are those typically associated with the roles of doctors.
But even with all the responsibilities that nurses carry, many still regard nurses as “assistants” to physicians. Nurses are often thought to be less significant in the hospital as many forget that health care requires a team effort. If you want to provide care for strangers, and wish to have those strangers put faith in you, it takes a lot more than diagnosing conditions or performing surgery. It requires providing emotional and psychological support for patients and their families, maintaining a safe environment for everyone, and taking unique approaches when providing care for each individual.
In an integrative review done by several members of the Department of Nursing Science at the University of Turku, the perceptions of nursing that young people carry were found to inaccurately reflect the profession’s actual responsibilities. In fact, these perceptions have not changed in the last ten years. Nursing was described with poor working conditions, difficult shift work, and low social status. Along with the many stereotypes regarding nurses — such as gender roles and sexualization — found in the media today, many folks fail to further consider the educational requirements and intellectual demands that nurses face.
Before coming to McMaster, I had intended on applying for the undergraduate nursing program. Although I eventually changed my application choices as I discovered more regarding my interests, the nursing program still stands to me as an exceptional pathway into doing amazing work.
However, when I had initially introduced my family and friends to the idea of me becoming a nurse, I was presented with questions such as: “Why would you want to be a nurse? Why wouldn’t you want to be a doctor?” Hearing these questions not only felt insulting to my values, but more so insulting to the professions themselves, as if all there was to a career was the monetary benefit, or the accepted social status.
And I know doctors and nurses are not the only jobs being misconstrued. Understanding the responsibilities behind any profession takes more than a simple Google search or hearing salary ranges from friends.
Whether to choose medicine, nursing or any other health care pathway for that matter, should be a decision made based on what the individual seeks for their future. There are many wonderful reasons to become a physician, but I believe the spotlight of health care has been too concentrated on the title of ‘doctor’ rather than what the job really entails. It’s time we shift this spotlight and highlight the importance of other contributing members of the healthcare team; it’s time we take a closer look at what it really means to “pursue a career in health care.”
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On Feb. 2, Sonia Igboanugo, a fourth-year McMaster biomedical discovery and commercialization student and co-founder of Black Aspiring Physicians of McMaster, received the Lincoln Alexander scholarship at the John C. Holland awards, which celebrates African-Canadian achievement in Hamilton.
Igboanugo and McMaster grad student Kayonne Christy launched BAP-MAC during the 2016-2017 school year to support Black McMaster students striving to become physicians and other healthcare professionals.
Igboanugo was inspired to create the club following her attendance at a University of Toronto summer mentorship program geared towards Indigenous and Black students interested in health sciences.
“I felt like that program changed my life in terms of inspiring me in what I thought I could do and what my capacity was as a potential health care professional,” Igboanugo said. “I felt very empowered and I felt very interested in this in bringing the same experience to McMaster.”
Since then, BAP-MAC has steadily grown. Currently, the club has over 100 members, proving a variety of resources to its members.
As part of the BAP-MAC mentorship program, younger students are paired with a mentor who provides academic and career guidance.
Throughout the year, BAP-MAC also arms students with information about research opportunities and hosts workshops and talks led by healthcare professionals.
At its core, however, BAP-Mac simply serves as a community for Black students on campus.
“For me, the biggest part has been connecting with older students who can help me navigate through university,” said first-year kinesiology student Ida Olaye, who aspires to go to medical school. “BAP-MAC gives you that support group, to know that you’re not alone, that there are a lot of people trying to pursue the same dream that you are pursuing and it is very doable.”
This past year, BAP-MAC received a three-year grant from the Ontario Trillium Foundation.
The grant has allowed BAP-MAC to host a conference for the first time. The event is scheduled for this upcoming May.
The grant also allows the club to expand its vision to empower Black youth on a larger scale.
“Because we have a pretty good campus presence, I would say, but the goal was to address the issue of lack of diversity on a more systemic front,” Igboanugo said.
Part of that is a new initiative aimed at incorporating high school students into the BAP-MAC program by connecting them to undergraduate student mentors.
Second-year human behaviour student Simi Olapade, who is also the associate director of multimedia for BAP-MAC, sees a lot of value in the initiative.
“Reaching out to those high school students is an opportunity that I even wished I had to be honest. Seeing someone like you in a place where you want to be helps so much in terms of making you focus more on achieving that goal, making you more goal-oriented and making you more focused,” Olapade said.
Reflecting on the award she recently received, Igboanugo says the work she does as part of BAP-MAC only reflects how others have helped her.
“It was very humbling to actually be recognized for the work because it is the greatest thing or greatest privilege I have to always serve my community or use my strength to better my community and the people around me,” Igboanugo said.
Students wishing to get involved with BAP-MAC can learn more about the group’s initiatives on BAP-MAC’s Facebook page.
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By: Julia Healy
“Sexually active” is an awkward phrase that many of us only hear in the doctor’s office. It is used in an attempt to bridge the intimate world of sex with the clinical and professional world of medicine, which is not an inherently harmful goal.
What is harmful is that whether or not one is sexually active is often the only question concerning sexual health that is asked during a doctor’s visit. And more often than not the answer is confined to heteronormative, penis-in-vagina penetrative sex between a cis man and a cis woman.
I recently had a negative experience that sums up how the use of this clinical language can lead to misunderstandings and humiliating experiences for LGBTQ2S+ individuals like myself. After having a bizarre 25-day period, I decided to go to the doctor. He told me that a wide variety of problems could have caused this problem. He then referred me to an ultrasound clinic for testing.
At the clinic, I filled out my paperwork and waivers. One form asked if I was sexually active and left no space to elaborate. I had to think about how to answer; I had had sex before, but it was with another woman, so what was this form actually asking about? Possibility of pregnancy? Exposure to STIs?
I decided to check ‘yes’ since I do consider myself to be sexually active and my doctor had mentioned that an STI could be a contributor to my problem.
Once I was inside the ultrasound room, lying on a table in a hospital gown, the technician noted that I was sexually active. She then muttered under her breath that I would need to be to to get a transvaginal ultrasound, while picking up a large internal ultrasound wand.
Not having known that being sexually active in a heteronormative sense was a prerequisite to the procedure, I decided that now was a good time to clarify. I tried to phrase my predicament as delicately as possible, so I emphasised that I had never had penetrative sex before.
The technician became very frustrated and started to interrogate me, demanding me to explain.
I thought that a medical professional who specialized in sexual healthcare would understand my phrasing. I thought that she would at least consider that different people have different types of sex.
Instead I was there, lying half-naked on a table, being yelled at by somebody who did not seem to consider sexual differences. Humiliated, I said in a very small voice, “well… I’m a lesbian.”
The technician’s demeanor instantly changed. She became less aggressive and seemed embarrassed. She left and brought back new paperwork for me and indicated that I should write that I was not sexually active and that I did not consent to the tests that I had previously consented to.
I went home frustrated about being yelled at and ultimately denied the testing that was recommended by my doctor. I decided to follow up with the clinic and while the receptionist was sympathetic and said that they would follow up with the technician, they also defended the clinic’s position by saying, that I was technically a virgin and that I shouldn’t have indicated otherwise.
This entire situation was incredibly uncomfortable for me and it could have been avoided if only the original paperwork had been clear in its questions. If I had space to elaborate on my sexual experiences in the paperwork, I would have and would have spared myself from the frustration of the technician. If I had known that penetrative sex was a prerequisite to the test, I would not have signed the consent form.
However, even with these language changes, the clinic’s penetrative sex requirement is an inappropriate policy. Everyone with a vagina should have access to reliable ultrasound tests regardless of sexual activity. Smaller ultrasound probes that can be used with less discomfort do exist, but unfortunately, not many ultrasound clinics use them. In my city of 600,000 people, you can only gain access to a smaller probe by going to the hospital.
When discussing barriers that lie between the LGBTQ2S+ community and healthcare, it’s not just about blatantly bigoted “bad apples” who refuse to treat queer patients. Barriers are deeply ingrained in the language that is used and assumptions that are made about a patient’s experience.
Barriers include failing to take LGBTQ2S+ experiences into account when designing medical procedures and failing to provide access medical equipment that works for all bodies, regardless of previous sexual activity. Barriers also arise when medical staff are ill-informed about the language that groups use to describe themselves and their experiences, and when this language is challenged in a hostile way.
Sexual health is incredibly important. However, encouraging people to take control of their sexual health only does so much if one’s identity and experiences are not incorporated into our healthcare systems.
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